1 00:00:09,598 --> 00:00:11,266 >> OKAY. 2 00:00:11,266 --> 00:00:14,669 WITH THIS, LET'S GET STARTED. 3 00:00:14,669 --> 00:00:15,637 WELCOME, EVERYBODY. 4 00:00:15,637 --> 00:00:18,173 I WOULD LIKE TO CALL TO ORDER 5 00:00:18,173 --> 00:00:20,242 THE 86TH MEETING OF THE NATIONAL 6 00:00:20,242 --> 00:00:20,909 ADVISORY COUNCIL FOR 7 00:00:20,909 --> 00:00:21,977 COMPLEMENTARY AND INTEGRATIVE 8 00:00:21,977 --> 00:00:23,745 HEALTH. 9 00:00:23,745 --> 00:00:26,681 MY NAME IS MARTINA SCHMIDT, AND 10 00:00:26,681 --> 00:00:28,483 I SERVE AS THE EXECUTIVE 11 00:00:28,483 --> 00:00:31,520 SECRETARY FOR THE NCCIH NATIONAL 12 00:00:31,520 --> 00:00:32,821 ADVISORY COUNCIL. 13 00:00:32,821 --> 00:00:34,022 I NOTE FOR THE RECORD THAT THIS 14 00:00:34,022 --> 00:00:36,658 MEETING IS BEING HELD AS A 15 00:00:36,658 --> 00:00:38,059 VIRTUAL MEETING FOR EVERYBODY 16 00:00:38,059 --> 00:00:39,828 ATTENDING, INCLUDING 17 00:00:39,828 --> 00:00:43,765 COUNCILMEMBERS AND NCCIH STAFF. 18 00:00:43,765 --> 00:00:44,966 THIS MEETING IS RECORDED AND 19 00:00:44,966 --> 00:00:47,469 BROADCAST TO THE PUBLIC. 20 00:00:47,469 --> 00:00:49,104 WE WILL ENDEAVOR TO FINISH THIS 21 00:00:49,104 --> 00:00:51,840 AFTERNOON BY 4:00 P.M. 22 00:00:51,840 --> 00:00:53,175 THE OPEN SESSION OF COUNCIL IS 23 00:00:53,175 --> 00:00:55,777 OPEN TO THE GENERAL PUBLIC TO 24 00:00:55,777 --> 00:00:58,980 ATTEND VIA LIVE NIH VIDEOCAST. 25 00:00:58,980 --> 00:01:01,483 AND BEFORE I GO INTO MORE 26 00:01:01,483 --> 00:01:02,684 ADMINISTRATIVE REMARKS AND TALK 27 00:01:02,684 --> 00:01:05,754 A LITTLE BIT ABOUT THE AGENDA, 28 00:01:05,754 --> 00:01:07,055 I'LL JUST HAND IT QUICKLY OVER 29 00:01:07,055 --> 00:01:09,057 TO DR. LANGEVIN SO SHE CAN 30 00:01:09,057 --> 00:01:10,992 WELCOME EVERYBODY WE HAVE AT THE 31 00:01:10,992 --> 00:01:12,861 VIDEOCAST HERE. 32 00:01:12,861 --> 00:01:14,196 >> THANK YOU VERY MUCH, 33 00:01:14,196 --> 00:01:14,596 DR. SCHMIDT. 34 00:01:14,596 --> 00:01:17,666 IT'S A GREAT PLEASURE TO WELCOME 35 00:01:17,666 --> 00:01:20,735 YOU ALL, THOSE JOINING US ON 36 00:01:20,735 --> 00:01:21,603 VIDEOCAST AS WELL AS THOSE OF US 37 00:01:21,603 --> 00:01:24,439 ON ZOOM. 38 00:01:24,439 --> 00:01:27,209 TO THIS MEETING OF THE NATIONAL 39 00:01:27,209 --> 00:01:29,578 CENTER FOR COMPLEMENTARY AND 40 00:01:29,578 --> 00:01:30,345 INTEGRATIVE HEALTH ADVISORY 41 00:01:30,345 --> 00:01:32,547 COUNCIL. 42 00:01:32,547 --> 00:01:35,617 WE HAVE AN EXCITING PROGRAM 43 00:01:35,617 --> 00:01:36,718 TODAY, AND WE ARE LOOKING 44 00:01:36,718 --> 00:01:38,019 FORWARD TO -- I LOOK FORWARD TO 45 00:01:38,019 --> 00:01:41,189 MY DIRECTOR'S REPORT, AS WELL AS 46 00:01:41,189 --> 00:01:44,559 SOME REALLY VERY, VERY EXCITING 47 00:01:44,559 --> 00:01:45,460 PRESENTATIONS THAT WE ARE 48 00:01:45,460 --> 00:01:48,296 LOOKING FORWARD TO. 49 00:01:48,296 --> 00:01:50,699 SO I'M HANDING IT BACK OVER TO 50 00:01:50,699 --> 00:01:50,999 DR. SCHMIDT. 51 00:01:50,999 --> 00:01:52,334 >> THANK YOU. 52 00:01:52,334 --> 00:01:53,969 SO THE COUNCIL MEETING IS 53 00:01:53,969 --> 00:01:58,240 CONVENED AS REQUIRED BY TITLE 4T 54 00:01:58,240 --> 00:02:01,042 GOVERN THE NIH IN GENERAL AND 55 00:02:01,042 --> 00:02:02,911 NCCIH SPECIFICALLY AS LAID OUT 56 00:02:02,911 --> 00:02:06,081 IN SECTION 287C-21. 57 00:02:06,081 --> 00:02:06,948 AND IN ACCORDANCE WITH THE 58 00:02:06,948 --> 00:02:09,150 FEDERAL ADVISORY COMMITTEE ACT. 59 00:02:09,150 --> 00:02:10,652 I NOTE THAT THE CLOSED SESSION 60 00:02:10,652 --> 00:02:12,521 OF THIS COUNCIL WAS HELD EARLIER 61 00:02:12,521 --> 00:02:15,156 THIS MORNING AND WAS CLOSED TO 62 00:02:15,156 --> 00:02:16,791 THE PUBLIC IN ACCORDANCE WITH 63 00:02:16,791 --> 00:02:17,926 THE GOVERNMENT AND THE SUNSHINE 64 00:02:17,926 --> 00:02:18,660 ACT. 65 00:02:18,660 --> 00:02:22,130 THE OPEN SESSION TODAY WILL 66 00:02:22,130 --> 00:02:23,999 INCLUDE THESE OPENING PROCEDURAL 67 00:02:23,999 --> 00:02:25,967 REMARKS FOLLOWED BY A REVIEW AND 68 00:02:25,967 --> 00:02:27,969 APPROVAL OF OUR COUNCIL 69 00:02:27,969 --> 00:02:30,338 OPERATING PROCEDURES. 70 00:02:30,338 --> 00:02:31,773 FOLLOWING THAT, DR. LANGEVIN 71 00:02:31,773 --> 00:02:33,508 WILL PRESENT THE NCCIH 72 00:02:33,508 --> 00:02:35,944 DIRECTOR'S REPORT TO COUNCIL. 73 00:02:35,944 --> 00:02:38,547 WE DO HAVE A FEW COUNCILMEMBERS 74 00:02:38,547 --> 00:02:40,849 ROTATING OFF COUNCIL, SO TODAY 75 00:02:40,849 --> 00:02:42,717 IS THEIR LAST COUNCIL MEETING 76 00:02:42,717 --> 00:02:44,452 WITH US AND DR. LANGEVIN WILL 77 00:02:44,452 --> 00:02:47,188 TAKE THE OPPORTUNITY TO 78 00:02:47,188 --> 00:02:49,391 RECOGNIZE THEIR SERVICE, AND 79 00:02:49,391 --> 00:02:51,793 ALSO ALL THE INVALUABLE ADVICE 80 00:02:51,793 --> 00:02:55,163 THEY HAVE EXTENDED TO NCCIH 81 00:02:55,163 --> 00:02:56,831 DURING THEIR TENURE. 82 00:02:56,831 --> 00:02:58,133 FOLLOWING A SHORT FIVE-MINUTE 83 00:02:58,133 --> 00:03:00,969 BREAK, WE ARE THEN EXCITED TO 84 00:03:00,969 --> 00:03:08,076 WELCOME DR. KARINA WOULD TERSE,F 85 00:03:08,076 --> 00:03:09,077 THE TRIBAL RESEARCH OFFICE. 86 00:03:09,077 --> 00:03:13,348 SHE WILL BE GIVING US AN UPDATE 87 00:03:13,348 --> 00:03:14,516 ON THE FASCINATING WORK HER 88 00:03:14,516 --> 00:03:17,619 OFFICE IS DOING ALIGNED WITH 89 00:03:17,619 --> 00:03:19,454 NCCIH AND DISCUSS FUTURE 90 00:03:19,454 --> 00:03:19,988 POSSIBILITIES FOR 91 00:03:19,988 --> 00:03:20,488 COLLABORATIONS. 92 00:03:20,488 --> 00:03:21,856 SHE WILL BE JOINED BY ONE OF OUR 93 00:03:21,856 --> 00:03:25,260 OWN COUNCILMEMBERS, DR. DANIEL 94 00:03:25,260 --> 00:03:29,731 DICKERSON, WHO WILL COMPLEMENT 95 00:03:29,731 --> 00:03:30,332 DR. WALTERS' PRESENTATION WHO 96 00:03:30,332 --> 00:03:33,001 WILL TALK ABOUT HIS WORK ABOUT 97 00:03:33,001 --> 00:03:34,102 NATIVE AMERICAN TRADITIONAL 98 00:03:34,102 --> 00:03:35,870 PRACTICES AND SPIRITUALITY. 99 00:03:35,870 --> 00:03:37,172 WE WILL FINISH THE PRESENTATIONS 100 00:03:37,172 --> 00:03:39,240 BY TALKING ABOUT THE COUNCIL 101 00:03:39,240 --> 00:03:40,442 WORKING GROUP PROCESS AND HOW WE 102 00:03:40,442 --> 00:03:42,077 CAN MAKE MORE EFFECTIVE USE OF 103 00:03:42,077 --> 00:03:45,380 IT, AS IT RELATES TO PROVIDING 104 00:03:45,380 --> 00:03:48,450 FEEDBACK AND ADVICE TO NCCIH. 105 00:03:48,450 --> 00:03:50,185 SO OUR FIRST ORDER OF BUSINESS 106 00:03:50,185 --> 00:03:54,990 WILL BE TO APPROVE THE SEPTEMBES 107 00:03:54,990 --> 00:03:58,393 WHICH WAS PROVIDED TO ALL 108 00:03:58,393 --> 00:03:59,260 COUNCILMEMBERS VIA THE 109 00:03:59,260 --> 00:04:00,395 ELECTRONIC COUNCIL BOOK, AND I 110 00:04:00,395 --> 00:04:03,198 THINK, YES, A COPY IS CURRENTLY 111 00:04:03,198 --> 00:04:07,035 DISPLAYED ON THE SCREEN. 112 00:04:07,035 --> 00:04:08,370 AT THIS TIME, I WOULD LIKE TO 113 00:04:08,370 --> 00:04:09,004 FINALIZE THE MINUTES. 114 00:04:09,004 --> 00:04:10,105 ARE THERE ANY CORRECTIONS TO THE 115 00:04:10,105 --> 00:04:13,274 COUNCIL MEETING MINUTES? 116 00:04:13,274 --> 00:04:20,715 IF YES, PLEASE RAISE YOUR HAND. 117 00:04:20,715 --> 00:04:22,150 IF NOT, MAY I HAVE A MOTION TO 118 00:04:22,150 --> 00:04:24,753 APPROVE THE MINUTES FOR THE 119 00:04:24,753 --> 00:04:25,387 SEPTEMBER 2023 COUNCIL MEETING? 120 00:04:25,387 --> 00:04:27,522 >> SO MOVED. 121 00:04:27,522 --> 00:04:28,156 >> MM-HMM. 122 00:04:28,156 --> 00:04:29,190 DO WE HAVE A SECOND? 123 00:04:29,190 --> 00:04:29,591 >> SECOND. 124 00:04:29,591 --> 00:04:31,993 >> OKAY. 125 00:04:31,993 --> 00:04:32,527 ANY DISCUSSION? 126 00:04:32,527 --> 00:04:37,132 ARE THERE ANY OTHER CONCERNS? 127 00:04:37,132 --> 00:04:40,969 IF NO, THEN WE SHOULD HAVE A 128 00:04:40,969 --> 00:04:43,371 VOTER SHEET SHOWING UP ON YOUR 129 00:04:43,371 --> 00:04:43,705 SCREEN. 130 00:04:43,705 --> 00:04:44,139 HERE IT IS. 131 00:04:44,139 --> 00:04:45,974 SO ALL IN FAVOR, PLEASE VOTE TO 132 00:04:45,974 --> 00:04:55,817 APPROVE THE MINUTES. 133 00:04:55,817 --> 00:04:58,019 OKAY. 134 00:04:58,019 --> 00:04:59,120 THANK YOU. 135 00:04:59,120 --> 00:05:00,855 THE MOTION HAS BEEN APPROVED 136 00:05:00,855 --> 00:05:06,995 UNANIMOUSLY. 137 00:05:06,995 --> 00:05:09,297 WITH THIS, LET'S MOVE ON, AND 138 00:05:09,297 --> 00:05:12,901 THE NEXT THING WE HAVE TO DO IS 139 00:05:12,901 --> 00:05:15,737 TO REVIEW OUR COUNCIL OPERATING 140 00:05:15,737 --> 00:05:17,372 PROCEDURES. 141 00:05:17,372 --> 00:05:19,774 AND PLEASE JUST ONE SECOND SO I 142 00:05:19,774 --> 00:05:30,285 CAN PULL UP THE PRESENTATION. 143 00:05:42,597 --> 00:05:44,165 OKAY. 144 00:05:44,165 --> 00:05:45,734 CAN YOU SEE THE TITLE SLIDE? 145 00:05:45,734 --> 00:05:46,468 >> YES, WE CAN. 146 00:05:46,468 --> 00:05:47,068 >> PERFECT. 147 00:05:47,068 --> 00:05:56,177 THANK YOU. 148 00:05:56,177 --> 00:05:57,612 COUNCIL WILL REVIEW ITS 149 00:05:57,612 --> 00:06:00,582 OPERATING PROCEDURES ONCE A YEAR 150 00:06:00,582 --> 00:06:07,255 TO REVIEW IF THEY ARE STILL 151 00:06:07,255 --> 00:06:08,022 SERVING NCCIH' NEEDS. 152 00:06:08,022 --> 00:06:09,224 THIS IS WHY WE DO THIS ONCE A 153 00:06:09,224 --> 00:06:09,424 YEAR. 154 00:06:09,424 --> 00:06:11,092 COUNCIL IS REQUIRED TO ANNUALLY 155 00:06:11,092 --> 00:06:12,927 REVIEW THESE AND TO DETERMINE 156 00:06:12,927 --> 00:06:13,595 WHETHER THEY CONTINUE TO SERVE 157 00:06:13,595 --> 00:06:17,966 THE NEEDS OF NCCIH. 158 00:06:17,966 --> 00:06:20,368 ALL NIH AWARDING INSTITUTES ARE 159 00:06:20,368 --> 00:06:22,771 REQUIRED BY POLICY TO ESTABLISH 160 00:06:22,771 --> 00:06:24,639 STAN DAND OPERATING PROCEDURES 161 00:06:24,639 --> 00:06:25,573 FOR INTERACTION BETWEEN ADVISORY 162 00:06:25,573 --> 00:06:26,608 COUNCIL AND STAFF RESPONSIBLE 163 00:06:26,608 --> 00:06:29,878 FOR THE DAY TO DAY MANAGEMENT OF 164 00:06:29,878 --> 00:06:31,212 EXTRAMURAL PORTFOLIOS AS 165 00:06:31,212 --> 00:06:32,747 DESCRIBED IN OUR COUNCIL 166 00:06:32,747 --> 00:06:34,249 OPERATING PROCEDURES. 167 00:06:34,249 --> 00:06:37,652 THE TOPICS YOU SEE LISTED HERE 168 00:06:37,652 --> 00:06:39,954 ARE OUTLINED IN OUR OPERATING 169 00:06:39,954 --> 00:06:48,797 PROCEDURES AND DESCRIBE NCCIH AS 170 00:06:48,797 --> 00:06:49,664 COUNCIL'S RESPONSIBILITIES. 171 00:06:49,664 --> 00:06:51,232 SO NCCIH INFORMS COUNCIL OF 172 00:06:51,232 --> 00:06:53,301 CURRENT SCIENTIFIC, BUDGETARY, 173 00:06:53,301 --> 00:06:54,936 AND/OR LEGISLATIVE ISSUES THAT 174 00:06:54,936 --> 00:06:58,940 MAY HAVE AN IMPACT ON NCCIH, AS 175 00:06:58,940 --> 00:07:01,709 WELL AS SIGNIFICANT CHANGES TO 176 00:07:01,709 --> 00:07:04,045 NCCIH AND/OR NIH, INCLUDING 177 00:07:04,045 --> 00:07:08,917 PERSONNEL CHANGES. 178 00:07:08,917 --> 00:07:10,919 IN REGARD TO THE SECONDARY 179 00:07:10,919 --> 00:07:13,188 REVIEW OF APPLICATIONS, BEFORE 180 00:07:13,188 --> 00:07:15,156 EACH COUNCIL MEETING, AN AGENDA, 181 00:07:15,156 --> 00:07:17,792 SUMMARY STATEMENTS, ASSIGNMENTS, 182 00:07:17,792 --> 00:07:19,761 SPECIAL ACTION WORKSHEETS AND 183 00:07:19,761 --> 00:07:22,497 OTHER MATERIALS ARE PROVIDED TO 184 00:07:22,497 --> 00:07:23,865 COUNCILMEMBERS AND BOTH 185 00:07:23,865 --> 00:07:26,434 COUNCILMEMBERS AND NCCIH STAFF 186 00:07:26,434 --> 00:07:29,070 MAY IDENTIFY APPLICATIONS 187 00:07:29,070 --> 00:07:30,805 NEEDING DISCUSSION OR SPECIAL 188 00:07:30,805 --> 00:07:31,806 COUNCIL ACTION. 189 00:07:31,806 --> 00:07:34,542 THE ACTIONS YOU SEE LISTED HERE 190 00:07:34,542 --> 00:07:36,945 ARE AVAILABLE TO COUNCIL AND 191 00:07:36,945 --> 00:07:38,379 NCCIH, SO LET'S HAVE A LITTLE 192 00:07:38,379 --> 00:07:40,315 BIT OF A CLOSER LOOK AT THE ONES 193 00:07:40,315 --> 00:07:46,654 THAT YOU SEE LISTED HERE. 194 00:07:46,654 --> 00:07:47,755 SO APPLICATIONS WITH NO SPECIAL 195 00:07:47,755 --> 00:07:50,391 CONCERNS WILL BE ELIGIBLE FOR 196 00:07:50,391 --> 00:07:51,759 FUNDING AS SOON AS THE EXECUTIVE 197 00:07:51,759 --> 00:07:53,928 SECRETARY OF COUNCIL CERTIFIES 198 00:07:53,928 --> 00:07:57,065 THAT THE COUNCIL REVIEW IS 199 00:07:57,065 --> 00:07:58,366 COMPLETE. 200 00:07:58,366 --> 00:08:00,134 THESE APPLICATIONS GENERALLY ARE 201 00:08:00,134 --> 00:08:01,669 APPROVED BY EN BLOC ACTIONS. 202 00:08:01,669 --> 00:08:03,304 AND THESE ARE THE APPLICATIONS 203 00:08:03,304 --> 00:08:05,707 THAT ARE RELEVANT TO THE NCCIH 204 00:08:05,707 --> 00:08:06,207 MISSION. 205 00:08:06,207 --> 00:08:08,309 THEY HAVE NO CONCERNS AS IT 206 00:08:08,309 --> 00:08:10,178 RELATES TO HUMAN PARTICIPANTS, 207 00:08:10,178 --> 00:08:11,713 ANIMALS, OR BIOHAZARDS. 208 00:08:11,713 --> 00:08:13,248 THERE ARE NO ISSUES REGARDING 209 00:08:13,248 --> 00:08:14,582 THE INCLUSION OF WOMEN, 210 00:08:14,582 --> 00:08:16,317 CHILDREN, OR MINORITIES. 211 00:08:16,317 --> 00:08:18,186 THESE ARE USUALLY DOMESTIC 212 00:08:18,186 --> 00:08:19,153 APPLICATIONS, AND THESE ARE 213 00:08:19,153 --> 00:08:21,356 APPLICATIONS THAT DON'T HAVE AN 214 00:08:21,356 --> 00:08:26,694 APPEAL ASSOCIATED WITH THEM. 215 00:08:26,694 --> 00:08:28,329 IN CLOSED SESSION, COUNCIL 216 00:08:28,329 --> 00:08:29,664 REVIEWS GRANT APPLICATIONS 217 00:08:29,664 --> 00:08:31,199 NEEDING SPECIAL CONSIDERATIONS. 218 00:08:31,199 --> 00:08:32,967 AND THESE INCLUDE GRANT 219 00:08:32,967 --> 00:08:34,802 APPLICATIONS THAT ARE EITHER 220 00:08:34,802 --> 00:08:36,871 NOMINATED FOR HIGH OR LOW 221 00:08:36,871 --> 00:08:39,274 PROGRAM PRIORITY. 222 00:08:39,274 --> 00:08:41,643 THESE ARE APPLICATIONS THAT HAVE 223 00:08:41,643 --> 00:08:42,777 CONCERNS RELATED TO HUMAN 224 00:08:42,777 --> 00:08:44,512 SUBJECTS, ANIMALS, OR BIOHAZARDS 225 00:08:44,512 --> 00:08:47,582 THAT HAVE ISSUES ASSOCIATED WITH 226 00:08:47,582 --> 00:08:48,683 THE INCLUSION OF WOMEN, 227 00:08:48,683 --> 00:08:50,785 CHILDREN, AND/OR MINORITIES. 228 00:08:50,785 --> 00:08:52,186 THIS WOULD BE FOREIGN 229 00:08:52,186 --> 00:08:53,454 APPLICATIONS, THIS WOULD BE AN 230 00:08:53,454 --> 00:08:54,822 APPLICATION WHERE THE APPLICANT 231 00:08:54,822 --> 00:08:57,558 HAS APPEALED THE REVIEW. 232 00:08:57,558 --> 00:09:01,362 AND THIS THEN ALSO -- WE HAVE 233 00:09:01,362 --> 00:09:02,263 THE SPECIAL COUNCIL REVIEW, 234 00:09:02,263 --> 00:09:05,266 WHICH IS FOR APPLICATIONS WHERE 235 00:09:05,266 --> 00:09:10,905 THE PI IS SUPPORTED WITH MORE 236 00:09:10,905 --> 00:09:12,540 THAN $2 MILLION OF TOTAL COSTS. 237 00:09:12,540 --> 00:09:13,641 FOR SPECIAL COUNCIL REVIEW, 238 00:09:13,641 --> 00:09:14,609 EMPHASIS WILL BE PLACED ON HOW 239 00:09:14,609 --> 00:09:18,680 THE PROPOSED WORK FORWARDS THE 240 00:09:18,680 --> 00:09:19,847 NCCIH MISSION AND ITS HIGH 241 00:09:19,847 --> 00:09:21,716 PRIORITY RESEARCH AREAS IS 242 00:09:21,716 --> 00:09:25,420 OUTLINED IN THE STRATEGIC PLAN, 243 00:09:25,420 --> 00:09:27,789 AND HOW INNOVATIVE AND DISTINCT 244 00:09:27,789 --> 00:09:29,924 THE PROJECT IS FROM OTHER FUNDED 245 00:09:29,924 --> 00:09:33,094 PROJECTS OF THE INVESTIGATOR. 246 00:09:33,094 --> 00:09:35,430 OPTIONS THAT ARE AVAILABLE TO 247 00:09:35,430 --> 00:09:38,132 COUNCIL IS, THE COUNCIL CAN 248 00:09:38,132 --> 00:09:39,968 CONCUR WITH THE REVIEW OF THE 249 00:09:39,968 --> 00:09:42,070 STUDY SECTION. 250 00:09:42,070 --> 00:09:45,106 OR COUNCIL CAN NOMINATE AN 251 00:09:45,106 --> 00:09:47,976 APPLICATION FOR HPP, WHICH 252 00:09:47,976 --> 00:09:48,943 RAISES AN APPLICATION IN ORDER 253 00:09:48,943 --> 00:09:52,246 FOR FUNDING CONSIDERATION OR THE 254 00:09:52,246 --> 00:09:55,083 OPPOSITE, LPP, WHICH LOWERS THE 255 00:09:55,083 --> 00:09:56,084 APPLICATION IN ORDER FOR FUNDING 256 00:09:56,084 --> 00:09:57,819 CONSIDERATION. 257 00:09:57,819 --> 00:10:00,488 THEN THERE'S A CATEGORY THAT WE 258 00:10:00,488 --> 00:10:03,624 CALL OTHERS, WHICH INCLUDES ALL 259 00:10:03,624 --> 00:10:05,893 UNUSUAL ACTIONS THAT CANNOT BE 260 00:10:05,893 --> 00:10:09,097 IDENTIFIED AS EITHER 261 00:10:09,097 --> 00:10:11,165 CONCURRENCE, HPP OR LPP. 262 00:10:11,165 --> 00:10:13,468 ALSO COUNCIL CAN RECOMMEND TO 263 00:10:13,468 --> 00:10:15,737 DEFER AN APPLICATION FOR 264 00:10:15,737 --> 00:10:16,738 ADDITIONAL INFORMATION OR 265 00:10:16,738 --> 00:10:17,705 CONSIDERATION BY COUNCIL AT A 266 00:10:17,705 --> 00:10:22,110 LATER TIME. 267 00:10:22,110 --> 00:10:23,611 COUNCIL CAN ALSO DEFER 268 00:10:23,611 --> 00:10:26,247 APPLICATION FOR ADDITIONAL STUDY 269 00:10:26,247 --> 00:10:28,216 SECTION INPUT FOR 270 00:10:28,216 --> 00:10:28,883 RECONSIDERATION OF THE 271 00:10:28,883 --> 00:10:30,318 SCIENTIFIC AND TECHNICAL MERIT 272 00:10:30,318 --> 00:10:31,819 OF AN APPLICATION. 273 00:10:31,819 --> 00:10:33,921 COUNCIL CAN RECOMMEND A CHANGE 274 00:10:33,921 --> 00:10:35,923 IN SCOPE, BUDGET, AND DURATION 275 00:10:35,923 --> 00:10:39,594 OF SUPPORT. 276 00:10:39,594 --> 00:10:41,462 AND COUNCIL CAN ALSO RECOMMEND 277 00:10:41,462 --> 00:10:43,231 AN ACTION WE CALL NOT 278 00:10:43,231 --> 00:10:44,832 RECOMMENDED BY COUNCIL, WHICH 279 00:10:44,832 --> 00:10:47,268 REMOVES THE APPLICATION FROM 280 00:10:47,268 --> 00:10:52,507 CONSIDERATION FOR FUNDING. 281 00:10:52,507 --> 00:10:54,475 THE NCCIH DIRECTOR MAY DELEGATE 282 00:10:54,475 --> 00:10:56,544 TO GRANTS MANAGEMENT AND PROGRAM 283 00:10:56,544 --> 00:11:00,715 STAFF THE AUTHORITY TO NEGOTIATE 284 00:11:00,715 --> 00:11:01,582 ADJUSTMENTS IN DOLLARS OR THE 285 00:11:01,582 --> 00:11:03,985 TERMS AND CONDITIONS OF GRANTS 286 00:11:03,985 --> 00:11:07,922 AND COOPERATIVE AGREEMENTS 287 00:11:07,922 --> 00:11:08,790 RECOMMENDED BY COUNCIL. 288 00:11:08,790 --> 00:11:10,758 ALL ADJUSTMENTS MADE REFLECT THE 289 00:11:10,758 --> 00:11:12,193 LATEST DETERMINATION OF ACTUAL 290 00:11:12,193 --> 00:11:14,929 OR ESTIMATED NEEDS OF THE 291 00:11:14,929 --> 00:11:15,396 PROJECT. 292 00:11:15,396 --> 00:11:18,766 THE COUNCIL'S RECOMMENDATIONS, 293 00:11:18,766 --> 00:11:20,501 PROGRAM RELEVANCE, THE CURRENT 294 00:11:20,501 --> 00:11:22,036 NIH COST MANAGEMENT PLAN AND THE 295 00:11:22,036 --> 00:11:23,671 AVAILABILITY OF NCCIH FUNDS TO 296 00:11:23,671 --> 00:11:25,873 SUPPORT THE RESEARCH EFFORT. 297 00:11:25,873 --> 00:11:29,243 THE FOLLOWING STAFF ACTIONS DO 298 00:11:29,243 --> 00:11:30,144 NOT REQUIRE COUNCIL 299 00:11:30,144 --> 00:11:30,778 RECOMMENDATIONS BUT MAY BE 300 00:11:30,778 --> 00:11:32,647 PRESENTED TO THE COUNCIL FOR 301 00:11:32,647 --> 00:11:34,849 INFORMATION PURPOSES. 302 00:11:34,849 --> 00:11:37,118 SO FOR EXAMPLE, IF THERE WOULD 303 00:11:37,118 --> 00:11:38,352 BE A CHANGE OF PRINCIPAL 304 00:11:38,352 --> 00:11:40,955 INVESTIGATOR ON A GRANT, IF 305 00:11:40,955 --> 00:11:43,024 THERE IS A CHANGE OF INSTITUTION 306 00:11:43,024 --> 00:11:45,993 BY THE PI, IF APPLICATIONS ARE 307 00:11:45,993 --> 00:11:47,862 DEFERRED FOR RE-REVIEW, AND 308 00:11:47,862 --> 00:11:49,730 ADMINISTRATIVE SUPPLEMENTS. 309 00:11:49,730 --> 00:11:51,632 THAT'S USUALLY NOT SOMETHING 310 00:11:51,632 --> 00:11:52,667 THAT WOULD REQUIRE COUNCIL 311 00:11:52,667 --> 00:11:56,604 RECOMMENDATION. 312 00:11:56,604 --> 00:12:00,208 IN REGARD TO EXPEDITED EN BLOC 313 00:12:00,208 --> 00:12:05,346 CONCURRENCE, AS PER NIH POLICY, 314 00:12:05,346 --> 00:12:09,050 ICs MAY STREAMLINE THE EN BLOC 315 00:12:09,050 --> 00:12:12,019 CONCURRENCE TO EXPEDITE FUNDING 316 00:12:12,019 --> 00:12:13,788 ACTIONS. 317 00:12:13,788 --> 00:12:15,623 APPLICATIONS ELIGIBLE FOR EEC 318 00:12:15,623 --> 00:12:17,492 MUST MEET ALL OF THE FOLLOWING 319 00:12:17,492 --> 00:12:18,359 CRITERIA: THEY MUST BE PEER 320 00:12:18,359 --> 00:12:19,994 REVIEWED AND ASSESSED AS 321 00:12:19,994 --> 00:12:20,761 SCIENTIFICALLY MERITORIOUS, 322 00:12:20,761 --> 00:12:24,499 WHICH FOR US GENERALLY MEANS 323 00:12:24,499 --> 00:12:26,134 WITHIN OUR FUNDING SOURCE. 324 00:12:26,134 --> 00:12:28,970 THIS HAS TO BE A DOMESTIC 325 00:12:28,970 --> 00:12:29,470 APPLICATION. 326 00:12:29,470 --> 00:12:32,473 THERE CANNOT BE ANY UNRESOLVED 327 00:12:32,473 --> 00:12:33,774 HUMAN, ANIMAL SUBJECTS, 328 00:12:33,774 --> 00:12:36,410 BIOHAZARDS OR INCLUSION ISSUES. 329 00:12:36,410 --> 00:12:37,712 THE APPLICATION HAS TO BE 330 00:12:37,712 --> 00:12:40,348 RELEVANT TO NCCIH'S MISSION. 331 00:12:40,348 --> 00:12:42,316 AND IT MAY ALSO INCLUDE 332 00:12:42,316 --> 00:12:44,719 APPLICATIONS THAT REQUIRE THE 333 00:12:44,719 --> 00:12:47,021 AVAILABILITY OF TIME LIMITED 334 00:12:47,021 --> 00:12:51,959 UNIQUE RESOURCES. 335 00:12:51,959 --> 00:12:53,794 EEC OCCURS GENERALLY 6 TO 336 00:12:53,794 --> 00:12:54,929 7 WEEKS PRIOR TO THE REGULAR 337 00:12:54,929 --> 00:12:57,198 MEETING OF COUNCIL. 338 00:12:57,198 --> 00:12:58,533 ALL REGULAR MEMBERS OF COUNCIL 339 00:12:58,533 --> 00:13:00,268 MAY VOTE. 340 00:13:00,268 --> 00:13:01,903 APPLICATIONS MUST RECEIVE AT 341 00:13:01,903 --> 00:13:04,739 LEAST TWO VOTES FOR AND NO VOTES 342 00:13:04,739 --> 00:13:07,008 AGAINST CONCURRENCE. 343 00:13:07,008 --> 00:13:10,545 APPLICATIONS CONCURRED WILL THEN 344 00:13:10,545 --> 00:13:11,879 BE ELIGIBLE FOR FUNDING 345 00:13:11,879 --> 00:13:13,181 DECISIONS BY THE DIRECTOR AND 346 00:13:13,181 --> 00:13:14,248 SUBSEQUENT PROCESSING FOR 347 00:13:14,248 --> 00:13:15,683 AWARDS. 348 00:13:15,683 --> 00:13:17,752 EEC ACTIONS WILL BE COMMUNICATED 349 00:13:17,752 --> 00:13:19,387 TO COUNCIL DURING THE REGULAR 350 00:13:19,387 --> 00:13:26,160 MEETING. 351 00:13:26,160 --> 00:13:27,595 IN EXCEPTIONAL SITUATIONS, THE 352 00:13:27,595 --> 00:13:29,130 DIRECTOR HAS THE AUTHORITY TO 353 00:13:29,130 --> 00:13:30,398 ACT UPON EXTENUATING 354 00:13:30,398 --> 00:13:31,132 CIRCUMSTANCES. 355 00:13:31,132 --> 00:13:32,967 THE DIRECTOR MAY CONSULT WITH A 356 00:13:32,967 --> 00:13:34,368 SUBSET OF COUNCILMEMBERS. 357 00:13:34,368 --> 00:13:36,237 AND THE ACTIONS WILL BE 358 00:13:36,237 --> 00:13:37,171 DOCUMENTED AND REPORTED TO 359 00:13:37,171 --> 00:13:43,144 COUNCIL. 360 00:13:43,144 --> 00:13:44,345 IN REGARD TO CONCEPTS FOR 361 00:13:44,345 --> 00:13:47,415 RESEARCH INITIATIVES, CONCEPTS 362 00:13:47,415 --> 00:13:48,816 CAN ORIGINATE FROM STAFF, THE 363 00:13:48,816 --> 00:13:50,885 SCIENTIFIC COMMUNITY, 364 00:13:50,885 --> 00:13:55,389 CONSTITUENCY ORGANIZATIONS, 365 00:13:55,389 --> 00:13:56,257 AND/OR CONGRESS. 366 00:13:56,257 --> 00:13:57,892 NCCIH STAFF PREPARES CONCEPT 367 00:13:57,892 --> 00:13:58,559 SUMMARIES FOR REVIEW BY COUNCIL 368 00:13:58,559 --> 00:14:01,295 IN THE OPEN SESSION. 369 00:14:01,295 --> 00:14:04,565 COUNCIL MAY RECOMMEND EITHER 370 00:14:04,565 --> 00:14:07,068 APPROVAL, MODIFICATION, 371 00:14:07,068 --> 00:14:09,036 DEFERRAL, OR DISAPPROVAL OF A 372 00:14:09,036 --> 00:14:09,704 CONCEPT. 373 00:14:09,704 --> 00:14:11,339 APPROVED CONCEPTS THEN MAY LEAD 374 00:14:11,339 --> 00:14:12,873 TO ONE OR MORE FUNDING 375 00:14:12,873 --> 00:14:17,912 OPPORTUNITY ANNOUNCEMENTS. 376 00:14:17,912 --> 00:14:19,347 IN REGARD TO APPEALS, AN 377 00:14:19,347 --> 00:14:21,282 APPLICANT MAY APPEAL THE 378 00:14:21,282 --> 00:14:22,883 ASSESSMENT OF THE GRANT 379 00:14:22,883 --> 00:14:24,151 APPLICATION BY A SCIENTIFIC 380 00:14:24,151 --> 00:14:25,219 REVIEW GROUP AS ASSESSED THROUGH 381 00:14:25,219 --> 00:14:27,121 THE SUMMARY STATEMENT. 382 00:14:27,121 --> 00:14:29,056 NOW, CRITERIA THAT WOULD BE 383 00:14:29,056 --> 00:14:34,528 RELEVANT FOR AN APPEAL ARE IF 384 00:14:34,528 --> 00:14:35,963 THERE IS EVIDENCE THAT A FACTUAL 385 00:14:35,963 --> 00:14:37,164 ERROR MIGHT HAVE SIGNIFICANTLY 386 00:14:37,164 --> 00:14:38,032 CHANGED THE SCORE OF AN 387 00:14:38,032 --> 00:14:38,366 APPLICATION. 388 00:14:38,366 --> 00:14:40,434 IF THERE IS EVIDENCE FOR 389 00:14:40,434 --> 00:14:42,536 REVIEWER BIAS, OR CONFLICT OF 390 00:14:42,536 --> 00:14:43,271 INTEREST. 391 00:14:43,271 --> 00:14:44,705 ALSO IF THERE IS LACK OF 392 00:14:44,705 --> 00:14:48,209 SCIENTIFIC EXPERTISE ON THE 393 00:14:48,209 --> 00:14:50,878 REVIEW PANEL. 394 00:14:50,878 --> 00:14:51,712 REASONS THAT WOULD NOT LEAD TO 395 00:14:51,712 --> 00:14:52,813 AN APPEAL OR WOULD NOT BE 396 00:14:52,813 --> 00:14:55,750 CONSIDERED AS RELEVANT IS IF 397 00:14:55,750 --> 00:15:00,121 THTHERE IS A DISCREPANCY -- IF 398 00:15:00,121 --> 00:15:01,889 THERE'S EITHER DIFFERENCE IN 399 00:15:01,889 --> 00:15:03,424 SCIENTIFIC OPINION OR IF THERE 400 00:15:03,424 --> 00:15:04,825 ARE ERRORS OF OMISSION. 401 00:15:04,825 --> 00:15:06,694 SO IF THE DISCREPANCY WOULD BE 402 00:15:06,694 --> 00:15:13,601 CLASSIFIED AS THAT. 403 00:15:13,601 --> 00:15:13,901 OKAY. 404 00:15:13,901 --> 00:15:15,670 IN REGARD TO ELIGIBLE APPEALS, 405 00:15:15,670 --> 00:15:17,071 IF PROGRAM AND REVIEW STAFF 406 00:15:17,071 --> 00:15:20,374 AGREE THAT AN APPEAL IS JUSTI 407 00:15:20,374 --> 00:15:21,909 JUSTIFIED, MEANING IT MEETS THE 408 00:15:21,909 --> 00:15:22,977 RELEVANT CRITERIA THAT WE JUST 409 00:15:22,977 --> 00:15:24,945 WENT OVER, THEN THE GRANT IS 410 00:15:24,945 --> 00:15:27,682 DEFERRED FOR RE-REVIEW, AND THIS 411 00:15:27,682 --> 00:15:29,083 HAPPENS BEFORE THE APPLICATION 412 00:15:29,083 --> 00:15:31,085 WOULD EVEN BE BROUGHT TO 413 00:15:31,085 --> 00:15:33,287 COUNCIL'S ATTENTION. 414 00:15:33,287 --> 00:15:36,490 IF STAFF DISAGREES ABOUT AN 415 00:15:36,490 --> 00:15:39,827 APPEAL, THEN THE CENTER'S APPEAL 416 00:15:39,827 --> 00:15:42,897 OFFICER ADJUDICATES, AND FOR 417 00:15:42,897 --> 00:15:44,965 NCCIH, THAT'S DR. EDWARDS. 418 00:15:44,965 --> 00:15:46,300 IF THE APPEAL OFFICE SUPPORTS 419 00:15:46,300 --> 00:15:47,868 THE APPEAL, THEN IT IS SENT TO 420 00:15:47,868 --> 00:15:54,508 COUNCIL FOR RESOLUTION. 421 00:15:54,508 --> 00:15:57,111 FOR INELIGIBLE APPEALS, MEANING 422 00:15:57,111 --> 00:15:59,280 THOSE THAT ARE NOT ALIGNED WITH 423 00:15:59,280 --> 00:16:00,948 THE GUIDELINES WE JUST WENT 424 00:16:00,948 --> 00:16:02,583 OVER, MEANING IT IS NOT BASED ON 425 00:16:02,583 --> 00:16:03,551 RELEVANT CRITERIA. 426 00:16:03,551 --> 00:16:06,654 THEN THE APPLICANT'S APPEAL 427 00:16:06,654 --> 00:16:07,988 LETTER IS PROVIDED TO 428 00:16:07,988 --> 00:16:08,823 COUNCILMEMBERS VIA THE 429 00:16:08,823 --> 00:16:10,024 ELECTRONIC COUNCIL BOOK AS AN 430 00:16:10,024 --> 00:16:13,527 INFORMATION ITEM. 431 00:16:13,527 --> 00:16:16,597 ONLY. 432 00:16:16,597 --> 00:16:17,798 COUNCILMEMBERS SERVE AS A 433 00:16:17,798 --> 00:16:19,667 RESOURCE TO DEVELOP, RECOMMEND, 434 00:16:19,667 --> 00:16:22,737 AND SET POLICY AND RESEARCH 435 00:16:22,737 --> 00:16:24,472 PRIORITIES. 436 00:16:24,472 --> 00:16:25,606 ON OCCASION, SPECIAL WORKING 437 00:16:25,606 --> 00:16:27,408 GROUPS MAY BE FORMED TO EXAMINE 438 00:16:27,408 --> 00:16:28,843 AND ADDRESS CRITICAL SCIENTIFIC 439 00:16:28,843 --> 00:16:30,911 OR POLICY ISSUES OF IMPORTANCE 440 00:16:30,911 --> 00:16:36,717 TO NCCIH AND ITS CONSTITUENCIES. 441 00:16:36,717 --> 00:16:38,252 AND WE WILL TALK A LITTLE BIT 442 00:16:38,252 --> 00:16:40,020 MORE ABOUT WORKING GROUPS LATER 443 00:16:40,020 --> 00:16:43,391 TODAY. 444 00:16:43,391 --> 00:16:43,724 OKAY. 445 00:16:43,724 --> 00:16:47,862 WITH THIS, DO WE HAVE ANY 446 00:16:47,862 --> 00:16:49,930 QUESTIONS, COMMENTS, ON THE 447 00:16:49,930 --> 00:16:57,505 COUNCIL OPERATING PROCEDURES? 448 00:16:57,505 --> 00:17:00,241 IF NO, THEN MAY I HAVE A MOTION 449 00:17:00,241 --> 00:17:02,410 TO APPROVE THE COUNCIL OPERATION 450 00:17:02,410 --> 00:17:06,547 PROCEDURES? 451 00:17:06,547 --> 00:17:08,015 >> MOTION TO APPROVE. 452 00:17:08,015 --> 00:17:09,850 >> THANK YOU. 453 00:17:09,850 --> 00:17:11,886 DO WE HAVE A SECOND? 454 00:17:11,886 --> 00:17:12,386 >> SECOND. 455 00:17:12,386 --> 00:17:13,988 >> THANK YOU. 456 00:17:13,988 --> 00:17:15,856 SO NOW WE NEED A VOTER SHEET 457 00:17:15,856 --> 00:17:18,826 AGAIN. 458 00:17:18,826 --> 00:17:19,059 PERFECT. 459 00:17:19,059 --> 00:17:29,236 THANK YOU. 460 00:17:37,378 --> 00:17:39,380 OKAY. 461 00:17:39,380 --> 00:17:40,881 COUNCIL OPERATING PROCEDURES 462 00:17:40,881 --> 00:17:42,016 HAVE BEEN APPROVED. 463 00:17:42,016 --> 00:17:47,688 THANK YOU! 464 00:17:47,688 --> 00:17:49,990 AND WITH THIS, I'M HANDING THE 465 00:17:49,990 --> 00:17:56,597 MEETING OVER TO DR. LANGEVIN. 466 00:17:56,597 --> 00:17:58,532 >> THANK YOU SO MUCH. 467 00:17:58,532 --> 00:17:59,834 IT LOOKS LIKE WE'RE A LITTLE BIT 468 00:17:59,834 --> 00:18:00,634 AHEAD OF SCHEDULE BUT THAT'S 469 00:18:00,634 --> 00:18:05,406 FINE. 470 00:18:05,406 --> 00:18:07,708 SO I'M GOING TO UNSHARE THAT AND 471 00:18:07,708 --> 00:18:18,118 I WILL SHARE MY SCREEN. 472 00:18:23,624 --> 00:18:25,025 CAN YOU ALL SEE MY SLIDE? 473 00:18:25,025 --> 00:18:25,960 >> YES. 474 00:18:25,960 --> 00:18:26,727 >> GREAT. 475 00:18:26,727 --> 00:18:27,728 OKAY. 476 00:18:27,728 --> 00:18:30,364 SO IT'S MY GREAT PLEASURE TO 477 00:18:30,364 --> 00:18:32,633 PRESENT MY DIRECTOR'S REPORT TO 478 00:18:32,633 --> 00:18:35,503 COUNCIL. 479 00:18:35,503 --> 00:18:36,170 AT THIS TIME. 480 00:18:36,170 --> 00:18:38,005 AND I WILL START BY A VERY 481 00:18:38,005 --> 00:18:41,742 IMPORTANT EVENT AT NIH, WHICH IS 482 00:18:41,742 --> 00:18:45,346 THAT WE HAVE WELCOMED OUR NEW 483 00:18:45,346 --> 00:18:46,981 DIRECTOR, NIH DIRECTOR, 484 00:18:46,981 --> 00:18:49,917 DR. MONICA BERTAGNOLLI. 485 00:18:49,917 --> 00:18:52,820 SHE WAS PREVIOUSLY DIRECTOR OF 486 00:18:52,820 --> 00:18:53,988 THE NATIONAL CANCER INSTITUTE 487 00:18:53,988 --> 00:18:55,422 FOR A YEAR AND WE ARE DELIGHTED 488 00:18:55,422 --> 00:18:57,691 THAT NOW SHE HAS BEGUN HER 489 00:18:57,691 --> 00:19:01,295 DUTIES AS NIH DIRECTOR. 490 00:19:01,295 --> 00:19:02,730 AND ONE OF THE FIRST THINGS THAT 491 00:19:02,730 --> 00:19:05,566 SHE DID AS NIH DIRECTOR IS TO BE 492 00:19:05,566 --> 00:19:08,135 VERY CLEAR ABOUT FOUR VERY 493 00:19:08,135 --> 00:19:10,738 IMPORTANT PRIORITIES THAT SHE 494 00:19:10,738 --> 00:19:11,472 HAS. 495 00:19:11,472 --> 00:19:13,741 ONE IS ENSURING DIVERSITY IN 496 00:19:13,741 --> 00:19:16,076 CLINICAL TRIALS, EMBRACING 497 00:19:16,076 --> 00:19:17,278 LEARNING-BASED ANALYTICAL TOOLS, 498 00:19:17,278 --> 00:19:18,913 RESTORING TRUST IN SCIENCE, AND 499 00:19:18,913 --> 00:19:20,681 STRENGTHENING COLLABORATIONS 500 00:19:20,681 --> 00:19:20,981 ACROSS NIH. 501 00:19:20,981 --> 00:19:22,316 AND THESE PRIORITIES ARE VERY 502 00:19:22,316 --> 00:19:25,920 WELL ALIGNED WITH OUR PRIORITIES 503 00:19:25,920 --> 00:19:27,755 AT NCCIH, SO WE'RE VERY EXCITED 504 00:19:27,755 --> 00:19:30,958 TO BE WORKING UNDER HER 505 00:19:30,958 --> 00:19:34,228 LEADERSHIP. 506 00:19:34,228 --> 00:19:37,298 THE OTHER IMPORTANT EVENT IS 507 00:19:37,298 --> 00:19:40,367 THAT DR. TARA SCHWETZ WAS 508 00:19:40,367 --> 00:19:41,902 PREVIOUSLY PRINCIPAL DEPUTY 509 00:19:41,902 --> 00:19:44,138 DIRECTOR, ACTING PRINCIPAL 510 00:19:44,138 --> 00:19:45,873 DEPUTY DIRECTOR, BECAME THE 511 00:19:45,873 --> 00:19:47,041 DIRECTOR OF THE DIVISION OF 512 00:19:47,041 --> 00:19:48,876 PROGRAM COORDINATION, PLANNING, 513 00:19:48,876 --> 00:19:51,078 AND STRATEGIC INITIATIVES AT 514 00:19:51,078 --> 00:19:51,512 NIH. 515 00:19:51,512 --> 00:19:54,148 THIS IS AN IMPORTANT OFFICE THAT 516 00:19:54,148 --> 00:19:56,884 OVERSEES MANY OF THE DIFFERENT 517 00:19:56,884 --> 00:19:58,185 OFFICES AT THE OFFICE OF THE 518 00:19:58,185 --> 00:19:59,954 DIRECTOR, SUCH AS THE OFFICE OF 519 00:19:59,954 --> 00:20:03,223 WOMEN'S HEALTH, PREVENTION, 520 00:20:03,223 --> 00:20:04,358 BEHAVIORAL AND SOCIAL SCIENCES, 521 00:20:04,358 --> 00:20:07,795 AS WELL AS THE TRIBAL HEALTH 522 00:20:07,795 --> 00:20:08,562 OFFICE. 523 00:20:08,562 --> 00:20:14,602 AND DR. KARINA WALTERS IS GOING 524 00:20:14,602 --> 00:20:16,437 TO BE PRESENTING ON THIS THIS 525 00:20:16,437 --> 00:20:17,871 AFTERNOON. 526 00:20:17,871 --> 00:20:20,507 DR. SCHWETZ IS VERY IMPORTANT IN 527 00:20:20,507 --> 00:20:22,009 COORDINATING THESE OFFICES. 528 00:20:22,009 --> 00:20:24,011 WE ALSO ARE VERY, VERY PROUD 529 00:20:24,011 --> 00:20:26,413 THAT PRESIDENT BIDEN HAS HONORED 530 00:20:26,413 --> 00:20:28,048 DR. STEVEN ROSENBERG OF THE 531 00:20:28,048 --> 00:20:32,286 NATIONAL CON SER INNATIONAL CANH 532 00:20:32,286 --> 00:20:33,621 THE NATIONAL MEDAL OF TECHNOLOGY 533 00:20:33,621 --> 00:20:35,489 AND INNOVATION, THE NATION'S 534 00:20:35,489 --> 00:20:37,658 HIGHEST HONOR FOR TECHNOLOGICAL 535 00:20:37,658 --> 00:20:39,627 ACHIEVEMENT. 536 00:20:39,627 --> 00:20:42,429 DR. ROSENBERG'S PIONEERING WORK 537 00:20:42,429 --> 00:20:44,465 DEVELOPED THE FIRST EFFECTIVE 538 00:20:44,465 --> 00:20:46,200 IMMUNOTHERAPIES FOR PATIENTS 539 00:20:46,200 --> 00:20:47,935 WITH ADVANCED CANCER, AND THIS 540 00:20:47,935 --> 00:20:49,703 HAS JUST BEEN A REVOLUTIONARY 541 00:20:49,703 --> 00:20:52,206 CHANGE IN OUR APPROACH TO CANCER 542 00:20:52,206 --> 00:20:58,579 TREATMENT. 543 00:20:58,579 --> 00:20:59,880 THIS SLIDES ARE NOT ADVANCING. 544 00:20:59,880 --> 00:21:00,748 THERE WE GO. 545 00:21:00,748 --> 00:21:01,715 ANOTHER IMPORTANT EVENT THAT HAS 546 00:21:01,715 --> 00:21:06,220 HAPPENED IS THAT THE REVISION OF 547 00:21:06,220 --> 00:21:08,956 THE GRANT REVIEW PROCESS THAT 548 00:21:08,956 --> 00:21:10,591 WE'VE BEEN DISCUSSING NOW AT 549 00:21:10,591 --> 00:21:11,458 SEVERAL DIFFERENT COUNCIL 550 00:21:11,458 --> 00:21:14,194 MEETINGS, WE HAD A DISCUSSION OF 551 00:21:14,194 --> 00:21:20,234 THIS IN DR. BYRNES' PRESENTATION 552 00:21:20,234 --> 00:21:21,735 AT LAST COUNCIL, AND THIS HAS 553 00:21:21,735 --> 00:21:23,704 NOW TAKEN -- WILL BE TAKING 554 00:21:23,704 --> 00:21:25,272 EFFECT ON JANUARY 25TH, SO JUST 555 00:21:25,272 --> 00:21:27,875 IN A FEW DAYS. 556 00:21:27,875 --> 00:21:31,478 THIS REVIEW PROCESS, IT NOW 557 00:21:31,478 --> 00:21:33,247 SIMPLIFIES THE REVIEW CRITERIA 558 00:21:33,247 --> 00:21:36,417 THAT WENT FROM FIVE CRITERIA TO 559 00:21:36,417 --> 00:21:38,152 NOW THREE. 560 00:21:38,152 --> 00:21:42,956 AND THEN TWO OF THE FACTORS HAVE 561 00:21:42,956 --> 00:21:44,491 BEEN KIND OF FOLDED INTO ONE, 562 00:21:44,491 --> 00:21:45,592 AND SO WE THINK THAT THIS IS 563 00:21:45,592 --> 00:21:50,297 GOING TO BE HELPING REALLY 564 00:21:50,297 --> 00:21:51,598 FOCUSING ON SOME OF THE AREAS 565 00:21:51,598 --> 00:21:55,302 THAT WE FEEL ARE THE MOST 566 00:21:55,302 --> 00:21:57,938 IMPORTANT IN A WAY THAT 567 00:21:57,938 --> 00:22:02,109 FACILITATES THE REVIEW OF THESE 568 00:22:02,109 --> 00:22:04,712 AREAS WHILE ALSO STREAMLINING 569 00:22:04,712 --> 00:22:10,651 SOME OF THE REVIEW PROCESS. 570 00:22:10,651 --> 00:22:14,688 ANOTHER VERY IMPORTANT PROGRAM, 571 00:22:14,688 --> 00:22:15,789 NIH-WIDE PROGRAM THAT WAS 572 00:22:15,789 --> 00:22:18,392 LAUNCHED IS THE COMPASS PROGRAM. 573 00:22:18,392 --> 00:22:22,663 AND THIS IS A PROGRAM THAT IS AN 574 00:22:22,663 --> 00:22:24,431 NIH COMMON FUND PROGRAM ACROSS 575 00:22:24,431 --> 00:22:25,299 NIH. 576 00:22:25,299 --> 00:22:26,834 FIRST OF ITS KIND. 577 00:22:26,834 --> 00:22:29,303 VERY IMPORTANT PROGRAM THAT IS 578 00:22:29,303 --> 00:22:31,105 LED BY THE NATIONAL INSTITUTE OF 579 00:22:31,105 --> 00:22:32,172 NURSING RESEARCH. 580 00:22:32,172 --> 00:22:35,809 AND THIS IS ABOUT COMMUNITY-LED 581 00:22:35,809 --> 00:22:37,778 RESEARCH TO STUDY WAYS TO 582 00:22:37,778 --> 00:22:40,614 ADDRESS UNDERLYING STRUCTURAL 583 00:22:40,614 --> 00:22:42,149 SYSTEMIC FACTORS WITHIN 584 00:22:42,149 --> 00:22:43,550 COMMUNITIES THAT AFFECT HEALTH, 585 00:22:43,550 --> 00:22:45,986 SUCH AS, FOR EXAMPLE, ACCESS TO 586 00:22:45,986 --> 00:22:47,721 HEALTHY FOODS OR ACCESS TO SAFE 587 00:22:47,721 --> 00:22:49,790 GREEN SPACES, EMPLOYMENT 588 00:22:49,790 --> 00:22:53,727 OPPORTUNITIES, TRANSPORTATION. 589 00:22:53,727 --> 00:22:55,028 SO THIS IS REALLY ADDRESSING 590 00:22:55,028 --> 00:22:56,697 THESE PROBLEMS AT A SYSTEMIC 591 00:22:56,697 --> 00:22:58,098 LEVEL, WHICH IS QUITE UNIQUE AND 592 00:22:58,098 --> 00:22:59,299 NEW. 593 00:22:59,299 --> 00:23:03,437 SO WE LOOK FORWARD -- THERE WERE 594 00:23:03,437 --> 00:23:05,339 26 AWARDS THAT WERE MADE TO 595 00:23:05,339 --> 00:23:06,106 COMMUNITY ORGANIZATIONS. 596 00:23:06,106 --> 00:23:09,610 THIS IS VERY MUCH COMMUNITY-LED 597 00:23:09,610 --> 00:23:11,645 RESEARCH, APPROXIMATELY 598 00:23:11,645 --> 00:23:19,953 $171 MILLION OVER FIVE YEARS. 599 00:23:19,953 --> 00:23:21,955 WE ALSO HAVE -- JUST WANT TO 600 00:23:21,955 --> 00:23:23,824 DRAW ATTENTION TO THE 601 00:23:23,824 --> 00:23:24,892 INTERNATIONAL CONGRESS ON 602 00:23:24,892 --> 00:23:25,926 INTEGRATIVE MEDICINE AND HEALTH, 603 00:23:25,926 --> 00:23:29,296 WHICH WILL TAKE PLACE IN APRIL 604 00:23:29,296 --> 00:23:31,031 IN CLEVELAND. 605 00:23:31,031 --> 00:23:35,068 THOSE OF YOU THAT HAVE NOT YET 606 00:23:35,068 --> 00:23:35,936 REGISTERED, STRONGLY ENCOURAGE 607 00:23:35,936 --> 00:23:40,774 YOU TO DO SO. 608 00:23:40,774 --> 00:23:43,610 NCCIH HAS A VERY IMPORTANT 609 00:23:43,610 --> 00:23:43,977 PRESENCE THERE. 610 00:23:43,977 --> 00:23:45,579 WE DO A LOT OF DIFFERENT 611 00:23:45,579 --> 00:23:47,981 WORKSHOPS AND THIS IS ONE OF OUR 612 00:23:47,981 --> 00:23:51,251 MAIN AVENUES FOR CONNECTING WITH 613 00:23:51,251 --> 00:23:52,920 RESEARCHERS, VERY EXCITING 614 00:23:52,920 --> 00:23:53,220 EVENT. 615 00:23:53,220 --> 00:23:54,221 I'M GOING TO BE TELLING YOU A 616 00:23:54,221 --> 00:23:55,522 LITTLE BIT MORE LATER ON ABOUT 617 00:23:55,522 --> 00:23:56,523 SOME OF THE SPECIFIC SESSIONS 618 00:23:56,523 --> 00:24:00,794 THAT WE ARE GOING TO BE LEADING. 619 00:24:00,794 --> 00:24:03,864 NOW FOR SOME STAFF UPDATES. 620 00:24:03,864 --> 00:24:06,967 WE ARE VERY PROUD TO WELCOME OUR 621 00:24:06,967 --> 00:24:08,535 SECOND TENURED INVESTIGATOR NOW, 622 00:24:08,535 --> 00:24:11,605 DR. LAUREN ATLAS, WHO IS THE LAB 623 00:24:11,605 --> 00:24:14,575 CHIEF IN THE SECTION ON 624 00:24:14,575 --> 00:24:15,509 AFFECTIVE NEUROSCIENCE AND PAIN 625 00:24:15,509 --> 00:24:16,677 IN THE INTRAMURAL RESEARCH 626 00:24:16,677 --> 00:24:18,312 PROGRAM. 627 00:24:18,312 --> 00:24:21,014 WE ALSO ARE VERY HAPPY TO 628 00:24:21,014 --> 00:24:22,649 ANNOUNCE SOME NEW STAFF IN BOTH 629 00:24:22,649 --> 00:24:24,518 THE OFFICE OF ADMINISTRATIVE 630 00:24:24,518 --> 00:24:25,919 OPERATIONS, THE DIVISION OF 631 00:24:25,919 --> 00:24:26,987 EXTRAMURAL ACTIVITIES, AND THE 632 00:24:26,987 --> 00:24:28,222 OFFICE OF CLINICAL AND 633 00:24:28,222 --> 00:24:30,524 REGULATORY AFFAIRS, AS WELL AS 634 00:24:30,524 --> 00:24:33,393 SOME STAFF THAT HAVE LEFT US TO 635 00:24:33,393 --> 00:24:37,865 PURSUE OTHER OPPORTUNITIES. 636 00:24:37,865 --> 00:24:39,600 AND IN THE DIVISION OF BE 637 00:24:39,600 --> 00:24:41,702 INTRAMURAL RESEARCH, WE HAVE 638 00:24:41,702 --> 00:24:43,303 SEVERAL NEW VISITING FELLOWS AND 639 00:24:43,303 --> 00:24:47,708 GRADUATE STUDENTS THAT HAVE 640 00:24:47,708 --> 00:24:50,110 COME -- I'M SORRY -- THAT HAVE 641 00:24:50,110 --> 00:24:53,614 BOTH ARRIVED AND DEPARTED. 642 00:24:53,614 --> 00:24:54,481 NOW ABOUT THE BUDGET. 643 00:24:54,481 --> 00:24:56,783 SO THERE'S REALLY ONLY VERY 644 00:24:56,783 --> 00:24:59,086 LITTLE I CAN SAY ABOUT THE 645 00:24:59,086 --> 00:25:00,287 BUDGET AT THE MOMENT BECAUSE WE 646 00:25:00,287 --> 00:25:02,256 ARE IN A CONTINUING RESOLUTION 647 00:25:02,256 --> 00:25:04,124 UNTIL MARCH 8TH. 648 00:25:04,124 --> 00:25:06,193 SO WE HOPEFULLY WILL BE ABLE TO 649 00:25:06,193 --> 00:25:08,996 PROVIDE MORE INFORMATION ABOUT 650 00:25:08,996 --> 00:25:10,564 OUR BUDGET AT THE NEXT COUNCIL 651 00:25:10,564 --> 00:25:13,533 MEETING WI. 652 00:25:13,533 --> 00:25:14,902 WHAT CONTINUING RESOLUTION MEANS 653 00:25:14,902 --> 00:25:15,936 IS THAT WE ARE CURRENTLY FUNDED 654 00:25:15,936 --> 00:25:18,772 AT THE FY 23 FUNDING LEVELS. 655 00:25:18,772 --> 00:25:19,973 SO THERE'S NO NEW UPDATES IN 656 00:25:19,973 --> 00:25:21,808 THIS AREA. 657 00:25:21,808 --> 00:25:23,911 AT THE MOMENT. 658 00:25:23,911 --> 00:25:25,779 SO I JUST WANTED TO TAKE A 659 00:25:25,779 --> 00:25:27,948 MINUTE TO HIGHLIGHT A COUPLE OF 660 00:25:27,948 --> 00:25:33,320 STUDIES THAT ARE OF INTEREST AND 661 00:25:33,320 --> 00:25:35,722 NOT THAT -- ALL OF THE RESEARCH 662 00:25:35,722 --> 00:25:37,057 THAT NCCIH FUNDS IS OF INTEREST 663 00:25:37,057 --> 00:25:40,093 TO US, BUT JUST IN PARTICULAR I 664 00:25:40,093 --> 00:25:41,528 WANT TO HIGHLIGHT TWO STUDIES 665 00:25:41,528 --> 00:25:43,697 THAT ARE A LITTLE BIT UNUSUAL. 666 00:25:43,697 --> 00:25:46,667 ONE IS THIS VERY INTERESTING 667 00:25:46,667 --> 00:25:48,535 STUDY OF CREATING A 668 00:25:48,535 --> 00:25:50,170 COMPLEMENTARY AND INTEGRATIVE 669 00:25:50,170 --> 00:25:52,139 HEALTH LEXICON TO BETTER 670 00:25:52,139 --> 00:25:55,175 REPRESENT THE OFTEN 671 00:25:55,175 --> 00:25:55,909 UNDERREPRESENTED COMPLEMENTARY 672 00:25:55,909 --> 00:25:57,144 AND INTEGRATIVE HEALTH 673 00:25:57,144 --> 00:25:58,578 APPROACHES IN STANDARD 674 00:25:58,578 --> 00:26:00,981 TERMINOLOGIES, AND THEN APPLY 675 00:26:00,981 --> 00:26:01,982 STATE OF THE ART NATURAL 676 00:26:01,982 --> 00:26:03,183 LANGUAGE PROCESSING TECHNIQUES 677 00:26:03,183 --> 00:26:05,485 TO HELP RECOGNIZE THEM IN THE 678 00:26:05,485 --> 00:26:06,053 BIOMEDICAL LITERATURE. 679 00:26:06,053 --> 00:26:07,454 SO JUST TO GIVE YOU SOME 680 00:26:07,454 --> 00:26:10,924 EXAMPLES OF SOME OF THE 681 00:26:10,924 --> 00:26:13,894 DEFINITIONS OF, FOR EXAMPLE, 682 00:26:13,894 --> 00:26:15,429 MIND-BODY THERAPIES OR MANUAL 683 00:26:15,429 --> 00:26:16,630 BODY-BASED THERAPIES, ENERGY 684 00:26:16,630 --> 00:26:17,164 THERAPIES, ET CETERA. 685 00:26:17,164 --> 00:26:19,599 THESE HAVE ALL BEEN ADDRESSED IN 686 00:26:19,599 --> 00:26:21,134 THIS PAPER, AND I ENCOURAGE YOU 687 00:26:21,134 --> 00:26:21,768 TO TAKE A LOOK. 688 00:26:21,768 --> 00:26:23,303 IT'S AN INTERESTING APPROACH, 689 00:26:23,303 --> 00:26:25,806 AND WE THINK THAT THIS IS GOING 690 00:26:25,806 --> 00:26:28,775 TO HAVE IMPLICATIONS AS TO HOW 691 00:26:28,775 --> 00:26:29,977 PEOPLE APPROACH THIS KIND OF 692 00:26:29,977 --> 00:26:34,348 TOPIC IN THE FUTURE. 693 00:26:34,348 --> 00:26:35,882 THIS IS A VERY INTERESTING STUDY 694 00:26:35,882 --> 00:26:37,517 THAT I WANT TO POINT OUT THAT 695 00:26:37,517 --> 00:26:39,052 REALLY TIES A LOT OF THINGS 696 00:26:39,052 --> 00:26:39,453 TOGETHER. 697 00:26:39,453 --> 00:26:41,788 IT LOOKS AT THE RELATIONSHIP 698 00:26:41,788 --> 00:26:44,424 BETWEEN LEVELS OF C-REACTIVE 699 00:26:44,424 --> 00:26:50,097 PROTEIN, THIS REFLECTS SYSTEMIC 700 00:26:50,097 --> 00:26:50,897 INFLAMMATION IN THE BODY, AS 701 00:26:50,897 --> 00:26:52,499 WELL AS THE RELATIONSHIP BETWEEN 702 00:26:52,499 --> 00:26:55,802 RACIAL DISCRIMINATION AND 703 00:26:55,802 --> 00:26:57,537 PERCEIVED THREAT IN THE NETWORK 704 00:26:57,537 --> 00:26:59,406 OF PERCEIVING THREAT IN THE 705 00:26:59,406 --> 00:27:00,040 BRAIN. 706 00:27:00,040 --> 00:27:03,543 SO LOOKING AT ACTIVATION OF THE 707 00:27:03,543 --> 00:27:05,078 VENTROMEDIAL PREFRONTAL CORTEX. 708 00:27:05,078 --> 00:27:07,080 AND WHAT THE STUDY SHOWS IS THAT 709 00:27:07,080 --> 00:27:11,418 THE LEVELS OF C-REACTIVE PROTEIN 710 00:27:11,418 --> 00:27:14,254 IN THE BLOOD, SYSTEMICALLY IN 711 00:27:14,254 --> 00:27:16,223 THE CIRCULATION, MODERATED THE 712 00:27:16,223 --> 00:27:19,192 RESPONSE OF THE BRAIN TO THIS 713 00:27:19,192 --> 00:27:20,594 PERCEIVED THREAT. 714 00:27:20,594 --> 00:27:22,562 THIS IS SPECIFICALLY IN BLACK 715 00:27:22,562 --> 00:27:24,898 AMERICAN WOMEN. 716 00:27:24,898 --> 00:27:29,136 SO VERY INTERESTING STUDY. 717 00:27:29,136 --> 00:27:31,772 I WANT TO JUST NOW HIGHLIGHT 718 00:27:31,772 --> 00:27:34,908 SOME PROGRAM NEWS, AND I'M GOING 719 00:27:34,908 --> 00:27:36,043 TO DO SOMETHING NEW THIS TIME 720 00:27:36,043 --> 00:27:39,112 AROUND. 721 00:27:39,112 --> 00:27:42,716 BECAUSE IN THE PAST, THE WAY 722 00:27:42,716 --> 00:27:44,885 THAT I WAS ORGANIZING THESE 723 00:27:44,885 --> 00:27:45,819 DIRECTOR'S REPORTS WAS BASICALLY 724 00:27:45,819 --> 00:27:47,521 KIND OF FOCUSING MORE ON LIKE, 725 00:27:47,521 --> 00:27:49,256 FOR EXAMPLE, PAST EVENTS, FUTURE 726 00:27:49,256 --> 00:27:50,257 EVENTS AND FUNDING 727 00:27:50,257 --> 00:27:53,326 OPPORTUNITIES, ET CETERA. 728 00:27:53,326 --> 00:27:57,898 WE FELT IT WAS IMPORTANT TO NOW 729 00:27:57,898 --> 00:27:58,765 TRY TO INTEGRATE THIS 730 00:27:58,765 --> 00:27:59,866 INFORMATION BETTER SO THAT IT 731 00:27:59,866 --> 00:28:02,069 MAKES MORE SENSE TO YOU ALL. 732 00:28:02,069 --> 00:28:03,804 I WANTED TO USE MORE OF A 733 00:28:03,804 --> 00:28:06,106 THEME-BASED APPROACH. 734 00:28:06,106 --> 00:28:08,675 AND SO WITH PUTTING TOGETHER 735 00:28:08,675 --> 00:28:09,843 THESE THEMES HERE THAT ARE 736 00:28:09,843 --> 00:28:10,911 HIGHLIGHTED IN THIS SLIDE, AND 737 00:28:10,911 --> 00:28:12,579 I'M GOING TO TALK YOU THROUGH 738 00:28:12,579 --> 00:28:13,680 THIS TO SHOW YOU WHAT THESE 739 00:28:13,680 --> 00:28:16,083 THEMES ARE ABOUT. 740 00:28:16,083 --> 00:28:19,219 SO YOU CAN SEE HERE THAT ON THE 741 00:28:19,219 --> 00:28:21,121 TOP, THERE ARE FIVE COLORED 742 00:28:21,121 --> 00:28:23,190 THEMES THAT REPRESENT WHAT WE 743 00:28:23,190 --> 00:28:24,491 SAY THE WHAT, THE TYPE OF 744 00:28:24,491 --> 00:28:26,460 RESEARCH THAT WE ARE FUNDING. 745 00:28:26,460 --> 00:28:29,096 THEN AT THE BOTTOM, THERE ARE 746 00:28:29,096 --> 00:28:33,567 TWO THEMES, THE WHO AND THE HOW. 747 00:28:33,567 --> 00:28:37,504 AND SO AS FAR AS IN THE TOP 748 00:28:37,504 --> 00:28:40,240 CATEGORY, WE HAVE PAIN AND PAIN 749 00:28:40,240 --> 00:28:41,875 MANAGEMENT, MIND AND BODY 750 00:28:41,875 --> 00:28:43,210 CONNECTIONS, HEALTH RESTORATION, 751 00:28:43,210 --> 00:28:44,744 NUTRITION CONTINUUM AND NATURAL 752 00:28:44,744 --> 00:28:45,946 PRODUCTS, AND WHOLE PERSON 753 00:28:45,946 --> 00:28:46,580 HEALTH. 754 00:28:46,580 --> 00:28:47,914 I'M GOING TO TAKE YOU THROUGH 755 00:28:47,914 --> 00:28:48,682 SOME OF THESE TO GIVE YOU A 756 00:28:48,682 --> 00:28:50,851 SENSE OF WHAT THIS MEANS. 757 00:28:50,851 --> 00:28:52,719 SO PAIN AND PAIN MANAGEMENT, 758 00:28:52,719 --> 00:28:53,487 THAT'S PRETTY OBVIOUS. 759 00:28:53,487 --> 00:28:57,090 A LOT OF WHAT NIH FUNDS 760 00:28:57,090 --> 00:28:59,059 HISTORICALLY HAS BEEN ABOUT 761 00:28:59,059 --> 00:29:01,361 PAIN, A LARGE PART OF OUR 762 00:29:01,361 --> 00:29:04,965 PORTFOLIO, AND WHAT WE'RE REALLY 763 00:29:04,965 --> 00:29:08,135 FOCUSING ON, WHAT I WANT TO SHOW 764 00:29:08,135 --> 00:29:10,871 HERE IS WHAT WE'VE BEEN DOING 765 00:29:10,871 --> 00:29:12,205 HISTORICALLY AND WHERE DO WE 766 00:29:12,205 --> 00:29:13,707 WANT OUR PORTFOLIO TO GROW. 767 00:29:13,707 --> 00:29:15,242 ONE OF THE AREAS WHERE WE REALLY 768 00:29:15,242 --> 00:29:17,110 WANT OUR PORTFOLIO TO GROW IS IN 769 00:29:17,110 --> 00:29:18,678 THE AREA OF PAIN MANAGEMENT, IN 770 00:29:18,678 --> 00:29:23,783 TERMS OF MANAGING SYMPTOMS, BUT 771 00:29:23,783 --> 00:29:25,952 ALSO GETTING TO UNDERSTAND 772 00:29:25,952 --> 00:29:26,720 ENDOGENOUS PAIN RESOLUTION. 773 00:29:26,720 --> 00:29:29,689 WHAT ARE THE MECHANISMS BY WHICH 774 00:29:29,689 --> 00:29:32,626 PAIN CAN RESOLVE, AND HOW DO WE 775 00:29:32,626 --> 00:29:34,261 SUPPORT THAT, AND HOW CAN WE 776 00:29:34,261 --> 00:29:34,928 PREVENT PAIN? 777 00:29:34,928 --> 00:29:37,430 HOW CAN WE PREVENT THE 778 00:29:37,430 --> 00:29:39,099 TRANSITION FROM ACUTE TO CHRONIC 779 00:29:39,099 --> 00:29:40,934 PAIN, AND INCORPORATE THAT INTO 780 00:29:40,934 --> 00:29:42,469 PAIN MANAGEMENT. 781 00:29:42,469 --> 00:29:44,404 SO THESE ARE SOME OF THE THEMES 782 00:29:44,404 --> 00:29:45,772 THAT WE ARE EXPLORING AND WE 783 00:29:45,772 --> 00:29:49,042 WANT TO KEEP GROWING. 784 00:29:49,042 --> 00:29:50,477 THE ORANGE CATEGORY, THE MIND 785 00:29:50,477 --> 00:29:52,212 AND BODY CONNECTION, IS AN 786 00:29:52,212 --> 00:29:53,613 INTERESTING ONE AS WELL. 787 00:29:53,613 --> 00:29:55,115 SO IT WOULD INCLUDE, FOR 788 00:29:55,115 --> 00:29:56,950 EXAMPLE, THINGS LIKE MIND AND 789 00:29:56,950 --> 00:29:58,285 BODY THERAPIES, WHICH IS A LOT 790 00:29:58,285 --> 00:29:59,553 OF WHAT THE RESEARCH THAT WE'RE 791 00:29:59,553 --> 00:30:01,488 ALREADY DOING, BUT WE ALSO IN 792 00:30:01,488 --> 00:30:03,490 THIS CATEGORY INCLUDE STRESS, 793 00:30:03,490 --> 00:30:05,759 FOR EXAMPLE, AND STRESS 794 00:30:05,759 --> 00:30:08,195 MANAGEMENT, AS WELL AS SLEEP, 795 00:30:08,195 --> 00:30:09,296 AND INTEROCEPTION, WHICH IS A 796 00:30:09,296 --> 00:30:11,031 TOPIC THAT WE'VE BEEN 797 00:30:11,031 --> 00:30:12,098 INCREASINGLY INTERESTED IN. 798 00:30:12,098 --> 00:30:15,735 SO THAT ALL FALLS IN THAT ORIGIN 799 00:30:15,735 --> 00:30:16,703 CATEGORY. 800 00:30:16,703 --> 00:30:19,239 THE LIGHT BLUE, HEALTH 801 00:30:19,239 --> 00:30:21,074 RESTORATION CATEGORY, IS A VERY 802 00:30:21,074 --> 00:30:23,476 INTERESTING ONE. 803 00:30:23,476 --> 00:30:25,045 SO IT INCLUDES, AS I MENTIONED 804 00:30:25,045 --> 00:30:27,480 FOR PAIN, BUT MORE GENERALLY, 805 00:30:27,480 --> 00:30:30,283 THE RETURN TO HEALTH AFTER AN 806 00:30:30,283 --> 00:30:31,818 ILLNESS OR AN INJURY, A CONCEPT 807 00:30:31,818 --> 00:30:40,760 THAT WE ALSO CAN SOMETIMES CALL 808 00:30:40,760 --> 00:30:42,095 SALUTOGENESIS, THE ABILITY TO 809 00:30:42,095 --> 00:30:44,264 RESIST, RECOVER, ADAPT, AND GROW 810 00:30:44,264 --> 00:30:47,300 FROM A CHALLENGE, ESPECIALLY 811 00:30:47,300 --> 00:30:47,567 STRESSORS. 812 00:30:47,567 --> 00:30:48,868 SO THIS IS ALSO A CATEGORY WHERE 813 00:30:48,868 --> 00:30:50,971 WE WANT TO REALLY GROW OUR 814 00:30:50,971 --> 00:30:53,573 PORTFOLIO. 815 00:30:53,573 --> 00:30:57,410 THE GREEN CATEGORY IS THE 816 00:30:57,410 --> 00:30:58,778 CATEGORY OF NUTRITION CONTINUUM 817 00:30:58,778 --> 00:30:59,479 AND NATURAL PRODUCTS. 818 00:30:59,479 --> 00:31:00,814 SO THIS INCLUDES, ORVETION THE 819 00:31:00,814 --> 00:31:03,750 TYPES OF NATURAL PRODUCTS LIKE 820 00:31:03,750 --> 00:31:05,385 PHYTOCHEMICALS, FOR EXAMPLE, 821 00:31:05,385 --> 00:31:08,021 MICROBIOME, PROBIOTICS, 822 00:31:08,021 --> 00:31:08,655 CANNABINOIDS FOR EXAMPLE THAT 823 00:31:08,655 --> 00:31:11,324 WE'RE FUNDING, BUT WE'RE ALSO 824 00:31:11,324 --> 00:31:12,392 EXPENDING THIS CATEGORY INTO 825 00:31:12,392 --> 00:31:16,663 WHAT WE CALL A NUTRITION 826 00:31:16,663 --> 00:31:17,464 CONTINUUM, WHICH IS OUR INTEREST 827 00:31:17,464 --> 00:31:19,499 IN KIND OF OVERALL SPECTRUM OF 828 00:31:19,499 --> 00:31:22,102 NUTRITION INCLUDING BIOLOGICAL 829 00:31:22,102 --> 00:31:25,405 AS WELL AS BEHAVIORAL, SOCIAL, 830 00:31:25,405 --> 00:31:28,141 AND ENVIRONMENTAL ASPECTS OF 831 00:31:28,141 --> 00:31:30,010 NUTRITION, WHICH IS IN KEEPING 832 00:31:30,010 --> 00:31:31,645 WITH OUR WHOLE PERSON HEALTH 833 00:31:31,645 --> 00:31:32,979 FRAMEWORK. 834 00:31:32,979 --> 00:31:35,715 NOW THE CATEGORY IN THE CENTER, 835 00:31:35,715 --> 00:31:38,551 THE WHOLE PERSON HEALTH, IS, OF 836 00:31:38,551 --> 00:31:40,120 COURSE, THE VERY SORT OF CENTRAL 837 00:31:40,120 --> 00:31:43,089 THEME OF OUR EXISTING STRATEGIC 838 00:31:43,089 --> 00:31:45,125 PLAN, AND IT HAS TO DO WITH 839 00:31:45,125 --> 00:31:48,528 UNDERSTANDING THE SCIENCE OF 840 00:31:48,528 --> 00:31:50,597 INTERRELATED SYSTEMS, AS WELL AS 841 00:31:50,597 --> 00:31:52,666 MULTICOMPONENT INTERVENTIONS 842 00:31:52,666 --> 00:31:54,834 INCLUDING WHOLE HEALTH SYSTEMS 843 00:31:54,834 --> 00:31:55,535 AND LOOKING AT THE EFFECT OF 844 00:31:55,535 --> 00:31:57,304 THESE INTERVENTIONS ON 845 00:31:57,304 --> 00:32:01,741 MULTISYSTEM OUTCOMES. 846 00:32:01,741 --> 00:32:03,410 SO NOW IF WE GO BELOW THE LINE 847 00:32:03,410 --> 00:32:05,245 INTO THE WHO AND THE HOW, FIRST 848 00:32:05,245 --> 00:32:06,579 OF ALL, THE WHO. 849 00:32:06,579 --> 00:32:08,648 SO WHO MEANS WHO IS DOING THE 850 00:32:08,648 --> 00:32:10,917 RESEARCH, THE RESEARCH 851 00:32:10,917 --> 00:32:13,253 WORKFORCE, BUT ALSO RESEARCH 852 00:32:13,253 --> 00:32:14,220 PARTICIPANTS. 853 00:32:14,220 --> 00:32:15,755 AND INCREASINGLY, WE WANT TO 854 00:32:15,755 --> 00:32:18,058 INCLUDE, RIGHT, RESEARCH 855 00:32:18,058 --> 00:32:21,328 PARTICIPANTS IN THE FORM OF 856 00:32:21,328 --> 00:32:22,662 ENGAGEMENT IN THE DESIGN OF 857 00:32:22,662 --> 00:32:24,497 RESEARCH STUDIES, COMMUNITY 858 00:32:24,497 --> 00:32:25,598 ENGAGEMENT, FOR EXAMPLE, SO 859 00:32:25,598 --> 00:32:26,700 THESE TWO CATEGORIES YOU SEE ARE 860 00:32:26,700 --> 00:32:29,002 VERY WELL LINKED. 861 00:32:29,002 --> 00:32:30,870 WE ALSO INCLUDE SPECIAL 862 00:32:30,870 --> 00:32:33,473 POPULATIONS, FOR EXAMPLE, ACTIVE 863 00:32:33,473 --> 00:32:36,109 MILITARY AND VETERANS 864 00:32:36,109 --> 00:32:38,845 POPULATIONS, HEALTH DISPARITIES, 865 00:32:38,845 --> 00:32:40,914 AND AS WELL AS ALL THE VARIOUS 866 00:32:40,914 --> 00:32:43,216 DIFFERENT CATEGORIES OF 867 00:32:43,216 --> 00:32:44,951 POPULATIONS THAT MAY BE 868 00:32:44,951 --> 00:32:47,153 EXPERIENCING THESE HEALTH 869 00:32:47,153 --> 00:32:47,454 DISPARITIES. 870 00:32:47,454 --> 00:32:51,524 AND FINALLY, THE HOW. 871 00:32:51,524 --> 00:32:53,159 SO BY THE HOW, WE INCLUDE 872 00:32:53,159 --> 00:32:55,128 METHODS SUCH AS, FOR EXAMPLE, 873 00:32:55,128 --> 00:32:56,229 PRAGMATIC AND IMPLEMENTATION 874 00:32:56,229 --> 00:32:56,896 RESEARCH, WHICH IS SOMETHING 875 00:32:56,896 --> 00:32:58,298 THAT WE PAY A LOT OF ATTENTION 876 00:32:58,298 --> 00:33:03,336 TO IN DEVELOPING THE RIGOROUS 877 00:33:03,336 --> 00:33:06,172 METHODS TO PERFORM PRAGMATIC 878 00:33:06,172 --> 00:33:10,677 TRIALS, FOR EXAMPLE, AS WELL AS 879 00:33:10,677 --> 00:33:13,380 IMPLEMENTATION SCIENCE AND 880 00:33:13,380 --> 00:33:15,248 DISSEMINATION. 881 00:33:15,248 --> 00:33:16,349 THEN DATA SCIENCE, WHICH IS AN 882 00:33:16,349 --> 00:33:17,784 AREA WHERE WE ARE REALLY 883 00:33:17,784 --> 00:33:18,852 INCREASINGLY PAYING A LOT OF 884 00:33:18,852 --> 00:33:21,588 EFFORT INTO DEVELOPING THAT AND 885 00:33:21,588 --> 00:33:22,355 INCORPORATING THE MOST RECENT 886 00:33:22,355 --> 00:33:27,494 AND UP TO DATE OF METHODS TO 887 00:33:27,494 --> 00:33:31,097 BOTH COLLECT AS WELL AS ANALYZE 888 00:33:31,097 --> 00:33:34,300 DATA, INCLUDING MULTI-SCALE 889 00:33:34,300 --> 00:33:35,368 MODELING, ARTIFICIAL 890 00:33:35,368 --> 00:33:35,935 INTELLIGENCE, ET CETERA. 891 00:33:35,935 --> 00:33:37,804 SO I'M GOING TO GO THROUGH THE 892 00:33:37,804 --> 00:33:38,772 REST OF THE REPORT IS GOING TO 893 00:33:38,772 --> 00:33:41,741 BE ORGANIZED AS YOU SEE -- YOU 894 00:33:41,741 --> 00:33:46,513 WILL SEE ALONG THESE THINGS. 895 00:33:46,513 --> 00:33:46,980 , 896 00:33:46,980 --> 00:33:48,014 JUST TO ORIENT YOU, THE FIRST 897 00:33:48,014 --> 00:33:49,616 CATEGORY WILL BE PAIN AND PAIN 898 00:33:49,616 --> 00:33:49,916 MANAGEMENT. 899 00:33:49,916 --> 00:33:50,950 SO IN THE UPPER RIGHT CORNER OF 900 00:33:50,950 --> 00:33:52,252 THE SLIDE HERE, YOU'LL SEE THE 901 00:33:52,252 --> 00:33:53,653 RED DOT, THAT KIND OF ORIENTS 902 00:33:53,653 --> 00:33:57,056 YOU AS TO WHICH CATEGORY THIS 903 00:33:57,056 --> 00:33:58,124 EVENT OR WHATEVER IS. 904 00:33:58,124 --> 00:34:01,528 AND THEN ON THE UPPER LEFT, THIS 905 00:34:01,528 --> 00:34:03,496 LITTLE TRIANGLE HERE, WILL LET 906 00:34:03,496 --> 00:34:05,565 YOU KNOW WHAT KIND OF THING I'M 907 00:34:05,565 --> 00:34:07,100 TALKING ABOUT, WHETHER IT'S A 908 00:34:07,100 --> 00:34:09,302 PAST EVENT OR A FUTURE EVENT OR 909 00:34:09,302 --> 00:34:10,069 FUNDING OPPORTUNITY. 910 00:34:10,069 --> 00:34:11,604 SO HOPEFULLY THIS KIND OF WILL 911 00:34:11,604 --> 00:34:14,007 HELP YOU GET A SENSE OF HOW 912 00:34:14,007 --> 00:34:18,278 NCCIH ORGANIZES ITS ACTIVITIES. 913 00:34:18,278 --> 00:34:20,947 SO THE FIRST THING I WANT TO 914 00:34:20,947 --> 00:34:23,082 POINT OUT IN TERMS OF PAIN AND 915 00:34:23,082 --> 00:34:25,385 PAIN MANAGEMENT HAS TO DO WITH 916 00:34:25,385 --> 00:34:26,920 OUR COLLABORATION, VERY 917 00:34:26,920 --> 00:34:27,720 IMPORTANT COLLABORATION WITH THE 918 00:34:27,720 --> 00:34:28,788 HEAL INITIATIVE. 919 00:34:28,788 --> 00:34:32,725 SO THE HEAL INITIATIVE STANDS 920 00:34:32,725 --> 00:34:34,294 FOR HEALTH AND ADDICTION LONG 921 00:34:34,294 --> 00:34:34,561 TERM. 922 00:34:34,561 --> 00:34:38,832 IT'S A TRANS-NIH PROGRAM WHICH 923 00:34:38,832 --> 00:34:44,003 NCCIH IS ONE OF THE CO-LEADS, 924 00:34:44,003 --> 00:34:45,738 AND ONE OF THE IMPORTANT 925 00:34:45,738 --> 00:34:48,341 INITIATIVES THAT WAS LAUNCHED IS 926 00:34:48,341 --> 00:34:49,776 THE -- LAST YEAR IS THE HEAL 927 00:34:49,776 --> 00:34:50,977 PURPOSE NETWORK. 928 00:34:50,977 --> 00:34:53,713 AND WHAT THIS IS, IS TO 929 00:34:53,713 --> 00:34:56,549 REALLY -- IT'S AN EFFORT TO 930 00:34:56,549 --> 00:34:57,884 CONNECT PAIN RESEARCHERS ACROSS 931 00:34:57,884 --> 00:35:00,487 THE CONTINUUM OF PAIN RESEARCH 932 00:35:00,487 --> 00:35:02,021 FOR ALL DISCIPLINES AND ALL 933 00:35:02,021 --> 00:35:03,456 CAREER STAGES. 934 00:35:03,456 --> 00:35:06,426 WE HAD A MEETING OF THE PURPOSE 935 00:35:06,426 --> 00:35:08,728 NETWORK BACK IN NOVEMBER, AND AT 936 00:35:08,728 --> 00:35:15,268 THIS MEETING, DR. LANAY MUDD AND 937 00:35:15,268 --> 00:35:18,204 INNA BELFER HIGHLIGHTED NCCIH 938 00:35:18,204 --> 00:35:19,539 STRATEGIC PRIORITIES AND FUNDING 939 00:35:19,539 --> 00:35:21,641 OPPORTUNITIES FOR PAIN RESEARCH. 940 00:35:21,641 --> 00:35:23,810 AND THE PURPOSE NETWORK ALSO HAS 941 00:35:23,810 --> 00:35:26,746 A WONDERFUL DIGITAL PLATFORM FOR 942 00:35:26,746 --> 00:35:28,047 RESEARCH TRAINEES AND 943 00:35:28,047 --> 00:35:29,682 RESEARCHERS ACROSS THE CONTINUUM 944 00:35:29,682 --> 00:35:31,684 OF BASIC TRANSLATIONAL AND 945 00:35:31,684 --> 00:35:33,419 CLINICAL RESEARCH, I REALLY 946 00:35:33,419 --> 00:35:34,787 ENCOURAGE YOU TO GO AND CECH IT 947 00:35:34,787 --> 00:35:39,225 OUT. 948 00:35:39,225 --> 00:35:40,126 CHECK IT 949 00:35:40,126 --> 00:35:41,194 OUT. 950 00:35:41,194 --> 00:35:42,095 ANOTHER UPCOMING EVENT RELATED 951 00:35:42,095 --> 00:35:44,397 TO THE HEAL INITIATIVE, THIS IS 952 00:35:44,397 --> 00:35:45,798 THE FIFTH ANNUAL HEAL INITIATIVE 953 00:35:45,798 --> 00:35:46,432 INVESTIGATOR MEETING. 954 00:35:46,432 --> 00:35:51,571 THIS WILL TAKE PLACE ON FEBRUAR. 955 00:35:51,571 --> 00:35:57,677 IT IS A VIRTUAL HYBRID AND 956 00:35:57,677 --> 00:35:59,646 IN-PERSON EVENT. 957 00:35:59,646 --> 00:36:00,880 REGISTRATION IS OPEN. 958 00:36:00,880 --> 00:36:02,181 IT'S VERY IMPORTANT FOR ALL THE 959 00:36:02,181 --> 00:36:03,082 HEAL INVESTIGATORS TO GET 960 00:36:03,082 --> 00:36:04,918 TOGETHER AND SHARE ACROSS THE 961 00:36:04,918 --> 00:36:08,321 HEAL ECOSYSTEM. 962 00:36:08,321 --> 00:36:10,290 NOW AGAIN RELATED TO PAIN AND 963 00:36:10,290 --> 00:36:13,259 HEAL, BUT THIS TIME A NOFO. 964 00:36:13,259 --> 00:36:15,295 THIS IS A NOTICE OF FUNDING 965 00:36:15,295 --> 00:36:15,595 OPPORTUNITY. 966 00:36:15,595 --> 00:36:17,196 THIS IS OUR NEW ACRONYM FOR WHAT 967 00:36:17,196 --> 00:36:20,700 WE USED TO CALL RFAs. 968 00:36:20,700 --> 00:36:23,970 SO -- WELL, WE STILL CALL THEM 969 00:36:23,970 --> 00:36:28,107 RFAs, IN THE NUMBER OF THE 970 00:36:28,107 --> 00:36:29,676 RFA, BUT WE CALL THEM NOFOs 971 00:36:29,676 --> 00:36:30,643 NOW. 972 00:36:30,643 --> 00:36:35,815 JUST ONE MORE THING. 973 00:36:35,815 --> 00:36:36,916 SO THIS PARTICULAR ONE IS 974 00:36:36,916 --> 00:36:38,117 FOCUSED ON PREVENTION. 975 00:36:38,117 --> 00:36:40,720 THE IMPLEMENTATION OF SUBSTANCE 976 00:36:40,720 --> 00:36:41,821 USE PREVENTIVE SERVICES. 977 00:36:41,821 --> 00:36:43,890 SO THERE'S MANY, MANY, MANY 978 00:36:43,890 --> 00:36:45,325 DIFFERENT RFAs IN THE HEAL 979 00:36:45,325 --> 00:36:46,292 INITIATIVE THAT WE ARE 980 00:36:46,292 --> 00:36:47,093 PARTICIPATING IN. 981 00:36:47,093 --> 00:36:48,294 I'M NOT GOING TO HIGHLIGHT THEM 982 00:36:48,294 --> 00:36:49,529 ALL, BUT THIS PARTICULAR ONE, I 983 00:36:49,529 --> 00:36:51,798 WANTED TO HIGHLIGHT IT BECAUSE 984 00:36:51,798 --> 00:36:54,434 THIS PARTICULAR ONE, THE LEAD 985 00:36:54,434 --> 00:36:55,969 INSTITUTE IS THE NATIONAL 986 00:36:55,969 --> 00:36:58,805 INSTITUTE ON DRUG ABUSE. 987 00:36:58,805 --> 00:37:00,139 WE PARTICIPATE IN THIS AS WELL, 988 00:37:00,139 --> 00:37:02,108 AND WE'RE VERY INTERESTED 989 00:37:02,108 --> 00:37:05,712 ESPECIALLY WA BECAUSE OF THIS 990 00:37:05,712 --> 00:37:06,245 PREVENTIVE FOCUS. 991 00:37:06,245 --> 00:37:09,115 HERE'S ANOTHER ONE, ANOTHER 992 00:37:09,115 --> 00:37:09,782 NOFO. 993 00:37:09,782 --> 00:37:14,554 THIS TIME ON NON-ADDICTIVE 994 00:37:14,554 --> 00:37:15,355 ANALGESIC THERAPEUTICS 995 00:37:15,355 --> 00:37:15,989 DEVELOPMENT. 996 00:37:15,989 --> 00:37:17,090 THIS ONE WE ARE INTERESTED IN 997 00:37:17,090 --> 00:37:19,058 BECAUSE IT HAS RELEVANCE TO OUR 998 00:37:19,058 --> 00:37:20,593 NATURAL PRODUCTS PORTFOLIO. 999 00:37:20,593 --> 00:37:24,197 IT FOCUSES ON SMALL MOLECULES, 1000 00:37:24,197 --> 00:37:25,832 BIOLOGICS TO TREAT PAIN. 1001 00:37:25,832 --> 00:37:29,335 SO AGAIN, THIS IS -- THE 1002 00:37:29,335 --> 00:37:30,336 APPLICATION DEADLINE IS VERY 1003 00:37:30,336 --> 00:37:35,808 SOON. 1004 00:37:35,808 --> 00:37:37,777 NOW WE'RE GOING TO TRANSITION 1005 00:37:37,777 --> 00:37:39,112 OVER TO THE SECOND CATEGORY, 1006 00:37:39,112 --> 00:37:42,248 WHICH IS THE MIND AND BODY 1007 00:37:42,248 --> 00:37:46,419 CONNECTION. 1008 00:37:46,419 --> 00:37:47,620 SO FIRST WE START WITH A PAST 1009 00:37:47,620 --> 00:37:48,788 EVENT. 1010 00:37:48,788 --> 00:37:52,091 THIS ONE WAS THE INTEROCEPTION 1011 00:37:52,091 --> 00:37:53,226 INVESTIGATOR MEETING. 1012 00:37:53,226 --> 00:37:56,362 THIS WAS THE SECOND MEETING OF 1013 00:37:56,362 --> 00:37:58,965 THE INTEROCEPTION INITIATIVE, 1014 00:37:58,965 --> 00:38:01,067 WHICH IS THE NIH NEUROSCIENCE 1015 00:38:01,067 --> 00:38:04,037 BLUEPRINT INITIATIVE. 1016 00:38:04,037 --> 00:38:05,872 THIS WAS ON NOVEMBER 11TH. 1017 00:38:05,872 --> 00:38:09,142 EXTREMELY SUCCESSFUL MEETING, WE 1018 00:38:09,142 --> 00:38:10,943 HAD OVER A THOUSAND ATTENDEES, 1019 00:38:10,943 --> 00:38:12,779 AND IT WAS JUST REALLY A 1020 00:38:12,779 --> 00:38:13,446 PHENOMENAL MEETING. 1021 00:38:13,446 --> 00:38:14,647 I REALLY ENCOURAGE YOU TO CECH 1022 00:38:14,647 --> 00:38:21,621 IT OUT OCHECKIT OUT ON THE VIDE. 1023 00:38:21,621 --> 00:38:24,390 IT WAS ALL VIDEOTAPED AND A 1024 00:38:24,390 --> 00:38:25,825 REALLY OUTSTANDING MEETING. 1025 00:38:25,825 --> 00:38:26,592 ANOTHER OUTSTANDING MEETING 1026 00:38:26,592 --> 00:38:27,760 OCCURRED ON DECEMBER 14 AND 15, 1027 00:38:27,760 --> 00:38:30,530 IT WAS THE MUSIC AS MEDICINE: 1028 00:38:30,530 --> 00:38:31,431 THE SCIENCE AND CLINICAL 1029 00:38:31,431 --> 00:38:31,731 PRACTICE. 1030 00:38:31,731 --> 00:38:33,399 THIS WAS LED BY NCCIH. 1031 00:38:33,399 --> 00:38:35,034 IT'S SUPPORTED BY A NUMBER OF 1032 00:38:35,034 --> 00:38:36,135 INSTITUTES, CENTERS AND OFFICES 1033 00:38:36,135 --> 00:38:37,270 AS WELL AS THE NATIONAL 1034 00:38:37,270 --> 00:38:39,405 ENDOWMENT FOR THE ARTS. 1035 00:38:39,405 --> 00:38:45,011 AGAIN, MUSIC AND MEDICINE WAS A 1036 00:38:45,011 --> 00:38:46,412 MEETING WITH VIDEOCAST AND THE 1037 00:38:46,412 --> 00:38:48,414 OUTSTANDING THING ABOUT THIS 1038 00:38:48,414 --> 00:38:51,451 MEETING WAS THAT IT WAS A REALLY 1039 00:38:51,451 --> 00:38:52,685 TRULY CROSS DISCIPLINARY MEETING 1040 00:38:52,685 --> 00:38:53,920 BECAUSE THERE WERE SCIENTISTS AS 1041 00:38:53,920 --> 00:38:55,288 WELL AS MUSICIANS THAT 1042 00:38:55,288 --> 00:38:58,391 PARTICIPATED IN THIS, AS WELL AS 1043 00:38:58,391 --> 00:39:01,427 DEMONSTRATED THE MUSIC AS WE 1044 00:39:01,427 --> 00:39:02,628 INTERSPERSED WITH THE SCIENTIFIC 1045 00:39:02,628 --> 00:39:04,197 PRESENTATIONS. 1046 00:39:04,197 --> 00:39:10,336 TRULY FASCINATING. 1047 00:39:10,336 --> 00:39:11,704 ANOTHER PAST EVENT WAS THE 1048 00:39:11,704 --> 00:39:15,241 SOCIETY FOR NEUROSCIENCE MEETING 1049 00:39:15,241 --> 00:39:17,543 ON NOVEMBER 13TH, A SYMPOSIUM ON 1050 00:39:17,543 --> 00:39:19,078 MECHANISMS AND MODULATIONS OF 1051 00:39:19,078 --> 00:39:20,513 THE BRAIN LYMPHATICS SYSTEM. 1052 00:39:20,513 --> 00:39:23,716 THIS WAS CHAIRED BY DR. HELENE 1053 00:39:23,716 --> 00:39:25,118 BENVENISTE, ONE OF OUR 1054 00:39:25,118 --> 00:39:26,018 COUNCILMEMBERS, AS WELL AS 1055 00:39:26,018 --> 00:39:30,623 CO-CHAIRED BY DR. INNA BELFER. 1056 00:39:30,623 --> 00:39:31,691 AN UPCOMING MEETING NOW, AGAIN 1057 00:39:31,691 --> 00:39:33,893 IN THE MIND AND BODY CONNECTION 1058 00:39:33,893 --> 00:39:34,761 THEME. 1059 00:39:34,761 --> 00:39:36,429 AT THE INTERNATIONAL CONGRESS OF 1060 00:39:36,429 --> 00:39:37,964 INTEGRATIVE MEDICINE & HEALTH IN 1061 00:39:37,964 --> 00:39:39,165 APRIL, WE'RE GOING TO BE HAVING 1062 00:39:39,165 --> 00:39:41,467 A SESSION ON ADVANCING THE 1063 00:39:41,467 --> 00:39:43,336 SCIENCE OF EMOTIONAL WELL-BEING 1064 00:39:43,336 --> 00:39:44,737 AND HOW WE CAN IMPROVE WHOLE 1065 00:39:44,737 --> 00:39:45,171 PERSON HEALTH. 1066 00:39:45,171 --> 00:39:48,808 THIS IS GOING TO BE ORGANIZED BY 1067 00:39:48,808 --> 00:39:50,777 DR. ERIN QUINLAN, WHO'S THE 1068 00:39:50,777 --> 00:39:54,647 CONTACT PERSON ON THIS. 1069 00:39:54,647 --> 00:39:57,850 MOVING ON TO THE HEALTH 1070 00:39:57,850 --> 00:40:00,453 RESTORATION THEME, WE WERE VERY 1071 00:40:00,453 --> 00:40:05,625 FORTUNATE TO HAVE AS OUR STRAUS 1072 00:40:05,625 --> 00:40:07,493 LECTURE, OUR FLAGSHIP LECTURE 1073 00:40:07,493 --> 00:40:08,694 EVERY YEAR TO HONOR THE MEMORY 1074 00:40:08,694 --> 00:40:12,965 OF DR. STEPHEN STRAUS, A LECTURE 1075 00:40:12,965 --> 00:40:19,205 BY DR. AHMED TAWAKOL OF NATIONAL 1076 00:40:19,205 --> 00:40:20,873 HOSPITAL ON NOVEL INSIGHTS INTO 1077 00:40:20,873 --> 00:40:22,708 HEART BRAIN INTERACTIONS AND 1078 00:40:22,708 --> 00:40:23,242 NEUROLOGICAL RESILIENCE. 1079 00:40:23,242 --> 00:40:25,311 IT WAS AN OUTSTANDING LECTURE, 1080 00:40:25,311 --> 00:40:26,879 IT WAS, AGAIN, VIDEOTAPED. 1081 00:40:26,879 --> 00:40:28,080 I HIGHLY ENCOURAGE YOU TO CHECK 1082 00:40:28,080 --> 00:40:33,920 IT OUT ON OUR WEBSITE. 1083 00:40:33,920 --> 00:40:35,655 I'M NOW GOING TO MOVE ON TO THE 1084 00:40:35,655 --> 00:40:40,927 WHOLE PERSON HEALTH THEME. 1085 00:40:40,927 --> 00:40:45,731 SO I WAS ACTUALLY VERY FORTUNATE 1086 00:40:45,731 --> 00:40:46,933 TO HAVE THE OPPORTUNITY TO GIVE 1087 00:40:46,933 --> 00:40:48,668 TWO LECTURES ON WHOLE PERSON 1088 00:40:48,668 --> 00:40:49,135 HEALTH. 1089 00:40:49,135 --> 00:40:51,103 ONE WAS ON THE FUTURE OF 1090 00:40:51,103 --> 00:40:57,677 HEALTHCARE UNCOVERING THE WHO 1091 00:40:57,677 --> 00:41:01,280 WHOLE -- THE THIRD INTERNATIONAL 1092 00:41:01,280 --> 00:41:03,149 SYMPOSIUM IN VIENNA. 1093 00:41:03,149 --> 00:41:05,251 THIS WAS A REALLY WONDERFUL 1094 00:41:05,251 --> 00:41:07,553 MEETING THAT BROUGHT TOGETHER 1095 00:41:07,553 --> 00:41:09,956 MANY INVESTIGATORS LOOKING AT 1096 00:41:09,956 --> 00:41:11,691 IMAGING SUCH AS TOTAL BODY PET 1097 00:41:11,691 --> 00:41:13,492 BUT ALSO COMPLEXITY SCIENCE, 1098 00:41:13,492 --> 00:41:13,926 NETWORK MEDICINE. 1099 00:41:13,926 --> 00:41:15,461 IT WAS TRULY FASCINATING. 1100 00:41:15,461 --> 00:41:17,630 THEN RIGHT BEFORE THAT, IN ROME, 1101 00:41:17,630 --> 00:41:20,499 AT THE SECOND WORLD CONGRESS ON 1102 00:41:20,499 --> 00:41:21,601 INTEGRATIVE MEDICINE AND HEL, I 1103 00:41:21,601 --> 00:41:26,105 GAVE A TALK ON ADVANCING 1104 00:41:26,105 --> 00:41:27,840 INTEGRATIVE MEDICINE TOWARDS 1105 00:41:27,840 --> 00:41:29,175 EVIDENCE-BASED AND 1106 00:41:29,175 --> 00:41:29,775 PATIENT-CENTERED COMPREHENSIVE 1107 00:41:29,775 --> 00:41:31,244 CARE WHERE I REALLY FOCUSED ON 1108 00:41:31,244 --> 00:41:32,545 THE CHALLENGES AND POTENTIAL 1109 00:41:32,545 --> 00:41:34,080 REWARDS OF MOVING BEYOND SILOS 1110 00:41:34,080 --> 00:41:35,414 OR REALLY DOING INTEGRATIVE 1111 00:41:35,414 --> 00:41:38,384 RESEARCH. 1112 00:41:38,384 --> 00:41:40,920 A FUTURE UPCOMING MEETING NOW AT 1113 00:41:40,920 --> 00:41:41,921 THE INTERNATIONAL CONGRESS ON 1114 00:41:41,921 --> 00:41:43,656 INTEGRATIVE MEDICINE & HEALTH IN 1115 00:41:43,656 --> 00:41:45,958 CLEVELAND IS GOING TO BE A 1116 00:41:45,958 --> 00:41:48,461 WORKSHOP ON NEW STRATEGIES AND 1117 00:41:48,461 --> 00:41:49,362 METHODOLOGIES FOR WHOLE PERSON 1118 00:41:49,362 --> 00:41:49,662 RESEARCH. 1119 00:41:49,662 --> 00:41:52,765 THIS IS REALLY KIND OF MOVING 1120 00:41:52,765 --> 00:41:54,400 FORWARD WITH A LOT OF THE THEMES 1121 00:41:54,400 --> 00:41:55,935 THAT WERE DISCUSSED AT OUR WHOLE 1122 00:41:55,935 --> 00:41:57,703 PERSON RESEARCH WORKSHOP THAT WE 1123 00:41:57,703 --> 00:42:02,308 HAD IN 2021, BUT REALLY KIND OF 1124 00:42:02,308 --> 00:42:03,943 REALLY TAKING IT A STEP FORWARD 1125 00:42:03,943 --> 00:42:06,245 AND REALLY BUILDING ON THAT. 1126 00:42:06,245 --> 00:42:09,649 SO WE'RE GOING TO HAVE A VERY 1127 00:42:09,649 --> 00:42:12,919 NICE GROUP OF VERY -- VERY 1128 00:42:12,919 --> 00:42:13,986 EXCITED WE'RE PARTICIPATING IN 1129 00:42:13,986 --> 00:42:16,889 THIS ALONG WITH DR. JEFF DUSEK, 1130 00:42:16,889 --> 00:42:22,929 DR. PATRICIA HERMAN, DR. EMRIN 1131 00:42:22,929 --> 00:42:25,431 HORGUSLUOGLU, AND DR. AARON LEE, 1132 00:42:25,431 --> 00:42:28,501 SO REALLY ENCOURAGE YOU WHO 1133 00:42:28,501 --> 00:42:29,402 ATTEND THE MEETING TO ATTEND 1134 00:42:29,402 --> 00:42:30,503 THIS WORKSHOP. 1135 00:42:30,503 --> 00:42:34,307 SO ANOTHER UPCOMING SESSION AT 1136 00:42:34,307 --> 00:42:36,976 THE INTERNATIONAL CONGRESS OF 1137 00:42:36,976 --> 00:42:38,177 ICMH MEETING IS GOING TO BE A 1138 00:42:38,177 --> 00:42:40,379 SESSION ON OPEN ACCESS 1139 00:42:40,379 --> 00:42:42,048 REPOSITORIES, HOW THEY CAN BE 1140 00:42:42,048 --> 00:42:43,115 LEVERAGED TO ADVANCE WHOLE 1141 00:42:43,115 --> 00:42:44,016 PERSON HEALTH RESEARCH. 1142 00:42:44,016 --> 00:42:46,419 AND THIS WILL BE HELD BY 1143 00:42:46,419 --> 00:42:52,558 DR. QUINLAN. 1144 00:42:52,558 --> 00:42:54,093 MOVING ON TO THE NUTRITION AND 1145 00:42:54,093 --> 00:43:00,199 NATURAL PRODUCTS CATEGORY. 1146 00:43:00,199 --> 00:43:01,767 I WAS ALSO VERY FORTUNATE TO 1147 00:43:01,767 --> 00:43:02,835 PARTICIPATE IN A WONDERFUL 1148 00:43:02,835 --> 00:43:06,138 CONFERENCE CALLED THE CLIMATE 1149 00:43:06,138 --> 00:43:07,340 UNDERGROUND WHICH WAS WITH 1150 00:43:07,340 --> 00:43:08,441 FORMER VICE PRESIDENT AL GORE 1151 00:43:08,441 --> 00:43:11,711 AND DR. DENNIS DERRYK ON AN 1152 00:43:11,711 --> 00:43:13,913 IMPORTANT THEME WHICH IS THE 1153 00:43:13,913 --> 00:43:17,183 THEME OF THE LINK BETWEEN HUMAN 1154 00:43:17,183 --> 00:43:23,122 HEALTH AND PLANETARY HEALTH. 1155 00:43:23,122 --> 00:43:25,191 THIS IS REALLY BECOMING A VERY, 1156 00:43:25,191 --> 00:43:27,626 VERY IMPORTANT ASPECT OF HEALTH. 1157 00:43:27,626 --> 00:43:29,595 THE IDEA THAT HUMAN HEALTH AND 1158 00:43:29,595 --> 00:43:32,465 PLANETARY HEALTH ARE NOT 1159 00:43:32,465 --> 00:43:33,899 SEPARATE, THAT THEY ARE REALLY 1160 00:43:33,899 --> 00:43:34,533 LINKED. 1161 00:43:34,533 --> 00:43:35,568 THE ONE AREA THAT WAS DISCUSSED 1162 00:43:35,568 --> 00:43:38,170 AT LENGTH THERE IS THE IDEA OF 1163 00:43:38,170 --> 00:43:39,705 REGENERATIVE AGRICULTURE, HOW 1164 00:43:39,705 --> 00:43:40,706 DOING AGRICULTURE IN A WAY 1165 00:43:40,706 --> 00:43:42,975 THAT'S GOOD FOR THE SOIL IS ALSO 1166 00:43:42,975 --> 00:43:44,543 GOOD FOR HUMANS. 1167 00:43:44,543 --> 00:43:47,146 BECAUSE IT YIELDS MORE HEALTHY 1168 00:43:47,146 --> 00:43:50,483 PRODUCTS OF THIS AGRICULTURE IN 1169 00:43:50,483 --> 00:43:51,550 FORMS OF PLANTS THAT HAVE THE 1170 00:43:51,550 --> 00:43:52,885 BENEFIT OF BEING GROWN IN AN 1171 00:43:52,885 --> 00:44:00,526 ENVIRONMENT THAT INCLUDES 1172 00:44:00,526 --> 00:44:01,894 MICROBIOME IN ADDITION TO 1173 00:44:01,894 --> 00:44:03,262 ORGANIC MATTER, SO THIS WAS A 1174 00:44:03,262 --> 00:44:05,698 VERY INTERESTING DISCUSSION. 1175 00:44:05,698 --> 00:44:10,136 ANOTHER VERY IMPORTANT NOTICE OF 1176 00:44:10,136 --> 00:44:11,404 FUNDING OPPORTUNITY HERE THIS 1177 00:44:11,404 --> 00:44:14,340 TIME IN THE AREA OF NUTRITION 1178 00:44:14,340 --> 00:44:15,341 CONTINUUM AND NATURAL PRODUCTS 1179 00:44:15,341 --> 00:44:17,343 IS OUR RESOURCE CENTER FOR 1180 00:44:17,343 --> 00:44:21,480 CANNABIS AND K CANNABINOID 1181 00:44:21,480 --> 00:44:22,148 RESEARCH. 1182 00:44:22,148 --> 00:44:25,584 THIS IS AN EFFORT TO REALLY 1183 00:44:25,584 --> 00:44:26,986 PROVIDE RESOURCES TO 1184 00:44:26,986 --> 00:44:28,087 INVESTIGATORS TO OVERCOME SOME 1185 00:44:28,087 --> 00:44:33,993 OF THE CHALLENGES OF DOING 1186 00:44:33,993 --> 00:44:34,894 RESEARCH IN THIS SPACE. 1187 00:44:34,894 --> 00:44:36,429 THERE WILL BE A TECHNICAL 1188 00:44:36,429 --> 00:44:37,963 ASSISTANCE WEBINAR IN THIS AREA 1189 00:44:37,963 --> 00:44:43,235 ON JANUARY 25TH, AND THE AN R 1190 00:44:43,235 --> 00:44:44,770 CONTACT OFFICER IS DR. PATRICK 1191 00:44:44,770 --> 00:44:45,104 STILL. 1192 00:44:45,104 --> 00:44:48,941 I HAVE A STLIED MISSI SLIDE MIS. 1193 00:44:48,941 --> 00:44:50,609 IN ADDITION TO THIS, THERE'S A 1194 00:44:50,609 --> 00:44:51,811 SAVE THE DATE FOR A WORKSHOP 1195 00:44:51,811 --> 00:44:55,081 THAT WE'RE GOING TO BE HOLDING 1196 00:44:55,081 --> 00:44:56,515 ON ENDOCRINE DISRUPTORS. 1197 00:44:56,515 --> 00:44:57,817 THE SAVE THE DATE I BELIEVE IS 1198 00:44:57,817 --> 00:45:01,387 GOING TO BE JUNE 10TH AND 11TH. 1199 00:45:01,387 --> 00:45:02,888 AND JUST LOOK AT OUR WEBSITE FOR 1200 00:45:02,888 --> 00:45:05,758 THAT. 1201 00:45:05,758 --> 00:45:06,725 THIS IS A WORKSHOP THAT WE'RE 1202 00:45:06,725 --> 00:45:10,729 GOING TO BE ORGANIZING TOGETHER 1203 00:45:10,729 --> 00:45:12,331 WITH THE NATIONAL INSTITUTE ON 1204 00:45:12,331 --> 00:45:16,068 ENVIRONMENTAL HEALTH SCIENCES. 1205 00:45:16,068 --> 00:45:18,270 NOW I'M GOING TO MOVE TOWARDS 1206 00:45:18,270 --> 00:45:20,372 THE NEXT CATEGORY, WHICH IS THE 1207 00:45:20,372 --> 00:45:23,209 WHO OR WORKFORCE DEVELOPMENT AND 1208 00:45:23,209 --> 00:45:29,115 SPECIAL POPULATIONS. 1209 00:45:29,115 --> 00:45:30,816 THIS IS A HAVE IMPORTANT EVENT, 1210 00:45:30,816 --> 00:45:32,418 WHICH WAS THE LAUNCHING OF THE 1211 00:45:32,418 --> 00:45:34,920 RAND REACH CENTER, WHICH IS A 1212 00:45:34,920 --> 00:45:37,223 VIRTUAL CENTER FOR COLLABORATIVE 1213 00:45:37,223 --> 00:45:38,858 RESEARCH IN COMPLEMENTARY AND 1214 00:45:38,858 --> 00:45:39,992 INTEGRATIVE HEALTH TO PROVIDE 1215 00:45:39,992 --> 00:45:44,763 RESOURCES TO EMPOWER SCHOOLS OF 1216 00:45:44,763 --> 00:45:46,665 COMPLEMENTARY AND INTEGRATIVE 1217 00:45:46,665 --> 00:45:49,969 HEALTH INSTITUTIONS FOR 1218 00:45:49,969 --> 00:45:52,004 IMPROVING THEIR RESEARCH 1219 00:45:52,004 --> 00:45:56,008 CAPACITY AS WELL AS THEIR 1220 00:45:56,008 --> 00:45:56,775 COMPETITIVENESS IN SUBMITTING 1221 00:45:56,775 --> 00:45:59,745 GRANT APPLICATIONS. 1222 00:45:59,745 --> 00:46:01,680 SO THE RAND, WE TALKED ABOUT 1223 00:46:01,680 --> 00:46:02,982 THIS CENTER AT THE LAST COUNCIL, 1224 00:46:02,982 --> 00:46:04,483 BUT IT WAS FINALLY LAUNCHED ON 1225 00:46:04,483 --> 00:46:05,451 NOVEMBER 2ND AND WE'RE VERY 1226 00:46:05,451 --> 00:46:14,527 EXCITED ABOUT THAT. 1227 00:46:14,527 --> 00:46:16,629 AGAIN ANOTHER UPCOMING WORK SHON 1228 00:46:16,629 --> 00:46:18,197 AT THE INTERNATIONAL CONGRESS ON 1229 00:46:18,197 --> 00:46:19,064 INTEGRATIVE MEDICINE AND HEALTH 1230 00:46:19,064 --> 00:46:20,833 IS GOING TO BE A POST CONFERENCE 1231 00:46:20,833 --> 00:46:22,568 WORKSHOP ON NAVIGATING EARLY 1232 00:46:22,568 --> 00:46:23,802 STAGE CAREER TRANSITIONS AND 1233 00:46:23,802 --> 00:46:25,004 FINDING FUNDING FOR CAREER 1234 00:46:25,004 --> 00:46:26,539 DEVELOPMENT IN COMPLEMENTARY AND 1235 00:46:26,539 --> 00:46:27,106 INTEGRATIVE HEALTH RESEARCH. 1236 00:46:27,106 --> 00:46:29,842 IT'S GOING TO BE LED BY 1237 00:46:29,842 --> 00:46:34,780 DR. LANAY MUDD AND INNA IS THE 1238 00:46:34,780 --> 00:46:36,115 BELLFER. 1239 00:46:36,115 --> 00:46:39,585 NOW I WANT TO POINT OUT WHAT WE 1240 00:46:39,585 --> 00:46:42,588 CALL NOSIs, NOTICE OF SPECIAL 1241 00:46:42,588 --> 00:46:43,122 INTEREST. 1242 00:46:43,122 --> 00:46:45,324 THESE ARE NOT FUNDING 1243 00:46:45,324 --> 00:46:46,425 ANNOUNCEMENTS BUT SIMPLY POINT 1244 00:46:46,425 --> 00:46:47,826 TO OTHER FUNDING ANNOUNCEMENTS. 1245 00:46:47,826 --> 00:46:49,328 IF YOU GO TO THE WEBSITE AND 1246 00:46:49,328 --> 00:46:51,363 SEE, ALL THESE NOSIs ARE NOT 1247 00:46:51,363 --> 00:46:52,631 LED BY NCCIH BUT WE HAVE AN 1248 00:46:52,631 --> 00:46:54,366 INTEREST IN THEM, ESPECIALLY IN 1249 00:46:54,366 --> 00:46:57,303 THE AREA OF DIVERSITY, EQUITY 1250 00:46:57,303 --> 00:46:58,304 AND INCLUSION AND ACCESSIBILITY. 1251 00:46:58,304 --> 00:47:01,173 SO THIS PARTICULAR ONE IS A 1252 00:47:01,173 --> 00:47:04,043 SPECIFIC NOSI FOR ADMINISTRATIVE 1253 00:47:04,043 --> 00:47:06,011 SUPPLEMENTS TO ENCOURAGE 1254 00:47:06,011 --> 00:47:06,879 MENTORSHIP IN THIS AREA. 1255 00:47:06,879 --> 00:47:10,316 THIS IS LED BY THE OFFICE OF THE 1256 00:47:10,316 --> 00:47:11,050 DIRECTOR OF THE NIH. 1257 00:47:11,050 --> 00:47:12,051 HERE'S ANOTHER ONE. 1258 00:47:12,051 --> 00:47:14,353 THIS TIME BY THE BRAIN 1259 00:47:14,353 --> 00:47:15,221 INITIATIVE, AS WELL AS THE 1260 00:47:15,221 --> 00:47:15,921 NATIONAL INSTITUTE ON ALCOHOL 1261 00:47:15,921 --> 00:47:17,890 ABUSE AND ALCOHOLISM. 1262 00:47:17,890 --> 00:47:20,292 AGAIN, RESEARCH TO PROMOTE -- 1263 00:47:20,292 --> 00:47:22,494 THESE ARE SUPPLEMENTS TO PROMOTE 1264 00:47:22,494 --> 00:47:28,534 DIVERSITY, AGAIN, FOR MENTORING. 1265 00:47:28,534 --> 00:47:36,775 ANOTHER NOSY, T NOSI, THIS TIMEE 1266 00:47:36,775 --> 00:47:38,277 NIH OFFICE OF DISEASE 1267 00:47:38,277 --> 00:47:40,746 PREVENTION, TO PROMOTE MENTAL 1268 00:47:40,746 --> 00:47:41,380 HEALTH WEALTH BEING IN 1269 00:47:41,380 --> 00:47:42,481 POPULATIONS WITH HEALTH 1270 00:47:42,481 --> 00:47:43,549 DISSPAIRTS. 1271 00:47:43,549 --> 00:47:45,884 ONE MORE ON THIS TIME 1272 00:47:45,884 --> 00:47:46,652 MULTI-SECTORAL PREVENTIVE 1273 00:47:46,652 --> 00:47:47,086 INTERVENTIONS. 1274 00:47:47,086 --> 00:47:50,389 THIS IS AN INTERESTING ONE. 1275 00:47:50,389 --> 00:47:51,590 WHAT MULTI-SECTORAL 1276 00:47:51,590 --> 00:47:52,925 INTERVENTIONS ARE, ARE 1277 00:47:52,925 --> 00:47:53,792 INTERVENTIONS INVOLVING TWO OR 1278 00:47:53,792 --> 00:47:55,628 MORE SERVICE CENTERS, SUCH AS 1279 00:47:55,628 --> 00:47:58,530 PUBLIC HEALTH, EDUCATION, 1280 00:47:58,530 --> 00:48:00,299 HOUSING, SOCIAL SERVICES, CHILDD 1281 00:48:00,299 --> 00:48:01,500 WELFARE, ET CETERA. 1282 00:48:01,500 --> 00:48:03,636 AND SO THIS IS LED BY ALSO THE 1283 00:48:03,636 --> 00:48:08,474 OFFICE OF DISEASE PREVENTION. 1284 00:48:08,474 --> 00:48:13,012 HERE IS AN EVENT, AN UPCOMING 1285 00:48:13,012 --> 00:48:14,647 EVENT, PREAPPLICATION SEMINAR 1286 00:48:14,647 --> 00:48:16,015 FOR THE MULTI-SECTORAL 1287 00:48:16,015 --> 00:48:17,583 INTERVENTION THAT I JUST 1288 00:48:17,583 --> 00:48:18,050 MENTIONED. 1289 00:48:18,050 --> 00:48:21,153 SO IF YOU'RE INTERESTED IN THIS 1290 00:48:21,153 --> 00:48:22,454 FUNDING OPPORTUNITY, YOU SHOULD 1291 00:48:22,454 --> 00:48:24,857 CHECK OUT THIS WEBINAR ON 1292 00:48:24,857 --> 00:48:29,328 FEBRUARY 9TH. 1293 00:48:29,328 --> 00:48:33,198 AND FINALLY, THIS ONE IS A 1294 00:48:33,198 --> 00:48:34,233 FUNDING OPPORTUNITY BY THE 1295 00:48:34,233 --> 00:48:35,768 NATIONAL INSTITUTE ON MINORITY 1296 00:48:35,768 --> 00:48:40,105 HEALTH AND HEALTH DISPARITIES ON 1297 00:48:40,105 --> 00:48:41,273 HEALTHCARE DISPARITIES AMONG 1298 00:48:41,273 --> 00:48:42,975 PEOPLE LIVING WITH DISABILITIES. 1299 00:48:42,975 --> 00:48:46,011 WHICH HAS BEEN NOW FOLDED IN TO 1300 00:48:46,011 --> 00:48:47,713 THE CATEGORIES OF HEALTH 1301 00:48:47,713 --> 00:48:50,716 DISPARITIES. 1302 00:48:50,716 --> 00:48:54,053 NOW, FINALLY, THE METHODS AND 1303 00:48:54,053 --> 00:48:55,587 DATA SCIENCE CATEGORY, WHICH IS 1304 00:48:55,587 --> 00:48:57,389 THE HOW. 1305 00:48:57,389 --> 00:49:02,127 AGAIN, A VERY IMPORTANT CATEG 1306 00:49:02,127 --> 00:49:02,695 CATEGORY. 1307 00:49:02,695 --> 00:49:06,899 THE PAST EVENT WAS A PANEL AT 1308 00:49:06,899 --> 00:49:07,866 THE ACADEMY HEALTH MEETING ON 1309 00:49:07,866 --> 00:49:10,769 THE SCIENCE OF DISSEMINATION AND 1310 00:49:10,769 --> 00:49:11,970 IMPLEMENTATION IN HEALTH. 1311 00:49:11,970 --> 00:49:17,643 AND THIS PANEL WAS LED BY 1312 00:49:17,643 --> 00:49:21,513 DR. BEDA JEAN-FRANCOIS OF NCCIH. 1313 00:49:21,513 --> 00:49:23,682 IT'S REALLY TO DISCUSS VERY MUCH 1314 00:49:23,682 --> 00:49:24,817 THE IMPORTANCE AND THE METHODS 1315 00:49:24,817 --> 00:49:26,385 THAT ARE NEEDED IN ORDER TO DO 1316 00:49:26,385 --> 00:49:28,220 THIS RESEARCH WELL. 1317 00:49:28,220 --> 00:49:30,756 AND THEN ALSO THERE WAS A 1318 00:49:30,756 --> 00:49:32,725 SESSION ON IMPLEMENTATION 1319 00:49:32,725 --> 00:49:34,727 STRATEGIES INTO LARGE SCALE 1320 00:49:34,727 --> 00:49:36,261 MULTI-SITE PRAGMATIC CLINICAL 1321 00:49:36,261 --> 00:49:37,229 TRIALS, AS WELL AS EXPANDING 1322 00:49:37,229 --> 00:49:38,564 SUPPORT FOR IMPLEMENTATION 1323 00:49:38,564 --> 00:49:40,999 SCIENCE ACROSS THE NIH. 1324 00:49:40,999 --> 00:49:46,572 AND THIS REALLY BUILT ON THE 1325 00:49:46,572 --> 00:49:57,049 STRENGTH THROUGH THE NIH -- 1326 00:49:57,583 --> 00:49:59,818 EXCUSE ME, I'M BLANKING -- PMC. 1327 00:49:59,818 --> 00:50:01,120 PAIN MANAGEMENT COLLABORATORY. 1328 00:50:01,120 --> 00:50:02,454 SORRY. 1329 00:50:02,454 --> 00:50:04,022 WE HAVE SO MANY COLLABORATORIES, 1330 00:50:04,022 --> 00:50:05,324 WE GET THEM MIXED UP SOMETIMES. 1331 00:50:05,324 --> 00:50:11,663 AND THIS SESSION WAS LED BY DR 1332 00:50:11,663 --> 00:50:14,967 DR. JENNIFER BAUMGARTNER. 1333 00:50:14,967 --> 00:50:17,603 NOW AN UPCOMING EVENT, AGAIN IN 1334 00:50:17,603 --> 00:50:20,339 THE METHODS AND DATA SCIENCE 1335 00:50:20,339 --> 00:50:21,407 CATEGORY AT THE INTERNATIONAL 1336 00:50:21,407 --> 00:50:22,641 CONGRESS ON INTEGRATIVE 1337 00:50:22,641 --> 00:50:23,876 MEDICINE & HEALTH. 1338 00:50:23,876 --> 00:50:26,078 THIS IS A POST CONFERENCE 1339 00:50:26,078 --> 00:50:27,813 WORKSHOP THIS TIME ON 1340 00:50:27,813 --> 00:50:31,216 DISSEMINATION AND IMPLEMENTATION 1341 00:50:31,216 --> 00:50:33,118 SCIENCE, AGAIN LED BY 1342 00:50:33,118 --> 00:50:35,621 DR. BAUMGARTNER. 1343 00:50:35,621 --> 00:50:38,123 THIS IS NOW A FUNDING 1344 00:50:38,123 --> 00:50:40,759 OPPORTUNITY, NOFO, BY THE BRAIN 1345 00:50:40,759 --> 00:50:42,394 INITIATIVE. 1346 00:50:42,394 --> 00:50:43,729 AND THIS IS A VERY INTERESTING 1347 00:50:43,729 --> 00:50:45,063 ONE ON BRAIN BEHAVIOR 1348 00:50:45,063 --> 00:50:47,132 QUANTIFICATION AND 1349 00:50:47,132 --> 00:50:48,700 SYNCHRONIZATION. 1350 00:50:48,700 --> 00:50:53,405 WE SOMETIMES CALL THESE IN-BRAIN 1351 00:50:53,405 --> 00:50:53,872 BARBECUES. 1352 00:50:53,872 --> 00:50:57,810 THIS IS TO QUANTIFY BOTH 1353 00:50:57,810 --> 00:50:59,978 BEHAVIORS AND COMBINE THEM WITH 1354 00:50:59,978 --> 00:51:01,980 SIMULTANEOUS RECORDING OF BRAIN 1355 00:51:01,980 --> 00:51:02,781 ACTIVITY IN HUMANS. 1356 00:51:02,781 --> 00:51:05,184 THIS IS REALLY GROUNDBREAKING. 1357 00:51:05,184 --> 00:51:09,321 BECAUSE IT COMBINES A LOT OF 1358 00:51:09,321 --> 00:51:10,689 WHAT THE VERY EXCITING SCIENCE 1359 00:51:10,689 --> 00:51:12,424 THAT IS BEING DEVELOPED AS PART 1360 00:51:12,424 --> 00:51:15,160 OF THE BRAIN INITIATIVE THAT WE 1361 00:51:15,160 --> 00:51:16,962 PARTICIPATE IN, BUT REALLY KIND 1362 00:51:16,962 --> 00:51:19,031 OF GOING THE NEXT STEP IS 1363 00:51:19,031 --> 00:51:20,899 LOOKING AT ALL THESE TOOLS THAT 1364 00:51:20,899 --> 00:51:22,468 WE HAVE TO LOOK AT THE ACTIVITY 1365 00:51:22,468 --> 00:51:26,205 OF THE BRAIN, BUT COMBINING THEM 1366 00:51:26,205 --> 00:51:30,008 WITH VERY SPECIFIC MEASUREMENTS 1367 00:51:30,008 --> 00:51:32,311 OF BEHAVIOR IN ANIMAL MODEL, AND 1368 00:51:32,311 --> 00:51:33,345 EVENTUALLY SOME OF THESE 1369 00:51:33,345 --> 00:51:35,981 TECHNIQUES CAN BE MOVED INTO 1370 00:51:35,981 --> 00:51:38,917 HUMANS. 1371 00:51:38,917 --> 00:51:40,886 ACTUALLY SOME OF THIS WILL BE 1372 00:51:40,886 --> 00:51:45,424 TRANSLATING TO HUMANS ALREADY. 1373 00:51:45,424 --> 00:51:48,894 SO THE NEXT NOFO THAT I WANT TO 1374 00:51:48,894 --> 00:51:53,198 POINT OUT IS A VERY EXCITING 1375 00:51:53,198 --> 00:51:55,100 COLLABORATIVE APPROACH ACROSS 1376 00:51:55,100 --> 00:51:56,201 MULTIPLE AGENCIES. 1377 00:51:56,201 --> 00:52:00,672 SO THIS INCLUDES THE 1378 00:52:00,672 --> 00:52:02,274 COLLABORATION BETWEEN THE 1379 00:52:02,274 --> 00:52:04,343 NATIONAL SCIENCE FOUNDATION, 1380 00:52:04,343 --> 00:52:07,379 NSF, THE DIRECTORATES AND 1381 00:52:07,379 --> 00:52:10,249 OFFICES, 10 PARTICIPATING 1382 00:52:10,249 --> 00:52:11,783 AGENCIES. 1383 00:52:11,783 --> 00:52:13,719 NIH, INSTITUTES, DEPARTM DEPARTF 1384 00:52:13,719 --> 00:52:16,522 ENERGY AND MANY OTHER AGENCIES 1385 00:52:16,522 --> 00:52:17,856 ACROSS GOVERNMENT IN 1386 00:52:17,856 --> 00:52:20,392 COLLABORATIVE RESEARCH IN 1387 00:52:20,392 --> 00:52:21,093 COMPUTATIONAL NEUROSCIENCE. 1388 00:52:21,093 --> 00:52:24,029 SO THIS IS REALLY EMPOWERED IN 1389 00:52:24,029 --> 00:52:26,064 THE FUTURE OF RESEARCH AND 1390 00:52:26,064 --> 00:52:28,433 REALLY BRINGING THE NEXT 1391 00:52:28,433 --> 00:52:30,936 GENERATION OF COMPUTATIONAL 1392 00:52:30,936 --> 00:52:33,238 TOOLS INTO RESEARCH. 1393 00:52:33,238 --> 00:52:35,741 AND WE ARE PARTICIPATING IN THIS 1394 00:52:35,741 --> 00:52:36,642 BECAUSE WE THINK IT'S VERY 1395 00:52:36,642 --> 00:52:37,543 IMPORTANT TO INCORPORATE ALL OF 1396 00:52:37,543 --> 00:52:40,045 THIS INTO THE STUDIES OF 1397 00:52:40,045 --> 00:52:40,712 COMPLEMENTARY AND INTEGRATIVE 1398 00:52:40,712 --> 00:52:41,647 HEALTH. 1399 00:52:41,647 --> 00:52:50,389 SO I HOPE THAT THIS NEW KIND OF 1400 00:52:50,389 --> 00:52:53,792 TRAVELOGUE THROUGH THESE VARIOUS 1401 00:52:53,792 --> 00:52:57,763 CAT IMCATEGORIES OF RESEARCH HAE 1402 00:52:57,763 --> 00:52:58,964 HELPED YOU TO UNDERSTAND OUR 1403 00:52:58,964 --> 00:53:01,767 STRATEGY TO KIND OF EVOLVE OUR 1404 00:53:01,767 --> 00:53:04,703 PRIORITIES AND OUR PORTFOLIO IS 1405 00:53:04,703 --> 00:53:06,805 ORGANIZED. 1406 00:53:06,805 --> 00:53:09,308 I THINK IN PREVIOUS COUNCIL 1407 00:53:09,308 --> 00:53:11,209 DISCUSSIONS, WE SORT OF HAD THE 1408 00:53:11,209 --> 00:53:13,178 FEEDBACK THAT THERE WAS A 1409 00:53:13,178 --> 00:53:14,279 PERCEPTION THAT WE WERE TRYING 1410 00:53:14,279 --> 00:53:16,682 TO DO A LOT OF THINGS, AND WE 1411 00:53:16,682 --> 00:53:22,287 ARE, AND IT'S TRUE. 1412 00:53:22,287 --> 00:53:24,156 BUT WE ARE NOT DOING A LOT OF 1413 00:53:24,156 --> 00:53:24,556 DISPARATE THINGS. 1414 00:53:24,556 --> 00:53:26,525 WE'RE DOING A LOT OF THINGS IN A 1415 00:53:26,525 --> 00:53:29,561 VERY DELIBERATE AND ORGANIZED 1416 00:53:29,561 --> 00:53:32,164 WAY THAT BUILDS UPON THE 1417 00:53:32,164 --> 00:53:35,467 STRENGTHS OF THE PREVIOUS KIND 1418 00:53:35,467 --> 00:53:38,470 OF, FOR EXAMPLE, 10 YEARS AGO OR 1419 00:53:38,470 --> 00:53:41,440 SO, FIVE, 10 YEARS AGO TO BEFORE 1420 00:53:41,440 --> 00:53:42,608 THIS CURRENT STRATEGIC PLAN, 1421 00:53:42,608 --> 00:53:45,043 THERE WAS A VERY CLEAR FOCUS ON 1422 00:53:45,043 --> 00:53:46,578 TWO SPECIFIC AREAS, THE MIND AND 1423 00:53:46,578 --> 00:53:47,913 BODY THERAPIES, AND THE NATURAL 1424 00:53:47,913 --> 00:53:49,047 PRODUCTS. 1425 00:53:49,047 --> 00:53:50,582 IN THIS CURRENT STRATEGIC PLAN, 1426 00:53:50,582 --> 00:53:52,017 WE HAVE -- AND THEN, OF COURSE, 1427 00:53:52,017 --> 00:53:53,752 PAIN HAS ALWAYS BEEN A FOCUS. 1428 00:53:53,752 --> 00:53:56,021 IN OUR CURRENT STRATEGIC PLAN, 1429 00:53:56,021 --> 00:53:58,090 WE HAVE EXPANDED THIS TO REALLY 1430 00:53:58,090 --> 00:53:58,957 LOOK AT THE WHOLE PERSON. 1431 00:53:58,957 --> 00:54:02,094 WE HAVE EXPANDED TO THE HEALTH 1432 00:54:02,094 --> 00:54:04,563 RESTORATION AS AN IMPORTANT 1433 00:54:04,563 --> 00:54:05,364 THEME. 1434 00:54:05,364 --> 00:54:07,766 WE HAVE, AS I EXPLAINED, KIND OF 1435 00:54:07,766 --> 00:54:09,001 EXPANDED OUR CONCEPTS OF THE 1436 00:54:09,001 --> 00:54:10,669 MIND AND BODY CONNECTION, AS 1437 00:54:10,669 --> 00:54:13,939 WELL AS THE NUTRITION CONTINUUM, 1438 00:54:13,939 --> 00:54:15,941 BUT AS YOU CAN SEE, ALL OF THIS 1439 00:54:15,941 --> 00:54:16,908 FITS VERY WELL WITHIN THE 1440 00:54:16,908 --> 00:54:18,343 SCIENCE THAT WE HAVE BEEN 1441 00:54:18,343 --> 00:54:22,848 FOCUSING ON FOR A LONG TIME. 1442 00:54:22,848 --> 00:54:25,484 AND THEN THE TWO CATEGORIES THAT 1443 00:54:25,484 --> 00:54:27,486 ARE THE CROSS-CUTTING CATEGORIES 1444 00:54:27,486 --> 00:54:30,622 OF THE WHO AND THE HOW, ARE SO 1445 00:54:30,622 --> 00:54:32,758 IMPORTANT BECAUSE IT REALLY 1446 00:54:32,758 --> 00:54:35,394 HELPS US TO INCUR ALL OF THIS 1447 00:54:35,394 --> 00:54:38,230 RESEARCH OF THE WHAT INTO VERY 1448 00:54:38,230 --> 00:54:42,334 SOLID METHODS, AS WELL AS 1449 00:54:42,334 --> 00:54:44,836 DEVELOPING THE VERY IMPORTANT 1450 00:54:44,836 --> 00:54:50,442 WORKFORCE AND THE UNDERSTANDING 1451 00:54:50,442 --> 00:54:54,746 HOW TO APPROACH ALL OF THE 1452 00:54:54,746 --> 00:54:56,715 POPULATIONS OF INDIVIDUALS WHERE 1453 00:54:56,715 --> 00:54:58,250 WE WANT THE RESEARCH TO IMPACT 1454 00:54:58,250 --> 00:54:59,885 IN AN EQUITABLE MANNER, TO MAKE 1455 00:54:59,885 --> 00:55:05,424 SURE THAT NOBODY GETS LEFT OUT. 1456 00:55:05,424 --> 00:55:07,693 SO WHAT WE'RE DOING NOW IS A BIT 1457 00:55:07,693 --> 00:55:09,795 OF AN EXERCISE, AND WE WANT TO 1458 00:55:09,795 --> 00:55:12,798 HAVE EVERYBODY'S FEEDBACK FOR 1459 00:55:12,798 --> 00:55:14,199 COUNCIL AS WELL AS FROM THE 1460 00:55:14,199 --> 00:55:15,534 COMMUNITY AT LARGE. 1461 00:55:15,534 --> 00:55:18,236 AS TO WHETHER THEY FIND THAT 1462 00:55:18,236 --> 00:55:21,006 THIS NEW ORGANIZING PRINCIPLE, 1463 00:55:21,006 --> 00:55:23,775 FIRST OF ALL, MAKES SENSE, AND 1464 00:55:23,775 --> 00:55:25,077 DOES IT HELP TO UNDERSTAND WHAT 1465 00:55:25,077 --> 00:55:27,746 WE'RE DOING, AND AS WE MOVE INTO 1466 00:55:27,746 --> 00:55:29,181 OUR NEXT STRATEGIC PLAN, WHICH 1467 00:55:29,181 --> 00:55:31,583 WE'RE GOING TO BE STARTING NEXT 1468 00:55:31,583 --> 00:55:33,719 YEAR, IS THIS A GOOD FRAMEWORK 1469 00:55:33,719 --> 00:55:35,020 FOR US TO BUILD ON. 1470 00:55:35,020 --> 00:55:37,989 AND THAT'S WHY WE WANTED TO DO 1471 00:55:37,989 --> 00:55:41,626 THE PRESENTATION TODAY, THIS W 1472 00:55:41,626 --> 00:55:42,861 WAY, TO REALLY KIND OF TEST 1473 00:55:42,861 --> 00:55:45,497 DRIVE A LITTLE BIT THIS FORMAT. 1474 00:55:45,497 --> 00:55:47,799 IT'S NOT SET IN STONE. 1475 00:55:47,799 --> 00:55:49,201 WE ARE CERTAINLY OPEN TO -- AND 1476 00:55:49,201 --> 00:55:54,172 THIS IS NOT ANY -- IT DOES NOT 1477 00:55:54,172 --> 00:55:55,140 MEAN -- THIS IS NOT GOING TO BE 1478 00:55:55,140 --> 00:55:56,575 THE NEXT STRATEGIC PLAN. 1479 00:55:56,575 --> 00:55:58,276 OUR NEXT STRATEGIC PLAN IS NOT 1480 00:55:58,276 --> 00:55:59,377 STARTED YET. 1481 00:55:59,377 --> 00:56:01,780 SO AS FAR AS THAT PROCESS IS 1482 00:56:01,780 --> 00:56:02,881 CONCERNED, WE'RE GOING TO BE 1483 00:56:02,881 --> 00:56:05,016 GOING OVER ALL THE STEPS 1484 00:56:05,016 --> 00:56:05,784 INCLUDING REQUEST FOR 1485 00:56:05,784 --> 00:56:07,519 INFORMATION, ET CETERA, MANY, 1486 00:56:07,519 --> 00:56:08,620 MANY DIFFERENT STEPS AS WE DID 1487 00:56:08,620 --> 00:56:09,855 WITH OUR PREVIOUS STRATEGIC 1488 00:56:09,855 --> 00:56:10,322 PLAN. 1489 00:56:10,322 --> 00:56:12,390 BUT WHAT THIS IS MORE -- 1490 00:56:12,390 --> 00:56:13,692 REFLECTS IS MORE OF A REFLECTION 1491 00:56:13,692 --> 00:56:17,963 OF WHERE WE ARE NOW. 1492 00:56:17,963 --> 00:56:22,934 AND HOW DO WE BEST KIND OF 1493 00:56:22,934 --> 00:56:25,670 SYNTHESIZE THE MANY DIFFERENT 1494 00:56:25,670 --> 00:56:26,538 EXCITING OPPORTUNITIES THAT 1495 00:56:26,538 --> 00:56:29,374 WE'RE DEVELOPING INTO A 1496 00:56:29,374 --> 00:56:30,842 FRAMEWORK THAT HOPEFULLY MAKES 1497 00:56:30,842 --> 00:56:31,610 SENSE. 1498 00:56:31,610 --> 00:56:35,213 SO I AM GOING TO STOP SHARING 1499 00:56:35,213 --> 00:56:37,949 NOW, AND I REALLY LOOK FORWARD 1500 00:56:37,949 --> 00:56:41,186 TO HEARING EVERYBODY'S COMMENTS 1501 00:56:41,186 --> 00:56:43,288 AND REACTIONS TO THIS. 1502 00:56:43,288 --> 00:56:49,394 >> WE HAVE DR. BROLINSON WHO WAS 1503 00:56:49,394 --> 00:56:50,695 VERY PATIENT RAISING HIS HAND 1504 00:56:50,695 --> 00:56:52,364 FOR A WHILE, SO DR. BROLIN 1505 00:56:52,364 --> 00:56:53,365 SORNTION PLEAS. 1506 00:56:53,365 --> 00:56:56,301 >> JUST ONE LIN COMMENT, HELENE, 1507 00:56:56,301 --> 00:56:57,569 WHEN YOU MENTIONED THE CHANGE IN 1508 00:56:57,569 --> 00:56:59,004 THE REVIEW PROCESS, I THINK YOU 1509 00:56:59,004 --> 00:57:00,639 SAID IT STARTS IN A FEW DAYS. 1510 00:57:00,639 --> 00:57:01,873 IT ACTUALLY STARTS IN A YEAR. 1511 00:57:01,873 --> 00:57:04,176 I THINK IT'S 12 MONTHS FROM NOW. 1512 00:57:04,176 --> 00:57:06,578 NOT JUST IN A FEW DAYS. 1513 00:57:06,578 --> 00:57:08,580 IT WAS IN ONE OF YOUR VERY EARLY 1514 00:57:08,580 --> 00:57:08,814 SLIDES. 1515 00:57:08,814 --> 00:57:10,382 >> I'M SORRY, DID I SAY IN A FEW 1516 00:57:10,382 --> 00:57:11,349 DAYS? 1517 00:57:11,349 --> 00:57:12,751 MY APOLOGIES. 1518 00:57:12,751 --> 00:57:15,487 >> IT HAPPENS TO ALL OF US. 1519 00:57:15,487 --> 00:57:18,023 NO BIG DEAL. 1520 00:57:18,023 --> 00:57:20,192 >> 2025. 1521 00:57:20,192 --> 00:57:21,393 WE HAVE A LITTLE BIT MORE TIME 1522 00:57:21,393 --> 00:57:22,227 TO PREPARE, YEAH. 1523 00:57:22,227 --> 00:57:23,395 >> YEAH, MY BAD. 1524 00:57:23,395 --> 00:57:33,071 SORRY ABOUT THAT. 1525 00:57:33,071 --> 00:57:33,839 ANY OTHER COMMENTS? 1526 00:57:33,839 --> 00:57:37,475 ANY OTHER BLOOPERS? 1527 00:57:37,475 --> 00:57:39,678 >> HELENE, I HAVE A COMMENT. 1528 00:57:39,678 --> 00:57:41,112 THANK YOU SO MUCH FOR SHARING 1529 00:57:41,112 --> 00:57:44,883 ALL THIS, AND REALLY INTERESTING 1530 00:57:44,883 --> 00:57:46,952 PROGRESS AND EXCITING 1531 00:57:46,952 --> 00:57:47,919 INITIATIVES TO REPORT, AND THANK 1532 00:57:47,919 --> 00:57:50,655 YOU FOR REPRESENTING US ALL ON 1533 00:57:50,655 --> 00:57:51,656 BEHALF OF NCCIH AND THESE 1534 00:57:51,656 --> 00:57:53,425 IMPORTANT INITIATIVES. 1535 00:57:53,425 --> 00:57:55,293 I JUST WANTED TO ASK A LITTLE 1536 00:57:55,293 --> 00:57:57,596 BIT MORE ABOUT -- IT SEEMS LIKE 1537 00:57:57,596 --> 00:57:59,064 THERE'S A REALLY INTERESTING 1538 00:57:59,064 --> 00:58:01,800 THEME WITH THE NOSIs AROUND 1539 00:58:01,800 --> 00:58:05,070 THIS IDEA OF BUILDING MORE 1540 00:58:05,070 --> 00:58:06,605 INCLUSIVITY AND BOTH IN TERMS OF 1541 00:58:06,605 --> 00:58:08,740 WHO'S PARTICIPATING IN RESEARCH, 1542 00:58:08,740 --> 00:58:11,376 WHO'S PARTICIPATING IN CLINICAL 1543 00:58:11,376 --> 00:58:12,577 TRIALS, THE TYPES OF MENTORSHIP 1544 00:58:12,577 --> 00:58:14,512 THAT ARE HAPPENING, AND I 1545 00:58:14,512 --> 00:58:17,449 WONDERED WHETHER THERE'S SOME 1546 00:58:17,449 --> 00:58:18,650 SPECIFIC EFFORTS THAT ARE GOING 1547 00:58:18,650 --> 00:58:21,620 ON AT NCCIH TO TRY TO FACILITATE 1548 00:58:21,620 --> 00:58:21,820 THAT. 1549 00:58:21,820 --> 00:58:23,388 YOU TALKED A LITTLE BIT ABOUT 1550 00:58:23,388 --> 00:58:24,589 THOSE NOTICES OF SPECIAL 1551 00:58:24,589 --> 00:58:25,824 INTEREST, BUT I WAS JUST A 1552 00:58:25,824 --> 00:58:26,958 LITTLE CURIOUS ABOUT WHAT'S 1553 00:58:26,958 --> 00:58:28,159 GOING ON BEHIND THE SCENES TO 1554 00:58:28,159 --> 00:58:29,361 SUPPORT ALL THAT AND WHAT'S 1555 00:58:29,361 --> 00:58:31,129 DRIVING IT AND IF YOU COULD SAY 1556 00:58:31,129 --> 00:58:34,332 A LITTLE MORE ABOUT IT. 1557 00:58:34,332 --> 00:58:35,300 >> GOOD QUESTION. 1558 00:58:35,300 --> 00:58:37,836 SO BASICALLY WHAT'S DRIVING IT 1559 00:58:37,836 --> 00:58:40,939 IS ALL OF NIH IS DRIVING IT. 1560 00:58:40,939 --> 00:58:41,907 THIS IS SOMETHING THAT'S 1561 00:58:41,907 --> 00:58:43,575 HAPPENING THROUGHOUT NIH, AND 1562 00:58:43,575 --> 00:58:48,513 WE'RE VERY FORTUNATE THAT -- YOU 1563 00:58:48,513 --> 00:58:49,748 SAW ALL OF THE DIFFERENT 1564 00:58:49,748 --> 00:58:51,116 INITIATIVES STARTING FROM THE 1565 00:58:51,116 --> 00:58:52,350 OFFICE OF THE DIRECTOR, TO ALL 1566 00:58:52,350 --> 00:58:54,019 THE VARIOUS DIFFERENT INSTITUTES 1567 00:58:54,019 --> 00:58:56,221 ARE PROVIDING US WITH ALL OF 1568 00:58:56,221 --> 00:58:57,455 THESE MECHANISMS ALREADY. 1569 00:58:57,455 --> 00:58:59,190 WE DON'T HAVE TO REINVENT ALL OF 1570 00:58:59,190 --> 00:59:00,525 THESE OURSELVES. 1571 00:59:00,525 --> 00:59:03,194 AS A SMALL CENTER, IT'S REALLY 1572 00:59:03,194 --> 00:59:05,463 IMPORTANT FOR US TO TAKE 1573 00:59:05,463 --> 00:59:06,665 ADVANTAGE OF ALL OF THE 1574 00:59:06,665 --> 00:59:10,502 INITIATIVES THAT ARE ALREADY IN 1575 00:59:10,502 --> 00:59:11,870 PLACE WHERE WE FEEL THAT WE CAN 1576 00:59:11,870 --> 00:59:15,807 APPLY ALL OF THESE OPPORTUNITIES 1577 00:59:15,807 --> 00:59:18,443 TO OUR WORKFORCE, AND TO OUR 1578 00:59:18,443 --> 00:59:21,546 INVESTIGATORS, AND TO OUR TYPE 1579 00:59:21,546 --> 00:59:23,515 OF RESEARCH. 1580 00:59:23,515 --> 00:59:25,583 WHEN NECESSARY, WE WILL DEVELOP 1581 00:59:25,583 --> 00:59:28,787 OUR OWN. 1582 00:59:28,787 --> 00:59:30,121 SO FOR EXAMPLE, WE HAVE SOME 1583 00:59:30,121 --> 00:59:31,323 INITIATIVES THAT WE ARE 1584 00:59:31,323 --> 00:59:34,826 SPECIFICALLY TARGETING FOR, FOR 1585 00:59:34,826 --> 00:59:36,227 EXAMPLE, EMOTIONAL WELL-BEING IN 1586 00:59:36,227 --> 00:59:38,596 UNDERSERVED POPULATIONS. 1587 00:59:38,596 --> 00:59:42,534 ALL OF OUR EFFORTS AT THE V.A. 1588 00:59:42,534 --> 00:59:43,635 AND DEPARTMENT OF DEFENSE DEAL 1589 00:59:43,635 --> 00:59:48,173 WITH A VERY UNDERSERVED AND 1590 00:59:48,173 --> 00:59:49,674 VERY -- POPULATION THAT'S 1591 00:59:49,674 --> 00:59:51,676 IMPACTED -- I SHOULDN'T SAY 1592 00:59:51,676 --> 00:59:52,310 UNDERSERVED. 1593 00:59:52,310 --> 00:59:54,512 THEY'RE WELL SERVED BY THE VA 1594 00:59:54,512 --> 00:59:56,748 AND DOD BUT THEY'RE 1595 00:59:56,748 --> 00:59:58,917 DISPROPORTIONATELY IMPACTED BY 1596 00:59:58,917 --> 01:00:02,787 PAIN, FO FOR EXAMPLE. 1597 01:00:02,787 --> 01:00:07,525 AND SO THERE'S A LOT OF THESE 1598 01:00:07,525 --> 01:00:08,827 KINDS OF SPECIFIC EFFORTS THAT 1599 01:00:08,827 --> 01:00:10,462 WE ARE DOING BUT AT THE SAME 1600 01:00:10,462 --> 01:00:13,131 TIME, WE TRY TO TAKE ADVANTAGE 1601 01:00:13,131 --> 01:00:18,169 OF WHAT'S ALREADY THERE, AND SO 1602 01:00:18,169 --> 01:00:21,873 PERHAPS DR. JEAN-FRANCOIS WANTS 1603 01:00:21,873 --> 01:00:23,308 TO COMMENT OR DR. EDWARDS? 1604 01:00:23,308 --> 01:00:24,876 >> I'LL COMMENT. 1605 01:00:24,876 --> 01:00:26,211 NADJA, JUST TO ANSWER YOUR 1606 01:00:26,211 --> 01:00:28,480 QUESTION MORE SPECIFICALLY, WE 1607 01:00:28,480 --> 01:00:32,650 DO HAVE DIVERSITY AND HEALTH 1608 01:00:32,650 --> 01:00:34,219 DISPARITY WORKING GROUP WITHIN 1609 01:00:34,219 --> 01:00:36,187 THE DIVISION OF EXTRAMURAL 1610 01:00:36,187 --> 01:00:40,025 RESEARCH THAT MEETS MONTHLY TO 1611 01:00:40,025 --> 01:00:41,559 MONITOR THESE ACTIVITY, AND 1612 01:00:41,559 --> 01:00:43,128 WE'VE REALLY MADE SOME CHANGES 1613 01:00:43,128 --> 01:00:47,065 INTO THE NUMBER OF TIMES THAT WE 1614 01:00:47,065 --> 01:00:48,500 ENCOURAGE DIVERSITY SUPPLEMENTS 1615 01:00:48,500 --> 01:00:51,202 TO BE SUBMITTED TO NCCIH. 1616 01:00:51,202 --> 01:00:53,271 WE'VE HAD A NUMBER OF WEBINARS. 1617 01:00:53,271 --> 01:00:59,077 ONE OF THEM WAS ABOUT ENGAGING 1618 01:00:59,077 --> 01:01:02,313 DIFFERENT POPULATIONS, AND THEIR 1619 01:01:02,313 --> 01:01:03,848 PARTICIPATION INTO OUR CLINICAL 1620 01:01:03,848 --> 01:01:04,082 TRIALS. 1621 01:01:04,082 --> 01:01:08,319 SO YOU KNOW, THERE'S AN ACTIVE 1622 01:01:08,319 --> 01:01:10,755 GROUP WITHIN THE DIVISION THAT 1623 01:01:10,755 --> 01:01:12,323 ACTUALLY MONITORS THIS AND HELPS 1624 01:01:12,323 --> 01:01:15,260 US ACTUALLY TAKE ADVANTAGE OF 1625 01:01:15,260 --> 01:01:16,694 THESE OPPORTUNITIES THAT ELAINE 1626 01:01:16,694 --> 01:01:16,961 MENTIONED. 1627 01:01:16,961 --> 01:01:22,667 IN FACT, TODAY ONE OF THE K9 1628 01:01:22,667 --> 01:01:24,069 K99/R00 IS THE MOSAIC PROGRAM 1629 01:01:24,069 --> 01:01:26,304 FROM NIGMS, WHICH IS FOCUSED ON 1630 01:01:26,304 --> 01:01:26,838 DIVERSITY. 1631 01:01:26,838 --> 01:01:28,840 SO THIS IS AN EXAMPLE OF WHERE, 1632 01:01:28,840 --> 01:01:35,146 YOU KNOW, THE INITIATIVE CAME 1633 01:01:35,146 --> 01:01:36,848 FROM AT THE INSTITUTE, BUT WE 1634 01:01:36,848 --> 01:01:38,049 PARTICIPATED AND ALREADY 1635 01:01:38,049 --> 01:01:39,818 IDENTIFIED A GRANT THAT WILL BE 1636 01:01:39,818 --> 01:01:41,653 NCCIH THAT WE ARE CONSIDERING 1637 01:01:41,653 --> 01:01:42,153 FUNDING. 1638 01:01:42,153 --> 01:01:45,323 SO I THINK WE HAVE A LOT OF 1639 01:01:45,323 --> 01:01:47,092 ACTIVE PARTICIPATION ACROSS THE 1640 01:01:47,092 --> 01:01:47,725 BOARD. 1641 01:01:47,725 --> 01:01:50,395 AND LANAY HAS PUT IN THE WEB 1642 01:01:50,395 --> 01:01:52,263 PAGE THAT HIGHLIGHTS SOME OF 1643 01:01:52,263 --> 01:01:53,698 THOSE ACTIVITIES. 1644 01:01:53,698 --> 01:01:53,932 THANKS. 1645 01:01:53,932 --> 01:01:54,532 >> WONDERFUL. 1646 01:01:54,532 --> 01:01:56,134 THANK YOU SO MUCH FOR ALL OF 1647 01:01:56,134 --> 01:01:56,468 THAT! 1648 01:01:56,468 --> 01:01:57,669 IT REALLY DID COME THROUGH IN 1649 01:01:57,669 --> 01:01:59,204 THE PRESENTATION. 1650 01:01:59,204 --> 01:02:00,805 I THINK EVEN MORE SO THAN IT HAS 1651 01:02:00,805 --> 01:02:03,308 IN THE PAST, SO IT FEELS REALLY 1652 01:02:03,308 --> 01:02:04,642 EXCITING TO SEE THESE EFFORTS 1653 01:02:04,642 --> 01:02:06,377 STARTING TO BEAR FRUIT AND BE 1654 01:02:06,377 --> 01:02:09,180 COMING A PART OF THE CULTURE AND 1655 01:02:09,180 --> 01:02:11,349 THE ENVIRONMENT AT NCCIH AND AT 1656 01:02:11,349 --> 01:02:12,817 NIH IN GENERAL. 1657 01:02:12,817 --> 01:02:16,454 >> YES, YES, I WOULD SAY THIS IS 1658 01:02:16,454 --> 01:02:19,190 REALLY GATHERING STEAM IN A WAY 1659 01:02:19,190 --> 01:02:21,593 THAT'S VERY GOOD. 1660 01:02:21,593 --> 01:02:23,027 AND THANKS, EMILY, FOR 1661 01:02:23,027 --> 01:02:28,299 MENTEMMELINE, FORMENTIONING THE. 1662 01:02:28,299 --> 01:02:30,034 WE REALLY TRY TO TAKE ADVANTAGE 1663 01:02:30,034 --> 01:02:30,802 OF EVERYTHING THAT'S OUT THERE 1664 01:02:30,802 --> 01:02:33,538 AT OUR DISPOSAL. 1665 01:02:33,538 --> 01:02:35,840 ANY OTHER COMMENTS? 1666 01:02:35,840 --> 01:02:37,642 >> YES, I'D JUST LIKE TO SAY, 1667 01:02:37,642 --> 01:02:42,147 THIS IS AN AMAZING FIRST DRAFT, 1668 01:02:42,147 --> 01:02:44,649 IT APPEARS TO REALLY TRY TO 1669 01:02:44,649 --> 01:02:46,718 ENCAPSULATE ALL THAT THE CENTER 1670 01:02:46,718 --> 01:02:49,320 IS REALLY TRYING TO ADDRESS AND 1671 01:02:49,320 --> 01:02:49,854 ACCOMPLISH. 1672 01:02:49,854 --> 01:02:55,093 I WOULD IMAGINE THAT AS EMMELINE 1673 01:02:55,093 --> 01:02:56,828 WAS TALKING ABOUT, THAT THERE 1674 01:02:56,828 --> 01:02:58,129 MAY BE DIFFERENT VERSIONS FOR 1675 01:02:58,129 --> 01:03:00,431 DIFFERENT ETHNIC MINORITY OR 1676 01:03:00,431 --> 01:03:03,868 UNDERSERVED POPULATIONS, FOR 1677 01:03:03,868 --> 01:03:07,472 INSTANCE, PAIN, YOU KNOW, WE'RE 1678 01:03:07,472 --> 01:03:09,607 PREPARING A PAPER IN OUR GROUP, 1679 01:03:09,607 --> 01:03:11,509 ONE OF THE FIRST -- TO OUR 1680 01:03:11,509 --> 01:03:13,244 KNOWLEDGE ONE OF THE FIRST 1681 01:03:13,244 --> 01:03:14,679 PAPERS ON PAIN AND NATIVE 1682 01:03:14,679 --> 01:03:18,917 AMERICANS, AND KIND OF THE 1683 01:03:18,917 --> 01:03:20,518 CONNECTION OF CULTURAL 1684 01:03:20,518 --> 01:03:21,186 CHARACTERISTICS AND OTHER 1685 01:03:21,186 --> 01:03:24,022 HISTORY AND HOW THAT MAY TIE IN 1686 01:03:24,022 --> 01:03:28,826 WITH PAIN FOR THIS GROUP. 1687 01:03:28,826 --> 01:03:30,762 SO I WOULD IMAGINE, YOU COULD 1688 01:03:30,762 --> 01:03:33,398 PUT A WHOLE OTHER -- PAIN COULD 1689 01:03:33,398 --> 01:03:39,103 HAVE ITS OWN CIRCLE OF 1690 01:03:39,103 --> 01:03:42,373 DISCUSSION, SO I WAS CURIOUS IF 1691 01:03:42,373 --> 01:03:47,345 THERE WILL BE KIND OF LIKE 1692 01:03:47,345 --> 01:03:49,647 SUBGROUPINGS OF THE EFFORT IN 1693 01:03:49,647 --> 01:03:50,114 THIS WAY. 1694 01:03:50,114 --> 01:03:53,251 >> WELL, I SHOULD MENTION -- I 1695 01:03:53,251 --> 01:03:57,822 MEAN, SO ETHNIC AND RACIAL 1696 01:03:57,822 --> 01:04:02,293 MINORITIES, ALSO SEX AND GENDER 1697 01:04:02,293 --> 01:04:03,828 MINORITIES, ALSO PEOPLE WITH 1698 01:04:03,828 --> 01:04:05,630 DISABILITIES, YOU KNOW, THESE 1699 01:04:05,630 --> 01:04:09,467 ARE ALL KIND OF CONSIDERED TO 1700 01:04:09,467 --> 01:04:11,536 BE, YOU KNOW, DIFFERENT 1701 01:04:11,536 --> 01:04:13,805 CATEGORIES OF MINORITY AND 1702 01:04:13,805 --> 01:04:17,108 UNDERSERVED POPULATIONS, AND SO 1703 01:04:17,108 --> 01:04:19,911 WE DEFINITELY CAN AND WILL AND 1704 01:04:19,911 --> 01:04:23,948 HAVE BEEN, YOU KNOW, TARGETING 1705 01:04:23,948 --> 01:04:25,783 SOME SPECIFIC AREAS, FOR 1706 01:04:25,783 --> 01:04:26,985 EXAMPLE, AS YOU MENTIONED IN THE 1707 01:04:26,985 --> 01:04:34,192 AREA OF PAIN, CERTAIN OF THESE 1708 01:04:34,192 --> 01:04:35,360 CATEGORIES OF INDIVIDUALS WHO 1709 01:04:35,360 --> 01:04:36,661 ARE DISPROPORTIONATELY AFFECTED. 1710 01:04:36,661 --> 01:04:38,863 WOMEN ARE ALSO 1711 01:04:38,863 --> 01:04:39,497 DISPROPORTIONATELY AFFECTED BY 1712 01:04:39,497 --> 01:04:41,599 PAIN. 1713 01:04:41,599 --> 01:04:43,635 AND SO, YES, CERTAINLY IN 1714 01:04:43,635 --> 01:04:45,837 SPECIFIC AREAS OF RESEARCH, 1715 01:04:45,837 --> 01:04:49,540 THERE IS DEFINITELY -- IT'S 1716 01:04:49,540 --> 01:04:51,442 APPROPRIATE AND IMPORTANT, YOU 1717 01:04:51,442 --> 01:04:53,111 KNOW, TO TARGET SPECIFIC 1718 01:04:53,111 --> 01:04:56,614 POPULATIONS OF PEOPLE WHO ARE 1719 01:04:56,614 --> 01:04:57,815 DISPROPORTIONATELY AFFECTED, AND 1720 01:04:57,815 --> 01:05:01,619 ALSO, YOU KNOW, PEOPLE WHO HAVE 1721 01:05:01,619 --> 01:05:03,788 SOCIAL ECONOMIC DISPARITIES 1722 01:05:03,788 --> 01:05:07,392 ACROSS THE BOARD, AND SO THIS IS 1723 01:05:07,392 --> 01:05:08,793 WHERE WE'RE VERY EXCITED ABOUT 1724 01:05:08,793 --> 01:05:11,062 SOME OF THESE INITIATIVES, LIKE 1725 01:05:11,062 --> 01:05:12,397 THE COMPASS INITIATIVE THAT ARE 1726 01:05:12,397 --> 01:05:16,434 REALLY LOOKING AT THE SYSTEMIC 1727 01:05:16,434 --> 01:05:17,268 INITIATIVES -- I MEAN 1728 01:05:17,268 --> 01:05:17,702 INTERVENTIONS. 1729 01:05:17,702 --> 01:05:20,638 THIS IS PRETTY REVOLUTIONARY, 1730 01:05:20,638 --> 01:05:22,607 ACTUALLY, FOR NIH TO BE GOING 1731 01:05:22,607 --> 01:05:23,675 INTO. 1732 01:05:23,675 --> 01:05:25,643 SO WE'RE REALLY WATCHING THIS 1733 01:05:25,643 --> 01:05:27,178 VERY CAREFULLY, WE'RE 1734 01:05:27,178 --> 01:05:27,512 PARTICIPATING. 1735 01:05:27,512 --> 01:05:30,181 YOU KNOW, THE WHOLE AREA OF 1736 01:05:30,181 --> 01:05:32,383 SOCIAL DETERMINANTS OF HEALTH IS 1737 01:05:32,383 --> 01:05:38,723 SOMETHING THAT HAS BEEN REALLY 1738 01:05:38,723 --> 01:05:42,994 SO MUCH RISEN TO THE FRONT OF 1739 01:05:42,994 --> 01:05:43,594 AWARENESS. 1740 01:05:43,594 --> 01:05:45,229 BOTH FROM THE POINT OF VIEW OF 1741 01:05:45,229 --> 01:05:48,066 UNDERSTANDING THE FACTORS THAT 1742 01:05:48,066 --> 01:05:53,438 LEAD TO ILLNESSES AND HEALTH 1743 01:05:53,438 --> 01:05:56,874 PROBLEMS, BUT ALSO THE NEED TO 1744 01:05:56,874 --> 01:05:58,543 HAVE DEVELOPED INTERVENTIONS 1745 01:05:58,543 --> 01:06:01,713 THAT ARE SPECIFIC TO ADDRESS 1746 01:06:01,713 --> 01:06:03,448 THESE SOCIAL DETERMINANTS AND 1747 01:06:03,448 --> 01:06:05,249 SOME OF THEM CAN BE ADDRESSED AT 1748 01:06:05,249 --> 01:06:07,018 THE INDIVIDUAL LEVEL, YOU KNOW, 1749 01:06:07,018 --> 01:06:10,388 KIND OF IN TERMS OF INDIVIDUAL 1750 01:06:10,388 --> 01:06:11,456 INTERVENTIONS, FOR EXAMPLE, 1751 01:06:11,456 --> 01:06:12,757 MANAGING STRESS WOULD BE ONE. 1752 01:06:12,757 --> 01:06:14,726 BUT SOME OF THEM NEED TO BE AT 1753 01:06:14,726 --> 01:06:16,260 THE SYSTEMIC LEVEL, BECAUSE IF 1754 01:06:16,260 --> 01:06:18,529 SOMEBODY IS UNDER STRESS BECAUSE 1755 01:06:18,529 --> 01:06:24,035 THEY LIVE IN A VIOLENT, NOISY NY 1756 01:06:24,035 --> 01:06:25,703 NEIGHBORHOOD THAT HAS AIR 1757 01:06:25,703 --> 01:06:27,405 POLLUTION, THERE'S ONLY SO MUCH 1758 01:06:27,405 --> 01:06:29,941 OF MINDFULNESS, YOU KNOW, 1759 01:06:29,941 --> 01:06:30,908 MEDITATION IS NOT GOING TO FIX 1760 01:06:30,908 --> 01:06:31,576 THAT. 1761 01:06:31,576 --> 01:06:37,515 YOU KNOW, SO YOU REALLY NEED A 1762 01:06:37,515 --> 01:06:38,082 COMBINED APPROACH. 1763 01:06:38,082 --> 01:06:40,051 THIS IS WHERE WE'RE VERY EXCITED 1764 01:06:40,051 --> 01:06:42,320 ON OUR COLLABORATIONS WITH THE 1765 01:06:42,320 --> 01:06:43,054 NATIONAL INSTITUTE OF 1766 01:06:43,054 --> 01:06:43,955 ENVIRONMENTAL HEALTH SCIENCES, 1767 01:06:43,955 --> 01:06:51,696 THAT THERE REALLY HAVE BEEN 1768 01:06:51,696 --> 01:06:52,597 ADVOCATING UNDERSTANDING THE 1769 01:06:52,597 --> 01:06:53,765 CONCEPT OF THE EXPOSOME, WHICH 1770 01:06:53,765 --> 01:06:55,366 IS THE TOTALITY OF THE EXPOSURES 1771 01:06:55,366 --> 01:06:59,537 THAT SOMEBODY IS -- OVER THEIR 1772 01:06:59,537 --> 01:07:00,471 LIFETIME, INCLUDING 1773 01:07:00,471 --> 01:07:01,572 ENVIRONMENTAL EXPOSURES, 1774 01:07:01,572 --> 01:07:04,942 INCLUDING CHRONIC STRESS, AND 1775 01:07:04,942 --> 01:07:06,711 INCLUDING SORT OF MORE PHYSICAL 1776 01:07:06,711 --> 01:07:08,946 AND CHEMICAL EXPOSURES. 1777 01:07:08,946 --> 01:07:11,048 SO I THINK MORE TO COME HERE. 1778 01:07:11,048 --> 01:07:12,683 I THINK THIS IS AN AREA WHERE 1779 01:07:12,683 --> 01:07:15,920 WE'RE GOING TO BE VERY MUCH 1780 01:07:15,920 --> 01:07:18,723 BENEFITING FROM PARTNERSHIPS 1781 01:07:18,723 --> 01:07:20,591 WITH THE OTHER INSTITUTES AND 1782 01:07:20,591 --> 01:07:21,259 CENTERS AT NIH. 1783 01:07:21,259 --> 01:07:22,360 BECAUSE WE CAN'T DO EVERYTHING. 1784 01:07:22,360 --> 01:07:24,996 BUT WE HAVE TO BE -- BUT WE CAN 1785 01:07:24,996 --> 01:07:26,531 INFLUENCE WHAT PEOPLE DO, YOU 1786 01:07:26,531 --> 01:07:27,598 KNOW, BY THE KINDS OF QUESTIONS 1787 01:07:27,598 --> 01:07:28,666 THAT WE ASK. 1788 01:07:28,666 --> 01:07:31,302 AND I SHOULD ADD, ONE OF THE 1789 01:07:31,302 --> 01:07:33,504 AREAS WHERE NCCIH HAS HAD AN 1790 01:07:33,504 --> 01:07:37,475 IMPACT IS TO REALLY EMPHASIZE 1791 01:07:37,475 --> 01:07:38,810 THE POSITIVE ASPECTS OF WHAT WE 1792 01:07:38,810 --> 01:07:41,512 CAN DO TO MITIGATE SOME OF THE 1793 01:07:41,512 --> 01:07:45,650 ENVIRONMENTAL STRESSORS AND 1794 01:07:45,650 --> 01:07:49,187 PROMOTE RESOLUTION OF STRESS AS 1795 01:07:49,187 --> 01:07:51,088 WELL AS RESILIENCE. 1796 01:07:51,088 --> 01:07:51,989 SO, BEN. 1797 01:07:51,989 --> 01:07:53,291 >> YES. 1798 01:07:53,291 --> 01:07:58,596 HI, HELENE, THANK YOU. 1799 01:07:58,596 --> 01:07:59,931 AS USUAL I WANT TO THANK YOU FOR 1800 01:07:59,931 --> 01:08:01,232 TAKING NCCIH INTO THIS MORE 1801 01:08:01,232 --> 01:08:03,768 WHOLE PERSON SPACE WHERE YOU'RE 1802 01:08:03,768 --> 01:08:05,136 INCLUDING BOTH THE CONCEPT OF 1803 01:08:05,136 --> 01:08:06,103 WHOLE PERSON HEALTH AND THE 1804 01:08:06,103 --> 01:08:07,638 IMPACT OF SOCIAL DETERMINANTS OF 1805 01:08:07,638 --> 01:08:07,972 HEALTH. 1806 01:08:07,972 --> 01:08:10,708 AND WHAT I JUST WANTED TO SHARE 1807 01:08:10,708 --> 01:08:14,745 IS THAT -- FOR PEOPLE WHO DON'T 1808 01:08:14,745 --> 01:08:17,148 KNOW, I'M AT THE VETERANS HEALTH 1809 01:08:17,148 --> 01:08:17,515 ADMINISTRATION. 1810 01:08:17,515 --> 01:08:18,783 THERE'S REALLY A TREND ACROSS 1811 01:08:18,783 --> 01:08:20,518 GOVERNMENT WHICH I KNOW YOU'RE 1812 01:08:20,518 --> 01:08:22,019 AWARE OF BUT PERHAPS NOT 1813 01:08:22,019 --> 01:08:23,454 EVERYBODY IS TO START THINKING 1814 01:08:23,454 --> 01:08:24,522 ABOUT HEALTH AND OUR 1815 01:08:24,522 --> 01:08:27,792 RESPONSIBILITY FOR HEALTH AS 1816 01:08:27,792 --> 01:08:29,660 BIGGER THAN JUST THE WAY WE 1817 01:08:29,660 --> 01:08:30,862 TRADITIONALLY HAVE, WHETHER 1818 01:08:30,862 --> 01:08:32,163 THAT'S PHYSICAL HEALTH, MENTAL 1819 01:08:32,163 --> 01:08:35,366 HEALTH, BUT THINKING ABOUT IT IN 1820 01:08:35,366 --> 01:08:40,771 A MORE KIND OF GLOBAL COMMUNITY 1821 01:08:40,771 --> 01:08:41,739 KIND OF SOCIAL FRAMEWORK. 1822 01:08:41,739 --> 01:08:44,442 SO THERE'S A WORKING GROUP 1823 01:08:44,442 --> 01:08:46,511 THAT'S BEING LED BY HEALTHY 1824 01:08:46,511 --> 01:08:48,579 PEOPLE 2030 OR THAT'S KIND OF 1825 01:08:48,579 --> 01:08:51,849 LAUNCHING, WHICH IS PART OF HHS, 1826 01:08:51,849 --> 01:08:53,384 TO REALLY TALK THROUGH FURTHER 1827 01:08:53,384 --> 01:08:56,554 HOW OUR SYSTEMS FOR EXAMINING 1828 01:08:56,554 --> 01:08:57,488 THESE THINGS ACROSS THE 1829 01:08:57,488 --> 01:08:59,457 DIFFERENT FEDERAL AGENCIES, 1830 01:08:59,457 --> 01:09:04,595 WHETHER IT'S HHS, CDC, CMS, 1831 01:09:04,595 --> 01:09:07,532 WHEREVER IT MIGHT BE, V.A., HOW 1832 01:09:07,532 --> 01:09:09,767 WE CAN BE MORE COHERENT IN THE 1833 01:09:09,767 --> 01:09:12,203 WAY WE DESCRIBE THE END POINTS 1834 01:09:12,203 --> 01:09:13,504 AND THE SORT OF ASPECTS OF WHOLE 1835 01:09:13,504 --> 01:09:14,605 PERSON HEALTH THAT WE'RE LOOKING 1836 01:09:14,605 --> 01:09:14,839 FOR. 1837 01:09:14,839 --> 01:09:16,107 AND I THINK YOU'VE BEEN INVITED 1838 01:09:16,107 --> 01:09:17,875 AND IF YOU HAVEN'T, I'M HEREBY 1839 01:09:17,875 --> 01:09:18,276 INVITING YOU. 1840 01:09:18,276 --> 01:09:19,377 IT'S JUST KIND OF GETTING OFF 1841 01:09:19,377 --> 01:09:23,614 THE GROUND, BUT I THINK -- THE 1842 01:09:23,614 --> 01:09:24,715 REAP I WANTED TO SAY THAT IS I 1843 01:09:24,715 --> 01:09:26,150 THINK THE IMPACT THAT YOU'RE 1844 01:09:26,150 --> 01:09:28,619 HAVING IN THESE COLLABORATIONS 1845 01:09:28,619 --> 01:09:31,022 AT NIH, PARTICULARLY AROUND WHAT 1846 01:09:31,022 --> 01:09:32,356 KINDS OF APPROACHES CAN MITIGATE 1847 01:09:32,356 --> 01:09:36,360 SOME OF THESE DIFFICULT 1848 01:09:36,360 --> 01:09:37,562 DETERMINANTS OF HEALTH, 1849 01:09:37,562 --> 01:09:40,097 ULTIMATELY THAT CAN REALLY ECHO 1850 01:09:40,097 --> 01:09:41,399 OUT ACROSS SOME OTHER GOVERNMENT 1851 01:09:41,399 --> 01:09:42,533 AGENCIES THAT ARE RESPONSIBLE 1852 01:09:42,533 --> 01:09:44,535 FOR A LOT OF IMPLEMENTATION 1853 01:09:44,535 --> 01:09:46,270 AROUND HEALTHCARE, WHETHER IT'S 1854 01:09:46,270 --> 01:09:47,605 HRSA OR WHOEVER ELSE IT MIGHT 1855 01:09:47,605 --> 01:09:50,408 BE, AND SO IT'S VERY EXCITING TO 1856 01:09:50,408 --> 01:09:52,910 SEE THE RESEARCH MOVING FORWARD 1857 01:09:52,910 --> 01:09:56,414 KIND OF REALLY IN PARALLEL BUT 1858 01:09:56,414 --> 01:09:58,583 ALSO IN SUPPORT OF THIS WHAT I 1859 01:09:58,583 --> 01:09:59,884 REALLY SEE AS A BIGGER TREND IN 1860 01:09:59,884 --> 01:10:01,519 HOW WE'RE LOOKING AT HEALTH. 1861 01:10:01,519 --> 01:10:03,788 SO I JUST -- AS USUAL, I THINK I 1862 01:10:03,788 --> 01:10:05,656 HAVE TO THANK YOU FOR THIS EVERY 1863 01:10:05,656 --> 01:10:07,625 SINGLE COUNCIL SESSION, BUT I'M 1864 01:10:07,625 --> 01:10:11,963 EXCITED TO SEE WHAT THAT GROUP, 1865 01:10:11,963 --> 01:10:13,297 WHAT HHS AND HEALTHY PEOPLE, 1866 01:10:13,297 --> 01:10:14,599 WHAT WE CAN ALL LEARN FROM THIS 1867 01:10:14,599 --> 01:10:15,666 NEW STUFF THAT'S HAPPENING. 1868 01:10:15,666 --> 01:10:16,000 IT'S GREAT. 1869 01:10:16,000 --> 01:10:16,867 THANK YOU. 1870 01:10:16,867 --> 01:10:18,069 >> WELL, THANK YOU, BEN. 1871 01:10:18,069 --> 01:10:20,871 YOU KNOW, I'VE BEEN REFLECTING A 1872 01:10:20,871 --> 01:10:23,040 LOT ON ALL OF THIS, AND I KNOW 1873 01:10:23,040 --> 01:10:25,242 WHAT PARTICULARLY I'M EXCITED 1874 01:10:25,242 --> 01:10:28,312 ABOUT IS THAT A LOT OF THE WORLD 1875 01:10:28,312 --> 01:10:30,648 HEALTH IS BEING USED A LOT AND 1876 01:10:30,648 --> 01:10:34,085 HAS BEEN USED A LOT, BUT NOT 1877 01:10:34,085 --> 01:10:36,187 ALWAYS TO REALLY MEAN HEALTH. 1878 01:10:36,187 --> 01:10:39,223 AND I THINK INCREASINGLY, IT IS. 1879 01:10:39,223 --> 01:10:42,426 YOU KNOW, I ALWAYS JOKE THAT THE 1880 01:10:42,426 --> 01:10:46,263 NATIONAL INSTITUTES OF HEALTH IS 1881 01:10:46,263 --> 01:10:46,897 INCREASINGLY INTERESTED IN 1882 01:10:46,897 --> 01:10:47,999 HEALTH BUT, YOU KNOW, IT'S AN 1883 01:10:47,999 --> 01:10:49,533 EFFORT TO PULL AWAY FROM REALLY 1884 01:10:49,533 --> 01:10:51,702 LOOKING AT DISEASES. 1885 01:10:51,702 --> 01:10:52,670 NOT THAT DISEASES ARE NOT 1886 01:10:52,670 --> 01:10:52,937 IMPORTANT. 1887 01:10:52,937 --> 01:10:53,638 THEY ARE. 1888 01:10:53,638 --> 01:10:54,872 BUT WE NEED TO UNDERSTAND HEALTH 1889 01:10:54,872 --> 01:10:56,240 AS WELL. 1890 01:10:56,240 --> 01:10:57,908 AND WE NEED MORE EFFORTS TO DO 1891 01:10:57,908 --> 01:11:00,277 THAT, AND I THINK THAT A LOT OF 1892 01:11:00,277 --> 01:11:02,446 THESE, LIKE THE HEALTHY PEOPLE 1893 01:11:02,446 --> 01:11:05,082 INITIATIVE AND I THINK THAT A 1894 01:11:05,082 --> 01:11:07,485 LOT OF THESE INITIATIVES THAT 1895 01:11:07,485 --> 01:11:08,919 ARE ACROSS GOVERNMENT, THEY 1896 01:11:08,919 --> 01:11:13,024 REALLY TAKE HEALTH SERIOUSLY. 1897 01:11:13,024 --> 01:11:14,458 AND SO I THINK THIS IS A VERY 1898 01:11:14,458 --> 01:11:17,061 GOOD SIGN. 1899 01:11:17,061 --> 01:11:19,030 SO THANK YOU. 1900 01:11:19,030 --> 01:11:23,401 FOR MENTIONING THAT. 1901 01:11:23,401 --> 01:11:23,601 HELEN. 1902 01:11:23,601 --> 01:11:24,935 >> SORRY, I COULDN'T FIND THE 1903 01:11:24,935 --> 01:11:27,772 HAND BUT I HAVE -- 1904 01:11:27,772 --> 01:11:29,740 >> THAT HAND WORKS TOO. 1905 01:11:29,740 --> 01:11:32,109 >> SO YOU KNOW, YES, I'M ALSO 1906 01:11:32,109 --> 01:11:34,211 EXCITED ABOUT THE WHOLE THING OF 1907 01:11:34,211 --> 01:11:36,147 WHOLE PERSON HEALTH, AND THIS 1908 01:11:36,147 --> 01:11:38,849 BECOMING A MOVEMENT THAT PEOPLE 1909 01:11:38,849 --> 01:11:41,819 FOLLOW, AND THE FACT THAT NCCIH 1910 01:11:41,819 --> 01:11:43,554 CAN LEAD IN THAT EFFORT. 1911 01:11:43,554 --> 01:11:46,924 I'M A PART OF THE WHOLE BRAIN 1912 01:11:46,924 --> 01:11:49,226 HEALTH MOVEMENT, AND IT'S A 1913 01:11:49,226 --> 01:11:50,661 SNOWBALL ROLLING, YOU KNOW, ALL 1914 01:11:50,661 --> 01:11:52,830 THE ORGANIZATIONS ARE SIGNING ON 1915 01:11:52,830 --> 01:11:55,533 THAT NEVER WANTED TO WORK WITH 1916 01:11:55,533 --> 01:11:58,502 EACH OTHER ACTUALLY. 1917 01:11:58,502 --> 01:11:59,870 AMERICAN ACADEMY OF NEUROLOGY, 1918 01:11:59,870 --> 01:12:01,305 AMERICAN HEART ASSOCIATION, 1919 01:12:01,305 --> 01:12:03,374 AARP, YOU KNOW, SO ALL OF A 1920 01:12:03,374 --> 01:12:07,111 SUDDEN, THERE'S THIS 1921 01:12:07,111 --> 01:12:08,045 OPPORTUNITY, AND WORLD HEALTH 1922 01:12:08,045 --> 01:12:10,715 ORGANIZATION ACTUALLY PROVIDES 1923 01:12:10,715 --> 01:12:14,051 THE KEY DOCUMENTS TO SUPPORT IT 1924 01:12:14,051 --> 01:12:15,586 ON BRAIN HEALTH AND GLOBAL 1925 01:12:15,586 --> 01:12:17,988 AGING, AND I THINK THE 1926 01:12:17,988 --> 01:12:19,657 GOVERNMENT ALSO, THROUGH MY WORK 1927 01:12:19,657 --> 01:12:22,593 THROUGH OTHER WORLD PSYCHIATRIC 1928 01:12:22,593 --> 01:12:26,197 ASSOCIATION, THERE'S A PUSH ON 1929 01:12:26,197 --> 01:12:27,965 ADVOCACY, AND PERCEIVING HEALTH 1930 01:12:27,965 --> 01:12:29,333 AS A HUMAN RIGHT. 1931 01:12:29,333 --> 01:12:30,868 AND SO WE'RE GOING TO BE -- WE 1932 01:12:30,868 --> 01:12:33,938 HAVE BEEN PUBLISHING AND WILL BE 1933 01:12:33,938 --> 01:12:35,439 PUBLISHING MORE DOCUMENTS AND 1934 01:12:35,439 --> 01:12:37,641 PAPERS AND WORKING WITH 1935 01:12:37,641 --> 01:12:43,748 LEGISLATURES AND GOVERNMENTS ON 1936 01:12:43,748 --> 01:12:45,049 HEALTH AS A HUMAN RIGHT. 1937 01:12:45,049 --> 01:12:46,784 THAT GETS A LOT OF TRACTION WITH 1938 01:12:46,784 --> 01:12:47,785 CONSUMER ORGANIZATIONS AND ALL 1939 01:12:47,785 --> 01:12:51,288 SORTS OF STAKEHOLDERS. 1940 01:12:51,288 --> 01:12:52,389 SO JUST TO -- 1941 01:12:52,389 --> 01:12:54,291 >> I WOULD BE VERY -- WOULD LOVE 1942 01:12:54,291 --> 01:12:56,827 IF YOU COULD SEND THE 1943 01:12:56,827 --> 01:12:57,695 COORDINATORS FOR THIS WHOLE 1944 01:12:57,695 --> 01:12:59,964 BRAIN HEALTH. 1945 01:12:59,964 --> 01:13:01,298 CAN YOU SEND -- 1946 01:13:01,298 --> 01:13:07,171 >> OH, YES, WE'VE HAD SEVERAL 1947 01:13:07,171 --> 01:13:08,706 SUMMITS. 1948 01:13:08,706 --> 01:13:09,273 THE AMERICAN ASSOCIATION OF 1949 01:13:09,273 --> 01:13:10,441 NEUROLOGY HAD TWO SUMMITS NOW 1950 01:13:10,441 --> 01:13:11,909 AND THEY'RE WORKING WITH TWO 1951 01:13:11,909 --> 01:13:13,511 CONGRESSMEN ON THIS, AND THEY 1952 01:13:13,511 --> 01:13:16,981 ACTUALLY LABELED SEPTEMBER 15TH 1953 01:13:16,981 --> 01:13:19,917 OF 2022 AS BRAIN HEALTH DAY. 1954 01:13:19,917 --> 01:13:21,685 AND WE JUST HAD -- I'M THE 1955 01:13:21,685 --> 01:13:23,087 PRESIDENT OF THE AMERICAN 1956 01:13:23,087 --> 01:13:24,822 ASSOCIATION FOR GERIATRIC 1957 01:13:24,822 --> 01:13:26,257 PSYCHIATRY, WE HAD A POSITION 1958 01:13:26,257 --> 01:13:27,458 PAPER WITH MULTIPLE 1959 01:13:27,458 --> 01:13:31,162 ORGANIZATIONS SIGNED ON 1960 01:13:31,162 --> 01:13:32,029 PUBLISHED, AND A BRAIN HEALTH 1961 01:13:32,029 --> 01:13:33,864 SUMMIT OF OUR OWN MAKING, BUT 1962 01:13:33,864 --> 01:13:37,268 THIS IS, AGAIN, IT'S A GLOBAL 1963 01:13:37,268 --> 01:13:38,803 INITIATIVE. 1964 01:13:38,803 --> 01:13:40,237 AND THE ALZHEIMER'S ASSOCIATION, 1965 01:13:40,237 --> 01:13:42,940 FOR INSTANCE, HAS THIS -- SO 1966 01:13:42,940 --> 01:13:45,910 IT'S A NOW KNOWN KNOWLEDGE IN 1967 01:13:45,910 --> 01:13:47,545 ORDER TO PREVENT ALZHEIMER'S 1968 01:13:47,545 --> 01:13:49,280 DISEASE, 40% OF ALZHEIMER'S 1969 01:13:49,280 --> 01:13:50,815 DISEASE IS DUE TO LIFESTYLE 1970 01:13:50,815 --> 01:13:51,148 FACTORS. 1971 01:13:51,148 --> 01:13:52,883 AND THAT'S A BIG TRAIN NOW 1972 01:13:52,883 --> 01:13:54,084 MOVING, YOU KNOW, WE'RE ALL 1973 01:13:54,084 --> 01:13:57,721 MOVING ON LIFESTYLE FACTORS. 1974 01:13:57,721 --> 01:13:59,557 DRUG COMPANIES NOW TALK BRAIN 1975 01:13:59,557 --> 01:14:03,494 HEALTH, WHICH IS UNHEARD. 1976 01:14:03,494 --> 01:14:05,229 AND THEY HAVE SUMMITS AND ALL 1977 01:14:05,229 --> 01:14:06,330 SORTS OF STAKEHOLDER MEETINGS ON 1978 01:14:06,330 --> 01:14:06,864 THIS ISSUE. 1979 01:14:06,864 --> 01:14:09,033 SO I THINK IT'S A MOMENTUM THAT 1980 01:14:09,033 --> 01:14:12,736 WE ALL HAVE TO WORK WITH, YOU 1981 01:14:12,736 --> 01:14:12,970 KNOW? 1982 01:14:12,970 --> 01:14:13,838 >> THAT'S GREAT. 1983 01:14:13,838 --> 01:14:15,039 THEN WE HAVE TO CONNECT THE 1984 01:14:15,039 --> 01:14:16,140 BRAIN HEALTH WITH THE STOMACH 1985 01:14:16,140 --> 01:14:17,107 HEALTH AND THE FOOT HEALTH 1986 01:14:17,107 --> 01:14:17,308 AND -- 1987 01:14:17,308 --> 01:14:20,277 >> O IT'S WHOLE PERSON HEALTH, 1988 01:14:20,277 --> 01:14:20,511 YES. 1989 01:14:20,511 --> 01:14:23,113 >> THANK YOU. 1990 01:14:23,113 --> 01:14:23,314 WOLF. 1991 01:14:23,314 --> 01:14:26,951 >> I JUST HAVE A TERMINOLOGY 1992 01:14:26,951 --> 01:14:27,585 QUESTION. 1993 01:14:27,585 --> 01:14:29,553 I HEAR BOTH, WHOLE HEALTH AND 1994 01:14:29,553 --> 01:14:30,354 WHOLE PERSON HEALTH. 1995 01:14:30,354 --> 01:14:31,155 >> OH. 1996 01:14:31,155 --> 01:14:33,958 >> ARE THEY THE SAME? 1997 01:14:33,958 --> 01:14:37,728 >> AH, YOU REALLY KIND OF ASKED 1998 01:14:37,728 --> 01:14:39,129 A MILLION DOLLAR QUESTION HERE. 1999 01:14:39,129 --> 01:14:41,699 SO WHOLE HEALTH, RIGHT, IS 2000 01:14:41,699 --> 01:14:45,069 ALREADY A TERM THAT HAS BEEN -- 2001 01:14:45,069 --> 01:14:46,604 I DON'T WANT TO SAY THE WORD 2002 01:14:46,604 --> 01:14:48,639 BRANDED BUT IT'S USED A LOT AND 2003 01:14:48,639 --> 01:14:49,807 THE V.A. HAS BEEN USING THAT 2004 01:14:49,807 --> 01:14:52,142 TERM QUITE A BIT. 2005 01:14:52,142 --> 01:14:53,811 FOR THEIR 2006 01:14:53,811 --> 01:14:57,047 APPROACH TO HEALTHCARE. 2007 01:14:57,047 --> 01:14:59,116 AT THE NIH, WHEN WE STARTED 2008 01:14:59,116 --> 01:15:00,451 DOING OUR PREVIOUS STRATEGIC 2009 01:15:00,451 --> 01:15:02,720 PLAN, WE THOUGHT A LOT ABOUT 2010 01:15:02,720 --> 01:15:05,789 THIS FIVE YEARS AGO. 2011 01:15:05,789 --> 01:15:07,858 THE REASON WHY WE DECIDED TO PUT 2012 01:15:07,858 --> 01:15:09,727 THE WORD "PERSON" IN THERE IS IT 2013 01:15:09,727 --> 01:15:12,329 HAD TO DO WITH A FEW THINGS. 2014 01:15:12,329 --> 01:15:17,468 ONE IS THAT -- SO THE WHOLE 2015 01:15:17,468 --> 01:15:18,569 PERSON HEALTH HAS TWO 2016 01:15:18,569 --> 01:15:18,869 COMPONENTS. 2017 01:15:18,869 --> 01:15:20,704 IT HAS A WHOLE PERSON COMPONENT, 2018 01:15:20,704 --> 01:15:22,573 AND IT HAS THE HEALTH COMPONENT. 2019 01:15:22,573 --> 01:15:25,109 AND I SEE THEM AS ORTHOGONAL, SO 2020 01:15:25,109 --> 01:15:27,444 THE WHOLE PERSON COMPONENT MEANS 2021 01:15:27,444 --> 01:15:29,346 INTEGRATION ACROSS THE PERSON. 2022 01:15:29,346 --> 01:15:31,282 BECAUSE AT NIH, AND A LOT OF 2023 01:15:31,282 --> 01:15:32,549 PLACES IN SCIENCE, WHATEVER, 2024 01:15:32,549 --> 01:15:34,018 THERE'S A TENDENCY TO BREAK UP 2025 01:15:34,018 --> 01:15:35,653 THE PERSON INTO PARTS. 2026 01:15:35,653 --> 01:15:37,721 RIGHT? 2027 01:15:37,721 --> 01:15:40,424 SO YOU KNOW, ALL THE DIFFERENT 2028 01:15:40,424 --> 01:15:43,360 OORGANS, SYSTEMS AND PARTS OF TE 2029 01:15:43,360 --> 01:15:43,594 BODY. 2030 01:15:43,594 --> 01:15:44,929 SO THE WORD PERSON WAS IMPORTANT 2031 01:15:44,929 --> 01:15:45,796 THERE, BECAUSE IT MEANT THAT, 2032 01:15:45,796 --> 01:15:47,865 YOU KNOW, WE REALLY WANT TO MAKE 2033 01:15:47,865 --> 01:15:49,333 AN EFFORT TO INTEGRATE ACROSS 2034 01:15:49,333 --> 01:15:53,170 ALL OF THIS, AS WELL AS THE 2035 01:15:53,170 --> 01:15:54,505 BIOLOGICAL BEHAVIORAL SOCIAL AND 2036 01:15:54,505 --> 01:15:56,340 ENVIRONMENTAL ASPECTS OF THE 2037 01:15:56,340 --> 01:15:56,774 PERSON. 2038 01:15:56,774 --> 01:15:58,876 AND THEN THE HEALTH COMPONENT 2039 01:15:58,876 --> 01:16:01,812 HAS TO DO WITH THE BIDIRECTIONAL 2040 01:16:01,812 --> 01:16:04,982 HEALTH CONTINUUM GOING FROM 2041 01:16:04,982 --> 01:16:06,083 HEALTH TOWARDS AND BACK AND 2042 01:16:06,083 --> 01:16:07,384 HEALTH BETWEEN HEALTH AND LESS 2043 01:16:07,384 --> 01:16:11,956 HEALTH, RIGHT? 2044 01:16:11,956 --> 01:16:13,390 THIS IS HOW WE DEFINE IT. 2045 01:16:13,390 --> 01:16:15,693 THIS IS WHAT NCCIH DEFINES WHOLE 2046 01:16:15,693 --> 01:16:16,660 PERSON HEALTH THAT WAY. 2047 01:16:16,660 --> 01:16:19,797 IT'S NOT -- OTHER PEOPLE MIGHT 2048 01:16:19,797 --> 01:16:21,131 USE IT -- BUT FOR US THAT WAS 2049 01:16:21,131 --> 01:16:22,099 IMPORTANT. 2050 01:16:22,099 --> 01:16:24,301 WE RECOGNIZE, HOWEVER, THAT HOW 2051 01:16:24,301 --> 01:16:26,170 WE VIEW WHOLE PERSON HEALTH IS 2052 01:16:26,170 --> 01:16:32,276 ENTIRELY RELEVANT TO THE VA'S 2053 01:16:32,276 --> 01:16:33,644 DEFINITION OF WHOLE HEALTHCARE, 2054 01:16:33,644 --> 01:16:36,080 RIGHT? 2055 01:16:36,080 --> 01:16:38,382 SO WHOLE HEALTH, WHOLE PERSON 2056 01:16:38,382 --> 01:16:39,683 HEALTH, THERE'S NOT A HUGE 2057 01:16:39,683 --> 01:16:40,784 DIFFERENCE, BUT AS FAR AS FOR 2058 01:16:40,784 --> 01:16:42,186 RESEARCH, OUR RESEARCH 2059 01:16:42,186 --> 01:16:42,953 OPERATIONAL DEFINITION, WE 2060 01:16:42,953 --> 01:16:43,654 THOUGHT IT WAS IMPORTANT TO HAVE 2061 01:16:43,654 --> 01:16:45,022 A PERSON IN THERE. 2062 01:16:45,022 --> 01:16:47,891 >> THANKS FOR THE CLARIFICATION. 2063 01:16:47,891 --> 01:16:49,593 >> IT IS A TRICKY QUESTION, AND 2064 01:16:49,593 --> 01:16:52,529 WE'VE SPENT A LOT OF TIME 2065 01:16:52,529 --> 01:16:54,064 TALKING ABOUT THIS, DISCUSSING 2066 01:16:54,064 --> 01:16:54,398 IT, ET CETERA. 2067 01:16:54,398 --> 01:16:58,435 >> THANK YOU. 2068 01:16:58,435 --> 01:17:00,704 >> THANK YOU, HELEN, FOR PUTTING 2069 01:17:00,704 --> 01:17:04,008 THAT IN THE CHAT. 2070 01:17:04,008 --> 01:17:06,276 COOL. 2071 01:17:06,276 --> 01:17:08,379 ANY OTHER THOUGHT OR COMMENT? 2072 01:17:08,379 --> 01:17:11,715 I SPECIFICALLY WOULD LIKE TO ASK 2073 01:17:11,715 --> 01:17:16,220 COUNCILMEMBERS ABOUT FEEDBACK ON 2074 01:17:16,220 --> 01:17:21,558 THE DISPLAY, USING THE DIFFERENT 2075 01:17:21,558 --> 01:17:23,527 CATEGORIES AND HOW TO ORGANIZE. 2076 01:17:23,527 --> 01:17:29,133 WAS THAT HELPFUL? 2077 01:17:29,133 --> 01:17:30,868 >> IT SEEMED EFFECTIVE. 2078 01:17:30,868 --> 01:17:33,470 >> BETTER? 2079 01:17:33,470 --> 01:17:35,305 IT WASN'T QUITE SO BEWILDERING 2080 01:17:35,305 --> 01:17:37,508 TO SEE ALL THIS LITANY OF 2081 01:17:37,508 --> 01:17:41,211 FUNDING OPPORTUNITIES AND EVENTS 2082 01:17:41,211 --> 01:17:42,980 AND -- GOOD. 2083 01:17:42,980 --> 01:17:44,615 GOOD. 2084 01:17:44,615 --> 01:17:45,482 BECAUSE HERE'S WHAT HAPPENED, 2085 01:17:45,482 --> 01:17:45,916 RIGHT? 2086 01:17:45,916 --> 01:17:47,217 WE WERE KIND OF THE VICTIMS OF 2087 01:17:47,217 --> 01:17:50,287 OUR OWN SUCCESS, YOU KNOW? 2088 01:17:50,287 --> 01:17:53,791 OVER THE PAST FIVE YEARS, AS WE 2089 01:17:53,791 --> 01:17:55,192 WERE JUST -- WE'D KEEP DOING 2090 01:17:55,192 --> 01:17:57,161 MORE AND MORE THINGS, AND IN MY 2091 01:17:57,161 --> 01:17:58,262 DIRECTOR'S REPORTS, I KEPT 2092 01:17:58,262 --> 01:17:59,563 HAVING MORE AND MORE -- WE WERE 2093 01:17:59,563 --> 01:18:00,664 COLLECTING ALL OF THESE PAST 2094 01:18:00,664 --> 01:18:02,166 EVENTS AND FUTURE EVENTS AND 2095 01:18:02,166 --> 01:18:03,700 FUNDING OPPORTUNITIES, AND IT 2096 01:18:03,700 --> 01:18:06,437 WAS STARTING TO BECOME 2097 01:18:06,437 --> 01:18:09,073 OVERWHELMING. 2098 01:18:09,073 --> 01:18:13,110 AND I WAS ACTUALLY CONCERNED 2099 01:18:13,110 --> 01:18:14,845 THAT THERE WAS -- IT WAS NOT 2100 01:18:14,845 --> 01:18:17,347 SENDING RIGHT MESSAGE, THAT IN 2101 01:18:17,347 --> 01:18:19,750 FACT WE WERE SCATTERING 2102 01:18:19,750 --> 01:18:21,618 OURSELVES, AND NOT REALLY 2103 01:18:21,618 --> 01:18:23,687 FOCUSING, WHICH WAS NOT THE 2104 01:18:23,687 --> 01:18:25,656 CASE, REALLY, BUT IT LOOKED THAT 2105 01:18:25,656 --> 01:18:28,058 WAY. 2106 01:18:28,058 --> 01:18:34,164 SO I THINK THAT HOPEFULLY GOING 2107 01:18:34,164 --> 01:18:35,899 FORWARD, WE WILL BE ABLE TO USE 2108 01:18:35,899 --> 01:18:39,069 THIS FORMAT TO SHOW YOU THE 2109 01:18:39,069 --> 01:18:42,473 AREAS OF SCIENCE WHERE WE ARE 2110 01:18:42,473 --> 01:18:44,108 GROWING, AND, YOU KNOW, AREAS OF 2111 01:18:44,108 --> 01:18:48,679 SCIENCE THAT WE MAY WANT TO 2112 01:18:48,679 --> 01:18:49,913 CONSOLIDATE, AND MAYBE NEW AREAS 2113 01:18:49,913 --> 01:18:52,049 THAT WE WANT TO DEVELOP. 2114 01:18:52,049 --> 01:18:57,221 BUT WE THINK THAT -- SO 2115 01:18:57,221 --> 01:18:59,289 GENERALLY PEOPLE THOUGHT IT WAS 2116 01:18:59,289 --> 01:18:59,623 HELPFUL? 2117 01:18:59,623 --> 01:19:00,824 GOOD. 2118 01:19:00,824 --> 01:19:02,392 ALL RIGHT. 2119 01:19:02,392 --> 01:19:05,395 SO IF THERE ARE NO FURTHER 2120 01:19:05,395 --> 01:19:07,264 COMMENTS, WE'RE A FEW MINUTES 2121 01:19:07,264 --> 01:19:09,233 EARLY. 2122 01:19:09,233 --> 01:19:09,700 MARTINA? 2123 01:19:09,700 --> 01:19:11,535 >> LET'S JUST GO AHEAD. 2124 01:19:11,535 --> 01:19:14,471 I MEAN, IF WE END A LITTLE BIT 2125 01:19:14,471 --> 01:19:16,006 EARLIER WITH THE -- 2126 01:19:16,006 --> 01:19:18,275 >> EXCEPT WE HAVE OUR GUEST 2127 01:19:18,275 --> 01:19:18,542 SPEAKER -- 2128 01:19:18,542 --> 01:19:20,077 >> YES, AND WE ALREADY CONTACTED 2129 01:19:20,077 --> 01:19:20,477 HER. 2130 01:19:20,477 --> 01:19:22,412 SO SHE IS AWARE THAT WE'RE A 2131 01:19:22,412 --> 01:19:24,882 LITTLE BIT AHEAD OF SCHEDULE. 2132 01:19:24,882 --> 01:19:25,916 >> IS THAT GOING TO WORK? 2133 01:19:25,916 --> 01:19:27,117 >> BUT ACTUALLY WE ALSO HAVE 2134 01:19:27,117 --> 01:19:29,520 ONLY A 5-MINUTE BREAK SCHEDULED, 2135 01:19:29,520 --> 01:19:31,889 SO I THINK -- SO PEOPLE -- 2136 01:19:31,889 --> 01:19:34,791 >> PERFECT. 2137 01:19:34,791 --> 01:19:36,293 >> PEOPLE WILL PROBABLY BE 2138 01:19:36,293 --> 01:19:36,493 HAPPY. 2139 01:19:36,493 --> 01:19:38,795 >> SO WE'LL START ON TIME THEN. 2140 01:19:38,795 --> 01:19:39,997 NICE. 2141 01:19:39,997 --> 01:19:40,197 OKAY. 2142 01:19:40,197 --> 01:19:43,600 THANK YOU, EVERYONE. 2143 01:19:43,600 --> 01:19:44,468 FOR YOUR FEEDBACK AND 2144 01:19:44,468 --> 01:19:44,768 EVERYTHING. 2145 01:19:44,768 --> 01:19:54,945 ALL RIGHT. 2146 01:20:04,821 --> 01:20:08,959 >> THE RECOGNITION SECTION 2147 01:20:08,959 --> 01:20:17,768 BEFORE -- 2148 01:20:17,768 --> 01:20:28,045 [SPEAKER MUTED] 2149 01:20:45,729 --> 01:20:47,464 -- THE COUNCILMEMBERS -- 2150 01:20:47,464 --> 01:20:49,600 >> THEN HAVE THE BREAK BEFORE WE 2151 01:20:49,600 --> 01:20:51,802 START WITH THE PRESENTATIONS. 2152 01:20:51,802 --> 01:20:52,869 >> I THINK A FEW PEOPLE MIGHT 2153 01:20:52,869 --> 01:20:53,303 HAVE LEFT. 2154 01:20:53,303 --> 01:20:54,605 DO YOU THINK SOME PEOPLE LEFT 2155 01:20:54,605 --> 01:20:55,739 ALREADY? 2156 01:20:55,739 --> 01:20:57,541 >> NO, I THINK EVERYBODY IS 2157 01:20:57,541 --> 01:20:58,542 COMING BACK ON. 2158 01:20:58,542 --> 01:20:59,042 WE ARE GOOD. 2159 01:20:59,042 --> 01:20:59,876 >> ARE YOU SURE? 2160 01:20:59,876 --> 01:21:00,377 >> YEP. 2161 01:21:00,377 --> 01:21:01,912 >> SOME PEOPLE MIGHT HAVE THEIR 2162 01:21:01,912 --> 01:21:03,680 CAMERAS OFF. 2163 01:21:03,680 --> 01:21:06,149 >> BUT WE HAVE 60 PEOPLE HERE. 2164 01:21:06,149 --> 01:21:08,418 I THINK WE ARE GOOD. 2165 01:21:08,418 --> 01:21:11,188 >> OKAY. 2166 01:21:11,188 --> 01:21:12,723 ALL RIGHT. 2167 01:21:12,723 --> 01:21:17,794 WELL, IT'S NOW THE SAD PART. 2168 01:21:17,794 --> 01:21:18,328 OF THE SESSION. 2169 01:21:18,328 --> 01:21:21,498 WE HAVE TO SAY GOODBYE TO FOUR 2170 01:21:21,498 --> 01:21:22,666 OUTSTANDING COUNCILMEMBERS. 2171 01:21:22,666 --> 01:21:23,900 I DON'T KNOW HOW WE'RE GOING TO 2172 01:21:23,900 --> 01:21:30,974 LIVE WITHOUT THEM. 2173 01:21:30,974 --> 01:21:33,377 THESE FOUR INDIVIDUALS LIVED 2174 01:21:33,377 --> 01:21:35,812 THROUGH US, THROUGH COVID, 2175 01:21:35,812 --> 01:21:37,547 THROUGH EVERYTHING, AND WE'RE SO 2176 01:21:37,547 --> 01:21:41,918 GRATEFUL TO HAVE HAD THEIR 2177 01:21:41,918 --> 01:21:44,621 SERVICE, BEGINNING WITH DR. TODD 2178 01:21:44,621 --> 01:21:44,855 BRAVER. 2179 01:21:44,855 --> 01:21:46,356 THANK YOU SO MUCH, TODD. 2180 01:21:46,356 --> 01:21:49,092 I MEAN, I CANNOT JUST -- THERE'S 2181 01:21:49,092 --> 01:21:50,661 NO WORDS TO EXPRESS HOW 2182 01:21:50,661 --> 01:21:53,397 WONDERFUL IT WAS TO HAVE YOU ON 2183 01:21:53,397 --> 01:21:55,465 COUNCIL AND WE ARE GOING TO MISS 2184 01:21:55,465 --> 01:21:56,433 YOU VERY, VERY MUCH. 2185 01:21:56,433 --> 01:22:01,271 THANK YOU. 2186 01:22:01,271 --> 01:22:05,208 DR. TONY DELITTO, AGAIN, YOU 2187 01:22:05,208 --> 01:22:07,878 KNOW, IS JUST -- YOUR EXPERTISE 2188 01:22:07,878 --> 01:22:08,779 AND EVERYTHING THAT YOU'VE 2189 01:22:08,779 --> 01:22:12,282 BROUGHT TO COUNCIL HAS BEEN JUST 2190 01:22:12,282 --> 01:22:13,283 PHENOMENAL AND, AGAIN, WE'RE 2191 01:22:13,283 --> 01:22:16,453 GOING TO MISS YOU. 2192 01:22:16,453 --> 01:22:20,123 BIG SHOES TO FILL. 2193 01:22:20,123 --> 01:22:20,424 DR. MEHLING. 2194 01:22:20,424 --> 01:22:25,729 YOU KNOW, IT'S SORT OF -- YOU 2195 01:22:25,729 --> 01:22:28,265 REALLY BROUGHT SO MUCH OUT OF 2196 01:22:28,265 --> 01:22:31,768 THE BOX, YOU KNOW, POINTS OF 2197 01:22:31,768 --> 01:22:33,770 VIEW THAT WERE ALWAYS SO WELL 2198 01:22:33,770 --> 01:22:35,505 RECEIVED AND SO THOUGHTFUL. 2199 01:22:35,505 --> 01:22:37,040 THANK YOU SO, SO MUCH. 2200 01:22:37,040 --> 01:22:40,610 AND FINALLY, DR. SHINTO, IS SHE 2201 01:22:40,610 --> 01:22:41,345 STILL THERE? 2202 01:22:41,345 --> 01:22:43,013 YES, LYNNE. 2203 01:22:43,013 --> 01:22:44,848 THANK YOU SO MUCH, LYNNE. 2204 01:22:44,848 --> 01:22:47,417 IT WAS A REAL PLEASURE HAVING 2205 01:22:47,417 --> 01:22:49,853 YOU, AND REALLY SORT OF 2206 01:22:49,853 --> 01:22:51,588 APPRECIATE HAVING ALL OF YOU 2207 01:22:51,588 --> 01:22:54,591 WITH ALL OF YOUR RESPECTIVE 2208 01:22:54,591 --> 01:22:56,360 EXPERTISE IN ALL OF THE DOMAINS 2209 01:22:56,360 --> 01:22:58,328 REALLY CAME TOGETHER TO THIS 2210 01:22:58,328 --> 01:23:01,732 COUNCIL TO ENRICH IT AND ALWAYS 2211 01:23:01,732 --> 01:23:05,235 SORT OF MADE OUR DISCUSSION SO 2212 01:23:05,235 --> 01:23:06,670 MUCH GREATER THAN THE SUM OF THE 2213 01:23:06,670 --> 01:23:08,739 PARTS, YOU KNOW, JUST HAVING 2214 01:23:08,739 --> 01:23:10,474 ALL -- EVERYBODY'S COMING FROM A 2215 01:23:10,474 --> 01:23:12,442 DIFFERENT DIRECTION, BUT REALLY 2216 01:23:12,442 --> 01:23:14,611 HELPING US TO MOVE TOWARDS A 2217 01:23:14,611 --> 01:23:15,045 COMMON GOAL. 2218 01:23:15,045 --> 01:23:17,681 AND I REALLY APPRECIATE I THINK 2219 01:23:17,681 --> 01:23:22,519 ALL OF YOU ACTUALLY CAME TO OUR 2220 01:23:22,519 --> 01:23:24,221 SOCIAL GATHERING AND I HOPE MANY 2221 01:23:24,221 --> 01:23:28,291 OF YOU WILL DO THAT IN THE 2222 01:23:28,291 --> 01:23:30,527 FUTURE. 2223 01:23:30,527 --> 01:23:31,628 THOSE OF YOU STILL ON COUNCIL. 2224 01:23:31,628 --> 01:23:32,963 SO THANK YOU AGAIN. 2225 01:23:32,963 --> 01:23:36,433 IT WAS LOVELY TO HAVE YOU, AND 2226 01:23:36,433 --> 01:23:37,968 WE'RE SO GRATEFUL FOR YOUR 2227 01:23:37,968 --> 01:23:38,201 SERVICE. 2228 01:23:38,201 --> 01:23:48,378 THANK YOU. 2229 01:23:49,880 --> 01:23:53,850 >> OKAY. 2230 01:23:53,850 --> 01:23:55,152 ANY COMMENTS, ANY ADDITIONAL 2231 01:23:55,152 --> 01:24:01,825 COMMENTS? 2232 01:24:01,825 --> 01:24:04,227 I SEE TEARY EYES, 2233 01:24:04,227 --> 01:24:09,266 >> THIS IS A SAD PART. 2234 01:24:09,266 --> 01:24:10,801 IT'S LIKE SAYING GOODBYE TO 2235 01:24:10,801 --> 01:24:12,569 FRIENDS, BUT WE'RE NOT SAYING 2236 01:24:12,569 --> 01:24:13,937 GOODBYE FOREVER, YOU KNOW? 2237 01:24:13,937 --> 01:24:14,838 WE'LL STILL SEE YOU. 2238 01:24:14,838 --> 01:24:17,240 BUT IT WAS SO NICE TO HAVE YOU 2239 01:24:17,240 --> 01:24:19,776 BE PART OF THE COUNCIL. 2240 01:24:19,776 --> 01:24:21,611 >> THOSE OF YOU, YOU THINK YOU 2241 01:24:21,611 --> 01:24:24,781 ARE RID OF US, GET RID OF US, 2242 01:24:24,781 --> 01:24:25,449 NO. 2243 01:24:25,449 --> 01:24:27,717 WE HAVE A TENDENCY TO CALL ON 2244 01:24:27,717 --> 01:24:29,753 OUR PREVIOUS COUNCILMEMBERS. 2245 01:24:29,753 --> 01:24:32,022 >> YES, YES, YES! 2246 01:24:32,022 --> 01:24:33,857 SO YOU'RE NOT OFF THE HOOK 2247 01:24:33,857 --> 01:24:34,157 COMPLETELY. 2248 01:24:34,157 --> 01:24:36,359 >> NOPE, NOT COMPLETELY. 2249 01:24:36,359 --> 01:24:36,593 OKAY. 2250 01:24:36,593 --> 01:24:40,764 WITH THIS, LET'S SEE, SO -- 2251 01:24:40,764 --> 01:24:42,499 LET'S SEE. 2252 01:24:42,499 --> 01:24:45,035 DO WE HAVE DR. WALTERS ALREADY 2253 01:24:45,035 --> 01:24:45,235 HERE? 2254 01:24:45,235 --> 01:24:46,102 >> NOT YET. 2255 01:24:46,102 --> 01:24:48,638 >> NOT YET. 2256 01:24:48,638 --> 01:24:52,008 AND WE ASKED HER TO COME IN 2257 01:24:52,008 --> 01:24:52,309 AT -- 2:15? 2258 01:24:52,309 --> 01:24:53,109 >> 2:15. 2259 01:24:53,109 --> 01:24:55,378 BUT I WILL CONTACT HER AGAIN 2260 01:24:55,378 --> 01:24:56,847 WHEN WE TAKE A BREAK. 2261 01:24:56,847 --> 01:24:58,415 >> OKAY. 2262 01:24:58,415 --> 01:25:00,517 >> ARE WE COMING BACK AT 2:15 OR 2263 01:25:00,517 --> 01:25:00,951 BEFORE THAT? 2264 01:25:00,951 --> 01:25:02,919 >> THAT'S WHAT I'M JUST TRYING 2265 01:25:02,919 --> 01:25:03,253 TO FIGURE OUT. 2266 01:25:03,253 --> 01:25:05,755 SO LET'S DO 2:15. 2267 01:25:05,755 --> 01:25:07,057 BECAUSE THAT'S -- 2268 01:25:07,057 --> 01:25:08,725 >> WE'LL KEEP OUR ORIGINAL PLAN, 2269 01:25:08,725 --> 01:25:10,227 THAT WAY WE CAN HAVE A SLIGHTLY 2270 01:25:10,227 --> 01:25:11,127 LONGER BREAK, RIGHT? 2271 01:25:11,127 --> 01:25:11,661 >> EXACTLY. 2272 01:25:11,661 --> 01:25:12,996 THE BREAK IS NOW -- SO THIS 2273 01:25:12,996 --> 01:25:15,265 MEANS IT'S 1:56 FOR ME AT THE 2274 01:25:15,265 --> 01:25:16,032 MOMENT. 2275 01:25:16,032 --> 01:25:20,303 IF WE CONTINUE AT 2:15, WE HAVE 2276 01:25:20,303 --> 01:25:21,805 A 20-MINUTE BREAK. 2277 01:25:21,805 --> 01:25:22,072 GOOD. PERFECT. 2278 01:25:22,072 --> 01:25:26,625 THANK YOU, EVERYBODY. >> THANK YOU. 2279 01:25:26,625 --> 01:25:28,594 >> OKAY. I THINK WE ARE BACK ON 2280 01:25:28,594 --> 01:25:30,228 VIDEOCAST, SO WE CAN GET 2281 01:25:30,228 --> 01:25:36,234 STARTED. 2282 01:25:36,234 --> 01:25:37,135 DR. LANGEVIN, PLEASE. 2283 01:25:37,135 --> 01:25:39,304 >> WELL, IT'S MY GREAT PLEASURE 2284 01:25:39,304 --> 01:25:41,173 TO INTRODUCE A SESSION WHICH 2285 01:25:41,173 --> 01:25:44,443 WE'RE VERY EXCITED ABOUT AND HAS 2286 01:25:44,443 --> 01:25:46,144 RESULTED IN PART FROM SOME OF 2287 01:25:46,144 --> 01:25:48,580 THE DISCUSSIONS THAT WE HAD WITH 2288 01:25:48,580 --> 01:25:50,782 THIS COUNCIL AND SOME OF OUR 2289 01:25:50,782 --> 01:25:51,850 PREVIOUS COUNCIL MEETINGS. 2290 01:25:51,850 --> 01:25:56,288 SO I AM DELIGHTED TO INTRODUCE 2291 01:25:56,288 --> 01:26:00,158 DRS. KARINA WALTERS AND DAN 2292 01:26:00,158 --> 01:26:01,960 DICKERSON, WHO WILL EXPLORE HOW 2293 01:26:01,960 --> 01:26:03,228 NATIVE AMERICAN HEALTH PRACTICES 2294 01:26:03,228 --> 01:26:04,963 INCLUDING SPIRITUAL PRACTICES 2295 01:26:04,963 --> 01:26:10,969 FIT INTO THE WHOLE PERSON HEALTH 2296 01:26:10,969 --> 01:26:12,304 PARADIGM AND DISCUSS AREAS OF 2297 01:26:12,304 --> 01:26:13,939 SHARED INTEREST BETWEEN THE WORK 2298 01:26:13,939 --> 01:26:15,273 SUPPORTED BY THE TRIBAL HEALTH 2299 01:26:15,273 --> 01:26:18,443 RESEARCH OFFICE AND NCCIH. 2300 01:26:18,443 --> 01:26:20,946 SO FIRST IT'S MY GREAT PLEASURE 2301 01:26:20,946 --> 01:26:24,783 TO INTRODUCE DR. KARINA WALTERS. 2302 01:26:24,783 --> 01:26:26,418 DR. WALTERS WAS APPOINTED AS THE 2303 01:26:26,418 --> 01:26:28,720 DIRECTOR OF THE TRIBAL HEALTH 2304 01:26:28,720 --> 01:26:30,989 RESEARCH OFFICE AT THE NIH IN 2305 01:26:30,989 --> 01:26:33,425 APRIL OF 2023. 2306 01:26:33,425 --> 01:26:35,727 IN THIS ROLE, DR. WALTERS WORKS 2307 01:26:35,727 --> 01:26:38,330 TO ADVANCE INITIATIVES TO ENSURE 2308 01:26:38,330 --> 01:26:41,633 TRIBALLY INFORMED BIOMEDICAL AND 2309 01:26:41,633 --> 01:26:43,602 BEHAVIORAL RESEARCH, ENHANCE 2310 01:26:43,602 --> 01:26:45,137 NIH'S TRIBAL CONSULTATION AND 2311 01:26:45,137 --> 01:26:46,638 TRIBAL ENGAGEMENT EFFORTS, AND 2312 01:26:46,638 --> 01:26:48,740 COORDINATE AMERICAN INDIAN AND 2313 01:26:48,740 --> 01:26:50,809 ALASKA NATIVE RESEARCH ACROSS 2314 01:26:50,809 --> 01:26:52,644 NIH AND WITH OTHER FEDERAL 2315 01:26:52,644 --> 01:26:53,645 ENTITIES. 2316 01:26:53,645 --> 01:26:56,281 SHE'S DEEPLY COMMITTED TO 2317 01:26:56,281 --> 01:26:57,582 ENGAGING TRIBAL LEADERSHIP IN 2318 01:26:57,582 --> 01:26:59,785 HEALTH RESEARCH EFFORTS. 2319 01:26:59,785 --> 01:27:04,289 SHE'S A SOCIAL EP DE EP DEEP YOT 2320 01:27:04,289 --> 01:27:06,324 AND HEALTH PREVENTION SCHOLAR. 2321 01:27:06,324 --> 01:27:07,559 DR. WOULD DERS HAS MORE THAN 28 2322 01:27:07,559 --> 01:27:09,861 YEARS OF AMERICAN INDIAN AND 2323 01:27:09,861 --> 01:27:16,401 ALLAHALASKA NATIVE HEALTH RESEAH 2324 01:27:16,401 --> 01:27:17,836 EXPERIENCE ENCOMPASSING 2325 01:27:17,836 --> 01:27:19,137 FOUNDATIONAL SCIENCE, DISEASE 2326 01:27:19,137 --> 01:27:20,672 PREVENTION, HEALTH PROMOTION AND 2327 01:27:20,672 --> 01:27:21,640 INTERVENTION RESEARCH. 2328 01:27:21,640 --> 01:27:23,175 SHE'S CONDUCTED SOCIAL 2329 01:27:23,175 --> 01:27:24,609 EPIDEMIOLOGICAL RESEARCH ON THE 2330 01:27:24,609 --> 01:27:25,911 ENVIRONMENTAL, HISTORICAL, 2331 01:27:25,911 --> 01:27:27,145 SOARNL AND CULTURAL DETERMINANTS 2332 01:27:27,145 --> 01:27:30,082 OF HEALTH AND HEALTH EQUITY IN 2333 01:27:30,082 --> 01:27:32,584 AAAI COMMUNITIES AND AS WELL 2334 01:27:32,584 --> 01:27:37,723 DESIGNED IMPAIRD TESTED TRIBALLY 2335 01:27:37,723 --> 01:27:38,724 DERIVED CHRONIC DISEASE 2336 01:27:38,724 --> 01:27:39,357 PREVENTION INTERVENTIONS AND 2337 01:27:39,357 --> 01:27:44,429 MUCH OF HER EARLY SOCIAL 2338 01:27:44,429 --> 01:27:47,466 EPIDEMIOLOGICAL RESEARCH 2339 01:27:47,466 --> 01:27:49,434 INVOLVED LGBT, TWO SPIRIT AND 2340 01:27:49,434 --> 01:27:51,303 URBAN AI AND POPULATIONS ACROSS 2341 01:27:51,303 --> 01:27:53,472 THE UNITED STATES. 2342 01:27:53,472 --> 01:27:54,473 ADDITIONALLY -- PHYSICAL 2343 01:27:54,473 --> 01:27:56,441 ACTIVITY PROMOTION, DIABETES, 2344 01:27:56,441 --> 01:27:58,510 DEPRESSION, AND HIV PREVENTION. 2345 01:27:58,510 --> 01:28:02,114 SHE SERVED AS AN NIH PRINCIPAL 2346 01:28:02,114 --> 01:28:05,283 INVESTIGATOR OR COINVESTIGATOR 2347 01:28:05,283 --> 01:28:08,353 ON 35 NIH AWARDS. 2348 01:28:08,353 --> 01:28:10,322 PRIOR TO COMING TO NIH 2349 01:28:10,322 --> 01:28:14,926 DR. WALTERS WAS A TENURED FULL 2350 01:28:14,926 --> 01:28:16,661 PROFESSOR AND ALSO SERVED AS 2351 01:28:16,661 --> 01:28:17,162 ADJUNCT PROFESSOR IN THE 2352 01:28:17,162 --> 01:28:18,964 DEPARTMENT OF GLOBAL HEALTH AND 2353 01:28:18,964 --> 01:28:19,631 THE SCHOOL OF PUBLIC HEALTH AND 2354 01:28:19,631 --> 01:28:22,367 IS COFOUNDING DIRECTOR OF THE UW 2355 01:28:22,367 --> 01:28:23,969 INDIGENOUS WELLNESS RESEARCH 2356 01:28:23,969 --> 01:28:26,538 INSTITUTE. 2357 01:28:26,538 --> 01:28:28,473 FROM 2012 TO 2019, SHE WAS 2358 01:28:28,473 --> 01:28:30,041 ASSOCIATE DEAN FOR RESEARCH AT 2359 01:28:30,041 --> 01:28:31,343 THE UNIVERSITY OF WASHINGTON 2360 01:28:31,343 --> 01:28:33,645 SCHOOL OF SOCIAL WORK, AND SHE 2361 01:28:33,645 --> 01:28:36,281 IS THE FIRST AMERICAN INDIAN 2362 01:28:36,281 --> 01:28:38,416 FELLOW INDUCTED INTO THE 2363 01:28:38,416 --> 01:28:39,451 AMERICAN ACADEMY OF SOCIAL 2364 01:28:39,451 --> 01:28:41,286 WELFARE AND SOCIAL WORK. 2365 01:28:41,286 --> 01:28:43,488 SHE EARNED A BACHELOR'S DEGREE 2366 01:28:43,488 --> 01:28:45,290 IN SOCIOLOGY FROM THE UNIVERSITY 2367 01:28:45,290 --> 01:28:47,325 OF CALIFORNIA LOS ANGELES AND 2368 01:28:47,325 --> 01:28:49,060 MSW AND PH.D. IN SOCIAL WELFARE 2369 01:28:49,060 --> 01:28:50,162 ALSO FROM UCLA. 2370 01:28:50,162 --> 01:28:52,664 SO WE ARE SO DELIGHTED TO HAVE 2371 01:28:52,664 --> 01:28:54,900 YOU, AND THE FLOOR IS YOURS. 2372 01:28:54,900 --> 01:28:58,036 >> WELL, THANK YOU SO MUCH FOR 2373 01:28:58,036 --> 01:29:03,074 THAT INTRODUCTION. 2374 01:29:03,074 --> 01:29:11,483 [SPEAKING FOREIGN LANGUAGE] 2375 01:29:11,483 --> 01:29:12,050 NAVAJO NATION. 2376 01:29:12,050 --> 01:29:13,051 GOOD AFTERNOON, EVERYBODY. 2377 01:29:13,051 --> 01:29:14,786 MY NAME IS KARINA WALTERS. 2378 01:29:14,786 --> 01:29:16,855 I'M ENROLLED IN THE CHOCTAW 2379 01:29:16,855 --> 01:29:19,558 NATION OF OKLAHOMA, AND I AM 2380 01:29:19,558 --> 01:29:20,992 COMING TO YOU FROM THE NAVAJO 2381 01:29:20,992 --> 01:29:21,560 NATION TODAY. 2382 01:29:21,560 --> 01:29:23,995 SO I JUST PAID MY RESPECTS TO 2383 01:29:23,995 --> 01:29:27,132 THE LAND THAT I'M IN TODAY. 2384 01:29:27,132 --> 01:29:29,100 I'M GOING TO OPEN UP WITH A 2385 01:29:29,100 --> 01:29:30,969 COUPLE OF SLIDES, AND LET ME 2386 01:29:30,969 --> 01:29:33,905 MAKE SURE I'M SHARING. 2387 01:29:33,905 --> 01:29:34,573 APPROPRIATELY HERE, MAKE SURE 2388 01:29:34,573 --> 01:29:44,516 I'VE GOT THIS CORRECT HERE. 2389 01:29:44,516 --> 01:29:44,983 OKAY. 2390 01:29:44,983 --> 01:29:46,284 CAN PEOPLE SEE THAT? 2391 01:29:46,284 --> 01:29:46,918 >> YES. 2392 01:29:46,918 --> 01:29:50,856 >> OKAY, GREAT. 2393 01:29:50,856 --> 01:29:52,190 WELL, I JUST WANTED TO SHARE A 2394 01:29:52,190 --> 01:29:53,058 LITTLE BIT ABOUT THE TRIBAL 2395 01:29:53,058 --> 01:29:54,826 HEALTH RESEARCH OFFICE SINCE I'M 2396 01:29:54,826 --> 01:29:56,661 NEW HERE TO THE NIH AND HAVE 2397 01:29:56,661 --> 01:29:58,430 BEEN HERE FOR EIGHT MONTHS NOW, 2398 01:29:58,430 --> 01:29:59,965 AND I WANT TO SHARE A LITTLE BIT 2399 01:29:59,965 --> 01:30:01,099 ABOUT OUR VISION AND MISSION AND 2400 01:30:01,099 --> 01:30:02,601 SOME OF OUR PRIORITIES AND HOW 2401 01:30:02,601 --> 01:30:04,903 THAT ALIGNS WITH NCCIH, BUT I 2402 01:30:04,903 --> 01:30:06,438 ALSO WANT TO FIRST ACKNOWLEDGE 2403 01:30:06,438 --> 01:30:08,206 THAT IN COMING TO THIS, NOT JUST 2404 01:30:08,206 --> 01:30:10,809 IN TERMS OF -- YOU JUST HEARD MY 2405 01:30:10,809 --> 01:30:13,245 KIND OF WAY TOO LONG RESUME 2406 01:30:13,245 --> 01:30:16,214 THERE ON MY CV ABOUT MY ACADEMIC 2407 01:30:16,214 --> 01:30:17,315 ACCOLADES, BUT ACTUALLY I COME 2408 01:30:17,315 --> 01:30:21,486 TO THE INTERESTS OF NCCIH 2409 01:30:21,486 --> 01:30:22,954 PRIORITIES IN AREAS FOR AMERICAN 2410 01:30:22,954 --> 01:30:24,656 INDIA AND ALASKA NATIVE ISSUES 2411 01:30:24,656 --> 01:30:26,424 FROM A PERSONAL AND SPIRITUAL 2412 01:30:26,424 --> 01:30:28,293 POSITION AS WELL. 2413 01:30:28,293 --> 01:30:31,162 I'VE BEEN A SUNDANCER FOR ALMOST 2414 01:30:31,162 --> 01:30:32,564 25 YEARS IN THE AMERICAN INDIAN 2415 01:30:32,564 --> 01:30:33,899 COMMUNITY, I'M A TRADITIONAL 2416 01:30:33,899 --> 01:30:35,767 HEALTH PRACTITIONER AS WELL, I 2417 01:30:35,767 --> 01:30:38,370 USED TO RUN -- BACK IN SEATTLE I 2418 01:30:38,370 --> 01:30:39,838 USED TO RUN SWEAT LODGES FOR OUR 2419 01:30:39,838 --> 01:30:41,606 COMMUNITY THERE, SO I COME AT 2420 01:30:41,606 --> 01:30:44,976 THIS BOTH FROM A HANDS-ON LIVED 2421 01:30:44,976 --> 01:30:46,745 EXPERIENCE AS WELL AS RESEARCH 2422 01:30:46,745 --> 01:30:48,179 INTEREST IN SHARING SOME OF THE 2423 01:30:48,179 --> 01:30:51,683 DIFFERENT KINDS OF OPPORTUNITIES 2424 01:30:51,683 --> 01:30:54,286 FOR WORKING CLOSELY WITH OUR 2425 01:30:54,286 --> 01:30:55,620 INDIGENOUS KNOWLEDGES AND OUR 2426 01:30:55,620 --> 01:30:58,256 TRADITIONAL HEALTH PRACTICES AND 2427 01:30:58,256 --> 01:30:59,824 PROTOCOLS AS A WAY OF ACHIEVING 2428 01:30:59,824 --> 01:31:01,259 HEALTH AND HEALTH EQUITY FOR 2429 01:31:01,259 --> 01:31:02,027 INDIAN COUNTRY. 2430 01:31:02,027 --> 01:31:04,930 SO THIS IS BOTH PERSONALLY 2431 01:31:04,930 --> 01:31:06,498 IMPORTANT TO ME AS WELL AS 2432 01:31:06,498 --> 01:31:07,699 PROFESSIONALLY IMPORTANT TO ME, 2433 01:31:07,699 --> 01:31:10,535 AND TO OUR COMMUNITIES ACTUALLY. 2434 01:31:10,535 --> 01:31:11,803 SO I'M EXCITED TO SHARE WITH YOU 2435 01:31:11,803 --> 01:31:12,537 A LITTLE BIT HERE. 2436 01:31:12,537 --> 01:31:13,772 AND I'M HAPPY TO ANSWER 2437 01:31:13,772 --> 01:31:15,607 QUESTIONS AT THE END OF THIS 2438 01:31:15,607 --> 01:31:17,042 PRESENTATION OR AFTER DAN SPEAKS 2439 01:31:17,042 --> 01:31:19,110 TO TALK A LITTLE BIT MORE ABOUT 2440 01:31:19,110 --> 01:31:21,780 NATIVE HEALTH AND SPIRITUAL 2441 01:31:21,780 --> 01:31:24,983 PRACTICES, BUT YOU KNOW, WE GET 2442 01:31:24,983 --> 01:31:27,719 TO BE THE SYNERGISTIC HUB FOR 2443 01:31:27,719 --> 01:31:29,688 ALL AMERICAN INDIAN AND ALASKA 2444 01:31:29,688 --> 01:31:32,090 NATIVE ACTIVITIES AND 2445 01:31:32,090 --> 01:31:33,825 INITIATIVES AT THE NIH. 2446 01:31:33,825 --> 01:31:40,165 OUR POSITION BEING IN DE DPCPSIS 2447 01:31:40,165 --> 01:31:41,967 WELL AS WITH TRIBAL PARTNERS. 2448 01:31:41,967 --> 01:31:43,268 UNLIKE OTHER OFFICES, WE TEND TO 2449 01:31:43,268 --> 01:31:45,370 BE MUCH MORE FORWARD-FACING, 2450 01:31:45,370 --> 01:31:47,973 WORKING REALLY DIRECTLY WITH OUR 2451 01:31:47,973 --> 01:31:50,308 TRIBAL COMMUNITIES, TO GENERATE 2452 01:31:50,308 --> 01:31:51,509 NATIVE SCIENCE AND A RESEARCH 2453 01:31:51,509 --> 01:31:53,345 WORKFORCE THAT BUILDS HEALTHY 2454 01:31:53,345 --> 01:31:54,212 LIVES AND COMMUNITIES. 2455 01:31:54,212 --> 01:31:57,849 SO OUR ULTIMATE GOAL IS TO GROW 2456 01:31:57,849 --> 01:31:59,284 INDIGENOUS HEALTH AND HEALTH 2457 01:31:59,284 --> 01:32:00,819 EQUITY THROUGH CULTURALLY 2458 01:32:00,819 --> 01:32:02,354 CREDIBLE AND MEANINGFUL 2459 01:32:02,354 --> 01:32:03,722 INDIGENOUS DRIVEN SCIENCE AND 2460 01:32:03,722 --> 01:32:05,123 OUR THEME FOR THIS YEAR PRETTY 2461 01:32:05,123 --> 01:32:07,859 MUCH REFLECTS THAT WHICH IS 2462 01:32:07,859 --> 01:32:12,564 INDIGENOUS KNOWLEDGE -- THAT 2463 01:32:12,564 --> 01:32:13,631 ALLIANCE BEAUTIFULLY WITH NCCIH 2464 01:32:13,631 --> 01:32:13,999 AS WELL. 2465 01:32:13,999 --> 01:32:15,633 A LITTLE ABOUT WHO WE SERVE. 2466 01:32:15,633 --> 01:32:16,901 I'M GOING TO DO SOME CLARIFYING 2467 01:32:16,901 --> 01:32:17,502 THINGS HERE. 2468 01:32:17,502 --> 01:32:18,503 I APOLOGIZE FOR THOSE WHO 2469 01:32:18,503 --> 01:32:21,006 ALREADY ARE REALLY FAMILIAR WITH 2470 01:32:21,006 --> 01:32:22,874 AMERICAN INDIAN ALASKA NATIVE 2471 01:32:22,874 --> 01:32:23,775 RESEARCH, BUT FOR THOSE WHO 2472 01:32:23,775 --> 01:32:25,176 AREN'T, I THINK IT'S GOOD TO SET 2473 01:32:25,176 --> 01:32:28,680 SOME PARAMETERS HERE ABOUT WHO 2474 01:32:28,680 --> 01:32:29,214 WE SERVE. 2475 01:32:29,214 --> 01:32:31,883 SO WE SERVE 574 FEDERALLY 2476 01:32:31,883 --> 01:32:33,385 RECOGNIZED NATIONS. 2477 01:32:33,385 --> 01:32:37,555 277 OF THOSE ARE IN ALASKA. 2478 01:32:37,555 --> 01:32:39,024 AND AMERICAN INDIAN ALASKA 2479 01:32:39,024 --> 01:32:40,425 NATIVES, WE MAKE UP NEARLY 3% OF 2480 01:32:40,425 --> 01:32:41,960 THE POPULATION NOW, WE TEND TO 2481 01:32:41,960 --> 01:32:46,131 BE YOUNGER, AND ONE IN FOUR OF 2482 01:32:46,131 --> 01:32:47,432 US LIVE IN POVERTY OR EXPERIENCE 2483 01:32:47,432 --> 01:32:48,600 FOOD INSECURITY, AND ACTUALLY 2484 01:32:48,600 --> 01:32:50,001 THE HIGHEST OF ANY OTHER RACIAL 2485 01:32:50,001 --> 01:32:51,102 OR ETHNIC GROUP IN THE UNITED 2486 01:32:51,102 --> 01:32:54,372 STATES. 2487 01:32:54,372 --> 01:32:56,674 SO -- AND POVERTY RATE IS EVEN 2488 01:32:56,674 --> 01:32:58,009 HIGHER IN RESERVATION 2489 01:32:58,009 --> 01:32:58,376 ENVIRONMENTS. 2490 01:32:58,376 --> 01:32:59,844 WE ALSO ENGAGE NATIVE HAWAIIAN 2491 01:32:59,844 --> 01:33:02,714 AND OTHER INDIGENOUS POPULATIONS 2492 01:33:02,714 --> 01:33:03,815 OF THE U.S. TERRITORIES AS WELL 2493 01:33:03,815 --> 01:33:05,150 SO THERE IS A UNIQUE 2494 01:33:05,150 --> 01:33:06,684 RELATIONSHIP FOR THAT SIMILAR TO 2495 01:33:06,684 --> 01:33:08,186 AMERICAN INDIAN AND ALASKA 2496 01:33:08,186 --> 01:33:09,320 NATIVE TRIBAL GOVERNMENTS. 2497 01:33:09,320 --> 01:33:11,623 WE DO HAVE -- IT'S A GOVERNMENT 2498 01:33:11,623 --> 01:33:13,925 TO GOVERNMENT RELATIONSHIP THAT 2499 01:33:13,925 --> 01:33:17,095 WE HAVE WITH NIH AND TRIBAL 2500 01:33:17,095 --> 01:33:18,263 NATIONS. 2501 01:33:18,263 --> 01:33:23,601 HUNDREDS OF TREES AND TREE -- , 2502 01:33:23,601 --> 01:33:25,703 LAWS AND SUPREME COURT DECISIONS 2503 01:33:25,703 --> 01:33:29,407 HAVE REINFORCED INHERENT POWERS 2504 01:33:29,407 --> 01:33:31,042 OF SELF GOVERNMENT AND RECOGNIZE 2505 01:33:31,042 --> 01:33:32,077 TRIBAL SOVEREIGNTY, AND THERE'S 2506 01:33:32,077 --> 01:33:36,014 ALSO A FEDERAL INDIAN TRUST 2507 01:33:36,014 --> 01:33:37,449 RESPONSIBILITY TO ENSURE AND 2508 01:33:37,449 --> 01:33:39,184 PROTECT TRIBAL RIGHTS, LANDS, 2509 01:33:39,184 --> 01:33:41,820 ASSETS AND RESOURCES AND THAT 2510 01:33:41,820 --> 01:33:44,689 INCLUDES HEALTH AND WELFARE, AND 2511 01:33:44,689 --> 01:33:46,091 A POLITICAL AND TRUST 2512 01:33:46,091 --> 01:33:47,425 RELATIONSHIP ACTUALLY ALSO 2513 01:33:47,425 --> 01:33:48,626 EXISTS AS WELL AS NATIVE 2514 01:33:48,626 --> 01:33:49,727 HAWAIIANS, EVEN THOUGH THERE'S 2515 01:33:49,727 --> 01:33:53,698 CURRENTLY NO FORMAL TRIBAL 2516 01:33:53,698 --> 01:33:54,933 GOVERNMENT THERE, BUT CONGRESS 2517 01:33:54,933 --> 01:33:56,101 DOES REQUIRE THAT FEDERAL 2518 01:33:56,101 --> 01:33:58,736 AGENCIES CONSULT WITH NATIVE 2519 01:33:58,736 --> 01:34:00,271 HAWAIIAN COMMUNITIES AS THE 2520 01:34:00,271 --> 01:34:02,140 INFORMAL REPRESENTATIVES OF -- 2521 01:34:02,140 --> 01:34:02,974 FOR NATIVE HAWAIIAN COMMUNITIES. 2522 01:34:02,974 --> 01:34:04,242 SO THERE IS SOME RELATIONSHIP 2523 01:34:04,242 --> 01:34:08,179 THERE THAT WE ALSO HONOR. 2524 01:34:08,179 --> 01:34:10,081 BUT WE ARE LIVING A DREAM THAT 2525 01:34:10,081 --> 01:34:12,250 HONESTLY OUR ANCESTORS DID NOT 2526 01:34:12,250 --> 01:34:12,917 DREAM FOR US. 2527 01:34:12,917 --> 01:34:14,652 WE'RE LIVING A REALITY THAT'S 2528 01:34:14,652 --> 01:34:15,453 REALLY NOT HEALTHY. 2529 01:34:15,453 --> 01:34:16,654 CURRENTLY WE LIVE IN A SYSTEM 2530 01:34:16,654 --> 01:34:19,724 THAT'S CHRONICALLY UNDERFUNDED, 2531 01:34:19,724 --> 01:34:21,493 INACCESSIBLE AND INADEQUATE. 2532 01:34:21,493 --> 01:34:22,127 THE INDIAN HEALTH SERVICE FOR 2533 01:34:22,127 --> 01:34:23,228 EXAMPLE IS ABOUT 50% OF WHAT IT 2534 01:34:23,228 --> 01:34:24,796 SHOULD BE IN TERMS OF SPENDING 2535 01:34:24,796 --> 01:34:26,865 PER CAPITA ON NATIVE 2536 01:34:26,865 --> 01:34:27,198 POPULATIONS. 2537 01:34:27,198 --> 01:34:28,500 THE SPENDING ON FEDERAL 2538 01:34:28,500 --> 01:34:29,601 PRISONERS IS ACTUALLY MORE THAN 2539 01:34:29,601 --> 01:34:32,137 DOUBLE THAT PER CAPITA THAN IHS 2540 01:34:32,137 --> 01:34:32,403 SPENDING. 2541 01:34:32,403 --> 01:34:36,741 SO THAT JUST GIVES YOU AN IDEA 2542 01:34:36,741 --> 01:34:39,010 OF HOW LOW OUR SPENDING IS, AND 2543 01:34:39,010 --> 01:34:40,912 OF COURSE THE STRUCTURAL 2544 01:34:40,912 --> 01:34:43,548 DETERMINANTS OF HEALTH THAT I'VE 2545 01:34:43,548 --> 01:34:44,849 ACKNOWLEDGED WITH FOOD 2546 01:34:44,849 --> 01:34:46,384 INSECURITIES BUT ALSO 2547 01:34:46,384 --> 01:34:47,952 SUBSTANDARD, OVERCROWDED 2548 01:34:47,952 --> 01:34:48,786 HOUSING, DISPROPORTIONATE 2549 01:34:48,786 --> 01:34:50,054 EXPOSURE TO ENVIRONMENTAL TOXINS 2550 01:34:50,054 --> 01:34:52,257 AND OTHER STRUCTURAL ELEMENTS. 2551 01:34:52,257 --> 01:34:53,224 THESE AND OTHER STRUCTURAL 2552 01:34:53,224 --> 01:34:54,993 FACTORS HAVE LED TO INCREDIBLY 2553 01:34:54,993 --> 01:34:57,061 HIGH MULTIPLE CHRONIC DISEASE 2554 01:34:57,061 --> 01:34:59,397 BURDEN, OR RATHER WHAT WE WOULD 2555 01:34:59,397 --> 01:35:02,233 CALL SYNDEMICS WHERE WE HAVE 2556 01:35:02,233 --> 01:35:04,235 MULTIPLE SYNERGISTIC EPIDEMICS 2557 01:35:04,235 --> 01:35:05,103 HAPPENING SIMULTANEOUSLY IN 2558 01:35:05,103 --> 01:35:05,537 INDIAN COUNTRY. 2559 01:35:05,537 --> 01:35:06,871 SO IT'S NOT JUST DIABETES AND 2560 01:35:06,871 --> 01:35:08,106 IT'S NOT JUST HEART DISEASE. 2561 01:35:08,106 --> 01:35:09,207 IT'S LIVING WITH DIABETES AND 2562 01:35:09,207 --> 01:35:12,911 HEART DISEASE AND PTSD. 2563 01:35:12,911 --> 01:35:14,913 SO WHEN COVID HIT, IT REALLY 2564 01:35:14,913 --> 01:35:18,082 EXPLOITED THIS KIND OF 2565 01:35:18,082 --> 01:35:19,050 SYMPTOMATIC SITUATION THAT WE'RE 2566 01:35:19,050 --> 01:35:20,351 CURRENTLY LIVING IN. 2567 01:35:20,351 --> 01:35:23,688 SO OF COURSE THE IMPACT IS OUR 2568 01:35:23,688 --> 01:35:24,889 LIFE EXPECTANCY IS THE LOWEST 2569 01:35:24,889 --> 01:35:25,857 IT'S EVER BEEN. 2570 01:35:25,857 --> 01:35:27,058 NOW OUR LIFE EXPECTANCY IS TO 2571 01:35:27,058 --> 01:35:28,092 THE AGE OF 65. 2572 01:35:28,092 --> 01:35:30,929 I JUST MET WITH A COMMUNITY OUT 2573 01:35:30,929 --> 01:35:33,965 HERE IN THE SOUTHWEST THIS WEEK 2574 01:35:33,965 --> 01:35:35,867 AND THEIR LIFE EXPECTANCY IS 46 2575 01:35:35,867 --> 01:35:37,735 YEARS OLD. 2576 01:35:37,735 --> 01:35:39,804 46 YEARS OLD. 2577 01:35:39,804 --> 01:35:41,673 SO YOU KNOW, OVER A QUARTER OF 2578 01:35:41,673 --> 01:35:43,474 OUR POPULATION DIE BEFORE THE 2579 01:35:43,474 --> 01:35:44,943 AGE OF 45. 2580 01:35:44,943 --> 01:35:46,744 SO THESE STRUCTURAL DETERMINANTS 2581 01:35:46,744 --> 01:35:49,781 HAVE VERY REAL IMPACT ON OUR 2582 01:35:49,781 --> 01:35:50,148 WELL-BEING. 2583 01:35:50,148 --> 01:35:52,984 WE ALSO HAVE HIGHEST OPIOID 2584 01:35:52,984 --> 01:35:54,085 OVERDOSE RATES AND SUICIDE RATES 2585 01:35:54,085 --> 01:35:55,420 AND DEATH RATES AND SO ON. 2586 01:35:55,420 --> 01:35:56,988 SO WE'RE FACING MULTIPLE PUBLIC 2587 01:35:56,988 --> 01:35:59,591 HEALTH CRISES, BUT REALLY FEW 2588 01:35:59,591 --> 01:36:01,025 LISTEN AND WE TEND TO BE 2589 01:36:01,025 --> 01:36:02,961 INVISIBLE TO PUBLIC AWARENESS, 2590 01:36:02,961 --> 01:36:07,065 BECAUSE TBEGATHERING DATA ABOUTR 2591 01:36:07,065 --> 01:36:09,167 POPULATIONS IS FEW AND FAR 2592 01:36:09,167 --> 01:36:09,601 BETWEEN. 2593 01:36:09,601 --> 01:36:10,535 ONE OUT OF THREE OF OUR KIDS ARE 2594 01:36:10,535 --> 01:36:13,037 GOING TO BE DYING IN CHOCTAW 2595 01:36:13,037 --> 01:36:15,406 NATION BY 2050, ONE OUT OF THREE 2596 01:36:15,406 --> 01:36:17,575 WILL BE LIVING WITH TYPE~2 2597 01:36:17,575 --> 01:36:18,543 DIABETES. 2598 01:36:18,543 --> 01:36:22,247 AND THAT'S AGAIN NOT THE VISION 2599 01:36:22,247 --> 01:36:23,815 OF LOVE AND LIFE OUR ANCESTORS 2600 01:36:23,815 --> 01:36:25,016 HELD FOR US AS THEY WALKED THE 2601 01:36:25,016 --> 01:36:26,117 TRAIL OF TEARS. 2602 01:36:26,117 --> 01:36:30,221 MY TRIBE ACTUALLY ARE ALL THE 2603 01:36:30,221 --> 01:36:31,656 SURVIVORS, DESE DENT SURVIVORS 2604 01:36:31,656 --> 01:36:36,227 OF THOSE -- THEY WALKED THAT 2605 01:36:36,227 --> 01:36:37,095 TRAIL WITH THE VISION OF LOVE 2606 01:36:37,095 --> 01:36:38,162 AND LIFE AND HEALTH AND 2607 01:36:38,162 --> 01:36:39,664 WELL-BEING FOR US. 2608 01:36:39,664 --> 01:36:41,199 THEY DIDN'T IMAGINE THIS FOR US. 2609 01:36:41,199 --> 01:36:43,067 SO WE HAVE SOMETHING TO DO, WE 2610 01:36:43,067 --> 01:36:44,469 HAVE OBLIGATION TO DO SOMETHING 2611 01:36:44,469 --> 01:36:46,271 ABOUT THAT, AND HOW WE SEE IT IS 2612 01:36:46,271 --> 01:36:47,505 RECONNECTING TO THAT POWER AND 2613 01:36:47,505 --> 01:36:51,042 VISION AND LOVE NOW TO CHANGE 2614 01:36:51,042 --> 01:36:54,045 THE COURSE OF OUR HEALTH AND TO 2615 01:36:54,045 --> 01:36:55,480 HARNESS OUR COLLECTIVE 2616 01:36:55,480 --> 01:36:57,548 SCIENTIFIC AND INDIGENOUS WISDOM 2617 01:36:57,548 --> 01:36:59,083 TO ACHIEVE THAT COLLECTIVE 2618 01:36:59,083 --> 01:36:59,684 HEALTH. 2619 01:36:59,684 --> 01:37:01,419 AND THE IMPORTANCE OF ALSO 2620 01:37:01,419 --> 01:37:02,387 ACKNOWLEDGING AND BUILDING ON 2621 01:37:02,387 --> 01:37:07,458 THE RESILIENCE AND PEOPLE WHO 2622 01:37:07,458 --> 01:37:09,360 ARE DOING WELL, HOW CAN WE BUILD 2623 01:37:09,360 --> 01:37:11,229 FROM THAT HEALTH AND WELL-BEING 2624 01:37:11,229 --> 01:37:11,796 APPROACH. 2625 01:37:11,796 --> 01:37:14,565 AND AT THRO, SINCE I'VE ARRIVED, 2626 01:37:14,565 --> 01:37:15,933 WE'VE DEVELOPED CORE VALUES THAT 2627 01:37:15,933 --> 01:37:20,238 WE OPERATE BY THAT I THINK ALSO 2628 01:37:20,238 --> 01:37:21,239 ALIGNED WELL WITH NCCIH AND WE 2629 01:37:21,239 --> 01:37:23,207 USE THE ACRONYM CEDAR. 2630 01:37:23,207 --> 01:37:24,509 BASICALLY C STANDS FOR 2631 01:37:24,509 --> 01:37:25,977 CREATIVITY, REALLY MOVING BEYOND 2632 01:37:25,977 --> 01:37:28,379 CONVENTIONAL APPROACHES TO 2633 01:37:28,379 --> 01:37:31,282 SCIENCE, EMPLOYING AN INNOVATIVE 2634 01:37:31,282 --> 01:37:32,383 INDIGENOUS-CENTERED IDEAS AND 2635 01:37:32,383 --> 01:37:34,886 METHODS TO ENSURE SCIENCE 2636 01:37:34,886 --> 01:37:35,853 DERIVES SUSTAINABLE POPULATION 2637 01:37:35,853 --> 01:37:36,988 HEALTH CHANGE. 2638 01:37:36,988 --> 01:37:38,990 OF COURSE MAINTAINING HIGH 2639 01:37:38,990 --> 01:37:40,625 STANDARDS OF ETHICS IN THAT 2640 01:37:40,625 --> 01:37:41,492 PROCESS. 2641 01:37:41,492 --> 01:37:42,827 DETERMINATION IS REFLECTING ON 2642 01:37:42,827 --> 01:37:44,395 THAT SELF-DETERMINATION, 2643 01:37:44,395 --> 01:37:46,230 ENSURING THAT WE'RE HONORING 2644 01:37:46,230 --> 01:37:47,999 TRIBAL SOVEREIGNTY INCLUDING 2645 01:37:47,999 --> 01:37:49,067 DATA SOVEREIGNTY WITH OUR TRIBAL 2646 01:37:49,067 --> 01:37:49,667 PARTNERS. 2647 01:37:49,667 --> 01:37:51,302 AND THAT LEADS TO 2648 01:37:51,302 --> 01:37:51,669 ACCOUNTABILITY. 2649 01:37:51,669 --> 01:37:53,171 SO WE ARE HOLDING OURSELVES 2650 01:37:53,171 --> 01:37:54,405 ACCOUNTABLE FOR THE QUALITY AND 2651 01:37:54,405 --> 01:37:56,607 THE TIMELINESS AND LASTING 2652 01:37:56,607 --> 01:37:57,909 IMPACTS OF OUR WORK AND FOR THE 2653 01:37:57,909 --> 01:37:59,677 COMMITMENTS WE MAKE TO TRIBAL 2654 01:37:59,677 --> 01:38:01,312 COMMUNITIES, AND THAT 2655 01:38:01,312 --> 01:38:02,447 ACCOUNTABILITY ENGENDERS BETTER 2656 01:38:02,447 --> 01:38:05,183 TRUST AND RESPECT AND RESPECT IS 2657 01:38:05,183 --> 01:38:07,151 REALLY CRITICAL, WE RESPECT AND 2658 01:38:07,151 --> 01:38:08,619 VALUE ALL THE UNIQUE TALENTS 2659 01:38:08,619 --> 01:38:10,355 THAT OUR COMMUNITIES BRING TO 2660 01:38:10,355 --> 01:38:12,657 BEAR ON INDIGENOUS HEALTH AND 2661 01:38:12,657 --> 01:38:13,758 ACHIEVING INDIGENOUS HEALTH 2662 01:38:13,758 --> 01:38:15,893 EQUITY, BUT ALSO RESPECTING ALL 2663 01:38:15,893 --> 01:38:18,396 THE TALENTS AT NIH AND OTHER 2664 01:38:18,396 --> 01:38:20,264 COLLEAGUES WHO CAN HELP US GET 2665 01:38:20,264 --> 01:38:20,732 THERE. 2666 01:38:20,732 --> 01:38:23,067 SO OUR STORY THEN AT THRO IS 2667 01:38:23,067 --> 01:38:25,036 ABOUT HARNESSING OUR POWER TO 2668 01:38:25,036 --> 01:38:30,041 HEAL THROUGH SCIENCE. 2669 01:38:30,041 --> 01:38:32,844 AND WE HOPE TO DO THIS BY 2670 01:38:32,844 --> 01:38:34,579 TURNING CULTURALLY INFORMED 2671 01:38:34,579 --> 01:38:37,648 DISCOVERY INTO HEALTH EQUITY 2672 01:38:37,648 --> 01:38:38,316 THROUGH FOUR MEANS. 2673 01:38:38,316 --> 01:38:39,550 BUILDING ON -- AND I'M GOING TO 2674 01:38:39,550 --> 01:38:41,619 BUILD O ON THE FOUNDATIONAL 2675 01:38:41,619 --> 01:38:42,920 ELEMENTS, I'M GOING TO USE EARTH 2676 01:38:42,920 --> 01:38:47,892 AND AIR AND WIND AND FIRE AS 2677 01:38:47,892 --> 01:38:49,627 KIND OF OUR FOUNDATION ELEMENTS. 2678 01:38:49,627 --> 01:38:52,063 SO TAKING AIR IS THE FIRST ONE, 2679 01:38:52,063 --> 01:38:53,731 EASY ACRONYM. 2680 01:38:53,731 --> 01:38:56,033 THE EASY THING TO REMEMBER IS 2681 01:38:56,033 --> 01:38:58,669 ADVANCING INDIGENIST RESEARCH, 2682 01:38:58,669 --> 01:38:58,836 AIR. 2683 01:38:58,836 --> 01:39:00,772 SO WE HOPE TO BE ADVANCING 2684 01:39:00,772 --> 01:39:02,507 CULTURALLY DERIVED, COMMUNITY 2685 01:39:02,507 --> 01:39:04,308 INFORMED BIOMEDICAL, SOCIAL AND 2686 01:39:04,308 --> 01:39:05,410 BEHAVIORAL NATIVE RESEARCH, AND 2687 01:39:05,410 --> 01:39:08,780 THIS REALLY DOES ENTAIL 2688 01:39:08,780 --> 01:39:10,882 UPLIFTING AND HARNESSING OUR 2689 01:39:10,882 --> 01:39:14,952 NATIVE INDIGI-NUITY, INDIGENOUS 2690 01:39:14,952 --> 01:39:17,488 KNOWLEDGES AND TECHNOLOGIES AS 2691 01:39:17,488 --> 01:39:18,256 CULTURALLY APPROPRIATE ACROSS 2692 01:39:18,256 --> 01:39:22,326 THE HEALTH SCIENCES, CULTURALLY 2693 01:39:22,326 --> 01:39:23,361 DERIVED INTERVENTIONS AND 2694 01:39:23,361 --> 01:39:24,328 CENTERING CULTURAL KNOWLEDGES 2695 01:39:24,328 --> 01:39:25,863 THROUGHOUT ALL PHASES OF THE 2696 01:39:25,863 --> 01:39:26,197 RESEARCH. 2697 01:39:26,197 --> 01:39:27,999 AND THIS INCLUDES GROWING 2698 01:39:27,999 --> 01:39:29,634 NATIVE-SPECIFIC INITIATIVES THAT 2699 01:39:29,634 --> 01:39:30,768 ALIGN WITH NATIVE COMMUNITY 2700 01:39:30,768 --> 01:39:31,068 PRIORITIES. 2701 01:39:31,068 --> 01:39:33,471 THIS IS WHERE I SEE OUR 2702 01:39:33,471 --> 01:39:35,573 OPPORTUNITY WITH NCCIH REALLY A 2703 01:39:35,573 --> 01:39:38,409 GREAT OPPORTUNITY TO HARNESS 2704 01:39:38,409 --> 01:39:41,913 BOTH THE PRIORITIES OF NCCIH 2705 01:39:41,913 --> 01:39:43,247 WITH ALIGNING VERY WELL WITH 2706 01:39:43,247 --> 01:39:46,684 NATIVE INTERESTS IN HARNESSING 2707 01:39:46,684 --> 01:39:48,119 AND LOOKING AT THE ROLE OF 2708 01:39:48,119 --> 01:39:50,388 TRADITIONAL HEALTH AND HEALING 2709 01:39:50,388 --> 01:39:55,259 PRACTICES AND BEING VERY 2710 01:39:55,259 --> 01:39:56,227 IMPORTANT KEY TO OUR HEALTH AND 2711 01:39:56,227 --> 01:39:56,561 WELL-BEING. 2712 01:39:56,561 --> 01:39:58,429 THE OTHER PIECES WE WANTED TO 2713 01:39:58,429 --> 01:40:02,200 IDENTIFY RESEARCH GAPS, AND 2714 01:40:02,200 --> 01:40:04,168 BUILD COLLABORATIVE AND CREATIVE 2715 01:40:04,168 --> 01:40:05,803 INITIATIVES, NOT ONLY WITHIN THE 2716 01:40:05,803 --> 01:40:07,939 NIH, BUT ALSO IN PARTNERSHIP 2717 01:40:07,939 --> 01:40:10,341 WITH HHS OPERATING DIVISIONS. 2718 01:40:10,341 --> 01:40:11,642 AND WHY IS BUILDING THIS 2719 01:40:11,642 --> 01:40:12,944 CULTURALLY CREDIBLE RESEARCH SO 2720 01:40:12,944 --> 01:40:13,544 IMPORTANT? 2721 01:40:13,544 --> 01:40:15,413 IT'S BECAUSE IT ACTUALLY DRIVES 2722 01:40:15,413 --> 01:40:17,615 TRIBAL DECISION-MAKING AND 2723 01:40:17,615 --> 01:40:18,950 POLICY-MAKING AND DIRECT 2724 01:40:18,950 --> 01:40:20,485 PRACTICE ON THE GROUND AND WILL 2725 01:40:20,485 --> 01:40:21,486 ULTIMATELY IMPACT NATIVE HEALTH. 2726 01:40:21,486 --> 01:40:23,888 IF WE HAVE CULTURALLY CREDIBLE 2727 01:40:23,888 --> 01:40:26,224 SCIENCE, WE'LL HAVE CULTURALLY 2728 01:40:26,224 --> 01:40:27,091 CREDIBLE OPPORTUNITIES FOR 2729 01:40:27,091 --> 01:40:29,527 PROGRAMS AND PRACTICES THAT WILL 2730 01:40:29,527 --> 01:40:30,761 THEN IMPACT OUR HEALTH AND 2731 01:40:30,761 --> 01:40:31,195 WELL-BEING. 2732 01:40:31,195 --> 01:40:33,064 SO OUR RESEARCH DRIVES THE 2733 01:40:33,064 --> 01:40:34,131 SOLUTIONS, AND SOLUTIONS 2734 01:40:34,131 --> 01:40:35,433 ULTIMATELY DRIVE THAT HEALTH 2735 01:40:35,433 --> 01:40:36,200 IMPACT. 2736 01:40:36,200 --> 01:40:38,503 ALSO, THIS WORK BUILDS ON 2737 01:40:38,503 --> 01:40:40,972 PRESIDENT BIDEN'S MANDATE TO 2738 01:40:40,972 --> 01:40:42,273 FEDERAL AGENCIES TO INCORPORATE 2739 01:40:42,273 --> 01:40:44,475 INDIGENOUS KNOWLEDGES IN ALL 2740 01:40:44,475 --> 01:40:45,476 FEDERAL AGENCIES, AND SO WE'LL 2741 01:40:45,476 --> 01:40:48,112 BE DOING THAT AS WELL THIS YEAR 2742 01:40:48,112 --> 01:40:49,313 AT THRO. 2743 01:40:49,313 --> 01:40:53,217 SO THAT INDIGENOUS KNOWLEDGE 2744 01:40:53,217 --> 01:40:55,353 MANDATE IN MY MIND MAKES A GREAT 2745 01:40:55,353 --> 01:40:56,120 HOME POTENTIALLY IN NCCIH AS 2746 01:40:56,120 --> 01:40:58,222 WELL. 2747 01:40:58,222 --> 01:41:00,424 THE SECOND AREA THAT WE WORK ON 2748 01:41:00,424 --> 01:41:02,426 IS OUR EARTH ELEMENT, AND THAT 2749 01:41:02,426 --> 01:41:05,129 IS ABOUT CULTIVATING CAPACITY, 2750 01:41:05,129 --> 01:41:07,698 AND THAT CULTIVATING CAPACITY 2751 01:41:07,698 --> 01:41:10,868 INCLUDES BUILDING A CULTURALLY 2752 01:41:10,868 --> 01:41:13,137 INFORMED INTERNAL NIH WORKFORCE, 2753 01:41:13,137 --> 01:41:16,207 AS WELL AS GROWING A CULTURALLY 2754 01:41:16,207 --> 01:41:17,308 REPRESENTATIVE EXTERNAL NATIVE 2755 01:41:17,308 --> 01:41:18,276 RESEARCH WORKFORCE. 2756 01:41:18,276 --> 01:41:20,044 AND THIS INCLUDES ON THE 2757 01:41:20,044 --> 01:41:23,881 INTERNAL SIDE, WE DO WORK ON 2758 01:41:23,881 --> 01:41:26,951 TECHNICAL ADVISING, COORDINATING 2759 01:41:26,951 --> 01:41:28,486 ACTIVITIES, TROUBLESHOOTING, 2760 01:41:28,486 --> 01:41:31,589 DOING EDUCATIONAL OUTREACH, AND 2761 01:41:31,589 --> 01:41:32,690 ON THE EXTERNAL SIDE, WE'RE 2762 01:41:32,690 --> 01:41:34,225 HOPING TO REALLY BUILD MORE 2763 01:41:34,225 --> 01:41:35,593 NATIVE RESEARCHERS AT THE 2764 01:41:35,593 --> 01:41:37,128 COMMUNITY LEVEL, NOT JUST THE 2765 01:41:37,128 --> 01:41:37,762 UNIVERSITY LEVEL. 2766 01:41:37,762 --> 01:41:39,530 AND WHY IS IT IMPORTANT TO 2767 01:41:39,530 --> 01:41:41,098 CULTIVATE A NATIVE RESEARCH 2768 01:41:41,098 --> 01:41:41,666 WORKFORCE? 2769 01:41:41,666 --> 01:41:43,834 BECAUSE IF YOU TOOK A 1,000 2770 01:41:43,834 --> 01:41:44,936 PH.D.s RIGHT NOW AND PUT THEM 2771 01:41:44,936 --> 01:41:48,839 IN THE ROOM, 735 WOULD BE WHITE, 2772 01:41:48,839 --> 01:41:51,976 65 WOULD BE HISPANIC, 63 WOULD 2773 01:41:51,976 --> 01:41:53,077 BE AFRICAN AMERICAN/BLACK, BUT 2774 01:41:53,077 --> 01:41:54,712 HOW MANY WOULD BE NATIVE? 2775 01:41:54,712 --> 01:41:56,647 3. 2776 01:41:56,647 --> 01:41:57,348 ONLY 3. 2777 01:41:57,348 --> 01:41:59,150 SO RIGHT NOW NATIVE RESEARCHERS 2778 01:41:59,150 --> 01:42:01,185 MAKE UP -- NOT EVEN RESEARCHERS, 2779 01:42:01,185 --> 01:42:02,753 JUST PH.D.s, MAKE UP ABOUT A 2780 01:42:02,753 --> 01:42:04,789 THIRD OF 1% OF ALL PH.D. 2781 01:42:04,789 --> 01:42:06,090 HOLDERS. 2782 01:42:06,090 --> 01:42:07,692 SO VERY SMALL PROPORTION. 2783 01:42:07,692 --> 01:42:09,393 AND WE NEED NATIVE RESEARCHERS 2784 01:42:09,393 --> 01:42:11,929 AT THE TABLE BECAUSE BRINGING IN 2785 01:42:11,929 --> 01:42:14,298 THAT CULTURAL EXPERIENCE AND 2786 01:42:14,298 --> 01:42:16,934 CULTURALLY BASED RELEVANT 2787 01:42:16,934 --> 01:42:17,902 QUESTIONS, AGAIN IN THAT 2788 01:42:17,902 --> 01:42:19,770 COMMUNITY HANDS-ON KNOWLEDGE, 2789 01:42:19,770 --> 01:42:21,339 ALLOWS US TO BUILD BETTER 2790 01:42:21,339 --> 01:42:23,741 SCIENCE, BETTER SOLUTIONS, AND 2791 01:42:23,741 --> 01:42:25,509 BETTER INTERVENTIONS. 2792 01:42:25,509 --> 01:42:27,178 THE THIRD ELEMENT IS WHAT WE 2793 01:42:27,178 --> 01:42:28,179 CALL WATER FOR THE WATER 2794 01:42:28,179 --> 01:42:31,148 ELEMENT, WATERING THE SEEDS OF 2795 01:42:31,148 --> 01:42:31,882 ENGAGEMENT. 2796 01:42:31,882 --> 01:42:33,384 WE SPEND A LOT OF TIME DOING 2797 01:42:33,384 --> 01:42:34,485 TRIBAL CONSULTATION ACTIVITIES, 2798 01:42:34,485 --> 01:42:37,054 AND TRIBAL ENGAGEMENT, THIS IS A 2799 01:42:37,054 --> 01:42:37,922 FORWARD-FACING ASPECTS OF OUR 2800 01:42:37,922 --> 01:42:40,224 WORK AT THRO. 2801 01:42:40,224 --> 01:42:42,293 AND WHAT WE HOPE IS THAT BY 2802 01:42:42,293 --> 01:42:44,195 BUILDING TRIBAL ENGAGEMENT AND 2803 01:42:44,195 --> 01:42:47,264 KOCONSULTATION, WE WANT TO ENSUE 2804 01:42:47,264 --> 01:42:49,634 THAT IT'S AUTHENTIC, CREDIBLE 2805 01:42:49,634 --> 01:42:50,701 AND RESPONSIVE TO THE NEEDS OF 2806 01:42:50,701 --> 01:42:51,902 TRIBAL NATIONS, AND WE WANT 2807 01:42:51,902 --> 01:42:53,104 COMMUNITIES TO REALLY KNOW WHAT 2808 01:42:53,104 --> 01:42:54,805 NIH OFFERS AND WHAT TOOLS AND 2809 01:42:54,805 --> 01:42:56,540 TECHNOLOGIES ARE AVAILABLE TO 2810 01:42:56,540 --> 01:42:58,743 THEM TO SOLVE THEIR MOST 2811 01:42:58,743 --> 01:43:01,812 PRESSING HEALTH CHALLENGES. 2812 01:43:01,812 --> 01:43:03,180 AND ALSO IT WARRANTS 2813 01:43:03,180 --> 01:43:03,948 STREAMLINING, AND I COULD TALK 2814 01:43:03,948 --> 01:43:05,249 ABOUT THAT LATER IF PEOPLE HAVE 2815 01:43:05,249 --> 01:43:06,884 INTEREST IN THAT, BUT WE DON'T 2816 01:43:06,884 --> 01:43:08,152 WANT TO OVERBURDEN OUR 2817 01:43:08,152 --> 01:43:08,753 COMMUNITIES AT THE SAME TIME, 2818 01:43:08,753 --> 01:43:10,321 AND I THINK THERE'S SOME 2819 01:43:10,321 --> 01:43:12,623 OPPORTUNITIES FOR STREAMLINING. 2820 01:43:12,623 --> 01:43:15,026 AGAIN, PARTNERSHIP -- BUILDING 2821 01:43:15,026 --> 01:43:16,160 PARTNERSHIPS SUCH AS THESE 2822 01:43:16,160 --> 01:43:17,595 ALLOWS FOR SUSTAINABLE SOLUTIONS 2823 01:43:17,595 --> 01:43:20,464 TO BE HAD AT THE COMMUNITY LEVEL 2824 01:43:20,464 --> 01:43:21,932 AS WELL. 2825 01:43:21,932 --> 01:43:24,201 THE FOURTH ELEMENT, FIRE, IS 2826 01:43:24,201 --> 01:43:25,836 BLAZING NEW TRAILS, NEW PATHS 2827 01:43:25,836 --> 01:43:28,205 FOR STRATEGIC INITIATIVES, 2828 01:43:28,205 --> 01:43:29,507 POLICIES AND COLLABORATIONS, AND 2829 01:43:29,507 --> 01:43:32,143 THIS REALLY DOES NECESSITATE 2830 01:43:32,143 --> 01:43:33,878 BUILDING COALITIONS BECAUSE WE 2831 01:43:33,878 --> 01:43:36,047 ARE NOT A FUNDING OFFICE. 2832 01:43:36,047 --> 01:43:39,750 WE'RE NOT A GRANT LN MAKING-MAKE 2833 01:43:39,750 --> 01:43:41,719 SO WE HAVE TO RELY ON THE 2834 01:43:41,719 --> 01:43:43,554 GOODWILL OF OTHERS TO PULL 2835 01:43:43,554 --> 01:43:45,322 TOGETHER AND SOLICITING INSIGHTS 2836 01:43:45,322 --> 01:43:47,024 AND STIMULATING COORDINATION AND 2837 01:43:47,024 --> 01:43:48,993 COLLABORATION ACROSS THE NIH, 2838 01:43:48,993 --> 01:43:50,828 HHS AND OTHER FEDERAL AGENCIES 2839 01:43:50,828 --> 01:43:51,495 AS APPROPRIATE. 2840 01:43:51,495 --> 01:43:53,397 AND WE HOPE TO DO THIS BY 2841 01:43:53,397 --> 01:43:56,033 BUILDING ON NATIVE ASSETS, OUR 2842 01:43:56,033 --> 01:43:57,968 NATIVE BRILLIANCE AND GREAT 2843 01:43:57,968 --> 01:44:00,004 MINDS WHILE BUILDING BRIDGES 2844 01:44:00,004 --> 01:44:01,439 ACROSS HISTORICAL SILOS. 2845 01:44:01,439 --> 01:44:02,740 THESE COALITIONS WILL HELP US 2846 01:44:02,740 --> 01:44:05,910 BUILD AND MAXIMIZE COMMUNITY 2847 01:44:05,910 --> 01:44:07,311 INTEREST AND HAVE REALLY BETTER 2848 01:44:07,311 --> 01:44:09,814 IMPACT IN OUR COMMUNITY. 2849 01:44:09,814 --> 01:44:11,248 SOME OF THE THINGS THAT WE'RE 2850 01:44:11,248 --> 01:44:14,351 FOCUSING ON AT THRO RIGHT NOW 2851 01:44:14,351 --> 01:44:15,219 ARE FOUR MAIN AREAS. 2852 01:44:15,219 --> 01:44:16,187 THE FIRST AND FOREMOST IS 2853 01:44:16,187 --> 01:44:17,822 DEVELOPING A TRIBAL DATA 2854 01:44:17,822 --> 01:44:19,423 SOVEREIGNTY POLICY AT THE NIH. 2855 01:44:19,423 --> 01:44:21,492 WE HAVE 27 INSTITUTES THAT KIND 2856 01:44:21,492 --> 01:44:22,593 OF HAVE THEIR OWN VERSION OF 2857 01:44:22,593 --> 01:44:25,496 WHAT THAT MEANS IN TERMS OF 2858 01:44:25,496 --> 01:44:26,897 WORKING WITH COMMUNITIES AND 2859 01:44:26,897 --> 01:44:28,566 ALTHOUGH WE DEVELOPED A DATA 2860 01:44:28,566 --> 01:44:29,800 SHARING GUIDANCE A FEW YEARS 2861 01:44:29,800 --> 01:44:32,570 AGO, WHICH WAS A GREAT START, 2862 01:44:32,570 --> 01:44:34,739 GUIDANCE DOESN'T QUITE HAVE THE 2863 01:44:34,739 --> 01:44:38,008 INFORMATION ABOUT HOW TO HONOR 2864 01:44:38,008 --> 01:44:41,112 TRIBAL SOVEREIGNTY, HOW TO 2865 01:44:41,112 --> 01:44:44,215 HONOR -- ENSURE THAT WE'RE -- 2866 01:44:44,215 --> 01:44:46,283 THAT WE ARE FOLLOWING TRIBAL 2867 01:44:46,283 --> 01:44:48,152 ORDINANCES AND CODES, TRY TO 2868 01:44:48,152 --> 01:44:49,720 BECOME INCREDIBLY SOPHISTICATED 2869 01:44:49,720 --> 01:44:50,721 IN THE LAST DECADE AND HAVE 2870 01:44:50,721 --> 01:44:52,356 DEVELOPED ORDINANCES AND CODES 2871 01:44:52,356 --> 01:44:54,859 WITH RESPECT TO DATA THAT WE 2872 01:44:54,859 --> 01:44:57,061 HAVE TO BE ABLE TO ABIDE BY AND 2873 01:44:57,061 --> 01:44:57,795 WORK WITH. 2874 01:44:57,795 --> 01:44:59,764 SO WE'RE WORKING ON STREAMLINING 2875 01:44:59,764 --> 01:45:01,499 THAT ACROSS THE NIH THIS YEAR 2876 01:45:01,499 --> 01:45:05,603 AND WE'LL LOOK FORWARD TO THE 2877 01:45:05,603 --> 01:45:07,238 NIH'S INPUT IN THAT PROCESS. 2878 01:45:07,238 --> 01:45:08,539 WE'RE ALSO DEVELOPING A NEW 2879 01:45:08,539 --> 01:45:09,707 STRATEGIC PLAN, ANOTHER 2880 01:45:09,707 --> 01:45:10,808 OPPORTUNITY FOR US TO THINK DOWN 2881 01:45:10,808 --> 01:45:12,109 THE LINE HOW WE COULD 2882 01:45:12,109 --> 01:45:13,978 POTENTIALLY WORK TOGETHER, AS 2883 01:45:13,978 --> 01:45:15,312 WELL AS DEVELOPING THOSE 2884 01:45:15,312 --> 01:45:17,281 INDIGENOUS KNOWLEDGE GUIDELINES. 2885 01:45:17,281 --> 01:45:19,717 THE AREA WHERE I SEE WE HAVE 2886 01:45:19,717 --> 01:45:22,219 MOST POTENTIAL PROMISE WITH YOU 2887 01:45:22,219 --> 01:45:24,255 ALL IS DEVELOPING SOME OF THE 2888 01:45:24,255 --> 01:45:25,022 CROSS-CUTTING INITIATIVES THAT 2889 01:45:25,022 --> 01:45:27,424 WE HOPE TO HAVE AT THE NIH BUT 2890 01:45:27,424 --> 01:45:29,226 ALSO OUTSIDE OF THE NIH, IN 2891 01:45:29,226 --> 01:45:31,562 PARTNERSHIP WITH HHS OPERATIVES. 2892 01:45:31,562 --> 01:45:33,097 ONE OF THE ONES THAT WE ALREADY 2893 01:45:33,097 --> 01:45:35,733 HAVE A WORK GROUP STARTED JUST 2894 01:45:35,733 --> 01:45:37,768 RECENTLY IS A BOARDING SCHOOL 2895 01:45:37,768 --> 01:45:39,737 HEALING RESEARCH INITIATIVE 2896 01:45:39,737 --> 01:45:40,704 FOCUSING ON LOOKING AT THE 2897 01:45:40,704 --> 01:45:42,106 IMPACT OF INTERGENERATIONAL 2898 01:45:42,106 --> 01:45:44,175 TRAUMA ON INDIGENOUS WELL-BEING 2899 01:45:44,175 --> 01:45:45,476 AND IDENTIFYING SOLUTIONS FOR 2900 01:45:45,476 --> 01:45:48,012 ADDRESSING THE VERY INNOVATIVE 2901 01:45:48,012 --> 01:45:50,314 SOLUTIONS FOR RECOVERING HEALTH 2902 01:45:50,314 --> 01:45:51,882 AND WELL-BEING IN OUR INDIGENOUS 2903 01:45:51,882 --> 01:45:52,883 COMMUNITIES IMPACTED BY EVENT 2904 01:45:52,883 --> 01:45:54,485 SUCH AS BOARDING SCHOOL TRAUMA. 2905 01:45:54,485 --> 01:45:56,887 AND THIS IS IN PART INSPIRED BY 2906 01:45:56,887 --> 01:45:58,622 DEB HOLLAND'S WORK IN INDIAN 2907 01:45:58,622 --> 01:45:59,790 COUNTRY RIGHT NOW, WHERE SHE'S 2908 01:45:59,790 --> 01:46:01,325 GOING OUT TO COMMUNITIES AND 2909 01:46:01,325 --> 01:46:02,426 HOLDING LISTENING SESSIONS TO 2910 01:46:02,426 --> 01:46:04,061 FIND OUT ABOUT THE IMPACT OF 2911 01:46:04,061 --> 01:46:06,297 BOARDING SCHOOLS ON NATIVE 2912 01:46:06,297 --> 01:46:07,965 COMMUNITIES AND THEIR WELL-BEING 2913 01:46:07,965 --> 01:46:09,700 AND SHE'S ACTUALLY CREATING AN 2914 01:46:09,700 --> 01:46:11,001 ARCHIVE FOR THAT, AND WE FILTH 2915 01:46:11,001 --> 01:46:12,703 LIKE, HEY, WE SHOULD BE AT THE 2916 01:46:12,703 --> 01:46:14,572 TABLE TO BE ABLE TO DEVELOP SOME 2917 01:46:14,572 --> 01:46:16,373 INTERVENTIONS TO HELP 2918 01:46:16,373 --> 01:46:17,808 INTERGENERATIONAL TRAUMA AS IT'S 2919 01:46:17,808 --> 01:46:19,877 IMPACTED FAMILIES, MOVE THROUGH 2920 01:46:19,877 --> 01:46:23,047 THAT AND OF COURSE BUILDING ON 2921 01:46:23,047 --> 01:46:24,882 INDIGENOUS KNOWLEDGE TO DO THAT. 2922 01:46:24,882 --> 01:46:26,851 A GOOD EXAMPLE OF THAT IS FOR 2923 01:46:26,851 --> 01:46:28,519 EXAMPLE, BOARDING SCHOOLS 2924 01:46:28,519 --> 01:46:30,020 TARGETED ERADICATING LANGUAGE, 2925 01:46:30,020 --> 01:46:31,288 NATIVE LANGUAGES AND GETTING RID 2926 01:46:31,288 --> 01:46:32,056 OF THEM. 2927 01:46:32,056 --> 01:46:34,158 YOU KNOW, AND WE DO KNOW FROM 2928 01:46:34,158 --> 01:46:37,161 RESEARCH ALREADY THAT IF YOU -- 2929 01:46:37,161 --> 01:46:40,231 SOME OF THE INTERVENTIONS THAT 2930 01:46:40,231 --> 01:46:41,665 INCORPORATE AND BUILD NATIVE 2931 01:46:41,665 --> 01:46:43,601 LANGUAGES IN YOUTH ACTUALLY 2932 01:46:43,601 --> 01:46:45,302 DECREASE YOUTH SUICIDE RATES 2933 01:46:45,302 --> 01:46:46,637 AMONG THE AMERICAN INDIANS AND 2934 01:46:46,637 --> 01:46:47,271 ALASKA NATIVES. 2935 01:46:47,271 --> 01:46:49,039 SO THAT'S AN EXAMPLE OF KIND OF 2936 01:46:49,039 --> 01:46:50,507 THE TYPE OF INTERVENTION THAT 2937 01:46:50,507 --> 01:46:52,376 COULD POTENTIALLY BE TESTED 2938 01:46:52,376 --> 01:46:55,446 COMING OUT OF AN INITIATIVE LIKE 2939 01:46:55,446 --> 01:47:00,784 THIS. 2940 01:47:00,784 --> 01:47:01,785 WORKING AROUND CLIMATE ACTION 2941 01:47:01,785 --> 01:47:03,387 AND SOME OF THE ISSUES THAT ARE 2942 01:47:03,387 --> 01:47:05,789 HAPPENING IN OUR COMMUNITIES ARE 2943 01:47:05,789 --> 01:47:07,057 DISPROPORTIONATELY HAVING TO 2944 01:47:07,057 --> 01:47:09,360 MOVE FROM TRIBAL LANDS, FOR 2945 01:47:09,360 --> 01:47:12,863 EXAMPLE, BECAUSE OF RISING 2946 01:47:12,863 --> 01:47:14,498 WATERS AND THAT'S IMPACTING 2947 01:47:14,498 --> 01:47:15,666 WHOLE COMMUNITIES WHEN YOU LEAVE 2948 01:47:15,666 --> 01:47:16,967 YOUR TRADITIONAL LANDS, THERE'S 2949 01:47:16,967 --> 01:47:18,836 ALL KINDS OF MEANING FOR THAT 2950 01:47:18,836 --> 01:47:19,470 FOR COMMUNITIES. 2951 01:47:19,470 --> 01:47:22,806 SO WE'RE REALLY LOOKING TO THINK 2952 01:47:22,806 --> 01:47:24,375 ABOUT HOW DO WE DO SOME 2953 01:47:24,375 --> 01:47:25,042 ANTICIPATORY GRIEF AND WORK 2954 01:47:25,042 --> 01:47:26,110 THROUGH SOME OF THESE ISSUES 2955 01:47:26,110 --> 01:47:28,178 ABOUT MOVEMENT AND HOW DO WE 2956 01:47:28,178 --> 01:47:31,015 INCORPORATE HOLISTIC WAYS OF 2957 01:47:31,015 --> 01:47:33,751 ADDRESSING WELL-BEING AS CLIMATE 2958 01:47:33,751 --> 01:47:35,586 CHANGE IS DISPROPORTIONATELY 2959 01:47:35,586 --> 01:47:36,787 IMPACTING OUR COMMUNITIES. 2960 01:47:36,787 --> 01:47:40,557 ANOTHER AREAS, MISSING, MURDERED 2961 01:47:40,557 --> 01:47:41,158 INDIGENOUS PEOPLE. 2962 01:47:41,158 --> 01:47:42,760 AGAIN DEB HOLLAND IS LEADING A 2963 01:47:42,760 --> 01:47:44,828 TASK FORCE ON THAT IN NATIVE 2964 01:47:44,828 --> 01:47:45,930 COMMUNITIES, PARTICULARLY WOMEN, 2965 01:47:45,930 --> 01:47:48,666 BUT ALSO MEN HAVE BEEN TARGETED 2966 01:47:48,666 --> 01:47:50,467 FOR SEX TRAFFICKING AND 2967 01:47:50,467 --> 01:47:51,435 KIDNAPPING AND MURDER. 2968 01:47:51,435 --> 01:47:52,770 AND SO WE'RE HOPING TO REDUCE 2969 01:47:52,770 --> 01:47:55,773 SOME OF THOSE RATES, OFFICE OF 2970 01:47:55,773 --> 01:47:57,074 RESEARCH ON WOMEN'S HEALTH HAS 2971 01:47:57,074 --> 01:47:58,309 ACTUALLY EXPRESSED AN INTEREST 2972 01:47:58,309 --> 01:47:59,276 IN POTENTIALLY PARTNERING WITH 2973 01:47:59,276 --> 01:48:01,445 US ON THAT. 2974 01:48:01,445 --> 01:48:02,780 AND ANYWAY, SO THOSE ARE JUST 2975 01:48:02,780 --> 01:48:03,414 SOME OF THE EXAMPLES. 2976 01:48:03,414 --> 01:48:05,382 IF I THINK ABOUT NCCIH, I'M JUST 2977 01:48:05,382 --> 01:48:07,551 GOING TO CLOSE WITH THAT, TO 2978 01:48:07,551 --> 01:48:10,521 SOME THINGS TO THINK ABOUT I A 2979 01:48:10,521 --> 01:48:11,855 LITTLE BIT, IS THAT THERE'S 2980 01:48:11,855 --> 01:48:14,825 REALLY GREAT OPPORTUNITY TO LOOK 2981 01:48:14,825 --> 01:48:16,927 AT THE ROLE OF NATIVE KNOWLEDGES 2982 01:48:16,927 --> 01:48:21,031 AND PRACTICES AS REALLY 2983 01:48:21,031 --> 01:48:22,333 POTENTIALLY LEADING SOME OF THE 2984 01:48:22,333 --> 01:48:23,200 ISSUES THAT YOU'RE ALREADY 2985 01:48:23,200 --> 01:48:24,001 EXPLORING. 2986 01:48:24,001 --> 01:48:25,836 SO FOR EXAMPLE, NEURAL ARTS AND 2987 01:48:25,836 --> 01:48:30,941 THE IMPACT OF NEUROARTS AND THE 2988 01:48:30,941 --> 01:48:31,809 IMPACT ON WELL-BEING. 2989 01:48:31,809 --> 01:48:34,178 THE ROLE OF SONGS, THE ROLE OF 2990 01:48:34,178 --> 01:48:35,946 DRUMS, RATTLES, TRADITIONAL TOOL 2991 01:48:35,946 --> 01:48:36,914 MAKING, TRADITIONAL ARTS THAT 2992 01:48:36,914 --> 01:48:41,819 COULD BE ANYTHING FROM BASKETRY, 2993 01:48:41,819 --> 01:48:42,987 WEAVING, TATTOOING, THINGS THAT 2994 01:48:42,987 --> 01:48:44,321 GO ON IN OUR COMMUNITIES, SOME 2995 01:48:44,321 --> 01:48:47,157 OF THE RESEARCH ON STROKE AND 2996 01:48:47,157 --> 01:48:50,861 SONGS IN INDIAN COUNTRY HAS 2997 01:48:50,861 --> 01:48:51,528 ALREADY BEEN DONE. 2998 01:48:51,528 --> 01:48:53,163 DAN IS PROBABLY GOING TO TALK TO 2999 01:48:53,163 --> 01:48:56,300 SOME OF HIS WORK HE'S DONE WITH 3000 01:48:56,300 --> 01:48:57,935 DRUMMING AND SUBSTANCE ABUSE 3001 01:48:57,935 --> 01:49:01,438 PREVENTION, SO THRA THERE'S REAN 3002 01:49:01,438 --> 01:49:03,507 OPPORTUNITY TO WORK IN 3003 01:49:03,507 --> 01:49:04,908 PARTNERSHIP TO IDENTIFY SOME OF 3004 01:49:04,908 --> 01:49:06,010 THESE TRADITIONAL PRACTICES AND 3005 01:49:06,010 --> 01:49:08,045 HOW THAT CAN IMPACT IN 3006 01:49:08,045 --> 01:49:08,912 TRADITIONAL ARTS AND HOW THAT 3007 01:49:08,912 --> 01:49:10,247 CAN IMPACT COMMUNITY HEALTH AND 3008 01:49:10,247 --> 01:49:11,448 WELL-BEING. 3009 01:49:11,448 --> 01:49:13,350 I KNOW TATTOOING IS BECOMING 3010 01:49:13,350 --> 01:49:15,686 SOMETHING THAT -- A BIG MOVEMENT 3011 01:49:15,686 --> 01:49:17,955 AMONG OUR YOUNG PEOPLE TO BRING 3012 01:49:17,955 --> 01:49:20,591 BACK TRADITIONAL TATTOOING IS 3013 01:49:20,591 --> 01:49:22,726 PART OF RITES OF PASSAGE AND 3014 01:49:22,726 --> 01:49:23,627 ACKNOWLEDGING COMMITMENT TO 3015 01:49:23,627 --> 01:49:24,595 COMMUNITY AND IT WILL BE 3016 01:49:24,595 --> 01:49:26,530 INTERESTING TO SEE HOW THAT, FOR 3017 01:49:26,530 --> 01:49:28,932 EXAMPLE, MAY HAVE AN IMPACT ON 3018 01:49:28,932 --> 01:49:29,700 PEOPLE'S OVERALL WELL-BEING AND 3019 01:49:29,700 --> 01:49:31,902 SENSE OF CONNECTEDNESS 3020 01:49:31,902 --> 01:49:33,003 BETWEEN -- IMPACTS WELL-BEING IN 3021 01:49:33,003 --> 01:49:33,937 A GOOD WAY. 3022 01:49:33,937 --> 01:49:35,172 ONE OF THE THINGS, THOUGH, WE 3023 01:49:35,172 --> 01:49:36,907 HAVE TO DISTINGUISH, AND I DON'T 3024 01:49:36,907 --> 01:49:38,609 SEE THAT YOU DO THIS WELL IN THE 3025 01:49:38,609 --> 01:49:39,476 LITERATURE IS DISTINGUISHING 3026 01:49:39,476 --> 01:49:41,445 BETWEEN TRADITIONAL HEALING AND 3027 01:49:41,445 --> 01:49:43,480 TRADITIONAL HEALTH PRACTICES. 3028 01:49:43,480 --> 01:49:44,581 TRADITIONAL HEALING PRACTICES 3029 01:49:44,581 --> 01:49:47,451 ARE THOSE PRACTICES THAT ARE 3030 01:49:47,451 --> 01:49:48,552 DONE TO CORRECT SOMETHING THAT'S 3031 01:49:48,552 --> 01:49:51,789 OUT OF BALANCE, WHEN THERE'S 3032 01:49:51,789 --> 01:49:53,023 THAT OUT OF BALANCE OR SOMETHING 3033 01:49:53,023 --> 01:49:55,492 NEEDS TO BE PUT BACK INTO 3034 01:49:55,492 --> 01:49:56,960 BALANCE, VERSUS TRADITIONAL 3035 01:49:56,960 --> 01:49:58,295 HEALTH PRACTICES, ARE THOSE 3036 01:49:58,295 --> 01:49:59,530 EVERYDAY PRACTICES TO KEEP 3037 01:49:59,530 --> 01:50:00,397 OURSELVES WELL. 3038 01:50:00,397 --> 01:50:02,199 SO WE'RE KEEPING OURSELVES IN 3039 01:50:02,199 --> 01:50:04,701 BALANCE. 3040 01:50:04,701 --> 01:50:06,370 AND OF COURSE THERE'S CEREMONIAL 3041 01:50:06,370 --> 01:50:07,771 CYCLES THAT ALSO NEED TO BE 3042 01:50:07,771 --> 01:50:09,173 ACKNOWLEDGED IN OUR COMMUNITIES 3043 01:50:09,173 --> 01:50:12,142 THAT WE HAVE LAND-BASED AND 3044 01:50:12,142 --> 01:50:14,311 EARTH-BASED AND SKY-BASED 3045 01:50:14,311 --> 01:50:17,247 CEREMONIAL CYCLES THAT IS PART 3046 01:50:17,247 --> 01:50:19,650 OF KEEPING OUR WELL-BEING, NOT 3047 01:50:19,650 --> 01:50:20,751 JUST AS AN INDIVIDUAL BUT AS A 3048 01:50:20,751 --> 01:50:22,619 COMMUNITY. 3049 01:50:22,619 --> 01:50:28,258 AND THOSE CYCLES ALSO INVOLVE 3050 01:50:28,258 --> 01:50:29,259 QUITE OFTEN OPPORTUNITIES FOR 3051 01:50:29,259 --> 01:50:30,327 HEALING PRACTICES THAT HAPPEN 3052 01:50:30,327 --> 01:50:31,995 DURING THOSE IMPORTANT 3053 01:50:31,995 --> 01:50:34,164 TRANSITION OR ENVIRONMENTAL 3054 01:50:34,164 --> 01:50:35,332 CYCLE EVENTS. 3055 01:50:35,332 --> 01:50:36,967 THAT'S THINGS LIKE SWEAT LODGE 3056 01:50:36,967 --> 01:50:37,968 AND OTHER PURIFICATION OR 3057 01:50:37,968 --> 01:50:41,538 HEALING RITES, BUT SOME OF THESE 3058 01:50:41,538 --> 01:50:43,507 CAN BE USED BOTH FOR DIAGNOSTIC 3059 01:50:43,507 --> 01:50:44,708 PURPOSES OR FOR ONGOING 3060 01:50:44,708 --> 01:50:45,676 PURIFICATION AND KEEPING 3061 01:50:45,676 --> 01:50:47,077 OURSELVES HEALTHY PURPOSES, BUT 3062 01:50:47,077 --> 01:50:48,712 IT COULD ALSO BE USED FOR 3063 01:50:48,712 --> 01:50:54,384 HEALING PURPOSES TO CORRECT THAT 3064 01:50:54,384 --> 01:50:54,918 ILLNESS. 3065 01:50:54,918 --> 01:50:56,353 AND THEN THE ROLE OF TRADITIONAL 3066 01:50:56,353 --> 01:50:57,788 MEDICINES AND PLANTS, OUR 3067 01:50:57,788 --> 01:50:58,422 INDIGENOUS COMMUNITIES HAVE 3068 01:50:58,422 --> 01:51:00,591 ALREADY CONTRIBUTED GREATLY, 3069 01:51:00,591 --> 01:51:01,992 QUITE OFTEN IT GOES 3070 01:51:01,992 --> 01:51:02,459 UNACKNOWLEDGED. 3071 01:51:02,459 --> 01:51:04,528 A GOOD EXAMPLE IS PRO STATIN IS 3072 01:51:04,528 --> 01:51:07,197 THE DRUG USED FOR HIV 3073 01:51:07,197 --> 01:51:12,035 MEDICATIONS, COMES OUT OF THE 3074 01:51:12,035 --> 01:51:15,405 MAMALABARK TRADITIONAL HEALERS 3075 01:51:15,405 --> 01:51:19,309 IN SMOA YA. 3076 01:51:19,309 --> 01:51:21,512 SAMOA. 3077 01:51:21,512 --> 01:51:22,713 ABOUT 1300 DIFFERENT TYPES OF 3078 01:51:22,713 --> 01:51:23,981 INDIGENOUS MEDICINES HAVE BEEN 3079 01:51:23,981 --> 01:51:30,687 INTEGRATED INTO OUR FARM COPE YA 3080 01:51:30,687 --> 01:51:33,724 THAT WE USE IN WESTERN SCIENCE 3081 01:51:33,724 --> 01:51:34,291 MODELS. 3082 01:51:34,291 --> 01:51:35,125 WILLOW AND ASPIRIN, THE 3083 01:51:35,125 --> 01:51:36,260 PROPERTIES ARE VERY SIMILAR. 3084 01:51:36,260 --> 01:51:37,561 BUT THERE ARE TRADITIONAL 3085 01:51:37,561 --> 01:51:38,862 MEDICINES THAT STILL CONTINUE TO 3086 01:51:38,862 --> 01:51:40,531 BE USED AND AT TIMES OF CRISIS 3087 01:51:40,531 --> 01:51:42,566 LIKE THE COVID CRISIS, ALMOST 3088 01:51:42,566 --> 01:51:43,867 EVERYBODY WENT TO TRADITIONAL 3089 01:51:43,867 --> 01:51:45,502 MEDICINES WHEN THEY COULDN'T GET 3090 01:51:45,502 --> 01:51:47,704 ACCESS TO HEALTHCARE SYSTEMS AND 3091 01:51:47,704 --> 01:51:48,839 THERE WAS A LOT OF SHARING 3092 01:51:48,839 --> 01:51:50,474 DURING THIS PERIOD AND A LOT OF 3093 01:51:50,474 --> 01:51:55,712 ACTUALLY HEALTH AND RECOVERY, 3094 01:51:55,712 --> 01:51:57,114 INFORMALLY SOME SERIOUS 3095 01:51:57,114 --> 01:51:58,549 DISCUSSIONS AMONG DIFFERENT 3096 01:51:58,549 --> 01:51:59,216 HEALERS AND COMMUNITIES THAT 3097 01:51:59,216 --> 01:52:00,484 SOME OF THE TRADITIONAL 3098 01:52:00,484 --> 01:52:02,119 MEDICINES THAT WERE USED HELPED 3099 01:52:02,119 --> 01:52:03,554 TO RECOVER -- HELP PEOPLE 3100 01:52:03,554 --> 01:52:07,591 RECOVER VERY QUICKLY FROM COVID. 3101 01:52:07,591 --> 01:52:09,760 SO THERE'S ALSO OTHER 3102 01:52:09,760 --> 01:52:10,561 OPPORTUNITIES FOR EXAMPLE. 3103 01:52:10,561 --> 01:52:13,030 I KNOW NIDA HAS EXPRESSED SOME 3104 01:52:13,030 --> 01:52:15,332 INTEREST IN PSYCHEDELICS AND THE 3105 01:52:15,332 --> 01:52:18,402 ROLE OF THINGS, HOW DOES THAT 3106 01:52:18,402 --> 01:52:21,138 PLAY A ROLE POTENTIALLY FOR 3107 01:52:21,138 --> 01:52:22,105 NATIVE COMMUNITIES. 3108 01:52:22,105 --> 01:52:23,407 I KNOW FOR MY COMMUNITY ALSO IN 3109 01:52:23,407 --> 01:52:25,909 TERMS OF THE TRADITIONAL ARTS, 3110 01:52:25,909 --> 01:52:27,778 IT'S NOT JUST ABOUT HARVESTING 3111 01:52:27,778 --> 01:52:30,514 CLAY, IT'S NOT A TRANSACTIONAL 3112 01:52:30,514 --> 01:52:31,548 NATURE LIKE THAT. 3113 01:52:31,548 --> 01:52:34,985 WHEN YOU D GO DO THIS THING, WHN 3114 01:52:34,985 --> 01:52:36,620 YOU HARVEST SOMETHING, PICK THAT 3115 01:52:36,620 --> 01:52:39,756 PLANT, HARVEST -- TO MAKE YOUR 3116 01:52:39,756 --> 01:52:40,557 BASKETS, YOU'RE PUTTING PRAYER 3117 01:52:40,557 --> 01:52:41,625 INTO THAT, YOU'RE ASKING 3118 01:52:41,625 --> 01:52:42,759 PERMISSION FOR THAT, YOU'RE 3119 01:52:42,759 --> 01:52:46,496 APPROACHING THAT PLANT WITH 3120 01:52:46,496 --> 01:52:47,598 REVERENCE, FOR LACK OF A BETTER 3121 01:52:47,598 --> 01:52:49,032 WORD, BUT THERE'S A RELATIONSHIP 3122 01:52:49,032 --> 01:52:50,434 THAT'S THERE SO IT'S ABOUT 3123 01:52:50,434 --> 01:52:52,269 RESTORING RELATIONAL WAYS OF 3124 01:52:52,269 --> 01:52:54,471 BEING IN OUR WORLD, SO A LOT OF 3125 01:52:54,471 --> 01:52:55,806 INTERVENTIONS IN INDIAN 3126 01:52:55,806 --> 01:52:57,741 COUNTRIES ARE ABOUT THAT, ABOUT 3127 01:52:57,741 --> 01:52:58,742 RESTORING RELATIONAL WAYS OF 3128 01:52:58,742 --> 01:52:59,710 BEING, WHETHER IT'S TO THE 3129 01:52:59,710 --> 01:53:02,212 SPIRIT WORLD OR THE PLANT WORLD 3130 01:53:02,212 --> 01:53:03,981 ELEMENTS, THE ANCESTORS OR YOUR 3131 01:53:03,981 --> 01:53:06,283 OWN BODY, THE COMMUNITY, IT'S 3132 01:53:06,283 --> 01:53:08,652 ALWAYS THAT RELATIONAL WAY OF 3133 01:53:08,652 --> 01:53:11,622 BEING -- IS REALLY CRITICAL TO 3134 01:53:11,622 --> 01:53:13,023 THOUGHT. 3135 01:53:13,023 --> 01:53:14,358 QUITE OFTEN A LOT OF THE 3136 01:53:14,358 --> 01:53:15,959 INTERVENTIONS IN INDIAN COUNTRY 3137 01:53:15,959 --> 01:53:18,362 BUILD ON ORIGINAL INSTRUCTIONS 3138 01:53:18,362 --> 01:53:20,130 OR INDIGENOUS KNOWLEDGES, OUR 3139 01:53:20,130 --> 01:53:22,733 STORIES, OUR TEACHINGS, BUT ALSO 3140 01:53:22,733 --> 01:53:23,800 RESTORING RELATIONAL WAYS OF 3141 01:53:23,800 --> 01:53:25,535 BEING IN THE WORLD AND ALL OF 3142 01:53:25,535 --> 01:53:26,436 THAT LEADS TO TRANSFORMING HOW 3143 01:53:26,436 --> 01:53:27,537 WE TALK AND THINK ABOUT 3144 01:53:27,537 --> 01:53:28,405 OURSELVES, THAT NARRATIVE 3145 01:53:28,405 --> 01:53:28,772 TRANSFORMATION. 3146 01:53:28,772 --> 01:53:30,007 SO THOSE THREE ELEMENTS, QUITE 3147 01:53:30,007 --> 01:53:32,643 OFTEN, ARE INCORPORATED IN 3148 01:53:32,643 --> 01:53:33,610 PREVENTION SCIENCE AND HEALTH 3149 01:53:33,610 --> 01:53:36,647 PROMOTION SCIENCE COMING OUT OF 3150 01:53:36,647 --> 01:53:38,081 INDIAN COUNTRY AND NATIVE 3151 01:53:38,081 --> 01:53:38,849 HAWAIIAN COMMUNITIES AS WELL. 3152 01:53:38,849 --> 01:53:40,784 THERE'S AN UPCOMING TRADITIONAL 3153 01:53:40,784 --> 01:53:41,652 MEDICINE SUMMIT THAT YOU ALL 3154 01:53:41,652 --> 01:53:43,720 MIGHT LIKE TO BE A PART OF AND 3155 01:53:43,720 --> 01:53:45,322 CONNECTED TO THE WHITE HOUSE IS 3156 01:53:45,322 --> 01:53:46,757 HELPING TO PUT ON. 3157 01:53:46,757 --> 01:53:47,958 THRO HAS BEEN INVOLVED IN 3158 01:53:47,958 --> 01:53:49,593 LEADING IN THE PAST BUT WILL BE 3159 01:53:49,593 --> 01:53:52,296 CONTRIBUTING TO IT COMING UP IN 3160 01:53:52,296 --> 01:53:52,963 PROBABLY SPRING. 3161 01:53:52,963 --> 01:53:54,931 THEY'RE LOOKING TO WORK ON 3162 01:53:54,931 --> 01:53:57,868 GETTING REIMBURSTMENT WITH CMS 3163 01:53:57,868 --> 01:53:59,269 ALSO FOR TRADITIONAL HEALTH 3164 01:53:59,269 --> 01:54:00,170 PRACTICES AND PROVIDERS AND 3165 01:54:00,170 --> 01:54:03,340 THAT'S PART OF THE WORK THERE. 3166 01:54:03,340 --> 01:54:05,976 SO I'M GOING TO CLOSE ON THAT 3167 01:54:05,976 --> 01:54:07,044 AND JUST SAY THANK YOU FOR 3168 01:54:07,044 --> 01:54:08,145 ALLOWING ME TO HAVE THIS TIME TO 3169 01:54:08,145 --> 01:54:10,147 SHARE A LITTLE BIT ABOUT WHAT 3170 01:54:10,147 --> 01:54:12,282 WE'RE DOING AT THRO AND TURN IT 3171 01:54:12,282 --> 01:54:14,351 OVER TO MY COLLEAGUE DANDY KER 3172 01:54:14,351 --> 01:54:14,785 SON. 3173 01:54:14,785 --> 01:54:15,319 HI, DAN. 3174 01:54:15,319 --> 01:54:16,920 >> HI! 3175 01:54:16,920 --> 01:54:19,356 GREAT TO SEE YOU. 3176 01:54:19,356 --> 01:54:26,763 >> WELL, THANK YOU SO MUCH THIS 3177 01:54:26,763 --> 01:54:28,799 WAS JUST SO OUTSTANDING AND I 3178 01:54:28,799 --> 01:54:29,566 CAN'T WAIT UNTIL THE DISCUSSION, 3179 01:54:29,566 --> 01:54:31,001 BUT BEFORE WE MOVE OVER TO DAN 3180 01:54:31,001 --> 01:54:34,071 AND BEFORE -- DID WE SAY WE WERE 3181 01:54:34,071 --> 01:54:35,772 GOING TO HAVE Q & A BETWEEN OR 3182 01:54:35,772 --> 01:54:37,174 SHOULD WE JUST GO STRAIGHT TO 3183 01:54:37,174 --> 01:54:39,242 DAN'S TALK AND THEN AFTERWARDS? 3184 01:54:39,242 --> 01:54:42,279 >> I THINK THE PLAN WAS TO GO 3185 01:54:42,279 --> 01:54:44,047 STRAIGHT THROUGH AND THEN HAVE A 3186 01:54:44,047 --> 01:54:44,681 DISCUSSION AFTER THAT. 3187 01:54:44,681 --> 01:54:47,784 >> SO LET ME INTRODUCE THEN 3188 01:54:47,784 --> 01:54:49,252 DR. DICKERSON. 3189 01:54:49,252 --> 01:54:50,587 DR. DANIEL DICKERSON IS 3190 01:54:50,587 --> 01:54:57,494 ASSOCIATE RESEARCH -- HIS 3191 01:54:57,494 --> 01:54:58,695 RESEARCH FOCUSES ON THE 3192 01:54:58,695 --> 01:54:59,730 DEVELOPMENT OF SUBSTANCE USE 3193 01:54:59,730 --> 01:55:00,597 TREATMENT AND PREVENTION 3194 01:55:00,597 --> 01:55:02,666 PROGRAMS FOR AMERICAN INDIAN AND 3195 01:55:02,666 --> 01:55:04,501 ALASKA NATIVE YOUTHS AND ADULTS. 3196 01:55:04,501 --> 01:55:06,570 HE IS CURRENTLY COPRINCIPAL 3197 01:55:06,570 --> 01:55:09,406 INVESTIGATOR ON NIH FUNDED STUDY 3198 01:55:09,406 --> 01:55:11,341 OF MOTIVATIONAL INTERVIEWING AND 3199 01:55:11,341 --> 01:55:13,744 CULTURE FOR URBAN NATIVE 3200 01:55:13,744 --> 01:55:14,845 AMERICAN YOUTH. 3201 01:55:14,845 --> 01:55:16,179 AND ALCOHOL AND DRUG USE 3202 01:55:16,179 --> 01:55:17,748 PREVENTION RESEARCH PROGRAM 3203 01:55:17,748 --> 01:55:21,118 TARGETING UR B URBAN NATIVE AMEN 3204 01:55:21,118 --> 01:55:21,718 YOUTH. 3205 01:55:21,718 --> 01:55:22,986 HE'S ALSO PRINCIPAL INVESTIGATOR 3206 01:55:22,986 --> 01:55:24,187 IN A STUDY INVESTIGATING THE 3207 01:55:24,187 --> 01:55:26,156 POTENTIAL BENEFITS OF SUBSTANCE 3208 01:55:26,156 --> 01:55:28,458 USE INTERVENTION USING DRUMMING 3209 01:55:28,458 --> 01:55:30,727 FOR NATIVE AMERICANS, CALLED 3210 01:55:30,727 --> 01:55:32,796 DRUM ASSISTED RECOVERY THERAPY 3211 01:55:32,796 --> 01:55:33,697 FOR NATIVE AMERICANS. 3212 01:55:33,697 --> 01:55:37,467 AND ALSO, CO-PI ON NATIVE 3213 01:55:37,467 --> 01:55:38,902 AMERICAN YOUTH SLEEP, HEALTH AND 3214 01:55:38,902 --> 01:55:41,238 WELLNESS, A STUDY ANALYZING 3215 01:55:41,238 --> 01:55:43,740 HEALTH AND SLEEP AMONG URBAN 3216 01:55:43,740 --> 01:55:45,876 NATIVE AMERICAN YOUTH. 3217 01:55:45,876 --> 01:55:49,579 DR. DICKERSON EARNED A DOCTOR OF 3218 01:55:49,579 --> 01:55:50,380 OSTEOPATHY AT THE WESTERN 3219 01:55:50,380 --> 01:55:52,949 UNIVERSITY OF HEALTH SCIENCES. 3220 01:55:52,949 --> 01:55:54,818 HE ALSO COMPLETED A GENERAL 3221 01:55:54,818 --> 01:56:00,457 PSYCHIATRY RESIDENCY AT LOMA 3222 01:56:00,457 --> 01:56:01,224 LINDA UNIVERSITY MEDICAL CENTER, 3223 01:56:01,224 --> 01:56:02,626 AN ADDICTION PSYCHIATRY 3224 01:56:02,626 --> 01:56:03,593 FELLOWSHIP AT YALE UNIVERSITY, 3225 01:56:03,593 --> 01:56:05,162 AS WELL AS A MASTER'S OF PUBLIC 3226 01:56:05,162 --> 01:56:12,002 HEALTH FROM THE AT STILL 3227 01:56:12,002 --> 01:56:13,203 UNIVERSITY IN CARES VILLE, 3228 01:56:13,203 --> 01:56:13,470 MISSOURI. 3229 01:56:13,470 --> 01:56:15,272 HE ALSO HAVE A VERY WONDERFUL 3230 01:56:15,272 --> 01:56:16,807 NCCIH ADVISORY COUNCILMEMBER, SO 3231 01:56:16,807 --> 01:56:18,442 THANK YOU SO MUCH, DAN, FOR 3232 01:56:18,442 --> 01:56:19,509 GIVING US A PRESENTATION AND 3233 01:56:19,509 --> 01:56:21,278 THEN AFTER THAT, WE'LL HAVE A 3234 01:56:21,278 --> 01:56:22,479 JOINT Q & A FOR BOTH OF OUR 3235 01:56:22,479 --> 01:56:23,513 SPEAKERS. 3236 01:56:23,513 --> 01:56:25,949 >> YES, THANK YOU SO MUCH, 3237 01:56:25,949 --> 01:56:27,384 HELENE. 3238 01:56:27,384 --> 01:56:29,853 [SPEAKING FOREIGN LANGUAGE] 3239 01:56:29,853 --> 01:56:34,024 I'M DAN DICKERSON, FROM MY 3240 01:56:34,024 --> 01:56:36,560 MOTHER'S SIDE, VILLAGE OF 3241 01:56:36,560 --> 01:56:37,227 WAYNERIGHT. 3242 01:56:37,227 --> 01:56:39,863 I RESPECTFULLY ACKNOWLEDGE ALL 3243 01:56:39,863 --> 01:56:42,666 OF THE INDIGENOUS LANDS THAT WE 3244 01:56:42,666 --> 01:56:44,301 ARE ON, VARIOUS REGIONS IN THE 3245 01:56:44,301 --> 01:56:51,408 U.S., AND HERE IN L.A., AND YES, 3246 01:56:51,408 --> 01:56:52,609 HONOR -- THANK YOU SO MUCH FOR 3247 01:56:52,609 --> 01:56:53,710 THIS OPPORTUNITY TO PRESENT FOR 3248 01:56:53,710 --> 01:56:54,044 YOU. 3249 01:56:54,044 --> 01:56:56,513 THIS WILL BE VERY BRIEF. 3250 01:56:56,513 --> 01:56:58,949 REALLY FOCUSING ON SOME OF THE 3251 01:56:58,949 --> 01:57:02,219 ASPECTS OF WHAT DR. WALTERS 3252 01:57:02,219 --> 01:57:06,590 TOUCHED UPON AS RELATES TO 3253 01:57:06,590 --> 01:57:07,924 RESEARCH WITH NATIVE AMERICAN 3254 01:57:07,924 --> 01:57:08,358 POPULATIONS. 3255 01:57:08,358 --> 01:57:12,596 SO I'D FIRST LIKE TO ACKNOWLEDGE 3256 01:57:12,596 --> 01:57:15,866 NCCIH, NIAAA, MYCO-INVESTIGATOR 3257 01:57:15,866 --> 01:57:18,702 DR. LIZ TAMEKO FROM THE RAND 3258 01:57:18,702 --> 01:57:20,604 CORPORATION, DR. CARRIE JOHNSON, 3259 01:57:20,604 --> 01:57:22,305 ONE OF OUR COMMUNITY LEADERS 3260 01:57:22,305 --> 01:57:24,374 FROM SACRED PATH INDIGENOUS 3261 01:57:24,374 --> 01:57:27,644 WELLNESS CENTER, BLANCA 3262 01:57:27,644 --> 01:57:30,247 DOMINGUEZ, PROJECT DIRECTOR, 3263 01:57:30,247 --> 01:57:31,915 DARTNA COMMUNITY ADVISORY BOARD, 3264 01:57:31,915 --> 01:57:38,488 GEORGE FUNMAKER, BEN HALE, 3265 01:57:38,488 --> 01:57:39,089 CARRIE JOHNSON. 3266 01:57:39,089 --> 01:57:41,057 SO BASICALLY I'LL BE TALKING 3267 01:57:41,057 --> 01:57:44,694 ABOUT IN ALL OF 15 MINUTES TWO 3268 01:57:44,694 --> 01:57:48,298 RESEARCH-FUNDED STUDIES THROUGH 3269 01:57:48,298 --> 01:57:51,334 NCCIH AND NIAAA. 3270 01:57:51,334 --> 01:57:54,170 AND THE ROLE -- AND HOW IT 3271 01:57:54,170 --> 01:57:59,342 RELATES TO WHOLE PERSON HEALTH, 3272 01:57:59,342 --> 01:58:02,279 AND SOME OF THE ASPECTS OF 3273 01:58:02,279 --> 01:58:04,881 SPIRITUALITY AND TRADITIONAL 3274 01:58:04,881 --> 01:58:08,385 PRACTICES WITH NATIVE AMERICANS 3275 01:58:08,385 --> 01:58:09,519 IN THEIR DEVELOPMENT AND THE 3276 01:58:09,519 --> 01:58:11,655 STUDY OF A SUBSTANCE USE 3277 01:58:11,655 --> 01:58:14,057 TREATMENT INTERVENTION FOR THIS 3278 01:58:14,057 --> 01:58:15,926 POPULATION. 3279 01:58:15,926 --> 01:58:23,233 SO AS RELATES TO NATIVE 3280 01:58:23,233 --> 01:58:28,605 AMERICANS, WE OFTEN TOUCH UPON 3281 01:58:28,605 --> 01:58:31,007 THE EFFECTS OF HISTORICAL-BASED 3282 01:58:31,007 --> 01:58:32,309 TRAUMA. 3283 01:58:32,309 --> 01:58:33,944 AND ITS EFFECTS ON NATIVE 3284 01:58:33,944 --> 01:58:36,046 AMERICAN SPIRITUALITY AND OUR 3285 01:58:36,046 --> 01:58:38,315 SOUL, SO TO SPEAK, THERE'S 3286 01:58:38,315 --> 01:58:41,484 AMAZINGLY GREAT BOOK BY EDUARDO 3287 01:58:41,484 --> 01:58:44,321 DURAN, HEALING THE AMERICAN 3288 01:58:44,321 --> 01:58:46,156 INDIAN SOUL WOUND, VERY, VERY 3289 01:58:46,156 --> 01:58:55,231 CRITICAL BOOK THAT'S MADE FO --E 3290 01:58:55,231 --> 01:58:57,968 REALLY TALKS ABOUT THE IMPACT OF 3291 01:58:57,968 --> 01:58:59,402 HISTORICAL TRAUMA ON NATIVE 3292 01:58:59,402 --> 01:59:04,541 PEOPLE AND HOW IT'S IMPACTED OUR 3293 01:59:04,541 --> 01:59:06,476 SPIRITUAL WELL-BEING AND OUR 3294 01:59:06,476 --> 01:59:08,778 SOULS, WITH THE SPIRIT OF 3295 01:59:08,778 --> 01:59:11,848 ALCOHOL HE REFERS TO, AND OF 3296 01:59:11,848 --> 01:59:14,451 COURSE THE EFFECTS OF RELOCATION 3297 01:59:14,451 --> 01:59:22,325 FROM NATIVE LANDS, RELOCATION 3298 01:59:22,325 --> 01:59:24,327 THAT'S RESULTED IN FRAGMENTED 3299 01:59:24,327 --> 01:59:26,830 COMMUNITIES, A DISRUPTION OF 3300 01:59:26,830 --> 01:59:27,931 CULTURAL COLLECTIVE IDENTITY AND 3301 01:59:27,931 --> 01:59:29,799 PERSONAL IDENTITY AND KIND OF A 3302 01:59:29,799 --> 01:59:32,836 SUDDEN DISCONNECTION FROM OUR 3303 01:59:32,836 --> 01:59:35,171 CULTURE THAT'S REALLY 3304 01:59:35,171 --> 01:59:36,806 PERPETUATED INTERGENERATIONALLY 3305 01:59:36,806 --> 01:59:39,075 SINCE THE 1400s. 3306 01:59:39,075 --> 01:59:41,845 SO AS A RESULT, UNFORTUNATELY 3307 01:59:41,845 --> 01:59:47,050 THERE'S MANY HEALTH DISPARITIES 3308 01:59:47,050 --> 01:59:48,818 IN GREAT PART THAT ARE KIND OF 3309 01:59:48,818 --> 01:59:51,788 UNDER THE FOUNDATION OF 3310 01:59:51,788 --> 01:59:52,422 HISTORICAL TRAUMA. 3311 01:59:52,422 --> 01:59:55,291 BUT MORE AND MORE, WE'RE LOOKING 3312 01:59:55,291 --> 01:59:57,727 AT, OKAY, WE KNOW ALL THE STATS, 3313 01:59:57,727 --> 01:59:59,462 WE KNOW THESE KIND OF FACTS, BUT 3314 01:59:59,462 --> 02:00:01,631 WHERE DO WE GO FROM HERE? 3315 02:00:01,631 --> 02:00:04,267 SO THERE'S MORE OF AN EMPHASIS 3316 02:00:04,267 --> 02:00:07,871 ON OUR POSITIVE ASPECTS OF OUR 3317 02:00:07,871 --> 02:00:11,675 CULTURE, OUR RESILIENCY AND 3318 02:00:11,675 --> 02:00:12,676 INHERENT STRENGTHS, AND HOW DO 3319 02:00:12,676 --> 02:00:13,543 WE GET BACK TO THAT. 3320 02:00:13,543 --> 02:00:16,146 SO THERE'S MORE OF A -- WE KNOW 3321 02:00:16,146 --> 02:00:18,581 WHAT SOME OF THE STATS ARE SO 3322 02:00:18,581 --> 02:00:20,417 WHERE DO WE GO FROM HERE, HOW DO 3323 02:00:20,417 --> 02:00:22,485 WE CAPITALIZE ON STRENGTHS, AND 3324 02:00:22,485 --> 02:00:25,021 OVER AND OVER AGAIN COMMUNITIES 3325 02:00:25,021 --> 02:00:27,190 EMPHASIZE THE NEED FOR 3326 02:00:27,190 --> 02:00:28,124 INTEGRATING TRADITIONAL 3327 02:00:28,124 --> 02:00:30,026 PRACTICES AND TO INTERVENTIONS 3328 02:00:30,026 --> 02:00:32,228 OF VARIOUS HEALTH CONDITIONS. 3329 02:00:32,228 --> 02:00:37,133 BUT THERE'S A VERY LIMITED -- 3330 02:00:37,133 --> 02:00:39,335 VERY LIMITED RESEARCH THAT HAVE 3331 02:00:39,335 --> 02:00:42,472 BEEN CONDUCTED, ANALYZED IN 3332 02:00:42,472 --> 02:00:44,874 TRADITIONAL PRACTICES AND PART 3333 02:00:44,874 --> 02:00:47,711 OF THAT REASON IS THAT WE ARE 3334 02:00:47,711 --> 02:00:50,246 WORKING AND DEALING WITH THE 3335 02:00:50,246 --> 02:00:53,750 SACRED PARTS OF THE CULTURE, I 3336 02:00:53,750 --> 02:00:56,352 HAVE TO BE REALLY CAREFUL AND 3337 02:00:56,352 --> 02:00:57,821 MINDFUL ON THAT PART OF THE 3338 02:00:57,821 --> 02:01:01,191 REALITY OF OUR SPIRITUAL KIND OF 3339 02:01:01,191 --> 02:01:03,159 BELIEFS. 3340 02:01:03,159 --> 02:01:06,663 SO ONE OF THE TRADITIONAL 3341 02:01:06,663 --> 02:01:08,431 PRACTICES THAT'S HIGHLY VISIBLE 3342 02:01:08,431 --> 02:01:09,933 IS THE USE OF DRUMMING WITH 3343 02:01:09,933 --> 02:01:11,701 NATIVE PEOPLE. 3344 02:01:11,701 --> 02:01:14,304 DRUMMING IS USED BY MOST ALL -- 3345 02:01:14,304 --> 02:01:18,141 ALL PEOPLE IN THE WORLD. 3346 02:01:18,141 --> 02:01:20,009 AND WITH NATIVE AMERICANS, 3347 02:01:20,009 --> 02:01:22,846 THERE'S A SIGNIFICANT SPIRITUAL 3348 02:01:22,846 --> 02:01:23,179 MEANING. 3349 02:01:23,179 --> 02:01:25,248 IT'S A SACRED INSTRUMENT. 3350 02:01:25,248 --> 02:01:29,819 IT'S CARRIES SONGS, TRADITIONS, 3351 02:01:29,819 --> 02:01:31,688 SOMETHING IS UPDATING ON MY 3352 02:01:31,688 --> 02:01:33,223 SCREEN HERE. 3353 02:01:33,223 --> 02:01:36,726 SORRY ABOUT THAT. 3354 02:01:36,726 --> 02:01:39,896 SO WITH DRUMMING, IT'S REALLY A 3355 02:01:39,896 --> 02:01:41,698 CRITICAL PART OF OUR CULTURE, 3356 02:01:41,698 --> 02:01:44,134 AND THAT CARRIES TRADITIONS, 3357 02:01:44,134 --> 02:01:46,336 SONGS, STORIES, AND IT'S ALSO 3358 02:01:46,336 --> 02:01:50,840 BEEN KNOWN OF HAVING A POSITIVE 3359 02:01:50,840 --> 02:01:51,474 EFFECT OF BRINGING COMMUNITIES 3360 02:01:51,474 --> 02:01:53,209 TOGETHER AND HEALING OUR 3361 02:01:53,209 --> 02:01:56,813 POPULATIONS. 3362 02:01:56,813 --> 02:02:03,686 SO WE DEVELOPED -- AFTER I MET 3363 02:02:03,686 --> 02:02:05,321 WITH SOME COMMUNITY LEADERS AND 3364 02:02:05,321 --> 02:02:09,058 ELDERS AN INTERVENTION TO 3365 02:02:09,058 --> 02:02:10,160 INCORPORATE DRUMMING IN A 3366 02:02:10,160 --> 02:02:11,795 SUBSTANCE USE INTERVENTION 3367 02:02:11,795 --> 02:02:16,933 TREATMENT, AND WE NAMED IT 3368 02:02:16,933 --> 02:02:18,568 DARTNA, WHICH INCORPORATES 3369 02:02:18,568 --> 02:02:20,837 CULTURAL EDUCATION, TEACHINGS, 3370 02:02:20,837 --> 02:02:22,372 KIND OF A NATIVE AMERICAN VIEW 3371 02:02:22,372 --> 02:02:25,909 OF THE 12 STEPS, THE WHITE BISON 3372 02:02:25,909 --> 02:02:26,242 ORGANIZATION. 3373 02:02:26,242 --> 02:02:27,443 IT'S REALLY IMPORTANT TO KIND OF 3374 02:02:27,443 --> 02:02:31,514 HAVE THAT EDUCATION DUE TO THE 3375 02:02:31,514 --> 02:02:33,449 SACRED MEANINGS OF DRUMMING, AND 3376 02:02:33,449 --> 02:02:35,618 THEN ACTUAL DRUMMING AND THE 3377 02:02:35,618 --> 02:02:37,620 INTERVENTION, AND KIND OF A 3378 02:02:37,620 --> 02:02:38,888 PROCESSING, GROUP PROCESSING 3379 02:02:38,888 --> 02:02:43,927 GROUP OR TALKING CIRCLE. 3380 02:02:43,927 --> 02:02:46,996 AS PART OF THE WORKSHOP. 3381 02:02:46,996 --> 02:02:49,065 SO WE HAVE VARIOUS -- WE'RE 3382 02:02:49,065 --> 02:02:52,335 STILL STUDYING DIFFERENT 3383 02:02:52,335 --> 02:02:54,204 VERSIONS IN TERMS OF HOW MANY 3384 02:02:54,204 --> 02:02:56,606 WORKSHOPS IS OPTIMAL AND 3385 02:02:56,606 --> 02:02:59,342 FEASIBLE, SO WE HAVE IT RANGING 3386 02:02:59,342 --> 02:03:01,744 FROM 6 AND ORIGINALLY WE HAD 24 3387 02:03:01,744 --> 02:03:03,179 SESSIONS, SO WE'RE STILL REALLY 3388 02:03:03,179 --> 02:03:04,480 LOOKING AT WHAT COULD BE A 3389 02:03:04,480 --> 02:03:04,814 BENEFIT. 3390 02:03:04,814 --> 02:03:06,482 AND AS RELATES TO WHOLE PERSON 3391 02:03:06,482 --> 02:03:08,551 HEALTH, YOU KNOW, WE USE THIS 3392 02:03:08,551 --> 02:03:09,452 DIAGRAM OR THIS INTERVENTION 3393 02:03:09,452 --> 02:03:11,955 THAT REALLY LOOKS ON THE MENTAL, 3394 02:03:11,955 --> 02:03:13,156 PHYSICAL, SPIRITUAL AND 3395 02:03:13,156 --> 02:03:16,226 EMOTIONAL ASPECTS OF WELL-BEING. 3396 02:03:16,226 --> 02:03:19,062 THIS IS KIND OF A USE -- 3397 02:03:19,062 --> 02:03:20,930 REFERRING TO NATIVE AMERICAN 3398 02:03:20,930 --> 02:03:24,767 MEDICINE WHEEL, SOG WE'VE BEEN N 3399 02:03:24,767 --> 02:03:27,637 USING WHOLE PERSON HEALTH FOR 3400 02:03:27,637 --> 02:03:29,372 CENTURIES, AND RECOGNIZE THE 3401 02:03:29,372 --> 02:03:30,240 INTERRELATEDNESS OF THESE 3402 02:03:30,240 --> 02:03:31,674 VARIOUS ASPECTS OF HEALTH AND 3403 02:03:31,674 --> 02:03:31,975 WELL-BEING. 3404 02:03:31,975 --> 02:03:33,509 SO IT'S REALLY EXCITING, YOU 3405 02:03:33,509 --> 02:03:38,681 KNOW, THRO, TO REALLY BE A PARTF 3406 02:03:38,681 --> 02:03:41,551 NCCIH'S KIND OF NEW EMPHASIS OR 3407 02:03:41,551 --> 02:03:45,588 ONGOING EMPHASIS IN THIS AREA. 3408 02:03:45,588 --> 02:03:52,362 SO WE FOLLOWED THE NIH STAGE 3409 02:03:52,362 --> 02:03:55,665 MODEL BY HAVING OUR INITIAL 3410 02:03:55,665 --> 02:03:56,866 TREATMENT PROGRAM. 3411 02:03:56,866 --> 02:03:59,035 WE DISCUSSED IT AT LENGTH WITH 3412 02:03:59,035 --> 02:03:59,802 COMMUNITIES. 3413 02:03:59,802 --> 02:04:02,305 THEY PROVIDED US FEEDBACK. 3414 02:04:02,305 --> 02:04:04,073 WE FINALIZED A TREATMENT MANUAL. 3415 02:04:04,073 --> 02:04:07,343 SO WE REALLY FOLLOWED THE 3416 02:04:07,343 --> 02:04:08,978 ASPECTS OF COMMUNITY-BASED 3417 02:04:08,978 --> 02:04:09,846 PARTICIPATORY RESEARCH. 3418 02:04:09,846 --> 02:04:11,581 THE IDEAS COME FROM THE 3419 02:04:11,581 --> 02:04:12,148 COMMUNITY. 3420 02:04:12,148 --> 02:04:14,550 THEY'RE CRITICALLY INVOLVED IN 3421 02:04:14,550 --> 02:04:19,355 THE DEVELOPMENTAL PROCESS, AND 3422 02:04:19,355 --> 02:04:23,059 WITH THE SUBSEQUENT ANALYSIS OF 3423 02:04:23,059 --> 02:04:25,929 THE INTERVENTION AND STUDIES. 3424 02:04:25,929 --> 02:04:27,997 SO WITH OUR FOCUS GROUPS, 3425 02:04:27,997 --> 02:04:28,965 INITIAL FOCUS GROUPS, SOME OF 3426 02:04:28,965 --> 02:04:33,236 THE TAKE-HOME POINTS WERE -- 3427 02:04:33,236 --> 02:04:34,237 THAT WERE FOUND WAS THAT 3428 02:04:34,237 --> 02:04:35,538 DRUMMING CAN BE OF BENEFIT FOR 3429 02:04:35,538 --> 02:04:38,274 NATIVE PEOPLE, BUT YOU NEED TO 3430 02:04:38,274 --> 02:04:40,810 REALLY UTILIZE A CULTURAL BASED 3431 02:04:40,810 --> 02:04:42,312 FOCUS RATHER THAN A, 3432 02:04:42,312 --> 02:04:43,413 QUOTE-UNQUOTE, NEW AGE OR 3433 02:04:43,413 --> 02:04:45,381 NON-NATIVE APPROACH FOR NATIVE 3434 02:04:45,381 --> 02:04:45,815 PEOPLE. 3435 02:04:45,815 --> 02:04:51,020 IT'S GOT TO FOLLOW FOUNDATION OF 3436 02:04:51,020 --> 02:04:51,955 NATIVE CULTURE AND APPROPRIATE 3437 02:04:51,955 --> 02:04:56,359 ATTENTION TO GENDER ROLES. 3438 02:04:56,359 --> 02:04:58,428 SO THEN WE PRE-TESTED THIS 3439 02:04:58,428 --> 02:05:01,464 INITIAL VERSION OF DARTNA WITH 3440 02:05:01,464 --> 02:05:02,465 10 INDIVIDUALS, JUST TO GET 3441 02:05:02,465 --> 02:05:05,201 THEIR FEEDBACK FINALIZED, MAKE 3442 02:05:05,201 --> 02:05:06,636 FINAL POINTS TO OUR MAN UNITED 3443 02:05:06,636 --> 02:05:10,573 MANUAL.WE FOUND THERE WERE SOME 3444 02:05:10,573 --> 02:05:12,342 PROMISING AREAS OF IMPROVEMENT 3445 02:05:12,342 --> 02:05:15,945 WITH MEDICAL STATUS, PSYCHIATRIC 3446 02:05:15,945 --> 02:05:17,146 STATUS, SPIRITUALITY, AND 3447 02:05:17,146 --> 02:05:18,548 PHYSICAL AND FUNCTIONING LEVELS. 3448 02:05:18,548 --> 02:05:20,183 SO WE PURPOSELY LOOK AT THESE 3449 02:05:20,183 --> 02:05:23,453 OTHER AREAS IN ADDITION TO 3450 02:05:23,453 --> 02:05:26,422 SUBSTANCE USE, WE REALLY WANT TO 3451 02:05:26,422 --> 02:05:30,994 ALSO UNDERSTAND IF AND HOW WE 3452 02:05:30,994 --> 02:05:32,228 CAN IMPROVE MEDICAL STATUS, 3453 02:05:32,228 --> 02:05:33,997 MENTAL HEALTH AND SPIRITUAL 3454 02:05:33,997 --> 02:05:35,365 ASPECTS OF WELL-BEING AS WELL. 3455 02:05:35,365 --> 02:05:39,736 SO THERE ARE SOME PROMISING 3456 02:05:39,736 --> 02:05:41,704 BENEFITS AND SOME OF THE 3457 02:05:41,704 --> 02:05:47,844 FEEDBACK KIND OF HIGHLIGHTED. 3458 02:05:47,844 --> 02:05:53,950 I THINK MY COMPUTER HOPEFULLY 3459 02:05:53,950 --> 02:06:01,257 DID NOT FREEZE. 3460 02:06:01,257 --> 02:06:02,025 SORRY ABOUT THAT. 3461 02:06:02,025 --> 02:06:04,861 ONE OF OUR PARTICIPANTS REALLY 3462 02:06:04,861 --> 02:06:08,164 REFERRED TO THE SPIRITUAL 3463 02:06:08,164 --> 02:06:10,466 ASPECTS OF THEIR EXPERIENCE WITH 3464 02:06:10,466 --> 02:06:15,271 DRUMMING ACTIVITIES, SPIRITUAL 3465 02:06:15,271 --> 02:06:16,139 CONNECTION, AND FELT THAT THIS 3466 02:06:16,139 --> 02:06:23,246 WAS IMPORTANT IN THEIR RECOVERY. 3467 02:06:23,246 --> 02:06:25,982 WE THEN CONDUCTED A FEASIBILITY 3468 02:06:25,982 --> 02:06:26,516 CLINICAL TRIAL. 3469 02:06:26,516 --> 02:06:28,051 THIS HELPED US IN GETTING A 3470 02:06:28,051 --> 02:06:31,888 GRANT THROUGH NIAAA, WHERE WE 3471 02:06:31,888 --> 02:06:35,158 RECRUITED 63 INDIVIDUALS, COMING 3472 02:06:35,158 --> 02:06:39,195 FROM A WIDE VARIETY OF SUBSTANCE 3473 02:06:39,195 --> 02:06:41,831 USE TREATMENT. 3474 02:06:41,831 --> 02:06:43,599 MANY WERE INPATIENT, AND MANY 3475 02:06:43,599 --> 02:06:45,234 WERE ALREADY PARTICIPATING IN 3476 02:06:45,234 --> 02:06:47,003 SOME LEVEL OF TRADITIONAL 3477 02:06:47,003 --> 02:06:51,007 PRACTICES, AND THIS WAS REALLY 3478 02:06:51,007 --> 02:06:52,041 TO TRY TO GET FURTHER 3479 02:06:52,041 --> 02:06:56,379 INFORMATION ON HOW WE CAN 3480 02:06:56,379 --> 02:06:57,814 RECRUIT FROM THIS POPULATION, IN 3481 02:06:57,814 --> 02:07:01,617 AN URBAN AREA, AND INFORMATION 3482 02:07:01,617 --> 02:07:04,053 AND TRYING TO OBTAIN ADDITIONAL 3483 02:07:04,053 --> 02:07:06,422 INFORMATION ON THE POTENTIAL 3484 02:07:06,422 --> 02:07:09,725 BENEFITS OF DARTNA. 3485 02:07:09,725 --> 02:07:12,261 WE LOOKED AT -- I HAVE TO ADMIT, 3486 02:07:12,261 --> 02:07:14,764 ONE OF THE AREAS I THINK -- I 3487 02:07:14,764 --> 02:07:17,266 LIKE TO EMPHASIZE IS THERE'S A 3488 02:07:17,266 --> 02:07:20,236 HUGE NEED FOR THE FURTHER 3489 02:07:20,236 --> 02:07:21,771 DEVELOPMENT OF SPIRITUAL 3490 02:07:21,771 --> 02:07:25,141 MEASURES FOR -- PROBABLY FOR ALL 3491 02:07:25,141 --> 02:07:27,076 POPULATIONS AND IN OUR AREA, 3492 02:07:27,076 --> 02:07:30,847 NATIVE AMERICANS, THERE'S VERY 3493 02:07:30,847 --> 02:07:33,683 FEW THAT HAVE BEEN DEVELOPED 3494 02:07:33,683 --> 02:07:34,984 WITH COMMUNITIES. 3495 02:07:34,984 --> 02:07:39,155 SO WE USED STANDARD MEASURE FOR 3496 02:07:39,155 --> 02:07:41,023 GENERAL POPULATIONS IN THIS 3497 02:07:41,023 --> 02:07:42,859 STUDY, BUT THERE HAVE BEEN ONE 3498 02:07:42,859 --> 02:07:44,827 OR TWO I'VE COME ACROSS THAT I 3499 02:07:44,827 --> 02:07:46,929 PLAN TO USE ON MY NEXT STUDIES 3500 02:07:46,929 --> 02:07:50,867 THAT ARE MORE VETTED WITH NATIVE 3501 02:07:50,867 --> 02:07:53,870 COMMUNITIES. 3502 02:07:53,870 --> 02:07:56,372 SO WE CONDUCTED THE STUDY WITH 3503 02:07:56,372 --> 02:08:02,311 DARTNA VERSUS USUAL CARE, AND WE 3504 02:08:02,311 --> 02:08:03,346 FOUND AT THE END OF TREATMENT 3505 02:08:03,346 --> 02:08:05,047 THAT THOSE WHO ARE PARTICIPATED 3506 02:08:05,047 --> 02:08:09,185 IN DARTNA HAD SIGNIFICANTLY 3507 02:08:09,185 --> 02:08:12,855 IMPROVED CONCENTRATION AND 3508 02:08:12,855 --> 02:08:14,190 COGNITION, LOWER COUNTS OF 3509 02:08:14,190 --> 02:08:17,126 PHYSICAL AILMENTS, AND THERE 3510 02:08:17,126 --> 02:08:19,862 WERE PROMISING BENEFITS WITH THE 3511 02:08:19,862 --> 02:08:22,365 DARTNA, THOSE RANDOMIZED TO 3512 02:08:22,365 --> 02:08:23,599 DARTNA WITH BETTER PHYSICAL 3513 02:08:23,599 --> 02:08:25,334 HEALTH, FEWER DRINKS PER DAY, 3514 02:08:25,334 --> 02:08:28,971 AND LESS CANNABIS USE. 3515 02:08:28,971 --> 02:08:33,676 HOWEVER, IN THREE MONTHS, THERE 3516 02:08:33,676 --> 02:08:36,946 WERE SOME -- THERE WERE 3517 02:08:36,946 --> 02:08:38,381 DECREASES IN BENEFITS, AND EVEN 3518 02:08:38,381 --> 02:08:43,953 TO THE POINT WHERE THOSE IN 3519 02:08:43,953 --> 02:08:48,791 DARTNA REPORTED MORE CIGARETTE 3520 02:08:48,791 --> 02:08:50,960 USE AND DRINKS. 3521 02:08:50,960 --> 02:08:57,099 SO WE DISCUSSED THIS WITH OUR 3522 02:08:57,099 --> 02:09:01,070 COMMUNITY BOARD, OUR ELDER BOARD 3523 02:09:01,070 --> 02:09:02,238 AND THEY BELIEVE THAT WHAT MAY 3524 02:09:02,238 --> 02:09:04,340 BE HAPPENING IS THAT AFTER THIS 3525 02:09:04,340 --> 02:09:07,143 INTERVENTION, DRUMMING IN URBAN 3526 02:09:07,143 --> 02:09:09,245 AREAS FOR NATIVE PEOPLE, IT'S 3527 02:09:09,245 --> 02:09:12,615 VERY, VERY HARD TO FIND THOSE 3528 02:09:12,615 --> 02:09:14,283 OPPORTUNITIES IN THE BIG CITIES. 3529 02:09:14,283 --> 02:09:18,421 IT'S HARD, YOU'RE NOT GOING TO 3530 02:09:18,421 --> 02:09:20,957 LOOK ON YELP OR GOOGLE AND FIND 3531 02:09:20,957 --> 02:09:21,824 THESE KIND OF GROUPS. 3532 02:09:21,824 --> 02:09:23,559 YOU REALLY, REALLY HAVE TO HAVE 3533 02:09:23,559 --> 02:09:28,798 SOME CONNECTIONS AND SOME 3534 02:09:28,798 --> 02:09:30,900 REFERRAL -- SOME ASSISTANCE WITH 3535 02:09:30,900 --> 02:09:31,901 ELDERS AND OTHER NATIVE PEOPLE 3536 02:09:31,901 --> 02:09:33,536 TO REALLY FIND OPPORTUNITIES. 3537 02:09:33,536 --> 02:09:37,039 SO THEY REALLY FEEL THAT THERE'S 3538 02:09:37,039 --> 02:09:42,178 A NEED FOR REALLY DEVELOPING 3539 02:09:42,178 --> 02:09:50,086 KIND OF A CONTINUITY PLAN, A 3540 02:09:50,086 --> 02:09:52,922 REVENGS APPROACH SO BENEFITS 3541 02:09:52,922 --> 02:09:53,990 FROM INTERVENTIONS CAN BE 3542 02:09:53,990 --> 02:09:54,890 SUSTAINED FOLLOWING TREATMENT. 3543 02:09:54,890 --> 02:09:56,225 I THINK THAT PROBABLY TOUCHES 3544 02:09:56,225 --> 02:10:00,496 UPON A BIGGER ISSUE WITH 3545 02:10:00,496 --> 02:10:04,333 SUBSTANCE USE AND RELAPSE IN 3546 02:10:04,333 --> 02:10:06,269 THAT MANY, MANY INDIVIDUALS 3547 02:10:06,269 --> 02:10:07,703 UNFORTUNATELY END UP RELAPSING 3548 02:10:07,703 --> 02:10:08,371 AFTER TREATMENT. 3549 02:10:08,371 --> 02:10:10,439 SO I THINK IN THE BROADER FIELD, 3550 02:10:10,439 --> 02:10:17,213 THERE'S A NEED FOR FURTHER WORK 3551 02:10:17,213 --> 02:10:18,648 IN RELAPSE PREVENTION AND HOW 3552 02:10:18,648 --> 02:10:20,516 CAN WE HELP THOSE SUSTAIN AND 3553 02:10:20,516 --> 02:10:21,417 ACHIEVE RECOVERY IN THE LONG 3554 02:10:21,417 --> 02:10:22,051 TERM. 3555 02:10:22,051 --> 02:10:26,856 SO THOSE ARE MY MAIN POINTS. 3556 02:10:26,856 --> 02:10:32,295 I LIKE TO JUST EMPHASIZE THAT 3557 02:10:32,295 --> 02:10:33,529 NATIVE AMERICAN TRADITIONS 3558 02:10:33,529 --> 02:10:35,398 REALLY MIRRORS A LOT OF THE 3559 02:10:35,398 --> 02:10:38,567 WHOLE PERSON AGENDA ITEMS THAT 3560 02:10:38,567 --> 02:10:40,403 HELENE MENTIONED, JUST 3561 02:10:40,403 --> 02:10:42,471 PARALLELLED NICELY, AND THAT I 3562 02:10:42,471 --> 02:10:45,107 THINK FURTHER WORK IS NEEDED 3563 02:10:45,107 --> 02:10:47,610 WITH HOW DO WE STUDY AND ANALYZE 3564 02:10:47,610 --> 02:10:48,911 SPIRITUALITY. 3565 02:10:48,911 --> 02:10:56,285 THANK YOU SO MUCH. 3566 02:10:56,285 --> 02:10:57,119 >> THANK YOU SO MUCH. 3567 02:10:57,119 --> 02:10:59,221 THIS IS SO MUCH WHAT WE WERE 3568 02:10:59,221 --> 02:11:01,724 HOPING FOR FROM BOTH OF YOU. 3569 02:11:01,724 --> 02:11:04,560 AND I SEE A LOT OF HANDS UP, SO 3570 02:11:04,560 --> 02:11:06,962 DELIGHTED, SO LET'S START THE 3571 02:11:06,962 --> 02:11:09,165 CONVERSATION, HELEN. 3572 02:11:09,165 --> 02:11:13,569 >> YES, I HAVE A QUESTION TO 3573 02:11:13,569 --> 02:11:14,970 KARINA WALTERS. 3574 02:11:14,970 --> 02:11:17,039 IT MAY BE VERY NAIVE, BUT THE 3575 02:11:17,039 --> 02:11:18,040 EPIDEMIOLOGY THAT YOU'RE 3576 02:11:18,040 --> 02:11:20,009 DESCRIBING IS SO HORRIBLE TO 3577 02:11:20,009 --> 02:11:22,278 HEAR THAT, YOU KNOW, LONGEVITY 3578 02:11:22,278 --> 02:11:25,448 AND ESPECIALLY ON THE -- YOU 3579 02:11:25,448 --> 02:11:29,719 KNOW, ON DIABETES AND 3580 02:11:29,719 --> 02:11:30,619 CO-MORBIDITY IN GENERAL. 3581 02:11:30,619 --> 02:11:34,123 IS THIS LIKE RELATED TO AXIS OF 3582 02:11:34,123 --> 02:11:35,091 HEALTHCARE, GIVEN WHERE THEY 3583 02:11:35,091 --> 02:11:37,493 LIVE AND THE FEDERAL REGULATION 3584 02:11:37,493 --> 02:11:47,203 AND IF SO, IS THIS -- DO THEY -O 3585 02:11:47,203 --> 02:11:47,937 CHANGE THAT? 3586 02:11:47,937 --> 02:11:48,604 CAN YOU ADDRESS THAT? 3587 02:11:48,604 --> 02:11:49,372 I DON'T KNOW. 3588 02:11:49,372 --> 02:11:51,474 >> YES, I THINK A LOT IS -- A 3589 02:11:51,474 --> 02:11:54,543 LOT OF HEALTH ISSUES ARE 3590 02:11:54,543 --> 02:11:55,511 PROBABLY VERY MUCH JUST 3591 02:11:55,511 --> 02:11:57,580 STRUCTURAL DETERMINANTS, AND 3592 02:11:57,580 --> 02:11:58,547 ACTUALLY STRUCTURAL INEQUITIES 3593 02:11:58,547 --> 02:11:59,448 THAT YOU'RE KIND OF 3594 02:11:59,448 --> 02:12:00,082 HIGHLIGHTING. 3595 02:12:00,082 --> 02:12:02,485 SO ACCESS TO CARE, INADEQUATE 3596 02:12:02,485 --> 02:12:04,453 CARE, WHEN WE GET ACCESS TO 3597 02:12:04,453 --> 02:12:05,688 CARE, IT'S GETTING A LITTLE BIT 3598 02:12:05,688 --> 02:12:07,757 BETTER. 3599 02:12:07,757 --> 02:12:10,359 IHS IS, FOR EXAMPLE, WITH THE 3600 02:12:10,359 --> 02:12:11,894 POTENTIAL CONTINUING RESOLUTIONS 3601 02:12:11,894 --> 02:12:13,863 NOT HAPPENING FOR FUNDING, IHS 3602 02:12:13,863 --> 02:12:15,064 FOR THE FIRST TIME WAS NOT GOING 3603 02:12:15,064 --> 02:12:16,499 TO BE TOUCHED, THEY WOULD STILL 3604 02:12:16,499 --> 02:12:19,235 BE ABLE TO MAINTAIN SERVICES AND 3605 02:12:19,235 --> 02:12:19,468 FUNDING. 3606 02:12:19,468 --> 02:12:20,903 IN THE PAST, THAT WOULD NOT HAVE 3607 02:12:20,903 --> 02:12:25,374 BEEN THE CASE, BUT IT'S A 3608 02:12:25,374 --> 02:12:27,109 COMBINATION OF FACTORS. 3609 02:12:27,109 --> 02:12:29,712 THERE'S A WHOLE HISTORY TO BE 3610 02:12:29,712 --> 02:12:31,046 MOVED TO RESERVATION 3611 02:12:31,046 --> 02:12:32,348 ENVIRONMENTS, BUT URBAN INDIANS 3612 02:12:32,348 --> 02:12:37,186 ALSO ARE STRUGGLING, AND DAN -- 3613 02:12:37,186 --> 02:12:38,053 APPRECIATE DAN'S RESEARCH. 3614 02:12:38,053 --> 02:12:41,424 I WAS BORN AND RAISED IN LA, SO 3615 02:12:41,424 --> 02:12:43,926 I'M FAMILIAR WITH LA URBAN 3616 02:12:43,926 --> 02:12:44,560 INDIAN ENVIRONMENT AND WE STILL 3617 02:12:44,560 --> 02:12:46,162 SEE SOME OF THE HIGHEST POVERTY 3618 02:12:46,162 --> 02:12:48,330 RATES IN URBAN AREAS, LACK OF 3619 02:12:48,330 --> 02:12:50,966 ACCESS TO HEALTH INSURANCE AND 3620 02:12:50,966 --> 02:12:52,468 ADEQUATE CARE WITH RESPECT TO 3621 02:12:52,468 --> 02:12:54,103 THAT. 3622 02:12:54,103 --> 02:12:56,071 THE SUBSTANDARD HOUSING IS A 3623 02:12:56,071 --> 02:13:00,476 MAJOR FACTOR IN SOME OF OUR 3624 02:13:00,476 --> 02:13:01,777 COMMUNITIES, NOT GOOD ACCESS TO 3625 02:13:01,777 --> 02:13:03,179 HEALTHY FOODS AND A LOT OF FOOD 3626 02:13:03,179 --> 02:13:03,979 INSECURITY. 3627 02:13:03,979 --> 02:13:05,948 SO IT'S A COMBINATION OF A LOT 3628 02:13:05,948 --> 02:13:07,783 OF THOSE FACTORS. 3629 02:13:07,783 --> 02:13:09,452 BUT IT'S NOT JUST THOSE FACTORS 3630 02:13:09,452 --> 02:13:10,953 TOO, SO I JUST WANT TO HIGHLIGHT 3631 02:13:10,953 --> 02:13:14,023 THAT, YOU KNOW, THERE'S BEEN A 3632 02:13:14,023 --> 02:13:21,263 SYSTEMATIC ARM TO INDIAN COUNTRY 3633 02:13:21,263 --> 02:13:22,665 AND COMMUNITIES FOR GENERATIONS. 3634 02:13:22,665 --> 02:13:25,067 I ALLUDED TO ONE EXAMPLE, JUST A 3635 02:13:25,067 --> 02:13:26,068 BOARDING SCHOOL, YOU KNOW, 3636 02:13:26,068 --> 02:13:28,170 BOARDING SCHOOLS WERE DESIGNED 3637 02:13:28,170 --> 02:13:29,338 TO KILL THE INDIAN TO SAVE THE 3638 02:13:29,338 --> 02:13:29,505 MAN. 3639 02:13:29,505 --> 02:13:30,873 THAT WAS THE QUOTE FOR THE 3640 02:13:30,873 --> 02:13:32,741 SCHOOLS, WHERE THEY WERE NOT -- 3641 02:13:32,741 --> 02:13:35,578 WHERE NATIVE FAMILIES WERE 3642 02:13:35,578 --> 02:13:36,545 NOT -- INDIVIDUALS -- CHILDREN 3643 02:13:36,545 --> 02:13:37,546 WERE REMOVED FROM THEIR FAMILIES 3644 02:13:37,546 --> 02:13:38,948 AND PLACED HUNDREDS OF MILES 3645 02:13:38,948 --> 02:13:41,484 AWAY FROM HOME IN THESE BOARDING 3646 02:13:41,484 --> 02:13:42,451 SCHOOLS, FORBIDDEN TO SPEAK 3647 02:13:42,451 --> 02:13:44,787 THEIR LANGUAGE, FORCED 3648 02:13:44,787 --> 02:13:48,190 CHRISTIANITY ON TO THEM, AND YOU 3649 02:13:48,190 --> 02:13:49,825 KNOW, THAT HAD DEVASTATING 3650 02:13:49,825 --> 02:13:50,693 CONSEQUENCES FOR HEALTH AND 3651 02:13:50,693 --> 02:13:51,894 WELL-BEING FOR FUTURE 3652 02:13:51,894 --> 02:13:52,995 GENERATIONS, RIGHT? 3653 02:13:52,995 --> 02:13:54,830 YOU'VE LOST LANGUAGE, YOU'VE HAD 3654 02:13:54,830 --> 02:13:59,335 IMPACT ON SPIRITUAL PRACTICE 3655 02:13:59,335 --> 02:14:01,937 WHERE -- THOSE PRACTICES WERE 3656 02:14:01,937 --> 02:14:05,007 OUTLAWED UNTIL 1978. 3657 02:14:05,007 --> 02:14:06,775 IN 1980 -- IF YOU WERE CAUGHT 3658 02:14:06,775 --> 02:14:08,077 DANCING, DOING CULTURAL 3659 02:14:08,077 --> 02:14:09,612 CEREMONIES OR ENGAGING IN ANY 3660 02:14:09,612 --> 02:14:12,348 CULTURAL PRACTICES, YOU COULD BE 3661 02:14:12,348 --> 02:14:16,418 JAILED OR FINED OR FOOD RATIONS 3662 02:14:16,418 --> 02:14:17,386 FOR YOUR COMMUNITIES. 3663 02:14:17,386 --> 02:14:19,355 THESE KINDS OF EVENTS HAVE AN 3664 02:14:19,355 --> 02:14:21,223 IMPACT ON PEOPLE'S ELK, BOTH 3665 02:14:21,223 --> 02:14:22,324 MENTALLY, PHYSICALLY, 3666 02:14:22,324 --> 02:14:24,860 SPIRITUALLY, THE WHOLE 9 YARDS. 3667 02:14:24,860 --> 02:14:26,662 AND I THINK HOW COMMUNITIES HAVE 3668 02:14:26,662 --> 02:14:28,430 DONE WELL HAS ACTUALLY BEEN 3669 02:14:28,430 --> 02:14:29,231 HOLDING ON TO SOME OF THESE 3670 02:14:29,231 --> 02:14:33,068 THINGS AND REALLY -- SO STILL 3671 02:14:33,068 --> 02:14:36,105 MANAGING TO THRIVE DESPITE 3672 02:14:36,105 --> 02:14:40,175 ATTEMPTS AT -- EVERYTHING FROM 3673 02:14:40,175 --> 02:14:41,343 GENOCIDE TO FORMS OF GENOCIDE 3674 02:14:41,343 --> 02:14:45,814 WOULD BE LIKE THE SYSTEMATIC 3675 02:14:45,814 --> 02:14:46,815 DESTRUCTION OF LIFE WAYS, 3676 02:14:46,815 --> 02:14:50,219 CULTURAL WAYS AND ATTEMPTS TO 3677 02:14:50,219 --> 02:14:51,987 SYSTEMATICALLY DESTROY WORLD 3678 02:14:51,987 --> 02:14:53,622 VIEWS IN WAYS OF UNDERSTANDING 3679 02:14:53,622 --> 02:14:55,691 THE WORLD. 3680 02:14:55,691 --> 02:14:59,295 AND THAT'S BEEN -- HAD A 3681 02:14:59,295 --> 02:14:59,862 TREMENDOUS IMPACT ON OUR 3682 02:14:59,862 --> 02:15:00,496 COMMUNITIES. 3683 02:15:00,496 --> 02:15:01,497 HAVING SAID THAT, OUR 3684 02:15:01,497 --> 02:15:02,598 COMMUNITIES ALSO LIKE DAN SAID 3685 02:15:02,598 --> 02:15:04,567 DON'T WANT US TO ALWAYS 3686 02:15:04,567 --> 02:15:05,901 EMPHASIZE ON THE PATHOLOGY PART 3687 02:15:05,901 --> 02:15:07,469 OF IT, I KNOW NIH, WE WANT TO 3688 02:15:07,469 --> 02:15:10,706 SAY HEY, LET'S GET RID OF THE 3689 02:15:10,706 --> 02:15:12,474 WORST OF THE DISEASES, WE TEND 3690 02:15:12,474 --> 02:15:14,977 TO BE VERY DISEASE-FOCUSED, BUT 3691 02:15:14,977 --> 02:15:16,078 PART OF THE NEED THAT 3692 02:15:16,078 --> 02:15:17,947 COMMUNITIES ARE SAYING THAT WE 3693 02:15:17,947 --> 02:15:19,381 NEED TO PUT AT THE FOREFRONT IS 3694 02:15:19,381 --> 02:15:20,916 WHAT ARE WE DOING WELL AND HOW 3695 02:15:20,916 --> 02:15:22,451 CAN WE BUILD ON THE HEALTH AND 3696 02:15:22,451 --> 02:15:23,452 WELL-BEING OF OUR COMMUNITIES, 3697 02:15:23,452 --> 02:15:24,553 DESPITE ALL OF THIS, AND WHAT 3698 02:15:24,553 --> 02:15:26,522 CAN WE DO TO RECOVER OR RESTORE 3699 02:15:26,522 --> 02:15:28,824 OR CONTINUE TO GROW INDIGENOUS 3700 02:15:28,824 --> 02:15:31,360 WAYS OF KNOWING AND BEING THAT 3701 02:15:31,360 --> 02:15:35,197 HAS PERSISTENCE FOR FLEN YA THAA 3702 02:15:35,197 --> 02:15:37,132 THAT HAS HELPED US DO WELL. 3703 02:15:37,132 --> 02:15:38,000 WE HAVE STORIES, EVEN OUR 3704 02:15:38,000 --> 02:15:39,735 CHILDREN'S STORIES HOLD 3705 02:15:39,735 --> 02:15:42,738 KNOWLEDGE ON GOOD HEALTHFUL 3706 02:15:42,738 --> 02:15:43,005 PRACTICES. 3707 02:15:43,005 --> 02:15:44,607 I'LL GIVE YOU A BRIEF EXAMPLE. 3708 02:15:44,607 --> 02:15:46,275 WE HAVE A STORY ABOUT THE MOON 3709 02:15:46,275 --> 02:15:48,077 AND THE SUN, THEY USED TO LIVE 3710 02:15:48,077 --> 02:15:50,980 IN THE SKY TOGETHER, THE SUN WAS 3711 02:15:50,980 --> 02:15:53,649 MALE AND THE MOON WAS FEMALE, 3712 02:15:53,649 --> 02:15:55,351 THEY SHARED THE DAY SKY 3713 02:15:55,351 --> 02:15:57,453 TOGETHER, AND SHE WARNED HIM 3714 02:15:57,453 --> 02:15:59,088 BECAUSE THE SUN WOULD FLARE UP 3715 02:15:59,088 --> 02:16:00,956 ONCE IN A WHILE, IF ANY OF HIS 3716 02:16:00,956 --> 02:16:02,825 SUN FLARES HIT HER, SHE WOULD 3717 02:16:02,825 --> 02:16:04,026 GATHER ALL HER STAR CHILDREN AND 3718 02:16:04,026 --> 02:16:05,127 MOVE TO THE OTHER SIDE OF THE 3719 02:16:05,127 --> 02:16:06,695 WORLD AND ONE DAY, OF COURSE, 3720 02:16:06,695 --> 02:16:08,731 THAT HAPPENS, SUN GOT UPSET, ONE 3721 02:16:08,731 --> 02:16:09,965 OF THE HIS FLARES HIT HER AND 3722 02:16:09,965 --> 02:16:11,367 SHE GRABBED ALL OF HER STAR 3723 02:16:11,367 --> 02:16:12,167 CHILDREN AND MOVED TO THE OTHER 3724 02:16:12,167 --> 02:16:13,135 SIDE OF THE WORLD AND THAT'S WHY 3725 02:16:13,135 --> 02:16:15,671 WE HAVE NIGHT SKY AND DAYLIGHT 3726 02:16:15,671 --> 02:16:16,972 AND DARKNESS. 3727 02:16:16,972 --> 02:16:19,074 AND THAT MIGHT SOUND LIKE A KIND 3728 02:16:19,074 --> 02:16:20,943 OF SIMPLE STORY AND HE BEGGED 3729 02:16:20,943 --> 02:16:22,444 HER TO COME HOME AND SHE SAID 3730 02:16:22,444 --> 02:16:24,113 NO, BUT ONCE A MONTH THEY SHARE 3731 02:16:24,113 --> 02:16:26,515 TIME INTO THE SKY -- MORNING 3732 02:16:26,515 --> 02:16:27,282 TIME TOGETHER TO HAVE A 3733 02:16:27,282 --> 02:16:28,050 CONVERSATION BECAUSE THEY STILL 3734 02:16:28,050 --> 02:16:30,019 LOVED EACH OTHER. 3735 02:16:30,019 --> 02:16:32,988 AND THEY WOULD STILL TALK. 3736 02:16:32,988 --> 02:16:36,592 THAT'S TRADITIONAL STORIES ABOUT 3737 02:16:36,592 --> 02:16:38,894 TALKING ABOUT DOMESTIC VIOLENCE 3738 02:16:38,894 --> 02:16:39,895 PREVENTION RIGHT THERE, EMBEDDED 3739 02:16:39,895 --> 02:16:40,763 IN OUR STORIES. 3740 02:16:40,763 --> 02:16:42,297 SO WE HAVE OPPORTUNITIES TO PULL 3741 02:16:42,297 --> 02:16:45,167 OUT FROM THESE WAYS OF 3742 02:16:45,167 --> 02:16:46,568 KNOWING -- BEING TO CREATE 3743 02:16:46,568 --> 02:16:47,569 PREVENTION OPPORTUNITIES AND 3744 02:16:47,569 --> 02:16:48,671 OPPORTUNITIES FOR RECOVERING 3745 02:16:48,671 --> 02:16:50,072 HEALTH PRACTICES THAT HELP OUR 3746 02:16:50,072 --> 02:16:50,539 COMMUNITIES. 3747 02:16:50,539 --> 02:16:52,174 SO THAT'S JUST AN EXAMPLE OF 3748 02:16:52,174 --> 02:16:54,043 MOVING FORWARD IN A MORE 3749 02:16:54,043 --> 02:16:55,811 HEALTHFUL WAY. 3750 02:16:55,811 --> 02:16:59,281 >> WHAT A BEAUTIFUL STORY. 3751 02:16:59,281 --> 02:17:01,250 THANK YOU. 3752 02:17:01,250 --> 02:17:01,417 BEN? 3753 02:17:01,417 --> 02:17:02,785 >> WELL, FIRST OF ALL, JUST 3754 02:17:02,785 --> 02:17:04,653 THANK BOTH OF YOU FOR 3755 02:17:04,653 --> 02:17:05,187 PRESENTING. 3756 02:17:05,187 --> 02:17:08,490 BEN KLIGLER, I WORK FOR THE V.A. 3757 02:17:08,490 --> 02:17:10,259 I JUST HAD A COUPLE QUICK 3758 02:17:10,259 --> 02:17:12,027 COMMENTS I WANTED TO MAKE ABOUT 3759 02:17:12,027 --> 02:17:14,430 THIS IDEA OF HOW DO YOU KNOW, 3760 02:17:14,430 --> 02:17:16,198 HOW DO WE KNOW, WHAT IS SUCCESS 3761 02:17:16,198 --> 02:17:18,033 AND HOW DO WE DEFINE SUCCESS AND 3762 02:17:18,033 --> 02:17:20,135 WHO DEFINES SUCCESS? 3763 02:17:20,135 --> 02:17:21,437 WHATEVER WE'RE TRYING TO DO FOR 3764 02:17:21,437 --> 02:17:22,638 ANY GIVEN POPULATION. 3765 02:17:22,638 --> 02:17:24,640 AND IT KIND OF REALLY GOES TO 3766 02:17:24,640 --> 02:17:27,476 THAT STORY YOU JUST TOLD ABOUT 3767 02:17:27,476 --> 02:17:29,344 DIFFERENT WAYS OF KNOWING, AND 3768 02:17:29,344 --> 02:17:30,679 YOU KNOW, I'M SURE A LOT OF 3769 02:17:30,679 --> 02:17:37,753 PEOPLE HAVE READ THE BOOK 3770 02:17:37,753 --> 02:17:43,125 GRADING SWEET GRASS, YOU CAN 3771 02:17:43,125 --> 02:17:44,793 HAVE A QUOTE-UNQUOTE MODERN 3772 02:17:44,793 --> 02:17:46,428 SCIENTIFIC WAY OF KNOWING AND A 3773 02:17:46,428 --> 02:17:47,830 TRADITIONAL MORE HOLISTIC WAY OF 3774 02:17:47,830 --> 02:17:48,931 KNOWING AND THAT BOTH OF THESE 3775 02:17:48,931 --> 02:17:50,265 THINGS CAN REVEAL TRUTH TO US 3776 02:17:50,265 --> 02:17:53,669 THAT NEITHER ONE CAN REVEAL 3777 02:17:53,669 --> 02:17:54,636 NECESSARILY ALONE OR THEY EACH 3778 02:17:54,636 --> 02:17:56,271 HAVE A DIFFERENT KIND OF TRUTH 3779 02:17:56,271 --> 02:18:00,576 THAT THEY CAN REVEAL TO US. 3780 02:18:00,576 --> 02:18:01,543 SO FIRST OF ALL I JUST REALLY 3781 02:18:01,543 --> 02:18:02,644 APPLAUD YOU FOR HOLDING THAT 3782 02:18:02,644 --> 02:18:04,079 SPACE, KARINA, AT NIH, BECAUSE 3783 02:18:04,079 --> 02:18:05,180 THAT MUST BE QUITE A BATTLE. 3784 02:18:05,180 --> 02:18:08,684 I MEAN, I KNOW DR. LANGEVIN IS 3785 02:18:08,684 --> 02:18:09,785 TRYING TO HOLD THE SPACE FOR 3786 02:18:09,785 --> 02:18:11,220 WHOLE PERSON HEALTH, BUT HOLDING 3787 02:18:11,220 --> 02:18:12,187 THE SPACE FOR ENTIRELY DIFFERENT 3788 02:18:12,187 --> 02:18:13,789 WAYS OF KNOWING IS PROBABLY 3789 02:18:13,789 --> 02:18:17,459 PRETTY CHALLENGING. 3790 02:18:17,459 --> 02:18:19,428 SO BUT WHAT I WANTED TO SAY 3791 02:18:19,428 --> 02:18:20,429 SPECIFICALLY WAS GOING TO THIS 3792 02:18:20,429 --> 02:18:25,300 QUESTION OF HOW DO WE MEASURE, 3793 02:18:25,300 --> 02:18:27,269 HOW DO WE KNOW WE'RE ACHIEVING 3794 02:18:27,269 --> 02:18:28,871 WHAT WE HOPE TO BE ACHIEVING, 3795 02:18:28,871 --> 02:18:30,339 AND I THINK IT GOES TO DAN'S 3796 02:18:30,339 --> 02:18:31,106 STUDIES AS WELL. 3797 02:18:31,106 --> 02:18:32,641 AND I GUESS -- SO I HAVE TWO 3798 02:18:32,641 --> 02:18:33,375 QUESTIONS. 3799 02:18:33,375 --> 02:18:36,812 ONE IS HAVE WE DONE ANY WORK 3800 02:18:36,812 --> 02:18:39,648 WITH ELDERS IN THE TRIBES ASKING 3801 02:18:39,648 --> 02:18:42,184 THEM TO HELP US DEFINE SUCCESS. 3802 02:18:42,184 --> 02:18:44,019 IN OTHER WORDS, WHAT OUTCOME 3803 02:18:44,019 --> 02:18:45,554 SHOULD WE BE LOOKING AT? 3804 02:18:45,554 --> 02:18:51,026 WE KNOW WE WANT TO LOOK AT 3805 02:18:51,026 --> 02:18:52,427 ADHERENCE TO 12 STEP TREATMENT 3806 02:18:52,427 --> 02:18:55,631 OR TO LOWERING THE NUMBER OF 3807 02:18:55,631 --> 02:18:56,932 DRINKS A PERSON HAS IN A GIVEN 3808 02:18:56,932 --> 02:18:58,133 DAY, BUT THERE ARE OTHER WAYS TO 3809 02:18:58,133 --> 02:19:01,336 LOOK AT OUTCOMES, SO IN 3810 02:19:01,336 --> 02:19:02,738 PARTICULAR, IN V.A., WE'RE DOING 3811 02:19:02,738 --> 02:19:03,639 A LOT OF WORK AROUND THIS 3812 02:19:03,639 --> 02:19:04,706 QUESTION OF MEANING AND PURPOSE 3813 02:19:04,706 --> 02:19:07,042 IN LIFE, AND THAT 3814 02:19:07,042 --> 02:19:07,709 RE-ESTABLISHING CONNECTION WITH 3815 02:19:07,709 --> 02:19:08,877 THE THINGS THAT GIVE MEANING AND 3816 02:19:08,877 --> 02:19:12,848 PURPOSE IN LIFE MAY BE IN AND OF 3817 02:19:12,848 --> 02:19:14,049 ITSELF A REALLY IMPORTANT OUT 3818 02:19:14,049 --> 02:19:15,250 COME REGARDLESS OF WHETHER 3819 02:19:15,250 --> 02:19:16,618 PHYSICAL HEALTH HAS IMPROVED, 3820 02:19:16,618 --> 02:19:17,553 MENTAL HEALTH THE WAY WE THINK 3821 02:19:17,553 --> 02:19:18,687 OF IT HAS IMPROVED. 3822 02:19:18,687 --> 02:19:22,624 AND THAT THIS IS IN AND OF 3823 02:19:22,624 --> 02:19:24,293 ITSELF SOMETHING THAT -- WHETHER 3824 02:19:24,293 --> 02:19:25,694 OR NOT IT PROLONGS LIFE, IT 3825 02:19:25,694 --> 02:19:27,429 CHANGES THE NATURE OF LIFE IN A 3826 02:19:27,429 --> 02:19:28,630 WAY THAT MAY BE WHAT WE'RE 3827 02:19:28,630 --> 02:19:30,232 REALLY LOOKING FOR. 3828 02:19:30,232 --> 02:19:32,301 AND SO I GUESS I'M REALLY 3829 02:19:32,301 --> 02:19:33,735 INTERESTED IN CONTINUING TO 3830 02:19:33,735 --> 02:19:34,603 ENGAGE IN THIS, WE'RE TALKING 3831 02:19:34,603 --> 02:19:36,038 ABOUT THIS A LOT AT V.A. BECAUSE 3832 02:19:36,038 --> 02:19:38,774 AS YOU KNOW, WE SERVE REALLY 3833 02:19:38,774 --> 02:19:41,076 EVERYBODY IN THE COUNTRY, 3834 02:19:41,076 --> 02:19:43,145 INCLUDING A DECENT POPULATION OF 3835 02:19:43,145 --> 02:19:43,812 TRIBAL MEMBERS. 3836 02:19:43,812 --> 02:19:46,882 SO THIS QUESTION OF NOT IMPOSING 3837 02:19:46,882 --> 02:19:48,984 OUR DEFINITION OF SUCCESSFUL 3838 02:19:48,984 --> 02:19:50,485 OUTCOME ON A GIVEN POPULATION 3839 02:19:50,485 --> 02:19:52,254 THAT MAY REALLY HAVE ITS OWN 3840 02:19:52,254 --> 02:19:55,424 DEFINITION, AND HOW DO WE WORK 3841 02:19:55,424 --> 02:19:57,860 WITH THE KNOWLEDGE OF THAT 3842 02:19:57,860 --> 02:19:59,628 TRADITIONAL POPULATION AND THINK 3843 02:19:59,628 --> 02:20:01,129 ABOUT HOW ARE WE GOING TO DEFINE 3844 02:20:01,129 --> 02:20:02,464 SUCCESS IN A GIVEN STUDY. 3845 02:20:02,464 --> 02:20:04,233 AND I KNOW THAT GOES INTO 3846 02:20:04,233 --> 02:20:06,735 ANOTHER DOMAIN OF CONVINCING 3847 02:20:06,735 --> 02:20:08,237 REVIEWERS ON A GRANT APPLICATION 3848 02:20:08,237 --> 02:20:09,938 THAT THAT'S A LEGITIMATE WAY TO 3849 02:20:09,938 --> 02:20:11,807 DEFINE SUCCESS. 3850 02:20:11,807 --> 02:20:14,543 BUT I THINK THAT REALLY FITS IN 3851 02:20:14,543 --> 02:20:16,311 WITH NCCIH'S AGENDA AROUND THIS 3852 02:20:16,311 --> 02:20:18,247 QUESTION OF WHAT IS WHOLE PERSON 3853 02:20:18,247 --> 02:20:18,814 HEALTH. 3854 02:20:18,814 --> 02:20:20,883 AND WHOLE PERSON HEALTH IS 3855 02:20:20,883 --> 02:20:22,651 REALLY GOING TO BE DEFINED 3856 02:20:22,651 --> 02:20:23,685 DIFFERENTLY IN DIFFERENT 3857 02:20:23,685 --> 02:20:25,053 CULTURAL GROUPS, SO I JUST 3858 02:20:25,053 --> 02:20:25,821 REALLY APPRECIATE THE 3859 02:20:25,821 --> 02:20:27,389 CONVERSATION AND I'D LOVE TO -- 3860 02:20:27,389 --> 02:20:30,559 IF I CAN BE HELPFUL OR IF OUR 3861 02:20:30,559 --> 02:20:32,961 WORK AT V.A. CAN BE HELPFUL, I'D 3862 02:20:32,961 --> 02:20:33,929 REALLY LOVE TO HAVE MORE 3863 02:20:33,929 --> 02:20:34,396 CONVERSATION ABOUT IT. 3864 02:20:34,396 --> 02:20:35,130 THANK YOU. 3865 02:20:35,130 --> 02:20:37,466 >> DAN, CAN I JUMP IN REAL QUICK 3866 02:20:37,466 --> 02:20:38,533 AND THEN PASS THIS TO YOU? 3867 02:20:38,533 --> 02:20:38,901 >> OF COURSE. 3868 02:20:38,901 --> 02:20:40,269 >> I DON'T WANT TO LOSE MY 3869 02:20:40,269 --> 02:20:40,535 THOUGHT. 3870 02:20:40,535 --> 02:20:41,870 I THINK WHAT YOU'RE IDENTIFYING 3871 02:20:41,870 --> 02:20:42,871 IS, I THINK ALL OF OUR 3872 02:20:42,871 --> 02:20:44,139 COMMUNITIES WOULD SAY, HEY, WE 3873 02:20:44,139 --> 02:20:46,475 WANT TO REDUCE OPIOID USE, WE 3874 02:20:46,475 --> 02:20:48,577 WANT TO IMPROVE HEALTH. 3875 02:20:48,577 --> 02:20:50,112 THOSE I THINK ARE CONSISTENT 3876 02:20:50,112 --> 02:20:51,079 WITH WHAT ELDERS WOULD SAY THEY 3877 02:20:51,079 --> 02:20:52,314 WANT TO SEE HAPPEN, BUT THE 3878 02:20:52,314 --> 02:20:54,716 ISSUE IS THAT THERE'S OTHER KIND 3879 02:20:54,716 --> 02:20:58,020 OF -- WHAT ARE THOSE MECHANISMS 3880 02:20:58,020 --> 02:20:59,321 OF CHANGE AND THAT'S WHERE WE 3881 02:20:59,321 --> 02:21:00,956 MIEPT HAVE DIVERGENT 3882 02:21:00,956 --> 02:21:01,957 UNDERSTANDINGS BETWEEN WESTERN 3883 02:21:01,957 --> 02:21:03,058 AND INDIGENOUS APPROACHES IN 3884 02:21:03,058 --> 02:21:03,592 SCIENCE. 3885 02:21:03,592 --> 02:21:04,927 SO THE MECHANISM -- IT'S GETTING 3886 02:21:04,927 --> 02:21:06,795 TO THIS CULTURALLY GROUNDED 3887 02:21:06,795 --> 02:21:09,398 MECHANISMS OF CHANGE. 3888 02:21:09,398 --> 02:21:10,933 I'LL GIVE YOU A BRIEF EXAMPLE IN 3889 02:21:10,933 --> 02:21:15,003 MY TRIBE, I DID A PROJECT 3890 02:21:15,003 --> 02:21:16,438 WITH -- IT WAS A SUBSTANCE ABUSE 3891 02:21:16,438 --> 02:21:17,873 AND OBESITY PREVENTION STUDY, 3892 02:21:17,873 --> 02:21:22,344 ACTUALLY FUNDED BY NIDA, AND WE 3893 02:21:22,344 --> 02:21:26,081 REALLY WORKED ON REALLY DEEPLY 3894 02:21:26,081 --> 02:21:28,050 BUILDING FROM OUR ORIGINAL 3895 02:21:28,050 --> 02:21:30,118 TEACHINGS AND INSTRUCTIONS AND 3896 02:21:30,118 --> 02:21:32,988 RELATIONAL WAYS OF BEING AND 3897 02:21:32,988 --> 02:21:33,956 RESTORING RELATIONAL WAYS OF 3898 02:21:33,956 --> 02:21:35,324 BEING AS BEING A HUGE MECHANISM 3899 02:21:35,324 --> 02:21:37,059 OF CHANGE, AND LOOKING AT 3900 02:21:37,059 --> 02:21:38,894 RELATIONAL WAYS OF BEING AS 3901 02:21:38,894 --> 02:21:40,329 DIFFERENT KINDS OF OUTCOMES AND 3902 02:21:40,329 --> 02:21:42,130 THAT INVOLVES CREATING NEW 3903 02:21:42,130 --> 02:21:43,765 MEASURES AND USING EXISTING 3904 02:21:43,765 --> 02:21:45,400 MEASURES, BUT THOSE -- WE SAW 3905 02:21:45,400 --> 02:21:47,269 THAT PEOPLE'S BEHAVIOR DOESN'T 3906 02:21:47,269 --> 02:21:48,270 CHANGE JUST BECAUSE YOU GIVE 3907 02:21:48,270 --> 02:21:48,804 THEM INFORMATION. 3908 02:21:48,804 --> 02:21:50,439 THE KIND OF INFORMATION THAT IS 3909 02:21:50,439 --> 02:21:52,541 ROOTED IN CULTURE AND GROUNDED 3910 02:21:52,541 --> 02:21:54,109 IN CULTURE THAT MAKES A HUGE 3911 02:21:54,109 --> 02:21:54,443 DIFFERENCE. 3912 02:21:54,443 --> 02:21:56,078 ONE OF THE THINGS WE FOCUSED ON 3913 02:21:56,078 --> 02:21:59,514 WAS WHAT KIND OF ANCESTOR -- DID 3914 02:21:59,514 --> 02:22:00,816 MY ANCESTORS DREAM ME TO BE? 3915 02:22:00,816 --> 02:22:03,218 WHAT KIND OF ANCESTORS DO I 3916 02:22:03,218 --> 02:22:05,320 DREAM THE FUTURE TO BE THROUGH 3917 02:22:05,320 --> 02:22:05,988 MY ACTIONS TODAY? 3918 02:22:05,988 --> 02:22:08,156 WHAT KIND OF ANCESTORS DO I WANT 3919 02:22:08,156 --> 02:22:10,359 TO BE? 3920 02:22:10,359 --> 02:22:11,927 AND JUST SHIFTING TO THINKING TO 3921 02:22:11,927 --> 02:22:13,895 THAT ANCESTRAL RELATIONAL WAY OF 3922 02:22:13,895 --> 02:22:15,864 THINKING WAS A HUGE FACTOR IN 3923 02:22:15,864 --> 02:22:17,099 MOTIVATING WOMEN TO PARTICIPATE 3924 02:22:17,099 --> 02:22:19,935 IAND REALLY BEGIN TO GET EXCITED 3925 02:22:19,935 --> 02:22:23,005 ABOUT DOING SOME OF THE WORK 3926 02:22:23,005 --> 02:22:24,339 AROUND SHIFTING BEHAVIORAL 3927 02:22:24,339 --> 02:22:25,107 CHANGE. 3928 02:22:25,107 --> 02:22:26,541 SO IT'S THOSE MECHANISMS OF 3929 02:22:26,541 --> 02:22:29,177 CHANGE I THINK WE NEED TO REALLY 3930 02:22:29,177 --> 02:22:31,380 KIND OF TALK ABOUT AND REALLY 3931 02:22:31,380 --> 02:22:32,481 ARTICULATE. 3932 02:22:32,481 --> 02:22:34,016 AND ANOTHER THING IS, THESE 3933 02:22:34,016 --> 02:22:35,584 SYSTEMS CAN WORK SIMULTANEOUSLY, 3934 02:22:35,584 --> 02:22:35,984 RIGHT? 3935 02:22:35,984 --> 02:22:38,620 SO ON THE ONE HAND, YOU KNOW, A 3936 02:22:38,620 --> 02:22:40,155 TRADITIONAL PRACTITIONER MIGHT 3937 02:22:40,155 --> 02:22:42,457 BE ADDRESSING ETIOLOGY 3938 02:22:42,457 --> 02:22:45,427 UNDERLYING SPIRITUAL IDEOLOGY OF 3939 02:22:45,427 --> 02:22:47,629 SOMETHING WHERE IT'S NOT 3940 02:22:47,629 --> 02:22:49,498 CONTRARY IN COMMUNITY FOR PEOPLE 3941 02:22:49,498 --> 02:22:51,133 THAT SEE THE WESTERN DOCTOR TO 3942 02:22:51,133 --> 02:22:51,800 ADDRESS SYMPTOMS. 3943 02:22:51,800 --> 02:22:52,701 RECOGNIZING THAT THEY MAY NOT 3944 02:22:52,701 --> 02:22:55,203 GET TO THE SPIRITUAL IDEOLOGY OF 3945 02:22:55,203 --> 02:22:57,172 WHAT DRIVES THE DISEASE 3946 02:22:57,172 --> 02:22:58,640 MANIFESTATION. 3947 02:22:58,640 --> 02:23:00,142 SO IT DOESN'T MEAN THAT THESE 3948 02:23:00,142 --> 02:23:02,244 TWO HAVE TO COUNTERACT EACH 3949 02:23:02,244 --> 02:23:04,446 OTHER, BUT THEY CAN WALK 3950 02:23:04,446 --> 02:23:05,914 TOGETHER WHEN DONE SKILLFULLY. 3951 02:23:05,914 --> 02:23:07,649 SO I'M SORRY, GO AHEAD, DAN. 3952 02:23:07,649 --> 02:23:10,218 I'M TALKING TOO MUCH. 3953 02:23:10,218 --> 02:23:13,255 >> THANK YOU SO MUCH, BEN, 3954 02:23:13,255 --> 02:23:14,256 THAT'S AN AMAZINGLY GREAT 3955 02:23:14,256 --> 02:23:14,556 QUESTION. 3956 02:23:14,556 --> 02:23:16,758 I THINK WITH JUST SOME HELPFUL 3957 02:23:16,758 --> 02:23:18,527 COMMENTS THAT COME TO MIND, I 3958 02:23:18,527 --> 02:23:19,961 THINK RESEARCH IS A PROCESS IN A 3959 02:23:19,961 --> 02:23:24,900 WAY, YOU KNOW, I THINK 3960 02:23:24,900 --> 02:23:27,736 OFTENTIMES IN WESTERN-BASED 3961 02:23:27,736 --> 02:23:30,138 RESEARCH, WE DON'T HAVE THAT P 3962 02:23:30,138 --> 02:23:35,177 LESS THAN .05, WE KIND OF -- 3963 02:23:35,177 --> 02:23:36,178 THROW IT IN THE TRASH AND WE 3964 02:23:36,178 --> 02:23:37,846 THINK OF A NEW IDEA. 3965 02:23:37,846 --> 02:23:40,549 AND I THINK WITH NATIVE 3966 02:23:40,549 --> 02:23:42,317 AMERICANS AND RESEARCH, WE'VE 3967 02:23:42,317 --> 02:23:44,086 ONLY BEEN DOING THIS FOR A 3968 02:23:44,086 --> 02:23:47,255 COUPLE FEW DECADES, AND I THINK 3969 02:23:47,255 --> 02:23:49,357 COMMUNITIES REALLY NEED TO HAVE 3970 02:23:49,357 --> 02:23:51,660 MORE OF A SAY IN INTERPRETING 3971 02:23:51,660 --> 02:23:55,063 THE RESULTS, AND EVEN HAVING 3972 02:23:55,063 --> 02:23:58,133 THAT EXTRA PERCEPTION OF WHAT'S 3973 02:23:58,133 --> 02:24:00,535 REALLY GOING ON WITH THOSE WHO 3974 02:24:00,535 --> 02:24:04,739 ARE IB VOFLE INVOLVED IN THE STD 3975 02:24:04,739 --> 02:24:05,807 WHAT'S REALLY WORKING. 3976 02:24:05,807 --> 02:24:07,375 THERE ARE COMMUNITY MEMBERS WHO 3977 02:24:07,375 --> 02:24:09,344 REALLY SAY IF IT'S NOT WORKING, 3978 02:24:09,344 --> 02:24:12,280 WHAT CAN WE -- WHAT DO WE HAVE 3979 02:24:12,280 --> 02:24:17,352 TO DO TO MAKE IT WORK, OR TO GET 3980 02:24:17,352 --> 02:24:20,322 WHERE WE'RE -- WHERE THE 3981 02:24:20,322 --> 02:24:21,323 COMMUNITY FEELS WE NEED TO GO. 3982 02:24:21,323 --> 02:24:24,025 I THINK THERE'S PROBABLY A HUGE 3983 02:24:24,025 --> 02:24:29,197 NEED FOR STATISTICAL APPROACHES 3984 02:24:29,197 --> 02:24:32,601 THAT ARE CULTURALLY FOCUSED A 3985 02:24:32,601 --> 02:24:34,369 BIT MORE WITH THE COMMUNITY AND 3986 02:24:34,369 --> 02:24:39,307 WITH RESEARCHERS, SO THAT -- AND 3987 02:24:39,307 --> 02:24:43,812 I'M NOT -- I WISH I WAS MORE OF 3988 02:24:43,812 --> 02:24:45,247 A STATISTICIAN-MINDED RESEARCHER 3989 02:24:45,247 --> 02:24:46,348 BUT I THINK IN IS A NEED TO TRY 3990 02:24:46,348 --> 02:24:49,284 TO REALLY FIGURE ON SOME 3991 02:24:49,284 --> 02:24:53,288 ANALYTIC APPROACHES, I COULD GET 3992 02:24:53,288 --> 02:24:55,357 AT WHAT'S HAPPENING WITH 3993 02:24:55,357 --> 02:24:58,093 INTERVENTIONS AND SOME PARTS OF 3994 02:24:58,093 --> 02:25:02,130 INTERVENTIONS ARE WITH 3995 02:25:02,130 --> 02:25:03,932 SPIRITUALITY AND NATIVE AMERICAN 3996 02:25:03,932 --> 02:25:05,000 TRADITION, FIRST OF ALL, HOW DO 3997 02:25:05,000 --> 02:25:07,736 WE GO ABOUT ANALYZING THAT, AND 3998 02:25:07,736 --> 02:25:11,506 HOW DO WE -- ARE WE DOING IT 3999 02:25:11,506 --> 02:25:14,676 CORRECTLY, ARE THERE WAYS THAT 4000 02:25:14,676 --> 02:25:17,646 WE CAN ANALYZE THESE ASPECTS OF 4001 02:25:17,646 --> 02:25:20,815 CULTURE MORE SUCCINCTLY? 4002 02:25:20,815 --> 02:25:22,817 SO THOSE ARE JUST SOME -- 4003 02:25:22,817 --> 02:25:24,319 >> IF I CAN MAKE A QUICK COMMENT 4004 02:25:24,319 --> 02:25:26,655 ABOUT THAT, THIS IS SUCH A FUND 4005 02:25:26,655 --> 02:25:29,224 MENTAL QUESTION S, RIGHT? 4006 02:25:29,224 --> 02:25:31,526 WHEN WE LOOK AT THE EFFECT OF A 4007 02:25:31,526 --> 02:25:33,428 DRUG OR PILL, WE SAY DOES THE 4008 02:25:33,428 --> 02:25:33,695 DRUG WORK. 4009 02:25:33,695 --> 02:25:34,729 BUT WHEN WE'RE LOOKING AT 4010 02:25:34,729 --> 02:25:36,264 DIFFERENT KINDS OF INTERVENTIONS 4011 02:25:36,264 --> 02:25:38,934 THAT INVOLVE A PERSON'S BODY, 4012 02:25:38,934 --> 02:25:39,935 MIND, SPIRIT, IS THAT THE -- WE 4013 02:25:39,935 --> 02:25:41,236 TEND TO ASK THE SAME QUESTION, 4014 02:25:41,236 --> 02:25:45,507 DOES THE INTERVENTION WORK. 4015 02:25:45,507 --> 02:25:46,808 BUT ANOTHER WAY TO THINK ABOUT 4016 02:25:46,808 --> 02:25:48,276 IT, IT'S THE PERSON THAT'S 4017 02:25:48,276 --> 02:25:49,244 RECEIVING THE TREATMENT THAT'S 4018 02:25:49,244 --> 02:25:49,911 DOING THE WORK. 4019 02:25:49,911 --> 02:25:52,881 AND THE TREATMENT IS 4020 02:25:52,881 --> 02:25:55,083 FACILITATING OR HELPING, SO I 4021 02:25:55,083 --> 02:25:56,851 THINK ASKING THE QUESTION A 4022 02:25:56,851 --> 02:26:01,923 DIFFERENT WAY CAN BE HEL FUP, H, 4023 02:26:01,923 --> 02:26:03,358 BUT IT'S HARD WHEN YOU DO 4024 02:26:03,358 --> 02:26:05,427 RESEARCH BECAUSE WE TEND TO WANT 4025 02:26:05,427 --> 02:26:07,095 TO GET BACK DOWN TO THE DRUG 4026 02:26:07,095 --> 02:26:07,329 MODEL. 4027 02:26:07,329 --> 02:26:08,530 SO THIS IS ONE THING WE'RE 4028 02:26:08,530 --> 02:26:11,833 WORKING ON AT NCCIH, IS TRYING 4029 02:26:11,833 --> 02:26:14,002 TO FIGURE OUT BETTER WAYS TO ASK 4030 02:26:14,002 --> 02:26:14,502 THAT QUESTION. 4031 02:26:14,502 --> 02:26:16,771 >> LET ME JUST SAY TO THAT, 4032 02:26:16,771 --> 02:26:18,773 THAT'S PART OF THE DECOLONIZING 4033 02:26:18,773 --> 02:26:20,075 WORK OR INDIJ NIEZING WORK THAT 4034 02:26:20,075 --> 02:26:20,875 OUR COMMUNITIES ARE TALKING 4035 02:26:20,875 --> 02:26:21,276 ABOUT. 4036 02:26:21,276 --> 02:26:26,014 SO IT'S NOT -- IT'S NOT JUST DID 4037 02:26:26,014 --> 02:26:26,781 THE PILL WORK. 4038 02:26:26,781 --> 02:26:28,350 IT WOULD BE WHAT IS YOUR 4039 02:26:28,350 --> 02:26:29,884 RELATIONSHIP TO THAT PILL. 4040 02:26:29,884 --> 02:26:30,785 >> RIGHT. 4041 02:26:30,785 --> 02:26:32,988 >> AND DID YOU PRAY WITH IT, DID 4042 02:26:32,988 --> 02:26:34,322 YOU TALK TO IT, DID YOU TALK TO 4043 02:26:34,322 --> 02:26:36,224 THAT MEDICINE. 4044 02:26:36,224 --> 02:26:38,426 BECAUSE IN OUR INDIGENOUS WAYS 4045 02:26:38,426 --> 02:26:39,094 OF KNOWING IN GENERAL, THIS IS 4046 02:26:39,094 --> 02:26:40,295 KIND OF A GROSS GENERAL 4047 02:26:40,295 --> 02:26:41,496 STATEMENT BUT IT MANIFESTS 4048 02:26:41,496 --> 02:26:42,964 DIFFERENTLY FOR EACH TRIBE, BUT 4049 02:26:42,964 --> 02:26:44,833 THE GENERAL PROCESS IS, YOU 4050 02:26:44,833 --> 02:26:46,901 KNOW, PART OF COLONIZATION AND 4051 02:26:46,901 --> 02:26:48,937 THE IMPACT OF COLONIZATION ON 4052 02:26:48,937 --> 02:26:50,972 OUR COMMUNITIES IS TO BE GOOD 4053 02:26:50,972 --> 02:26:51,973 SUBJECTS, OR TO BE GOOD 4054 02:26:51,973 --> 02:26:54,242 PATIENTS. 4055 02:26:54,242 --> 02:26:57,012 AND THAT PASSIVITY IN THAT 4056 02:26:57,012 --> 02:26:58,046 PROCESS, YOU RECEIVE A TREATMENT 4057 02:26:58,046 --> 02:27:00,649 OR YOU RECEIVE SOMETHING, THAT'S 4058 02:27:00,649 --> 02:27:03,885 NOT HEALTHY FROM AN INDIGENOUS 4059 02:27:03,885 --> 02:27:05,453 POINT OF VIEW. 4060 02:27:05,453 --> 02:27:08,323 BECAUSE YOU HAVE A RELATIONSHIP 4061 02:27:08,323 --> 02:27:11,159 TO THIS, ONE ELDER SAID TO ME 4062 02:27:11,159 --> 02:27:12,193 BEAUTIFULLY, HE SAID, YOU HAVE 4063 02:27:12,193 --> 02:27:13,161 TO MEET THE MEDICINE HALFWAY FOR 4064 02:27:13,161 --> 02:27:15,563 THAT MEDICINE TO BE ACTIVATED. 4065 02:27:15,563 --> 02:27:18,133 SO YOU DON'T -- YOU'RE NEVER A 4066 02:27:18,133 --> 02:27:19,200 PASSIVE -- INDIGENOUS WAY OF 4067 02:27:19,200 --> 02:27:20,335 DOING THINGS IS NEVER A PASSIVE 4068 02:27:20,335 --> 02:27:21,736 WAY OF DOING IT, IT'S ALWAYS 4069 02:27:21,736 --> 02:27:22,871 ABOUT MEETING THAT MEDICINE 4070 02:27:22,871 --> 02:27:24,172 HALFWAY TO HAVE THAT MEDICINE'S 4071 02:27:24,172 --> 02:27:26,474 POWER REALLY BE ABLE TO HELP UP. 4072 02:27:26,474 --> 02:27:28,043 THAT'S A RELATIONAL WAY OF 4073 02:27:28,043 --> 02:27:28,376 THINKING. 4074 02:27:28,376 --> 02:27:30,245 SO I THINK THAT'S WHERE IT GETS 4075 02:27:30,245 --> 02:27:31,479 REALLY CREATIVE IN THINKING 4076 02:27:31,479 --> 02:27:32,681 ABOUT, YOU KNOW, HOW DO WE 4077 02:27:32,681 --> 02:27:34,149 IMPACT THAT, HOW DO WE LOOK THE 4078 02:27:34,149 --> 02:27:36,217 A THAT, BOTH IN INTERVENTION 4079 02:27:36,217 --> 02:27:37,218 DEVELOPMENT, HEALTH PROMOTION 4080 02:27:37,218 --> 02:27:38,386 MODELS, HOW DOES THAT EVEN 4081 02:27:38,386 --> 02:27:40,055 TRANSLATE INTO POTENTIAL 4082 02:27:40,055 --> 02:27:41,589 MEASURES IF POSSIBLE, YOU KNOW, 4083 02:27:41,589 --> 02:27:42,691 THOSE ARE THE KINDS OF THINGS TO 4084 02:27:42,691 --> 02:27:45,894 START TO IMPACT, BUT IT'S THAT 4085 02:27:45,894 --> 02:27:47,128 RELATIONAL WAY OF THINKING. 4086 02:27:47,128 --> 02:27:48,563 WE MAY BE LOOKING AT THE EXACT 4087 02:27:48,563 --> 02:27:50,098 SAME THING, BUT OUR APPROACHES 4088 02:27:50,098 --> 02:27:50,632 ARE DIFFERENT. 4089 02:27:50,632 --> 02:27:53,535 WE MAY BE TAKING A PILL, BUT YOU 4090 02:27:53,535 --> 02:27:54,736 KNOW, IT'S REALLY OUR 4091 02:27:54,736 --> 02:27:56,604 RELATIONSHIP TO THAT PILL THAT 4092 02:27:56,604 --> 02:27:58,273 REALLY MATTERS THAT WE WOULD SAY 4093 02:27:58,273 --> 02:27:59,908 FROM A MORE -- FROM THAT 4094 02:27:59,908 --> 02:28:00,975 INDIGENOUS MORE TRADITIONAL 4095 02:28:00,975 --> 02:28:02,177 POINT OF VIEW ON THAT. 4096 02:28:02,177 --> 02:28:05,080 >> I THINK THAT'S PROFOUND, AND 4097 02:28:05,080 --> 02:28:06,381 IT HAS -- SOME OF THESE 4098 02:28:06,381 --> 02:28:08,483 CONVERSATIONS WE HAVE AROUND 4099 02:28:08,483 --> 02:28:09,351 NONSPECIFIC EFFECTS OF TREATMENT 4100 02:28:09,351 --> 02:28:10,318 THAT A LOT OF THIS COULD BE 4101 02:28:10,318 --> 02:28:11,586 THAT, THE RELATIONSHIP TO THE 4102 02:28:11,586 --> 02:28:11,853 TREATMENT. 4103 02:28:11,853 --> 02:28:12,554 >> ABSOLUTELY. 4104 02:28:12,554 --> 02:28:13,121 >> RIGHT. 4105 02:28:13,121 --> 02:28:13,822 OH, THAT'S GREAT. 4106 02:28:13,822 --> 02:28:16,091 WELL, I DON'T WANT TO STEAL 4107 02:28:16,091 --> 02:28:19,828 OTHER PEOPLE DES -- SO GUNNAR. 4108 02:28:19,828 --> 02:28:21,396 >> THANKS SO MUCH, BEN. 4109 02:28:21,396 --> 02:28:22,464 THAT REALLY WAS A GREAT 4110 02:28:22,464 --> 02:28:23,598 QUESTION, AND IT'S BEEN A REALLY 4111 02:28:23,598 --> 02:28:25,900 GREAT DISCUSSION. 4112 02:28:25,900 --> 02:28:28,103 AND ONE OF MY FAVORITE FORREST 4113 02:28:28,103 --> 02:28:31,940 GUMPISMS IS MY MAMA ALWAYS SAID 4114 02:28:31,940 --> 02:28:33,441 MOST PEOPLE DON'T LOOK DOWN 4115 02:28:33,441 --> 02:28:34,709 UNTIL THEY START TALKING. 4116 02:28:34,709 --> 02:28:36,111 SO I'M IN A VERY HIGH RISK 4117 02:28:36,111 --> 02:28:37,011 SITUATION RIGHT NOW, BUT I'VE 4118 02:28:37,011 --> 02:28:39,781 GOT A COUPLE OF THOUGHTS AND 4119 02:28:39,781 --> 02:28:40,982 QUESTIONS, START WITH A REAL 4120 02:28:40,982 --> 02:28:41,416 BASIC ONE FOR DAN. 4121 02:28:41,416 --> 02:28:43,151 I'M A LITTLE CURIOUS ABOUT 4122 02:28:43,151 --> 02:28:44,285 THE -- SORT OF WHAT'S THE DOSE 4123 02:28:44,285 --> 02:28:45,286 OF DRUMMING. 4124 02:28:45,286 --> 02:28:47,155 IS IT YOU'RE DOING DRUMMING BY 4125 02:28:47,155 --> 02:28:48,823 YOURSELF OR YOU'RE DRUMMING IN A 4126 02:28:48,823 --> 02:28:51,126 GROUP, HOW MANY TIMES A WEEK, 4127 02:28:51,126 --> 02:28:54,062 AND DO YOU DRUM JUST WITH OTHER 4128 02:28:54,062 --> 02:28:55,530 NATIVE AMERICANS OR KIND OF HOW 4129 02:28:55,530 --> 02:28:57,132 THAT ALL ROLLED OUT AND THEN 4130 02:28:57,132 --> 02:28:59,200 IT'S KIND OF LIKE MUSIC THERAPY 4131 02:28:59,200 --> 02:29:01,136 BUT I WOULD IMAGINE THAT 4132 02:29:01,136 --> 02:29:02,904 POUNDING THE SKINS IS A LITTLE 4133 02:29:02,904 --> 02:29:04,072 DIFFERENT, FOR EXAMPLE, THAN 4134 02:29:04,072 --> 02:29:05,140 PLAYING A SAXOPHONE. 4135 02:29:05,140 --> 02:29:08,243 SO JUST YOUR THOUGHTS ON THAT. 4136 02:29:08,243 --> 02:29:11,045 >> YES, YES, THANKS FOR THE 4137 02:29:11,045 --> 02:29:13,615 QUESTION. 4138 02:29:13,615 --> 02:29:15,950 WITH THE DOSE OF DRUMMING IN OUR 4139 02:29:15,950 --> 02:29:20,388 LAST INTERVENTION, WE HAD TWO 4140 02:29:20,388 --> 02:29:23,291 HOURS A SESSION, SIX SESSIONS. 4141 02:29:23,291 --> 02:29:25,827 WE KIND OF MADE A SHORTER 4142 02:29:25,827 --> 02:29:27,495 VERSION. 4143 02:29:27,495 --> 02:29:31,900 AND IT IS GROUP DRUMMING, AND IR 4144 02:29:31,900 --> 02:29:34,035 STUDY, BECAUSE WE ASKED THE 4145 02:29:34,035 --> 02:29:35,870 ELDERS AND COMMUNITY MEMBERS 4146 02:29:35,870 --> 02:29:37,639 WHAT STYLE -- DRUMMING 4147 02:29:37,639 --> 02:29:38,606 TRADITIONS CAN DIFFER IN 4148 02:29:38,606 --> 02:29:39,741 DIFFERENT REGIONS, DIFFERENT 4149 02:29:39,741 --> 02:29:44,145 AREAS, BUT IN THE URBAN AREA, 4150 02:29:44,145 --> 02:29:46,648 CALIFORNIA HERE, POW-WOW-STYLE 4151 02:29:46,648 --> 02:29:50,318 DRUMMING OR LARGE DRUM WITH 4152 02:29:50,318 --> 02:29:52,520 ABOUT SIX OR SO INDIVIDUALS IS 4153 02:29:52,520 --> 02:29:55,990 MORE TYPICAL, SO THAT'S THE 4154 02:29:55,990 --> 02:29:57,759 STYLE OF DRUMMING THAT'S MORE OF 4155 02:29:57,759 --> 02:30:02,163 A GROUP DRUMMING AROUND A LARGER 4156 02:30:02,163 --> 02:30:03,465 POW-WOW DRUM, ONE DRUM FOR SIX 4157 02:30:03,465 --> 02:30:07,435 OR SO INDIVIDUALS. 4158 02:30:07,435 --> 02:30:11,072 AND TH PARTICIPANTS WILL SIT ARD 4159 02:30:11,072 --> 02:30:13,475 THE DRUM WITH AN ELDER PROVIDING 4160 02:30:13,475 --> 02:30:16,478 TEACHINGS FOR ABOUT AN HOUR OR 4161 02:30:16,478 --> 02:30:17,679 SO, AND THEN DRUMMING FOR AN 4162 02:30:17,679 --> 02:30:24,118 HOUR OR SO, AND THEN PROCESSING 4163 02:30:24,118 --> 02:30:26,020 GROUP FOR ABOUT A HALF-HOUR, 4164 02:30:26,020 --> 02:30:32,393 GIVE OR TAKE, AND THERE IS 4165 02:30:32,393 --> 02:30:34,128 RESEARCH FROM BARRY BITMAN, HE 4166 02:30:34,128 --> 02:30:40,235 MAY BE RETIRED NOW, NEW NEUROLOT 4167 02:30:40,235 --> 02:30:41,302 AT WASHINGTON STATE, AND HE'S 4168 02:30:41,302 --> 02:30:42,737 DONE A LOT OF RESEARCH WITH 4169 02:30:42,737 --> 02:30:44,205 DRUMMING, WITH GENERAL 4170 02:30:44,205 --> 02:30:49,244 POPULATIONS, AND HAS FOUND SOME 4171 02:30:49,244 --> 02:30:50,979 POTENTIAL NEUROLOGICAL-BASED 4172 02:30:50,979 --> 02:30:54,582 BENEFITS FROM DRUMMING. 4173 02:30:54,582 --> 02:30:58,152 AND THAT IT MAY HELP -- IT MAY 4174 02:30:58,152 --> 02:30:59,587 HELP WITH FOCUS AND 4175 02:30:59,587 --> 02:31:00,321 CONCENTRATION, SO IT'S 4176 02:31:00,321 --> 02:31:02,857 INTERESTING THAT WE'VE FOUND 4177 02:31:02,857 --> 02:31:04,292 SOME INITIAL SIGNIFICANT 4178 02:31:04,292 --> 02:31:07,962 FINDINGS OF IMPROVED COGNITION, 4179 02:31:07,962 --> 02:31:10,932 HOW -- I HAVE TO ADMIT, THAT'S 4180 02:31:10,932 --> 02:31:12,600 AN AREA I KIND OF WANT TO LOOK 4181 02:31:12,600 --> 02:31:18,306 MORE CLOSELY AT, AND THE 4182 02:31:18,306 --> 02:31:20,375 NEUROCOGNITIVE BENEFITS OF 4183 02:31:20,375 --> 02:31:21,342 POTENTIALLY THAT MAY BE 4184 02:31:21,342 --> 02:31:23,912 HAPPENING WITH DRUMMING. 4185 02:31:23,912 --> 02:31:27,215 AND THAT WOULD BE REALLY 4186 02:31:27,215 --> 02:31:30,151 IMPORTANT TO KNOW. 4187 02:31:30,151 --> 02:31:32,787 BUT -- YEAH, THAT'S ABOUT HOW 4188 02:31:32,787 --> 02:31:34,956 WE'RE DELIVERING THE 4189 02:31:34,956 --> 02:31:37,425 INTERVENTION AT THIS POINT. 4190 02:31:37,425 --> 02:31:43,231 >> THAT'S REALLY INTERESTING. 4191 02:31:43,231 --> 02:31:44,432 KARINA, I'M A PROFESSOR OF 4192 02:31:44,432 --> 02:31:47,201 FAMILY MEDICINE AND SPORTS 4193 02:31:47,201 --> 02:31:48,937 MEDICINE IN BLACKSBURG, 4194 02:31:48,937 --> 02:31:50,805 VIRGINIA. 4195 02:31:50,805 --> 02:31:52,140 AND ONE OF THE THINGS THAT I'M 4196 02:31:52,140 --> 02:31:54,142 SURE YOU'RE PROBABLY WELL AWARE 4197 02:31:54,142 --> 02:31:56,244 OF IS THAT THERE IS AN 4198 02:31:56,244 --> 02:31:57,879 OSTEOPATHIC SCHOOL AT OKLAHOMA 4199 02:31:57,879 --> 02:32:01,382 STATE THAT HAS A VERY LARGE 4200 02:32:01,382 --> 02:32:03,484 INVOLVEMENT WITH INDIGENOUS 4201 02:32:03,484 --> 02:32:04,686 TRIBES THERE IN THAT REGION, AND 4202 02:32:04,686 --> 02:32:09,891 I THINK IT'S A TRE M TREMENDOUSL 4203 02:32:09,891 --> 02:32:11,326 FOR EXPOSING MEDICAL STUDENTS TO 4204 02:32:11,326 --> 02:32:14,395 THE DELIVERY OF CULTURALLY 4205 02:32:14,395 --> 02:32:16,664 COMPETENT CARE IN THOSE TYPES OF 4206 02:32:16,664 --> 02:32:16,998 ENVIRONMENTS. 4207 02:32:16,998 --> 02:32:18,266 SO I THINK THAT'S REALLY 4208 02:32:18,266 --> 02:32:19,334 EXCITING, AND I DON'T KNOW IF 4209 02:32:19,334 --> 02:32:21,336 YOU'VE HAD ANY INTERACTIONS WITH 4210 02:32:21,336 --> 02:32:23,471 THOSE FOLKS AT OKLAHOMA STATE. 4211 02:32:23,471 --> 02:32:30,111 >> I HAVE HAD INTERACTIONS BUT 4212 02:32:30,111 --> 02:32:31,579 I'M VERY EXCITED ABOUT THAT 4213 02:32:31,579 --> 02:32:31,913 ACTUALLY. 4214 02:32:31,913 --> 02:32:33,748 I KNOW CHEROKEE NATION HAS PUT A 4215 02:32:33,748 --> 02:32:36,050 LOT OF EFFORT INTO SOME OF THIS, 4216 02:32:36,050 --> 02:32:37,752 AND I KNOW MY OWN TRIBE IS 4217 02:32:37,752 --> 02:32:42,223 LOOKING TO DEVELOP SOME MORE -- 4218 02:32:42,223 --> 02:32:43,458 MORE HEALTHCARE MODELS. 4219 02:32:43,458 --> 02:32:45,426 I WOULD LOVE TO SEE A NATIVE 4220 02:32:45,426 --> 02:32:46,661 MEDICAL SCHOOL, THAT'S REALLY 4221 02:32:46,661 --> 02:32:47,395 COOL, SO -- 4222 02:32:47,395 --> 02:32:49,831 >> YEAH, I THINK THAT SCHOOL 4223 02:32:49,831 --> 02:32:52,533 THERE HAS MORE NATIVE AMERICANS 4224 02:32:52,533 --> 02:32:53,368 MATRICULATING THERE THAN ANY 4225 02:32:53,368 --> 02:32:54,802 OTHER MEDICAL SCHOOL IN THE 4226 02:32:54,802 --> 02:32:55,036 COUNTRY. 4227 02:32:55,036 --> 02:32:55,770 >> YES. 4228 02:32:55,770 --> 02:32:58,539 >> SO REALLY, REALLY IMPORTANT, 4229 02:32:58,539 --> 02:33:00,775 YOU MADE SOME GREAT POINTS ABOUT 4230 02:33:00,775 --> 02:33:03,144 DEVELOPING THE CULTURALLY 4231 02:33:03,144 --> 02:33:05,346 REPRESENTATIVE NEYTIVE AMERICAN 4232 02:33:05,346 --> 02:33:07,482 WORKFORCE, RESEARCH WORKFORCE, 4233 02:33:07,482 --> 02:33:08,216 EXTREMELY IMPORTANT TO DO THAT 4234 02:33:08,216 --> 02:33:10,551 ON THE CLINICAL SIDE AS WELL, 4235 02:33:10,551 --> 02:33:12,487 AND THEN CONNECT THE DOTS. 4236 02:33:12,487 --> 02:33:14,088 GET THE CLINICIANS WORKING WITH 4237 02:33:14,088 --> 02:33:16,290 THE SCIENTISTS TO HELP IN A 4238 02:33:16,290 --> 02:33:17,792 MULTIDISCIPLINARY KIND OF WAY 4239 02:33:17,792 --> 02:33:19,494 SOLVE THESE BIG PROBLEMS. 4240 02:33:19,494 --> 02:33:22,030 ONE OF OUR CAMPUSES IS IN 4241 02:33:22,030 --> 02:33:22,597 SPARTANBURG, SOUTH CAROLINA, 4242 02:33:22,597 --> 02:33:25,299 WHICH IS VERY CLOSE TO CHEROKEE, 4243 02:33:25,299 --> 02:33:26,334 NORTH CAROLINA, SO WE'VE GOT A 4244 02:33:26,334 --> 02:33:28,503 GREAT WORKING RELATIONSHIP WITH 4245 02:33:28,503 --> 02:33:29,504 THE EASTERN BAND OF THE 4246 02:33:29,504 --> 02:33:31,639 CHEROKEES THERE, AND THEY'VE GOT 4247 02:33:31,639 --> 02:33:33,941 REALLY AWESOME MEDICAL CARE 4248 02:33:33,941 --> 02:33:34,308 DELIVERY SYSTEM. 4249 02:33:34,308 --> 02:33:36,010 I REMEMBER WHEN I FIRST WENT 4250 02:33:36,010 --> 02:33:37,245 THERE, WE WERE GOING TO TOUR 4251 02:33:37,245 --> 02:33:38,346 AROUND AND I'M THINKING WE'VE 4252 02:33:38,346 --> 02:33:39,781 GOT TO THINK ABOUT HOW WE CAN 4253 02:33:39,781 --> 02:33:42,316 HELP, AND AFTER I TOURED THEIR 4254 02:33:42,316 --> 02:33:44,752 HEALTHCARE FACILITY, I'M TOLD 4255 02:33:44,752 --> 02:33:45,953 CHIEF OF THE TRIBE, I SAID WE 4256 02:33:45,953 --> 02:33:46,688 CAN'T HELP YOU. 4257 02:33:46,688 --> 02:33:48,956 YOU CAN REALLY HELP US BY 4258 02:33:48,956 --> 02:33:50,058 PROVIDING OPPORTUNITIES FOR OUR 4259 02:33:50,058 --> 02:33:51,993 STUDENTS TO ROTATE IN THIS 4260 02:33:51,993 --> 02:33:53,661 ENVIRONMENT AND BE EXPOSED TO 4261 02:33:53,661 --> 02:33:55,596 THE DELIVERY OF THIS CARE, 4262 02:33:55,596 --> 02:33:57,765 BECAUSE IT TRULY WAS AN AWESOME 4263 02:33:57,765 --> 02:34:00,168 CARE DELIVERY MODEL THERE AND I 4264 02:34:00,168 --> 02:34:01,135 THINK GREAT OPPORTUNITIES FOR 4265 02:34:01,135 --> 02:34:02,170 RESEARCH THERE AS WELL. 4266 02:34:02,170 --> 02:34:03,604 >> THERE ARE SOME TRIBES THAT 4267 02:34:03,604 --> 02:34:06,140 ARE DOING REALLY WELL, 4268 02:34:06,140 --> 02:34:08,342 ESPECIALLY THE 638 TRIBES WHO 4269 02:34:08,342 --> 02:34:09,577 CREATED THEIR OWN FACILITIES AND 4270 02:34:09,577 --> 02:34:11,345 ARE RUNNING SOME THINGS. 4271 02:34:11,345 --> 02:34:12,980 THERE'S STILL A WORKFORCE 4272 02:34:12,980 --> 02:34:14,015 SHORTAGE ACROSS THE BOARD WHICH 4273 02:34:14,015 --> 02:34:15,383 IS STILL IMPACTING EVERYBODY, 4274 02:34:15,383 --> 02:34:17,719 BUT IT'S EXCITING THAT THEY'RE 4275 02:34:17,719 --> 02:34:18,720 DEVELOPING AN OPPORTUNITY WHERE 4276 02:34:18,720 --> 02:34:20,722 THERE'S SOME CULTURE SHARING AND 4277 02:34:20,722 --> 02:34:21,956 OPPORTUNITY FOR INTERNSHIPS AND 4278 02:34:21,956 --> 02:34:23,458 OTHER KINDS OF THINGS FOR 4279 02:34:23,458 --> 02:34:24,659 MEDICAL STUDENTS TO COME OVER 4280 02:34:24,659 --> 02:34:26,160 THERE, THAT WOULD BE GREAT. 4281 02:34:26,160 --> 02:34:28,029 I JUST WANTED TO ACKNOWLEDGE 4282 02:34:28,029 --> 02:34:29,330 SOMETHING ABOUT THE DRUMMING 4283 02:34:29,330 --> 02:34:32,834 PART. 4284 02:34:32,834 --> 02:34:34,001 THE ONE THING IS THE STORIES 4285 02:34:34,001 --> 02:34:35,136 THAT GO WITH THE DRUMS, THAT'S 4286 02:34:35,136 --> 02:34:36,838 PART OF THAT, I KNOW DAN ALLUDED 4287 02:34:36,838 --> 02:34:39,073 TO THAT AND I JUST WANTED TO 4288 02:34:39,073 --> 02:34:40,575 KIND OF -- AGAIN YOUR 4289 02:34:40,575 --> 02:34:41,809 RELATIONSHIP TO THE DRUM ITSELF 4290 02:34:41,809 --> 02:34:44,212 AND WHAT IT MEANS IS REALLY 4291 02:34:44,212 --> 02:34:47,415 POWERFUL IN INDIAN COUNTRY, EVEN 4292 02:34:47,415 --> 02:34:49,617 A POW-WOW DRUM MATTERS BUT THERE 4293 02:34:49,617 --> 02:34:50,818 ARE ALSO DIFFERENT -- THERE'S 4294 02:34:50,818 --> 02:34:53,154 HAND DRUMS, WATER DRUMS, THEY'RE 4295 02:34:53,154 --> 02:34:55,556 USED IN DIFFERENT POTENTIAL 4296 02:34:55,556 --> 02:34:56,758 CEREMONIES VERSUS POW-WOW WHICH 4297 02:34:56,758 --> 02:34:58,793 IS MORE OF A SOCIAL GATHERING, 4298 02:34:58,793 --> 02:35:00,228 EVEN THOUGH IT HAS A SPIRITUAL 4299 02:35:00,228 --> 02:35:02,296 ELEMENT, IT'S REALLY MORE 4300 02:35:02,296 --> 02:35:03,731 SOCIAL. 4301 02:35:03,731 --> 02:35:05,533 AND SO I THINK IT WOULD BE 4302 02:35:05,533 --> 02:35:08,136 REALLY INTERESTING TO SEE EVEN 4303 02:35:08,136 --> 02:35:09,470 THE TONAL DIFFERENCES AND THE 4304 02:35:09,470 --> 02:35:10,938 TONAL ASPECTS OF THE SONGS AS 4305 02:35:10,938 --> 02:35:12,540 WELL AS THE DRUMMING AND HOW 4306 02:35:12,540 --> 02:35:18,079 THAT HAS AN IMPACT ON 4307 02:35:18,079 --> 02:35:20,381 EVERYTHING. 4308 02:35:20,381 --> 02:35:21,249 NEURODEVELOPMENT, 'NOTHER OWE 4309 02:35:21,249 --> 02:35:22,416 ASPECTS NOT JUST FROM LIKE 4310 02:35:22,416 --> 02:35:24,018 STROKE RECOVERY OR OTHER THINGS 4311 02:35:24,018 --> 02:35:25,887 LIKE THAT, GENERAL SENSE OF 4312 02:35:25,887 --> 02:35:26,854 WELL-BEING THAT PEOPLE FEEL WHEN 4313 02:35:26,854 --> 02:35:28,289 THEY WALK AWAY FROM BEING 4314 02:35:28,289 --> 02:35:29,423 TOGETHER. 4315 02:35:29,423 --> 02:35:30,091 ESPECIALLY SINK FLIEZED DRUMMING 4316 02:35:30,091 --> 02:35:34,228 SYNCHRONIZED DRUMMINGBECAUSE YOR 4317 02:35:34,228 --> 02:35:35,429 AND ON BEAT TOGETHER AND KIND OF 4318 02:35:35,429 --> 02:35:38,132 FOCUSED IN ONE WAIVERS US 4319 02:35:38,132 --> 02:35:39,567 INDIVIDUAL DRUMMING AND IT 4320 02:35:39,567 --> 02:35:40,735 JUST -- IT WOULD BE INTERESTING 4321 02:35:40,735 --> 02:35:44,806 TO SEE ALSO KIND OF LEARNING 4322 02:35:44,806 --> 02:35:46,941 SONGS THAT ARE TIED TO CEREMONY 4323 02:35:46,941 --> 02:35:49,544 VERSUS SONGS THAT ARE TIED TO 4324 02:35:49,544 --> 02:35:53,481 MORE SOCIAL ASPECTS. 4325 02:35:53,481 --> 02:35:54,916 I'M WONDERING IF THERE WOULD BE 4326 02:35:54,916 --> 02:35:56,083 ANOTHER ELEMENT THERE THAT WOULD 4327 02:35:56,083 --> 02:35:57,752 GENERATE EVEN MORE KIND OF 4328 02:35:57,752 --> 02:35:59,987 FACILITATE SOME WELLNESS STUFF 4329 02:35:59,987 --> 02:36:04,592 FOR FOLKS' OUTCOMES, BUT ON THE 4330 02:36:04,592 --> 02:36:07,195 HEALING SIDE OF THINGS, WHEN YOU 4331 02:36:07,195 --> 02:36:09,030 DRUM, WHEN YOU SING, OR THAT 4332 02:36:09,030 --> 02:36:10,765 SONG HAS POWER IN IT, IT'S NOT 4333 02:36:10,765 --> 02:36:12,466 JUST THE DRUMMING ACTIVITY 4334 02:36:12,466 --> 02:36:14,101 ITSELF OR THE SINGING ITSELF. 4335 02:36:14,101 --> 02:36:15,870 BUT THERE'S A SPIRIT ASSOCIATED 4336 02:36:15,870 --> 02:36:19,807 WITH THAT SONG, THAT IS HELPING. 4337 02:36:19,807 --> 02:36:23,477 AND SO THE HEALER USUALLY WORKS 4338 02:36:23,477 --> 02:36:25,012 WITH A PERSON WHO'S RECEIVING OR 4339 02:36:25,012 --> 02:36:31,586 HEARING THAT SONG TO UNDERSTAND 4340 02:36:31,586 --> 02:36:32,753 THAT THERE'S A SPIRIT WORKING 4341 02:36:32,753 --> 02:36:33,621 THROUGH THAT SONG. 4342 02:36:33,621 --> 02:36:36,457 SO THAT SONG ISN'T EMPTY. 4343 02:36:36,457 --> 02:36:37,892 IT'S NOT JUST SOMETHING THAT YOU 4344 02:36:37,892 --> 02:36:40,228 CAN PICK UP AND YOU CAN GO SING 4345 02:36:40,228 --> 02:36:40,761 AFTERWARDS. 4346 02:36:40,761 --> 02:36:43,531 IT HAS TONAL QUALITIES AND THAT 4347 02:36:43,531 --> 02:36:45,066 CONNECT USUALLY TO EARTH 4348 02:36:45,066 --> 02:36:48,269 ELEMENTS, WATER, ROCKS OR -- 4349 02:36:48,269 --> 02:36:50,037 IT'S -- SO IT'S VERY DIFFERENT 4350 02:36:50,037 --> 02:36:52,240 THAN OTHER KINDS OF SINGING AND 4351 02:36:52,240 --> 02:36:53,374 THEY ALL HAVE BENEFITS. 4352 02:36:53,374 --> 02:36:55,009 IT WOULD JUST BE INTERESTING TO 4353 02:36:55,009 --> 02:36:56,043 SEE THE DIFFERENT BENEFITS 4354 02:36:56,043 --> 02:36:56,777 ACROSS THEM. 4355 02:36:56,777 --> 02:36:58,246 SO ANYWAY, I WAS JUST THINKING 4356 02:36:58,246 --> 02:36:59,113 ABOUT THAT. 4357 02:36:59,113 --> 02:37:00,248 >> THESE ARE ALL GREAT RESEARCH 4358 02:37:00,248 --> 02:37:01,315 QUESTIONS, MY GOODNESS. 4359 02:37:01,315 --> 02:37:03,084 GOOD THING WE'RE RECORDING THIS. 4360 02:37:03,084 --> 02:37:06,854 LYNNE. 4361 02:37:06,854 --> 02:37:08,289 >> HI. 4362 02:37:08,289 --> 02:37:12,360 KARINA AND DAN, I'M LYNNE. 4363 02:37:12,360 --> 02:37:16,497 I'M A NATUROPATHIC PHYSICIAN IN 4364 02:37:16,497 --> 02:37:20,101 OREGON. 4365 02:37:20,101 --> 02:37:21,869 I SOG LOVE YOUR PERSPECTIVES ON 4366 02:37:21,869 --> 02:37:24,005 HEALTH AND HEALING. 4367 02:37:24,005 --> 02:37:27,275 DAN, I LOVE YOUR DRUMMING STUDY. 4368 02:37:27,275 --> 02:37:28,776 REALLY RESONATES, I MEAN, 4369 02:37:28,776 --> 02:37:31,279 DRUMMING REALLY RESONATES WITH 4370 02:37:31,279 --> 02:37:32,380 ME. 4371 02:37:32,380 --> 02:37:34,649 MY OWN CULTURE HAS PICO DRUMMING 4372 02:37:34,649 --> 02:37:37,251 SO I GREW UP IN AN IMMIGRANT 4373 02:37:37,251 --> 02:37:40,888 N█EIGHBORHOOD AND WE HAD TYCO 4374 02:37:40,888 --> 02:37:43,324 DRUMMING AND TRADITIONAL 4375 02:37:43,324 --> 02:37:44,125 JAPANESE DANCE, SO IT REALLY 4376 02:37:44,125 --> 02:37:48,496 KIND OF STRUCK A RESONANT CHORD 4377 02:37:48,496 --> 02:37:49,497 WITH ME. 4378 02:37:49,497 --> 02:37:51,165 KARINA, I REALLY LOVED YOUR 4379 02:37:51,165 --> 02:37:51,966 COMMENT ABOUT THE RELATIONSHIP 4380 02:37:51,966 --> 02:37:53,267 TO THE MEDICINE. 4381 02:37:53,267 --> 02:37:57,872 I JUST -- I THINK THAT IS REALLY 4382 02:37:57,872 --> 02:38:00,975 THE TRUE LENS HE TO A LOT OF 4383 02:38:00,975 --> 02:38:02,310 LOOKING AT TRADITIONAL 4384 02:38:02,310 --> 02:38:04,045 MEDICINES. 4385 02:38:04,045 --> 02:38:06,847 SO I JUST WANT TO SAY I ALSO 4386 02:38:06,847 --> 02:38:08,149 REALLY LOVE THAT LENS, AND I 4387 02:38:08,149 --> 02:38:12,320 THINK THAT LENS IS OFTEN 4388 02:38:12,320 --> 02:38:13,087 OVERLOOKED. 4389 02:38:13,087 --> 02:38:14,722 DAN, I WAS ACTUALLY -- HAD A 4390 02:38:14,722 --> 02:38:15,756 COUPLE QUESTIONS ABOUT YOUR 4391 02:38:15,756 --> 02:38:16,190 STUDY. 4392 02:38:16,190 --> 02:38:21,295 ONE, I WAS WONDERING IF YOU DID 4393 02:38:21,295 --> 02:38:23,064 ANY INTERVIEWING OF THE 4394 02:38:23,064 --> 02:38:23,931 PARTICIPANTS AFTER THE TREATMENT 4395 02:38:23,931 --> 02:38:27,301 TO SEE WHAT THEY WOULD LIKE AS 4396 02:38:27,301 --> 02:38:30,805 FOLLOW-UP, WAS MY FIRST 4397 02:38:30,805 --> 02:38:31,072 QUESTION. 4398 02:38:31,072 --> 02:38:32,173 >> YES. 4399 02:38:32,173 --> 02:38:34,809 THANKS FOR THE QUESTION AND 4400 02:38:34,809 --> 02:38:39,046 COMMENTS. 4401 02:38:39,046 --> 02:38:42,550 WE DID NOT UNFORTUNATELY, BUT IT 4402 02:38:42,550 --> 02:38:44,485 JUST MAKES ME THINK THAT WE DID 4403 02:38:44,485 --> 02:38:48,656 HAVE LIKE A SATISFACTION 4404 02:38:48,656 --> 02:38:50,925 QUESTIONNAIRE OF WHICH THEY WERE 4405 02:38:50,925 --> 02:38:53,027 VERY, VERY SATISFIED IN GENERAL 4406 02:38:53,027 --> 02:38:56,931 WITH THE INTERVENTION, WITH OUR 4407 02:38:56,931 --> 02:38:57,231 EXPERIENCES. 4408 02:38:57,231 --> 02:39:00,735 I THINK 92% OR SO OF THE 4409 02:39:00,735 --> 02:39:04,472 PARTICIPANTS HAD VERY HIGH KIND 4410 02:39:04,472 --> 02:39:07,074 OF CHOICES ON THE QUESTIONNAIRE 4411 02:39:07,074 --> 02:39:14,048 BEING SATISFIED. 4412 02:39:14,048 --> 02:39:16,550 BUT YES, WE HAD ACTU ACTUALLY A 4413 02:39:16,550 --> 02:39:17,985 MEETING WITH OUR ELDER ADVISORY 4414 02:39:17,985 --> 02:39:19,353 BOARD, OUR COMMUNITY ADVISORY 4415 02:39:19,353 --> 02:39:27,895 BOARD, AND THEY DID NOT HAVE 4416 02:39:27,895 --> 02:39:29,430 SPECIFIC RECOMMENDATIONS BUT 4417 02:39:29,430 --> 02:39:32,867 THEY DID FEEL THAT THERE NEEDS 4418 02:39:32,867 --> 02:39:36,704 TO BE MORE THOUGHT AND 4419 02:39:36,704 --> 02:39:38,672 APPROACHES TO HELPING PEOPLE TO 4420 02:39:38,672 --> 02:39:41,175 KIND OF CONNECT WITH THEIR 4421 02:39:41,175 --> 02:39:43,244 CULTURE IN THE URBAN AREAS, AND 4422 02:39:43,244 --> 02:39:44,979 IT KIND OF BRINGS UP A BIGGER 4423 02:39:44,979 --> 02:39:47,181 QUESTION WITH A LOT OF OUR 4424 02:39:47,181 --> 02:39:49,417 HEALTH PROGRAMS IN URBAN AREAS 4425 02:39:49,417 --> 02:39:51,719 AND HOW DO WE CONNECT OUR -- 4426 02:39:51,719 --> 02:39:52,720 WE'RE ALWAYS TRYING TO WORK ON 4427 02:39:52,720 --> 02:39:53,788 THIS. 4428 02:39:53,788 --> 02:39:56,057 I ALSO WORK CLINICALLY AT A 4429 02:39:56,057 --> 02:39:59,360 CLINIC AS A PSYCHIATRIST IN L.A. 4430 02:39:59,360 --> 02:40:00,628 COUNTY, AND WE'RE CONSTANTLY 4431 02:40:00,628 --> 02:40:03,464 TRYING TO CREATE THOSE 4432 02:40:03,464 --> 02:40:04,131 OPPORTUNITIES. 4433 02:40:04,131 --> 02:40:07,635 AND PEOPLE ARE WANTING THESE 4434 02:40:07,635 --> 02:40:08,402 OPPORTUNITIES, THE NATIVE PEOPLE 4435 02:40:08,402 --> 02:40:09,637 ARE WANTING THESE. 4436 02:40:09,637 --> 02:40:11,305 SO WE'RE HOPING TO LEARN MORE AS 4437 02:40:11,305 --> 02:40:13,507 WE GO FORWARD. 4438 02:40:13,507 --> 02:40:15,242 >> YEAH, IT'S DEFINITELY A 4439 02:40:15,242 --> 02:40:16,010 LEARNING PROCESS. 4440 02:40:16,010 --> 02:40:19,046 I DID A STUDY ABOUT SIX YEARS 4441 02:40:19,046 --> 02:40:21,215 AGO WHERE WE WORKED WITH YOUTH 4442 02:40:21,215 --> 02:40:22,750 WHO HAD FIRST EPISODE 4443 02:40:22,750 --> 02:40:27,321 PSYCHOCIRCLES AND WE PSYCHOSISAE 4444 02:40:27,321 --> 02:40:28,823 INTERVENTION, A MULTICOMPONENT, 4445 02:40:28,823 --> 02:40:30,091 AND THE PHYSICAL ACTIVITY 4446 02:40:30,091 --> 02:40:33,928 COMPONENT, ACTUALLY ONE OF THE 4447 02:40:33,928 --> 02:40:35,996 THINGS WAS TYCO DRUM AND IT WAS 4448 02:40:35,996 --> 02:40:38,732 VERY, VERY POPULAR INTERVENTION 4449 02:40:38,732 --> 02:40:39,800 AS THIS MULTICOMPONENT. 4450 02:40:39,800 --> 02:40:42,103 WE DID -- WHEN WE INTERVIEWED 4451 02:40:42,103 --> 02:40:44,572 THE PARTICIPANTS AND THEIR 4452 02:40:44,572 --> 02:40:48,943 FAMILIES AFTER THE INTERVENTION, 4453 02:40:48,943 --> 02:40:50,177 ALMOST ALL OF THEM SAID THEY 4454 02:40:50,177 --> 02:40:51,912 WANTED BOOSTER SESSIONS. 4455 02:40:51,912 --> 02:40:54,148 SOMETHING LIKE THE INTERVENTION, 4456 02:40:54,148 --> 02:40:58,552 YOU KNOW, MAYBE SHORTER BUT A 4457 02:40:58,552 --> 02:40:59,720 BOOSTER BUT IT WAS DEFINITELY 4458 02:40:59,720 --> 02:41:03,023 CLEAR THAT THEY WANTED SOME 4459 02:41:03,023 --> 02:41:05,826 CONTINUATION, SO I JUST FELT 4460 02:41:05,826 --> 02:41:06,794 THAT WAS REALLY INTERESTING. 4461 02:41:06,794 --> 02:41:07,895 AND MY OTHER QUESTION WAS, WHEN 4462 02:41:07,895 --> 02:41:11,999 I THINK ABOUT DRUMMING, I THINK 4463 02:41:11,999 --> 02:41:13,367 ABOUT COMMUNICATION, AND AS 4464 02:41:13,367 --> 02:41:14,735 KARINA WAS SAYING, IT'S A 4465 02:41:14,735 --> 02:41:15,836 RELATIONSHIP TO THE MUSIC BUT 4466 02:41:15,836 --> 02:41:17,972 IT'S ALSO THE COMMUNITY HAS A 4467 02:41:17,972 --> 02:41:19,406 RELATIONSHIP OR THOSE DRUMMERS 4468 02:41:19,406 --> 02:41:21,375 HAVE A RELATIONSHIP WITH EACH 4469 02:41:21,375 --> 02:41:23,978 OTHER TO THAT DRUM, AND ACTUALLY 4470 02:41:23,978 --> 02:41:25,379 EVEN BROADER OUT TO THE 4471 02:41:25,379 --> 02:41:26,814 COMMUNITY BECAUSE A LOT OF TIMES 4472 02:41:26,814 --> 02:41:29,550 DRUMS ARE USED FOR COMMUNICATION 4473 02:41:29,550 --> 02:41:31,485 BETWEEN COMMUNITIES IN 4474 02:41:31,485 --> 02:41:33,454 TRADITIONAL USE OF DRUMS. 4475 02:41:33,454 --> 02:41:34,855 SO ONE OF THE THINGS THAT 4476 02:41:34,855 --> 02:41:40,661 SURPRISED US IN THE YOUNG PEOPLE 4477 02:41:40,661 --> 02:41:42,496 WITH PSYCHOSIS STUDY WAS THE 4478 02:41:42,496 --> 02:41:44,365 SOCIAL ASPECT OF GETTING 4479 02:41:44,365 --> 02:41:47,301 TOGETHER AND DOING A GROUP DRUM 4480 02:41:47,301 --> 02:41:49,837 OR GROUP INTERVENTION WAS HIGHLY 4481 02:41:49,837 --> 02:41:53,307 POSITIVE, THAT CONNECTION TO 4482 02:41:53,307 --> 02:41:56,777 OTHER PEOPLE WAS ACTUALLY AN 4483 02:41:56,777 --> 02:41:58,212 INTERVENTION WE DIDN'T EVEN 4484 02:41:58,212 --> 02:41:59,280 THINK ABOUT. 4485 02:41:59,280 --> 02:42:01,815 SO I WAS JUST -- WANTED TO 4486 02:42:01,815 --> 02:42:04,285 MENTION THAT I THINK SOMETIMES 4487 02:42:04,285 --> 02:42:07,354 WE FORGET ABOUT LOOKING AT 4488 02:42:07,354 --> 02:42:08,889 CONNECTIONS AND, YOU KNOW, 4489 02:42:08,889 --> 02:42:11,959 MEASURING CONNECTIONS BECAUSE 4490 02:42:11,959 --> 02:42:13,427 PEOPLE JUST FORGET ABOUT THAT. 4491 02:42:13,427 --> 02:42:14,628 AND I DON'T HAVE ANY GREAT IDEAS 4492 02:42:14,628 --> 02:42:17,064 OF WHAT A GOOD MEASURE WOULD BE, 4493 02:42:17,064 --> 02:42:19,867 BUT I LIKE THIS IDEA OF KIND OF 4494 02:42:19,867 --> 02:42:22,269 COMING OUTSIDE OF THE PERSON AND 4495 02:42:22,269 --> 02:42:23,137 THINKING ABOUT MEDICINE AS 4496 02:42:23,137 --> 02:42:24,305 SOMETHING YOU TAKE, BUT LOOKING 4497 02:42:24,305 --> 02:42:27,141 AT THIS BROADER KIND OF HOW ARE 4498 02:42:27,141 --> 02:42:28,909 WE ALL RECONNECTING. 4499 02:42:28,909 --> 02:42:31,045 >> I HAVE A COUPLE QUICK 4500 02:42:31,045 --> 02:42:32,546 COMMENTS, REALLY GREAT QUESTION 4501 02:42:32,546 --> 02:42:36,717 IN THAT I THINK A LOT OF -- OR 4502 02:42:36,717 --> 02:42:37,718 SOME INTERVENTION I'VE BEEN A 4503 02:42:37,718 --> 02:42:39,086 PART OF AT LEAST WITH 4504 02:42:39,086 --> 02:42:41,722 TRADITIONAL PRACTICES IS THEY'RE 4505 02:42:41,722 --> 02:42:43,023 KIND OF AN OPPORTUNITY TO ENGAGE 4506 02:42:43,023 --> 02:42:46,627 AND LEARN ABOUT THE TRADITIONAL 4507 02:42:46,627 --> 02:42:49,430 ACTIVITY, BUT I THINK THE DREAM 4508 02:42:49,430 --> 02:42:52,733 IS PRETTY MUCH -- THESE 4509 02:42:52,733 --> 02:42:53,601 INTERVENTIONS I'VE BEEN A PART 4510 02:42:53,601 --> 02:42:55,869 OF ARE KIND OF AN OPPORTUNITY, 4511 02:42:55,869 --> 02:42:57,938 QUOTE-UNQUOTE, TO LEARN AND 4512 02:42:57,938 --> 02:42:59,039 ENGAGE WITH YOUR CULTURE. 4513 02:42:59,039 --> 02:43:01,075 BUT THE DREAM IS TO KIND OF DO 4514 02:43:01,075 --> 02:43:02,610 THINGS THAT YOU'RE ALLUDING TO 4515 02:43:02,610 --> 02:43:03,711 AS BEING OUT IN THE COMMUNITY. 4516 02:43:03,711 --> 02:43:07,348 THIS IS PRETTY MUCH WE FEEL -- 4517 02:43:07,348 --> 02:43:09,450 MOST PEOPLE COME IN TO OUR 4518 02:43:09,450 --> 02:43:11,218 INTERVENTION AT LEAST NOT HAVING 4519 02:43:11,218 --> 02:43:14,588 DRUM BEFORE OR CONNECTED, SO OUR 4520 02:43:14,588 --> 02:43:17,291 HOPE IS THAT AFTER THIS 4521 02:43:17,291 --> 02:43:19,927 INTERVENTION, THAT THEY CAN 4522 02:43:19,927 --> 02:43:21,895 CONTINUE FORWARD WITH THEIR REAL 4523 02:43:21,895 --> 02:43:23,430 LIFE, SO TO SPEAK, NOT JUST 4524 02:43:23,430 --> 02:43:25,699 THESE SIX WEEKS IN OUR 4525 02:43:25,699 --> 02:43:27,434 INTERVENTION AND YOU'RE ALL DONE 4526 02:43:27,434 --> 02:43:29,970 AND NOTHING ELSE TO DO. 4527 02:43:29,970 --> 02:43:31,171 NO, IT'S AFTER THAT, YOU KNOW, 4528 02:43:31,171 --> 02:43:33,307 THAT WE NEED TO REALLY KIND OF 4529 02:43:33,307 --> 02:43:36,610 START LOOKING AT HOW DO WE 4530 02:43:36,610 --> 02:43:39,113 FACILITATE THESE KIND OF SOCIAL 4531 02:43:39,113 --> 02:43:40,814 CONNECTIONS, AND THERE ARE SO 4532 02:43:40,814 --> 02:43:43,350 MANY OPPORTUNITIES OF 4533 02:43:43,350 --> 02:43:44,985 INTERESTING DRUMMING, ALL KINDS 4534 02:43:44,985 --> 02:43:49,490 OF DRUMMING GROUPS ONE COULD GET 4535 02:43:49,490 --> 02:43:54,295 INTO AND GET INVOLVED WITH 4536 02:43:54,295 --> 02:43:59,199 TRAVELING POW-WOWS, ALL KINDS OF 4537 02:43:59,199 --> 02:43:59,533 CONNECTIONS. 4538 02:43:59,533 --> 02:44:01,368 IN ANOTHER STUDY WE ARE USING, 4539 02:44:01,368 --> 02:44:02,770 WE ARE ANALYZING SOCIAL 4540 02:44:02,770 --> 02:44:04,405 CONNECTIONS AND USING SOCIAL 4541 02:44:04,405 --> 02:44:07,808 CONNECTION DIAGRAMS, MAYBE 4542 02:44:07,808 --> 02:44:09,310 APPROACHES LIKE THAT COULD HELP 4543 02:44:09,310 --> 02:44:13,147 FACILITATE DISCUSSIONS AS WELL. 4544 02:44:13,147 --> 02:44:16,617 >> THERE NEEDS TO BE -- IT'S NOT 4545 02:44:16,617 --> 02:44:18,952 JUST ONE INTERVENTION SHORT TERM 4546 02:44:18,952 --> 02:44:19,787 AND THEN SEND PEOPLE ON THEIR 4547 02:44:19,787 --> 02:44:20,321 WAY, RIGHT? 4548 02:44:20,321 --> 02:44:23,157 THERE NEEDS TO BE SOMETHING THAT 4549 02:44:23,157 --> 02:44:25,693 FOLLOWS UP. 4550 02:44:25,693 --> 02:44:26,960 ERICA, YOU HAD YOUR HAND UP A 4551 02:44:26,960 --> 02:44:28,929 WHILE AGO AND THEN -- MAYBE 4552 02:44:28,929 --> 02:44:30,564 ERICA SHOULD BE FIRST AND THEN 4553 02:44:30,564 --> 02:44:30,831 MARGARET? 4554 02:44:30,831 --> 02:44:32,933 >> THANK YOU. 4555 02:44:32,933 --> 02:44:34,568 WONDERFUL TO TALK ABOUT THIS AND 4556 02:44:34,568 --> 02:44:40,674 TO HEAR ABOUT THIS GREAT WORK. 4557 02:44:40,674 --> 02:44:42,009 IT JUST REALLY MAKES ME THINK 4558 02:44:42,009 --> 02:44:42,876 ABOUT THE IMPORTANCE OF OUR 4559 02:44:42,876 --> 02:44:53,354 ABILITY TO INCLUDE QUALITATIVE 4560 02:44:53,354 --> 02:44:54,555 INTERVIEW/STORY GATHERING 4561 02:44:54,555 --> 02:44:56,523 METHODOLOGIES IN THIS WORK THAT 4562 02:44:56,523 --> 02:44:58,692 WE'RE NOT QUITE -- THAT IS 4563 02:44:58,692 --> 02:45:00,527 EVOLVING IN TERMS OF WHAT THE 4564 02:45:00,527 --> 02:45:02,730 OUTCOMES PEOPLE ARE INTERESTED 4565 02:45:02,730 --> 02:45:05,366 IN, AND I HAVE TO SAY WHEN I'VE 4566 02:45:05,366 --> 02:45:07,101 HAD QUESTIONS THAT I'VE BEEN 4567 02:45:07,101 --> 02:45:09,603 UNCLEAR ABOUT, LIKE HOW WOULD 4568 02:45:09,603 --> 02:45:11,372 PEOPLE RECEIVE INTERVENTIONS OR 4569 02:45:11,372 --> 02:45:13,774 HOW MIGHT THEY THINK IT BENEFITS 4570 02:45:13,774 --> 02:45:17,344 THEM OR DOESN'T, WE GET SUCH 4571 02:45:17,344 --> 02:45:18,812 RICH AND NUANCED INFORMATION 4572 02:45:18,812 --> 02:45:21,949 WHEN WE APPLY HIGH LEVEL 4573 02:45:21,949 --> 02:45:23,450 RIGOROUS QUALITATIVE 4574 02:45:23,450 --> 02:45:24,952 METHODOLOGY, AND OF COURSE IT 4575 02:45:24,952 --> 02:45:26,987 NEEDS TO BE CULTURALLY 4576 02:45:26,987 --> 02:45:28,922 APPROPRIATE SO THE INTERVIEWERS 4577 02:45:28,922 --> 02:45:31,125 NEED TO HAVE A NUANCED 4578 02:45:31,125 --> 02:45:35,162 UNDERSTANDING OF WHAT A 4579 02:45:35,162 --> 02:45:37,998 PARTICIPANT MIGHT MEAN WHEN THEY 4580 02:45:37,998 --> 02:45:40,300 RESPOND IN A CERTAIN WAY, SAY, 4581 02:45:40,300 --> 02:45:41,535 ABOUT THE RELATIONSHIP WITH THE 4582 02:45:41,535 --> 02:45:42,503 PILL. 4583 02:45:42,503 --> 02:45:45,239 AND THAT THE INTERVIEWER GETS 4584 02:45:45,239 --> 02:45:46,673 THAT THAT'S A REAL THING. 4585 02:45:46,673 --> 02:45:49,143 THAT'S NOT A -- YOU KNOW, THAT 4586 02:45:49,143 --> 02:45:52,413 THAT IS A RICH AREA TO BE 4587 02:45:52,413 --> 02:45:56,917 EXPLORED, SO I WOULD JUST 4588 02:45:56,917 --> 02:45:58,152 ENCOURAGE THAT, AND I THINK 4589 02:45:58,152 --> 02:46:01,388 THERE WOULD BE SUCH NOT ONLY 4590 02:46:01,388 --> 02:46:03,657 RECEPTIVITY IN THE PARTICIPANTS, 4591 02:46:03,657 --> 02:46:05,726 BUT IT WOULD -- IT'S SO HELPFUL 4592 02:46:05,726 --> 02:46:10,130 IN GROUNDING THE NEXT QUESTIONS 4593 02:46:10,130 --> 02:46:12,766 AND THE NEXT -- TO THIS KIND OF 4594 02:46:12,766 --> 02:46:18,238 WORK IN GENERAL AND PARTICULARLY 4595 02:46:18,238 --> 02:46:21,708 IN THIS CULTURE WHERE STORIES -- 4596 02:46:21,708 --> 02:46:25,312 THE BEAUTIFUL STORIES THAT 4597 02:46:25,312 --> 02:46:27,247 YOU'VE BEEN SHARING, KARINA. 4598 02:46:27,247 --> 02:46:30,250 JUST SORT OF IS SUCH A GOOD 4599 02:46:30,250 --> 02:46:36,957 REMINDER THAT HOW PEOPLE 4600 02:46:36,957 --> 02:46:37,724 UNDERSTAND WHAT THEY'RE OFFERED 4601 02:46:37,724 --> 02:46:38,792 AND WHAT THEY ACCEPT IS REALLY 4602 02:46:38,792 --> 02:46:42,696 IMPORTANT IN WHAT IMPACTS THEM, 4603 02:46:42,696 --> 02:46:44,565 WHAT THEY HOLD ON TO, HOW THEY 4604 02:46:44,565 --> 02:46:46,533 HOLD ON TO IT, AND THEN WHAT 4605 02:46:46,533 --> 02:46:48,936 THAT MEANS FOR THEM GOING 4606 02:46:48,936 --> 02:46:51,004 FORWARD. 4607 02:46:51,004 --> 02:46:52,506 I JUST LOVE THIS WORK AND I'M SO 4608 02:46:52,506 --> 02:46:53,607 EXCITED THAT WE GET TO TALK 4609 02:46:53,607 --> 02:46:57,778 ABOUT IT AND PAY ATTENTION. 4610 02:46:57,778 --> 02:47:00,481 >> 100% AGREE, QUALITATIVE IS 4611 02:47:00,481 --> 02:47:04,618 HUGE, AND ABSOLUTELY IS A 4612 02:47:04,618 --> 02:47:05,986 CRITICAL COMPONENT AND DESERVES 4613 02:47:05,986 --> 02:47:09,857 ITS OWN, YOU KNOW, OWN RESEARCH 4614 02:47:09,857 --> 02:47:11,158 GRANTS AND THINGS LIKE THAT, 4615 02:47:11,158 --> 02:47:14,761 BECAUSE I THINK THAT'S WHERE YOU 4616 02:47:14,761 --> 02:47:17,464 GET DEEP INFORMATION ABOUT SOME 4617 02:47:17,464 --> 02:47:19,433 OF THESE, AND EXAMPLES. 4618 02:47:19,433 --> 02:47:20,634 SOMETIMES WE'RE NEEDING 4619 02:47:20,634 --> 02:47:20,901 EXAMPLES. 4620 02:47:20,901 --> 02:47:23,504 WHEN I DID THE NATIONAL LGBT 4621 02:47:23,504 --> 02:47:26,740 HEALTH STUDY, WE DID INTERVIEWS 4622 02:47:26,740 --> 02:47:28,809 WITH 75 PEOPLE AND THIS WAS A 4623 02:47:28,809 --> 02:47:30,043 CRITICAL FACTOR. 4624 02:47:30,043 --> 02:47:31,311 SPIRITUALITY CAME UP CONSTANTLY 4625 02:47:31,311 --> 02:47:37,551 IN OUR INTERVIE INTERVIEWS ORGAY 4626 02:47:37,551 --> 02:47:38,852 WITH GREAT EXAMPLES OF THE ROLE 4627 02:47:38,852 --> 02:47:41,221 OF SPIRITUALITY IN PROMOTING 4628 02:47:41,221 --> 02:47:42,322 HEALTH FOR PEOPLE. 4629 02:47:42,322 --> 02:47:43,757 DIVINE INTERVENTIONS SOMETIMES, 4630 02:47:43,757 --> 02:47:45,325 WHERE LITERALLY THEY WOULD GET 4631 02:47:45,325 --> 02:47:47,661 EXAMPLES OF, YOU KNOW, ONE 4632 02:47:47,661 --> 02:47:50,797 EXAMPLE OF A WOMAN WAS ABOUT TO 4633 02:47:50,797 --> 02:47:52,866 KILL HERSELF AT DAWN, AND ALL OF 4634 02:47:52,866 --> 02:47:53,734 A SUDDEN SHE HEARD ALL THESE 4635 02:47:53,734 --> 02:47:55,168 WOMEN SINGING. 4636 02:47:55,168 --> 02:47:56,803 AND SURROUNDING HER. 4637 02:47:56,803 --> 02:47:59,740 AND IT CHANGED HER LIFE AND SHE 4638 02:47:59,740 --> 02:48:04,077 LITERALLY -- IT SAVED HER LIFE. 4639 02:48:04,077 --> 02:48:05,746 AND SO YOU GET ALL KINDS OF 4640 02:48:05,746 --> 02:48:07,981 AMAZING EXAMPLES THAT PEOPLE 4641 02:48:07,981 --> 02:48:08,649 WOULD BE WILLING TO SHARE, BUT 4642 02:48:08,649 --> 02:48:10,517 WE ALSO HAD NATIVE INTERVIEWERS 4643 02:48:10,517 --> 02:48:12,886 WHO WERE REALLY WELL TRAINED TO 4644 02:48:12,886 --> 02:48:14,021 CREATE AN ENVIRONMENT WHERE 4645 02:48:14,021 --> 02:48:15,088 WHATEVER YOUR SPIRITUAL OR YOUR 4646 02:48:15,088 --> 02:48:16,990 FAITH OR WHATEVER YOUR TRADITION 4647 02:48:16,990 --> 02:48:19,259 OR EXPERIENCES WAS A SAFE PLACE 4648 02:48:19,259 --> 02:48:20,627 TO TALK ABOUT THAT. 4649 02:48:20,627 --> 02:48:22,162 SO THAT MATTERS TOO. 4650 02:48:22,162 --> 02:48:25,032 GOOD TRAINING. 4651 02:48:25,032 --> 02:48:27,301 >> LET'S GO TO MARGARET AND THEN 4652 02:48:27,301 --> 02:48:30,170 BOB. 4653 02:48:30,170 --> 02:48:31,438 >> I HAD A REAL QUICK QUESTION. 4654 02:48:31,438 --> 02:48:33,006 THIS IS SO FASCINATING TO ME, I 4655 02:48:33,006 --> 02:48:34,274 KNOW VERY LITTLE ABOUT THE 4656 02:48:34,274 --> 02:48:35,509 TOPIC, BUT DAN, YOU MENTIONED 4657 02:48:35,509 --> 02:48:35,776 GENDER. 4658 02:48:35,776 --> 02:48:37,644 I WAS JUST CURIOUS, HOW DO YOU 4659 02:48:37,644 --> 02:48:38,845 INCORPORATE GENDER IN DESIGNING 4660 02:48:38,845 --> 02:48:42,449 THESE STUDIES? 4661 02:48:42,449 --> 02:48:44,284 >> GREAT QUESTION. 4662 02:48:44,284 --> 02:48:48,021 WITH DRUMMING, IT BECOMES QUITE 4663 02:48:48,021 --> 02:48:52,359 A DISCUSSION. 4664 02:48:52,359 --> 02:48:53,560 BECAUSE MANY TIMES MALE 4665 02:48:53,560 --> 02:48:55,295 TYPICALLY DRUM AND WOMEN DRUM 4666 02:48:55,295 --> 02:49:01,768 AND TRADITIONALLY, AND VARIOUS 4667 02:49:01,768 --> 02:49:07,874 TRIBES, SO IT BECOMES A 4668 02:49:07,874 --> 02:49:09,943 CONVERSATION, AND MANY TYPICAL 4669 02:49:09,943 --> 02:49:12,012 KIND OF DRUMMING GROUP YOU MAY 4670 02:49:12,012 --> 02:49:18,118 HAVE MALE DRUMMERS AND FEMALES 4671 02:49:18,118 --> 02:49:20,654 DANCING AND SINGING MORE SO THAN 4672 02:49:20,654 --> 02:49:22,489 DRUMMING. 4673 02:49:22,489 --> 02:49:29,062 ITHE ACTS OF DRUMMING COULD 4674 02:49:29,062 --> 02:49:31,031 DIFFER. 4675 02:49:31,031 --> 02:49:36,036 I'M HALF -- INUET BASICALLY, 4676 02:49:36,036 --> 02:49:37,671 NORTHERN ESKIMO, WE DRUM IN 4677 02:49:37,671 --> 02:49:40,073 STRAIGHT LINES, MEN DRUM -- 4678 02:49:40,073 --> 02:49:42,009 TYPICALLY MEN DRUM THEIRS WITH 4679 02:49:42,009 --> 02:49:44,444 INDIVIDUAL DRUMS AND WOMEN 4680 02:49:44,444 --> 02:49:46,613 TYPICALLY DANCING IN FRONT. 4681 02:49:46,613 --> 02:49:48,482 THEN A MAN MAY PUT DOWN HIS 4682 02:49:48,482 --> 02:49:51,518 DRUM, COME OUT AND DANCE, THEN 4683 02:49:51,518 --> 02:49:58,291 GO BACK AND DRUM. 4684 02:49:58,291 --> 02:49:59,626 SO I DON'T KNOW IF I HAVE A 4685 02:49:59,626 --> 02:50:01,795 CLEAR ANSWER, SO BUT TO 4686 02:50:01,795 --> 02:50:04,097 WHAT DEGREE MEN AND WOMEN 4687 02:50:04,097 --> 02:50:09,202 BENEFIT AND IN WHAT WAYS, I 4688 02:50:09,202 --> 02:50:10,871 DON'T THINK THERE'S BEEN ANY 4689 02:50:10,871 --> 02:50:12,139 STUDIES. 4690 02:50:12,139 --> 02:50:13,240 KARINA, IF YOU KNOW OF ANY 4691 02:50:13,240 --> 02:50:13,707 NATIVE PEOPLE -- 4692 02:50:13,707 --> 02:50:15,208 >> I THINK IT VARIES BUT I THINK 4693 02:50:15,208 --> 02:50:16,910 YOU HIT THE NAIL ON THE HEAD, IT 4694 02:50:16,910 --> 02:50:18,578 VARIES FROM REGION TO REGION AND 4695 02:50:18,578 --> 02:50:19,646 FROM TRIBE TO TRIBE. 4696 02:50:19,646 --> 02:50:21,548 THE BIG DRUM ACTUALLY THERE ARE 4697 02:50:21,548 --> 02:50:23,450 STORIES THAT CAME FROM WOMEN AND 4698 02:50:23,450 --> 02:50:24,985 PASSED TO THE MEN, SO THERE'S 4699 02:50:24,985 --> 02:50:26,820 ALL THESE DIFFERENT STORIES, BUT 4700 02:50:26,820 --> 02:50:27,921 THERE ARE WOMEN DRUMMERS WHO 4701 02:50:27,921 --> 02:50:30,190 DRUM AROUND THE BIG DRUM IN 4702 02:50:30,190 --> 02:50:33,593 CERTAIN REGIONS OF THE COUNTRY, 4703 02:50:33,593 --> 02:50:35,028 AND THAT'S BECOMING ACTUALLY 4704 02:50:35,028 --> 02:50:35,962 MORE SO NOW, AND THERE IS 4705 02:50:35,962 --> 02:50:37,397 EXCEPTION TO GENDER ROLES QUITE 4706 02:50:37,397 --> 02:50:39,132 OFTEN IN OUR COMMUNITIES AT 4707 02:50:39,132 --> 02:50:43,070 TIMES, WHEN IT'S CULTURALLY 4708 02:50:43,070 --> 02:50:43,370 APPROPRIATE. 4709 02:50:43,370 --> 02:50:45,138 AND WE DON'T ALWAYS HAVE BINARY 4710 02:50:45,138 --> 02:50:46,006 GENDERS EITHER. 4711 02:50:46,006 --> 02:50:47,541 SO IT GETS MORE COMPLEX WHEN YOU 4712 02:50:47,541 --> 02:50:49,376 START TALKING ABOUT GENDER IN 4713 02:50:49,376 --> 02:50:52,112 INDIAN COUNTRY AND THE ALASKA 4714 02:50:52,112 --> 02:50:53,714 NATIVE COMMUNITY. 4715 02:50:53,714 --> 02:50:55,916 >> CAN A DRUM APPROACH BE USED 4716 02:50:55,916 --> 02:50:56,917 THEM COMPARABLY FOR MEN AND 4717 02:50:56,917 --> 02:50:58,185 WOMEN OR DO YOU HAVE TO BE -- 4718 02:50:58,185 --> 02:50:59,953 >> IT DEPENDS ON THEIR TRIBE AND 4719 02:50:59,953 --> 02:51:00,620 THE REGION. 4720 02:51:00,620 --> 02:51:03,123 I THINK THERE IS A DRUMMING 4721 02:51:03,123 --> 02:51:05,425 APPROACH THAT COULD BE 4722 02:51:05,425 --> 02:51:07,160 ACCOMMODATED, DEPENDING ON THE 4723 02:51:07,160 --> 02:51:13,100 DIFFERENT REGION. 4724 02:51:13,100 --> 02:51:14,468 >> BOB. 4725 02:51:14,468 --> 02:51:15,268 >> THANKS. 4726 02:51:15,268 --> 02:51:16,336 REALLY INTERESTING STUFF. 4727 02:51:16,336 --> 02:51:18,105 ONE OF THE THINGS THAT DAN WAS 4728 02:51:18,105 --> 02:51:20,807 MENTIONING WAS THE SOCIAL 4729 02:51:20,807 --> 02:51:23,744 ELEMENT, AND A STUDY THAT POPPED 4730 02:51:23,744 --> 02:51:27,047 UP FROM THE TRUMSO STUDY IN 4731 02:51:27,047 --> 02:51:28,315 NORWAY ON PAIN WAS SHOWING THAT 4732 02:51:28,315 --> 02:51:30,951 KIDS WHO SHARED THE SAME SOCIAL 4733 02:51:30,951 --> 02:51:33,019 NETWORKS HAD SIMILAR DEGREES OF 4734 02:51:33,019 --> 02:51:33,887 PAIN TOLERANCE. 4735 02:51:33,887 --> 02:51:35,756 SO YOU HAD LIKE HIGHLY TOLERANT 4736 02:51:35,756 --> 02:51:38,058 SOCIAL GROUPS AND RATHER 4737 02:51:38,058 --> 02:51:39,359 SENSITIVE SOCIAL GROUPS. 4738 02:51:39,359 --> 02:51:43,196 AND I'M WONDERING IF THERE'S A 4739 02:51:43,196 --> 02:51:47,334 WAY OF INCORPORATING THE SOCIAL 4740 02:51:47,334 --> 02:51:48,668 NETWORKS INTO THIS WHOLE -- INTO 4741 02:51:48,668 --> 02:51:52,172 THE WHOLE EXPERIMENTAL DESIGN 4742 02:51:52,172 --> 02:51:55,876 WITH THE RECOVERY AND BONDING 4743 02:51:55,876 --> 02:51:56,843 ESPECIALLY DURING THE DRUMMING 4744 02:51:56,843 --> 02:51:58,145 WHICH SOUNDS LIKE IT'S A VERY 4745 02:51:58,145 --> 02:52:01,948 SOCIAL ACTIVITY, AND THEN THE 4746 02:52:01,948 --> 02:52:05,352 RELAPSE MIGHT BE RESULTING IN A 4747 02:52:05,352 --> 02:52:06,987 WAY OF A BREAKUP OF THAT SOCIAL 4748 02:52:06,987 --> 02:52:10,390 CONNECTION. 4749 02:52:10,390 --> 02:52:16,863 >> THAT'S AN EXCELLENT IDEA. 4750 02:52:16,863 --> 02:52:18,398 >> THAT'S WHAT I THINK, THAT'S A 4751 02:52:18,398 --> 02:52:18,799 GOOD IDEA. 4752 02:52:18,799 --> 02:52:23,804 >> NO, BUT, YEAH, I THINK THERE 4753 02:52:23,804 --> 02:52:24,805 ARE -- YOU KNOW, SOMETIMES IT'S 4754 02:52:24,805 --> 02:52:26,873 NOT -- I THINK WE NEED TO LOOK 4755 02:52:26,873 --> 02:52:29,910 AT THAT AND STUDY THAT AND PUT 4756 02:52:29,910 --> 02:52:32,779 OUT DESIGNS, RESEARCH DESIGNS IN 4757 02:52:32,779 --> 02:52:33,880 THIS WAY. 4758 02:52:33,880 --> 02:52:36,283 THEN SOMETIMES IT'S NOT A 4759 02:52:36,283 --> 02:52:36,817 PERFECT WORLD. 4760 02:52:36,817 --> 02:52:38,552 I MEAN, WE ALL THINK IF YOU 4761 02:52:38,552 --> 02:52:40,387 ENGAGE IN THIS ACTIVITY OR THAT 4762 02:52:40,387 --> 02:52:41,488 ACTIVITY, YOU'LL HAVE A PERFECT 4763 02:52:41,488 --> 02:52:43,123 LIFE AND YOU'RE GOING TO DO 4764 02:52:43,123 --> 02:52:45,425 THINGS PERFECTLY AND BE 100% 4765 02:52:45,425 --> 02:52:48,161 HEALTHY, BUT NOT ALL THE TIME. 4766 02:52:48,161 --> 02:52:51,631 I MEAN, FOR INSTANCE, THERE ARE 4767 02:52:51,631 --> 02:52:53,500 SOME PEOPLE -- AND WE ALWAYS 4768 02:52:53,500 --> 02:52:54,935 REALLY EMPHASIZE THE HEALTHY 4769 02:52:54,935 --> 02:52:56,670 NOTIONS OF TRADITIONAL 4770 02:52:56,670 --> 02:52:58,038 PRACTICES, BUT SOME STILL DO 4771 02:52:58,038 --> 02:53:00,707 DRUGS AND ALCOHOL. 4772 02:53:00,707 --> 02:53:07,814 AND THEY'RE BEATING OR DRUMMING. 4773 02:53:07,814 --> 02:53:09,516 SO, YEAH, I THINK WE NEED MORE 4774 02:53:09,516 --> 02:53:10,851 STUDIES TO KIND OF LOOK AT 4775 02:53:10,851 --> 02:53:13,720 WHAT'S GOING ON IN SOCIAL 4776 02:53:13,720 --> 02:53:18,658 NETWORKS. 4777 02:53:18,658 --> 02:53:20,794 >> KARINA, I'M GETTING A 4778 02:53:20,794 --> 02:53:26,466 MESSAGE, YOUR TIME IS UP, AND 4779 02:53:26,466 --> 02:53:28,001 WE -- BECAUSE YOU HAVE TO GO, 4780 02:53:28,001 --> 02:53:31,605 AND I JUST WANT TO SAY HOW 4781 02:53:31,605 --> 02:53:33,573 GRATEFUL WE ARE THAT YOU WERE 4782 02:53:33,573 --> 02:53:35,008 ABLE TO SHARE ALL OF THIS WITH 4783 02:53:35,008 --> 02:53:38,812 US, THAT WE WERE ABLE TO COMBINE 4784 02:53:38,812 --> 02:53:42,515 YOUR TALK WITH DAN'S EXPERTISE. 4785 02:53:42,515 --> 02:53:45,151 WHAT A RICH DISCUSSION. 4786 02:53:45,151 --> 02:53:46,219 SO HAPPY. 4787 02:53:46,219 --> 02:53:47,554 AND AS I SAID, THIS IS REALLY 4788 02:53:47,554 --> 02:53:49,055 WHAT WE WERE HOPING WAS GOING TO 4789 02:53:49,055 --> 02:53:51,157 HAPPEN AND MORE. 4790 02:53:51,157 --> 02:53:53,994 SO WE HAVE MADE COPIOUS NOTES 4791 02:53:53,994 --> 02:53:56,263 AND WE WILL BE REVIEWING ALL THE 4792 02:53:56,263 --> 02:53:58,431 LOVELY IDEAS THAT WERE PUT 4793 02:53:58,431 --> 02:53:59,666 FORWARD AND LET'S GET TOGETHER 4794 02:53:59,666 --> 02:54:01,201 AND TALK. 4795 02:54:01,201 --> 02:54:03,270 >> I LOOK FORWARD TO THAT. 4796 02:54:03,270 --> 02:54:05,972 I HOPE THIS IS NOT JUST A 4797 02:54:05,972 --> 02:54:09,142 ONE-TIME OPPORTUNITY, BUT WE 4798 02:54:09,142 --> 02:54:10,010 LOOK FORWARD TO TALKING SOME 4799 02:54:10,010 --> 02:54:11,778 MORE ABOUT HOW WE COULD 4800 02:54:11,778 --> 02:54:12,612 POTENTIALLY PARTNER ON SOME 4801 02:54:12,612 --> 02:54:12,846 THINGS. 4802 02:54:12,846 --> 02:54:13,580 >> ABSOLUTELY. 4803 02:54:13,580 --> 02:54:16,783 NO QUESTION. 4804 02:54:16,783 --> 02:54:18,285 >> DAN, GREAT SEEING YOU. 4805 02:54:18,285 --> 02:54:19,686 >> GREAT SEEING YOU, YES. 4806 02:54:19,686 --> 02:54:22,222 >> YES, YES YES, ALL THE BEST. 4807 02:54:22,222 --> 02:54:22,756 THANK YOU SO MUCH. 4808 02:54:22,756 --> 02:54:24,324 >> THANK YOU. 4809 02:54:24,324 --> 02:54:28,795 >> SO, YEAH, WELL, WHAT AN 4810 02:54:28,795 --> 02:54:30,430 AMAZING DISCUSSION THIS WAS. 4811 02:54:30,430 --> 02:54:34,267 AND IT'S VERY INTERESTING HOW 4812 02:54:34,267 --> 02:54:37,304 REALLY THIS -- THE IDEA FOR 4813 02:54:37,304 --> 02:54:38,305 DOING -- FOR HAVING THIS 4814 02:54:38,305 --> 02:54:40,173 DISCUSSION TODAY REALLY CAME OUT 4815 02:54:40,173 --> 02:54:41,708 OF OUR PREVIOUS DISCUSSION AS I 4816 02:54:41,708 --> 02:54:43,877 SAID EARLIER ABOUT THE 4817 02:54:43,877 --> 02:54:49,215 IMPORTANCE OF REALLY EMBRACING 4818 02:54:49,215 --> 02:54:50,417 SPIRITUAL HEALTH AS BEING A PART 4819 02:54:50,417 --> 02:54:52,052 OF WHOLE PERSON HEALTH, WHICH 4820 02:54:52,052 --> 02:54:53,253 IS, YOU KNOW, A BIG AND 4821 02:54:53,253 --> 02:54:56,856 IMPORTANT TOPIC AND OF COURSE 4822 02:54:56,856 --> 02:54:59,159 WHAT WE TALKED ABOUT JUST NOW IS 4823 02:54:59,159 --> 02:55:00,427 NOT UNIQUELY SPIRITUAL HEALTH 4824 02:55:00,427 --> 02:55:01,895 BUT THERE'S A BIG COMPONENT OF 4825 02:55:01,895 --> 02:55:04,431 IT AS WAS ELOQUENTLY 4826 02:55:04,431 --> 02:55:05,732 ILLUSTRATED. 4827 02:55:05,732 --> 02:55:08,034 SO WONDERING, DAN, IF YOU HAVE 4828 02:55:08,034 --> 02:55:13,606 ANY CLOSING THOUGHTS. 4829 02:55:13,606 --> 02:55:15,575 >> I DON'T THINK I HAVE ANY 4830 02:55:15,575 --> 02:55:16,876 ADDITIONAL THOUGHT, BUT AS 4831 02:55:16,876 --> 02:55:21,247 KARINA MENTIONED, I LOOK FORWARD 4832 02:55:21,247 --> 02:55:24,617 TO FURTHER DISCUSSION ON THIS 4833 02:55:24,617 --> 02:55:27,253 TOPIC OF SPIRITUALITY AND WHOLE 4834 02:55:27,253 --> 02:55:28,788 PERSON HEALTH FOR DIVERSE 4835 02:55:28,788 --> 02:55:30,724 POPULATIONS, AND I'M CURIOUS TO 4836 02:55:30,724 --> 02:55:35,128 LEARN ABOUT OTHER POPULATIONS AS 4837 02:55:35,128 --> 02:55:40,533 WELL IN THE U.S. AND HOW THIS 4838 02:55:40,533 --> 02:55:41,067 CONVERSATION CAN CONTINUE. 4839 02:55:41,067 --> 02:55:45,372 >> YES, ABSOLUTELY. 4840 02:55:45,372 --> 02:55:46,706 AND IF I MAY, THERE'S ONE THING 4841 02:55:46,706 --> 02:55:47,774 THAT REALLY STRUCK ME. 4842 02:55:47,774 --> 02:55:49,109 WE HAVE ANOTHER FIVE MINUTES, 4843 02:55:49,109 --> 02:55:50,977 RIGHT, MARTINA? 4844 02:55:50,977 --> 02:55:53,013 >> 2:45. 4845 02:55:53,013 --> 02:55:54,447 GO AHEAD, PLEASE. 4846 02:55:54,447 --> 02:55:57,617 >> 2:45? 4847 02:55:57,617 --> 02:55:58,084 3:45. 4848 02:55:58,084 --> 02:55:58,518 OKAY. 4849 02:55:58,518 --> 02:55:59,486 SO WE'RE BASICALLY AT TIME. 4850 02:55:59,486 --> 02:56:00,653 >> WE'RE AT TIME, EXACTLY. 4851 02:56:00,653 --> 02:56:01,454 >> OKAY. 4852 02:56:01,454 --> 02:56:02,655 SO WE WILL MOVE ON BECAUSE I 4853 02:56:02,655 --> 02:56:05,925 DON'T WANT US TO BE LATE. 4854 02:56:05,925 --> 02:56:08,028 SO THANK YOU, AND LET'S GO OUT 4855 02:56:08,028 --> 02:56:11,164 TO THE NEXT STAGE. 4856 02:56:11,164 --> 02:56:12,432 WHATEVER THE NEXT TOPIC IS. 4857 02:56:12,432 --> 02:56:16,770 >> THE NEXT TOPIC IS COUNCIL 4858 02:56:16,770 --> 02:56:18,938 WORKING GROUP PROCESS, AND I 4859 02:56:18,938 --> 02:56:20,907 JUST WOULD LIKE TO SHARE, I HAVE 4860 02:56:20,907 --> 02:56:24,711 A FEW SLIDE, ONLY FOUR OR FIVE, 4861 02:56:24,711 --> 02:56:26,112 THAT I WANTED TO USE TO SET THE 4862 02:56:26,112 --> 02:56:35,989 STAGE HERE. 4863 02:56:35,989 --> 02:56:36,489 OKAY. 4864 02:56:36,489 --> 02:56:46,533 CAN YOU SEE MY SLIDE? 4865 02:56:46,533 --> 02:56:46,966 OKAY, GOOD. 4866 02:56:46,966 --> 02:56:48,301 SO I WOULD JUST LIKE TO TAKE 4867 02:56:48,301 --> 02:56:50,270 JUST A FEW MINUTES TO TALK A BIT 4868 02:56:50,270 --> 02:56:51,771 MORE ABOUT COUNCIL WORKING GROUP 4869 02:56:51,771 --> 02:56:53,640 PROCESS. 4870 02:56:53,640 --> 02:56:55,608 SO WHAT PROMPTED THE DISCUSSION 4871 02:56:55,608 --> 02:56:57,577 ABOUT COUNCIL WORKING GROUPS FOR 4872 02:56:57,577 --> 02:57:01,314 US WAS ACTUALLY LISTENING TO 4873 02:57:01,314 --> 02:57:03,416 SEVERAL MORE OR LESS IMPROMPTU 4874 02:57:03,416 --> 02:57:04,951 OCCURRING DISCUSSIONS DURING 4875 02:57:04,951 --> 02:57:06,786 SOME OF OUR MORE RECENT COUNCIL 4876 02:57:06,786 --> 02:57:10,056 MEETINGS, AND THAT MADE US HERE 4877 02:57:10,056 --> 02:57:11,925 AT NCCIH ASK THE QUESTIONS, YOU 4878 02:57:11,925 --> 02:57:14,127 AS COUNCILMEMBERS HAVE SUCH 4879 02:57:14,127 --> 02:57:16,463 EXTENSIVE AND RELEVANT EXPERTISE 4880 02:57:16,463 --> 02:57:19,599 AS IT RELATES TO THE MISSION OF 4881 02:57:19,599 --> 02:57:19,933 NCCIH. 4882 02:57:19,933 --> 02:57:21,334 I MEAN, IN THE END, THIS IS THE 4883 02:57:21,334 --> 02:57:23,103 REASON WHY WE HAD ASKED YOU IF 4884 02:57:23,103 --> 02:57:24,304 YOU WOULD BE WILLING TO SERVE ON 4885 02:57:24,304 --> 02:57:25,605 COUNCIL IN THE FIRST PLACE. 4886 02:57:25,605 --> 02:57:28,141 BUT WE WERE WONDERING, DO WE 4887 02:57:28,141 --> 02:57:29,776 REALLY MAKE OPTIMAL USE OF ALL 4888 02:57:29,776 --> 02:57:32,212 THE EXPERTISE THAT YOU BRING TO 4889 02:57:32,212 --> 02:57:35,615 THE TABLE WHILE YOU SERVE AS A 4890 02:57:35,615 --> 02:57:36,916 COUNCILMEMBER? 4891 02:57:36,916 --> 02:57:41,521 AND COINCIDENTALLY AT THE SAME 4892 02:57:41,521 --> 02:57:42,822 TIME, WHILE WE HERE AT NCCIH 4893 02:57:42,822 --> 02:57:43,990 WERE DISCUSSING THIS QUESTION, 4894 02:57:43,990 --> 02:57:45,658 WE WERE ALSO CONTACTED BY SOME 4895 02:57:45,658 --> 02:57:51,131 OF YOU ASKING US HOW YOU CAN 4896 02:57:51,131 --> 02:57:53,099 BE -- CAN MORE PRODUCTIVELY 4897 02:57:53,099 --> 02:57:54,100 CONTRIBUTE TO NCCIH'S MISSION 4898 02:57:54,100 --> 02:57:57,137 WHILE YOU SERVE ON COUNCIL. 4899 02:57:57,137 --> 02:57:58,471 SO IT IS -- WHERE DOES THIS 4900 02:57:58,471 --> 02:57:59,372 LEAVE US? 4901 02:57:59,372 --> 02:58:01,107 OKAY. 4902 02:58:01,107 --> 02:58:03,510 IF YOU LOOK AT OUR CHARTER, IT 4903 02:58:03,510 --> 02:58:05,245 STATES THE FOLLOWING: COUNCIL 4904 02:58:05,245 --> 02:58:08,681 WILL ADVICE, ASSIST AND CONSULT 4905 02:58:08,681 --> 02:58:11,284 NCCIH ON MATTERS RELATING TO 4906 02:58:11,284 --> 02:58:15,121 ACTIVITIES CARRIED OUT BY AND 4907 02:58:15,121 --> 02:58:16,222 THROUGH THE CENTER. 4908 02:58:16,222 --> 02:58:20,827 THIS IS THEN MORE SPECIFICALLY 4909 02:58:20,827 --> 02:58:22,028 STATED AND DESCRIBED IN OUR 4910 02:58:22,028 --> 02:58:22,996 COUNCIL OPERATING PROCEDURES. 4911 02:58:22,996 --> 02:58:24,364 HERE IT SAYS THAT COUNCIL SERVES 4912 02:58:24,364 --> 02:58:26,866 AS A NATIONAL RESOURCE IN 4913 02:58:26,866 --> 02:58:28,701 DEVELOPING AND SETTING OF NCCIH 4914 02:58:28,701 --> 02:58:32,639 POLICIES AND RESEARCH PRIORI 4915 02:58:32,639 --> 02:58:34,674 PRIORITIES, AND ON OCCASION, 4916 02:58:34,674 --> 02:58:36,042 SPECIAL WORKING GROUPS MAY BE 4917 02:58:36,042 --> 02:58:38,411 FORMED TO ADDRESS CRITICAL 4918 02:58:38,411 --> 02:58:40,113 SCIENTIFIC OR POLICY ISSUES THAT 4919 02:58:40,113 --> 02:58:44,817 ARE IMPORTANT TO NCCIH AND ITS 4920 02:58:44,817 --> 02:58:45,585 CONSTITUENTS. 4921 02:58:45,585 --> 02:58:46,553 YOU MIGHT REMEMBER THIS 4922 02:58:46,553 --> 02:58:48,021 PARAGRAPH FROM MY PREVIOUS 4923 02:58:48,021 --> 02:58:49,622 PRESENTATION AS WE JUST 4924 02:58:49,622 --> 02:58:50,723 APPROACHED OUR COUNCIL OPERATING 4925 02:58:50,723 --> 02:58:52,926 PROCEDURES A LITTLE WHILE AGO 4926 02:58:52,926 --> 02:58:55,128 LOOKING AT THE SECTION, WE 4927 02:58:55,128 --> 02:58:56,229 NOTICED THAT RECENTLY, WE 4928 02:58:56,229 --> 02:58:58,298 HAVEN'T REALLY MADE USE OF 4929 02:58:58,298 --> 02:59:01,568 WORKING GROUPS AS MUCH AND AS 4930 02:59:01,568 --> 02:59:02,468 EFFECTIVELY AS WE COULD HAVE, 4931 02:59:02,468 --> 02:59:03,803 AND AS WE HAVE DONE SO IN THE 4932 02:59:03,803 --> 02:59:04,204 PAST. 4933 02:59:04,204 --> 02:59:07,941 I THINK ONE RECENT EXAMPLE WAS A 4934 02:59:07,941 --> 02:59:09,142 WORKING GROUP THAT THEN IN THE 4935 02:59:09,142 --> 02:59:12,011 END LED TO THE DEVELOPMENT OF 4936 02:59:12,011 --> 02:59:13,880 THE RESEARCH ACROSS 4937 02:59:13,880 --> 02:59:15,415 COMPLEMENTARY AND INTEGRATIVE 4938 02:59:15,415 --> 02:59:17,083 HEALTH INSTITUTIONS VIRTUAL 4939 02:59:17,083 --> 02:59:18,484 RESOURCE CENTER NOFO WHICH LOOKS 4940 02:59:18,484 --> 02:59:19,919 AT OUR PHYSICIAN SCIENTIST 4941 02:59:19,919 --> 02:59:23,323 WORKFORCE. 4942 02:59:23,323 --> 02:59:25,525 SO HOW ARE THESE WORKING GROUPS 4943 02:59:25,525 --> 02:59:28,928 DEFINED? 4944 02:59:28,928 --> 02:59:32,765 THEY SERVE AS FACT FINDING BOD 4945 02:59:32,765 --> 02:59:33,833 BODIES THAT GATHER INFORMATION, 4946 02:59:33,833 --> 02:59:37,537 AND FOR FINAL DELIBERATIONS BY 4947 02:59:37,537 --> 02:59:39,739 COUNCIL. 4948 02:59:39,739 --> 02:59:41,507 SO FOLLOWING THE DELIBERATIONS, 4949 02:59:41,507 --> 02:59:42,909 THOSE WORKING GROUPS DO REPORT 4950 02:59:42,909 --> 02:59:45,945 BACK TO THE FULL MEETING OF THE 4951 02:59:45,945 --> 02:59:47,847 COUNCIL, AND THIS WOULD HAPPEN 4952 02:59:47,847 --> 02:59:50,783 DURING THE OPEN SESSION OF 4953 02:59:50,783 --> 02:59:51,251 COUNCIL. 4954 02:59:51,251 --> 02:59:52,785 THESE WORKING GROUPS ARE USUALLY 4955 02:59:52,785 --> 02:59:54,854 TEMPORARY IN NATURE. 4956 02:59:54,854 --> 02:59:56,389 THEY CAN HAVE A FLEXIBLE NUMBER 4957 02:59:56,389 --> 02:59:58,024 OF MEETING TIMES, MAYBE THEY 4958 02:59:58,024 --> 02:59:59,559 MIGHT ONLY MEET ONE TIME OR THEY 4959 02:59:59,559 --> 03:00:02,462 MIGHT MEET A COUPLE OF TIMES. 4960 03:00:02,462 --> 03:00:06,065 PARTICIPANTS MAY BE SELECTED BY 4961 03:00:06,065 --> 03:00:07,267 COUNCIL AND A FEDERAL OFFICIAL. 4962 03:00:07,267 --> 03:00:08,601 THEY ARE SUPPOSED TO HAVE A 4963 03:00:08,601 --> 03:00:10,503 DIVERSE AND BALANCED 4964 03:00:10,503 --> 03:00:11,237 PRESENTATION. 4965 03:00:11,237 --> 03:00:12,872 THE MATERIAL THAT'S MADE 4966 03:00:12,872 --> 03:00:14,407 AVAILABLE AND DISCUSSED IN THESE 4967 03:00:14,407 --> 03:00:18,478 MEETINGS ARE STRICTLY 4968 03:00:18,478 --> 03:00:19,679 CONFIDENTIAL. 4969 03:00:19,679 --> 03:00:20,880 COIs, CONFLICT OF INTEREST 4970 03:00:20,880 --> 03:00:22,181 WILL HAVE TO BE ASSESSED. 4971 03:00:22,181 --> 03:00:23,950 RECORDS ABOUT THESE MEETINGS ARE 4972 03:00:23,950 --> 03:00:24,917 MAINTAINED BY NCCIH, AND 4973 03:00:24,917 --> 03:00:26,052 IMPORTANT, THEY DO NOT 4974 03:00:26,052 --> 03:00:27,120 PARTICIPATE IN FUNDING 4975 03:00:27,120 --> 03:00:28,755 DECISIONS. 4976 03:00:28,755 --> 03:00:32,825 SO PARTICIPANTS IN THESE WORKING 4977 03:00:32,825 --> 03:00:33,993 GROUPS SHOULD -- COULD BE A 4978 03:00:33,993 --> 03:00:39,065 SUBSET OF COUNCIL MEMO WE A COUD 4979 03:00:39,065 --> 03:00:40,300 INCLUDE ADDITIONAL EXPERTISE IN 4980 03:00:40,300 --> 03:00:40,566 THE FIELD. 4981 03:00:40,566 --> 03:00:42,101 SO AFTER SETTING A LITTLE BIT OF 4982 03:00:42,101 --> 03:00:44,337 THE GROUNDWORK OR THE FRAMEWORK 4983 03:00:44,337 --> 03:00:46,906 ABOUT THESE WORKING GROUPS, THE 4984 03:00:46,906 --> 03:00:49,642 QUESTIONS THAT WE WOULD LIKE TO 4985 03:00:49,642 --> 03:00:52,278 ASK YOU IS, WOULD YOU BE 4986 03:00:52,278 --> 03:00:55,648 INTERESTED IN A MORE ACTIVE USE 4987 03:00:55,648 --> 03:00:58,284 OF THESE COUNCIL WORKING GROUPS, 4988 03:00:58,284 --> 03:01:02,055 AND IF YES, WHAT TOPICS COULD BE 4989 03:01:02,055 --> 03:01:04,590 DISCUSSED OR WOULD YOU SEE AS 4990 03:01:04,590 --> 03:01:05,992 BENEFICIAL FOR THESE WORKING 4991 03:01:05,992 --> 03:01:06,326 GROUPS? 4992 03:01:06,326 --> 03:01:08,828 AND WITH THIS, I STOP SHARING SO 4993 03:01:08,828 --> 03:01:19,372 WE CAN ACTUALLY SEE EACH OTHER. 4994 03:01:21,174 --> 03:01:22,308 SO, THOUGHTS, IDEAS? 4995 03:01:22,308 --> 03:01:31,818 FIRST REACTIONS? 4996 03:01:31,818 --> 03:01:32,018 NADJA? 4997 03:01:32,018 --> 03:01:32,785 >> MARTINA, THANK YOU. 4998 03:01:32,785 --> 03:01:33,920 THIS IS INTERESTING INDEED AND I 4999 03:01:33,920 --> 03:01:35,555 LOVE THE IDEA OF BEING INVOLVED 5000 03:01:35,555 --> 03:01:37,190 WITH WORKING GROUPS. 5001 03:01:37,190 --> 03:01:39,492 AND ONE TOPIC THAT I HAVE -- I 5002 03:01:39,492 --> 03:01:42,762 GUESS I WAS SORT OF INSPIRED BY 5003 03:01:42,762 --> 03:01:43,963 ATTENDING PREVIOUS COUNCIL 5004 03:01:43,963 --> 03:01:47,367 MEETINGS WITH THE IDEA THAT SOME 5005 03:01:47,367 --> 03:01:48,134 CONVERSATIONS HAVE BEEN 5006 03:01:48,134 --> 03:01:49,001 HAPPENING WITH COUNCIL THAT HAVE 5007 03:01:49,001 --> 03:01:52,605 LED TO INITIATIVES DOWN THE LINE 5008 03:01:52,605 --> 03:01:54,574 IN VARIOUS CASES, AND I WAS 5009 03:01:54,574 --> 03:01:55,475 WONDERING IF THAT WAS SOMETHING 5010 03:01:55,475 --> 03:01:56,542 THAT COULD CONTINUE TO BE 5011 03:01:56,542 --> 03:01:58,311 HAPPENING. 5012 03:01:58,311 --> 03:01:59,612 SO GLAD TO HEAR THAT YOU'RE 5013 03:01:59,612 --> 03:02:02,582 THINKING ALONG THOSE LINES. 5014 03:02:02,582 --> 03:02:03,983 ONE THING THAT HAS COME TO MY 5015 03:02:03,983 --> 03:02:07,153 MIND REPEATEDLY IS THAT WE TALK 5016 03:02:07,153 --> 03:02:08,921 ABOUT NATURAL PRODUCT AND WE 5017 03:02:08,921 --> 03:02:12,558 HEARD SOME CONVERSATIONS EVEN IN 5018 03:02:12,558 --> 03:02:14,260 ONE OF THE LAST PRESENTATIONS 5019 03:02:14,260 --> 03:02:16,562 ABOUT PLANT MEDICINES BEING USED 5020 03:02:16,562 --> 03:02:21,267 BY INDIGENOUS POPULATIONS AND 5021 03:02:21,267 --> 03:02:23,569 INTEREST IN UNDERSTANDING 5022 03:02:23,569 --> 03:02:26,272 MECHANISMS OF ACTION IN THOSE 5023 03:02:26,272 --> 03:02:27,173 SORT OF THINGS. 5024 03:02:27,173 --> 03:02:28,474 THIS HAS OBVIOUSLY BEEN AN AREA 5025 03:02:28,474 --> 03:02:31,010 OF RESEARCH FOR NCI FOR A LONG 5026 03:02:31,010 --> 03:02:33,746 TIME IN THE RECENT PAST I THINK 5027 03:02:33,746 --> 03:02:34,714 IT'S BEEN DIFFICULT TO GET SOME 5028 03:02:34,714 --> 03:02:36,682 OF THOSE INNOVATIVE PROPOSALS 5029 03:02:36,682 --> 03:02:37,683 THAT ARE DEALING WITH ISSUES 5030 03:02:37,683 --> 03:02:39,085 WITH COMPLEX BOTANICALS THAT 5031 03:02:39,085 --> 03:02:41,053 MIGHT NOT FIT IN THE FA 5032 03:02:41,053 --> 03:02:41,921 PHARMACEUTICAL DEFINITION 5033 03:02:41,921 --> 03:02:43,256 THROUGH REVIEW, AND THIS IS A 5034 03:02:43,256 --> 03:02:44,257 TOPIC WE'VE TALKED ABOUT MANY 5035 03:02:44,257 --> 03:02:45,224 TIMES, PART OF THAT HAS TO DO 5036 03:02:45,224 --> 03:02:46,659 WITH THE NATURE OF STUDY 5037 03:02:46,659 --> 03:02:52,331 SECTIONS AT CSR, THERE'S A LOT 5038 03:02:52,331 --> 03:02:57,069 OF STUDY SECTIONS THAT ARE SET 5039 03:02:57,069 --> 03:03:00,006 UP INTERNALLY AT NCCIH AND IT 5040 03:03:00,006 --> 03:03:01,207 SEEMS TO WORK BETTER THAT WAY 5041 03:03:01,207 --> 03:03:02,542 BUT WE HAVEN'T REALLY HAD THOSE 5042 03:03:02,542 --> 03:03:03,810 FOR THESE TYPES OF PROPOSALS IN 5043 03:03:03,810 --> 03:03:04,944 THE RECENT PAST. 5044 03:03:04,944 --> 03:03:07,046 WE HAVEN'T HAD RFAs BEYOND THE 5045 03:03:07,046 --> 03:03:13,319 CANNABIS WORK FOR FOR BOTANICAL 5046 03:03:13,319 --> 03:03:14,287 MEDICINES, SO IF THERE WERE 5047 03:03:14,287 --> 03:03:14,921 OPPORTUNITY TO HAVE 5048 03:03:14,921 --> 03:03:16,923 CONVERSATIONS ABOUT HOW TO CROW 5049 03:03:16,923 --> 03:03:22,595 ATE BETTER OPPORTUNITIES THAT 5050 03:03:22,595 --> 03:03:24,263 INTERSECTS WITH WHOLE PERSON 5051 03:03:24,263 --> 03:03:25,465 HEALTH, COMPLEX BOTANICALS AND 5052 03:03:25,465 --> 03:03:27,333 ALSO NATURAL PRODUCTS IN THE 5053 03:03:27,333 --> 03:03:28,734 INTERESTS OF NCCIH, HOW TO 5054 03:03:28,734 --> 03:03:29,702 CREATE THOSE OPPORTUNITIES, HOW 5055 03:03:29,702 --> 03:03:30,603 TO MAKE SURE THAT THOSE THINGS 5056 03:03:30,603 --> 03:03:31,804 DO WELL IN REVIEW, I WOULD LOVE 5057 03:03:31,804 --> 03:03:33,206 TO BE INVOLVED IN THOSE 5058 03:03:33,206 --> 03:03:37,510 CONVERSATIONS. 5059 03:03:37,510 --> 03:03:41,347 >> PERFECT. 5060 03:03:41,347 --> 03:03:42,215 HELENE, WOULD YOU LIKE TO 5061 03:03:42,215 --> 03:03:43,616 COMMENT A LITTLE BIT MORE? 5062 03:03:43,616 --> 03:03:44,884 >> VERY QUICKLY, I JUST 5063 03:03:44,884 --> 03:03:46,385 WANTED -- BECAUSE I'M SURE THERE 5064 03:03:46,385 --> 03:03:47,920 MUST HAVE BEEN A WORKING GROUP 5065 03:03:47,920 --> 03:03:50,122 BUT I THINK IT CAME UP LAST TIME 5066 03:03:50,122 --> 03:03:55,595 WITH THE WORD SPIRITUALITY. 5067 03:03:55,595 --> 03:03:57,463 HAS THAT BEEN RESULTING IN A 5068 03:03:57,463 --> 03:03:59,365 FORMAL WORKING GROUP IN TERMS OF 5069 03:03:59,365 --> 03:04:02,835 BRINGING THAT INTO THE MISSION 5070 03:04:02,835 --> 03:04:03,135 STATEMENTS? 5071 03:04:03,135 --> 03:04:06,772 >> HELENE, ACTUALLY IT'S REALLY 5072 03:04:06,772 --> 03:04:08,207 EXACTLY THIS IS WHAT REALLY 5073 03:04:08,207 --> 03:04:09,175 PROMPTED TO A LARGE PART THE 5074 03:04:09,175 --> 03:04:10,276 ENTIRE DISCUSSION THAT WE ARE 5075 03:04:10,276 --> 03:04:14,480 HAVING HERE, AND YES, THIS IS 5076 03:04:14,480 --> 03:04:16,215 ONE EXAMPLE THAT WE WERE 5077 03:04:16,215 --> 03:04:17,517 THINKING ABOUT ON OUR END. 5078 03:04:17,517 --> 03:04:19,485 >> WELL, IN THAT CASE, I WOULD 5079 03:04:19,485 --> 03:04:26,492 REALLY LIKE TO BE -- 5080 03:04:26,492 --> 03:04:29,262 >> GUNNAR. 5081 03:04:29,262 --> 03:04:30,463 >> THANKS. 5082 03:04:30,463 --> 03:04:33,733 I THINK THIS IS A REALLY GREAT 5083 03:04:33,733 --> 03:04:35,201 DISCUSSION, AND ONE OF THE 5084 03:04:35,201 --> 03:04:36,469 THINGS THAT JUST GOT ME THINKING 5085 03:04:36,469 --> 03:04:38,004 ABOUT THE WHOLE SPIRITUALITY 5086 03:04:38,004 --> 03:04:39,038 THING BECAUSE I WAS THINKING 5087 03:04:39,038 --> 03:04:40,406 THAT'S PROBABLY WHAT PROMPTED 5088 03:04:40,406 --> 03:04:45,378 IT, BUT I THINK THAT ARE WHEN TO 5089 03:04:45,378 --> 03:04:46,345 BACK AND LISTEN TO THIS 5090 03:04:46,345 --> 03:04:48,281 RECORDING AND START TO DEVELOP 5091 03:04:48,281 --> 03:04:48,848 MEETING MINUTES, I BET THERE 5092 03:04:48,848 --> 03:04:50,283 WILL BE SOME THINGS THAT NONE OF 5093 03:04:50,283 --> 03:04:52,051 US SORT OF REMEMBER FROM THIS 5094 03:04:52,051 --> 03:04:54,020 MEETING BUT DO COALESCE AROUND 5095 03:04:54,020 --> 03:04:54,987 SOMETHING THAT MIGHT BE A WORK 5096 03:04:54,987 --> 03:04:55,454 GROUP. 5097 03:04:55,454 --> 03:04:58,491 SO I THINK THAT WHOEVER SORT OF 5098 03:04:58,491 --> 03:05:00,459 CULLS THROUGH THIS AND THEN 5099 03:05:00,459 --> 03:05:02,662 LOOKS FOR THERE MAY BE A TOPIC 5100 03:05:02,662 --> 03:05:03,563 OR TWO THAT LOOKS TO BE 5101 03:05:03,563 --> 03:05:06,599 APPROPRIATE FOR A WORK GROUP. 5102 03:05:06,599 --> 03:05:08,734 SO JUST FROM AN APPROACH 5103 03:05:08,734 --> 03:05:09,335 PERSPECTIVE. 5104 03:05:09,335 --> 03:05:12,772 AND THEN LASTLY, ONE OF THE 5105 03:05:12,772 --> 03:05:13,739 THINGS OF COURSE IS NEAR AND 5106 03:05:13,739 --> 03:05:16,042 DEAR TO MY HEART ARE PHYSICIAN 5107 03:05:16,042 --> 03:05:16,576 SCIENTISTS, WHICH I THINK 5108 03:05:16,576 --> 03:05:17,476 EVERYBODY KNOWS IS KIND OF A 5109 03:05:17,476 --> 03:05:17,910 DYING BREED. 5110 03:05:17,910 --> 03:05:19,211 I CERTAINLY DIDN'T ANTICIPATE 5111 03:05:19,211 --> 03:05:20,646 THAT I WAS GOING TO END UP BEING 5112 03:05:20,646 --> 03:05:22,181 A PHYSICIAN SCIENTIST AS A FIRST 5113 03:05:22,181 --> 03:05:23,282 YEAR MEDICAL STUDENT, BUT IT 5114 03:05:23,282 --> 03:05:26,719 REALLY HAPPENED ORGANICALLY FOR 5115 03:05:26,719 --> 03:05:29,121 ME UNTIL I GOT DOWN TO V COME 5116 03:05:29,121 --> 03:05:30,756 AND VIRGINIA TECH SO I DID QUITE 5117 03:05:30,756 --> 03:05:33,926 A BIT OF EXERCISE IMMUNOLOGY, 5118 03:05:33,926 --> 03:05:36,896 SORT OF EX-PHYS TYPE STUFF AND 5119 03:05:36,896 --> 03:05:41,167 GOT DOWN TO VCOM AND DID A 5120 03:05:41,167 --> 03:05:42,168 FELLOWSHIP IN CLINICAL RESEARCH 5121 03:05:42,168 --> 03:05:43,302 WHICH REALLY KIND OF LAUNCHED 5122 03:05:43,302 --> 03:05:43,636 ME. 5123 03:05:43,636 --> 03:05:45,037 SO I GUESS WHAT I'M THINKING 5124 03:05:45,037 --> 03:05:46,539 ABOUT IS, YOU THINK OF THE 5125 03:05:46,539 --> 03:05:49,609 TRADITIONAL SORT OF MD/PH.D. OR 5126 03:05:49,609 --> 03:05:52,478 DO/PH.D. OR DO/MPH OR THOSE 5127 03:05:52,478 --> 03:05:53,579 KINDS OF THINGS BUT I THINK WE 5128 03:05:53,579 --> 03:05:54,780 NEED TO THINK OUT OF THE BOX IN 5129 03:05:54,780 --> 03:05:58,851 TERMS OF BEING ABLE TO GIVE THE 5130 03:05:58,851 --> 03:06:00,353 PHYSICIAN WORKFORCE MAYBE AN 5131 03:06:00,353 --> 03:06:01,787 EASIER PATHWAY OR SOME OTHER 5132 03:06:01,787 --> 03:06:05,725 TYPE OF PATHWAY TO BECOMING 5133 03:06:05,725 --> 03:06:06,859 CLINICIAN RESEARCHERS, AND THEN 5134 03:06:06,859 --> 03:06:08,060 REALLY LOOK TO -- BECAUSE AGAIN 5135 03:06:08,060 --> 03:06:11,030 IN MY WORLD, IT'S 5136 03:06:11,030 --> 03:06:11,464 MULTI-INSTITUTIONAL, 5137 03:06:11,464 --> 03:06:12,098 MULTIDISCIPLINARY TEAMS THAT 5138 03:06:12,098 --> 03:06:13,332 WIN, THAT DO REALLY GOOD STUFF 5139 03:06:13,332 --> 03:06:15,167 THAT MOVE THE NEEDLE. 5140 03:06:15,167 --> 03:06:18,137 SO I'D BE INTERESTED IN A WORK 5141 03:06:18,137 --> 03:06:24,276 GROUP THAT WOULD LOOK AT WAYS TO 5142 03:06:24,276 --> 03:06:26,212 DEVELOP PHYSICIAN SCIENTISTS 5143 03:06:26,212 --> 03:06:31,917 THAT AREN'T CURRENTLY BEING DONE 5144 03:06:31,917 --> 03:06:32,485 WHERE PEOPLE HAVE TO GO 5145 03:06:32,485 --> 03:06:33,586 SOMEWHERE AND DO SOMETHING AS 5146 03:06:33,586 --> 03:06:34,887 OPPOSED TO GO SOMEWHERE, DO 5147 03:06:34,887 --> 03:06:36,689 SOMETHING FOR A WEEKEND, BEEN BE 5148 03:06:36,689 --> 03:06:38,624 ABLE TO PARTICIPATE IN ONLINE 5149 03:06:38,624 --> 03:06:41,494 FORUMS LIKE THIS, SELF-DIRECTED 5150 03:06:41,494 --> 03:06:42,495 LEARNING OPPORTUNITIES, THOSE 5151 03:06:42,495 --> 03:06:43,562 KINDS OF THINGS AND I'M RATTLING 5152 03:06:43,562 --> 03:06:44,563 ON HERE BUT THAT WOULD BE 5153 03:06:44,563 --> 03:06:45,531 SOMETHING THAT I THINK IS GOING 5154 03:06:45,531 --> 03:06:47,533 TO BE IMPORTANT TO THE FUTURE 5155 03:06:47,533 --> 03:06:49,969 PHYSICIAN WORKFORCE AND FUTURE 5156 03:06:49,969 --> 03:06:53,439 BIOMEDICAL/CLINICAL RESEARCH. 5157 03:06:53,439 --> 03:06:54,273 >> OKAY. 5158 03:06:54,273 --> 03:06:59,945 THANK YOU. 5159 03:06:59,945 --> 03:07:01,814 ANY MORE IDEAS, THOUGHTS, 5160 03:07:01,814 --> 03:07:10,656 COMMENTS? 5161 03:07:10,656 --> 03:07:16,696 OKAY. 5162 03:07:16,696 --> 03:07:19,765 IF NOT, SHOULD WE MOVE ON TO THE 5163 03:07:19,765 --> 03:07:22,068 LAST AGENDA ITEM? 5164 03:07:22,068 --> 03:07:26,772 >> SURE. 5165 03:07:26,772 --> 03:07:28,541 >> OKAY, GOOD. 5166 03:07:28,541 --> 03:07:30,309 AS WE ARE COMING TO THE END OF 5167 03:07:30,309 --> 03:07:31,844 THE MEETING, I WOULD JUST 5168 03:07:31,844 --> 03:07:33,245 LIKE -- I WOULD LIKE TO ANNOUNCE 5169 03:07:33,245 --> 03:07:34,680 THAT OUR NEXT COUNCIL MEETING 5170 03:07:34,680 --> 03:07:38,851 WILL BE HELD ON MAY 17TH, AND 5171 03:07:38,851 --> 03:07:42,788 THIS MEETING WILL BE HELD IN 5172 03:07:42,788 --> 03:07:45,858 PERSON. 5173 03:07:45,858 --> 03:07:47,359 SO TODAY WE ARE VIRTUAL, NEXT 5174 03:07:47,359 --> 03:07:48,294 ONE WILL BE IN PERSON AGAIN. 5175 03:07:48,294 --> 03:07:50,796 THE LAST AGENDA ITEM FOR THE 5176 03:07:50,796 --> 03:07:52,231 OPEN SESSION IS GENERALLY THE 5177 03:07:52,231 --> 03:07:54,433 PUBLIC COMMENT SESSION. 5178 03:07:54,433 --> 03:07:55,501 SINCE EVERYBODY IS ATTENDING 5179 03:07:55,501 --> 03:07:57,503 VIRTUALLY, IT IS NOT POSSIBLE TO 5180 03:07:57,503 --> 03:07:58,904 MAKE IN-PERSON COMMENTS. 5181 03:07:58,904 --> 03:08:00,706 THEREFORE, AS FOR THE LAST TWO 5182 03:08:00,706 --> 03:08:01,674 ROUNDS, ANY MEMBER OF THE PUBLIC 5183 03:08:01,674 --> 03:08:03,509 WHO WISHES TO MAKE A PUBLIC 5184 03:08:03,509 --> 03:08:06,479 COMMENT MIGHT DO SO BY SENDING 5185 03:08:06,479 --> 03:08:09,048 ME YOUR WRITTEN COMMENTS. 5186 03:08:09,048 --> 03:08:10,216 IN THIS CASE, WE HAVE CHANGED 5187 03:08:10,216 --> 03:08:12,918 THIS SINCE THE LAST TWO ROUNDS, 5188 03:08:12,918 --> 03:08:14,487 WITHIN 15 DAYS BEFORE THE ACTUAL 5189 03:08:14,487 --> 03:08:16,021 COUNCIL MEETING. 5190 03:08:16,021 --> 03:08:18,858 SO THIS CAN BE DONE EITHER VIA 5191 03:08:18,858 --> 03:08:20,493 EMAIL OR HARD COPY LETTER. 5192 03:08:20,493 --> 03:08:22,161 YOUR WRITTEN COMMENTS SHOULD BE 5193 03:08:22,161 --> 03:08:24,363 LESS THAN 700 WORDS IN LENGTH, 5194 03:08:24,363 --> 03:08:25,998 WHICH IS CONSISTENT WITH AROUND 5195 03:08:25,998 --> 03:08:28,667 A FIVE-MINUTE ORAL PRESENTATION. 5196 03:08:28,667 --> 03:08:29,902 YOUR WRITTEN COMMENT WILL THEN 5197 03:08:29,902 --> 03:08:33,072 BE PROVIDED TO COUNCIL VIA THE 5198 03:08:33,072 --> 03:08:34,173 ELECTRONIC COUNCIL BOOK IN 5199 03:08:34,173 --> 03:08:35,841 ADVANCE OF THE COUNCIL MEETING 5200 03:08:35,841 --> 03:08:37,576 AND I WILL ACKNOWLEDGE THE 5201 03:08:37,576 --> 03:08:41,080 RECEIPT OF THE COMMENTS WE 5202 03:08:41,080 --> 03:08:42,515 RECEIVED FOR COUNCIL DURING THE 5203 03:08:42,515 --> 03:08:43,048 OPEN SESSION. 5204 03:08:43,048 --> 03:08:44,950 SO FOR THIS ROUND, WE DID NOT 5205 03:08:44,950 --> 03:08:46,252 RECEIVE ANY COMMENTS THIS TIME 5206 03:08:46,252 --> 03:08:49,755 AROUND. 5207 03:08:49,755 --> 03:08:52,158 AS WE'RE GETTING TO THE END OF 5208 03:08:52,158 --> 03:08:53,826 THIS JANUARY COUNCIL MEETING, I 5209 03:08:53,826 --> 03:08:55,361 WOULD LIKE TO THANK ALL 5210 03:08:55,361 --> 03:08:57,229 COUNCILMEMBERS FOR ATTENDING 5211 03:08:57,229 --> 03:08:58,297 TODAY. 5212 03:08:58,297 --> 03:09:00,099 NCCIH WOULD NOT BE ABLE TO 5213 03:09:00,099 --> 03:09:01,934 FULFILL ITS MISSION WITHOUT YOUR 5214 03:09:01,934 --> 03:09:03,135 EXPERTISE, YOUR FEEDBACK, AND 5215 03:09:03,135 --> 03:09:04,236 YOUR GUIDANCE. 5216 03:09:04,236 --> 03:09:06,338 THANK YOU SO MUCH FOR JOINING US 5217 03:09:06,338 --> 03:09:09,308 TODAY, AND OFFERING YOUR ADVICE. 5218 03:09:09,308 --> 03:09:11,677 ALSO, SPECIAL THANKS GOES TO OUR 5219 03:09:11,677 --> 03:09:13,679 COUNCILMEMBERS WHO ARE ROTATING 5220 03:09:13,679 --> 03:09:14,013 OFF. 5221 03:09:14,013 --> 03:09:15,548 AS WE HAVE MENTIONED BEFORE, WE 5222 03:09:15,548 --> 03:09:17,650 WILL BE MISSING YOU AND YOUR 5223 03:09:17,650 --> 03:09:19,185 ADVICE. 5224 03:09:19,185 --> 03:09:21,487 I WOULD ALSO LIKE TO OFFER MY 5225 03:09:21,487 --> 03:09:24,657 SINCEREST THANKS TO ALL OF NCCIH 5226 03:09:24,657 --> 03:09:24,990 STAFF. 5227 03:09:24,990 --> 03:09:26,859 WITHOUT ALL OF YOUR HELP AND 5228 03:09:26,859 --> 03:09:28,527 WILLINGNESS TO MAKE ALL OF THIS 5229 03:09:28,527 --> 03:09:30,062 WORK AND COME TOGETHER, WE WOULD 5230 03:09:30,062 --> 03:09:31,997 NOT HAVE BEEN ABLE TO HAVE THIS 5231 03:09:31,997 --> 03:09:34,433 MEETING HERE TODAY. 5232 03:09:34,433 --> 03:09:35,768 AND WITH THIS, I'M HANDING THE 5233 03:09:35,768 --> 03:09:40,372 MEETING OVER TO DR. LAPG LANGER 5234 03:09:40,372 --> 03:09:40,873 HER CONCLUDING REMARKS. 5235 03:09:40,873 --> 03:09:41,907 >> THANK YOU, MARTINA. 5236 03:09:41,907 --> 03:09:44,109 THE REASON I HAD MY HAND UP IS 5237 03:09:44,109 --> 03:09:46,579 BECAUSE I SAW WOLF MEHLING'S 5238 03:09:46,579 --> 03:09:49,782 COMMENT IN THE CHAT ABOUT 5239 03:09:49,782 --> 03:09:51,016 FORMER -- OR ADVISORY MEMBERS 5240 03:09:51,016 --> 03:09:52,117 MAYBE INTERESTED IN THESE 5241 03:09:52,117 --> 03:09:53,819 WORKING GROUPS AND I THINK THAT 5242 03:09:53,819 --> 03:09:54,620 IS A GREAT IDEA. 5243 03:09:54,620 --> 03:09:57,356 WE HAD ACTUALLY DISCUSSED THAT 5244 03:09:57,356 --> 03:09:58,991 BEFORE AND IT WOULD BE A GREAT 5245 03:09:58,991 --> 03:10:01,927 WAY TO STAY CONNECTED TO YOU 5246 03:10:01,927 --> 03:10:04,597 ALL. 5247 03:10:04,597 --> 03:10:06,999 SO, WE'VE REACHED THE END OF OUR 5248 03:10:06,999 --> 03:10:07,566 MEETING. 5249 03:10:07,566 --> 03:10:09,635 I HOPE YOU AGREE WITH ME THAT 5250 03:10:09,635 --> 03:10:13,372 THIS I HAS REALLY BEEN A WONDERL 5251 03:10:13,372 --> 03:10:13,706 MEETING. 5252 03:10:13,706 --> 03:10:17,443 WE REALLY THANK ALL OF YOU FOR 5253 03:10:17,443 --> 03:10:20,379 YOUR GREAT PARTICIPATION IN THE 5254 03:10:20,379 --> 03:10:21,814 DISCUSSIONS. 5255 03:10:21,814 --> 03:10:23,115 WE CERTAINLY DIDN'T RUN OUT OF 5256 03:10:23,115 --> 03:10:24,783 THINGS TO TALK ABOUT, AND I CAN 5257 03:10:24,783 --> 03:10:28,621 SEE THAT THE TOPIC WAS THE -- 5258 03:10:28,621 --> 03:10:30,422 THE TOPICS WERE INSPIRING AND 5259 03:10:30,422 --> 03:10:31,690 THIS IS WHAT WE HOPE THESE 5260 03:10:31,690 --> 03:10:32,691 MEETINGS ARE. 5261 03:10:32,691 --> 03:10:35,661 SO THANK YOU ALL, HAVE A GOOD 5262 03:10:35,661 --> 03:10:36,729 REST OF THE DAY, AND I'M NOT 5263 03:10:36,729 --> 03:10:38,430 GOING TO SAY SAFE TRAVELS 5264 03:10:38,430 --> 03:10:41,467 BECAUSE, YOU KNOW, YOU'RE 5265 03:10:41,467 --> 03:10:43,135 HOPEFULLY CLOSE TO HOME. 5266 03:10:43,135 --> 03:10:44,436 SO THANK YOU AGAIN, AND WE WILL 5267 03:10:44,436 --> 03:10:46,372 SEE YOU IN MAY. 5268 03:10:46,372 --> 03:10:46,672 >> OKAY. 5269 03:10:46,672 --> 03:10:48,540 SO IF THERE ARE NO FURTHER 5270 03:10:48,540 --> 03:10:51,810 COMMENTS, WITH THIS, THE 86TH 5271 03:10:51,810 --> 03:10:55,114 MEETING OF THE NCCIH COUNCIL IS 5272 03:10:55,114 --> 03:10:55,414 ADJOURNED. 5273 03:10:55,414 --> 03:10:56,849 AND I'M REALLY MISSING MY LITTLE 5274 03:10:56,849 --> 03:10:58,284 HAMMER THAT I USUALLY HAVE. 5275 03:10:58,284 --> 03:10:58,851 SO NEXT TIME. 5276 03:10:58,851 --> 03:11:03,255 >> OH, YEAH! 5277 03:11:03,255 --> 03:11:03,989 >> THANK YOU ALL. 5278 03:11:03,989 --> 03:11:04,990 >> TAKE CARE. 5279 03:11:04,990 --> 03:11:07,559 BYE-BYE. 5280 03:11:07,559 --> 03:11:09,962 >> YOU WANT TO DO YOUR OWN 5281 03:11:09,962 --> 03:11:11,864 DRUMMING THERE, MARTINA. 5282 03:11:11,864 --> 03:11:14,266 >> THESE A GOOD IDEA. 5283 03:11:14,266 --> 03:11:15,601 >> GREAT MEETING. 5284 03:11:15,601 --> 03:11:15,834 THANKS. 5285 03:11:15,834 --> 03:11:26,078 >> THANK YOU.