>>WELCOME TO THE
NEXT EPISODE OF WOMEN LEADERS
IN RESEARCH, EMPOWERMENT OF
UNDER REPRESENTED RESEARCHERS
BROUGHT TO YOU BY THE NIH
RESEARCH CENTERS FOR ONCOLOGY
AND FRIENDS, VARIOUS SOCIETIES
AND ENTITIES.
WE'RE GLAD YOU ARE HERE.
HOPE YOU ENJOYED THE PICTURE
OF SCIENTISTS SESSION LAST
MONTH.
IT IS STILL AVAILABLE ON
VIDEOCAST IN THE EVENT YOU
WOULD LIKE TO SEE IT.
IT IS A SHORT VERSION OF THAT
AWARD-WINNING MOVIE.
TODAY WE'RE REALLY HAPPY TO
HAVE Dr. COLLEEN HADIGAN,
CHIEF MEDICAL OFFICER HERE IN
THE CLINICAL CENTER OF NIH.
TALKING ABOUT LISTENING AND
NOT LISTENING AND I WILL TURN
THIS OVER TO OUR SUPERSTAR AMY
NAVARA.
>>SO OUR UPCOMING SPEAKERS
WILL START ON APRIL 4TH TERESA
CARIDL AND YAEL BENSOUSSAM.
NEXT SLIDE, PLEASE?
>> SO THIS IS OUR PRODUCTION
TREE SLIDE WHERE WE SPEND A
FEW QUOTATIONS ON
INSPIRATIONAL WOMEN AND WE'LL
GO AHEAD AND START.
NEXT SLIDE.
AND AMY IS HERE TODAY AS WELL
FROM -- WHO IS CHIEF OF IR
WEST VIRGINIA AND SHE WILL
START US OFF.
THANKS, AMY.
>>THANK YOU SO MUCH.
SO MARIE CURIE, I THINK
EVERYBODY KNOWS HER, THE FIRST
WOMAN SCIENTIST TO WIN A NOBEL
PRIZE AND ALSO THE FIRST TO
WIN TWO NOBEL PRIZES.
QUITE THE FIGURE.
SHE WAS RAISED IN SCHOOL IN
POLAND AND THERE WAS NO CAREER
PATH THERE FOR HER SO SHE WENT
TO FRANCE AND EVENTUALLY DIED
OF APLASTIC ANEMIA PROBABLY
DUE TO HER EXPOSURE IN
RESEARCH BUT SHE SAID NOTHING
IN LIFE IS TO BE FEARED, IT IS
ONLY TO BE UNDERSTOOD.
NOW IS THE TIME TO UNDERSTAND
MORE SO THAT WE MAY FEAR LESS.
NEXT SLIDE?
>>THE NEXT WOMAN WAS ROUTE
BADER GINSBURG.
HER STATEMENT IS WOMEN BELONG
IN ALL PLACES ARE DECISIONS
ARE BEING MADE.
SHE WAS TOP OF HER CLASS AT
RGB BUT NO JOB.
SHE WAS WORKING AS PROFESSOR
AT RUTGERS UNIVERSITY OF LAW
AND WORKING FOR WOMEN FIRED
BECAUSE THEY WERE PREGNANT.
NEXT SLIDE, PLEASE?
>>ELEANOR ROOSEVELT, FIRST
LADY OF THE WORLD, FIRST LADY
FOR 15 YEARS HERE IN THE U.S.
AS WELL AND MANY OF THE
DECISIONS DURING THAT TIME OF
GREAT IMPACT WERE MANY PEOPLE
BELIEVE IN LARGE PART ASSISTED
OR EVEN MADE BY ELEANOR.
WOMEN ARE LIKE TEA BAGS, YOU
DON'T KNOW HOW STRONG THEY ARE
TILL YOU PUT THEM IN HOT
WATER.
NO ONE CAN MAKE YOU INFERIOR
WITHOUT YOUR CONSENT.
DO ONE THING EVERY DAY THAT
SCARES YOU.
THAT IS THE ONE I LOVE.
AND SHE WAS THE DRIVING FORCE
IN CREATING THE 1948 CHARTER
OF LIBERTIES KNOWN AS THE
UNIVERSAL DECLARATION OF HUMAN
RIGHTS.
NEXT SLIDE, PLEASE?
>>THE NEXT ONE, EQUALITY
CRUSADER BY ANNETTE COLVIN.
SHE WAS ESCORTED OFF A BUS BY
A POLICEMAN BECOMING THE FIRST
PERSON TO BE ARRESTED FOR
CHALLENGING MONTGOMERY'S BUS
SEGREGATION HOUSE.
[ MULTIPLE VOICES ]
>>IF EVERYBODY COULD MUTE,
PLEASE IF YOU ARE NOT ALREADY
MUTED?
THANK YOU.
>>ALL RIGHT, NEXT UP IS
VIRGINIA WOLF -- WOOLF,
ANOTHER FEMALE AUTHOR FOR THE
STREAM OF CONSCIOUSNESS
TECHNIQUE AND SHE SAID FOR
MOST OF HISTORY, ANONYMOUS WAS
A WOMAN.
>>NEXT SLIDE.
SO I AM GOING TO PROBABLY
BUTCHER THE PRONUNCIATION BUT
THIS SLIDE IS A QUOTE FROM
ISABELLE NEWTON AND I THINK
AMY GAVE THE MOST PROFOUND
LECTURE ON THIS SERIES THAT I
HAVE EVER HEARD SO THANK YOU
TO BOTH OF YOU.
AND SHE SAID THE BEAUTY OF
ANTI RACISM IS THAT YOU DON'T
HAVE TO PRETEND TO BE FREE OF
RACISM TO BE ANTIRACIST.
IT IS THE COMMITMENT TO FIGHT
RACISM WHEREVER YOU FIND IT
INCLUDING YOURSELF AND IT IS
THE ONLY WAY FORWARD.
NEXT SLIDE.
>>OKAY, SO TO CLOSE OUT THIS
SECTION WITH A FEW FACTS,
AMAZING TO THINK WE HAVE SO
MANY WOMEN FOR THE LECTURE
SERIES AND YET SCHOOLS ONLY
ALLOWED WOMEN IN OUR NEAR
HISTORY.
I WAS BORN IN 1978 AND LOOK,
MY ALMA MATER AND YALE AT 1977
SO JUST A FEW YEARS AGO.
AND NOW BRAD MADE THIS SLIDE
BUT IT IS TRUE, WOMEN ARE
BETTER.
WE HAVE ACHIEVED THE HIGHEST
IQ SCORES, WE EARN THE
MAJORITY OF COLLEGE DEGREES,
WE ARE DEFINITELY MORE MATURE
EARLIER AND FOR LONGER THAN
MEN --
>> AND SOMETIMES INTO
ADULTHOOD, I MIGHT ADD, AMY?
[LAUGHTER]
>>YES.
WE LIVE LONGER AND WE SEE MORE
COLOR AND YOU DIDN'T WRITE
HERE BUT THERE IS ACTUALLY A
STUDY SHOWING WOMEN PHYSICIANS
ACHIEVE BETTER OUTCOMES THAN
MALES IN A VERY LARGE COHORT.
NEXT SLIDE.
BUT DESPITE ALL THAT, WE ARE
UNDERREPRESENTED AND YOU CAN
KIND OF READ SOME OF THESE
FACT. S .
I THINK THE MOST IMPORTANT ONE
HERE IS WE ARE THE LAST
COUNTRY IN THE WORLD THAT
DOESN'T MANDATE PAID MATERNITY
OR PATERNITY LEAVE IN THE U.S.
>>AND TO ME THAT IS SHOCKING
AND IT SHOULDN'T BE ACCEPTABLE
WHEN YOU HEAR SOMETHING THAT
DOESN'T RING RIGHT.
WHEN YOU THINK ABOUT WHAT
RAISING CHILDREN MEANS,
SOMETHING LIKE THAT SHOULDN'T
RING RIGHT WITH YOU.
SO TODAY IRONINGLY THIS
MORNING A PIECE CAME OUT THAT
THIS DAY IN THIS YEAR IS EQUAL
PAYDAY.
IDENTIFYING THE GENDER PAY GAP
AND WHAT THAT MEANS IS WOMEN
HAVE TO WORK ALL THE WAY TO
MARCH 14TH TO MAKE THE SAME
AMOUNT OF MONEY FOR THE SAME
AMOUNT OF WORK THAT MEN MADE
JANUARY 1ST.
AND FOR BLACK WOMEN IT IS
65 CENTS ON THE DOLLAR, FOR
LATINA WOMEN, 6 CENTS ON THE
DOLLAR.
NEXT SLIDE.
>>SO NOW IT IS MY PLEASURE TO
PRESENT Dr. COLLEEN HADIG AN
ON TODAY'S LISTENING SESSION
AND SHE WILL SHARE HER
EXPERIENCE AND INSIGHTS ON THE
POWERFUL ROLE OF LISTENING AND
NOT LISTENING AS SHE NAVIGATED
HER CAREER AS PRODUCTIVE
CLINICAL INVESTIGATOR AND HER
NEWEST ROLE AS CHIEF MEDICAL
OFFICER OF THE NIH CLINICAL
CENTER.
NEXT SLIDE, PLEASE.
Dr. HADIGAN RECEIVED HER
MEDICAL DEGREE FROM JOHNS
HOPKINS SCHOOL OF MEDICINE AND
SUBSEQUENTLY COMPLETED HER
RESIDENCY IN PEDIATRICS AT
BOSTON'S CHILDREN'S HOSPITAL
FOLLOWED BY A FELLOWSHIP IN
PEDIATRIC GASTRO END ROLLING
AND HEPATOLOGY IN THE HARVARD
COMBINED PROGRAM AT BOSTON'S
CHILDREN HOSPITAL AND
MASSACHUSETTS GENERAL
HOSPITAL.
SHE RECENTLY RECEIVED HER MPL
AT THE HARVARD SCHOOL OF
PUBLIC HEALTH.
HER ACADEMIC RESEARCH CENTERED
ON LONG-TERM AND METABOLIC
COMPLICATIONS OF HIV AND
THERAPIES'BOTH CHILDREN AND
ADULTS.
IN 2006 SHE CAME TO THE
NATIONAL INSTITUTES OF HEALTH
AS A MEMBER OF THE LABORATORY
OF IMMUNOREGULATION OF THE
NATIONAL INSTITUTE OF ALLERGY
AND INFECTIOUS DISEASE, NIAID.
IN ADDITION HER ACTIVE
RESEARCH AND MENTORING, Dr.
HADIGAN SERVED AS DEPUTY
MANAGER OF NIAID OUTPATIENT
HIV AND INFECTIOUS DISEASES
RESEARCH CLINIC OVER TEN YEARS
IN OCTOBER 2021 SHE BECAME
CHIEF MEDICAL VER AND CLINICAL
DIRECTOR FOR NIH CLINICAL CENTER
SHE IS BOARD CERTIFIED IN
PEDIATRICS AND GI AND HELP TO
GO AND REMAINS CLINICALLY
ACTIVE IN PEDIATRIC GI AND
HELP TO GO CONSULTANT FOR NIH CLINICAL CENTER
>>THANK YOU.
I WANT TO THANK BRAD AND THE
INDIVIDUALS WHO ORGANIZED THIS
LECTURE SERIES IT
PROVIDES AN IMPORTANT PLATFORM
FOR WHAT I THINK ARE REALLY
IMPORTANT CONVERSATIONS THAT
WE NEED TO HAVE ACROSS THE
CLINICAL CENTER AND COMMUNITY
AT LARGE.
SO I CHOSE THIS TITLE AND
TOPIC PARTICULARLY BECAUSE IN
OUR TRAINING AS PHYSICIANS, WE
ACTUALLY ARE REWARDED TO
NOT -- WE'RE REWARDED TO
ALWAYS HAVE THE RIGHT ANSWER,
TO BE SPEAKING THE ANSWER.
AND AS A RESULT, WE OFTEN
DON'T LISTEN, WE ONLY LISTEN
LONG ENOUGH TO THINK ABOUT
WHAT WE'RE GOING TO SAY NEXT,
TO SHOW HOW SMART WE ARE AND
SHOW HOW MUCH WE KNOW OR TO
ASK THAT POINTED QUESTION TO
SHOW OFF HOW MUCH WE KNOW.
AND AS YOU PROGRESS IN YOUR
CAREER AND AS I HAVE PRO
PROGRESSED, I HAVE LEARNED IT
IS REALLY IMPORTANT TO
ACTIVELY LISTEN AND TAKE THE
TIME TO PROCESS WHAT YOU ARE
HEARING AS OPPOSED TO
PREPARING WHAT YOU ARE GOING
TO SAY NEXT SO THAT WAS THE
REASON I CHOSE THIS TOPIC.
AND LET ME ADVANCE.
SO HERE ARE MY DISCLOSURES AS
NOSED NIH-ERS HAVE NO
DISCLOSURES AND I WILL NOT BE
DISCUSSING ANY OFF-PRODUCT
LABEL USE.
HOWEVER, I MUST SAY I KISSED
THE BLARNEY STONE IN 1985.
THIS IS A PICTURE OF ME DOING
SO WHILE SPENDING A YEAR
ABROAD AT OXFORD AND FOR THOSE
OF YOU WHO DON'T KNOW, THE
MYTH IS IF YOU KISS THE
BLARNEY STONE ON ANY DAY YOU
RECEIVE THE GIFT OF THE GAB
AND IT MEANS THAT I AM A
TALKER AND YET, I AM
IRONICALLY GIVING A TALK ABOUT
LISTENING.
SO THAT IS MY DISCLOSURE AND
CERTAINLY IT IS ALSO MY
CHALLENGE.
I AM GOING TO BE TELLING MY
STORIES AND FOR THOSE OF YOU
WHO KNOW ME, SOME OF THESE MAY
BE STORIES YOU HAVE HEARD
BEFORE.
HOPEFULLY THEY WILL BE
INTERESTING OR IMPACTFUL IN
SOME WAY AND I ALSO AM
CHALLENGING MYSELF WITH THIS
QUOTE FROM GANDHI WHICH IS YOU
SHOULD ONLY SPEAK IF YOU ARE
IMPROVING UPON THE SILENCE.
SO I THINK THAT IS A PRETTY
SIGNIFICANT CHALLENGE AND GO
ABOUT IT WITH TREPIDATION BUT
HOPE YOU WILL GO ON THIS
CONVERSATION WITH ME AND GET
SOMETHING OUT OF IT.
SO THE OVERVIEW OF THE TOPIC I
WANT TO COVER AND DISCUSS
TODAY, FIRST, ARE LISTENING TO
YOUR PARENTS, KIND OF WHERE WE
SHOULD ALL BEGIN WITH
LISTENING.
THEN SHARE SOME STORIES AND
CONVERSATIONS ABOUT THE WISDOM
OF -- LISTENING TO THE WISDOM
OF OTHERS.
THEN, YOU KNOW, IT WOULDN'T BE
A FINE TALK WITHOUT LISTENING
TO THE DATA.
I AM GOING TO TRY TO BRING UP
SOME TIMES WHEN WE'RE GOING TO
TALK ABOUT WHEN I DIDN'T
LISTEN OR SHOULDN'T HAVE
LISTENED AND THEN LISTENING TO
LEAD.
SO I DON'T -- ALTHOUGH MANY OF
YOU MAY KNOW ME, I AM PRETTY
SURE THAT NONE OF YOU HAVE HAD
THE FORTUNE OF MEETING MY
PARENTS SO I WANTED TO
INTRODUCE YOU TO JOHN AND
CAROL HADIGAN.
MY FATHER HAD PASSED AWAY IN
2008 AFTER THIS PICTURE WAS
TAKEN BUT I WAS BLESSED WITH
AN INCREDIBLE SET OF ROLE
MODELS WHO WERE DEDICATED,
GENEROUS, COMMITTED AND SET
STANDARDS FOR THEIR THREE
CHILDREN THAT WERE VERY HIGH.
THEY EXPECTED MUCH FROM US BUT
ALSO GAVE US EVEN MORE.
SO I AM GOING TO TELL TWO
STORIES, SORT OF FUNNY BUT
STILL WORTH LISTENING TO AND
IMPORTANT IN UNDERSTANDING
BOTH WHO I AM AND KIND OF WHAT
DRIVES ME AND ANCHORS ME.
SO BEFORE I WAS TO LEAVE TO
SPEND MY JUNIOR YEAR AT OXFORD
IN MY HOMETOWN, IN NEW YORK,
THERE WAS A DEBATE WHERE AN
INDIVIDUAL AT OXFORD WAS
DEBATING AN AMERICAN SCHOLAR
FROM HARVARD AND THE TOPIC WAS
AMERICAN HUMOR.
SO I DRAGGED MY MOTHER TO THIS
AND THOUGHT THIS MIGHT HELP ME
WHEN I GO TO OXFORD IN A FEW
MONTHS.
AND DURING THE COURSE OF THIS
DEBATE, ONE OF THE DEBATERS,
AND I WON'T SAY IF IT WAS
EITHER THE AMERICAN OR BRITISH
DEBATER, BUT ONE OF THEM WHEN
THEY WEREN'T SPEAKING WAS SO
STEEPLY WRAPPED IN THOUGHT
THAT HE ACTUALLY BEGAN PICKING
HIS NOSE ON STAGE.
AND MY MOTHER WAS SO
DISTRACTED AND DEVASTATED BY
THIS COMPLETE LAPSE OF
BEHAVIOR AND SHE, AFTER WE
WERE MEETING AT THE END OF THE
EVENT, SHE JUST REACHED OVER
TO ME AND SAID COLLEEN,
PROMISE ME NO MATTER HOW SMART
YOU GET AND WHAT STAGE YOU GET
ON, DON'T EVER GET SO SMART
THAT YOU ABSOLUTELY FORGET
COMMON SENSE AND APPROPRIATE
BEHAVIOR AND START PICKING
YOUR NOSE IN PUBLIC.
AND I WAS LIKE MOM, I PROMISE,
I WILL DO MY BEST.
[LAUGHTER]
SO HOPEFULLY I HAVE KEPT THAT
PROMISE AND KEPT MY BEHAVIOR
APPROPRIATE EVEN WHEN IN
PUBLIC AND VICE-PRESIDENT GOT
TEN SO SMART THAT I HAVE
FORGOTTEN THAT.
THE NEXT STORY IS ONE THAT
INVOLVES MY DAD.
SO THIS WAS AGAIN AT A TIME
FOR ANOTHER TRANSITION.
SO I SPENT SEVERAL YEARS
BETWEEN COLLEGE AND GRADUATE
SCHOOL PREPPING TO GO TO
MEDICAL SCHOOL BECAUSE I HAD
NOT FIGURED OUT I WANTED TO BE
A DOCTOR WHEN I AGREE UP SO I
WAS TAKING ALL THE POST-BAC
PRE-MEDIUM COURSES AT COLUMBIA
UNIVERSITY AT THE TIME BUT I
WAS ALSO TRAINING TO BE AN
AEROBICS INSTRUCTOR BECAUSE I
THOUGHT IT WOULD BE FUN TO
TEACH ON THE SIDE AT MEDICAL
SCHOOL.
MY PARENTS CAME DOWN ON THE
DAY I WAS TAKING MY
INSTRUCTORS' DESIGN AND I WILL
PREFACE THIS AS SAYING SARCASM
WAS THE LANGUAGE BETWEEN ME
AND MY FAMILY, AT LEAST
BETWEEN ME AND MY FATHER.
SO I TOOK THE EXAMINATION AND
HE SAID TO ME WHY ARE YOU
DOING THAT, I THOUGHT YOU WERE
GETTING READY TO GO TO MEDICAL
SCHOOL.
AND I JUST TOLD HIM, I WAS
LIKE WELL, YOU KNOW, DEAD PAN,
DAD, THAT'S MY BACKUP PLAN.
YOU KNOW IF I DON'T GO TO
MEDICAL SCHOOL, I AM GOING TO
BECOME AN AEROBICS INSTRUCTOR
AND HE LOOKED AT ME SERIOUSLY,
DEAD PAN, CAN YOU MAKE A
LIVING DOING THAT?
BECAUSE IF THAT IS WHAT YOU
WANT TO DO, I AM FINE WITH
THAT AND I RECOGNIZE HOW
INCREDIBLE THAT WAS, THAT I
WAS PROBABLY THE ONLY MEDICAL
STUDENT ENTERING HOPKINS THAT
YEAR WHOSE FATHER TRULY
BELIEVED THAT WHATEVER I CHOSE
TO DO, THAT WOULD MAKE ME
HAPPY AS LONG AS I COULD MAKE
A GOOD LIVING, WAS GOING TO BE
PERFECTLY FINE.
SO THAT COMPLETE ACCEPTANCE
AND UNDERSTANDING THAT YOUR
CHILDREN OR YOUR COWORKERS OR
COLLEAGUES OR FRIENDS' VISIONS
WHAT HAVE THEY WANT TO DO IS
SO IMPORTANT IN VALUE AND THAT
IT SHOULDN'T BE OVERRIDDEN BY
WHAT YOU THINK THEY SHOULD DO.
SO THOSE ARE MY TWO LISTEN TO
YOUR PARENTS LESSONS.
>> AND COLLEEN, SORRY TO
INTERRUPT, I AM BREAKING THE
RULE OF LISTENING THAT YOU
MADE AT THE BEGINNING BUT
THANK YOU SO MUCH FOR BRINGING
UP AND HONORING YOUR PARENTS
AT THE START OF YOUR TALK AS
ROLE MODELS AND INCIDENT
INSPIRATION.
LOOKING BACK, THE CROSS
GENERATIONAL CONNECTIONS ARE
SO IMPORTANT TO EVERYTHING
ABOUT WHO EACH OF US ARE AND I
JUST WOULD SHOUT OUT TO YOU
AND APPRECIATE YOU MENTIONING
THEM AND I KNOW THAT RINGS
TRUE FOR EVERYBODY LISTENING,
TO PAUSE AND THINK HOW MUCH
YOUR PARENTS MEAN TO YOU OR
PARENTAL FIGURE BECAUSE THERE
IS PARENTING WITH A LOT OF
FOLKS ACROSS GENERATION.
>>ABSOLUTELY.
NOW I WILL TRANSITION TO THE
MUCH BROADER TOPIC OF
LISTENING TO THE GENERAL
WISDOM OF OTHERS, BEYOND YOUR
PARENTS, ALL THE OTHER PEOPLE
KIND OF SENDING YOU IMPORTANT
THINGS TO INCORPORATE INTO WHO
YOU ARE AND HOW YOU TREAT
OTHERS AND SO I JUST USE THIS
TRANSITION SLIDE, RIGHT, SO
THAT WHEN WE TALK, WE ARE ONLY
REPEATING WHAT WE ALREADY KNOW
SO IT IS SUPER OBVIOUS, RIGHT,
BUT WHEN YOU LISTEN, YOU CAN
ACTUALLY LEARN SOMETHING NEW
SO RECOGNIZING IT HAS TO GO
BOTH WAYS AND EVEN THOUGH IT
IS NICE TO HEAR US TALK YOU
CAN LEARN SOMETHING BETTER BY
LISTENING TO OTHERS AND I HAVE
HAD VERY FORTUNATE
OPPORTUNITIES THROUGH HAD A
VOICE ADVISORS AND MENTORS
THAT INVOLVED LISTENING TO.
ONE VERY TRANSITION POINT AT
THE START OF MY FELLOWSHIP SO
YOU DO TWO CLINICAL AND THEN
TWO YEARS OF RESEARCH.
ALI WALKER IS A GASTRO
E NTEROGIST, TRAINED AS A
PEDIATRICIAN IN IMMUNOLOGY AND
THEN CAME BACK AND CREATED THE
PROGRAM OF PEDIATRIC GI AT
HARVARD IN THE 70s AND
LAUNCH WELL OVER A HUNDRED
CAREERS AND MORE THAN
50 PERCENT OF HIS TRAINEES ARE
STILL ACTIVE IN CLINICAL
RESEARCH ACADEMIC MODEL
CENTERS.
BUT WHEN I WAS STARTING MY
RESEARCH PIECE, I YOU KNOW SAT
DOWN WITH HIM AND THOUGHT HE
IS REALLY SMART AND KNOWS THE
WHOLE HARVARD SYSTEM, I SHOULD
LISTENTO HIS ADVICE AND HE IS
GOING TO TELL ME TO GO WORK
FOR SOMEBODY AND I NEED TO
LISTEN TO WHAT HE SAYS.
AT THAT TIME, MY RESEARCH HAD
BEEN IN EATING DISORDERS AND
PSYCHIATRY SO I HAD A DECENT
BACKGROUND AND UNDERSTANDING
OF THE FIELD.
SO HE LOOKED AT MY CV AND MADE
A RECOMMENDATION, YOU SHOULD
GO WORK FOR THIS PERSON, HE IS
AN UP AND COMING SMART
RESEARCHER AS MASS GENERAL AND
HE DOES RESEARCH IN ANOREXIA.
SO I REALLY DIDN'T WANT TO GO,
I WAS LIKE OH Dr. WALKER I
REALLY DON'T WANT TO DO EATING
DISORDER RESEARCH ANYMORE, I
DON'T KNOW THAT THAT IS GOING
TO BE A GOOD FIT AND HE SAID
GO TALK TO HIM.
SO I WENT AND TALKED TO HIM
AND INTERESTINGLY ENOUGH AFTER
I INTERVIEWED WITH HIM, I SAID
I AM KIND OF GETTING OUT OF
THE EATING DISORDER FIELD AND
THERE IS THIS NEW THING WITH
PEOPLE HAVING SIDE EFFECTS
WITH HIV AND I WOULD LIKE
SOMEBODY WHO IS SMART LIKE
YOURSELF TO WORK ON THIS TOPIC
WITH ME.
AND IT REALLY LAUNCHED MY
CAREER AND WAS SUCH A HUGE
OPPORTUNITY FOR ME IN TERMS OF
BECOMING A CLINICAL
INVESTIGATOR AND ENTERING INTO
A FIELD THAT WAS JUST
BURGEONING AT THE TIME THAT
HIV DRUGS SIDE EFFECTS WERE
BECOMING AVAILABLE.
AND THEN THE SECOND LISTEN WAS
TO ANOTHER ADVISOR AND THAT
WAS TIM WALSH WHO WAS THE
PERSON I HAD DONE THE EATING
DISORDER RESEARCH WITH AT
COLUMBIA, HE HAS BEEN A LIFE
LONG MENTOR.
SO THE LESSON THERE IS WHEN
YOU HAVE A REALLY GOOD MENTOR,
YOU WALK ON THAT RELATIONSHIP,
GO BACK TO THAT RELATIONSHIP
AND SUPPORT THAT RELATIONSHIP
SO YOU HAVE IT ALL THROUGHOUT
YOUR CAREER.
AND WHEN I WAS AT THE POINT IN
MY CAREER TO CONSIDER
POTENTIALLY LEAVING THE
HARVARD SYSTEM AND COME TO THE
NIH, I TALKED TO Dr. WALSH
WHO HAD KNOWN ME AT THAT TIME
FOR 15 OR MORE YEARS AND I
PLAINED THAT I HAD THIS
OPPORTUNITY AND THERE WAS
SOMEBODY RECRUITING ME AT NIH
TO DO RESEARCH ON SIDE EFFECTS
TO WORK ON NIAID AND DO
CLINICAL RESEARCH AND I WASN'T
SURE I SHOULD TAKE THE
POSITION AND HE SAID WELL IT
SOUNDS LIKE A GOOD
OPPORTUNITY.
THE HOST ISN'T THAT GOOD BUT
THERE IS SOMEBODY I KNOW AT
NIH WHO IS IN CLINICAL
MEDICINE BUT TRAINED IN HIV
AND VERY TRUSTWORTHY AND A
PERSON I COULD ASK AND I SAID
ARE YOU TALKING ABOUT Dr.
MAZZURI, AND HE SAID YES AND I
SAID WELL THAT IS THE PERSON
TRYING TO HIRE ME AND HE SAID
OH, THEN THAT IS WELL.
SO IT IS IMPORTANT TO HAVE
SOMEBODY WHO SUPPORTS YOU AND
CAN HELP YOU MAKE THE GOOD
DECISIONS SO I DON'T REGRET
THAT DECISION AT ALL AND RELY
STILL ON BOTH OF THEM FOR
SIGNIFICANT ADVICE.
NOW ONE LAST THING THAT I HAVE
USED WHEN I HAVE HAD MENTEES,
TALKING ABOUT LISTENING IN A
CONFERENCE ROOM AT A LECTURE,
MAKE SURE TO LISTEN WHEN THE
SMART PEOPLE ARE TALKING, BUT
UNDERSTAND THAT SOMETIMES THE
PEOPLE DOING MOST OF THE
TALKING ARE NOT THE SMARTEST
PEOPLE IN THE ROOM, RIGHT?
AND SO IT IS KIND OF LIKE THAT
DISCERNMENT PIECE OF HOW TO
LISTEN CAREFULLY AND PAYING
ATTENTION TO THOSE WHO MAY BE
SAYING THE MOST IMPORTANT OR
INFLUENTIAL THINGS.
SO THAT IS A SKILL TO WORK ON.
NOW AS I HAD MENTIONED -- OR
WAS MENTIONED IN MY BIO, I
WENT TO THE HARVARD SCHOOL OF
PUBLIC HEALTH AND I ALSO WENT
TO HOPKINS.
WELL, IT WAS AT HOPKINS I MET
MICHELLE WALENSKI AND WAS ALSO
AT THE SCHOOL OF PUBLIC HEALTH
AND DURING THAT TIME, MICHELLE
WAS ONE OF THE SMARTEST PEOPLE
I HAD MET AND WE WERE TALKING
ABOUT HIV RESEARCH AND SHE
SAID YOU SHOULD PROBABLY TAKE
THIS COURSE WITH ME WITH MARK
BECAUSE HE IS REALLY FUN.
AND IT DEFINITELY STRETCHED MY
MATH SKILLS I HAVE TO SAY BUT
MICHELLE WAS MY PARTNER ON
MATH PROJECTS AND SHE KIND OF
WALKED ME THROUGH.
AND I REMEMBER SURVIVING A
WHOLE YEAR OF IT.
I CAME OUT SO MUCH SMARTER AND
HAD MORE APPRECIATION FOR THE
WORK THEY DID IN THE
DEPARTMENT OF EPIDEMIOLOGY.
NOW PATH FORWARD, WE HAVE THIS
PANDEMIC AND I JUST REMEMBERED
VERY DISTINCTLY IN APRIL OR
MAY OF 2020, I WAS, LIKE ALL
OF US, HOPING THIS WASN'T
GOING TO BLOW UP AND BE THE
HUGE THING THAT IT TURNED OUT
TO BE AND MARC WAS BEING
INTERVIEWED I THINK ON CNN AND
HE GOT UP THERE AND JUST TOLD
WHAT THE NUMBERS AND HIS
SCIENCE TOLD HIM, RIGHT, WHICH
WAS THAT SARS COV TRANSMISSION
WAS GOING TO CONTINUE WELL
THROUGH 2025 AND I REMEMBER
GRASPING WHEN HE SAID THIS
WOULD BE AROUND FOR AT LEAST
TWO YEARS AND NOBODY WANTED TO
BELIEVE THAT BACK THEN,
ESTIMATING 40-70 PERCENT OF
THE WORLD POPULATION WOULD BE
INFECTED AND MILLIONS OF
PEOPLE WOULD DIE.
IT WAS NOT POPULAR OR
SOMETHING PEOPLE COULD WRAP
THEIR HEAD AROUND BUT BY 2022,
SO MUCH OF WHAT HE HAD SAID
AND HIS COLLEAGUES BECAME TRUE
AND THE WORLD HEALTH
ORGANIZATION ESTIMATED ROUGHLY
40 PERCENT AND SOME
POPULATIONS OF THE WORLD AT
70 PERCENT WHERE PEOPLE HAD
ONE OR MORE INFECTIONS AND
THAT 6 MILLION HAD DIED OF
SARS COV2.
SO THIS IS AN EXAMPLE OF WHERE
THEY WERE RIGHT AND IT WAS
SMART OF US TO LISTEN TO THEM
AND TO FOLLOW THEIR
RECOMMENDATIONS.
OKAY, SO NOW I JUST WANTED TO
GIVE ONE BRIEF EXAMPLE OF
LISTENING TO DATA AND THIS
ACTUALLY COULD HAVE BEEN
ENTITLED LISTEN TO YOUR
PATIENTS AND THIS HAS TO DO
WITH AN EXPERIENCE I HAD IN MY
RESEARCH TIME DOING HIV WORK.
SO AS I STATED, I CAME INTO
DOING RESEARCH ON
COMPLICATIONS OF HIV RIGHT
AROUND THE TIME THAT ANTIVIRAL
THERAPY WAS BECOMING WIDELY
AVAILABLE WHICH LARGELY
IMPACTED SURVIVAL FOR HIV BUT
WITHIN A YEAR OR SO, WE
STARTED NOTICING THAT THERE
WERE ALSO UNDESIRABLE,
UNANTICIPATED SIDE EFFECTS, UP
WITH OF WHICH WAS THE
DISFIGURING OR LIPOATROPHY, A
SIGNIFICANT DROPPING OF
SUBCUTANEOUS FAT IN THE LEGS,
ARMS AND FACES OF OUR PATIENTS
AS SEEN IN THIS PHOTOGRAPH.
SO MY FELLOWS WERE JUST REALLY
BEGINNING TO FIGURE OUT
EXACTLY WHAT WAS GOING ON TO
UNDERSTAND WHAT PART OF THE
MEDICATION WAS DOING IT AND
BECAUSE PROTEASE INHIBITORS
WERE MOPPING THE NEWEST
CLASSES OF DRUGS THAT HAD JUST
BEEN INTRODUCED AROUND THE
TIME THIS REACTION WAS
IDENTIFIED, MOST OF IT WAS
ATTRIBUTED TO PROTEASE
INHIBITORS.
SO I ASSEMBLED A COHORT OF
PATIENTS AND ASSESSED THEM FOR
ALL THESE SIDE EFFECTS AND
TOOK A DETAILED HISTORY OF ANY
MEDICATION THEY HAD BEEN
EXPOSED TO AND THEN TRIED TO
SAY WHETHER THEY HAD THE SIDE
EFFECTS AND GLUCOSE PROBLEMS.
AND I WAS ANALYZING THE DATA
OF THE PATIENTS AND RECOGNIZED
QUICKLY IT WASN'T A PROTEASE
INHIBITOR THAT CAUSED THIS
FACIAL DISTURBANCE BUT RATHER
LINKED TO THE PROTEASE.
AND SO FOR THOSE OF YOU WHO
KNOW ABOUT HIV, IT WAS FOUND
ASSOCIATED TO MITOCHONDRIAL
TOXICITY TO THYM IDINE.
SO WE HAD THAT INFORMATION
ALREADY AND WHEN THE DATA ARE
STAIRING YOU IN THE FACE, IT
IS IMPORTANT TO PAY ATTENTION
TO IT.
NOW WHEN, NOT TO LISTEN.
SO THESE ARE JUST EXAMPLES OF
THINGS, SOME OF WHICH I THINK
WE KIND OF HINTED ON IN THE
PRELUDE OF AMAZING WOMEN AND
CHALLENGES THEY HAD FACED.
I THINK THINGS ARE A LOT
BETTER RECENTLY BUT THERE ARE
STILL CHALLENGES.
SO THE FIRST ONE I WAS JUST
GOING TO SAY IS ABOUT SAYING,
YOU KNOW, WHEN YOU LISTEN TO
THE FIRST ROUND OF NOS.
AND SOMETIMES EVEN THE SECOND
OR THIRD ROUND OF NOS.
SO THE FIRST IS I APPLIED TO
HARVARD UNDERGRADUATE, THEY
SAID NO THANK YOU.
I APPLIED TO HARVARD MEDICAL
SCHOOL, THEY SAID NO THANK
YOU.
I APPLIED TO HARVARD SCHOOL OF
PUBLIC HEALTH AND EVENTUALLY
GOT IN AND I WAS TEACHING AT
THE HARVARD MEDICAL SCHOOL SO
I DIDN'T BEGIN UP AND OVER
TIME WAS ABLE TO CONVINCE THEM
OF MY MERITS WITHIN THEIR
ORGANIZATION SO I DIDN'T GIVE
UP THERE.
THE SECOND ONE, WHICH IS ALSO
INTERESTING AND SOMETIMES I
EVEN TEND TO FORGET ABOUT THIS
IS THAT BETWEEN UNDERGRADUATE
AND GRADUATE SCHOOL, I
ACTUALLY TYPED OUT AN
APPLICATION AND SENT IT TO THE
NIH FOR WHAT WAS PROBABLY THE
EARLIER ITERATION OF AN
INTERNSHIP.
THAT PIECE OF PAPER, YOU KNOW,
WENT OFF IN AN ENVELOPE WITH A
STAMP AND I NEVER HEARD BACK.
AND IT HURT, AND I REALLY
THOUGHT I WAS A PERFECT FIT
FOR THE NIH.
AND MANY, MANY YEARS LATER,
HERE I AM.
I FOUND MY WAY HERE AND I DO
BELIEVE THAT WHEN I STEPPED IN
THE BUILDING, IT FELT LIKE I
BELONGED HERE.
SO I AM GLAD THAT I DIDN'T USE
THAT FIRST NO TO BE THE LAST
ASK THAT I WOULD MAKE IN TERMS
OF TRYING TO FIND MY WAY HERE.
NOW IN MEDICAL SCHOOL
INTERVIEWS, I HAD SOME
INTERESTING EXPERIENCES AS
WELL.
IT
I HAD A DEAN OF ADMISSIONS ASK
ME HOW I PLANNED TO BE A
PHYSICIAN AND A MOTHER.
I WAS TAKEN ABACK AND
SURPRISED AND THOUGHT IT WAS
NOT AN APPROPRIATE QUESTION
AND TOLD THE INTERVIEWER I HAD
KNOWN WOMEN WHO HAD VASTLY
DIFFERENT EXPERIENCES OF
BECOMING A MOTHER AND I HAD
KNOWN CAREER WOMEN WHO STOPPED
AND EMBRACED MOTHERHOOD AND
WOMEN WHO RAPIDLY RETURNED TO
WORK TO EMBRACE THEIR CAREER
AND I COULDN'T POSSIBLY
RESPOND HOW I WOULD RESPOND TO
MOTHERHOOD AND THAT IT WAS A
RIDICULOUS QUESTION.
SO WHEN YOU HEAR THOSE
QUESTIONS, REFLECT BACK TO THE
ASKER WHAT MAKES SENSE OR
DOESN'T MAKE SENSE FROM YOUR
PERSPECTIVE.
AND THEN IN ANOTHER MEDICAL
SCHOOL INTERVIEW, AGAIN, I
WILL NOT NAME NAMES OR
SCHOOLS, THIS WAS A MEDICAL
GROUP THAT DID GROUP
INTERVIEWS AND THERE WERE 16
PEOPLE INTERVIEWED AT SCHOOL,
FOUR WOMEN, THE REST MEN AND
THEY DID GROUPS OF FOUR
INTERVIEWS SO WHEN THE FIRST
ROUNDS WERE CALLED, THEY
CALLED THE FOUR WOMEN TO DO AN
INTERVIEW TOGETHER.
AND THE INTERVIEW WAS KIND OF
GOING ALONG AND THEY GOT TO
THE WENT AND SAID DOES ANYBODY
HAVE ANY QUESTIONS AND I SAID
CAN YOU EXPLAIN WHY THE FOUR
WOMEN ARE BEING INTERVIEWED
TOGETHER.
AND THEY SAID WELL, I AM SURE
THAT JUST HAPPENED BY CHANCE
AND I SAID THAT IS ALMOST
IMPOSSIBLE.
AND THEY SAID WELL
STATISTICALLY IT IS POSSIBLE
AND I SAID OKAY, WELL THEN IT
IS HIGHLY IMPROBABLE.
SO THEY DISMISSED US AND I
THOUGHT WELL I AM NEVER GOING
TO GET IN THERE.
AND THEN THE NEXT DAY I
ACTUALLY RECEIVED A
NOTIFICATION FROM THE DEAN OF
ADMISSIONS WITH AN APOLICY
APOLOGY WHO HAD LOOKED INTO IT
AND THERE WAS SOMEBODY WHO
THOUGHT IT WOULD BE CUTE FOR
THE GIRLS TO INTERVIEW
TOGETHER OR THE GIRLS WOULD BE
INTIMIDATED TO INTERVIEW WITH
THE MEN.
SO THIS WAS JUST AN
OPPORTUNITY FOR THEM TO
REALIZE THAT WAS NOT PROBABLY
THE RIGHT APPROACH TO
CONSIDERING WOMEN APPLICANTS
TO THEIR MEDICAL SCHOOL.
ANOTHER TIME WAS I WANTED A
FAST TRACK IN MY RESIDENCY.
THE FAST TRACK WAS AN
OPPORTUNITY TO DO -- TO STAVE
OFF A YEAR OF YOUR RESIDENCY
AND DO A FELLOWSHIP TO GET
CLOSER TO RESEARCH.
AND WHEN I ASKED, I WAS TOLD
OH THAT IS NOT FOR CLINICAL
RESEARCH, IT IS FOR
SCIENTISTS.
AND I HAD TO KIND OF EXPLAIN
TO THEM THAT CLINICAL RESEARCH
IS SCIENCE, THAT IT TAKES A
VERY LONG TIME TO BUILD UP AND
HAVE A SUCCESSFUL CAREER IN
CLINICAL RESEARCH AND THAT IT
SHOULDN'T BE TREATED
DIFFERENTLY THAN PEOPLE WHO
WANTED TO DO BASIC SCIENCE OR
BENCH WORK.
SO I RESPECTFULLY MADE MY CASE
AND PROBABLY WAS ONE OF THE
FIRST PEOPLE AT BOSTON
CHILDREN'S TO BE ABLE TO FAST
TRACK THE FELLOWSHIP TO GET
BACK INTO MY RESEARCH CAREER.
SO THAT WAS KIND OF A NO I
DIDN'T LISTEN TO AND KEPT
PRESSING ON.
AND THEN THE LAST IS CLINICAL
TRIALS.
SO WHEN Dr. GRAYSTONE
ACCEPTED ME INTO HIS LAB AND
RESEARCH GROUP TO DO CLINICAL
RESEARCH I WAS AT THE SAME
TIME TAKING MY MASTERS IN
PUBLIC HEALTH.
AND AT ONE POINT HE WAS KIND
OF MENTORING ME THAT WELL, YOU
CAN TAKE CLASSES OF CLINICAL
TRIALS OR YOU CAN DO A
CLINICAL TRIAL AND I THINK YOU
MIGHT LEARN MORE IF YOU JUST
SPEND THE TIME DOING A
CLINICAL TRIAL.
SO I BEGGED TO STILL DO SOME
PART-TIME MASTERS IN PUBLIC
HEALTH WORK BUT WAS BUSY DOING
CLINICAL TRIALS AS WELL.
SO WILL THE FIRST TRIAL, DATA
CAME OUT AND WE SAT DOWN AND
DID SOME OF THE PRELIMINARY
ANALYSIS THAT INITIALLY LOOKED
LIKE IT WAS A NEGATIVE RESULT.
BUT I RECOGNIZED THE ANALYSIS
THEY HAD APPLIED WAS NOT THE
MOST APPROPRIATE WAY OF
APPROACHING THE DATA.
I HAD BEEN TAKING DATA AND
STATISTICS IN MY MCH PROGRAM
AND SHOWED HIM HOW I WOULD
ANALYZE THE DATA AND HAVE A
SIGNIFICANT RESULT WHICH WAS
ULTIMATELY PUBLISHED IN B AMA.
AND AT THAT POINT, HE WAS LIKE
HOW DID YOU KNOW TO DO THAT
AND I SAID WELL, IT WAS THOSE
CLASSES AND AT THAT POINT, HE
KIND OF BACKTRACKED AND SAID
OKAY, TAKE THE CLASSES, DO THE
CLINICAL TRIAL AND TAKE THE
CLASSES.
SO THOSE WERE EXAMPLES WHERE I
DIDN'T QUITE LISTEN OR I
LISTENED SELECTIVELY OR TRIED
TO CHANGE THE OUTCOME BY BEING
PERSISTENT.
SO FOR THE LAST BIT, I JUST
WANT TO TALK A TINY BIT ABOUT
LISTENING TO LEAD AND WHY THAT
IS IMPORTANT.
AND A PERFECT EXAMPLE WAS
ACTUALLY YESTERDAY.
SO I AM TAKING A EXECUTIVE
LEADERSHIP COURSE WHICH HAS
BEEN VERY INTERESTING,
CHALLENGING AND HAS HELPED ME
TO LEARN ALL THE DIFFERENT
SKILLS THAT YOU NEED TO TRY
AND ASPIRE TO BE A GOOD LEADER
AND OUR EVENT YESTERDAY WAS
SITTING DOWN WITH Dr. TABACK
SO A SMALL GROUP OF US HAD A
CHANCE TO SIT DOWN AND PICK
HIS BRAIN AND HE HAD SOME VERY
INSIGHTFUL OBSERVATIONS AND
ANSWERED QUESTIONS AND ONE OF
THE THINGS HE SAID THAT I
THOUGHT WAS REALLY POIGNANT
AND SOME OF YOU MAY HAVE HEARD
HIM SAY THINGS SIMILAR TO THIS
BEFORE.
HE SAID IT IS NOT ABOUT BEING
THE SMARTEST PERSON IN THE
ROOM, IT IS ABOUT BEING IN THE
ROOM WITH THE SMART PEOPLE,
RIGHT?
SO IF YOU ARE LEADING AN
ORGANIZATION CAN GET THE SMART
PEOPLE IN THE ROOM, YOU WILL
BE ABLE TO LEAD IF YOU CAN
LISTEN TO THEM AND KIND OF
CHANNEL THEIR EXPERTISE.
SO I THOUGHT THAT WAS GREAT.
AND IT IS NOT JUST ABOUT THE
SMART PEOPLE BUT ALL THE
PEOPLE, RIGHT?
SO LISTENING IS A LEADERSHIP
RESPONSIBILITY AND IT DOESN'T
ALWAYS APPEAR IN THE JOB
DESCRIPTION.
I THOUGHT THIS WAS A GREAT
CARTOON AND ONE THAT IT SOUNDS
WEIRD BUT LISTENING IS
ACTUALLY THE WAY TO DO THE
WORK.
AND AGAIN THIS IS THE
OPPORTUNITY FOR EVERYBODY TO
HAVE A VOICE TO, HAVE THE
BENEFIT OF DIVERSITY TO THE
WHOLE ORGANIZATION BUT
LISTENING TO EVERYONE AND
MAKING SURE WHEN YOU ARE IN A
MEETING, YOU GIVE EVERYBODY A
OPPORTUNITY TO SPEAK.
SO 85 PERCENT OF WHAT WE
LEARN, WE LEARN THROUGH
LISTENING SO WE ONLY GENUINELY
COMPREHEND 25 PERCENT.
YOU WILL BE LUCKY IF YOU ONLY
REMEMBER ONE THING I SAY BUT I
WILL BE HAPPY WITH THAT.
SO WE SPEND 85 PERCENT OF WHAT
WE KNOW WE HAVE LEARNED
THROUGH LISTENING, HUMANS
GENERALLY LISTEN AT 25 PERCENT
COMPS HENSATION AND IN A
TYPICAL BUSINESS DAY, WE SPEND
45 PERCENT OF OUR TIME
LISTENING, 30 PERCENT OF OUR
TIME TALKING AND 16 PERCENT
READING AND 9 PERCENT WRITING.
LESS THAN 2 PERCENT OF ALL
PROFESSIONALS HAVE HAD FORMAL
EDUCATION OR LEARNING TO
UNDERSTAND AND IMPROVE
LISTENING SKILLS AND
TECHNIQUES.
SO IF YOU REFLECT ON THIS, OF
COURSE IT MAKES SENSE.
IT IS THE RARE PERSON WHO
PICKS UP A TENNIS RACQUET OR
GOLF CLUB AND BECOMES A PRO
AND CAN PARTICIPATE ON THE
MASTERS GOLF COURSE.
YOU NEEDLESS SONS NEED
LESSONS SO YOU CAN EXCEL IN
THIS PART OF THE JOURNEY IN
YEAR CAREER.
AND THEN THE LAST PART OF
LISTENING, I WANT TO POINT OUT
I HAD A CLOSE COLLEAGUE AND
MENTOR WHO RECOMMENDED
LISTENING TO BOOKS ON AUDIBLE.
AND IT WAS SUCH A SKIP TO
START DOING THAT BECAUSE I HAD
ALWAYS -- WOULD COME HOME AND
I WOULD BE EXHAUSTED FROM MY
BUSY DAY AT WORK AND READING
FELT LIKE WORK BUT I STARTED
LISTENING TO BOOKS WHILE I
WALKED MY DOG AND I AM NOW 176
BOOKS DOWN THE PATH OF HAVING
EXPANDED MY REPERTOIRE OF
READING, AND THIS IS WHAT I AM
FINISHING UP RIGHT NOW WHICH
IS EAST OF EDEN BY DESIGN --
DESIGN BECK AND WILL WRAP UP
MY TALK WITH THIS QUOTE.
THIS IS A REFERENCE TO SAM
HOOK WHO WAS AN IRISH
PATRIARCH WHO BROUGHT THE BEST
OUT IN PEOPLE BY ALLOWING THEM
TO HAVE THEIR SAY.
SO WITH THAT, I WILL ACTUALLY
END MY SLIDES AND MY TALK AND
FIND OUT IF ANYBODY HAS ANY
QUESTIONS.
>>AWESOME, THANK YOU,
COLLEEN.
THE CHAT ROOM IS OPEN FOR
QUESTIONS.
ALSO IF YOU ARE ON ZOOM, FEEL
FREE TO UNMUTE AND/OR LET YOUR
AUDIT YO SHOW AND CHIME IN.
BUT THANKS FOR THAT HAVE VIEW
AND IF PEOPLE ARE FEELING SHY
OVER THE NEXT WEEK HOPEFULLY
WE WILL PULL THEM OUT OF THEIR
SHELLS AS THEY LISTEN.
I WILL GIVE QUICK HIGHLIGHTS
OF WHAT WE HEARD TODAY WHICH I
LIKE TO DO AT THE END OF THESE
AND PLEASE INTERRUPT ME AS
SOON AS THERE IS A QUESTION OR
SOMEBODY POPPING UP AND OPEN.
I THINK WE -- KISSING THE
BLARNEY STONE IS MY TAKE HOME
POINT, THE 25 PERCENT I WILL
TAKE HOME WHICH IS GIVING YOU
THE GIFT OF GAB WHICH I SHARE
WITH YOU BUT COMPLIMENTING IT
WITH LISTENING MAKES IT A
POWERFUL THING AND WE PRIOR
UNITE YOUR LEADERSHIP AS WELL.
SPEAKING ONLY IF IT IMPROVES
ON THE QUIET AND THE SILENCE,
THE GANDHI QUOTE, IS POWERFUL.
LISTENING TO THEIR PARENTS AND
OTHERS, AND TO DATA.
AND I THINK WE ALL COULD USE A
LITTLE BIT OF THAT IN TODAY'S
ENVIRONMENT IN TERMS OF
POLITICS AND SPLITTING AND
REALLY JUST TRYING TO LISTEN
AND NOT ONLY LISTENING TO DATA
TO AVOID MEDIA OVERLOAD BUT
LISTENING TO WHAT OTHER
PEOPLE'S PERSPECTIVES ARE AND
WHY THEY FEEL A CERTAIN WAY.
NO MATTER WHAT YOUR BELIEFS
ARE, PEOPLE HAVE OTHER BELIEFS
THAT MAY IN FACT BE PURELY
EVIL BUT HAVE SOME SORT OF
TENDRIL OF RAGS NATIONAL
RATIONALITY TO HELP US
UNDERSTAND.
YOUR PARENTS AS ROLE MODELS
AND IF YOU LISTEN, YOU LEARN
SOMETHING NEW, FROM MICHELLE
AND MARC, LISTENING TO THE
DATA AND TO BE ABLE TO FOLLOW
THE DATA AND PREDICT WHAT IS
COMING IN THE FUTURE IS KEY.
LISTENING TO YOUR MENTEES AND
IN EVERY DIRECTION.
WE OFTEN GET IN OUR BUBBLES,
SOMEONE APPROACHES US AND ASKS
A QUESTION AND WE WILL
IMMEDIATELY ASSUME WE CAN
SHARE SOMETHING WITH THEM
INSTEAD OF JUST SAYING A
LITTLE BIT AND THEN LISTENING
TO THEIR PERSPECTIVE OF WHERE
THEY ARE COMING FROM.
ALL RIGHT, WE HAVE A FEW
QUESTIONS IN THE CHAT.
THANK YOU, VERY INSPIRING.
I LOVE HOW YOU WERE PERSISTENT
AND DIDN'T ALLOW NO TO STOP
YOU.
I HAVE LEARNED THAT EVERY NCI
LEADS TO A YES -- EVERY NO,
SORRY, LEADS TO A YES.
SO FEEL FREE TO UNMUTE
YOURSELF.
>> YES, BRAD, I WILL TAKE IT
FROM HERE, YOU LISTEN TO THE
PEOPLE INSTEAD OF THE DATA.
HOW DO YOU KNOW WHO TO LISTEN
TO WHEN THERE IS DISAGREEMENT?
SO YOU KNOW THAT IS A GREAT
QUESTION.
AND THERE IS SOME CONTEXT TO
THAT STORY THAT I WILL TALK
ABOUT AND IT HAS TO DO WITH --
IT WAS ACTUALLY RELATED TO
SOME OF THE POLITICAL
ENVIRONMENT OF THE TIME WHICH
IS THE LIFE-SAVING DRUGS HAD
REMARKABLY CHANGED EVERYTHING
ABOUT HIV AND SO THOSE OF US
WHO WERE IN FAVOR OF THE
BENEFITS WERE TRYING TO
MITIGATE WHAT THE RISKS WERE,
YOU KNOW, WHAT WERE THE RISKS
THAT PEOPLE WERE SEEING AS A
RESULT OF EXPOSURE TO THESE
MEDICATIONS.
SO MY ADVISORS, WHEN I SAW
THAT, WERE IN THIS CAMP OF
LET'S NOT POINT AT ONE DRUG
AND LET'S WORK AT JUST
DESCRIBING WHAT WE'RE
OBSERVING AND TRYING TO COME
UP WITH STRATEGIES TO MAKE IT
SAFER FOR THESE PATIENTS TO
STAY ON THE MEDICATION.
THERE WERE OTHERS WHO WERE THE
ONES WHO WANTED TO GO AFTER
ONE DRUG AND GET STATEMENTS
FOR PROVING IT WAS THAT ONE
DRUG.
SO IN HINDSIGHT, I LEARNED
THAT THE DATA WERE RIGHT AND I
AM NOT A HUNDRED PERCENT SURE
THAT IF I HAD DONE THINGS
DIFFERENTLY, IT WOULD HAVE
BEEN BETTER BECAUSE WHAT WE
WERE TRYING TO DO WAS WHAT WAS
BEST FOR PATIENTS AND IN THOSE
CASES, IT IS ALWAYS -- IT IS
JUST THE TRUTH, IT IS NOT THE
HOT STATEMENT OR THE AH-HA
GOTCHA DATA, IT IS THE TRUTH.
SO MY ADVISORS WERE
CONSERVATIVE AND SAID I THINK
WE SHOULD HOLD BACK TILL WE
HAVE LARGER DATA SETS AND
INFORMATION TO MAKE SURE THAT
IS TRUE.
AND MAYBE THAT WAS THE RIGHT
THING TO DO BECAUSE WHAT WAS
CONCERNING AT THE TIME IS SOME
PATIENTS WERE STOPPING TAKING
THEIR MEDS TO AVOID THE SIDE
EFFECTS AND WE WEREN'T SURE
ENOUGH TO SAY IT WAS WORTH THE
RISK.
WE KNEW IT WAS MORE RISKY TO
HAVE UNCONTROLLED HIV THAN IT
WAS TO HAVE THE SIDE EFFECTS
SO I HOPE THAT ANSWERS THE
QUESTION.
SO IT IS NOT ALWAYS EASY TO
KNOW.
>>SOMETIMES IT IS HARD TO
FILTER OUT THE NOISE AND YOU
APPOINTED OUT THE INTERVIEWS,
AT ANY STAGE IN LIFE THERE ARE
TIMES WHEN YOU J JUST HAVE TO
FILTER OUT THE NOISE AND THERE
IS ENOUGH GABBING WHETHER ON
BLOGS OR ELSEWHERE WHERE
PEOPLE ARE STRESSED AND WHEN
PEOPLE ARE STRESSED, THEY ALL
TURN AROUND AND GIVE
INFORMATION YOU MAY NOT WANT
OR NEED AND IT MAY BE
SOMETIMES JUST TIME TO TURN
AWAY FROM THAT DISINFORMATION.
SO CERTAINLY SOMETHING WE DO
EVERY DAY.
LOO, LIKE THERE IS ANOTHER --
>>I HAVE A QUESTION.
>>PLEASE DO.
>>THANK YOU SO MUCH Dr.
HADIGAN FOR THAT AMAZING TALK.
WHAT REALLY STAYED IN MY MIND
IS SOMETHING YOU HAVE SAID IN
OTHER WORDS, BUT BASICALLY
SOMETIMES YOU KNOW WHAT
DISTURBS YOU IS WHAT YOU
SHOULD BE PAYING MOST
ATTENTION TO, BECAUSE IT IS
PROBABLY WHAT DISTURBS YOU
THAT IS DIFFERENT TO WHAT YOU
ARE THINKING.
AND THAT IS WHERE YOU ARE
GOING TO GET DIFFERENT
VIEWPOINTS.
YOU KNOW, IF YOU KEEP IGNORING
WHAT YOU HEAR AS A DISTURBED
VIEW, IT IS VERY COMFORTABLE
BUT YOU ARE IGNORING A LOT OF
DIFFERENT VIEWPOINTS THAT
TOGETHER WILL COME TO BETTER
SOLUTIONS.
AND I THINK THAT IS ESPECIALLY
IMPORTANT RIGHT NOW.
>>A HUNDRED PERCENT.
AND IN FACT YOU KNOW HAVING
SOMEBODY WHO IS GOING TO TELL
YOU LIKE YOU ARE CRAZY OR YOU
ARE MAKING A BAD CHOICE, LIKE
YOU CAN'T SURROUND YOURSELF
SIMPLY WITH PEOPLE WHO TELL
YOU YOU ARE RIGHT OR SHARE
YOUR VIEW BECAUSE THEN YOU
WILL NEVER SEE ANYTHING BUT
YOUR VIEW, RIGHT?
YOU KIND OF HAVE YOUR
LINEDDERS ON GOING DOWN ONE
PATH AND TAKING EVERYBODY WITH
YOU INSTEAD OF TAKING THE WIDE
FIELD OF VIEW OFFER WHERE TO
GO NEXT OR WHAT YOU NEED TO BE
PREPARED FOR SO YEAH, I
TOTALLY AGREE.
AND MADELYN JUST OFFERED A
BOOK UP CALLED "THE POWER OF
KEEPING YOUR MOUTH SHUT IN AN
ENDLESS NOISY WORLD" AND IT IS
ON AUDIO SO I CAN LISTEN TO IT
WHILE I WALK MY DOG.
THANK YOU, MADELYN.
I DO WANT TO SAY I TEMPER THIS
A LITTLE BIT AND I HOPE I
CONVEYED THIS, AS WOMEN YOU
DON'T WANT TO NOT BE HEARD,
RIGHT?
SO STAYING QUIET AND BEING
STRATEGIC AND PRECISE IN WHEN
YOU STEP INTO A CONVERSATION
MAY ACTUALLY HELP YOU GET
HEARD BETTER, BUT WE ALSO WANT
TO AVOID ALLOWING OTHER PEOPLE
WHO WANT TO GRAB THE MIC FROM
TAKING ALL THE AIR OUT OF THE
ROOM AND NOT GIVING US AN
OPPORTUNITY TO SHARE OUR
WISDOM, INSIGHT, PERSPECTIVE
AND OBSERVATION.
SO THERE IS STILL PLENTY OF
WORK FOR US TO KNOW HOW BEST
TO DO THAT AND TO HONE THAT
SKILL BUT TO NOT BE -- YOU
KNOW, BEING CAREFUL NOT TO BE
AFRAID TO SPEAK UP WHEN YOU
REALLY DO KNOW THAT WHAT YOU
ARE ABOUT TO SAY ADDS
SOMETHING TO THE CONVERSATION
EVEN THOUGH YOU MAY NOT HAVE
BEEN HANDED THE OPPORTUNITY TO
SPEAK FIRST.
>>ALTHOUGH THE TIMING OF OF
THAT IS SO IMPORTANT IN
FIGURING OUT WHEN YOU HAVE AN
OPPORTUNITY TO MAKE AN IMPACT
OR HAVE A SYMPATHETIC EAR
POTENTIALLY AND THANK CECILIA
FOR YOUR QUESTION ON
UNCOMFORTABLE CONVERSATIONS.
OUR DEFENSE MECHANISMS MAKE US
WANT TO STAY QUIET WHEN
OPPORTUNITIES TO SPEAK PRESENT
THEMSELVES AND ALSO TO TAKE
THE EASY ROUTE WHERE WE DON'T
LIKE TO THINK ABOUT THOSE
DISTURBING THOUGHTS THAT MIGHT
BE LURKING WITHIN US OR
AMONGST US.
SO HATS OFF TO COLLEEN FOR
RAISING QUESTIONS AND SPEAKING
HER MIND WHEN -- IN A COUPLE
OF DIFFERENT INSTANCES SHE
SAID ALONG THE ROAD OF
INTERVIEWS.
AND I WOULD SAY A NUMBER OF
PEOPLE PROBABLY WOULDN'T HAVE
SPOKEN UP AND PROBABLY NONE OF
THE MEN SPOKE UP AND ASKED WHY
AND THAT SHOULDN'T BE THE WAY.
WE SHOULD ALL BE ASKING THOSE
QUESTIONS OR AT LEAST RAISING
AWARENESS ABOUT IT.
AWARENESS IS THE FIRST STEP
TOWARDS ANY KIND OF MEANINGFUL
CHANGE.
>>I WOULD LIKE TO IMAGINE
THINGS ARE DIFFERENT NOW
ALTHOUGH IT WASN'T THAT LONG
AGO.
>>I DO HAVE A QUESTION.
SO WHENEVER YOU ARE SURE OR
WHENEVER YOU WANT TO SPEAK UP,
HOW DO YOU GET THE CONFIDENCE?
LIKE WHEN YOU ARE IN A ROOM
SURROUNDED BY THE SMARTEST
PEOPLE AND YOU ARE SURE ABOUT
SOMETHING AND YOU ARE
CONFIDENT ENOUGH BUT WHENEVER
YOU SPEAK UP, THAT CONFIDENCE
SETTLES, RIGHT, LIKE
DISAPPEARS.
MAYBE IT IS A TRAINING THING?
LIKE GOING TO GET BETTER AT
SOME POINT OR IS IT SOMETHING
WE SHOULD BE WORKING ON?
>>YEAH, AND I THINK YOU -- SO
THE WAY I HAVE DONE IT IS I
SPEAK UP WHEN I AM SURE,
RIGHT?
AND SO LET'S SAY IT IS NOT
EVEN PUBLIC SPEAKING.
A PERFECT EXAMPLE IS I AM
REVIEWING AN ARTICLE SO IF I
AM READING A SCIENTIFIC
ARTICLE AND I KNOW THE TOPIC
PRETTY WELL AND I AM PRETTY
SURE THAT THEY EITHER MISSED
SOMETHING IMPORTANT OR MISLED
OR MISINTERPRETED THE
LITERATURE OR DONE SOMETHING
WRONG, I ACTUALLY, BEFORE I
WILL WRITE THE COMMENT, I WILL
PULL UP THE OTHER ARTICLES, I
WILL READ THEM AGAIN, I WILL
CONVINCE MYSELF THAT I AM
RIGHT BEFORE I MAKE SOME KIND
OF CRITICAL STATEMENT TO SAY,
YOU KNOW, THIS COULD HAVE BEEN
BETTER HAD IT BEEN WRITTEN
THIS WAY.
AND I DO THE SAME THING IN
CLINICAL PRACTICE.
IF I AM CONSULTED ABOUT A
COMPLEX DISEASE, I WILL READ
ABOUT THE DISEASE, READ THE
SUPPORTING LITERATURE AROUND
MY RECOMMENDATIONS OF DOING
SOMETHING OR NOT DOING
SOMETHING SO THEN I CAN GO
INTO THE ROOM WITH CONFIDENCE
WITHIN THE LIMITS OF WHAT MY
OWN KNOWLEDGE IS AND WHAT I
ACCUMULATED AND CAN AT LEAST
TAKE IT THAT FAR.
AND IF YOU PRACTICE THAT OVER
TIME, YOU BECOME MORE
COMFORTABLE IN YOUR ABILITY TO
SAY I HAVE READ THIS
INFORMATION, I HAVE REVIEWED
THIS CASE OR READ THIS PAPER
AND THESE THREE THINGS NEED TO
BE DONE TO BE IMPROVED, RIGHT?
AND SO THEN IT FEEDS ON ITSELF
AND THEN YOU GET REWARDED FOR
BRINGING GOOD QUALITY INPUT TO
A CONVERSATION OR TO A
CLINICAL CASE OR SCIENTIFIC
PAPER AND ONCE YOU ARE
REWARDED FOR DOING THAT, YOU
WILL BUILD CONFIDENCE OF LIKE
WELL THAT FELT GOOD SO I CAN
DO IT AGAIN AND IT FEEDS ON
ITSELF.
IT REALLY COMES WITH TIME.
>>AND PART OF THIS NURTURING
IS AN ENVIRONMENT THAT LETS
PEOPLE SPEAK UP AND I THINK
ONE THING THAT HAS BEEN GREAT
TO SEE FIRSTHAND IS THE
CULTURE CHANGE EVIDENT AT NIH
AS WELL IN TERMS OF PEOPLE
FEELING COMFORTABLE SPEAKING
UP AND SPEAKING THEIR MINDS.
AND I THINK THAT GOES TO THE
LEADERSHIP BUT IT IS NOT JUST
THE LEADERSHIP BUT THAT YOU
HAVE TO SPEAK UP WHEN YOU SEE
SOMETHING.
YOU KNOW, I HAD SOMEBODY COME
INTO THE OFFICE AFTER SAYING
SOMETHING A FEW MONTHS AGO AND
I WAS SUPER-PROUD BECAUSE THEY
SAID WHAT WAS UP WITH THAT,
WAS THAT COOL AND IT IS
JUST -- YOU KNOW, I LOVE
HAVING AN ENVIRONMENT WHERE
PEOPLE CAN ACTUALLY SPEAK UP
AND I THINK WE'RE GETTING
THERE.
IT DOESN'T MEAN WE ARE THERE
YET AND I THINK COMPLACENCY IS
AN ENEMY HERE THINKING WE HAVE
ACHIEVED ANYTHING.
SO KEEP POUNDING AWAY AT WHAT
IS RIGHT AND WHAT YOU KNOW TO
BE TRUE.
DON'T ASSUME YOU ARE ANYWHERE,
IF YOU THINK YOU ARE AWARE AND
OPEN-MINDED IN GENERAL, NOT
SPEAKING TO YOU, Dr.
HADIGAN, SPEAKING TO EVERYBODY
AND MYSELF, TO KEEP AN OPEN
MIND.
AND WITH THAT WE HAVE TO TRY
TO THINK ABOUT -- WE ALL HAVE
FOLKS THAT WILL COME UP AND
WON'T BE AWARE OF THEIR OWN
VIEWPOINTS AND IMPLICATIONS OF
IT AND HOW IT MAY IMPACT
TRAINEES OR SOMEONE ACROSS
WHETHER THEIR PEERS OR THEIR
SPECIALTY AND THINKING ABOUT
REALLY WHAT MAKES THEM CLICK?
WHAT MAKES THEIR OPINIONS
DIFFERENT FROM OUR OWN?
AND SOMETIMES I WILL ON A NEWS
LEVEL SWAP AROUND AND LOOK AT
OTHER CHANNELS I MIGHT NOT
NORMALLY WATCH TO TRY TO
APPRECIATE WHERE PEOPLE ARE
COMING FROM.
>>AND I WILL SHARE WITH YOU
THIS GREAT STORY.
SO WHEN I WAS WORKING AS A
MANAGER ON THE OUTPATIENT
CLINIC ON O C H, ON AN APRIL
FOOL'S DAY, WE DID WALK IN
SOMEBODY ELSE'S SHOES DAY.
SO EVERYBODY DID ANOTHER
PERSON'S JOB FOR THE DAY.
WE MADE SURE EVERYBODY WAS
SAFE BUT I WORKED IN THE
TREATMENT ROOM DRAWING UP
HEPERNIZED TUBES.
AND Dr. LAINE WORKED AT THE
FRONT DESK AND WE HAD A
SECRETARY ROLE MODELING THE
ATTENDING AND IT WAS
REMARKABLE THE PERSPECTIVE
THAT HAD ON OTHER PEOPLE'S
ROLES WITH HOW THE CLINIC RAN
WHEN YOU JUST DID IT FOR A
MORNING, RIGHT?
YOU SAW IT TRULY FROM THEIR
PERSPECTIVE AND WE CAN
MENTALLY DO THAT ALL THE TIME.
SO STOP FOR A MOMENT AND THINK
WHAT DOES IT FEEL LIKE TO BE
THAT PERSON RIGHT NOW AND WHAT
THE OTHERS ARE DOING.
IT IS EVEN MORE IMPACTFUL WHEN
YOU CAN PUT THE OTHER'S SHOES
ON AND DO IT AND IT FEEDS A
SENSE OF APPRECIATION AND TEAM
WORK ESPECIALLY IF YOU ARE
TRYING TO DO TEAM-BUILDING
BECAUSE YOU TRULY UNDERSTAND
WHAT YOUR COLLEAGUES ARE
EXPERIENCING IN THAT GROUP
ENVIRONMENT.
SO WHEN YOU CAN DO IT SAFELY
AND FUN, IT -- AND APRIL
FOOL'S DAY IS COMING UP SO YOU
COULD DO IT COMING UP.
>>IT IS BEING ARM AND ARM AND
TAKING IT ON A BROADER
PERSPECTIVE ON WHATEVER OUR
GOALS AND OUR MISSION IS.
SO THANK YOU TO YOUR
LEADERSHIP, THANKS TO JOCELYNE
AND AMY FOR CONTRIBUTING
TODAY.
ANY LAST-MINUTE QUESTIONS OR
COMMENTS?
AWESOME, THEN IT IS A WRAP.
THANK YOU SO MUCH, COLLEEN.
WE APPRECIATE IT YOU, THANKS
FOR YOUR LEADERSHIP AND
REMEMBER OUR NEXT SERIES HERE,
APRIL4TH, THERESE WILL BE
SPEAK OINK ING ON A LEAKY
PIPELINE, A FASCINATING TOPIC
AND THEN IN MAY, WE WILL HAVE
ANOTHER SPEAKER ON VOICE AND
SOUND AI, WHAT IT MEANS TO GO
FROM SPEECH PATHOLOGY TO DATA
SCIENTIST TO RUNNING A HUGE
MULTIENTER EFFORT.
AND THEN UPCOMING TOPICS IN
THE FUTURE, ACADEMY TO
RADIOLOGY RESEARCH EXECUTIVE
DIRECTOR SOCIETY OF
INTERVENTIONAL CON COLLING
LEADERSHIP AND SOME OF OUR OWN
INTERNAL WORKS ON PORTRAITURE
AND WHAT THE IMPACT OF
PORTRAITURE IS.
SO LOOK FORWARD TO THOSE, HAVE
A GREAT DAY EVERYBODY AND
HAPPY SPRING.
>>THANKS, BRAD, THANKS,
EVERYBODY.