1 00:00:05,480 --> 00:00:10,080 >>WELCOME, GOOD MORNING. MY 2 00:00:10,080 --> 00:00:14,080 NAME IS CHRISTOPHER DONAHUE. MY 3 00:00:14,080 --> 00:00:16,480 NAME IS CHRISTOPHER DONAHUE 4 00:00:16,480 --> 00:00:18,200 SENIOR HISTORIAN AT THE THE 5 00:00:18,200 --> 00:00:19,440 NATIONAL GENOME INSTITUTE, WHERE 6 00:00:19,440 --> 00:00:20,560 I CO-LEAD THE GENOMICS PROGRAM 7 00:00:20,560 --> 00:00:22,760 IN THE OFFICE OF COMMUNICATIONS. 8 00:00:22,760 --> 00:00:25,520 I'M A WHITE MAN WITH GLASSES, 9 00:00:25,520 --> 00:00:27,280 BLUE EYES AND REDDISH BROWN 10 00:00:27,280 --> 00:00:30,400 HAIR. AND I HAVE A PHYSICAL 11 00:00:30,400 --> 00:00:32,400 VISIBLE DISABILITY CEREBRAL 12 00:00:32,400 --> 00:00:35,680 PALSY. I'M ALSO WEARING A BLUE 13 00:00:35,680 --> 00:00:38,160 AND WHITE STRIPED DRESS SHIRT. 14 00:00:38,160 --> 00:00:39,840 FIRSTLY I WANT TO ACKNOWLEDGE 15 00:00:39,840 --> 00:00:41,200 THE EFFORTS OF THE NATIONAL 16 00:00:41,200 --> 00:00:44,840 CENTER FOR MEDICAL 17 00:00:44,840 --> 00:00:48,320 REHABILITATION RESEARCH. NCMRR. 18 00:00:48,320 --> 00:00:51,080 ITS DIRECTOR THERESA CRUZ, DR. 19 00:00:51,080 --> 00:00:52,360 THERESA CRUZ AS WELL AS NATIONAL 20 00:00:52,360 --> 00:00:53,920 INSTITUTES OF HEALTH. THE 21 00:00:53,920 --> 00:00:55,200 PLANNING COMMITTEE FOR THIS 22 00:00:55,200 --> 00:00:57,160 SYMPOSIUM, AND OUR AMAZING 23 00:00:57,160 --> 00:01:01,800 SPEAKERS AND PANELISTS. THOUGH 24 00:01:01,800 --> 00:01:03,440 I CANNOT DO JUSTICE TO THE 25 00:01:03,440 --> 00:01:04,720 COMPLEXITY AND RICHNESS AND 26 00:01:04,720 --> 00:01:06,560 IMPORTANCE OF YESTERDAY'S 27 00:01:06,560 --> 00:01:08,840 PRESENTATIONS, I WANT TO 28 00:01:08,840 --> 00:01:12,480 ACKNOWLEDGE THE GRAVITY OF OUR 29 00:01:12,480 --> 00:01:14,440 DISCUSSION ABOUT ABLEISM THE 30 00:01:14,440 --> 00:01:16,280 PROFOUND DISPARITIES IN ACCESS 31 00:01:16,280 --> 00:01:18,960 TO CARE AND THE BARRIERS 32 00:01:18,960 --> 00:01:20,200 DISABLED PEOPLE FACE NOT ONLY 33 00:01:20,200 --> 00:01:21,520 MEDICAL CONTEXT BUT EVERY DAY 34 00:01:21,520 --> 00:01:26,600 LIVES. AS WE DISCUSSED IN 35 00:01:26,600 --> 00:01:29,400 DEVASTATING DETAIL YESTERDAY, 36 00:01:29,400 --> 00:01:32,400 ABLEISM IN ALL ITS FORMS IS THE 37 00:01:32,400 --> 00:01:34,160 DEVALUATION AND DEHUMANIZATION 38 00:01:34,160 --> 00:01:37,720 OF DISABLED LIVES OVER THOSE NOT 39 00:01:37,720 --> 00:01:41,680 VIEWED AS DISABLED. ABLEISM 40 00:01:41,680 --> 00:01:44,720 LIKE RACISM AND HETERO 41 00:01:44,720 --> 00:01:46,320 NORMATIVETY IS EMBEDDED IN MANY 42 00:01:46,320 --> 00:01:49,280 OF OUR EVERY DAY INTERACTIONS 43 00:01:49,280 --> 00:01:51,480 AND IN THE VERY STRUCTURES OF 44 00:01:51,480 --> 00:01:53,600 SOCIETY. ABLEISM AND BIAS 45 00:01:53,600 --> 00:01:55,440 AGAINST PEOPLE WITH DISABILITIES 46 00:01:55,440 --> 00:01:57,520 CANNOT IN ANY WAY BE SEPARATED 47 00:01:57,520 --> 00:01:59,920 FROM OTHER DEADLY PREJUDICES 48 00:01:59,920 --> 00:02:03,640 AROUND SEX AND GENDER, AND RACE 49 00:02:03,640 --> 00:02:05,120 AND CLASS. AN UNDERSTANDING OF 50 00:02:05,120 --> 00:02:11,040 THE INTERCONNECTEDNESS OR 51 00:02:11,040 --> 00:02:11,720 INTERSECTIONALITY OF THESE 52 00:02:11,720 --> 00:02:13,800 REALITIES IS A PROFOUND TOOL FOR 53 00:02:13,800 --> 00:02:15,400 IMPROVING OUTCOMES FOR NOT ONLY 54 00:02:15,400 --> 00:02:17,800 DISABLED PEOPLE BUT FOR 55 00:02:17,800 --> 00:02:27,160 EVERYONE. WE NOW UNDERSTAND AND 56 00:02:27,160 --> 00:02:29,160 IN MANY WAYS THE COVID PANDEMIC 57 00:02:29,160 --> 00:02:30,680 MADE THIS CLEARER, THAT SUCH 58 00:02:30,680 --> 00:02:33,720 APPARENTLY OBJECTIVE MEASURES 59 00:02:33,720 --> 00:02:36,120 SUCH AS FUNCTION AND QUALITY OF 60 00:02:36,120 --> 00:02:38,280 LIFE ARE OFTEN WEBBIZED WITH 61 00:02:38,280 --> 00:02:39,960 REAL LIFE AND DEATH CONSEQUENCES 62 00:02:39,960 --> 00:02:41,520 FOR DISABLED PEOPLE AND FOR 63 00:02:41,520 --> 00:02:43,520 THOSE WHO ARE RENDERED DISABLED 64 00:02:43,520 --> 00:02:46,280 BY THE VERY SOCIETIES THAT MUST 65 00:02:46,280 --> 00:02:49,880 SUPPORT THEIR FLOURISHING. 66 00:02:49,880 --> 00:02:53,720 HOWEVER, WE CAN BE INCREDIBLY 67 00:02:53,720 --> 00:02:56,160 HELPFUL. NOT ONLY IS NIH 68 00:02:56,160 --> 00:02:57,960 SYSTEMATICALLY CONFRONTING 69 00:02:57,960 --> 00:02:59,040 ABLEISM BUT ALSO IN THE 70 00:02:59,040 --> 00:03:01,080 BIOMEDICAL COMMUNITY AND SOCIETY 71 00:03:01,080 --> 00:03:03,000 AT LARGE THERE IS INCREASING 72 00:03:03,000 --> 00:03:04,640 ACKNOWLEDGMENT OF WHAT HAS 73 00:03:04,640 --> 00:03:06,400 ALWAYS BEEN THERE. THE 74 00:03:06,400 --> 00:03:07,640 FUNDAMENTAL IMPORTANCE OF THE 75 00:03:07,640 --> 00:03:08,960 LIVED EXPERIENCES OF DISABLED 76 00:03:08,960 --> 00:03:11,200 PEOPLE. AND THE DRIVE TOWARDS 77 00:03:11,200 --> 00:03:15,000 DISABILITY RIGHTS. FOR MANY 78 00:03:15,000 --> 00:03:17,480 YEARS, DISABLED PERSPECTIVES 79 00:03:17,480 --> 00:03:19,640 WERE OFTEN IGNORED, DISCOURAGED 80 00:03:19,640 --> 00:03:22,840 IN BIOMEDICAL RESEARCH WITHIN 81 00:03:22,840 --> 00:03:24,320 WIDER SOCIETY BUT AS EVIDENCED 82 00:03:24,320 --> 00:03:25,440 BY THE CONTINUING CONVERSATIONS 83 00:03:25,440 --> 00:03:27,640 WE ARE HAVING HERE TODAY, 84 00:03:27,640 --> 00:03:30,320 DISABLED PEOPLE ARE EXPERTS, 85 00:03:30,320 --> 00:03:31,880 THEY ARE EXPERTS ON THEIR OWN 86 00:03:31,880 --> 00:03:33,680 FORM OF FLOURISHING, ON THEIR 87 00:03:33,680 --> 00:03:35,320 HEALTHCARE AND MEDICAL NEEDS, 88 00:03:35,320 --> 00:03:36,920 AND HOW THEY WOULD LIKE TO 89 00:03:36,920 --> 00:03:41,440 APPROACH THEIR OWN FUTURES. 90 00:03:41,440 --> 00:03:45,200 HEALTHCARE PROFESSIONALS AND 91 00:03:45,200 --> 00:03:46,800 DISABLED PEOPLE OFTEN BEGAN AT 92 00:03:46,800 --> 00:03:48,920 DIFFERENT PLACES AND DIFFERENT 93 00:03:48,920 --> 00:03:50,840 SPACES. BUT THE POTENTIALITIES 94 00:03:50,840 --> 00:03:54,600 FOR DIALOGUE ENGAGEMENT, 95 00:03:54,600 --> 00:03:56,480 COLLABORATION, AND I THINK 96 00:03:56,480 --> 00:03:58,480 HEALING AND JUSTICE ARE ALMOST 97 00:03:58,480 --> 00:03:59,960 LIMITLESS BECAUSE OF THE 98 00:03:59,960 --> 00:04:01,920 INCREASING ACKNOWLEDGMENT THAT 99 00:04:01,920 --> 00:04:03,840 OUR HEALTHCARE AND OUR SOCIETY 100 00:04:03,840 --> 00:04:06,800 IS THAT MUCH RICHER THROUGH THE 101 00:04:06,800 --> 00:04:10,360 NECESSARY INCLUSION OF DISABLED 102 00:04:10,360 --> 00:04:11,320 VOICES. THOUGH MUCH WORK NEEDS 103 00:04:11,320 --> 00:04:15,200 TO BE DONE.FUL TODAY'S 104 00:04:15,200 --> 00:04:16,560 DISCUSSIONS WILL NOT ONLY 105 00:04:16,560 --> 00:04:18,920 CONTINUE OUR DIALOGUE ABOUT 106 00:04:18,920 --> 00:04:20,760 ABLEISM AND SCIENCE AND THE 107 00:04:20,760 --> 00:04:23,400 SCIENTIFIC WORK FORCE BUT AS 108 00:04:23,400 --> 00:04:24,880 IMPORTANTLY UNDERSCORE THOUGH 109 00:04:24,880 --> 00:04:27,000 THE HARMS ARE GRAVE, THE 110 00:04:27,000 --> 00:04:30,240 OPPORTUNITIES ARE ENDLESS. SO 111 00:04:30,240 --> 00:04:31,880 WITH ALL THAT SAID BEFORE WE 112 00:04:31,880 --> 00:04:33,920 BEGIN I HAVE A FEW ZOOM 113 00:04:33,920 --> 00:04:35,920 HOUSEKEEPING NOTES. SO CAN WE 114 00:04:35,920 --> 00:04:37,840 SHOW THOSE SLIDES? HOUSEKEEPING 115 00:04:37,840 --> 00:04:40,440 ITEMS. PLEASE NOTE THAT THIS 116 00:04:40,440 --> 00:04:43,600 MEETING IS BEING RECORDED. AND 117 00:04:43,600 --> 00:04:45,760 PLEASE MUTE YOUR MIKE AND TURN 118 00:04:45,760 --> 00:04:47,840 YOUR CAMERA OFF IF YOU ARE NOT 119 00:04:47,840 --> 00:04:48,880 SPEAKING. IF YOU ARE 120 00:04:48,880 --> 00:04:50,760 EXPERIENCING TECHNICAL ISSUES AT 121 00:04:50,760 --> 00:04:52,240 ANY TIME DURING THE SESSION, 122 00:04:52,240 --> 00:04:57,800 SEND A CHAT TO THE HOSTS. 123 00:04:57,800 --> 00:05:03,680 ALTERNATIVELY YOU CAN EMAIL 124 00:05:03,680 --> 00:05:06,400 ABUCKLEY@INFINITYCONFERENCES.COM 125 00:05:06,400 --> 00:05:16,440 . 126 00:05:20,680 --> 00:05:29,840 AND S STARK. 127 00:05:29,840 --> 00:05:36,040 SSTARKE@INFINITYCONFERENCESCONF. 128 00:05:36,040 --> 00:05:37,800 AND PUT TECH SUPPORT IN THE 129 00:05:37,800 --> 00:05:38,840 EMAIL SUBJECT LINE. NEXT SLIDE 130 00:05:38,840 --> 00:05:44,320 PLEASE. TO TURN ON CLOSE 131 00:05:44,320 --> 00:05:45,400 CAPTIONS, CLICK THE CLOSE 132 00:05:45,400 --> 00:05:47,800 CAPTION ICON IN YOUR TASK BAR. 133 00:05:47,800 --> 00:05:50,360 TO ADJUST THE SIZE OF THE 134 00:05:50,360 --> 00:05:52,480 CAPTIONS CLICK THE CARAT NEXT TO 135 00:05:52,480 --> 00:05:54,080 THE CAPTION ICON THEN CLICK 136 00:05:54,080 --> 00:05:56,320 CAPTION SETTINGS. PULL THE DOT 137 00:05:56,320 --> 00:06:00,080 ON THE SLIDER TO ADJUST THE SIZE 138 00:06:00,080 --> 00:06:02,200 OF THE CAPTIONS. NEXT SLIDE 139 00:06:02,200 --> 00:06:08,840 PLEASE. QUESTIONS. SELECT THE 140 00:06:08,840 --> 00:06:10,720 Q&A BUTTON IN THE TASK BAR ON 141 00:06:10,720 --> 00:06:12,640 YOUR SCREEN TO SUBMIT A QUESTION 142 00:06:12,640 --> 00:06:15,320 FOR TODAY'S PANELISTS. ENTER 143 00:06:15,320 --> 00:06:19,480 YOUR QUESTION INTO THE Q&A PANEL 144 00:06:19,480 --> 00:06:21,360 THEN SEND -- THEN SELECT THE 145 00:06:21,360 --> 00:06:26,560 SEND BUTTON. NEXT SLIDE PLEASE. 146 00:06:26,560 --> 00:06:32,960 OKAY. SO NOW WE WILL SEE A 147 00:06:32,960 --> 00:06:34,720 CONVERSATION BETWEEN DR. THERESA 148 00:06:34,720 --> 00:06:37,800 CRUZ AND DISABLE ADVOCATE 149 00:06:37,800 --> 00:06:38,440 GAELYNN LEA. THANK YOU VERY 150 00:06:38,440 --> 00:06:47,960 MUCH. 151 00:06:47,960 --> 00:06:49,680 >>WELCOME TO DAY TWO OF NIH 152 00:06:49,680 --> 00:06:51,000 ABLEISM IN MEDICINE AND CLINICAL 153 00:06:51,000 --> 00:06:54,960 RESEARCH WORKSHOP. MY NAME IS 154 00:06:54,960 --> 00:06:55,680 THERESA CRUZ, DIRECT STORE OF 155 00:06:55,680 --> 00:06:58,400 THE NATIONAL CENTER FOR MEDICAL 156 00:06:58,400 --> 00:07:00,320 REHABILITATION RESEARCH AT THE 157 00:07:00,320 --> 00:07:02,360 EUNICE KENNEDY SHRIVER NATIONAL 158 00:07:02,360 --> 00:07:03,400 INSTITUTE OF CHILD HEALTH AND 159 00:07:03,400 --> 00:07:06,480 HUMAN DEVELOPMENT. I AM A MIDDLE 160 00:07:06,480 --> 00:07:08,800 AGED WHITE WOMAN WITH CHIN 161 00:07:08,800 --> 00:07:10,240 LENGTH BROWN HAIR AND BLUE EYES 162 00:07:10,240 --> 00:07:13,280 AND I'M WEARING A NAVY BLUE TOP. 163 00:07:13,280 --> 00:07:15,760 IT IS MY PLEASURE TO WELCOME YOU 164 00:07:15,760 --> 00:07:18,080 AND TO THANK YOU FOR JOINING US 165 00:07:18,080 --> 00:07:20,520 ON BEHALF OF THE LARGER PLANNING 166 00:07:20,520 --> 00:07:22,200 COMMITTEE AT NIH. THIS WORKSHOP 167 00:07:22,200 --> 00:07:24,960 HAS BEEN A TEAM EFFORT. IF YOU 168 00:07:24,960 --> 00:07:26,960 MISSED ANY OF YESTERDAY'S 169 00:07:26,960 --> 00:07:28,480 WONDERFUL SPEAKERS, THEY WERE 170 00:07:28,480 --> 00:07:29,720 RECORDED AND YOU WILL GET A 171 00:07:29,720 --> 00:07:33,480 CHANCE TO VIEW THEM ON NIH'S 172 00:07:33,480 --> 00:07:35,520 VIDEOCAST NEXT WEEK. TODAY'S 173 00:07:35,520 --> 00:07:36,160 CONFERENCE IS ALSO BEING 174 00:07:36,160 --> 00:07:42,600 RECORDED. WE ARE GOING TO START 175 00:07:42,600 --> 00:07:44,040 TODAY'S AGENDA WITH A SPECIAL 176 00:07:44,040 --> 00:07:48,560 TREAT. OUR GUEST IS GAELYNN 177 00:07:48,560 --> 00:07:51,680 LEA, GAELYNN IS A DISABILITY 178 00:07:51,680 --> 00:07:53,960 ADVOCATE AND AWARD-WINNING COME 179 00:07:53,960 --> 00:07:57,920 POSER AND MUSICAL ARTIST. SHE 180 00:07:57,920 --> 00:08:01,160 WAS 2016 NPR TINY DESK WINNER. 181 00:08:01,160 --> 00:08:02,840 THANK YOU, GAELYNN, FOR JOINING 182 00:08:02,840 --> 00:08:05,320 US AND AGREEING TO SPEAK WITH ME 183 00:08:05,320 --> 00:08:05,520 TODAY. 184 00:08:05,520 --> 00:08:08,080 >>THANK YOU SO MUCH FOR HAVING 185 00:08:08,080 --> 00:08:10,160 ME. I JUST WANTED TO DO A QUICK 186 00:08:10,160 --> 00:08:12,160 VISUAL DESCRIPTION, I'M A SMALL 187 00:08:12,160 --> 00:08:13,960 WHITE WOMAN, SEATED IN A 188 00:08:13,960 --> 00:08:15,600 ELECTRIC WHEELCHAIR WITH MY DARK 189 00:08:15,600 --> 00:08:18,200 HAIR PULLED UP WITH A PINK 190 00:08:18,200 --> 00:08:21,640 FLOWER CLIP AND A FLOURAL DRESS 191 00:08:21,640 --> 00:08:24,720 HOLDING MY VIOLIN UPRIGHT LIKE A 192 00:08:24,720 --> 00:08:26,440 CELLO IN MY WHEELCHAIR. THANKS 193 00:08:26,440 --> 00:08:27,680 FOR HAVING ME TODAY. 194 00:08:27,680 --> 00:08:29,840 >>WONDERFUL. THANK YOU START BY 195 00:08:29,840 --> 00:08:31,080 TELLING AUDIENCE A LITTLE BIT 196 00:08:31,080 --> 00:08:33,520 ABOUT YOURSELF? 197 00:08:33,520 --> 00:08:36,480 >>YEAH. I'M A VIOLINIST FIRST 198 00:08:36,480 --> 00:08:39,520 AND FOREMOST, I STARTED PLAYING 199 00:08:39,520 --> 00:08:42,960 BACK IN 5TH GRADE THANKS TO THE 200 00:08:42,960 --> 00:08:44,520 HELP OF CREATIVE MUSIC TEACHER 201 00:08:44,520 --> 00:08:47,280 WE WERE ABLE TO ADAPT I PLAYED 202 00:08:47,280 --> 00:08:49,400 INSTRUMENT AND PLAY IT LIKE A 203 00:08:49,400 --> 00:08:52,760 CELLO IN MY WHEELCHAIR. I HAVE 204 00:08:52,760 --> 00:08:55,240 BEEN PERFORMING EVER SINCE AND 205 00:08:55,240 --> 00:08:57,480 BECAME A SONG WRITER MUCH LATER 206 00:08:57,480 --> 00:09:00,080 AT AGE 27 I WROTE MY FIRST SONG. 207 00:09:00,080 --> 00:09:02,560 A FEW YEARS LATER WON THE TINY 208 00:09:02,560 --> 00:09:04,240 DESK CONTEST AND STARTED TOURING 209 00:09:04,240 --> 00:09:06,080 AND DOING A LOT OF PUBLIC 210 00:09:06,080 --> 00:09:07,880 SPEAKING AS WELL ABOUT 211 00:09:07,880 --> 00:09:10,120 ACCESSIBILITY IN THE MUSIC 212 00:09:10,120 --> 00:09:14,720 INDUSTRY AND RECENTLY IN 2021 213 00:09:14,720 --> 00:09:15,720 CO-FOUNDED AN ORGANIZATION 214 00:09:15,720 --> 00:09:18,960 CALLED RAMPED RECORDING ARTIST 215 00:09:18,960 --> 00:09:20,200 MUSIC PROFESSIONALS WITH 216 00:09:20,200 --> 00:09:24,440 DISABILITIES. I'M LOCATED IN 217 00:09:24,440 --> 00:09:24,720 MINNESOTA. 218 00:09:24,720 --> 00:09:28,040 >>THANK YOU. THIS CONFERENCE 219 00:09:28,040 --> 00:09:29,840 TODAY SUBPOENA ABOUT ABLEISM, 220 00:09:29,840 --> 00:09:31,320 WHICH IS STEEPED IN A NEGATIVE 221 00:09:31,320 --> 00:09:32,760 BIAS AND NEGATIVE ASSUMPTION 222 00:09:32,760 --> 00:09:36,080 ABOUT DISABILITY. YOU HAVE 223 00:09:36,080 --> 00:09:38,040 SPOKEN PUBLICLY ABOUT HOW YOUR 224 00:09:38,040 --> 00:09:40,720 DISABILITY HAS GIVEN YOU 225 00:09:40,720 --> 00:09:44,080 FREEDFREEDOM. CAN YOU TALK ABOUR 226 00:09:44,080 --> 00:09:46,560 MIND SET AND HOW THAT IMPACTS 227 00:09:46,560 --> 00:09:47,200 YOUR LIFE? 228 00:09:47,200 --> 00:09:50,000 >>YEAH. I BELIEVE FIRST AND 229 00:09:50,000 --> 00:09:52,480 FOREMOST THAT DISABILITY IS A 230 00:09:52,480 --> 00:09:54,920 FORM OF DIVERSITY THAT CAN BE 231 00:09:54,920 --> 00:09:56,480 CELEBRATED AND SUPPORTED KIND OF 232 00:09:56,480 --> 00:09:59,640 LIKE ANY OTHER FORM OF DIVERSITY 233 00:09:59,640 --> 00:10:03,560 OF BODY OR MIND. SO FOR ME 234 00:10:03,560 --> 00:10:08,000 DISABILITY ALLOWED ME TO KIND OF 235 00:10:08,000 --> 00:10:08,880 UNFORTUNATELY BECAUSE OF THE WAY 236 00:10:08,880 --> 00:10:12,360 OUR SOCIETY SORT OF PUTS 237 00:10:12,360 --> 00:10:13,560 DISABILITY OFF TO THE SIDE OR 238 00:10:13,560 --> 00:10:14,960 LEAVES IT OUT OF MANY 239 00:10:14,960 --> 00:10:16,120 DISCUSSIONS, IN A WAY THAT IS 240 00:10:16,120 --> 00:10:17,120 TERRIBLE AND OBVIOUSLY I WANT TO 241 00:10:17,120 --> 00:10:18,680 SEE THAT CHANGE BUT IT ALSO 242 00:10:18,680 --> 00:10:21,800 ALLOWED ME TO RECOGNIZE THAT 243 00:10:21,800 --> 00:10:27,800 MANY OF THE STANDARD AND 244 00:10:27,800 --> 00:10:30,200 EXPECTATIONS AND THE BOUNDARIES 245 00:10:30,200 --> 00:10:31,680 THAT SOCIETY PUTS ON US ARE NOT 246 00:10:31,680 --> 00:10:32,800 REALLY THERE FOR OUR BENEFIT, 247 00:10:32,800 --> 00:10:34,000 THEY ARE THERE TO KEEP US IN 248 00:10:34,000 --> 00:10:36,120 LINE. SO WITH DISABILITY PUTTING 249 00:10:36,120 --> 00:10:39,600 ME ON THE FRINGES I WAS ABLE TO 250 00:10:39,600 --> 00:10:41,360 DEVELOP THIS SENSE OF IDENTITY 251 00:10:41,360 --> 00:10:44,040 THAT FEELS VERY FREE FROM 252 00:10:44,040 --> 00:10:46,560 LIMITATIONS THAT SOCIETY MIGHT 253 00:10:46,560 --> 00:10:50,560 PUT ON ME. I THINK THE FORM OF 254 00:10:50,560 --> 00:10:53,440 KISS ABILITY, THAT REALLY EVEN 255 00:10:53,440 --> 00:10:55,360 IS EMBRACE THIS MIND SET OF 256 00:10:55,360 --> 00:10:57,080 FREEDOM, YOU DON'T HAVE TO BE 257 00:10:57,080 --> 00:10:58,880 DISABLED TO RECOGNIZE THAT YOU 258 00:10:58,880 --> 00:11:01,080 HAVE THE RIGHT TO BE THE 259 00:11:01,080 --> 00:11:02,200 AUTHENTIC VERSION OF YOU NO 260 00:11:02,200 --> 00:11:04,200 MATTER WHO YOU ARE. BUT 261 00:11:04,200 --> 00:11:06,040 DISABILITY JUST HELPED ME 262 00:11:06,040 --> 00:11:07,800 REALIZE THAT FREEDOM, THE INNER 263 00:11:07,800 --> 00:11:10,440 FREEDOM I FEEL AT A YOUNGER AGE 264 00:11:10,440 --> 00:11:11,480 I THINK BECAUSE I WASN'T 265 00:11:11,480 --> 00:11:15,440 INCLUDED IN A LOT OF THE 266 00:11:15,440 --> 00:11:17,160 NORMATIVE STANDARDS OR 267 00:11:17,160 --> 00:11:18,440 EXPECTATIONS THAT A LOT OF MY 268 00:11:18,440 --> 00:11:23,000 PEERS WERE. 269 00:11:23,000 --> 00:11:24,800 >>YOU HAVE ALSO SPOKEN ABOUT 270 00:11:24,800 --> 00:11:26,200 THE REPRODUCTIVE HEALTH NEEDS OF 271 00:11:26,200 --> 00:11:28,160 PEOPLE WITH DISABILITIES. THAT 272 00:11:28,160 --> 00:11:32,240 WAS A TOPIC THAT WE COVERED 273 00:11:32,240 --> 00:11:34,960 YESTERDAY IN MONICA'S TALK. IF 274 00:11:34,960 --> 00:11:36,880 YOU COULD SPEAK TO CLINICIANS, 275 00:11:36,880 --> 00:11:39,800 WHO PROVIDE REPRODUCTIVE 276 00:11:39,800 --> 00:11:42,200 HEALTHCARE, WHAT WOULD YOU LIKE 277 00:11:42,200 --> 00:11:44,200 THEM TO KNOW HOW THEY ENGAGE 278 00:11:44,200 --> 00:11:48,640 WITH PATIENTS WITH DISABILITIES 279 00:11:48,640 --> 00:11:51,880 I THINK THE BIGGEST THING THAT I 280 00:11:51,880 --> 00:11:53,480 HAVE FELT ESPECIALLY AROUND 281 00:11:53,480 --> 00:11:55,000 REPRODUCTIVE HEALTH 282 00:11:55,000 --> 00:11:56,320 SPECIFICALLY, IS THAT A LOT OF 283 00:11:56,320 --> 00:11:59,440 TIMES DOCTORS COME IN THIS WITH 284 00:11:59,440 --> 00:12:01,280 ASSUMPTIONS ABOUT WHAT I MIGHT 285 00:12:01,280 --> 00:12:05,760 WANT OR WHAT RELATIONSHIPS I 286 00:12:05,760 --> 00:12:08,560 MIGHT BE IN OR THE VALUES I HOLD 287 00:12:08,560 --> 00:12:10,480 OR CAPABILITIES THAT I WOULD 288 00:12:10,480 --> 00:12:13,000 HAVE IN LIFE. I THINK JUST 289 00:12:13,000 --> 00:12:16,640 RECOGNIZING THAT YOU ARE A 290 00:12:16,640 --> 00:12:17,800 PERSON RAISED IN A SOCIETY THAT 291 00:12:17,800 --> 00:12:19,920 DIDN'T TALK ABOUT DISABILITY OR 292 00:12:19,920 --> 00:12:21,840 EDUCATE AROUND SEXUALITY AND 293 00:12:21,840 --> 00:12:23,000 DISABILITY BASICALLY AT ALL, 294 00:12:23,000 --> 00:12:25,720 JUST TO RECOGNIZE THAT YOU 295 00:12:25,720 --> 00:12:27,200 PROBABLY DO HAVE ASSUMPTIONS AND 296 00:12:27,200 --> 00:12:31,560 TO REALLY WORK HARD TO LEAVE 297 00:12:31,560 --> 00:12:32,840 THOSE AT THE DOOR AND ASK 298 00:12:32,840 --> 00:12:34,120 QUESTIONS, WHAT DO YOU WANT? 299 00:12:34,120 --> 00:12:36,360 WHAT DO YOU THINK? WHAT ARE YOUR 300 00:12:36,360 --> 00:12:38,080 RELATIONSHIPS LIKE? TO REALLY 301 00:12:38,080 --> 00:12:40,960 LEAVE IT UP TO BE DIRECTED BY 302 00:12:40,960 --> 00:12:42,760 THE DISABLED PERSON THAT YOU ARE 303 00:12:42,760 --> 00:12:46,080 TAKING CARE OF BECAUSE IT 304 00:12:46,080 --> 00:12:49,800 DOESN'T HELP CREATE ENVIRONMENT 305 00:12:49,800 --> 00:12:51,560 OF TRUST IF YOU RECOGNIZE YOUR 306 00:12:51,560 --> 00:12:54,720 DOCTOR IS COMING AT A DISCUSSION 307 00:12:54,720 --> 00:12:56,800 WITH A VERY SPECIFIC VIEW IN 308 00:12:56,800 --> 00:12:58,440 MIND. THAT YOU HAVE TO EDUCATE 309 00:12:58,440 --> 00:13:00,640 YOUR DOCTOR ABOUT THE REALITY OF 310 00:13:00,640 --> 00:13:02,920 YOUR LIFE. IT IS MUCH, MUCH 311 00:13:02,920 --> 00:13:06,160 EASIER WHEN THERE IS AN OPEN 312 00:13:06,160 --> 00:13:09,080 DIALOGUE. CURIOSITY RATHER THAN 313 00:13:09,080 --> 00:13:10,320 ASSUMPTION SO THE BIGGEST THING 314 00:13:10,320 --> 00:13:11,880 FOR ME IS TO LEAVE ASSUMPTIONS 315 00:13:11,880 --> 00:13:13,800 AT THE DOOR. ALSO TO RECOGNIZE 316 00:13:13,800 --> 00:13:18,600 DISABLED PEOPLE WANT AND NEED 317 00:13:18,600 --> 00:13:20,440 THE SAME THINGS AS EVERYBODY 318 00:13:20,440 --> 00:13:21,640 ELSE BUT JUST MIGHT NEED SUPPORT 319 00:13:21,640 --> 00:13:23,240 IN DOING THESE THINGS SO NEVER 320 00:13:23,240 --> 00:13:24,800 REALLY WRITING ANYTHING OFF AS A 321 00:13:24,800 --> 00:13:28,000 BARRIER THAT CAN'T BE OVERCOME 322 00:13:28,000 --> 00:13:30,160 BUT RATHER SOMETHING THAT NIGHT 323 00:13:30,160 --> 00:13:32,920 NEED EXTRA ATTENTION OR EXTRA 324 00:13:32,920 --> 00:13:34,160 SUPPORT ESPECIALLY REPRODUCTIVE 325 00:13:34,160 --> 00:13:35,360 HEALTH AND PARENTING AND 326 00:13:35,360 --> 00:13:39,320 SEXUALITY AND ALL THOSE AREAS 327 00:13:39,320 --> 00:13:40,560 WHERE WE MIGHT NOT TALK ABOUT IT 328 00:13:40,560 --> 00:13:42,040 REGULARLY WITH OUR MAIN DOCTOR, 329 00:13:42,040 --> 00:13:43,280 IT IS REALLY IMPORTANT TO GO 330 00:13:43,280 --> 00:13:45,960 INTO IT WITH AN OPEN MIND AND 331 00:13:45,960 --> 00:13:48,040 THEN SAY WHAT KIND OF SUPPORT DO 332 00:13:48,040 --> 00:13:51,120 YOU NEED, IS THERE ANYTHING YOU 333 00:13:51,120 --> 00:13:53,080 NEED. THEN FILL OUT AN OPEN 334 00:13:53,080 --> 00:13:56,520 DIALOGUE AND JUST RECOGNIZING WE 335 00:13:56,520 --> 00:14:00,280 ARE ALL FULL, DIVERSE CAPABLE OF 336 00:14:00,280 --> 00:14:02,000 LOVE HUMAN BEINGS THAT NEED THE 337 00:14:02,000 --> 00:14:05,080 SAME THINGS THAT ANY OTHER 338 00:14:05,080 --> 00:14:07,720 PATIENT NEEDS. 339 00:14:07,720 --> 00:14:09,720 >>OBVIOUSLY YOUR PASSION AND 340 00:14:09,720 --> 00:14:13,200 YOUR VOCATION IS THE MUSICAL 341 00:14:13,200 --> 00:14:14,480 ARTS AND INCLUSION FOR PEOPLE 342 00:14:14,480 --> 00:14:16,800 WITH DISABILITIES IN THE ARTS. 343 00:14:16,800 --> 00:14:19,640 NIH SHARES YOUR INTEREST IN THIS 344 00:14:19,640 --> 00:14:22,880 INTERSECTION OF HEALTH AND MUSIC 345 00:14:22,880 --> 00:14:31,000 IN PARTICULAR, IN 2017 NIH 346 00:14:31,000 --> 00:14:32,240 LAUNCHED THE PROGRAM AND THE 347 00:14:32,240 --> 00:14:33,840 NATIONAL CENTER FOR ARTS AND 348 00:14:33,840 --> 00:14:35,120 NATIONAL ORCHESTRA AND NATIONAL 349 00:14:35,120 --> 00:14:36,480 ENDOWMENT OF THE ARTS SO WE HAVE 350 00:14:36,480 --> 00:14:38,320 A LOT OF COMMONALITIES. WE DID 351 00:14:38,320 --> 00:14:42,320 THAT BECAUSE WE WANTED TO 352 00:14:42,320 --> 00:14:44,640 UNDERSTAND HOW MUSIC IMPROVES 353 00:14:44,640 --> 00:14:46,880 HEALTH AND WELLNESS PARTICULARLY 354 00:14:46,880 --> 00:14:48,160 BRAIN HEALTH. CAN YOU TALK A 355 00:14:48,160 --> 00:14:49,440 LITTLE BIT ABOUT HOW MUSIC 356 00:14:49,440 --> 00:14:52,520 AFFECTED YOUR HEALTH? 357 00:14:52,520 --> 00:14:53,760 >>THAT IS AN INTERESTING 358 00:14:53,760 --> 00:14:54,760 QUESTION. OBVIOUSLY MUSIC HAS 359 00:14:54,760 --> 00:14:58,200 HAD A TREMENDOUSLY POSITIVE 360 00:14:58,200 --> 00:15:00,920 EFFECT ON MY WELLING WITH AND MY 361 00:15:00,920 --> 00:15:02,600 MENTAL HEALTH I THINK. BUT THE 362 00:15:02,600 --> 00:15:03,800 REALITY, THIS IS WHERE I WANT 363 00:15:03,800 --> 00:15:05,560 THE WORLD TO GET TO AT SOME 364 00:15:05,560 --> 00:15:07,360 POINT IS THAT IT ACTUALLY DOES 365 00:15:07,360 --> 00:15:11,120 THAT FOR EVERYBODY. SO 366 00:15:11,120 --> 00:15:12,680 DISABILITY OR NO DISABILITY, 367 00:15:12,680 --> 00:15:14,480 MUSIC IS JUST AN EXTREMELY 368 00:15:14,480 --> 00:15:16,240 VIBRANT AND IT TOUCHES US IN A 369 00:15:16,240 --> 00:15:18,120 WAY THAT VERY FEW OTHER THINGS 370 00:15:18,120 --> 00:15:21,120 DO. . SO IT BOOSTS YOUR MENTAL 371 00:15:21,120 --> 00:15:25,400 HEALTH AND YOUR SEASO SENSE OF L 372 00:15:25,400 --> 00:15:27,280 BEING. WHEN I DEALT WITH ANXIETY 373 00:15:27,280 --> 00:15:30,400 OR DEPRESSION BEFORE I PLAY, I 374 00:15:30,400 --> 00:15:31,880 ALWAYS FEEL WORSE THAN AFTER I'M 375 00:15:31,880 --> 00:15:33,320 DONE. I ALWAYS FEEL BETTER. BUT 376 00:15:33,320 --> 00:15:36,240 I DON'T THINK OF DISABILITY AS 377 00:15:36,240 --> 00:15:38,240 SOME FORM OF LIKE SOME GROUP 378 00:15:38,240 --> 00:15:39,480 THAT NEEDS MUSIC MORE THAN 379 00:15:39,480 --> 00:15:41,440 ANOTHER GROUP. I REALLY FEEL 380 00:15:41,440 --> 00:15:43,200 THAT WE ALL BENEFIT FROM MUSIC, 381 00:15:43,200 --> 00:15:44,480 FOR THE SAME REASONS BECAUSE IT 382 00:15:44,480 --> 00:15:47,920 IS A UNIVERSAL THING. AND I'M 383 00:15:47,920 --> 00:15:50,080 GLAD WE ARE RECOGNIZING DISABLED 384 00:15:50,080 --> 00:15:52,720 PEOPLE ALSO NEED ACCESS TO MUSIC 385 00:15:52,720 --> 00:15:54,320 AND SUPPORT AND ENCOURAGEMENT 386 00:15:54,320 --> 00:15:56,080 AND ADAPTATION, THAT IS A REALLY 387 00:15:56,080 --> 00:15:58,760 BIG ONE, ENCOURAGING THE 388 00:15:58,760 --> 00:16:00,320 ADAPTATIONS FOR EXAMPLE THAT I 389 00:16:00,320 --> 00:16:01,280 HAVE BEEN ABLE TO FIGURE OUT 390 00:16:01,280 --> 00:16:02,840 WITH THE HELP OF TEACHERS, ALL 391 00:16:02,840 --> 00:16:05,240 THAT IS SUPER IMPORTANT. BUT IT 392 00:16:05,240 --> 00:16:07,920 IS BECAUSE MUSIC IS UNIVERSALLY 393 00:16:07,920 --> 00:16:09,760 GOOD FOR OUR WELL BEING, THAT IS 394 00:16:09,760 --> 00:16:11,560 IMPORTANT TO INCLUDE DISABILITY 395 00:16:11,560 --> 00:16:18,880 WHEN THINKING OF MUSIC. 396 00:16:18,880 --> 00:16:21,080 >>I WANTED TO WRAP UP BY SAYING 397 00:16:21,080 --> 00:16:22,640 THANK YOU FOR JOINING US TODAY 398 00:16:22,640 --> 00:16:24,280 AND SHARING YOUR PERSPECTIVE AND 399 00:16:24,280 --> 00:16:25,520 YOUR EXPERIENCE. MAYBE YOU CAN 400 00:16:25,520 --> 00:16:30,120 HELP THE REST OF US IMPROVE OUR 401 00:16:30,120 --> 00:16:32,240 HEALTH BY TREATING US TO SOME OF 402 00:16:32,240 --> 00:16:34,200 YOUR MUSICAL TALENTS ON THIS 403 00:16:34,200 --> 00:16:35,440 SECOND DAY OF THE WORKSHOP. 404 00:16:35,440 --> 00:16:36,600 >>AWESOME. I WOULD LOVE THAT. 405 00:16:36,600 --> 00:16:40,880 THANK YOU FOR HAVING ME. I'M 406 00:16:40,880 --> 00:16:42,920 GOING TO PERFORM TWO SONGS FOR 407 00:16:42,920 --> 00:16:45,360 YOU THIS MORNING. THE FIRST SONG 408 00:16:45,360 --> 00:16:47,800 IS CALLED WATCH THE WORLD 409 00:16:47,800 --> 00:16:49,640 UNFOLD. AND IT IS ABOUT NOT 410 00:16:49,640 --> 00:16:51,560 BEING SO HARD ON YOURSELF WHEN 411 00:16:51,560 --> 00:17:02,120 YOU MAKE A MISTAKE. HERE WE GO. 412 00:18:19,960 --> 00:18:22,760 ♪ PUSH IT UP, PUSH IT UP JUST 413 00:18:22,760 --> 00:18:26,800 LIKE YOU SEE, BUT YOU OVER QUITE 414 00:18:26,800 --> 00:18:29,680 A FLOWER, IF YOU -- LIKE A WEED, 415 00:18:29,680 --> 00:18:31,360 DRIVING THROUGH, DRIVING THROUGH 416 00:18:31,360 --> 00:18:34,160 KNOWING WHERE YOU ARE GOING BUT 417 00:18:34,160 --> 00:18:35,680 THE WINDSHIELD IS ALWAYS DIRTY 418 00:18:35,680 --> 00:18:39,520 AND YOU NEVER GET TO SEE, WHAT 419 00:18:39,520 --> 00:18:41,040 MAKES YOU THINK THAT YOU WILL 420 00:18:41,040 --> 00:18:42,320 EVER GET THERE ♪ 421 00:18:42,320 --> 00:18:46,480 ♪ WHAT MAKES YOU THINK YOU 422 00:18:46,480 --> 00:18:49,480 DESERVE TO KNOW, WHO ARE YOU 423 00:18:49,480 --> 00:18:52,280 REALLY, ARE YOU SO IMPORTANT, 424 00:18:52,280 --> 00:18:57,880 TAKE A LOOK AROUND AND WATCH THE 425 00:18:57,880 --> 00:19:02,240 WORLD UNFOLD, WATCH THE WORLD 426 00:19:02,240 --> 00:19:09,520 UNFOLD ♪ WATCH THE WORLD UNFOLD 427 00:19:09,520 --> 00:19:20,000 ♪ WATCH THE WORLD UNFOLD ♪ 428 00:19:33,840 --> 00:19:35,600 NEED ADVICE, NEED ADVICE, YOU 429 00:19:35,600 --> 00:19:40,960 HAVE NO CLUE WHAT YOU ARE DOING, 430 00:19:40,960 --> 00:19:43,960 AN IDENTITY UNHINGED, WHERE THE 431 00:19:43,960 --> 00:19:46,880 TURN, WHERE TO TURN, THERE'S SO 432 00:19:46,880 --> 00:19:49,320 MANY OPINIONS, AND THEY ARE ALL 433 00:19:49,320 --> 00:19:51,480 A LITTLE DIFFERENT AND THE 434 00:19:51,480 --> 00:19:54,800 OUTLETS GET YOU DOWN, WHAT MAKES 435 00:19:54,800 --> 00:19:56,640 YOU THINK THAT YOU WILL EVER GET 436 00:19:56,640 --> 00:20:01,320 THERE, WHAT MAKES YOU THINK YOU 437 00:20:01,320 --> 00:20:04,800 DESERVE TO KNOW, WHO ARE YOU 438 00:20:04,800 --> 00:20:09,280 REALLY, ARE YOU SO IMPORTANT, 439 00:20:09,280 --> 00:20:13,280 TAKE LOOK AROUND AND WATCH THE 440 00:20:13,280 --> 00:20:20,560 WORLD UNFOLD, WATCH THE WORLD 441 00:20:20,560 --> 00:20:31,120 UNFOLD WATCH THE WORLD UNFOLD I 442 00:20:32,800 --> 00:20:43,280 WATCH THE WORLD UNFOLD PUSH IT 443 00:21:07,400 --> 00:21:11,520 UP, PUSH IT UP THROUGH THE DIRT 444 00:21:11,520 --> 00:21:14,040 BUT YOU'RE NEVER QUITE A FLOWER 445 00:21:14,040 --> 00:21:20,680 YOU FEEL MORE JUST LIKE A WEED 446 00:21:20,680 --> 00:21:23,400 THERE YOU GO. THE NEXT SONG THAT 447 00:21:23,400 --> 00:21:24,800 I'M GOING TO PERFORM FOR YOU 448 00:21:24,800 --> 00:21:28,560 TODAY IS CALLED I WAIT. THIS IS 449 00:21:28,560 --> 00:21:30,440 A SONG I WROTE SPECIFICALLY 450 00:21:30,440 --> 00:21:33,560 ABOUT THE DISABILITY RIGHTS 451 00:21:33,560 --> 00:21:35,960 MOVEMENT IN AMERICA AND 452 00:21:35,960 --> 00:21:37,400 SPECIFICALLY AROUND MAKING SURE 453 00:21:37,400 --> 00:21:38,560 DISABLED PEOPLE ARE INCLUDED 454 00:21:38,560 --> 00:21:40,400 WHEN WE ARE DISCUSSING CHANGES 455 00:21:40,400 --> 00:21:43,120 TO HEALTHCARE AND OTHER PROGRAMS 456 00:21:43,120 --> 00:21:44,600 THAT SUPPORT US IN OUR COMMUNITY 457 00:21:44,600 --> 00:21:46,680 AND MAKE IT POSSIBLE FOR US TO 458 00:21:46,680 --> 00:21:48,960 ACHIEVE OUR FULL POTENTIAL AND 459 00:21:48,960 --> 00:21:51,560 TO CONTRIBUTE TO SOCIETY AND 460 00:21:51,560 --> 00:21:52,960 OFTEN I FEEL LIKE EVERYONE IS 461 00:21:52,960 --> 00:21:54,720 INCLUDED IN THESE DISCUSSIONS 462 00:21:54,720 --> 00:21:55,280 EXCEPT DISABLED PEOPLE 463 00:21:55,280 --> 00:21:57,320 THEMSELVES. SO THIS WAS A SONG 464 00:21:57,320 --> 00:21:59,600 KIND OF BORN OUT OF FRUSTRATION 465 00:21:59,600 --> 00:22:02,920 AND A CALL TO THE REST OF 466 00:22:02,920 --> 00:22:03,960 SOCIETY TO REMEMBER TO INCLUDE 467 00:22:03,960 --> 00:22:07,480 PEOPLE WITH DISABLES AT ALL 468 00:22:07,480 --> 00:22:09,520 LEVELS OF -- DISABLES AT ALL 469 00:22:09,520 --> 00:22:10,960 LEVELS OF LEADERSHIP AND ALL 470 00:22:10,960 --> 00:22:12,160 LEVELS OF PROCESS AND GIVE US A 471 00:22:12,160 --> 00:22:13,280 SEAT AT THE TABLE. THIS IS 472 00:22:13,280 --> 00:22:24,040 CALLED I WAIT.CAN YOU SEE ME, 473 00:24:02,440 --> 00:24:05,080 WAY IN THE BACK HERE, I HAVE 474 00:24:05,080 --> 00:24:06,760 BEEN WAITING, I HAVE BEEN 475 00:24:06,760 --> 00:24:08,640 WAITING IN LINE, IT'S BEEN A 476 00:24:08,640 --> 00:24:11,720 LONG TIME, TO GET NO SERVICE, 477 00:24:11,720 --> 00:24:19,480 STILL I'M HOPING I AM HOPING FOR 478 00:24:19,480 --> 00:24:22,320 A SIGHT, THAT WHEN ONE DAY 479 00:24:22,320 --> 00:24:25,360 THINGS WILL CHANGE AND WE CAN 480 00:24:25,360 --> 00:24:29,760 FINALLY TAKE THE PLACE THAT 481 00:24:29,760 --> 00:24:37,800 HISTORY WON'T FORGET US OR, THE 482 00:24:37,800 --> 00:24:44,960 PAIN AS A WHILE AND SO I'LL 483 00:24:44,960 --> 00:24:53,480 WAIT. 484 00:24:53,480 --> 00:25:00,080 DID YOU KNOW THAT WHEN I GET 485 00:25:00,080 --> 00:25:01,520 ANGRY, I BREATHE FIRE, I CAN 486 00:25:01,520 --> 00:25:03,480 BURN THIS PLACE DOWN, YOU MAY 487 00:25:03,480 --> 00:25:09,000 NOT REALIZE ALL THIS MOMENT, I 488 00:25:09,000 --> 00:25:15,160 AM NOW JUST TAKE A LOOK AROUND, 489 00:25:15,160 --> 00:25:20,680 SO EVERYBODY KNOWS THAT YOU NEED 490 00:25:20,680 --> 00:25:26,320 A PLACE TO GO AND LIVING ISN'T 491 00:25:26,320 --> 00:25:31,120 EASY IF YOU INCINERATE YOUR HOME 492 00:25:31,120 --> 00:25:41,640 AND SO I STAY AND SO I STAY. I 493 00:25:51,160 --> 00:25:54,720 MAY SEEM AN DEGREE, SO PLEASE 494 00:25:54,720 --> 00:26:03,400 FORGIVE ME, BUT I AM STILL NOT 495 00:26:03,400 --> 00:26:07,800 FREE IN THIS SOCIETY, HOW LONG 496 00:26:07,800 --> 00:26:11,360 MUST WE KEEP FIGHTING FOR OUR 497 00:26:11,360 --> 00:26:21,880 RIGHT TO BE -- WE ARE ALL BETTER 498 00:26:22,480 --> 00:26:31,400 TO FOR GIVING -- FOR GIVING. SO 499 00:26:31,400 --> 00:26:33,560 IF YOU HEAR THEM MAKE CLAIMS OF 500 00:26:33,560 --> 00:26:36,600 PROGRESS, TAKE A GOOD LOOK AND 501 00:26:36,600 --> 00:26:39,880 SEE IF IT IS THERE, YOU NEED TO 502 00:26:39,880 --> 00:26:43,520 SEE NOW AT THE TABLE, TO PLEASE 503 00:26:43,520 --> 00:26:45,440 INVITE US OR DON'T PRETEND TO 504 00:26:45,440 --> 00:26:48,840 CARE. 505 00:26:48,840 --> 00:26:50,280 >>THANK YOU SO MUCH FOR HAVING 506 00:26:50,280 --> 00:26:52,880 ME. HAVE A WONDERFUL REST OF THE 507 00:26:52,880 --> 00:26:57,080 DAY. AND TAKE CARE. GAELYNN 508 00:26:57,080 --> 00:27:06,840 LEA. THANK YOU. THAT WAS REALLY 509 00:27:06,840 --> 00:27:10,560 MOVING. NOW WE WILL HAVE A 510 00:27:10,560 --> 00:27:12,240 KEYNOTE FROM JAIPREET VIRDI, 511 00:27:12,240 --> 00:27:13,640 ASSOCIATE PROFESSOR DEPARTMENT 512 00:27:13,640 --> 00:27:17,640 OF HISTORY AT THE UNIVERSITY OF 513 00:27:17,640 --> 00:27:18,680 DELAWARE WHOSE RESEARCH FOCUSES 514 00:27:18,680 --> 00:27:23,720 ON WAYS MEDICINE AND TECHNOLOGY 515 00:27:23,720 --> 00:27:25,480 IMPACT THE LIVED EXPERIENCES OF 516 00:27:25,480 --> 00:27:35,760 DISABLED PEOPLE. 517 00:27:36,920 --> 00:27:38,160 >>GOOD MORNING, EVERYONE. BY 518 00:27:38,160 --> 00:27:40,880 WAY OF AUDIO DESCRIPTION I'M A 519 00:27:40,880 --> 00:27:44,440 WOMAN WITH SHORT CURLY BLACK 520 00:27:44,440 --> 00:27:45,800 HAIR AND WEARING A PINK HEAD 521 00:27:45,800 --> 00:27:49,360 BAND AND GLASSES. I AM SITTING 522 00:27:49,360 --> 00:27:51,800 IN FRONT OF WALLPAPERED BACK 523 00:27:51,800 --> 00:27:53,560 WALL WITH PINK AND PURPLE 524 00:27:53,560 --> 00:27:57,640 DESIGN. I'M FROM DELAWARE. 525 00:27:57,640 --> 00:27:59,240 I WANT TO APOLOGIZE IN ADVANCE 526 00:27:59,240 --> 00:28:01,400 FOR ANY TECHNICAL ISSUES THAT 527 00:28:01,400 --> 00:28:06,200 MIGHT OCCUR AND VERY ASSORTMENTY 528 00:28:06,200 --> 00:28:08,120 WEATHER HERE IN NEWWARK. THE 529 00:28:08,120 --> 00:28:10,720 TITLE OF MY TALK TODAY IS ON 530 00:28:10,720 --> 00:28:12,680 HEREDITARY DEAFNESS, A HISTORY 531 00:28:12,680 --> 00:28:17,040 OF EUGENICS AND ABLEISM. AND 532 00:28:17,040 --> 00:28:18,800 THIS TALK GOES ON TO MY SECOND 533 00:28:18,800 --> 00:28:25,000 BOOK MANUSCRIPT. WHICH IS TITLED 534 00:28:25,000 --> 00:28:26,720 THE DEAFNESS PROBLEM IN MODERN 535 00:28:26,720 --> 00:28:33,560 BRITAIN. INCREASING CONCERN 536 00:28:33,560 --> 00:28:35,120 ABOUT HEREDITARY DEAFNESS IN THE 537 00:28:35,120 --> 00:28:37,000 LATE 19TH CENTURY SHAPED BY 538 00:28:37,000 --> 00:28:40,120 STATISTICS AND EUGENICS. AT THE 539 00:28:40,120 --> 00:28:42,320 CRUX OF HISTORY, IS THE 540 00:28:42,320 --> 00:28:46,240 PROFESSIONAL HISTORY OF ORAL 541 00:28:46,240 --> 00:28:47,720 SURGERY, NAMELY THE (INAUDIBLE) 542 00:28:47,720 --> 00:28:50,440 WHO SPECIALIZED IN DEAFNESS AND 543 00:28:50,440 --> 00:28:53,520 NEW DISEASES WHO REFER TO 544 00:28:53,520 --> 00:28:56,080 THEMSELVES AS ORAL SURGEONS AND 545 00:28:56,080 --> 00:29:00,240 BY CENTURY'S END AUDIOLOGISTS. 546 00:29:00,240 --> 00:29:02,640 WHILE PREDOMINANTLY APPROACH THE 547 00:29:02,640 --> 00:29:05,000 PEOPLE AND SUBJECTS FOR 548 00:29:05,000 --> 00:29:06,880 DEVELOPING THEORIES ON DISEASE 549 00:29:06,880 --> 00:29:10,320 CAUSATION AND HEARING LOSS, SOME 550 00:29:10,320 --> 00:29:11,200 ORAL SURGEONS CONSIDERED ACCESS 551 00:29:11,200 --> 00:29:13,400 TO LANGUAGE AND EDUCATION JUST 552 00:29:13,400 --> 00:29:17,000 AS ESSENTIAL AS MEDICAL CARE FOR 553 00:29:17,000 --> 00:29:18,800 A DEAF PERSON OVERALL WELL 554 00:29:18,800 --> 00:29:22,360 BEING. AS A RESULT THE EXTENDED 555 00:29:22,360 --> 00:29:24,480 PROFESSIONAL REACH BEYOND THE 556 00:29:24,480 --> 00:29:26,360 CLINICAL AND HOSPITAL SPACE 557 00:29:26,360 --> 00:29:28,480 TOWARD SCHOOLS FOR THE DEAF, 558 00:29:28,480 --> 00:29:31,280 POLICY AND LEGISLATION AND EVEN 559 00:29:31,280 --> 00:29:33,120 WITHIN BROADER CULTURAL 560 00:29:33,120 --> 00:29:33,840 CONVERSATIONS ABOUT SOCIAL 561 00:29:33,840 --> 00:29:37,760 WELFARE. THIS HAD SIGNIFICANT 562 00:29:37,760 --> 00:29:40,360 BEARING HOW MEDICAL AND SOCIAL 563 00:29:40,360 --> 00:29:42,800 ABLEISM AGAINST DEAF PEOPLE WERE 564 00:29:42,800 --> 00:29:44,440 ROOTED IN AN EXPECTATION FOR 565 00:29:44,440 --> 00:29:47,720 DEAF PEOPLE TO ADJUST TO HUMAN 566 00:29:47,720 --> 00:29:50,720 SOCIETY IF NOT BECOME HUMANS 567 00:29:50,720 --> 00:29:51,960 THEMSELVES AND PASS AS ABLE 568 00:29:51,960 --> 00:29:58,200 BODIED. SO THIS ALSO CONSIDERS 569 00:29:58,200 --> 00:30:00,200 HOW DEAF PEOPLE IN CONTEXT OF 570 00:30:00,200 --> 00:30:02,440 DEAFNESS BOTH IN SUPPRESSION AND 571 00:30:02,440 --> 00:30:04,240 ACTIVE RESISTANCE TO 572 00:30:04,240 --> 00:30:06,800 INTERVENTION WHICH SHAPED BY THE 573 00:30:06,800 --> 00:30:09,320 WAY THESE AUDIOLOGISTS THOUGHT 574 00:30:09,320 --> 00:30:12,320 ABOUT THE -- AS MEDICAL EXPERTS 575 00:30:12,320 --> 00:30:14,040 WITHIN THE VARIOUS ROLES THEY 576 00:30:14,040 --> 00:30:19,720 CRAFTED FOR THEMSELVES. TODAY 577 00:30:19,720 --> 00:30:24,240 I'M GOING TO BE CENTERING 578 00:30:24,240 --> 00:30:25,800 CONCERN ON HEREDITARY DEAFNESS. 579 00:30:25,800 --> 00:30:28,560 THESE CONCERNS WERE BY NO MEAN 580 00:30:28,560 --> 00:30:30,040 STANDARDS, NORMALLY UNIVERSALLY 581 00:30:30,040 --> 00:30:32,120 AGREED UPON BUT THEY PLAYED A 582 00:30:32,120 --> 00:30:35,600 TREMENDOUS ROLE IN FORMING 583 00:30:35,600 --> 00:30:37,160 EDUCATION THAT IS TRAINING BY 584 00:30:37,160 --> 00:30:40,480 SPEECH RATHER THAN SIGN, AS WELL 585 00:30:40,480 --> 00:30:42,800 AS SCHOOL, MEDICAL SURVEILLANCE, 586 00:30:42,800 --> 00:30:46,560 LEGISLATIVE ARGUMENTS ABOUT 587 00:30:46,560 --> 00:30:48,440 DEAF, GUIDELINES FOR TREATING 588 00:30:48,440 --> 00:30:51,000 DEAFNESS AND NEW DISEASE, AND ON 589 00:30:51,000 --> 00:30:54,600 THE EXTREME, CALM PAIN FOR 590 00:30:54,600 --> 00:30:56,960 STERILIZATION AS AN ECONOMIC 591 00:30:56,960 --> 00:31:01,440 STRATEGY ON SOCIAL WELFARE. 592 00:31:01,440 --> 00:31:02,880 MOREOVER, THE RHETORIC 593 00:31:02,880 --> 00:31:04,200 SURROUNDING HEREDITARY DEAFNESS 594 00:31:04,200 --> 00:31:06,960 WAS POWERFUL AND THUS CRUCIALLY 595 00:31:06,960 --> 00:31:08,440 SHAPING THE LIVES OF DEAF PEOPLE 596 00:31:08,440 --> 00:31:14,920 FOR GENERATIONS TO COME. NEXT 597 00:31:14,920 --> 00:31:18,120 SLIDE PLEASE. JUST AS A 598 00:31:18,120 --> 00:31:19,040 STATISTICAL AUTHORITY. ON THE 599 00:31:19,040 --> 00:31:20,480 SLIDE IS A SUMMARY OF WHAT I 600 00:31:20,480 --> 00:31:24,200 WILL BE SPEAKING ABOUT. THE 601 00:31:24,200 --> 00:31:26,680 PROFESSIONAL EXPANSION OF ORAL 602 00:31:26,680 --> 00:31:28,480 SURGERY IN THE GROWING AUTHORITY 603 00:31:28,480 --> 00:31:34,960 OF AUDIOLOGIST OCCUR BETWEEN THE 604 00:31:34,960 --> 00:31:35,840 BROADER CONTEXT ABOUT HOW 605 00:31:35,840 --> 00:31:38,680 SCIENTIFIC MEDICINE CAN BE 606 00:31:38,680 --> 00:31:43,280 APPLIED TO SOLVING SOCIAL 607 00:31:43,280 --> 00:31:44,160 PROBLEMS INCLUDING HOW TO 608 00:31:44,160 --> 00:31:45,440 PROVIDE CARE AN SERVICES FOR 609 00:31:45,440 --> 00:31:49,760 DISABLED PEOPLE. NOW, IN 610 00:31:49,760 --> 00:31:51,600 OPTIMISM APPEARED SELF-EVIDENT 611 00:31:51,600 --> 00:31:54,800 IN A SOCIETY THAT WAS LIFE WITH 612 00:31:54,800 --> 00:31:55,720 PERCEPTION OF PARALLELISM MANY 613 00:31:55,720 --> 00:31:59,120 THE APPLIED SCIENCES, AND WITH 614 00:31:59,120 --> 00:32:00,920 EXPECTATION OF PROGRESS 615 00:32:00,920 --> 00:32:03,800 REQUIRING NEW AND PROMISING 616 00:32:03,800 --> 00:32:04,760 SOCIAL STRATEGY FOR 617 00:32:04,760 --> 00:32:07,240 UNDERSTANDING THE SOCIAL 618 00:32:07,240 --> 00:32:11,200 CALCULCALCULUS. SO ORAL SURGEONG 619 00:32:11,200 --> 00:32:13,800 COMPILED NARRATIVE CASE STUDIES 620 00:32:13,800 --> 00:32:16,240 FOR THEIR PATIENT AND MAINTAIN 621 00:32:16,240 --> 00:32:19,280 CASE STUDIES AND RECORDS WITHIN 622 00:32:19,280 --> 00:32:21,840 HOSPITAL AND THE DATA THEY 623 00:32:21,840 --> 00:32:23,560 CREATED LENT SUPPORT HOW THEY 624 00:32:23,560 --> 00:32:25,480 ASSESS THE PREVALENCE OF 625 00:32:25,480 --> 00:32:27,080 DEAFNESS AND DEAF PEOPLE WITHIN 626 00:32:27,080 --> 00:32:30,480 A GIVEN POPULATION. BUT ALSO HOW 627 00:32:30,480 --> 00:32:32,800 THEY INTERPRETED AND CATEGORIZED 628 00:32:32,800 --> 00:32:36,440 NEW DISEASE. ESPECIALLY HER REDS 629 00:32:36,440 --> 00:32:38,400 TEAR DEAFNESS THEY FOUND NOT 630 00:32:38,400 --> 00:32:40,080 ONLY DIFFICULT TO DIAGNOSE BUT 631 00:32:40,080 --> 00:32:50,560 ALSO TREAT OR CURE. MAINTAIN 632 00:32:56,720 --> 00:32:58,000 RECORDS OF HEALTH STATUS 633 00:32:58,000 --> 00:33:00,560 INCRUISING DETAILS ABOUT 634 00:33:00,560 --> 00:33:01,560 PROBABLE OR ACTUAL CAUSE OF 635 00:33:01,560 --> 00:33:05,800 DEAFNESS, THE RATE OF HEREDITARY 636 00:33:05,800 --> 00:33:07,240 DISEASE, AND PRESENCE OF DEAF 637 00:33:07,240 --> 00:33:08,560 MUTE PEOPLE AS THEY WERE DEFINED 638 00:33:08,560 --> 00:33:12,960 AT THE TIME, WITHIN A GIVEN 639 00:33:12,960 --> 00:33:14,440 POPULATION. THESE CONCERNS 640 00:33:14,440 --> 00:33:15,960 ABOUT DEAFNESS BROADLY SPEAKING 641 00:33:15,960 --> 00:33:20,160 BECAME CRUCIAL ISSUES FOR 642 00:33:20,160 --> 00:33:21,560 STATISTICS ESPECIALLY ONE'S 643 00:33:21,560 --> 00:33:24,040 NOTION OF PREVENTION AND 644 00:33:24,040 --> 00:33:29,160 CIVILIAN BECAME INTERTWINED WITH 645 00:33:29,160 --> 00:33:31,400 GENESIS IDEOLOGY. FIRST DEVISED 646 00:33:31,400 --> 00:33:33,920 IN MANY 1883 BY THE BRITISH 647 00:33:33,920 --> 00:33:37,440 PARLIAMENT FRANCIS GOLDMAN, 648 00:33:37,440 --> 00:33:39,040 EUGENICS COMBINED TRENDS IN 649 00:33:39,040 --> 00:33:42,240 BIOSTATISTICS AND BIOMEDICINE TO 650 00:33:42,240 --> 00:33:47,200 OFFER NEW PROGRESSIVE TO SOLVE 651 00:33:47,200 --> 00:33:50,720 WAY TO IMPROVE THE INBORNE 652 00:33:50,720 --> 00:33:53,240 QUALITIES OF THROUGH MARRIAGE 653 00:33:53,240 --> 00:33:55,080 REGULATION AND PRO CREATION. 654 00:33:55,080 --> 00:33:58,640 EUGENICS BY MANY EXPERTS AT THE 655 00:33:58,640 --> 00:34:00,840 TIME WOULD HAIL AS A SOLUTION OF 656 00:34:00,840 --> 00:34:03,400 THE PRESENT PROBLEM IN BRITISH 657 00:34:03,400 --> 00:34:06,640 SOCIETY ISSUES LIKE 658 00:34:06,640 --> 00:34:10,400 URBANIZATION, DISEASE, POPULISM 659 00:34:10,400 --> 00:34:11,960 AND MORE (INAUDIBLE) IT WAS 660 00:34:11,960 --> 00:34:14,080 PERCEIVED AS A TOOL FOR 661 00:34:14,080 --> 00:34:15,960 AUGMENTING CLASS, GENDER, AND 662 00:34:15,960 --> 00:34:23,840 RACE BASED DIVISION. FOR MEDICAL 663 00:34:23,840 --> 00:34:26,800 AND POLICY MAKERS, EUGENICS 664 00:34:26,800 --> 00:34:28,800 OFFERED AN INTELLECTUAL 665 00:34:28,800 --> 00:34:30,360 RESPECTABILITY BY TRANSLATING 666 00:34:30,360 --> 00:34:33,560 THE STATISTICAL DATA ABOUT 667 00:34:33,560 --> 00:34:38,920 HEREDITARY POLICY. AND TO 668 00:34:38,920 --> 00:34:40,920 DECREASE ANY KIND OF ANXIETIES 669 00:34:40,920 --> 00:34:44,360 ABOUT THE DEGRADATION OF RACE. 670 00:34:44,360 --> 00:34:49,760 NEXT SLIDE PLEASE. WHILE 671 00:34:49,760 --> 00:34:53,560 FINDING OF DEGENERATION TENDING 672 00:34:53,560 --> 00:34:55,560 TO BE ANECDOTAL AND DESCRIPTIVE 673 00:34:55,560 --> 00:34:57,680 RATHER THAN STATISTICAL THIS 674 00:34:57,680 --> 00:34:59,800 FIELD OF SOCIAL DEGENERATION 675 00:34:59,800 --> 00:35:01,240 INFLUENCED PUBLIC HEALTH 676 00:35:01,240 --> 00:35:03,440 POLICIES AND LEGISLATION INFORM 677 00:35:03,440 --> 00:35:08,680 REFORM. CONDITIONAL DEAF MUTE 678 00:35:08,680 --> 00:35:10,040 PEOPLE WHOM HADOCKMENTED 679 00:35:10,040 --> 00:35:12,880 GENERATION OF HER REDS TEAR 680 00:35:12,880 --> 00:35:14,320 DEAFNESSESS SPECIALLY THROUGH 681 00:35:14,320 --> 00:35:16,320 MARRIAGES BETWEEN DEAF PEOPLE, 682 00:35:16,320 --> 00:35:21,160 OFTEN FELL INTO THIS CATEGORY. 683 00:35:21,160 --> 00:35:24,600 DEAF EDUCATORS RAISED THE 684 00:35:24,600 --> 00:35:26,480 QUESTION, WAS HEREDITARY DEAF 685 00:35:26,480 --> 00:35:28,520 MUTISM A SINGLE VARIATION THAT 686 00:35:28,520 --> 00:35:31,400 WAS EASILY TRANSMITTED THROUGH 687 00:35:31,400 --> 00:35:34,760 DEAF FAMILIES WHO INTERMARRY WAS 688 00:35:34,760 --> 00:35:36,520 CONDITIONAL DEAFNESS A 689 00:35:36,520 --> 00:35:38,320 HEREDITARY TRAIT? AND WOULD 690 00:35:38,320 --> 00:35:41,000 MARRIAGES BETWEEN HEREDITARY 691 00:35:41,000 --> 00:35:43,360 DEAF PEOPLE AND HEARING PARTNER 692 00:35:43,360 --> 00:35:45,680 FURTHER SPREAD DEAFNESS IN 693 00:35:45,680 --> 00:35:48,600 QUOTE, POLLUTE THE NATIONAL 694 00:35:48,600 --> 00:35:53,760 STOCK? SO BETWEEN 1890 AND 1930, 695 00:35:53,760 --> 00:35:57,880 THESE EUGENICS POLICIES CROSSED 696 00:35:57,880 --> 00:36:01,520 INTO TWO INSTITUTIONS SOME 697 00:36:01,520 --> 00:36:03,360 EXPERTS CATALOG THE DIFFERENT 698 00:36:03,360 --> 00:36:06,600 KIND OF CLASSIFICATION OF 699 00:36:06,600 --> 00:36:11,280 DEAFNESS THAT THEY TRIED TO 700 00:36:11,280 --> 00:36:13,120 (INAUDIBLE) ALL OF THEM 701 00:36:13,120 --> 00:36:15,560 PEDAGOGUE SPEECH RATHER THAN -- 702 00:36:15,560 --> 00:36:18,000 WAS TO THEN WAY TO GIVE TEACHERS 703 00:36:18,000 --> 00:36:21,800 THE RESPONSIBILITY AND ABILITY 704 00:36:21,800 --> 00:36:24,520 TO INSTILL SPOKEN LANGUAGE IN 705 00:36:24,520 --> 00:36:25,720 DEAF PEOPLE, QUOTE, TO RETURN 706 00:36:25,720 --> 00:36:27,720 THEM TO HUMAN SOCIETY AND THUS 707 00:36:27,720 --> 00:36:32,240 HUMAN EVOLUTION. AT ONE DOCTOR 708 00:36:32,240 --> 00:36:35,600 ASSERTED, THIS ISSUE OF TEACHING 709 00:36:35,600 --> 00:36:40,600 DEAF CHILDREN SPEECH WAS QUOTE 710 00:36:40,600 --> 00:36:43,440 EUGENIC ONE. SO ORALISM THEN 711 00:36:43,440 --> 00:36:46,160 ESPECIALLY WHEN EMERGE WITH 712 00:36:46,160 --> 00:36:47,040 CLINICAL DOCTRINE WAS PRESENTED 713 00:36:47,040 --> 00:36:49,920 AS A METHOD FOR PROVIDING DEAF 714 00:36:49,920 --> 00:36:52,360 CHILDREN WITH RESPECTABILITY, 715 00:36:52,360 --> 00:36:56,440 LITERACY AND MANNERISM HAS BEEN 716 00:36:56,440 --> 00:36:58,160 AFFECTED FOR HOW THEY CAN 717 00:36:58,160 --> 00:36:58,880 PARTICIPATE IN SOCIAL 718 00:36:58,880 --> 00:37:02,320 STIMULATION. ESPECIALLY WHEN 719 00:37:02,320 --> 00:37:05,000 PROVIDED WITH STATE PROVISION. 720 00:37:05,000 --> 00:37:09,760 NEXT SLIDE PLEASE. EDUCATION IS 721 00:37:09,760 --> 00:37:11,600 THE ONLY REMEDY IS THE SITE 722 00:37:11,600 --> 00:37:14,360 WHERE DIFFERENT EXPERTS MEET TO 723 00:37:14,360 --> 00:37:18,440 APPLY EUGENICS IDEAS FOR CONCERN 724 00:37:18,440 --> 00:37:20,000 OF DEAF AND HEARING A POINT 725 00:37:20,000 --> 00:37:23,440 STRESSED BY ONE STRU INSTRUCTORR 726 00:37:23,440 --> 00:37:25,640 THE DEAF. EDUCATION IS THE ONLY 727 00:37:25,640 --> 00:37:29,080 REMEDY THAT CAN IN ANY WAY 728 00:37:29,080 --> 00:37:31,000 MITIGATE THE ILLS WHICH MAN KIND 729 00:37:31,000 --> 00:37:32,560 ARE LIABLE TO TRANSMIT TO THEIR 730 00:37:32,560 --> 00:37:39,880 DESCENDENTS. SO THIS EUGENICS 731 00:37:39,880 --> 00:37:40,680 STRATIFY DEAF CHILDREN TO 732 00:37:40,680 --> 00:37:44,000 QUESTION OF HEREDITARY BECAME 733 00:37:44,000 --> 00:37:45,800 PART OF LARGER PROCESS OF 734 00:37:45,800 --> 00:37:47,600 NORMALIZING AND STANDARDIZING 735 00:37:47,600 --> 00:37:50,000 DEAF EDUCATION AND TIED TO 736 00:37:50,000 --> 00:37:51,600 PROGRESSIVE GOAL OF HEALTH 737 00:37:51,600 --> 00:37:54,640 PREVENTION AND EFFICIENCY. IN 738 00:37:54,640 --> 00:37:57,880 OTHER WORDS, THE ULTIMATE GOAL 739 00:37:57,880 --> 00:38:03,080 BECAME TO REDUCE IF NOT 740 00:38:03,080 --> 00:38:05,880 ELIMINATE MER RED TEAR THAT 741 00:38:05,880 --> 00:38:06,880 OTHERWISE SPREAD UNCHECKED 742 00:38:06,880 --> 00:38:09,320 THROUGH THE BRITISH POPULATION. 743 00:38:09,320 --> 00:38:11,160 SO WHILE ALL THESE BRITISH 744 00:38:11,160 --> 00:38:13,760 LAWYERS WERE ENTANGLED WITH 745 00:38:13,760 --> 00:38:15,160 ISSUES OF DEAF EDUCATION THE 746 00:38:15,160 --> 00:38:16,920 LEVEL OF ENGAGEMENT STARTED TO 747 00:38:16,920 --> 00:38:20,000 INCREASE STEADILY DURING THE 748 00:38:20,000 --> 00:38:21,360 1880s AS THEY FACE GREATER 749 00:38:21,360 --> 00:38:23,000 RESPONSIBILITY TO PROTECTING 750 00:38:23,000 --> 00:38:25,440 HEALTH AND WELFARE OF SCHOOL 751 00:38:25,440 --> 00:38:28,600 CHILDREN INCLUDING THROUGH EARLY 752 00:38:28,600 --> 00:38:29,680 PREVENTION PROGRAM TO HALT 753 00:38:29,680 --> 00:38:35,240 PROGRESSIVE DEAFNESS. THERE WAS 754 00:38:35,240 --> 00:38:36,640 SEVERAL KEY EVENTS THAT OCCURRED 755 00:38:36,640 --> 00:38:38,640 WITHIN THE LATE 19TH CENTURY 756 00:38:38,640 --> 00:38:41,920 THAT WOULD ALSO DRASTICALLY 757 00:38:41,920 --> 00:38:44,440 TRANSFORM THESE ROLES. FIRST 758 00:38:44,440 --> 00:38:45,920 WITH RESULT OF SECOND 759 00:38:45,920 --> 00:38:46,680 INTERNATIONAL CONGRESS ON 760 00:38:46,680 --> 00:38:49,360 EDUCATION OF THE DEAF, THAT TOOK 761 00:38:49,360 --> 00:38:54,880 PLACE IN MILAN IN 1880. THIS WAS 762 00:38:54,880 --> 00:38:56,680 A MULTI-NATIONAL HE WANT THAT 763 00:38:56,680 --> 00:39:00,840 BROUGHT TOGETHER 164 EDUCATORS, 764 00:39:00,840 --> 00:39:03,960 PHYSICIANS AND LAY PERSON AND 765 00:39:03,960 --> 00:39:06,160 DISCUSSION INCLUSIVELY FOCUSED 766 00:39:06,160 --> 00:39:08,160 ON METHODS OF -- FOR EDGE CASING 767 00:39:08,160 --> 00:39:12,520 DEAF PEOPLE. ONLY ONE DEAF 768 00:39:12,520 --> 00:39:14,240 DELEGATE ATTENDED AND THE 769 00:39:14,240 --> 00:39:15,840 CONVENTION WAS MOSTLY MANAGED BY 770 00:39:15,840 --> 00:39:19,560 PROMOTERS OF ORALISM. BUT AT THE 771 00:39:19,560 --> 00:39:22,080 END THE CONVENTION HAD EIGHT 772 00:39:22,080 --> 00:39:24,240 RESOLUTIONS THAT DECLARED SPEECH 773 00:39:24,240 --> 00:39:26,880 WAS MUCH MORE PREFERABLE AND 774 00:39:26,880 --> 00:39:29,200 EFFECTIVE THAN SIGN LANGUAGE FOR 775 00:39:29,200 --> 00:39:30,560 ASSIMILATING DEAF PEOPLE INTO 776 00:39:30,560 --> 00:39:33,680 SOCIETY. AND THEY CLAIM THE 777 00:39:33,680 --> 00:39:37,840 RESULT OF CONVENTION CLAIM QUOTE 778 00:39:37,840 --> 00:39:41,320 ORAL METHOD ARE TO BE PREFERRED 779 00:39:41,320 --> 00:39:43,240 FOR EDUCATION AND INSTRUCTION OF 780 00:39:43,240 --> 00:39:47,800 THE DEAF AND DUMB. HOWEVER, WE 781 00:39:47,800 --> 00:39:48,840 COULD IT WAS NOT ALWAYS 782 00:39:48,840 --> 00:39:51,920 UNIVERSAL. NOR DID IT COMPLETELY 783 00:39:51,920 --> 00:39:53,720 ERADICATE SIGN LANGUAGE FROM 784 00:39:53,720 --> 00:39:55,160 SCHOOLS FOR DEAF CHILDREN. IN 785 00:39:55,160 --> 00:39:56,840 FACT, MANY BRITISH SCHOOLS 786 00:39:56,840 --> 00:39:58,320 CONTINUE WITH THE COMBINED 787 00:39:58,320 --> 00:40:00,120 SYSTEM OF TEACHING THAT MERGED 788 00:40:00,120 --> 00:40:05,040 SIGN LANGUAGE WITH SPEECH 789 00:40:05,040 --> 00:40:09,520 TRAINING. THE SECOND KEY EVENT 790 00:40:09,520 --> 00:40:11,840 THAT OCCURRED WERE RESULT OF 791 00:40:11,840 --> 00:40:15,080 SEVERAL SURVEYS TAKEN BY HEAD 792 00:40:15,080 --> 00:40:17,080 MASTERS AT DEAF SCHOOL AND 793 00:40:17,080 --> 00:40:18,120 VARIOUS CHARITABLE SOCIETY 794 00:40:18,120 --> 00:40:19,520 TRYING TO DETERMINE THE SOCIAL 795 00:40:19,520 --> 00:40:23,120 PROBLEM OF BLINDNESS AND 796 00:40:23,120 --> 00:40:26,920 DEAFNESS WITH AIM OF FORMULATING 797 00:40:26,920 --> 00:40:29,320 MORE BENEFICIAL POLICY. THESE 798 00:40:29,320 --> 00:40:33,200 SURVEYS PROVIDED ESSENTIAL DATA 799 00:40:33,200 --> 00:40:34,600 FOR PRESSING SATE ACTION 800 00:40:34,600 --> 00:40:39,240 ESPECIALLY WHEN COUPLED WITH THE 801 00:40:39,240 --> 00:40:42,400 UK 1861 WHICH REVEALED THAT DEAF 802 00:40:42,400 --> 00:40:43,520 AND BLIND CHILDREN ACTUALLY NOT 803 00:40:43,520 --> 00:40:46,960 RECEIVING ADEQUATE EDUCATION AND 804 00:40:46,960 --> 00:40:49,400 MANY SCHOOLS FOR BLIND AND/OR 805 00:40:49,400 --> 00:40:52,280 DEAF CHILDREN WERE ACTUALLY FALL 806 00:40:52,280 --> 00:40:55,880 BELOW THE REQUIRED STATE LEVELS 807 00:40:55,880 --> 00:40:58,320 FOR EDUCATION. THE RESULT OF THE 808 00:40:58,320 --> 00:41:03,280 SURVEY LED TO THE THIRD KEY 809 00:41:03,280 --> 00:41:04,760 EVENT WHICH WAS FORMULATION OF 810 00:41:04,760 --> 00:41:08,800 THE ROYAL COMMISSION TO CONSIDER 811 00:41:08,800 --> 00:41:11,800 EXTENDING THE 1870 EDUCATION ACT 812 00:41:11,800 --> 00:41:13,840 WHICH ESTABLISHING COMPULSORY 813 00:41:13,840 --> 00:41:17,000 SCHOOLING FOR CHILDREN AGES 5-12 814 00:41:17,000 --> 00:41:21,440 BUT THE ACT PREVIOUSLY DID NOT 815 00:41:21,440 --> 00:41:22,600 INCLUDE (INAUDIBLE) SPECIAL 816 00:41:22,600 --> 00:41:25,080 INSTRUCTION FOR BLIND DEAF 817 00:41:25,080 --> 00:41:26,720 EPILEPTIC OR DISABLED CHILDREN. 818 00:41:26,720 --> 00:41:28,880 SO MANY SCHOOL BOARD COULD 819 00:41:28,880 --> 00:41:29,800 REFUSE ADMISSION OF THESE 820 00:41:29,800 --> 00:41:35,560 CHILDREN. THE RESULTING -- FROM 821 00:41:35,560 --> 00:41:38,400 THE ROYAL COMMISSION LED TO THE 822 00:41:38,400 --> 00:41:40,400 FORMATION OF THE ELEMENTARY 823 00:41:40,400 --> 00:41:42,320 EDUCATION BLIND AND DEAF ACT 824 00:41:42,320 --> 00:41:45,560 BEING PASSIONED IN 1893 TO 825 00:41:45,560 --> 00:41:47,600 PROVIDE EVERY BLIND, DEAF AND 826 00:41:47,600 --> 00:41:51,800 DISABLED CHILD THE RIGHT TO 827 00:41:51,800 --> 00:41:53,480 EDUCATION PAID BY LOCAL AND 828 00:41:53,480 --> 00:41:55,680 GRANTS FROM THE GOVERNMENT. BY 829 00:41:55,680 --> 00:41:56,960 1907 THE ENTIRE COST OF 830 00:41:56,960 --> 00:41:58,760 EDUCATION FOR DISABLED CHILDREN 831 00:41:58,760 --> 00:42:02,720 WERE COVERED BY TAX PAYERS. SO 832 00:42:02,720 --> 00:42:05,600 WHAT DOES IT MEAN FOR DEAF 833 00:42:05,600 --> 00:42:08,080 CHILDREN AS WELL AS (INAUDIBLE) 834 00:42:08,080 --> 00:42:09,720 EXTENDING THEIR AUTHORITY FROM 835 00:42:09,720 --> 00:42:13,280 BEYOND THE CLINICAL SPACE? 836 00:42:13,280 --> 00:42:15,120 MULTI-STATE AND BUREAUCRATIC 837 00:42:15,120 --> 00:42:16,560 CONTROL ACTUALLY GAVE GREATER 838 00:42:16,560 --> 00:42:20,600 AUTHORITY TO ALL DOCTORS -- ORAL 839 00:42:20,600 --> 00:42:21,840 DOCTORS AND (INAUDIBLE) FOR 840 00:42:21,840 --> 00:42:23,640 EDUCATION DEPARTMENTS TO 841 00:42:23,640 --> 00:42:25,920 INCORPORATE EXTENSIVE MEDICAL 842 00:42:25,920 --> 00:42:29,360 POLICY AND TO BOTH ASSESS AND 843 00:42:29,360 --> 00:42:30,600 WHERE POSSIBLE TREAT DEAF SCHOOL 844 00:42:30,600 --> 00:42:32,720 CHILDREN. I ALSO MEANT DEAFNESS 845 00:42:32,720 --> 00:42:36,320 BECAME FORMALLY CLASSIFIED AS A 846 00:42:36,320 --> 00:42:37,960 MEDICAL CONDITION REQUIRING 847 00:42:37,960 --> 00:42:40,800 CERTIFICATION BIOMEDICAL -- IN 848 00:42:40,800 --> 00:42:45,800 ORDER TO RECEIVE SCHOOLING. AND 849 00:42:45,800 --> 00:42:48,720 EDUCATION ALL OF THEM BECAME 850 00:42:48,720 --> 00:42:52,320 IDENTIFIED WITH NATIONALITY, A 851 00:42:52,320 --> 00:42:57,960 WAY OF PROGRESS THROUGH REASON 852 00:42:57,960 --> 00:43:00,480 AND SIGN. WITHIN ALL THESE 853 00:43:00,480 --> 00:43:02,040 TRANSFORMATION, THE ISSUE OF 854 00:43:02,040 --> 00:43:03,160 HEREDITARY DEAFNESS AND 855 00:43:03,160 --> 00:43:08,120 ESPECIALLY HEREDITARY DEAF 856 00:43:08,120 --> 00:43:10,320 MUTISM, APPEAR RESISTANT TO 857 00:43:10,320 --> 00:43:11,680 THESE EFFORTS AND THEREFORE 858 00:43:11,680 --> 00:43:13,920 REQUIRE GREATER ALLIANCE BETWEEN 859 00:43:13,920 --> 00:43:17,360 DEAF EDUCATOR AND AUDIOLOGISTS 860 00:43:17,360 --> 00:43:21,800 TO FIGURE HOW TO REDUCE THE 861 00:43:21,800 --> 00:43:23,600 GROWING CONDITION OF DEAF 862 00:43:23,600 --> 00:43:24,880 VARIETY THAT SEEM TO BE 863 00:43:24,880 --> 00:43:25,840 UNRESPONSIVE TO MEDICAL 864 00:43:25,840 --> 00:43:31,480 INTERVENTION. NEXT SLIDE PLEASE 865 00:43:31,480 --> 00:43:35,280 THE TRACKING INTERMARRIAGE, ONE 866 00:43:35,280 --> 00:43:38,480 CONCERN THAT WAS RAISED BY THE 867 00:43:38,480 --> 00:43:39,720 ROYAL COMMISSION WAS THIS ISSUE 868 00:43:39,720 --> 00:43:43,760 OF HEREDITARY DEAF MUTISM THAT 869 00:43:43,760 --> 00:43:46,560 WAS ARISING WHEN DEAF PEOPLE 870 00:43:46,560 --> 00:43:47,960 MARRIED OTHER DEAF PEOPLE AND 871 00:43:47,960 --> 00:43:49,920 HAD DEAF CHILDREN. THE 872 00:43:49,920 --> 00:43:52,200 INCREASING RATES OF THESE 873 00:43:52,200 --> 00:43:55,040 MARRIAGES WERE OUTLINED IN 874 00:43:55,040 --> 00:43:56,840 CENSUS OF COURSE AS WELL AS 875 00:43:56,840 --> 00:43:59,040 STATISTICAL STUDIES BY DEAF 876 00:43:59,040 --> 00:44:02,040 FAMILIES CONDUCTED BY 877 00:44:02,040 --> 00:44:04,000 AUDIOLOGISTS AS WELL AS 878 00:44:04,000 --> 00:44:05,880 EDUCATORS AT DEAF SCHOOLS. SO 879 00:44:05,880 --> 00:44:07,800 THESE HE CANS PERT STARTED TO 880 00:44:07,800 --> 00:44:09,760 PLACE STOCK ON INCREASING 881 00:44:09,760 --> 00:44:12,080 HEREDITARY TRANSMISSION OF 882 00:44:12,080 --> 00:44:13,880 DEAFNESS AS EVIDENCE FOR THE 883 00:44:13,880 --> 00:44:18,600 IMPORTANCE OF ORALISM. THE -- 884 00:44:18,600 --> 00:44:19,840 BECAME IF DEAF MUTE CHILDREN 885 00:44:19,840 --> 00:44:22,520 WERE LEFT TO THEIR OWN GUISES, 886 00:44:22,520 --> 00:44:24,280 PREDOMINANTLY SIGNING SCHOOL, 887 00:44:24,280 --> 00:44:26,000 THEN THEY WERE MORE LIKELY TO 888 00:44:26,000 --> 00:44:29,080 FORM A COMMUNITY OF LIKE MINDED 889 00:44:29,080 --> 00:44:31,720 SIGNERS WHO ARE UNWILLING IF NOT 890 00:44:31,720 --> 00:44:33,680 CAPABLE OF LEARNING SPEECH AND 891 00:44:33,680 --> 00:44:36,320 HENCE ASSIMILATING INTO THE 892 00:44:36,320 --> 00:44:39,600 BROADER HEARING SOCIETY. NEXT 893 00:44:39,600 --> 00:44:43,400 SLIDE PLEASE. THIS SITUATION WAS 894 00:44:43,400 --> 00:44:45,600 ESPECIALLY CONCERNING IN THE 895 00:44:45,600 --> 00:44:48,520 UNITED STATES AS A METHOD FOR 896 00:44:48,520 --> 00:44:50,600 COMPARISON TO THE UK AS OUTLINED 897 00:44:50,600 --> 00:44:54,320 IN THE WORLD COMMISSION REPORT. 898 00:44:54,320 --> 00:44:55,400 ROAL COMMISSION REPORTS. IT IS 899 00:44:55,400 --> 00:44:57,400 SAID THAT BEFORE EDUCATION WAS 900 00:44:57,400 --> 00:45:00,640 IMPARTED TO DEAF-MUTES, AND 901 00:45:00,640 --> 00:45:01,960 BEFORE THEY WERE CONGREGATED IN 902 00:45:01,960 --> 00:45:04,240 VARIOUS EDUCATIONAL 903 00:45:04,240 --> 00:45:05,560 INSTITUTIONS, HARDLY ANY 904 00:45:05,560 --> 00:45:10,560 INTERMARRIED. IN JAILNY 905 00:45:10,560 --> 00:45:14,080 SWITZERLAND AND ITALY THE -- 906 00:45:14,080 --> 00:45:17,760 GERMANY, THE REPORT OF THE ROAL 907 00:45:17,760 --> 00:45:19,320 COMMISSION, PLACES WHERE -- 908 00:45:19,320 --> 00:45:21,080 INCIDENCE OF DEAF INTERMARRIAGE 909 00:45:21,080 --> 00:45:22,760 WERE FAR MUCH LOWER THAN IN THE 910 00:45:22,760 --> 00:45:26,520 UNITED STATES OR ENGLAND. AND 911 00:45:26,520 --> 00:45:29,280 ALSO EDUCATORS AT INSTITUTIONS 912 00:45:29,280 --> 00:45:31,720 HAD PREVIOUSLY TABULATED 913 00:45:31,720 --> 00:45:34,000 INCIDENCES OF DEAF 914 00:45:34,000 --> 00:45:35,760 INTERMARRIAGES EUGENICS STARTED 915 00:45:35,760 --> 00:45:39,680 TO RAISE ADDITIONAL FEARS ABOUT 916 00:45:39,680 --> 00:45:43,160 HEREDITY, REPRODUCTION AND 917 00:45:43,160 --> 00:45:45,520 DEGENERACY. THE (INAUDIBLE) 918 00:45:45,520 --> 00:45:49,920 NOTES THAT WHILE EUGENICS WAS 919 00:45:49,920 --> 00:45:56,720 NOT -- SCIENTIFIC WHAT DID -- 920 00:45:56,720 --> 00:45:58,400 WHAT LOU'S INTERNATIONAL NETWORK 921 00:45:58,400 --> 00:46:01,160 OF CORRESPONDING SCHOLARS AND 922 00:46:01,160 --> 00:46:03,160 SCIENTISTS WHO ARE INTERESTED IN 923 00:46:03,160 --> 00:46:04,760 IN THIS IDEA OF THE TRANSMISSION 924 00:46:04,760 --> 00:46:07,880 OF HEREDITARY TRAITS AND THE 925 00:46:07,880 --> 00:46:09,720 IMPACT IT WOULD HAVE ON DEAF AND 926 00:46:09,720 --> 00:46:16,760 DISABLED PEOPLE. SO MANY DEAF 927 00:46:16,760 --> 00:46:19,440 SCHOOLS AND EXPERTS STARTED 928 00:46:19,440 --> 00:46:21,160 TABULATING DATA ON EXISTENCE OF 929 00:46:21,160 --> 00:46:23,680 LARGE FAMILIES WHERE GENERATIONS 930 00:46:23,680 --> 00:46:26,520 OF DEAFNESS AND IN ORDER TO 931 00:46:26,520 --> 00:46:28,920 UNDERSTAND HOW MANY OF THE 932 00:46:28,920 --> 00:46:32,440 FAMILY WERE ALSO CHILDREN INTO 933 00:46:32,440 --> 00:46:35,280 THAT SCHOOL. THE LONDON -- FOR 934 00:46:35,280 --> 00:46:36,680 THE DEAF AND DUMB, ONE OF THE 935 00:46:36,680 --> 00:46:40,040 FIRST PUBLIC SCHOOLS IN BRITAIN. 936 00:46:40,040 --> 00:46:44,640 FOR INSTANCE, IN IN 1859 THE 937 00:46:44,640 --> 00:46:45,920 PUBLISHED LIST OF 23 POOR AND 938 00:46:45,920 --> 00:46:47,840 WORKING CLASS FAMILIES WHO HAD 939 00:46:47,840 --> 00:46:53,480 CHILDREN IN THE INSTITUTION. 940 00:46:53,480 --> 00:46:57,200 AMONG 160 CHILDREN WITHIN THIS 941 00:46:57,200 --> 00:47:04,600 23 FAMILIES, 105 WERE DEAF. THE 942 00:47:04,600 --> 00:47:06,840 COMMISSION WERE TAKING STOCK OF 943 00:47:06,840 --> 00:47:09,040 ALL THESE REPORTS, THEY 944 00:47:09,040 --> 00:47:11,080 PRINCIPALLY DREW TESTIMONY FROM 945 00:47:11,080 --> 00:47:15,720 ALEXANDER GRAHAM BELL. NEXT 946 00:47:15,720 --> 00:47:22,400 SLIDE PLEASE. THANK YOU. 947 00:47:22,400 --> 00:47:25,960 EARLIER IN 1883, SIX YEARS 948 00:47:25,960 --> 00:47:28,560 BEFORE THE ROAL COMMISSION 949 00:47:28,560 --> 00:47:30,160 PUBLISHED A REPORT, AT A MEETING 950 00:47:30,160 --> 00:47:33,160 OF NATIONAL ACADEMY OF 951 00:47:33,160 --> 00:47:34,880 SCIENTISTS, BELL HAD RAISED THE 952 00:47:34,880 --> 00:47:38,920 ISSUE OF QUOTE, THE FACT THAT IN 953 00:47:38,920 --> 00:47:41,440 THIS COUNTRY DEAF MUTES MARRIED 954 00:47:41,440 --> 00:47:43,720 DEAF MUTES. THE RESULTING 955 00:47:43,720 --> 00:47:46,560 PUBLICATION OF HIS ARGUMENT 956 00:47:46,560 --> 00:47:49,720 TITLED MEMORY UPON FORMATION OF 957 00:47:49,720 --> 00:47:52,120 DEAF VARIETY OF THE HUMAN RACE 958 00:47:52,120 --> 00:47:53,840 COMBINED EMPIRICAL DATA FROM 959 00:47:53,840 --> 00:47:56,160 AMERICAN RESIDENTIAL SCHOOLS FOR 960 00:47:56,160 --> 00:48:00,520 THE DEAF WITH STATISTICS AND 961 00:48:00,520 --> 00:48:02,880 PROBABILITY TO CONCLUDE THAT 962 00:48:02,880 --> 00:48:04,160 QUOTE, A DEAF VARIETY, WOULD 963 00:48:04,160 --> 00:48:06,680 BECOME INCREASINGLY POSSIBLE AND 964 00:48:06,680 --> 00:48:09,680 THAT THERE WAS NO SIGN OF THE 965 00:48:09,680 --> 00:48:12,760 TREND SLOWING DOWN. SO WHAT WAS 966 00:48:12,760 --> 00:48:14,120 THIS DEAF VARIETY? IT WAS A 967 00:48:14,120 --> 00:48:17,080 GROUP OF DEAF PEOPLE WITH A 968 00:48:17,080 --> 00:48:19,880 CULTURAL IDENTITY IN LANGUAGE OF 969 00:48:19,880 --> 00:48:21,680 THEIR OWN THAT WOULD SEPARATE 970 00:48:21,680 --> 00:48:25,840 FROM THE BROADER HUMAN 971 00:48:25,840 --> 00:48:31,760 POPULATION. BELL ARGUED THAT AS 972 00:48:31,760 --> 00:48:32,880 A -- FROM BROADER SOCIETY, IT 973 00:48:32,880 --> 00:48:35,560 WOULD BE MUCH MORE DIFFICULT TO 974 00:48:35,560 --> 00:48:38,920 APPLY ANY EUGENICS MEASURES TO 975 00:48:38,920 --> 00:48:40,160 RESTRICT THE SEGREGATION OF DEAF 976 00:48:40,160 --> 00:48:45,640 PEOPLE. SO HE ENCOURAGE DEAF 977 00:48:45,640 --> 00:48:47,760 PEOPLE TO SOCIALIZE IN HUMAN 978 00:48:47,760 --> 00:48:50,160 COMMUNITY, ADVOCATED SPEECH OVER 979 00:48:50,160 --> 00:48:52,920 SIGN LANGUAGE, BUT HE ARGUED 980 00:48:52,920 --> 00:48:55,960 THAT ANY FORM OF RESTRICTIONS OR 981 00:48:55,960 --> 00:48:57,800 LEGAL BANNED ON DEAF 982 00:48:57,800 --> 00:48:59,600 INTERMARRIAGE WOULD ACTUALLY 983 00:48:59,600 --> 00:49:02,640 PROMOTE IMMORAL BEHAVIOR. AND 984 00:49:02,640 --> 00:49:04,160 THEREFORE, POSSIBLY EVEN FURTHER 985 00:49:04,160 --> 00:49:08,480 INCREASE THE RATES OF HEREDITARY 986 00:49:08,480 --> 00:49:09,520 DEAFNESS. BELL CLAIMED 987 00:49:09,520 --> 00:49:10,760 PREVENTIVE MEASURES WERE MORE 988 00:49:10,760 --> 00:49:14,200 LIKELY TO SUCCEED. PREVENTION 989 00:49:14,200 --> 00:49:17,800 WAS ESPECIALLY SUCCESSFUL WHEN 990 00:49:17,800 --> 00:49:19,840 THEY WERE DISGUISED AS 991 00:49:19,840 --> 00:49:22,080 EDUCATIONAL REFORM. WHAT WAS THE 992 00:49:22,080 --> 00:49:26,600 PREVENTION METHODS? THE 993 00:49:26,600 --> 00:49:28,120 RESIDENTIAL SCHOOL, FORD BY 994 00:49:28,120 --> 00:49:30,920 USING SIGN LANGUAGE IN THE 995 00:49:30,920 --> 00:49:33,720 CLASSROOM. PROHIBIT DEAF ADULTS 996 00:49:33,720 --> 00:49:36,240 FROM P BECOMING TEACHERS OF DEAF 997 00:49:36,240 --> 00:49:39,920 CHILDREN. AND PROVIDE MEDICAL 998 00:49:39,920 --> 00:49:45,120 EXPERTS TO EXAMINE AND TREAT ANY 999 00:49:45,120 --> 00:49:47,280 NEW DISEASE OR HEARING ISSUES AS 1000 00:49:47,280 --> 00:49:53,160 EARLY AS INFANCFANCY. SO BELL AD 1001 00:49:53,160 --> 00:49:55,480 THAT COLLECTIVELY THIS REFORM 1002 00:49:55,480 --> 00:49:57,400 WOULD ENCOURAGE DEAF PEOPLE POO 1003 00:49:57,400 --> 00:49:59,120 FOCUS ON DEVELOPING THEIR SPEECH 1004 00:49:59,120 --> 00:50:01,760 SKILLS AND MAKE THEM 1005 00:50:01,760 --> 00:50:05,000 FIGURATIVELY LESS DEAF. AND HIS 1006 00:50:05,000 --> 00:50:09,680 PERSPECTIVE ACTUALLY LED TO THE 1007 00:50:09,680 --> 00:50:10,800 MEMOIR BECAUSE AN OBJECT STUDY 1008 00:50:10,800 --> 00:50:12,360 ON DEAF HISTORY AND DREW THE 1009 00:50:12,360 --> 00:50:15,720 WRATH OF O DEAF PEOPLE WHO 1010 00:50:15,720 --> 00:50:17,880 CONSIDERED BELL EUGENICS VIEW AS 1011 00:50:17,880 --> 00:50:21,760 DAMAGING TO DEAF COMMUNITIES. 1012 00:50:21,760 --> 00:50:25,240 BUT BELL REPEATED IN NEWSPAPERS, 1013 00:50:25,240 --> 00:50:27,000 MAGAZINES, AND SPEAKING 1014 00:50:27,000 --> 00:50:28,600 WORLDWIDE, IT WAS CONSIDERED TO 1015 00:50:28,600 --> 00:50:32,600 BE CUTTING EDGE RESEARCH AT THE 1016 00:50:32,600 --> 00:50:36,200 TIME AND BELL DREW PLENTY OF -- 1017 00:50:36,200 --> 00:50:38,640 FROM STATISTICAL STUDY AND HE 1018 00:50:38,640 --> 00:50:42,240 VIEWED DEAF PEOPLE AS AN IDEAL 1019 00:50:42,240 --> 00:50:45,560 SUBJECT FOR TRACING HOW 1020 00:50:45,560 --> 00:50:47,640 CONTINUOUS SELECTION ACTUALLY 1021 00:50:47,640 --> 00:50:51,680 INFLUENCE EVOLUTION. SO WHAT 1022 00:50:51,680 --> 00:50:53,280 THIS SCIENTIFIC STAND IS NOT 1023 00:50:53,280 --> 00:50:54,440 ACTUALLY NEW TO PEOPLE WHO WORK 1024 00:50:54,440 --> 00:50:57,120 WITH DEAF CHILDREN AND DEAF 1025 00:50:57,120 --> 00:51:00,960 COMMUNITIES, BELL REPLICATION AS 1026 00:51:00,960 --> 00:51:02,280 SCIENTIST AS HE DREW WIDER 1027 00:51:02,280 --> 00:51:03,840 PUBLIC ATTENTION TO THE 1028 00:51:03,840 --> 00:51:05,560 CONCERNING AND WORRYING ISSUE OF 1029 00:51:05,560 --> 00:51:09,400 HEREDITARY DEAFNESS. SO FOR 1030 00:51:09,400 --> 00:51:14,200 EXAMPLE, HE STUDIED 757 CASES OF 1031 00:51:14,200 --> 00:51:17,040 INTERMARRIAGE BETWEEN DEAF MUTE 1032 00:51:17,040 --> 00:51:23,280 PEOPLE. AND FOUND THAT 1,514 1033 00:51:23,280 --> 00:51:27,680 PEOPLE WHO INTERMARRY, 1400 WERE 1034 00:51:27,680 --> 00:51:30,760 DEAF MUTE, 5% OF WHOM WENT ON TO 1035 00:51:30,760 --> 00:51:34,000 MARRY HEARING PEOPLE, WHILE 95% 1036 00:51:34,000 --> 00:51:36,360 MARRIED OTHER DEAF PEOPLE AND 1037 00:51:36,360 --> 00:51:41,760 HAD THEIR OWN DEAF CHILDREN. THE 1038 00:51:41,760 --> 00:51:44,520 ROAL COMMISSIONERS CONSIDERED 1039 00:51:44,520 --> 00:51:47,680 BELL'S STUDY AND SUPPORTING 1040 00:51:47,680 --> 00:51:49,640 RESEARCH AS SUFFICIENT EVIDENCE 1041 00:51:49,640 --> 00:51:53,000 TO PROVE THAT THE REAL DANGER OF 1042 00:51:53,000 --> 00:51:55,960 INCREASE CONGENITAL DEAFNESS, 1043 00:51:55,960 --> 00:51:58,360 EVEN WHILE DEAF PEOPLE ALSO 1044 00:51:58,360 --> 00:52:00,360 TESTIFIED THAT THIS CONCERN 1045 00:52:00,360 --> 00:52:02,200 WASN'T AS WORRYING AS BELL MADE 1046 00:52:02,200 --> 00:52:06,920 IT OUT TO BE. SO THE ROAL 1047 00:52:06,920 --> 00:52:08,160 COMMISSIONERS RECOMMENDED THAT 1048 00:52:08,160 --> 00:52:09,640 INTERMARRIAGES OF HEREDITARY 1049 00:52:09,640 --> 00:52:11,560 DEAF MUTE PEOPLE SHOULD BE 1050 00:52:11,560 --> 00:52:16,320 STRONGLY DISCOURAGED. THE 1051 00:52:16,320 --> 00:52:18,640 RESOLUTION WAS ALSO PART OF 1052 00:52:18,640 --> 00:52:20,240 THESE BROADER CHANGES IN WHICH 1053 00:52:20,240 --> 00:52:22,520 THE ISSUE OF WHO PAYS FOR DEAF 1054 00:52:22,520 --> 00:52:24,680 EDUCATION AS WELL AS EDUCATION 1055 00:52:24,680 --> 00:52:27,680 FOR BLIND AND PHYSICALLY 1056 00:52:27,680 --> 00:52:30,440 DISABLED CHILDREN, BECOME 1057 00:52:30,440 --> 00:52:32,360 INCREASING COST WILL BE BURDEN 1058 00:52:32,360 --> 00:52:35,320 BY TAX PAYERS OR THE STATE. 1059 00:52:35,320 --> 00:52:40,320 NEXT SLIDE PLEASE. SO FOR 1060 00:52:40,320 --> 00:52:42,360 EXAMPLE, RECORDS FROM THE LONDON 1061 00:52:42,360 --> 00:52:44,680 COUNTY COUNCIL, ONE OF THE 1062 00:52:44,680 --> 00:52:46,520 EDUCATIONAL BRANCHES INDICATED 1063 00:52:46,520 --> 00:52:49,840 THAT THE COST OF EDUCATING A 1064 00:52:49,840 --> 00:52:56,440 DEAF CHILD AMO AAMOUNTED TO 31 1065 00:52:56,440 --> 00:52:58,560 POUNDS PER YEAR COMPARED TO 5 1066 00:52:58,560 --> 00:53:00,360 POUNDS SPENT ON ORDINARY CHILD. 1067 00:53:00,360 --> 00:53:02,560 AND THIS REPORT ARGUED IF THE 1068 00:53:02,560 --> 00:53:03,680 NUMBERS OF DEAF CHILDREN 1069 00:53:03,680 --> 00:53:06,520 CONTINUES TO INCREASE, 1070 00:53:06,520 --> 00:53:08,720 ESPECIALLY THROUGH HEREDITARY 1071 00:53:08,720 --> 00:53:11,640 DEAFNESS, TRACKED THROUGH DEAF 1072 00:53:11,640 --> 00:53:13,680 INTERMARRIAGES, AND FORWARD 1073 00:53:13,680 --> 00:53:17,760 MEDICAL INTERVENTION WAS LARGELY 1074 00:53:17,760 --> 00:53:20,120 INEFFECTIVE, THEN EUGENICS 1075 00:53:20,120 --> 00:53:21,960 TEXTBOOK ASSERTED, DEAFNESS WILL 1076 00:53:21,960 --> 00:53:23,400 BECOME A VERY EXPENSIVE 1077 00:53:23,400 --> 00:53:24,640 CONDITION FOR ANY COMMUNITY TO 1078 00:53:24,640 --> 00:53:27,840 MAINTAIN. EVEN IF THE CHILDREN 1079 00:53:27,840 --> 00:53:29,800 WHEN INDICATED ARE ABLE TO 1080 00:53:29,800 --> 00:53:33,120 SUPPORT THEMSELVES. BUT NOT ALL 1081 00:53:33,120 --> 00:53:34,440 EXPERTS AGREED WITH THIS 1082 00:53:34,440 --> 00:53:37,240 PERSPECTIVE. NOR DID THEY AGREE 1083 00:53:37,240 --> 00:53:39,320 THE THREAT OF DEAF HEREDITARY 1084 00:53:39,320 --> 00:53:42,520 DEAFNESS WOULD REALLY DEEPLY 1085 00:53:42,520 --> 00:53:46,240 CONCERNING. AUTHOR HENRY BATHER 1086 00:53:46,240 --> 00:53:48,000 THE SECRETARY OF THE ROAL 1087 00:53:48,000 --> 00:53:50,920 ASSOCIATION IN AID OF THE DEAF 1088 00:53:50,920 --> 00:53:52,720 AND DUMB, WAS ONE OF TWO DEAF 1089 00:53:52,720 --> 00:53:54,520 SIGNERS INVITED TO TESTIFY IN 1090 00:53:54,520 --> 00:53:58,200 FRONT OF THE ROAL COMMISSION. HE 1091 00:53:58,200 --> 00:54:00,840 STRONGLY OPPOSED BELL'S FINDINGS 1092 00:54:00,840 --> 00:54:04,040 AND DESCRIPTION AS DID AMERICAN 1093 00:54:04,040 --> 00:54:08,560 EDUCATOR EDWARD GALLAUDET. 1094 00:54:08,560 --> 00:54:10,160 HOWEVER, BECAUSE BELL TIES THIS 1095 00:54:10,160 --> 00:54:13,000 IDEA OF CONVECTION OF DEAFNESS 1096 00:54:13,000 --> 00:54:14,720 -- CONVENTION OF DEAFNESS TO THE 1097 00:54:14,720 --> 00:54:16,560 HEALTH OF THE NATION, STATISTICS 1098 00:54:16,560 --> 00:54:18,760 PROVIDED BY DEAF PEOPLE, 1099 00:54:18,760 --> 00:54:20,840 SKEPTICAL EDUCATORS AS WELL AS 1100 00:54:20,840 --> 00:54:21,720 COMMISSIONERS FOR THE DEAF, 1101 00:54:21,720 --> 00:54:24,960 STARTED TO INCLUSIVELY QUESTION 1102 00:54:24,960 --> 00:54:27,640 BELL'S EVIDENCE AND THEY SHOWED 1103 00:54:27,640 --> 00:54:29,080 THAT RATHER THAN DEAF 1104 00:54:29,080 --> 00:54:31,520 INTERMARRIAGES PRODUCING HIGHER 1105 00:54:31,520 --> 00:54:32,320 RATES OF DEAF CHILDREN, THEY 1106 00:54:32,320 --> 00:54:33,440 ACTUALLY FOUND THE OPPOSITE WAS 1107 00:54:33,440 --> 00:54:37,240 TRUE. IN THAT DEAF PEOPLE 1108 00:54:37,240 --> 00:54:47,720 MARRYING DEAF PEOPLE ONLY LED 1109 00:54:47,720 --> 00:54:48,960 INTERMITTENTLY LED TO DEAF 1110 00:54:48,960 --> 00:54:51,120 CHILDREN. MEANWHILE FOR 1111 00:54:51,120 --> 00:54:52,920 AUDIOLOGISTS THIS BROADER 1112 00:54:52,920 --> 00:54:54,840 DISCOURSE ABOUT STATISTICS AND 1113 00:54:54,840 --> 00:54:57,560 DEAF EDUCATION PROVIDED AMPLE 1114 00:54:57,560 --> 00:54:59,440 OPPORTUNITIES TO DEMONSTRATE THE 1115 00:54:59,440 --> 00:55:02,000 IMPORTANCE OF THE PROFESSION. 1116 00:55:02,000 --> 00:55:03,800 AND THE ROLES STARTED TO BECOME 1117 00:55:03,800 --> 00:55:07,000 MORE PROFOUND AFTER THE 1893 1118 00:55:07,000 --> 00:55:10,320 ELEMENTARY EDUCATION ACT AND THE 1119 00:55:10,320 --> 00:55:12,000 LATER PROVISION WHICH COMPELLED 1120 00:55:12,000 --> 00:55:14,200 SCHOOL BOARDS TO PROVIDE FOR 1121 00:55:14,200 --> 00:55:15,760 BLIND DEAF EPILEPTIC AND 1122 00:55:15,760 --> 00:55:18,880 DISABLED CHILDREN. NEXT SLIDE 1123 00:55:18,880 --> 00:55:27,400 PLEASE. MEDICAL EXPERTS 1124 00:55:27,400 --> 00:55:32,880 CONTROLLED THE PROCESS QUASI EWE 1125 00:55:32,880 --> 00:55:35,000 GYPSY APPROACH FOR MANAGING 1126 00:55:35,000 --> 00:55:36,840 DISABILITY AND STATE FUNDED FOR 1127 00:55:36,840 --> 00:55:40,320 EDUCATION. THE OTOLOGIST 1128 00:55:40,320 --> 00:55:44,040 ASSESSED THE DEAFNESS AND WHERE 1129 00:55:44,040 --> 00:55:46,520 POSSIBLE RECOMMENDED MEDICAL OR 1130 00:55:46,520 --> 00:55:48,520 SURGICAL INTERVENTION, TO REMOVE 1131 00:55:48,520 --> 00:55:52,720 THE TONSILS AND ADENOIDS. AND 1132 00:55:52,720 --> 00:55:55,640 THE AIM TO CORRECT THE MEDICAL 1133 00:55:55,640 --> 00:55:59,680 ISSUE,PRIOR TO A DEAF CHILD 1134 00:55:59,680 --> 00:56:01,360 BEING STUDIED FOR. ESPECIALLY 1135 00:56:01,360 --> 00:56:03,320 LOOKED FOR SYMPTOMS OF 1136 00:56:03,320 --> 00:56:06,600 HEREDITARY DEAF MUTISM TO 1137 00:56:06,600 --> 00:56:10,120 DISCOURAGE INTERMARRYING. SO 1138 00:56:10,120 --> 00:56:14,600 MANY OTOLOGISTS GENERALLY AGREE 1139 00:56:14,600 --> 00:56:16,880 PREVENTION AND TREATMENT OF EAR 1140 00:56:16,880 --> 00:56:19,280 ISSUES FOR ESSENTIAL FOR 1141 00:56:19,280 --> 00:56:21,000 IDENTIFYING POCKETS OF DEAFNESS 1142 00:56:21,000 --> 00:56:22,440 FOR INTERVENTION. SOME TOOK THE 1143 00:56:22,440 --> 00:56:25,920 MORE EXTREME VIEW. ONE OF THE 1144 00:56:25,920 --> 00:56:31,440 MOST OUTSPOKEN OTOLOGISTS WAS 1145 00:56:31,440 --> 00:56:34,480 (INDISCERNIBLE). IN HIS ROLE AS 1146 00:56:34,480 --> 00:56:36,440 A ORAL SURGEON AND MEDICAL 1147 00:56:36,440 --> 00:56:40,320 INSPECTOR TO THE LONDON COUNTY 1148 00:56:40,320 --> 00:56:42,880 SCHOOL, HE HAD AMPLE OPPORTUNITY 1149 00:56:42,880 --> 00:56:44,200 TO JUDGE THE WORKING OF THE 1150 00:56:44,200 --> 00:56:48,880 SYSTEM OF DEAF EDUCATION. AND HE 1151 00:56:48,880 --> 00:56:51,080 ARGUED THAT THE ENTIRE SYSTEM OF 1152 00:56:51,080 --> 00:56:54,080 DEAF EDUCATION NEEDED TO BE 1153 00:56:54,080 --> 00:56:56,360 REORGANIZED BECAUSE TOO MANY 1154 00:56:56,360 --> 00:56:59,440 DEAF CHILDREN WERE BEING PLACED 1155 00:56:59,440 --> 00:57:01,600 IN DEAF SCHOOL WITHOUT PROPER 1156 00:57:01,600 --> 00:57:04,960 INTERVENTION BY MEDICAL EXPERT 1157 00:57:04,960 --> 00:57:07,640 WHEN THEY COULD OTHERWISE BE 1158 00:57:07,640 --> 00:57:10,520 BENEFITING FROM SPEECH TRAINING 1159 00:57:10,520 --> 00:57:17,800 AND MAKING (INAUDIBLE). NEXT 1160 00:57:17,800 --> 00:57:20,240 SLIDE. UNDER THE SYSTEM HE 1161 00:57:20,240 --> 00:57:21,600 CLAIMED ALL CHILDREN AT THE LOP 1162 00:57:21,600 --> 00:57:24,200 DON COUNTY COUNCIL SCHOOL NEED 1163 00:57:24,200 --> 00:57:26,160 TO HAVE A HEARING PRELIMINARY 1164 00:57:26,160 --> 00:57:27,440 EXAM IN THE FIRST YEAR BY A 1165 00:57:27,440 --> 00:57:30,280 SCHOOL DOCTOR OR NURSE UNDER HIS 1166 00:57:30,280 --> 00:57:31,640 SUPERVISION AND THEN CHILDREN 1167 00:57:31,640 --> 00:57:33,520 WHO WERE PRELIMINARY DIAGNOSED 1168 00:57:33,520 --> 00:57:36,320 OR SUSPECTED TO BE DEAF, WERE 1169 00:57:36,320 --> 00:57:39,120 RECOMMENDED TO HIM OR THE 1170 00:57:39,120 --> 00:57:42,160 MEDICAL DEPARTMENT FOR 1171 00:57:42,160 --> 00:57:44,240 TREATMENT. WHAT HIS METHOD 1172 00:57:44,240 --> 00:57:46,520 CREATED WITH MERGING WHAT HE 1173 00:57:46,520 --> 00:57:48,680 CALL EFFECTIVE EDUCATION AND 1174 00:57:48,680 --> 00:57:51,800 EFFECTIVE TREATMENT, IN ORDER TO 1175 00:57:51,800 --> 00:57:53,120 DRASTICALLY DIMINISH A NUMBER OF 1176 00:57:53,120 --> 00:57:54,880 DEAF CHILDREN WITH HEREDITARY 1177 00:57:54,880 --> 00:57:56,760 DEAFNESS GOING INTO SCHOOLS 1178 00:57:56,760 --> 00:58:04,160 WITHOUT PROPER EXAMINATION 1179 00:58:04,160 --> 00:58:05,760 HOWEVER, IT WASN'T DIMINISHING 1180 00:58:05,760 --> 00:58:07,520 THE VALUE OF DEAF EDUCATION OR 1181 00:58:07,520 --> 00:58:13,400 EDUCATION FOR DEAF CHILDREN. HE 1182 00:58:13,400 --> 00:58:15,040 CLAIMED THAT QUOTE HEARING IS 1183 00:58:15,040 --> 00:58:16,240 THE MOST IMPORTANT EDUCATION 1184 00:58:16,240 --> 00:58:17,200 SENSE BECAUSE IT CHANNELS 1185 00:58:17,200 --> 00:58:19,080 THROUGH WHICH THE CHILD OBTAINS 1186 00:58:19,080 --> 00:58:22,040 THE SPEECH AND LANGUAGE WHICH HE 1187 00:58:22,040 --> 00:58:24,800 CANNOT THINK AND REASON CLEARLY 1188 00:58:24,800 --> 00:58:26,240 SO HE CLAIMED THAT MEDICAL 1189 00:58:26,240 --> 00:58:29,080 FAILURE TO PROPERLY ASSESS DEAF 1190 00:58:29,080 --> 00:58:31,280 AND DEAF MUTE CHILDREN FOR 1191 00:58:31,280 --> 00:58:32,880 LANGUAGE AND SPEECH ACTUALLY LED 1192 00:58:32,880 --> 00:58:37,200 TO INCREASE COST THAT COULD BE 1193 00:58:37,200 --> 00:58:40,040 BURDENED BY THE TAXPAYER. THE 1194 00:58:40,040 --> 00:58:41,640 RECENT STATISTICS SHOW THAT THE 1195 00:58:41,640 --> 00:58:43,920 COST OF EDUCATION, PER HEAD, OF 1196 00:58:43,920 --> 00:58:48,160 THE DEAF-MUTES IN THE LONDON 1197 00:58:48,160 --> 00:58:50,360 COUNTY COUNCIL SCHOOLINGS IS 31 1198 00:58:50,360 --> 00:58:51,800 POUNDS PER ANNUM, THIS INCLUDES 1199 00:58:51,800 --> 00:58:53,720 BOTH RESIDENTIAL AND DAY 1200 00:58:53,720 --> 00:58:55,600 SCHOLARS. AND HE GOES ON TO 1201 00:58:55,600 --> 00:58:59,120 EXPLAIN THAT IF THEY DEDUCT THE 1202 00:58:59,120 --> 00:59:02,760 RESIDENTIAL SCHOOL THE COST OF 1203 00:59:02,760 --> 00:59:04,240 23 POUNDS PER YEAR. IN 1204 00:59:04,240 --> 00:59:06,560 COMPARISON QUOTE, THE EXPEN OF 1205 00:59:06,560 --> 00:59:09,240 EDUCATING THE NORMAL CHILD IN 1206 00:59:09,240 --> 00:59:10,720 ELEMENTARY SCHOOLS IS 5 POUNDS 1207 00:59:10,720 --> 00:59:14,360 PER ANNPER ANNUM. SO HIS ARGUMEE 1208 00:59:14,360 --> 00:59:17,760 ARE PAYING SO MUCH MORE FOR DEAF 1209 00:59:17,760 --> 00:59:18,760 EDUCATION WHEN WE COULD ACTUALLY 1210 00:59:18,760 --> 00:59:21,120 DEVISE MEDICAL PROVISION TO 1211 00:59:21,120 --> 00:59:27,480 REDUCE THAT COST. HE WAS A EWE 1212 00:59:27,480 --> 00:59:32,760 GENERAL CYST AND HE CLAIMED -- 1213 00:59:32,760 --> 00:59:34,960 EUGENICS, AND HE CLAIMED IT WAS 1214 00:59:34,960 --> 00:59:38,000 POSSIBLE TO PREVENT HEREDITARY 1215 00:59:38,000 --> 00:59:40,600 DEAFNESS HE SUGGESTED THAT 1216 00:59:40,600 --> 00:59:41,200 STERILIZATION WAS ANOTHER 1217 00:59:41,200 --> 00:59:46,600 OPTION. AND THAT HAS 1218 00:59:46,600 --> 00:59:50,320 FUNCTIONALLY FOR EUGENICS 1219 00:59:50,320 --> 00:59:51,520 REACHED ORALIZATION POSSIBLE 1220 00:59:51,520 --> 00:59:55,360 WITH MINIMUM OF DANGER. SO JUST 1221 00:59:55,360 --> 00:59:57,000 TO WRAP UP, WHAT IS THE HISTORY 1222 00:59:57,000 --> 01:00:00,000 OF STATISTICAL STUDY CONCERNED 1223 01:00:00,000 --> 01:00:01,600 ABOUT HEREDITARY DEAFNESS TELL 1224 01:00:01,600 --> 01:00:03,760 US? FOR ONE THING, IT 1225 01:00:03,760 --> 01:00:05,080 UNDERSCORES HOW EUGENICS DOES HE 1226 01:00:05,080 --> 01:00:07,560 HAVELY INFORMS MUCH OF MODERN 1227 01:00:07,560 --> 01:00:10,200 MEDICINE AND DEAF EDUCATION, AND 1228 01:00:10,200 --> 01:00:13,880 THAT STATISTICAL DATA THAT WAS 1229 01:00:13,880 --> 01:00:16,960 COMPILED -- WHAT WOULD CALL 1230 01:00:16,960 --> 01:00:19,120 HEREDITARY DEAFNESS WAS NOT 1231 01:00:19,120 --> 01:00:20,720 ADEQUATELY MANAGED THROUGH 1232 01:00:20,720 --> 01:00:22,960 EDUCATION, MEDICAL SURVEILLANCE 1233 01:00:22,960 --> 01:00:26,440 AS WELL AS GOVERNMENT AND STATE 1234 01:00:26,440 --> 01:00:29,280 INTERVENTION. AND SECONDLY, 1235 01:00:29,280 --> 01:00:31,880 DESPITE THIS RICH HISTORY OF 1236 01:00:31,880 --> 01:00:33,400 SIGN LANGUAGE THAT COMMUNITIES 1237 01:00:33,400 --> 01:00:36,600 AND DEAF CULTURE, DEAFNESS WAS 1238 01:00:36,600 --> 01:00:38,560 CREATED AS A MEDICAL PROBLEM 1239 01:00:38,560 --> 01:00:41,880 THAT REQUIRED A FIX. AND THIS 1240 01:00:41,880 --> 01:00:43,360 ABLEISM HAS IMPACT AND STILL 1241 01:00:43,360 --> 01:00:46,080 CONTINUES TO IMPACT HOW DEAF 1242 01:00:46,080 --> 01:00:49,040 PEOPLE ACCESS MEDICAL CARE OR 1243 01:00:49,040 --> 01:00:52,120 LACK THEREOF, ESPECIALLY WHEN NO 1244 01:00:52,120 --> 01:00:53,520 COME BY ACCOMMODATIONS ARE 1245 01:00:53,520 --> 01:00:55,880 PROVIDED FOR COMMUNICATION. AND 1246 01:00:55,880 --> 01:00:59,480 THE INCREASINGLY INEQUITIES AND 1247 01:00:59,480 --> 01:01:00,720 BARRIERSES DEAF PEOPLE FACE AND 1248 01:01:00,720 --> 01:01:04,120 CONTINUE TO FACE, ARE FURTHER 1249 01:01:04,120 --> 01:01:05,880 COMPLICATED BY THE EUGENICS 1250 01:01:05,880 --> 01:01:09,520 AGENDA OF ELIMINATING DEAFNESS 1251 01:01:09,520 --> 01:01:13,200 OR VERY LEAST PREVENTING A DEAF 1252 01:01:13,200 --> 01:01:17,000 VARIETY AS BELL CAUTIONED WHO 1253 01:01:17,000 --> 01:01:19,960 MADE YOU WILL ULTIMATE GOAL OF 1254 01:01:19,960 --> 01:01:22,480 MEDICAL SCIENCE. FAR FROM BEING 1255 01:01:22,480 --> 01:01:25,640 THE DISSTOPIAN SCENARIO, THE 1256 01:01:25,640 --> 01:01:27,160 EUGENICS PERSPECTIVE IS STILL 1257 01:01:27,160 --> 01:01:30,080 VERY MUCH EMBEDDED IN SOCIETY 1258 01:01:30,080 --> 01:01:35,280 THAT PROMOTES DEAFNESS COURSE AS 1259 01:01:35,280 --> 01:01:37,760 A SOLUTION TO CELEBRATE AS A 1260 01:01:37,760 --> 01:01:45,400 TRIUMPH OF SCIENCE. THANK YOU. 1261 01:01:45,400 --> 01:01:50,800 >>THANK YOU SO MUCH MS. VIRDI. 1262 01:01:50,800 --> 01:01:52,080 I BELIEVE WE HAVE TIME FOR A FEW 1263 01:01:52,080 --> 01:01:54,720 QUESTIONS AND I ENCOURAGE OUR 1264 01:01:54,720 --> 01:01:55,800 AUDIENCE TO HAVE -- THAT YOU 1265 01:01:55,800 --> 01:01:57,160 TYPE ANY QUESTIONS THAT THEY CAN 1266 01:01:57,160 --> 01:02:02,120 IN THE Q&A BOX. SO ONE QUESTION 1267 01:02:02,120 --> 01:02:08,960 TO START OFF IS DID BELL'S STUDY 1268 01:02:08,960 --> 01:02:10,560 MAINLY EFFECT ENGLISH SPEAKING 1269 01:02:10,560 --> 01:02:12,080 HUMANITIES OR WAS THAT 1270 01:02:12,080 --> 01:02:13,080 PERCEPTION EXTENDED ACROSS 1271 01:02:13,080 --> 01:02:15,880 COMMUNITIES USING OTHER 1272 01:02:15,880 --> 01:02:17,000 LANGUAGES AND ARE THERE ANY 1273 01:02:17,000 --> 01:02:19,440 EXAMPLES THAT WE KNOW OF WHERE 1274 01:02:19,440 --> 01:02:20,760 BARRIERS TO INTERMARRIAGE WERE 1275 01:02:20,760 --> 01:02:22,800 NOT PLACED AND DEAF COMMUNITIES 1276 01:02:22,800 --> 01:02:24,320 FOLLOWED A DIFFERENT TRAJECTORY 1277 01:02:24,320 --> 01:02:27,000 OVER GENERATIONS? 1278 01:02:27,000 --> 01:02:30,040 >>THAT IS A WONDERFUL QUESTION. 1279 01:02:30,040 --> 01:02:33,760 INDEED BELL WAS INFLUENCIAL, IT 1280 01:02:33,760 --> 01:02:38,320 CONFIRMED WHAT GERMAN EDUCATORS 1281 01:02:38,320 --> 01:02:41,200 WERE ALREADY THE HERD THEY HAD 1282 01:02:41,200 --> 01:02:42,720 IN PLACE IN -- METHOD THEY HAD 1283 01:02:42,720 --> 01:02:46,920 IN PLACE IN DEAF EDUCATION AND 1284 01:02:46,920 --> 01:02:49,080 OLE TO COMPILE STATISTICS TO SEE 1285 01:02:49,080 --> 01:02:50,520 IF WHAT THEY WERE OBSERVING IN 1286 01:02:50,520 --> 01:02:52,520 THE SCHOOLS COULD CONFIRM AND 1287 01:02:52,520 --> 01:02:56,520 VALIDATE BELL'S RESEARCH. 1288 01:02:56,520 --> 01:02:59,400 HOWEVER, SCHOOLS FOR THE DEAF 1289 01:02:59,400 --> 01:03:00,080 CHILDREN LIKE GALLAUDET 1290 01:03:00,080 --> 01:03:01,480 UNIVERSITY AND SOME SCHOOLS IN 1291 01:03:01,480 --> 01:03:03,520 FRANCE ARGUED THE OPPOSITE. 1292 01:03:03,520 --> 01:03:05,680 THEY CLAIM THAT THEIR STATISTICS 1293 01:03:05,680 --> 01:03:07,920 DID NOT -- COULD NOT VERIFY WHAT 1294 01:03:07,920 --> 01:03:11,200 BELL WAS SEEING, IN OTHER WORDS, 1295 01:03:11,200 --> 01:03:15,200 WHILE THEY SAW HEREDITARY 1296 01:03:15,200 --> 01:03:17,400 DEAFNESS THROUGH GENERATIONS OF 1297 01:03:17,400 --> 01:03:18,520 DEAF INTERMARRIAGE, THEY DIDN'T 1298 01:03:18,520 --> 01:03:24,600 SEE THE PERCENTAGE AS WORRYING 1299 01:03:24,600 --> 01:03:29,560 AS BELL WAS AND IT WASN'T A 1300 01:03:29,560 --> 01:03:30,800 CONCERN THAT WERE TERRIFYING 1301 01:03:30,800 --> 01:03:33,920 ENOUGH TO WARRANT PREVENTIVE 1302 01:03:33,920 --> 01:03:35,440 MEASURES BELL WAS ADVOCATING 1303 01:03:35,440 --> 01:03:37,160 FOR. FURTHER STUDIES IN THE 1304 01:03:37,160 --> 01:03:39,240 EARLY 20TH CENTURY CONFIRM THAT 1305 01:03:39,240 --> 01:03:42,440 THE RATE OF HEREDITARY 1306 01:03:42,440 --> 01:03:43,600 TRANSMISSION TO DEAF 1307 01:03:43,600 --> 01:03:46,760 INTERMARRIAGE WAS ACTUALLY MUCH 1308 01:03:46,760 --> 01:03:47,400 MUCH LOWER THAN BELL FOUND. 1309 01:03:47,400 --> 01:03:50,680 >>I THINK I WAS THINKING JUST 1310 01:03:50,680 --> 01:03:51,960 ABOUT THE QUESTION AND YOUR 1311 01:03:51,960 --> 01:03:53,240 RESPONSE WHERE IN THE FOR 1312 01:03:53,240 --> 01:03:55,520 EXAMPLE IN THE PACE OF THE CHECK 1313 01:03:55,520 --> 01:03:59,000 EUGENICS MOVEMENT THERE WAS 1314 01:03:59,000 --> 01:03:59,840 SIGNIFICANT INFLUENCE OF BELL 1315 01:03:59,840 --> 01:04:01,000 BUT THAT IS ACTUALLY A VERY 1316 01:04:01,000 --> 01:04:03,840 INTERESTING QUESTION OF HOW THIS 1317 01:04:03,840 --> 01:04:07,400 WAS PERCEIVED, THIS EUGENICS WAS 1318 01:04:07,400 --> 01:04:09,280 PERCEIVED THEN TRANSMITTED 1319 01:04:09,280 --> 01:04:11,200 ACROSS IN CERTAIN EUROPEAN 1320 01:04:11,200 --> 01:04:12,720 COMMUNITIES AS WELL. THAT WOULD 1321 01:04:12,720 --> 01:04:15,920 BE A VERY OPEN AND VERY PROFOUND 1322 01:04:15,920 --> 01:04:18,320 RESEARCH QUESTION I THINK FOR 1323 01:04:18,320 --> 01:04:23,160 FUTURE INVESTIGATORS. ONE MORE 1324 01:04:23,160 --> 01:04:28,120 QUESTION THAT I HAVE. HOW DO 1325 01:04:28,120 --> 01:04:30,280 PEOPLE WHO BECOME DEAF DUE TO 1326 01:04:30,280 --> 01:04:33,480 TRAUMA OR DISEASE LATER IN LIFE 1327 01:04:33,480 --> 01:04:35,560 INTEGRATE WITH THE CONGENITAL 1328 01:04:35,560 --> 01:04:38,680 DEAF COMMUNITY AND YOUR THOUGHTS 1329 01:04:38,680 --> 01:04:42,240 ON THAT AND ALSO HISTORICAL 1330 01:04:42,240 --> 01:04:43,480 PERSPECTIVE AS WELL? 1331 01:04:43,480 --> 01:04:44,680 >>THAT IS GREAT QUESTION, THAT 1332 01:04:44,680 --> 01:04:47,520 IS ALSO A HISTORICAL QUESTION 1333 01:04:47,520 --> 01:04:49,240 HOW ORAL SURGERY TRANSFORM OVER 1334 01:04:49,240 --> 01:04:52,600 THE COURSE OF THE 19TH CENTURY. 1335 01:04:52,600 --> 01:04:56,360 ORIGINALLY IN THE 1800s THEY 1336 01:04:56,360 --> 01:04:59,720 LUNCHED ALL GROUPS TOGETHER BUT 1337 01:04:59,720 --> 01:05:02,680 AS ALSO BECAME MUCH MORE 1338 01:05:02,680 --> 01:05:03,560 SPECIALIZED THE PARTICULARLY 1339 01:05:03,560 --> 01:05:05,080 ABLE TO CREATE DIFFERENT 1340 01:05:05,080 --> 01:05:07,120 CATEGORY OR TYPES OF HEARING 1341 01:05:07,120 --> 01:05:09,920 LOSS AND TYPES OF CONDITIONS 1342 01:05:09,920 --> 01:05:11,520 THAT WOULD AFFECT A DEAF PERSON 1343 01:05:11,520 --> 01:05:14,160 OVERALL WELL BEING. THEY DID NOT 1344 01:05:14,160 --> 01:05:16,440 CONSIDER PEOPLE WHO LOST HEARING 1345 01:05:16,440 --> 01:05:18,880 -- ESPECIALLY AFTER THE 1346 01:05:18,880 --> 01:05:21,920 LANGUAGE, CHILDREN WHO WERE BORN 1347 01:05:21,920 --> 01:05:23,400 HEARING AND THEN ABLE TO SPEAK 1348 01:05:23,400 --> 01:05:26,320 BUT LOST HEARING LATER, DUE THE 1349 01:05:26,320 --> 01:05:28,360 DISEASE OR TRAUMA, AS WELL AS 1350 01:05:28,360 --> 01:05:31,320 ADULTS WITH LATE ONSET DEAFNESS. 1351 01:05:31,320 --> 01:05:32,600 THEY LUNCH THEM UNDER ACCIDENT 1352 01:05:32,600 --> 01:05:36,240 OR ILLNESS. AND THEREFORE, MORE 1353 01:05:36,240 --> 01:05:37,400 LIKELY TO BENEFIT FROM MEDICAL 1354 01:05:37,400 --> 01:05:41,360 INTERVENTION. SO ONES WHO ARE 1355 01:05:41,360 --> 01:05:46,120 BORN DEAF OR ONES WHO LOST THE 1356 01:05:46,120 --> 01:05:48,600 HEARING BEFORE LANGUAGE ARE MORE 1357 01:05:48,600 --> 01:05:52,840 DIFFICULT CASE. AND MANY ALSO DO 1358 01:05:52,840 --> 01:05:54,720 BELIEVE THIS GROUP NEEDED MUCH 1359 01:05:54,720 --> 01:05:57,800 MORE INVASIVE MEDICAL 1360 01:05:57,800 --> 01:05:58,920 INTERVENTION AND IF INTERVENTION 1361 01:05:58,920 --> 01:06:01,680 WAS NOT POSSIBLE, THEN THIS WAS 1362 01:06:01,680 --> 01:06:04,560 A GROUP MOST LIKELY TO BENEFIT 1363 01:06:04,560 --> 01:06:05,840 FROM DEAF EDUCATION WHETHER 1364 01:06:05,840 --> 01:06:06,680 THROUGH SIGN SPEECH OR MIX OF 1365 01:06:06,680 --> 01:06:09,720 THAT. 1366 01:06:09,720 --> 01:06:12,160 >>SO WE HAD A QUESTION IN THE 1367 01:06:12,160 --> 01:06:15,760 CHAT. I'M READING NOW HOW DO YOU 1368 01:06:15,760 --> 01:06:18,720 THINK BELL AND THE EUGENICS 1369 01:06:18,720 --> 01:06:20,280 MOVEMENT CONTRIBUTED TO 1370 01:06:20,280 --> 01:06:21,880 ALIENATING THOSE WITH HEARING 1371 01:06:21,880 --> 01:06:25,400 LOSS WHO ARE NOT CULTURALLY DEAF 1372 01:06:25,400 --> 01:06:26,720 BUT WHOM CONSTANTLY FEEL LEFT 1373 01:06:26,720 --> 01:06:29,040 OUT OF BOTH HEARING AND DEAF 1374 01:06:29,040 --> 01:06:31,600 CULTURE, HEARING AND DEAF ARE 1375 01:06:31,600 --> 01:06:34,880 BOTH IN QUOTE. 1376 01:06:34,880 --> 01:06:36,840 >>THAT IS A WONDERFUL QUESTION. 1377 01:06:36,840 --> 01:06:39,680 I APPLY MYSELF TO THAT AS WELL 1378 01:06:39,680 --> 01:06:42,000 BECAUSE I'M NOT FLUENT IN ASL 1379 01:06:42,000 --> 01:06:43,800 AND TOO DEAF TO BE PART OF THE 1380 01:06:43,800 --> 01:06:49,560 HEARING CULTURE EVEN THOUGH I 1381 01:06:49,560 --> 01:06:50,960 SPEAK. BELL'S WORK I THINK 1382 01:06:50,960 --> 01:06:52,680 ESPECIALLY WITHIN THE BROADER 1383 01:06:52,680 --> 01:06:57,280 EUGENICS MOVEMENT, COULDN'T 1384 01:06:57,280 --> 01:06:59,520 UNDERSTAND THAT TO BE CULTURALLY 1385 01:06:59,520 --> 01:07:03,400 DEAF WAS TO SEGREGATE YOURSELF 1386 01:07:03,400 --> 01:07:05,840 FROM THE BROADER HEARING 1387 01:07:05,840 --> 01:07:07,560 SOCIETY. EFFECTIVELY HE PUSHED 1388 01:07:07,560 --> 01:07:08,840 FORWARD THIS IDEA OF BINARY, 1389 01:07:08,840 --> 01:07:11,360 THAT YOU ARE HEARING OR YOU ARE 1390 01:07:11,360 --> 01:07:12,800 DEAF AND NO RANGE IN BETWEEN. 1391 01:07:12,800 --> 01:07:16,640 EVEN THOUGH AS I MENTIONED TO 1392 01:07:16,640 --> 01:07:20,440 DR. DONAHUE'S QUESTION EARLIER, 1393 01:07:20,440 --> 01:07:22,680 THAT OTOLOGISTS WERE CREATING 1394 01:07:22,680 --> 01:07:24,360 DIFFERENT CATEGORIES AND TYPES 1395 01:07:24,360 --> 01:07:26,080 OF DEAFNESS. HOWEVER, THE 1396 01:07:26,080 --> 01:07:29,760 CREATION OF A BINARY IMPLIED 1397 01:07:29,760 --> 01:07:34,840 THAT DEAFNESS WAS NORMAL STATE 1398 01:07:34,840 --> 01:07:38,960 TO BEING HUMAN. AND EFFECT OF 1399 01:07:38,960 --> 01:07:45,800 BINARY WAS SO PROFOUND PROFOUND 1400 01:07:45,800 --> 01:07:47,600 THAT BY 1820s, ESPECIALLY 1401 01:07:47,600 --> 01:07:49,680 ADULTS WHO LOST HEARING FROM 1402 01:07:49,680 --> 01:07:52,560 LATE ONSET DEAFNESS,S FROM 1403 01:07:52,560 --> 01:07:57,280 DISEASES AND INCREASINGLY FROM 1404 01:07:57,280 --> 01:08:00,480 WORLD WAR I SOLDIERS WHO CAME 1405 01:08:00,480 --> 01:08:02,880 BACK DAMAGED FROM THE 1406 01:08:02,880 --> 01:08:04,200 BATTLEFIELD, CREATED A NEW 1407 01:08:04,200 --> 01:08:05,960 CATEGORY OF HEARING. THEY CLAIM 1408 01:08:05,960 --> 01:08:07,960 OTHERWISE NORMAL PEOPLE WHO HAD 1409 01:08:07,960 --> 01:08:09,840 A MEDICAL CONDITION BUT NOT 1410 01:08:09,840 --> 01:08:12,160 SEGREGATING FROM SOCIETY SO WE 1411 01:08:12,160 --> 01:08:13,480 WENT FROM ONE BINARY DEAFNESS 1412 01:08:13,480 --> 01:08:15,880 AND HEARING TO ODE ONE. DEAF OR 1413 01:08:15,880 --> 01:08:19,000 HARD OF HEARING. -- TO ANOTHER 1414 01:08:19,000 --> 01:08:20,680 ONE DEAF OR HARD OF HEARING AND 1415 01:08:20,680 --> 01:08:21,880 THAT BECAME THE APPLICATION FOR 1416 01:08:21,880 --> 01:08:23,200 MUCH OF THE 20TH CENTURY IN 1417 01:08:23,200 --> 01:08:26,160 TERMS OF CREATING DEAF WITH A 1418 01:08:26,160 --> 01:08:29,640 CAPITAL D AS AN OUTLIER AND HARD 1419 01:08:29,640 --> 01:08:31,400 OF HEARING PEOPLE AND MORE 1420 01:08:31,400 --> 01:08:32,760 NORMAL AND MORE LIKELY TO 1421 01:08:32,760 --> 01:08:34,640 ASSIMILATE TO SOCIETY. HOWEVER, 1422 01:08:34,640 --> 01:08:37,640 THIS BINARY ACTUALLY COUNTER 1423 01:08:37,640 --> 01:08:39,920 ACTED THE EXPERIENCES OF MANY 1424 01:08:39,920 --> 01:08:41,600 DEAF PEOPLE. THERE WERE DEAF 1425 01:08:41,600 --> 01:08:44,240 PEOPLE WHO ARE BORN DEAF BUT 1426 01:08:44,240 --> 01:08:47,080 LATER PREDOMINANTLY HEARING 1427 01:08:47,080 --> 01:08:48,360 SOCIETY AND -- HARD OF HEARING 1428 01:08:48,360 --> 01:08:50,880 PEOPLE WHO DID SIGN, WHO WERE 1429 01:08:50,880 --> 01:08:53,000 PART OF DEAF COMMUNITY SO YOU 1430 01:08:53,000 --> 01:08:55,040 KIND OF HAVE WHAT I ARGUE IS AN 1431 01:08:55,040 --> 01:08:57,280 AUDITORY SPECTRUM. BUT IT DOES 1432 01:08:57,280 --> 01:08:58,400 INDEED COME FROM THIS CREATION 1433 01:08:58,400 --> 01:09:00,840 OF A BINARY. THIS OPPOSITION OF 1434 01:09:00,840 --> 01:09:05,200 NORMAL AND ABNORMAL. THAT LEMES 1435 01:09:05,200 --> 01:09:06,120 YOU DEFINE HOW DEAF PEOPLE, 1436 01:09:06,120 --> 01:09:08,280 MEDICAL EXPERTS, EDUCATORS 1437 01:09:08,280 --> 01:09:09,840 SOCIETY IN GENERAL, WERE 1438 01:09:09,840 --> 01:09:13,520 THINKING ABOUT WHAT DISABILITY 1439 01:09:13,520 --> 01:09:15,880 MEANT AND WHERE DISABLED PEOPLE 1440 01:09:15,880 --> 01:09:18,280 COULD FIT INTO SOCIETY. THANK 1441 01:09:18,280 --> 01:09:19,920 YOU FOR THAT QUESTION. 1442 01:09:19,920 --> 01:09:23,200 >>SO I THINK THAT IS ALL THE 1443 01:09:23,200 --> 01:09:24,360 TIME THAT WE HAVE FOR QUESTIONS 1444 01:09:24,360 --> 01:09:26,240 BUT I JUST WANTED TO FOLLOW-UP 1445 01:09:26,240 --> 01:09:27,720 ON A POINT THAT YOU JUST MADE 1446 01:09:27,720 --> 01:09:31,040 THAT I THINK IS REALLY BRILLIANT 1447 01:09:31,040 --> 01:09:33,600 ABOUT THIS -- THE BINARY THAT IS 1448 01:09:33,600 --> 01:09:35,440 INTRODUCED BY EUGENICS, ALSO BY 1449 01:09:35,440 --> 01:09:37,480 ABLEISM. AND I THINK IT IS 1450 01:09:37,480 --> 01:09:39,200 IMPORTANT TO REALIZE THAT FOR 1451 01:09:39,200 --> 01:09:42,480 MANY DISABLED PEOPLE, MANY 1452 01:09:42,480 --> 01:09:44,800 MARGINALIZED COMMUNITIES, 1453 01:09:44,800 --> 01:09:47,000 BINARIES REALLY DON'T WORK AND 1454 01:09:47,000 --> 01:09:48,320 ONE OF THE FUNCTIONS OF THE 1455 01:09:48,320 --> 01:09:49,520 EUGENICS MOVEMENT IS TO PLACE 1456 01:09:49,520 --> 01:09:52,000 PEOPLE IN ONE CATEGORY OR THE 1457 01:09:52,000 --> 01:09:53,920 OTHER. THIS IS TOTALLY 1458 01:09:53,920 --> 01:09:55,960 UNREALISTIC AND VERY MUCH A 1459 01:09:55,960 --> 01:09:58,840 FEATURE OF IN MANY WAYS OUR 1460 01:09:58,840 --> 01:10:02,800 SOCIETY TODAY UNFORTUNATELY. 1461 01:10:02,800 --> 01:10:05,480 THANK YOU SO MUCH MANY MS. VIRDI 1462 01:10:05,480 --> 01:10:08,680 FOR YOUR WONDERFUL IMPACTFUL 1463 01:10:08,680 --> 01:10:12,080 LECTURE. NOW I HAVE THE PLEASURE 1464 01:10:12,080 --> 01:10:14,600 OF INTRODUCING DR. TRACY KING 1465 01:10:14,600 --> 01:10:18,120 WHO IS GOING TO BE MODERATING A 1466 01:10:18,120 --> 01:10:20,880 PANEL. SO OVER TO YOU, TRACY, 1467 01:10:20,880 --> 01:10:21,520 THANKS VERY MUMP. 1468 01:10:21,520 --> 01:10:23,400 >>THERE THANK YOU, VERY MUCH TO 1469 01:10:23,400 --> 01:10:25,920 ALL OF YOU. MY NAME IS TRACY 1470 01:10:25,920 --> 01:10:28,320 KING. I'M A MEDICAL OFFICER IN 1471 01:10:28,320 --> 01:10:29,960 THE INTELLECTUAL AND 1472 01:10:29,960 --> 01:10:31,560 DEVELOPMENTAL DISABILITIES 1473 01:10:31,560 --> 01:10:33,440 BRANCH. HERE AT THE EUNICE 1474 01:10:33,440 --> 01:10:35,120 KENNEDY SHRIVER NATIONAL 1475 01:10:35,120 --> 01:10:36,120 INSTITUTE OF CHILD HEALTH AND 1476 01:10:36,120 --> 01:10:39,880 HUMAN DEVELOPMENT. OR NICHD. FOR 1477 01:10:39,880 --> 01:10:42,200 VISUAL DESCRIPTION I'M A CHINESE 1478 01:10:42,200 --> 01:10:44,000 WOMAN WITH SHORT CURLY BLACK 1479 01:10:44,000 --> 01:10:46,520 HAIR AND I'M WEARING A BLACK 1480 01:10:46,520 --> 01:10:48,720 SWEATER AND I'M SITTING IN FRONT 1481 01:10:48,720 --> 01:10:50,920 OF A BLUE ZOOM BACKGROUND. IT IS 1482 01:10:50,920 --> 01:10:52,560 MY REAL PRIVILEGE TO BE 1483 01:10:52,560 --> 01:10:54,360 MODERATING TODAY'S SESSION ON 1484 01:10:54,360 --> 01:10:56,440 ABLEISM IN THE SCIENTIFIC WORK 1485 01:10:56,440 --> 01:10:57,680 FORCE. I WOULD LIKE TO SPEND 1486 01:10:57,680 --> 01:10:59,760 JUST A MINUTE EXPLAINING OUR 1487 01:10:59,760 --> 01:11:01,440 PLANNED FORMAT FOR THIS SESSION 1488 01:11:01,440 --> 01:11:03,240 I'M GOING TO INTRODUCE EACH OF 1489 01:11:03,240 --> 01:11:06,200 THE THREE PANELISTS NOW BEFORE 1490 01:11:06,200 --> 01:11:08,600 THE PANEL GETS UNDERWAY, EACH 1491 01:11:08,600 --> 01:11:10,800 WILL PRESENT A BRIEF SLIDE 1492 01:11:10,800 --> 01:11:12,320 PRESENTATION REFLECTING THE 1493 01:11:12,320 --> 01:11:15,840 UNIQUE EXPERIENCE AND EXPERTISE 1494 01:11:15,840 --> 01:11:17,720 ON ABLEISM IN THE SCIENTIFIC AND 1495 01:11:17,720 --> 01:11:19,600 CLINICAL WORK FORCE. THEN I WILL 1496 01:11:19,600 --> 01:11:21,280 MODERATE A ROUND TABLE STYLE 1497 01:11:21,280 --> 01:11:23,040 DISCUSSION AMONG OUR PANELISTS 1498 01:11:23,040 --> 01:11:24,960 TO EXPAND ON SOME OF THE POINTS 1499 01:11:24,960 --> 01:11:26,400 COMING OUT OF THEIR FORMAL 1500 01:11:26,400 --> 01:11:28,920 PRESENTATIONS. FINALLY, WE WILL 1501 01:11:28,920 --> 01:11:30,320 TRY TO ANSWER ANY QUESTIONS 1502 01:11:30,320 --> 01:11:34,240 SUBMITTED BY WORKSHOP ATTENDEES 1503 01:11:34,240 --> 01:11:36,000 SO NOW I WOULD LIKE TO INTRODUCE 1504 01:11:36,000 --> 01:11:42,640 OUR PANELISTS FOR THIS SESSION. 1505 01:11:42,640 --> 01:11:45,560 TO MY ZOOM VIDEOCAST COLLEAGUES, 1506 01:11:45,560 --> 01:11:47,600 I SEE CHRIS'S WINDOW STILL 1507 01:11:47,600 --> 01:11:53,040 SHOWING IN MY ZOOM WINDOW. SO 1508 01:11:53,040 --> 01:11:57,080 FOR THE PANELISTS, FIRST I WOULD 1509 01:11:57,080 --> 01:12:00,480 LIKE TO INTRODUCE PEPPAR CYR. 1510 01:12:00,480 --> 01:12:02,520 M.D. Ph.D. STUDENT AT 1511 01:12:02,520 --> 01:12:03,560 WASHINGTON UNIVERSITY IN ST. 1512 01:12:03,560 --> 01:12:06,360 LOUIS. SHE'S PASSIONATE ABOUT 1513 01:12:06,360 --> 01:12:08,960 DISABILITY INCLUSION IN MEDICINE 1514 01:12:08,960 --> 01:12:09,960 ENSURING DISABLED PATIENTS 1515 01:12:09,960 --> 01:12:11,920 RECEIVE HIGH QUALITY CARE AND 1516 01:12:11,920 --> 01:12:12,800 MAKING MEDICINE ITSELF MORE 1517 01:12:12,800 --> 01:12:14,640 ACCESSIBLE AND WELCOMING TO 1518 01:12:14,640 --> 01:12:18,000 DISABLED PROVIDERS. HER THESIS 1519 01:12:18,000 --> 01:12:20,440 RESEARCH IS USING ADVANCED 1520 01:12:20,440 --> 01:12:21,960 NEUROIMAGING IN VERY PRE-TERM 1521 01:12:21,960 --> 01:12:23,480 INFANTS TO BETTER PREDICT 1522 01:12:23,480 --> 01:12:25,400 INDIVIDUAL MOTOR OUTCOMES 1523 01:12:25,400 --> 01:12:27,640 THROUGH AGE TEN YEARS. A LONG 1524 01:12:27,640 --> 01:12:29,720 SIDE HER STUDIES PEPPAR IS 1525 01:12:29,720 --> 01:12:30,520 ACTIVELY INVOLVED IN WORK WITH 1526 01:12:30,520 --> 01:12:32,080 THE AMERICAN ACADEMY OF 1527 01:12:32,080 --> 01:12:33,560 PEDIATRICS COUNCIL ON CHILDREN 1528 01:12:33,560 --> 01:12:36,600 WITH DISABILITIES AND MEDICAL 1529 01:12:36,600 --> 01:12:40,000 SCHOOLS TEACH ABOUT DISABILITY. 1530 01:12:40,000 --> 01:12:43,880 NEXT I WOULD LIKE TO INTRODUCE 1531 01:12:43,880 --> 01:12:45,960 DIANA CEJAS, PEDIATRIC 1532 01:12:45,960 --> 01:12:47,720 NEUROLOGIST AND FACULTY AT THE 1533 01:12:47,720 --> 01:12:49,000 CAROLINA INSTITUTE FOR 1534 01:12:49,000 --> 01:12:49,600 DEVELOPMENTAL DISABILITIES AT 1535 01:12:49,600 --> 01:12:50,840 THE UNIVERSITY OF NORTH CAROLINA 1536 01:12:50,840 --> 01:12:53,920 AT CHAPEL HILL. HER CLINICAL 1537 01:12:53,920 --> 01:12:56,880 WORK AND RESEARCH FOCUS 1538 01:12:56,880 --> 01:13:00,000 IMPROVING CARE DELIVERY AND 1539 01:13:00,000 --> 01:13:01,800 HEALTH OUTCOMES FOR CHILDREN AND 1540 01:13:01,800 --> 01:13:02,880 YOUNG ADULTS WITH 1541 01:13:02,880 --> 01:13:04,080 NEURODEVELOPMENTAL DISABILITIES. 1542 01:13:04,080 --> 01:13:05,960 SINCE SURVIVING CANCER AND A 1543 01:13:05,960 --> 01:13:08,360 STROKE DURING HER RESIDENCY, DR. 1544 01:13:08,360 --> 01:13:09,600 CEJAS DEVOTED MUCH OF HER CAREER 1545 01:13:09,600 --> 01:13:12,160 TO PATIENT ADVOCACY AND 1546 01:13:12,160 --> 01:13:13,760 IMPROVING COMMUNICATION BETWEEN 1547 01:13:13,760 --> 01:13:14,760 HEALTHCARE PROVIDERS AND THE 1548 01:13:14,760 --> 01:13:16,960 DISABILITY COMMUNITY. 1549 01:13:16,960 --> 01:13:17,960 PARTICULARLY YOUNG DISABLED 1550 01:13:17,960 --> 01:13:22,760 PATIENTS OF COLOR. OUR THIRD 1551 01:13:22,760 --> 01:13:25,880 PANELIST TODAY IS PETE POULOS, 1552 01:13:25,880 --> 01:13:26,840 M.D. DEGREE AT UNIVERSITY OF 1553 01:13:26,840 --> 01:13:29,480 TEXAS MEDICAL SCHOOL HOUSTON. HE 1554 01:13:29,480 --> 01:13:32,760 COMPLETED HIS INTERNAL MEDICINE 1555 01:13:32,760 --> 01:13:36,240 RESIDENCY AT UNIVERSITY OF 1556 01:13:36,240 --> 01:13:36,800 CALIFORNIA SAN FRANCISCO IN 1557 01:13:36,800 --> 01:13:38,680 2002. HE STAYED AT UCSF AS 1558 01:13:38,680 --> 01:13:40,120 GASTRO ENTEROLOGY FELLOW BUT 1559 01:13:40,120 --> 01:13:44,200 DECIDED TO RETRAIN IN RADIOLOGY 1560 01:13:44,200 --> 01:13:46,000 AFTER A SPINAL CORD INJURY FROM 1561 01:13:46,000 --> 01:13:50,720 2003. AS INCOMPLETE QUADRIPLEGIC 1562 01:13:50,720 --> 01:13:52,680 HE DID STANFORD UNIVERSITY AND 1563 01:13:52,680 --> 01:13:55,960 FACULTY RADIOLOGY AND GASTRO 1564 01:13:55,960 --> 01:13:58,200 ENTEROLOGY AND HEPATOLOGY. IN 1565 01:13:58,200 --> 01:14:00,360 2018 HE FOUNDED THE STANDARD 1566 01:14:00,360 --> 01:14:01,480 ALLIANCE FOR DISABILITY 1567 01:14:01,480 --> 01:14:02,720 INCLUSION AN EQUITY, HE SERVES 1568 01:14:02,720 --> 01:14:06,640 AS CO-CHAIR. IN THAT ROLE HE 1569 01:14:06,640 --> 01:14:07,200 ADVOCATES FOR STUDENTS AND 1570 01:14:07,200 --> 01:14:09,080 HEALTHCARE PROVIDERS WITH 1571 01:14:09,080 --> 01:14:10,000 DISABILITIES AND FOR HEALTH 1572 01:14:10,000 --> 01:14:12,760 EQUITY FOR DISABLED PATIENTS. 1573 01:14:12,760 --> 01:14:16,400 SO WITH THAT, IT IS MY PLEASURE 1574 01:14:16,400 --> 01:14:18,520 TO TURN OVER TO OUR FIRST 1575 01:14:18,520 --> 01:14:20,080 PRESENTER WHO WILL BE PEPPAR 1576 01:14:20,080 --> 01:14:30,200 CYR. 1577 01:14:37,560 --> 01:14:41,360 >>SO I'M PEPPAR CYR. BRIEF 1578 01:14:41,360 --> 01:14:43,640 DESCRIPTION, I'M A WOMAN IN MY 1579 01:14:43,640 --> 01:14:46,960 LATE 20s, WITH A MULTI-RACIAL 1580 01:14:46,960 --> 01:14:48,880 BACKGROUND, WITH LIGHT SKIN AND 1581 01:14:48,880 --> 01:14:50,080 STRAIGHT DARK HAIR THAT IS ABOUT 1582 01:14:50,080 --> 01:14:52,400 HALF PULLED BACK. AND I'M 1583 01:14:52,400 --> 01:14:55,160 WEARING A BLACK SHORT SLEEVE 1584 01:14:55,160 --> 01:14:58,880 DRESS WITH A SKELETON NECKLINE. 1585 01:14:58,880 --> 01:15:01,120 TODAY I AM TALKING ABOUT 1586 01:15:01,120 --> 01:15:02,600 EXPERIENCES OF DISABLE AND 1587 01:15:02,600 --> 01:15:04,680 MEDICAL GRAD STUDENTS, OTHERWISE 1588 01:15:04,680 --> 01:15:06,680 UNIQUELY QUALIFIED DISABLED 1589 01:15:06,680 --> 01:15:10,200 MEDICAL AND GRADUATE STUDENTS. 1590 01:15:10,200 --> 01:15:12,000 SO I WILL START THE TALK BY THE 1591 01:15:12,000 --> 01:15:13,480 MAIN POINT WHICH IS DISABLED 1592 01:15:13,480 --> 01:15:15,000 STUDENTS BRING UNIQUE VALUE TO 1593 01:15:15,000 --> 01:15:16,680 MEDICINE AND SCIENCE BUT MUST 1594 01:15:16,680 --> 01:15:18,360 STRUGGLE AGAINST ABLEISM TO DO 1595 01:15:18,360 --> 01:15:21,200 IT. HOWEVER CHANGE IS HAPPENING 1596 01:15:21,200 --> 01:15:23,160 IN PART PUSHED FORWARD BY 1597 01:15:23,160 --> 01:15:25,600 DISABLED STUDENTS THEMSELVES. 1598 01:15:25,600 --> 01:15:26,760 SO I WANT TO START BY ASKING YOU 1599 01:15:26,760 --> 01:15:29,760 TO IMAGINE AN APPLICANT MAYBE TO 1600 01:15:29,760 --> 01:15:30,760 MEDICAL SCHOOL, RESIDENCY 1601 01:15:30,760 --> 01:15:32,200 GRADUATE SCHOOL, POST DOC, 1602 01:15:32,200 --> 01:15:35,280 WHATEVER IS APPLICABLE TO YOU. 1603 01:15:35,280 --> 01:15:37,320 AND AS YOU READ THIS APPLICATION 1604 01:15:37,320 --> 01:15:38,760 YOU MAYBE HAVE INTERVIEW YOU 1605 01:15:38,760 --> 01:15:39,800 LOOK AT THE IMPRESSION. THIS 1606 01:15:39,800 --> 01:15:43,320 PERSON IS SELF-AWARE, PROACTIVE, 1607 01:15:43,320 --> 01:15:44,480 PERSEVERED, THEY SET APPROPRIATE 1608 01:15:44,480 --> 01:15:46,120 GOALS AND MAKE USE OF SOCIAL 1609 01:15:46,120 --> 01:15:47,680 SUPPORT SYSTEMS AND EMOTIONAL 1610 01:15:47,680 --> 01:15:49,160 COPING STRATEGIES TO REACH THOSE 1611 01:15:49,160 --> 01:15:50,920 GOALS. NOW, MY OPINION THIS 1612 01:15:50,920 --> 01:15:52,600 SOUNDS LIKE A GOOD APPLICANT AND 1613 01:15:52,600 --> 01:15:53,640 SOMEONE TO GET TO KNOW FURTHER 1614 01:15:53,640 --> 01:15:54,960 AND BRING INTO MY TEAM OR 1615 01:15:54,960 --> 01:15:56,480 PROGRAM. BUT I DIDN'T COME UP 1616 01:15:56,480 --> 01:15:58,720 WITH THIS LIST OF ATTRIBUTES OUT 1617 01:15:58,720 --> 01:16:00,480 OF NOWHERE. THIS IS BEEN FOUND 1618 01:16:00,480 --> 01:16:03,760 TO BE SET OF ATTRIBUTES SEEN 1619 01:16:03,760 --> 01:16:05,360 AMONG WHAT THE ARTICLE 1620 01:16:05,360 --> 01:16:06,520 CONSIDERED SUCCESSFUL DISABLED 1621 01:16:06,520 --> 01:16:08,040 PEOPLE. IF ONE IS GET FOG THE 1622 01:16:08,040 --> 01:16:09,400 POINT AFTER APPLYING TO MEDICAL 1623 01:16:09,400 --> 01:16:11,800 OR GRADUATE SCHOOL I WOULD ARGUE 1624 01:16:11,800 --> 01:16:13,040 THEY HAVE ACHIEVED A CERTAIN 1625 01:16:13,040 --> 01:16:14,040 MEASURE OF SUCCESS AND WHEN YOU 1626 01:16:14,040 --> 01:16:16,120 ARE LOOKING APPLICANT POOL AND 1627 01:16:16,120 --> 01:16:18,040 YOU SEE SOMEONE WHO DISCLOSES 1628 01:16:18,040 --> 01:16:19,040 SOMEWHERE A DISABILITY, YOU 1629 01:16:19,040 --> 01:16:21,680 SHOULD BE AWARE THESE QUALITIES 1630 01:16:21,680 --> 01:16:23,560 SOME SUBSET ARE LIKELY ALREADY 1631 01:16:23,560 --> 01:16:26,520 PRESENT IN THIS APPLICANT. BUT 1632 01:16:26,520 --> 01:16:27,840 EVEN BEYOND SOME OF THE PIECES 1633 01:16:27,840 --> 01:16:29,960 THAT MAYBE APPLICABLE ACROSS 1634 01:16:29,960 --> 01:16:31,400 FIELDS NO MATTER WHAT YOU ARE 1635 01:16:31,400 --> 01:16:33,640 APPLYING TO, I BELIEVE DISABLED 1636 01:16:33,640 --> 01:16:35,080 STUDENTS BRING A SPECIFIC UNIQUE 1637 01:16:35,080 --> 01:16:37,160 VALUE INTO MEDICINE AND SCIENCE 1638 01:16:37,160 --> 01:16:39,800 IN PARTICULAR. SO FOR MEDICINE, 1639 01:16:39,800 --> 01:16:44,280 BUILDING ON PREVIOUS WORK, 1640 01:16:44,280 --> 01:16:45,800 AROUND CONCORDANCE IN IDENTITY 1641 01:16:45,800 --> 01:16:47,480 BETWEEN PATIENTS AND PROVIDERS 1642 01:16:47,480 --> 01:16:49,320 FOR RACE AND ETHNICITY, THERE'S 1643 01:16:49,320 --> 01:16:51,360 MORE RECENT EFFORTS TO DO 1644 01:16:51,360 --> 01:16:53,320 QUALITATIVE RESEARCH TO SHOW 1645 01:16:53,320 --> 01:16:54,520 THESE FINDINGS SEEM TO HOLD UP 1646 01:16:54,520 --> 01:16:57,960 IN THE DISABLED POPULATION. OF 1647 01:16:57,960 --> 01:16:59,040 GREATER BETTER RELATIONSHIPS 1648 01:16:59,040 --> 01:17:00,120 BETWEEN THE PATIENTS AND 1649 01:17:00,120 --> 01:17:01,640 PROVIDERS AND POTENTIALLY ALSO 1650 01:17:01,640 --> 01:17:04,640 BETTER OUTCOMES. THERE IS ALSO 1651 01:17:04,640 --> 01:17:05,960 RESEARCH WITH MEDICAL STUDENTS 1652 01:17:05,960 --> 01:17:09,320 SHOWING DISABLED MEDICAL 1653 01:17:09,320 --> 01:17:10,320 STUDENTS WHEN GIVEN 1654 01:17:10,320 --> 01:17:11,360 QUESTIONNAIRES ABOUT DIFFERENT 1655 01:17:11,360 --> 01:17:12,920 ASPECTS OF BURN OUT COMPARED TO 1656 01:17:12,920 --> 01:17:14,800 PEERS DISABLED STUDENTS SHOW 1657 01:17:14,800 --> 01:17:16,160 HIGHER RATES OF EXHAUSTION BUT 1658 01:17:16,160 --> 01:17:18,800 ALSO HIGHER SCORES FOR EMPATHY 1659 01:17:18,800 --> 01:17:21,680 EVEN COMPARED THE THEIR 1660 01:17:21,680 --> 01:17:24,040 NON-DISABLED PEERS. BRINGING IN 1661 01:17:24,040 --> 01:17:25,360 THAT PIECE OF PATIENT 1662 01:17:25,360 --> 01:17:26,280 UNDERSTANDING AND EMPATHY WE 1663 01:17:26,280 --> 01:17:27,600 TALK ABOUT IN COMMUNITY STARTING 1664 01:17:27,600 --> 01:17:30,520 TO SHOW UP IN THE DATA. WHILE I 1665 01:17:30,520 --> 01:17:31,800 DON'T HAVE A CITATION FOR THIS 1666 01:17:31,800 --> 01:17:33,520 PIECE, I DO WANT TO HIGHLIGHT A 1667 01:17:33,520 --> 01:17:36,240 LOT OF THE WORK THAT I HAVE SEEN 1668 01:17:36,240 --> 01:17:38,360 AROUND MAKING PATIENTS FACES 1669 01:17:38,360 --> 01:17:40,920 MORE ACCESSIBILITY SPACES MORE 1670 01:17:40,920 --> 01:17:41,560 ACCESSIBLE AND HEALTHCARE IN 1671 01:17:41,560 --> 01:17:43,440 GENERAL MORE ACCESSIBLE OFTEN 1672 01:17:43,440 --> 01:17:44,480 SEEMS TO BE GETTING PUSHED 1673 01:17:44,480 --> 01:17:45,840 FORWARD BY DISABLED MED CAP 1674 01:17:45,840 --> 01:17:46,920 STUDENTS. WITH THAT I WANT TO 1675 01:17:46,920 --> 01:17:48,400 HIGHLIGHT THAT THROUGHOUT THIS 1676 01:17:48,400 --> 01:17:50,680 ENTIRE PRESENTATION I PUT 1677 01:17:50,680 --> 01:17:51,400 CITATIONS INTO EVERYTHING TO 1678 01:17:51,400 --> 01:17:53,160 FURTHER BACK UP THE IDEA THAT 1679 01:17:53,160 --> 01:17:55,240 THIS IS SOMETHING THAT'S GETTING 1680 01:17:55,240 --> 01:17:56,960 STUDIED, SOMETHING THAT IS NOT 1681 01:17:56,960 --> 01:17:58,240 JUST LATER WE WILL BE TALKING 1682 01:17:58,240 --> 01:17:59,160 MORE ABOUT PERSONAL EXPERIENCES 1683 01:17:59,160 --> 01:18:01,840 BUT THIS PART IS BACKED UP BY 1684 01:18:01,840 --> 01:18:04,520 EVIDENCE OF VARIOUS KINDS. SO ON 1685 01:18:04,520 --> 01:18:07,240 THE SCIENCE SIDE, IT STARTING TO 1686 01:18:07,240 --> 01:18:08,200 BECOME A LITTLE MORE ACCEPTABLE 1687 01:18:08,200 --> 01:18:10,000 FOR PEOPLE TO TALK ABOUT DOING 1688 01:18:10,000 --> 01:18:11,720 WHAT WE CALL PERSONALLY RELEVANT 1689 01:18:11,720 --> 01:18:13,640 RESEARCH OR DOING RESEARCH ON A 1690 01:18:13,640 --> 01:18:15,680 CONDITION OR POPULATION THAT YOU 1691 01:18:15,680 --> 01:18:17,600 MIGHT BELONG TO OR SOMETIMES 1692 01:18:17,600 --> 01:18:19,160 OTHER SIGNIFICANT TIES TO. 1693 01:18:19,160 --> 01:18:20,760 PARTICULARLY IN PSYCHOLOGY THIS 1694 01:18:20,760 --> 01:18:23,280 CAN BE QUITE STIGMATIZED BUT I 1695 01:18:23,280 --> 01:18:24,880 BELIEVE THAT IS STARTING TO 1696 01:18:24,880 --> 01:18:26,440 CHANGE AS PEOPLE ARE BEGINNING 1697 01:18:26,440 --> 01:18:28,160 TO RECOGNIZE THAT DOING RESEARCH 1698 01:18:28,160 --> 01:18:30,680 FOR A POPULATION YOU BELONG TO 1699 01:18:30,680 --> 01:18:31,960 CAN BRING ADDITIONAL MOTIVATION 1700 01:18:31,960 --> 01:18:33,560 AND INSIGHT INTO THE RELEVANT 1701 01:18:33,560 --> 01:18:34,720 KINDS OF QUESTIONS INTO SEEING 1702 01:18:34,720 --> 01:18:36,720 THE BIGGER PICTURE AND INTO 1703 01:18:36,720 --> 01:18:38,200 BEING ABLE TO BUILD SORTS OF 1704 01:18:38,200 --> 01:18:39,720 RELATIONSHIPS WITH COMMUNITIES, 1705 01:18:39,720 --> 01:18:41,440 THAT WE NEED IN ORDER TO DO THE 1706 01:18:41,440 --> 01:18:42,920 KINDS OF COMMUNITY ENGAGED 1707 01:18:42,920 --> 01:18:45,520 RESEARCH THAT ALLOW US TO REALLY 1708 01:18:45,520 --> 01:18:46,760 ADDRESS MOST SALIENT PROBLEMS TO 1709 01:18:46,760 --> 01:18:48,080 THE PEOPLE THAT ARE BEING 1710 01:18:48,080 --> 01:18:51,120 STUDIED. THERE IS ALSO BEEN 1711 01:18:51,120 --> 01:18:54,400 WORK INDICATING THAT ABLEISM IS 1712 01:18:54,400 --> 01:18:56,000 HOLDING SCIENCE BACK EVEN IN 1713 01:18:56,000 --> 01:18:58,360 AREAS NOT SPECIFICALLY ABOUT A 1714 01:18:58,360 --> 01:18:59,200 PARTICULAR DISABILITY OR 1715 01:18:59,200 --> 01:19:01,600 CONDITION, THE PAPERS I'M 1716 01:19:01,600 --> 01:19:04,040 SETTING HERE IS EVOLUTIONAL 1717 01:19:04,040 --> 01:19:05,440 BIOLOGY AND OKAY PACE SCIENCE 1718 01:19:05,440 --> 01:19:06,800 DISABLED AUTHOR ON THE PAPERS 1719 01:19:06,800 --> 01:19:09,680 POINT OUT THE WAYS THAT ABLEIST 1720 01:19:09,680 --> 01:19:10,480 IDEAS HAVE BEEN LIMITING THE 1721 01:19:10,480 --> 01:19:12,480 WAYS WE THINK ABOUT DIFFERENT 1722 01:19:12,480 --> 01:19:16,960 ASPECTS OF SCIENCE MORE BROADLY 1723 01:19:16,960 --> 01:19:18,160 EVERYTHING I TALK ABOUT TO THIS 1724 01:19:18,160 --> 01:19:19,720 POINT HAS BEEN A LITTLE MORE 1725 01:19:19,720 --> 01:19:22,360 VAGUE. THERE'S NO NUMBERS HERE. 1726 01:19:22,360 --> 01:19:24,200 AND RESEARCH LOOKING AT 1727 01:19:24,200 --> 01:19:25,480 APPLICATIONS FOR RESIDENCY 1728 01:19:25,480 --> 01:19:27,000 TRAINING HAS SHOWN THAT WE TEND 1729 01:19:27,000 --> 01:19:28,280 TO UNDERVALUE THINGS WE CAN'T 1730 01:19:28,280 --> 01:19:29,920 PUT NUMBERS ON. I THINK 1731 01:19:29,920 --> 01:19:31,320 ESPECIALLY COMING FROM A 1732 01:19:31,320 --> 01:19:33,080 SCIENTIST BACKGROUND WE LIKE TO 1733 01:19:33,080 --> 01:19:36,000 ME THINGS AND QUANTIFY THEM. WE 1734 01:19:36,000 --> 01:19:37,760 DIDN'T QUANTIFY? TEST SCORE SCO. 1735 01:19:37,760 --> 01:19:39,920 THAT CAN BE A BIG AREA FOR 1736 01:19:39,920 --> 01:19:41,640 DIFFICULTIES FOR DISABLED 1737 01:19:41,640 --> 01:19:42,880 STUDENTS SPECIFICALLY AROUND 1738 01:19:42,880 --> 01:19:44,560 ACCOMMODATIONS FOR THOSE TESTS. 1739 01:19:44,560 --> 01:19:48,240 IN THE 2018, 2019 ACADEMIC YEAR, 1740 01:19:48,240 --> 01:19:50,560 RESEARCH FOUND THAT 52% OF 1741 01:19:50,560 --> 01:19:51,920 ACCOMMODATION APPLICATIONS FOR 1742 01:19:51,920 --> 01:19:54,360 THE USMLE STEP 1, THE FIRST OF 1743 01:19:54,360 --> 01:19:56,720 THE SERIES OF LICENSING EXAMS 1744 01:19:56,720 --> 01:19:59,160 FOR PHYSICIANS THOSE APPLICATION 1745 01:19:59,160 --> 01:20:01,760 WERE DENIED. OF THOSE MORE THAN 1746 01:20:01,760 --> 01:20:03,000 HALF RESULTED IN STUDENTS HAVING 1747 01:20:03,000 --> 01:20:06,600 TO DELAY PROGRESSION LIEU THROUH 1748 01:20:06,600 --> 01:20:08,400 MEDICAL SCHOOL AND OTHERS 1749 01:20:08,400 --> 01:20:09,880 APPLICATION DENIED THREE 1750 01:20:09,880 --> 01:20:11,280 QUARTERS PROCEEDED TO TAKE THE 1751 01:20:11,280 --> 01:20:12,960 TEST WITHOUT ACCOMMODATIONS AND 1752 01:20:12,960 --> 01:20:14,520 A THIRD FAILED. A FEW HAD TO 1753 01:20:14,520 --> 01:20:16,600 WITHDRAW OR DISMISS FROM MEDICAL 1754 01:20:16,600 --> 01:20:17,400 SCHOOL BECAUSE OF THIS. SO WE 1755 01:20:17,400 --> 01:20:19,080 ARE LOSING DOCTORS AND 1756 01:20:19,080 --> 01:20:20,760 DEMORALIZING PEOPLE BASED ON 1757 01:20:20,760 --> 01:20:21,720 THEIR ABILITY TO GET THOSE 1758 01:20:21,720 --> 01:20:24,280 ACCOMMODATIONS. AND BEAR IN 1759 01:20:24,280 --> 01:20:26,000 MIND THIS 52% IS PERCENT OF 1760 01:20:26,000 --> 01:20:27,400 PEOPLE WHO ACTUALLY APPLIED. I 1761 01:20:27,400 --> 01:20:30,400 KNOW PERSONALLY PEOPLE WHO HAVE 1762 01:20:30,400 --> 01:20:32,640 LOOKED AT THE ONEROUS AMOUNT OF 1763 01:20:32,640 --> 01:20:34,400 DOCUMENTATION INVOLVED AS WELL 1764 01:20:34,400 --> 01:20:36,800 AS THIS LOW SUCCESS RATE AND 1765 01:20:36,800 --> 01:20:39,880 DECIDED NOT TO EVEN APPLY. EVEN 1766 01:20:39,880 --> 01:20:40,920 THOUGH PERHAPS THEY HAVE BEEN 1767 01:20:40,920 --> 01:20:42,040 GETTING ACCOMMODATIONS IN 1768 01:20:42,040 --> 01:20:43,520 MEDICAL SCHOOL FOR YEARS, THEY 1769 01:20:43,520 --> 01:20:46,440 HAVE GOOD REASONS TO NEED THEM, 1770 01:20:46,440 --> 01:20:47,200 BUT THE SYSTEM MAKES IT TOO 1771 01:20:47,200 --> 01:20:51,520 DIFFICULT. IN PARTICULAR, 1772 01:20:51,520 --> 01:20:52,320 CONCERNS SOMETIMES ARE YOU 1773 01:20:52,320 --> 01:20:53,720 GETTING ACCOMMODATIONS DOING 1774 01:20:53,720 --> 01:20:55,560 LESS WORK, IS THIS MAKING THINGS 1775 01:20:55,560 --> 01:20:57,240 EASIER BUT HONESTLY YOUR 1776 01:20:57,240 --> 01:20:57,960 DISPAYABLED STUDENTS ARE OFTEN 1777 01:20:57,960 --> 01:20:59,560 DOING A LOT MORE WORK. SOMETHING 1778 01:20:59,560 --> 01:21:01,720 I HEAR IN THE COMMUNITY. THAT 1779 01:21:01,720 --> 01:21:03,800 THE TIME, EFFORT AND MONEY 1780 01:21:03,800 --> 01:21:05,040 INVOLVED TO GET THAT 1781 01:21:05,040 --> 01:21:06,000 DOCUMENTATION FOR YOUR 1782 01:21:06,000 --> 01:21:07,600 ACCOMMODATIONS TO PUT MANY THE 1783 01:21:07,600 --> 01:21:09,360 APPROXIMATELY -- IN THE 1784 01:21:09,360 --> 01:21:10,800 APPLICATION, TO FOLLOW-UP AND 1785 01:21:10,800 --> 01:21:11,520 IMPLEMENT PROPLAYER IS 1786 01:21:11,520 --> 01:21:13,040 ADDITIONAL BURDEN ON THE 1787 01:21:13,040 --> 01:21:15,040 STUDENTS ON TOP OF WHATEVER TIME 1788 01:21:15,040 --> 01:21:16,720 AND EFFORT MANAGING THE 1789 01:21:16,720 --> 01:21:19,080 DISABILITY ITSELF. THEN BEI 1790 01:21:19,080 --> 01:21:20,200 DON'T UNDERSTAND ALL THAT IS 1791 01:21:20,200 --> 01:21:22,440 HAVING TO WADE THROUGH ABLEISM 1792 01:21:22,440 --> 01:21:24,080 INVOLVED IN BOTH MEDICINE AND 1793 01:21:24,080 --> 01:21:26,920 SCIENTIFIC TRAINING. SO ON THE 1794 01:21:26,920 --> 01:21:29,000 MEDICAL SIDE ONE BIG OBVIOUS 1795 01:21:29,000 --> 01:21:30,200 EXPLICIT PIECES IS TECHNICAL 1796 01:21:30,200 --> 01:21:31,840 STANDARDS AN CONCEPT OF 1797 01:21:31,840 --> 01:21:33,360 UNDIFFERENTIATED GRADUATE. SO 1798 01:21:33,360 --> 01:21:34,320 TECHNICAL STANDARDS OF 1799 01:21:34,320 --> 01:21:35,560 STATEMENTS ALL MEDICAL SCHOOLS 1800 01:21:35,560 --> 01:21:39,280 ARE REQUIRED TO HAVE AND THEY 1801 01:21:39,280 --> 01:21:41,080 LAY OUT WHAT KINDS OF 1802 01:21:41,080 --> 01:21:42,400 NON-ACADEMIC REQUIREMENT THEY 1803 01:21:42,400 --> 01:21:45,720 CALL THEM FOR AFFILIATING INTO 1804 01:21:45,720 --> 01:21:48,240 MEDICAL SCHOOL. SOME CAN BE VERY 1805 01:21:48,240 --> 01:21:49,240 SPECIFIC HOW SOMEONE HAS TO BE 1806 01:21:49,240 --> 01:21:51,360 ABLE TO SEE OR HEAR OR HOW MUCH 1807 01:21:51,360 --> 01:21:52,680 THEY HAVE TO BE BIBLE TO LIFT TO 1808 01:21:52,680 --> 01:21:54,880 ENTER MEDICAL SCHOOL. AND THAT 1809 01:21:54,880 --> 01:21:58,720 IS -- CAN BE A BIG BARRIER FOR A 1810 01:21:58,720 --> 01:22:00,880 LOT OF PEOPLE, EVEN LAW SUITS 1811 01:22:00,880 --> 01:22:02,200 AROUND TECHNICAL STANDARDS IN 1812 01:22:02,200 --> 01:22:04,200 THE PAST AND WE CAN TALK ABOUT 1813 01:22:04,200 --> 01:22:05,320 THIS MORE IN DISCUSSION. AS 1814 01:22:05,320 --> 01:22:06,880 WELL AS CONCEPT OF 1815 01:22:06,880 --> 01:22:07,920 UNDIFFERENTIATED GRADUATE, THE 1816 01:22:07,920 --> 01:22:09,000 IDEA THAT MEDICAL STUDENTS 1817 01:22:09,000 --> 01:22:11,320 SHOULD GRADUATE READY TO ENTER 1818 01:22:11,320 --> 01:22:12,640 ANY AND ALL SPECIALTIES WHEN 1819 01:22:12,640 --> 01:22:14,160 THAT IS NOT WHAT ANYONE DOES IN 1820 01:22:14,160 --> 01:22:15,520 THEIR CAREER AN SEEMED VERY 1821 01:22:15,520 --> 01:22:18,040 STRANGE TO ME THAT NO MATTER SAY 1822 01:22:18,040 --> 01:22:20,240 HOW GOOD PSYCHIATRIST SOMEONE 1823 01:22:20,240 --> 01:22:22,480 MIGHT BECOME IF THEY CAN'T PROVE 1824 01:22:22,480 --> 01:22:23,840 THEY COULD ALSO MAKE DESENT 1825 01:22:23,840 --> 01:22:26,120 SURGEON, PEOPLE WHO SUBSCRIBE TO 1826 01:22:26,120 --> 01:22:28,040 THE IDEA OF UNDIFFERENTIATED 1827 01:22:28,040 --> 01:22:29,880 GRADUATE SAY THIS PERSON 1828 01:22:29,880 --> 01:22:31,080 SHOULDN'T BE IN MEDICINE. 1829 01:22:31,080 --> 01:22:32,440 THAT'S ALSO ISSUES AROUND 1830 01:22:32,440 --> 01:22:34,520 ABLEISM MANY THE EDUCATIONAL 1831 01:22:34,520 --> 01:22:36,120 CONTENT. WE HAVE TALKED BEFORE 1832 01:22:36,120 --> 01:22:38,120 ABOUT PHYSICIANS CONSISTENTLY 1833 01:22:38,120 --> 01:22:39,120 UNDERESTIMATING QUALITY OF LIFE 1834 01:22:39,120 --> 01:22:40,800 IN DISABLED PEOPLE, THOSE 1835 01:22:40,800 --> 01:22:42,520 PHYSICIANS THEN GO ON TO TEACH 1836 01:22:42,520 --> 01:22:44,800 MEDICAL STUDENTS AND TELL THEM 1837 01:22:44,800 --> 01:22:47,720 HOW FOR DIFFERENT KINDS OF 1838 01:22:47,720 --> 01:22:49,200 DISABILITIES CAN BE OR TALK 1839 01:22:49,200 --> 01:22:49,880 ABOUT DIFFERENT CONDITIONS THAT 1840 01:22:49,880 --> 01:22:52,400 MAKE THE STUDENTS UNCOMFORTABLE 1841 01:22:52,400 --> 01:22:53,920 WITH THE WAY PEOPLE LIKE THEM 1842 01:22:53,920 --> 01:22:55,560 ARE BEING PORTRAYED. ALSO WHEN 1843 01:22:55,560 --> 01:22:57,600 IT COMES TIME FOR LICENSURE 1844 01:22:57,600 --> 01:22:59,760 APPLICATIONS, CURRENTLY THERE'S 1845 01:22:59,760 --> 01:23:01,640 CAN BE QUITE INVASIVE QUESTIONS 1846 01:23:01,640 --> 01:23:02,880 PARTICULARLY PSYCHIATRIC HISTORY 1847 01:23:02,880 --> 01:23:04,480 PEOPLE STARTED TO CHALLENGE 1848 01:23:04,480 --> 01:23:05,680 ABOUT WHY DO WE NEED TO GIVE 1849 01:23:05,680 --> 01:23:07,760 THIS LEVEL OF DETAIL FOR THINGS 1850 01:23:07,760 --> 01:23:10,160 THAT PEOPLE OFTEN HAVE WELL 1851 01:23:10,160 --> 01:23:12,120 MANAGED TO HAVE GOTTEN THIS FAR. 1852 01:23:12,120 --> 01:23:14,160 ON THE SIDE IN SCIENCE THERE IS 1853 01:23:14,160 --> 01:23:15,360 ISSUES AROUND ACCESSIBILITY IN 1854 01:23:15,360 --> 01:23:16,560 LAB LA AND TEACHING 1855 01:23:16,560 --> 01:23:17,680 ENVIRONMENTS. STUDENTS MOVE FROM 1856 01:23:17,680 --> 01:23:18,960 THE CLASSROOM TO THE LAB 1857 01:23:18,960 --> 01:23:21,680 SETTING. THERE'S A LOT OF 1858 01:23:21,680 --> 01:23:22,760 DIFFERENT DEMANDS PHYSICAL 1859 01:23:22,760 --> 01:23:26,160 SENSORY AND OTHER ASPECTS THAT 1860 01:23:26,160 --> 01:23:27,520 PEOPLE SOMETIMES GET QUESTION OH 1861 01:23:27,520 --> 01:23:28,720 WOULD IT BE SAFE TO BE IN THE 1862 01:23:28,720 --> 01:23:31,640 LAB WITHOUT REALLY STARTING TO 1863 01:23:31,640 --> 01:23:32,640 THINK ABOUT WHAT WOULD WE NEED 1864 01:23:32,640 --> 01:23:34,320 TO DO TO MAKE THAT HAPPEN. A LOT 1865 01:23:34,320 --> 01:23:35,880 MORE THINGS ARE POSSIBLE TO 1866 01:23:35,880 --> 01:23:37,960 PEOPLE SOMETIMES THINK. 1867 01:23:37,960 --> 01:23:38,760 ATTENDING IN PERSON CONFERENCE 1868 01:23:38,760 --> 01:23:42,040 IS A BIG PART OF GETTING TO KNOW 1869 01:23:42,040 --> 01:23:43,440 PEOPLE NETWORKING AND LEARNING 1870 01:23:43,440 --> 01:23:44,640 FROM FIELD AND IN PERSON 1871 01:23:44,640 --> 01:23:46,160 CONFERENCES HAVE ACCESSIBILITY 1872 01:23:46,160 --> 01:23:47,560 CONCERNS WHETHER THAT IS ABOUT 1873 01:23:47,560 --> 01:23:49,840 THE TRAVEL, THE VENUES, WHETHER 1874 01:23:49,840 --> 01:23:51,880 ABOUT THE CROWDS OR THE LIGHTS 1875 01:23:51,880 --> 01:23:54,360 OR THE SOUNDS OR AS WE HAVE SEEN 1876 01:23:54,360 --> 01:23:56,920 LAST FEW YEARS, THE POTENTIAL 1877 01:23:56,920 --> 01:24:00,880 EXPOSURE TO INFECTIOUS DISEASE. 1878 01:24:00,880 --> 01:24:03,120 THEN ABLEIST ATTITUDES IN THE 1879 01:24:03,120 --> 01:24:04,000 SCIENTIFIC SPACE ABOUT WHAT 1880 01:24:04,000 --> 01:24:05,120 KINDS OF PEOPLE CAN BE IN 1881 01:24:05,120 --> 01:24:08,360 SCIENCE AS WELL AS THE WAY 1882 01:24:08,360 --> 01:24:09,560 DIFFERENT POPULATIONS TALK ABOUT 1883 01:24:09,560 --> 01:24:11,880 AS SUBJECTS OF SCIENCE. BUT 1884 01:24:11,880 --> 01:24:13,320 THERE IS A NEW GENERATION COMING 1885 01:24:13,320 --> 01:24:14,680 UP TO THIS POINT AND IT IS 1886 01:24:14,680 --> 01:24:15,840 REALLY EXCITING PARTICULARLY THE 1887 01:24:15,840 --> 01:24:18,360 LAST FEW YEARS BECAUSE THERE MAY 1888 01:24:18,360 --> 01:24:21,360 ONLY BE SO MANY OPENLY DISABLED 1889 01:24:21,360 --> 01:24:22,840 MEDICAL GRADUATE STUDENTS IN ANY 1890 01:24:22,840 --> 01:24:23,800 PROGRAM OR INSTITUTION BUT AS 1891 01:24:23,800 --> 01:24:25,720 THINGS ARE VIRTUAL THE LAST FEW 1892 01:24:25,720 --> 01:24:27,520 YEARS IT HAS BECOME MUCH EASIER 1893 01:24:27,520 --> 01:24:30,240 TO FIND EACH OTHER ACROSS THE 1894 01:24:30,240 --> 01:24:31,480 COUNTRY AND FORM ORGANIZATIONS 1895 01:24:31,480 --> 01:24:32,400 LIKE MEDICAL STUDENTS WITH 1896 01:24:32,400 --> 01:24:35,560 DISABILITY AND CHRONIC ILLNESS, 1897 01:24:35,560 --> 01:24:37,840 DISABILITY IN MEDICINE MUTUAL 1898 01:24:37,840 --> 01:24:38,640 MENTORSHIP PROGRAM ON THE 1899 01:24:38,640 --> 01:24:39,560 MEDICAL SIDE AND SCIENCE 1900 01:24:39,560 --> 01:24:41,240 ORGANIZATIONS LIKE DISAGE ABLED 1901 01:24:41,240 --> 01:24:43,480 AN STEM OR DISABILITY ADVOCACY 1902 01:24:43,480 --> 01:24:46,040 RESEARCH NETWORK FOR PSYCHOLOGY 1903 01:24:46,040 --> 01:24:48,440 TO SHOW THIS IS REALLY STARTING 1904 01:24:48,440 --> 01:24:50,680 TO GROW, STUDENTS ARE STARTING 1905 01:24:50,680 --> 01:24:52,360 TO BE ABLE TO PUSH FOR CHANGE. I 1906 01:24:52,360 --> 01:24:54,000 WANT TO HIGHLIGHT WITH 1907 01:24:54,000 --> 01:24:55,040 APPROPRIATE SUPPORT DISABLED 1908 01:24:55,040 --> 01:24:59,360 STUDENTS CAN SUCK SUCCE SUCCEEDN 1909 01:24:59,360 --> 01:25:01,800 THEIR ACCESS NEEDS ARE MET HAVE 1910 01:25:01,800 --> 01:25:03,120 DEPRESSION AND MEDICAL ERROR 1911 01:25:03,120 --> 01:25:04,920 RATES SIMILAR TO NON-DISABLED 1912 01:25:04,920 --> 01:25:06,480 PEERS. AS WE TALKED BEFORE 1913 01:25:06,480 --> 01:25:07,960 ABOUT THE SOCIAL MODEL OF 1914 01:25:07,960 --> 01:25:09,160 DISABILITY WHEN WE SAY 1915 01:25:09,160 --> 01:25:10,640 NON-DISABLED PEERS IN A WAY THAT 1916 01:25:10,640 --> 01:25:14,360 IS SAYING THEIR PEERS WHO CAN 1917 01:25:14,360 --> 01:25:16,000 ACCESS NEEDS ARE BEING MET BY 1918 01:25:16,000 --> 01:25:17,560 DEFAULT. SO I THINK AT THIS 1919 01:25:17,560 --> 01:25:19,800 POINT WANT TO POINT IT IS HIGHLY 1920 01:25:19,800 --> 01:25:21,240 RECOGNIZED LIVED EXPERTISE. IN 1921 01:25:21,240 --> 01:25:22,680 TWO WAYS I MEAN IT. ONE TO 1922 01:25:22,680 --> 01:25:24,720 RECOGNIZE THE EXPERTISE DISABLED 1923 01:25:24,720 --> 01:25:26,200 MEDICAL AND GRADUATE STUDENTS 1924 01:25:26,200 --> 01:25:27,640 BRING TO THEIR FIELDS, THE 1925 01:25:27,640 --> 01:25:28,560 THINGS THEY LEARNED THROUGH 1926 01:25:28,560 --> 01:25:29,960 THEIR OWN LIVES THAT WILL IMPACT 1927 01:25:29,960 --> 01:25:32,080 AND IMPROVE THE WAYS THAT THEY 1928 01:25:32,080 --> 01:25:33,200 DO SCIENCE AND THEY TAKE CARE OF 1929 01:25:33,200 --> 01:25:36,200 PATIENTS. BUT ALSO IN THE SENSE 1930 01:25:36,200 --> 01:25:37,800 AND THIS IS PART MY CITATION 1931 01:25:37,800 --> 01:25:39,800 REFERS TO, THERE IS AN ARTICLE 1932 01:25:39,800 --> 01:25:42,440 BY A LEGAL SCHOLAR CATHERINE 1933 01:25:42,440 --> 01:25:44,760 MACK FAR LANE A FEW YEARS BIG 1934 01:25:44,760 --> 01:25:46,480 ARGUING THAT THE LEVEL OF 1935 01:25:46,480 --> 01:25:47,480 DOCUMENTATION AND MEDICAL 1936 01:25:47,480 --> 01:25:49,080 INVOLVEMENT THAT WE CURRENTLY 1937 01:25:49,080 --> 01:25:50,440 EXPECT IN THE ACCOMMODATIONS 1938 01:25:50,440 --> 01:25:52,320 PROCESS IS NOT REALLY IN LINE 1939 01:25:52,320 --> 01:25:53,040 WITH THE LETTER OR THE SPIRIT OF 1940 01:25:53,040 --> 01:25:57,240 THE ADA. AND THAT WE MAY BE 1941 01:25:57,240 --> 01:26:00,040 BETTER OFF TAKING A LEAF OUT OF 1942 01:26:00,040 --> 01:26:01,160 HOW WE HANDLE THESE 1943 01:26:01,160 --> 01:26:01,760 ACCOMMODATIONS AND LISTENING TO 1944 01:26:01,760 --> 01:26:03,280 PEOPLE WHEN THEY SAY WHAT THEY 1945 01:26:03,280 --> 01:26:04,280 NEED AND NOT IMMEDIATELY 1946 01:26:04,280 --> 01:26:07,440 ASSUMING THAT WE NEED THIS 1947 01:26:07,440 --> 01:26:10,000 VERIFIED BY OUTSIDE PERSON WHO 1948 01:26:10,000 --> 01:26:11,880 OFTEN DOESN'T AS I HAVE SEEN IN 1949 01:26:11,880 --> 01:26:13,280 HEALTHCARE WE DON'T REALLY LEARN 1950 01:26:13,280 --> 01:26:17,240 MUCH ABOUT WHAT KINDS OF 1951 01:26:17,240 --> 01:26:18,160 ACCOMMODATIONS SOMEBODY NEEDS 1952 01:26:18,160 --> 01:26:19,360 FROM DISABILITY BUT THE PERSON 1953 01:26:19,360 --> 01:26:21,000 WITH DISABILITY TYPICALLY DOES 1954 01:26:21,000 --> 01:26:22,680 HAVE DECENT IDEA OF WHAT THEIR 1955 01:26:22,680 --> 01:26:24,960 ACCESS NEEDS ARE OR AT VERY 1956 01:26:24,960 --> 01:26:26,400 LEAST WHEN GIVEN SUPPORT FROM 1957 01:26:26,400 --> 01:26:27,520 THEIR SCHOOL OR PROGRAM TO FIND 1958 01:26:27,520 --> 01:26:29,080 OUT WHAT THE DEMANDS WILL BE IN 1959 01:26:29,080 --> 01:26:32,720 THEIR UPCOMING STAGE OF THEIR 1960 01:26:32,720 --> 01:26:35,080 CAREER, CAN WORK TO FIGURE OUT 1961 01:26:35,080 --> 01:26:37,200 WHAT THOSE ENTAIL. SO I HAVE A 1962 01:26:37,200 --> 01:26:40,440 LOT OF REFERENCES HERE, YOU HAVE 1963 01:26:40,440 --> 01:26:41,640 ACCESS TO SLIDES AFTERWARDS TO 1964 01:26:41,640 --> 01:26:43,200 LOOK AT THIS WORK. SO THANK YOU 1965 01:26:43,200 --> 01:26:45,760 AND THAT IS THE END OF MY 1966 01:26:45,760 --> 01:26:56,120 SECTION HERE TODAY. 1967 01:27:08,080 --> 01:27:09,880 >>I'M GOING TO BRING UP MY 1968 01:27:09,880 --> 01:27:12,160 SLIDES, THANK YOU VERY MUCH. BUT 1969 01:27:12,160 --> 01:27:14,360 BEFORE WHAT I BELIEVE IS KIND OF 1970 01:27:14,360 --> 01:27:15,720 A TWIN PRESENTATION OR LEAD IN 1971 01:27:15,720 --> 01:27:17,400 KIND OF TO WHAT I HAVE BEEN 1972 01:27:17,400 --> 01:27:19,400 TALKING ABOUT. LET ME JUST BRING 1973 01:27:19,400 --> 01:27:29,920 UP MY SLIDES QUICKLY FOR YOU. 1974 01:27:37,840 --> 01:27:41,760 SO MY NAME IS DIANA CEJAS, HI 1975 01:27:41,760 --> 01:27:43,560 PRONOUNS ARE SHE HER HERS, BLACK 1976 01:27:43,560 --> 01:27:45,800 WOMAN WITH CURLY NATURAL HAIR, 1977 01:27:45,800 --> 01:27:49,440 WHO IS SITTING IN FRONT OF A 1978 01:27:49,440 --> 01:27:53,400 VERY BLANK WALL IN A ROOM. WHO 1979 01:27:53,400 --> 01:27:56,880 IS ALSO WEARING A KIND OF BLANK 1980 01:27:56,880 --> 01:27:58,680 BEIGE KIND OF SWEATER. I'M AS 1981 01:27:58,680 --> 01:28:00,960 WAS MENTIONED PEDIATRIC 1982 01:28:00,960 --> 01:28:01,760 NEUROLOGIST AT THE UNIVERSITY OF 1983 01:28:01,760 --> 01:28:03,520 NORTH CAROLINA CHAPEL HILL AND 1984 01:28:03,520 --> 01:28:06,160 PRETTY MUCH ALL MY WORK 1985 01:28:06,160 --> 01:28:11,160 INCLUDING RESEARCH AND ADVOCACY 1986 01:28:11,160 --> 01:28:13,240 IS FOR YOUNG DISABLED PEOPLE 1987 01:28:13,240 --> 01:28:14,120 PARTICULARLY YOUNG DISABLED 1988 01:28:14,120 --> 01:28:16,000 PEOPLE OF COLOR. ONE REASON THAT 1989 01:28:16,000 --> 01:28:17,640 IS IMPORTANT TO ME PERSONALLY 1990 01:28:17,640 --> 01:28:19,400 AND PROFESSIONALLY IS BECAUSE OF 1991 01:28:19,400 --> 01:28:21,000 MY LIVED EXPERIENCE AS A 1992 01:28:21,000 --> 01:28:22,600 DISABLED PHYSICIAN. I USE THE 1993 01:28:22,600 --> 01:28:25,680 TERM DISABLED AND TERMS 1994 01:28:25,680 --> 01:28:26,960 DISABILITY INTENTIONALLY BECAUSE 1995 01:28:26,960 --> 01:28:28,160 AS YOU MIGHT HAVE BEEN ABLE TO 1996 01:28:28,160 --> 01:28:30,200 INFER FROM THE PREVIOUS 1997 01:28:30,200 --> 01:28:31,240 PRESENTATION, IT IS VERY 1998 01:28:31,240 --> 01:28:32,640 UNCOMMON TO BE OPENLY DISABLED 1999 01:28:32,640 --> 01:28:35,760 IN MEDICINE. SO ONE OF THE 2000 01:28:35,760 --> 01:28:37,080 THINGS THAT I WOULD LOU I CAN TO 2001 01:28:37,080 --> 01:28:39,200 TALK ABOUT TODAY TO KIND OF KEEP 2002 01:28:39,200 --> 01:28:42,840 THIS CONVERSATION GOING IS ABOUT 2003 01:28:42,840 --> 01:28:44,800 EXPERIENCES THAT WE HAVE AS 2004 01:28:44,800 --> 01:28:46,240 DISABLED FACULTY, ALSO WHAT KIND 2005 01:28:46,240 --> 01:28:49,720 OF REALLY EDUCATION OUR DISABLED 2006 01:28:49,720 --> 01:28:51,040 TRAINEES ARE GETTING ONCE IN 2007 01:28:51,040 --> 01:28:52,800 MEDICAL SCHOOL, RESIDENCY, 2008 01:28:52,800 --> 01:28:56,040 FELLOWSHIP AND EVEN BEYOND. SO 2009 01:28:56,040 --> 01:28:58,560 BEFORE WE GET THERE, LET'S TALK 2010 01:28:58,560 --> 01:29:00,440 ABOUT LANDSCAPE. WHAT IS GOING 2011 01:29:00,440 --> 01:29:02,640 ON, WHAT IS THE REALITY FOR 2012 01:29:02,640 --> 01:29:06,200 DOCTORS WITH DISABILITIES? ON 2013 01:29:06,200 --> 01:29:07,680 THE ONE HAND THOSE LAST COUPLE 2014 01:29:07,680 --> 01:29:09,400 OF SLIDES IN THE PREVIOUS 2015 01:29:09,400 --> 01:29:10,280 PRESENTATION WERE HEARTENING 2016 01:29:10,280 --> 01:29:14,640 BECAUSE IT IS AMAZING TO SEE WE 2017 01:29:14,640 --> 01:29:15,920 HAVE MORE DISABLED PEOPLE 2018 01:29:15,920 --> 01:29:17,280 GETTING INTO MEDICINE DOING THIS 2019 01:29:17,280 --> 01:29:18,760 WORK AND MORE TRAINEES COMING IN 2020 01:29:18,760 --> 01:29:20,160 AND ACTIVELY WANTING TO LEARN 2021 01:29:20,160 --> 01:29:21,120 MORE ABOUT DISABILITY. AT THE 2022 01:29:21,120 --> 01:29:22,080 SAME TIME YOU CAN SEE THE 2023 01:29:22,080 --> 01:29:25,160 NUMBERS HERE THAT ARE ON THIS 2024 01:29:25,160 --> 01:29:25,800 SLIDE. WHICH I BELIEVE ARE SOME 2025 01:29:25,800 --> 01:29:27,720 OF THE MORE RECENT DATA THAT WE 2026 01:29:27,720 --> 01:29:30,240 HAVE ABOUT 3.1% PRACTICING 2027 01:29:30,240 --> 01:29:33,800 PHYSICIANS AND 4.6% OF STUDENTS 2028 01:29:33,800 --> 01:29:34,800 MEDICAL STUDENTS IN THE UNITED 2029 01:29:34,800 --> 01:29:37,680 STATES HAVE A DISABILITIES OF 2030 01:29:37,680 --> 01:29:38,640 SOME KIND. YOU CAN COMPARE THAT 2031 01:29:38,640 --> 01:29:41,880 WITH THE 20 TO 25% OF ADULTS IN 2032 01:29:41,880 --> 01:29:43,680 THE UNITED STATES WITH SOME FORM 2033 01:29:43,680 --> 01:29:46,080 OF DISABILITY. TAKE A LOOK AT 2034 01:29:46,080 --> 01:29:48,520 THESE NUMBERS AND WONDER WHY IS 2035 01:29:48,520 --> 01:29:50,800 IT THERE IS SO FEW DISABLED 2036 01:29:50,800 --> 01:29:53,040 PHYSICIANS AND DISABLED MEDICAL 2037 01:29:53,040 --> 01:29:56,280 STUDENTS STUDENTS IN TRAINING? 2038 01:29:56,280 --> 01:29:57,120 WE CERTAINLY HAVE A LOT OF 2039 01:29:57,120 --> 01:29:58,360 REASONS FOR THAT. NUMBER ONE, WE 2040 01:29:58,360 --> 01:30:01,000 CAN THINK ABOUT THE WAY ABLEISM 2041 01:30:01,000 --> 01:30:03,000 AFFECTS MEDICAL EDUCATION, THE 2042 01:30:03,000 --> 01:30:05,440 WAY THAT ABLEISM AFFECTS THE 2043 01:30:05,440 --> 01:30:07,680 PIPELINE INTO MEDICINE AND THE 2044 01:30:07,680 --> 01:30:08,760 WAY ABLEISM AFFECTS THE 2045 01:30:08,760 --> 01:30:10,600 REALITIES FOR PEOPLE ONCE THEY 2046 01:30:10,600 --> 01:30:14,680 ARE ABLE TO GET INTO TRAINING 2047 01:30:14,680 --> 01:30:18,400 AND FACULTY POSITIONS AS WELL. 2048 01:30:18,400 --> 01:30:20,240 WE HAVE TO KNOW ABLEISM DOESN'T 2049 01:30:20,240 --> 01:30:21,840 JUST AFFECT OUR PATIENTS, ALSO 2050 01:30:21,840 --> 01:30:23,880 AFFECTS PHYSICIANS. AND ONE OF 2051 01:30:23,880 --> 01:30:24,760 THE OTHER THINGS I WANT TO 2052 01:30:24,760 --> 01:30:26,520 HIGHLIGHT WHICH WE ARE TALKING 2053 01:30:26,520 --> 01:30:28,320 ABOUT IN THE Q&A SECTION AND 2054 01:30:28,320 --> 01:30:32,120 DISCUSSION SECTION IS THE FACT 2055 01:30:32,120 --> 01:30:34,040 THAT THESE NUMBERS WHEN I LOOK I 2056 01:30:34,040 --> 01:30:37,680 HAVE TO TAKE INTO ACCOUNT THAT 2057 01:30:37,680 --> 01:30:38,720 THEY REFLECT NUMBER OF 2058 01:30:38,720 --> 01:30:39,680 PHYSICIANS AND MEDICAL STUDENTS 2059 01:30:39,680 --> 01:30:42,480 WHO FEEL COMFORTABLE DISCLOSING 2060 01:30:42,480 --> 01:30:44,960 TO RESEARCHERS THEY HAVE A 2061 01:30:44,960 --> 01:30:45,800 DISABILITY OF SOME KIND. OF 2062 01:30:45,800 --> 01:30:47,480 COURSE WE ARE TALKING MORE ABOUT 2063 01:30:47,480 --> 01:30:49,480 DISCLOSURE LATER BUT DISCLOSURE 2064 01:30:49,480 --> 01:30:50,720 DISABILITY AND MEDICINE IS 2065 01:30:50,720 --> 01:30:53,760 SOMETHING THAT IS EXTREMELY 2066 01:30:53,760 --> 01:30:56,240 RISKY AND ALSO EXTREMELY 2067 01:30:56,240 --> 01:30:58,360 PERSONAL. AND I ALSO CONTRIBUTES 2068 01:30:58,360 --> 01:31:00,000 TO THE FACT THAT OF COURSE I 2069 01:31:00,000 --> 01:31:01,480 KNOW DISABLED PHYSICIANS WHO 2070 01:31:01,480 --> 01:31:03,440 ABSOLUTELY NEVER DISCLOSE THEIR 2071 01:31:03,440 --> 01:31:04,320 DISABILITY BECAUSE OF SOME OF 2072 01:31:04,320 --> 01:31:08,480 THE CULTURAL AND OTHER RISKS 2073 01:31:08,480 --> 01:31:11,760 THAT ARE AT PLAY. SO SOME OF THE 2074 01:31:11,760 --> 01:31:13,440 THINGS RELATED TO CULTURAL 2075 01:31:13,440 --> 01:31:14,640 EXPECTATIONS FOR PHYSICIANS IS 2076 01:31:14,640 --> 01:31:16,280 JUST THAT WE ARE KIND OF 2077 01:31:16,280 --> 01:31:17,960 EXPECTED TO BE SUPER HUMAN. YOU 2078 01:31:17,960 --> 01:31:20,560 ARE EXPECTED TO BE ABLE TO MAKE 2079 01:31:20,560 --> 01:31:22,200 HIGH LEVEL DECISIONS ABOUT 2080 01:31:22,200 --> 01:31:23,360 SOMEBODY'S LIFE THEIR HEALTH 2081 01:31:23,360 --> 01:31:25,760 WHEN YOU YOURSELF MAYBE HAVEN'T 2082 01:31:25,760 --> 01:31:26,920 EXCELLENT IN 36 HOURS, YOU 2083 01:31:26,920 --> 01:31:29,520 HAVEN'T EATEN, MAYBE NOT BEEN 2084 01:31:29,520 --> 01:31:33,200 ABLE TO TAKE CARE OF YOURSELF 2085 01:31:33,200 --> 01:31:34,960 AND HEALTHCARE NEEDS. BUT YOU 2086 01:31:34,960 --> 01:31:36,960 ARE SUPPOSED TO BE OPERATING ON 2087 01:31:36,960 --> 01:31:38,560 THE HIGHEST POSSIBLE LEVEL 2088 01:31:38,560 --> 01:31:39,960 PHYSICALLY MENTALLY EMOTIONALLY, 2089 01:31:39,960 --> 01:31:41,720 WHAT HAVE YOU. AND YOU CAN 2090 01:31:41,720 --> 01:31:42,640 IMAGINE LIKE ANYBODY WHO DOESN'T 2091 01:31:42,640 --> 01:31:44,440 NECESSARILY FALL INTO THAT 2092 01:31:44,440 --> 01:31:46,120 STANDARD, IS SEEN AS LESS THAN. 2093 01:31:46,120 --> 01:31:48,080 SO YOU MIGHT SEE A PERSON WHO IS 2094 01:31:48,080 --> 01:31:49,160 DISABLED WITH SOME KIND OF 2095 01:31:49,160 --> 01:31:55,080 CHRONIC ILLNESS OR SOME OTHER 2096 01:31:55,080 --> 01:31:56,880 NEEDS, NOT SEEN AS TEEN PLAYER 2097 01:31:56,880 --> 01:31:58,400 OR FAILING IN SOME WAYS SIMPLY 2098 01:31:58,400 --> 01:31:59,720 BECAUSE THEY ARE NOT ABLE TO 2099 01:31:59,720 --> 01:32:01,920 LIVE UP TO WHAT IS HONESTLY AN 2100 01:32:01,920 --> 01:32:03,920 UNATTAINABLE STANDARD FOR 2101 01:32:03,920 --> 01:32:08,640 EVERYBODY IN MEDICINE. SO WHAT 2102 01:32:08,640 --> 01:32:11,360 KIND OF THINGS DISABLED DOCTORS 2103 01:32:11,360 --> 01:32:12,840 AND (INAUDIBLE) EXPERIENCE ONCE 2104 01:32:12,840 --> 01:32:14,800 IN PRACTICE OR TRAINING 2105 01:32:14,800 --> 01:32:16,000 PROGRAMS. ONE OF THE BIGGEST 2106 01:32:16,000 --> 01:32:17,800 ISSUES WE SEE WHICH YOU HAVE 2107 01:32:17,800 --> 01:32:20,240 HEARD A LITTLE BIT SO FAR IS 2108 01:32:20,240 --> 01:32:23,440 BURN-OUT. SO GETTING INTO 2109 01:32:23,440 --> 01:32:26,520 PRACTICE BUT NOT BEING ABLE TO 2110 01:32:26,520 --> 01:32:29,400 CONTINUE BECAUSE OF EMOTIONAL 2111 01:32:29,400 --> 01:32:30,280 DISTRESS, BECAUSE PHYSICALLY NOT 2112 01:32:30,280 --> 01:32:32,280 ABLE TO DO IT BECAUSE YOU START 2113 01:32:32,280 --> 01:32:34,160 TO HAVE ALL KINDS OF SYMPTOMS 2114 01:32:34,160 --> 01:32:36,920 THAT ARE RELATED TO THE THIS 2115 01:32:36,920 --> 01:32:39,520 IDEA OF NOT BEING ABLE TO KEEP 2116 01:32:39,520 --> 01:32:41,760 GOING AND PHYSICALLY BURNING OUT 2117 01:32:41,760 --> 01:32:44,040 OR MENTALLY BURNING OUT AFTER 2118 01:32:44,040 --> 01:32:47,000 SOMETIME AND HAVING TO EITHER 2119 01:32:47,000 --> 01:32:49,640 TAKE TIME OFF OR LEAVE THE 2120 01:32:49,640 --> 01:32:50,880 PRACTICE OR CHANGE WHATEVER 2121 01:32:50,880 --> 01:32:53,360 GOING ON WITH YOUR PRACTICE AS A 2122 01:32:53,360 --> 01:32:55,840 RESULT. OTHER THINGS DISABLED 2123 01:32:55,840 --> 01:32:57,960 PHYSICIANS AND EXPERIENCE ARE 2124 01:32:57,960 --> 01:32:58,640 LIMITED OPPORTUNITIES 2125 01:32:58,640 --> 01:33:01,800 PARTICULARLY FOR MENTORSHIP 2126 01:33:01,800 --> 01:33:02,920 SPONSORSHIP PROMOTION, IF YOU 2127 01:33:02,920 --> 01:33:05,320 THINK ABOUT IT, IF YOU HAVE 2128 01:33:05,320 --> 01:33:06,760 FEWER OPENLY DISABLED PEOPLE 2129 01:33:06,760 --> 01:33:08,120 THAT YOU CAN WORK WITH YOU CAN 2130 01:33:08,120 --> 01:33:09,520 COLLABORATE WITH, OR WHO 2131 01:33:09,520 --> 01:33:10,760 UNDERSTAND WHAT YOU ARE GOING 2132 01:33:10,760 --> 01:33:12,120 THROUGH, TO BE ABLE TO PROVIDE 2133 01:33:12,120 --> 01:33:13,560 SUPPORT TO YOU, OF COURSE THAT 2134 01:33:13,560 --> 01:33:14,960 IS GOING TO AFFECT THE WAY YOU 2135 01:33:14,960 --> 01:33:17,360 ARE ABLE TO PRACTICE AND AFFECT 2136 01:33:17,360 --> 01:33:21,200 YOUR TRAINING AND YOUR CAREER 2137 01:33:21,200 --> 01:33:22,160 TRAJECTORY. MICRO AND MACRO 2138 01:33:22,160 --> 01:33:23,760 AGGRESSIONS RELATED TO 2139 01:33:23,760 --> 01:33:25,120 DISABILITY ABLEISM ARE OTHER 2140 01:33:25,120 --> 01:33:26,400 THINGS DISABLED DOCTORS 2141 01:33:26,400 --> 01:33:29,040 EXPERIENCE, THESE CAN BE COMING 2142 01:33:29,040 --> 01:33:31,760 FROM EITHER SOMEONE WHO IS ABOVE 2143 01:33:31,760 --> 01:33:33,360 THE KIND OF CHAIN OF COMMAND 2144 01:33:33,360 --> 01:33:36,480 THAN YOU, A BOSS, OR MAYBE 2145 01:33:36,480 --> 01:33:37,680 SECTION CHIEF, SOMETHING OF THAT 2146 01:33:37,680 --> 01:33:39,960 NATURE, IT CAN COME FROM YOUR 2147 01:33:39,960 --> 01:33:41,520 ATTENDING IF YOU ARE A DISABLED 2148 01:33:41,520 --> 01:33:45,360 TRAINEE. CAN ALSO COME FROM 2149 01:33:45,360 --> 01:33:47,240 PATIENTS, I WON'T GET INTO THIS 2150 01:33:47,240 --> 01:33:48,280 TALK BUT IT IS SOMETHING PEOPLE 2151 01:33:48,280 --> 01:33:53,240 DEAL WITH. ALL THESE LEAD TO 2152 01:33:53,240 --> 01:33:53,880 DECREASED JOB SATISFACTION, OF 2153 01:33:53,880 --> 01:33:57,520 COURSE ALL THAT CAN TART TO LEAD 2154 01:33:57,520 --> 01:33:58,920 TO START TO LEAD TO PEOPLE NOT 2155 01:33:58,920 --> 01:34:00,360 BEING ABLE TO OR WANTING TO 2156 01:34:00,360 --> 01:34:02,200 COMPLETE TRAINING OR NOT FEELING 2157 01:34:02,200 --> 01:34:04,760 SAFE IN THE PROGRAMS, MAYBE 2158 01:34:04,760 --> 01:34:06,720 SWITCHING TO A DIFFERENT 2159 01:34:06,720 --> 01:34:09,520 INSTITUTION OR MAYBE LIVING THE 2160 01:34:09,520 --> 01:34:12,640 FIELD ALL TOGETHER. WE KNOW FOR 2161 01:34:12,640 --> 01:34:15,920 EXAMPLE SOME DISABLED MELDCAL 2162 01:34:15,920 --> 01:34:18,120 STUDENTS CITED DISCRIMINATION 2163 01:34:18,120 --> 01:34:20,120 PREJUDICE FEELINGS OF ISOLATION 2164 01:34:20,120 --> 01:34:21,720 AND DIFFERENT CULTURAL 2165 01:34:21,720 --> 01:34:22,960 EXPECTATIONS NEGATIVELY IMPACT 2166 01:34:22,960 --> 01:34:24,080 OVERALL MEDICAL EXPERIENCE AND 2167 01:34:24,080 --> 01:34:25,080 THEN YOU HAVE TO TAKE A LOOK 2168 01:34:25,080 --> 01:34:27,720 ANOTHER THE FACT THAT THEY ARE 2169 01:34:27,720 --> 01:34:29,480 LIKELY NOT JUST DEALING WITH 2170 01:34:29,480 --> 01:34:32,000 ABLEISM BUT DEALING WITH 2171 01:34:32,000 --> 01:34:33,080 INTERSECTIONAL KINDS OF 2172 01:34:33,080 --> 01:34:33,880 DISCRIMINATION. SO EVERYTHING 2173 01:34:33,880 --> 01:34:36,920 YOU ARE SEEING HERE CAN CAN BE 2174 01:34:36,920 --> 01:34:37,920 COMPOUNDED BY THE FACT THAT OUR 2175 01:34:37,920 --> 01:34:40,360 PHYSICIANS IS OF COLOR MIGHT 2176 01:34:40,360 --> 01:34:44,120 EXPERIENCING RACIALIZED KIND OF 2177 01:34:44,120 --> 01:34:48,880 ABLEISM, OF COURSE GENDER 2178 01:34:48,880 --> 01:34:49,920 DIFFERENCES AND DISCRIMINATION 2179 01:34:49,920 --> 01:34:51,120 AND ALL THESE THINGS THAT MAKE 2180 01:34:51,120 --> 01:34:55,400 EVERYTHING SO, SO MUCH WORSE. 2181 01:34:55,400 --> 01:34:57,400 OTHER ISSUES WE SEE FOR DISABLED 2182 01:34:57,400 --> 01:34:59,760 PEOPLE IN MEDICINE, WE HAVE 2183 01:34:59,760 --> 01:35:01,120 NOTICE DISABILITY IS HEAVILY 2184 01:35:01,120 --> 01:35:02,680 STIGMATIZED. GOING BACK TO SOME 2185 01:35:02,680 --> 01:35:05,920 OF THOSE CULTURAL NORMS THAT WE 2186 01:35:05,920 --> 01:35:06,560 HAVE WITHIN THE HEALTHCARE 2187 01:35:06,560 --> 01:35:08,800 FIELD. THINGS THAT DOCTORS ARE 2188 01:35:08,800 --> 01:35:10,240 EXPECTED TO DO AND THINK AND BE 2189 01:35:10,240 --> 01:35:14,600 AND LOOK LIKE. AND KNOWING THAT, 2190 01:35:14,600 --> 01:35:16,200 MEANS THAT OF COURSE AGAIN 2191 01:35:16,200 --> 01:35:18,440 ANYBODY WHO DOESEN CONFORM TO 2192 01:35:18,440 --> 01:35:20,160 THAT PARTICULAR NORM HOE DOESN'T 2193 01:35:20,160 --> 01:35:23,080 CONFORM IS NOT OPERATING AT THE 2194 01:35:23,080 --> 01:35:24,920 LEVEL THAT PERCEPTION THEY ARE 2195 01:35:24,920 --> 01:35:27,320 NOT ACTING AT LEVEL THEY ARE 2196 01:35:27,320 --> 01:35:29,120 EXPECTED TO BE. AGAIN IF YOU 2197 01:35:29,120 --> 01:35:30,760 HAVE FEWER DISABLED DOCTORS 2198 01:35:30,760 --> 01:35:32,240 FEWER OPPORTUNITIES FOR DISABLED 2199 01:35:32,240 --> 01:35:35,360 TRAINEES FEWER OPPORTUNITIES FOR 2200 01:35:35,360 --> 01:35:37,800 COLLABORATION BETWEEN OTHER 2201 01:35:37,800 --> 01:35:40,400 KINDS OF OR DISABLED AND 2202 01:35:40,400 --> 01:35:44,640 NON-DISABLED PEERS, FOR FEWER 2203 01:35:44,640 --> 01:35:45,480 OPPORTUNITIES FOR CONNECTION 2204 01:35:45,480 --> 01:35:46,680 WITH PATIENTS, I THINK ONE OF 2205 01:35:46,680 --> 01:35:48,280 THE THINGS THAT WAS ALSO NICELY 2206 01:35:48,280 --> 01:35:50,480 HIGHLIGHTED IN THE PRECEDING 2207 01:35:50,480 --> 01:35:52,280 TALK WAS THAT DISABLED 2208 01:35:52,280 --> 01:35:54,520 CLINICIANS AND TRAINEES BRING A 2209 01:35:54,520 --> 01:35:57,080 VERY INTERESTING PERSPECTIVE TO 2210 01:35:57,080 --> 01:35:59,040 PATIENT CARE, WE KNOW THAT TO 2211 01:35:59,040 --> 01:36:01,200 PUT IT SIMPLY MARGINALIZED 2212 01:36:01,200 --> 01:36:02,560 DOCTORS ARE GOOD FOR 2213 01:36:02,560 --> 01:36:04,120 MARGINALIZED PATIENTS. DISABLED 2214 01:36:04,120 --> 01:36:05,440 DOCTORS GOOD FOR DISABLED 2215 01:36:05,440 --> 01:36:07,600 PATIENTS. WE CAN UNDERSTAND 2216 01:36:07,600 --> 01:36:08,800 PERSPECTIVES THE WAY 2217 01:36:08,800 --> 01:36:09,720 NON-DISABLED KIDS CAN'T AND 2218 01:36:09,720 --> 01:36:11,480 RELATE TO OUR DISABLED PATIENTS 2219 01:36:11,480 --> 01:36:13,600 ALSO IN A WAY THAT ARE 2220 01:36:13,600 --> 01:36:16,360 NON-STABLE PEERS CAN'T. THAT CAN 2221 01:36:16,360 --> 01:36:19,160 ALSO EFFECT BOTH CARE PEOPLE 2222 01:36:19,160 --> 01:36:20,840 RECEIVE AND DOCTOR PATIENT 2223 01:36:20,840 --> 01:36:22,880 RELATIONSHIP AND ALSO ULTIMATELY 2224 01:36:22,880 --> 01:36:25,280 AFFECT THE PATIENT HEALTHCARE 2225 01:36:25,280 --> 01:36:26,880 OUTCOMES. AS YOU THINK ABOUT 2226 01:36:26,880 --> 01:36:28,000 THIS YOU CAN START TO WONDER 2227 01:36:28,000 --> 01:36:30,320 WHAT DOES NOT HAVING DISABLED 2228 01:36:30,320 --> 01:36:32,520 TRAINEES AND DISABLED CLINICIANS 2229 01:36:32,520 --> 01:36:39,160 MEAN FOR DISABLED PATIENTS? WHAT 2230 01:36:39,160 --> 01:36:41,320 ARE WE TEACHING MEDICAL TRAINEES 2231 01:36:41,320 --> 01:36:44,200 ABOUT DISABILITY? FIRST NOT AS 2232 01:36:44,200 --> 01:36:46,560 MUCH A Z YOU THINK. THERE'S NO 2233 01:36:46,560 --> 01:36:47,840 TRAINING ON DISABILITY AND 2234 01:36:47,840 --> 01:36:50,320 PARTICULARLY DISABILITY APART 2235 01:36:50,320 --> 01:36:54,080 FROM PATHOLOGY. IN MEDICAL 2236 01:36:54,080 --> 01:36:56,160 SCHOOL, RESIDENCY OR FELLOWSHIP 2237 01:36:56,160 --> 01:36:58,720 EDUCATION AND CONTINUING MEDICAL 2238 01:36:58,720 --> 01:37:00,240 EDUCATION MOST OF WHAT WE LEARN 2239 01:37:00,240 --> 01:37:02,800 IS JUST FOCUSED ON TREATING SOME 2240 01:37:02,800 --> 01:37:06,000 KIND OF PATHOLOGY,OR LIMITED TO 2241 01:37:06,000 --> 01:37:07,320 UNDERSTANDING LIKE THE 2242 01:37:07,320 --> 01:37:08,240 BIOMECHANICAL MECHANISMS THAT 2243 01:37:08,240 --> 01:37:10,760 ARE UNDERPINNING DISEASE. WE 2244 01:37:10,760 --> 01:37:12,560 DON'T REALLY GET ANY KIND OF 2245 01:37:12,560 --> 01:37:13,560 INFORMATION ABOUT DISABILITIES 2246 01:37:13,560 --> 01:37:15,800 AN IDENTITY, DISABILITY RIGHTS, 2247 01:37:15,800 --> 01:37:18,280 DISABILITY HISTORY, EVEN 2248 01:37:18,280 --> 01:37:19,440 INTERACTING WITH DISABLED 2249 01:37:19,440 --> 01:37:21,120 PATIENTS OR TAKING CARE OF 2250 01:37:21,120 --> 01:37:22,560 DISABILITIED PATIENTS AND 2251 01:37:22,560 --> 01:37:26,760 TRAINEES, TAKING CARE OF 2252 01:37:26,760 --> 01:37:28,800 DISDISABLED PATIENTS AND HELPING 2253 01:37:28,800 --> 01:37:30,000 LIVE MT. COMMUNITY, PARTICULARLY 2254 01:37:30,000 --> 01:37:32,080 WHEN YOU ARE THINKING ABOUT 2255 01:37:32,080 --> 01:37:34,400 THINGS LIKE FOUR MEDICAL 2256 01:37:34,400 --> 01:37:34,880 STUDENTS MIGHT HAVE AN 2257 01:37:34,880 --> 01:37:37,200 OPPORTUNITY TO LEARN PHYSICAL 2258 01:37:37,200 --> 01:37:39,240 EXAMINATION SKILLS ON DISABLED 2259 01:37:39,240 --> 01:37:40,600 INDIVIDUALS WORKING WITH 2260 01:37:40,600 --> 01:37:42,040 STANDARDIZE PATIENTS TO 2261 01:37:42,040 --> 01:37:43,400 SOMETHING THAT IS COMMON IN 2262 01:37:43,400 --> 01:37:46,360 MEDICAL EDUCATION, TO BE ABLE TO 2263 01:37:46,360 --> 01:37:47,480 LEARN THOSE EXAMINATION 2264 01:37:47,480 --> 01:37:48,640 TECHNIQUES IS SOMETHING NOT SEEN 2265 01:37:48,640 --> 01:37:50,400 AND NOT DONE. THE FACT THAT YOU 2266 01:37:50,400 --> 01:37:52,600 ARE NOT GETTING DISABILITY 2267 01:37:52,600 --> 01:37:55,080 EDUCATION LEADS TO A LOT OF 2268 01:37:55,080 --> 01:37:57,000 PHYSICIANS HAVING ANTI-WAITED 2269 01:37:57,000 --> 01:38:00,040 IDEAS ABOUT DISABILITY AND CAN 2270 01:38:00,040 --> 01:38:02,720 ALSO LEAD TO FEELING VERY 2271 01:38:02,720 --> 01:38:06,320 UNCOMFORTABLE WITH DISABLED 2272 01:38:06,320 --> 01:38:08,800 PATIENTS. ONE OF THE THINGS WE 2273 01:38:08,800 --> 01:38:10,520 KNOW ABOUT IS THAT THERE HAVE 2274 01:38:10,520 --> 01:38:12,520 BEEN SEVERAL STUDIES THAT HAVE 2275 01:38:12,520 --> 01:38:15,880 COME OUT OVER THE YEARS WHICH 2276 01:38:15,880 --> 01:38:17,160 STATE THAT CLINICIANS ARE NOT 2277 01:38:17,160 --> 01:38:18,760 COMFORTABLE WITH TAKING CARE OF 2278 01:38:18,760 --> 01:38:21,240 DISABLED PATIENTS, THEY MIGHT 2279 01:38:21,240 --> 01:38:22,440 FEEL THAT THEY DON'T KNOW AS 2280 01:38:22,440 --> 01:38:24,040 MUCH AS THAT I SHALL ABOUT 2281 01:38:24,040 --> 01:38:25,520 DISABILITY ISSUES MIGHT NOT WANT 2282 01:38:25,520 --> 01:38:27,360 TO WELCOME DISABLED PEOPLE INTO 2283 01:38:27,360 --> 01:38:28,280 THEIR CLINICAL PRACTICE AND IF 2284 01:38:28,280 --> 01:38:30,840 YOU CAN THINK OF SOMEONE BEING 2285 01:38:30,840 --> 01:38:32,240 FACULTY EDUCATOR WHO IS 2286 01:38:32,240 --> 01:38:34,080 RESPONSIBLE FOR TRAINING THE 2287 01:38:34,080 --> 01:38:35,800 NEXT GENERATION, THOSE ARE THE 2288 01:38:35,800 --> 01:38:37,520 KINDS OF IDEAS NORMS AN VALUES 2289 01:38:37,520 --> 01:38:38,840 THEY GOING TO PASS ON TO THEIR 2290 01:38:38,840 --> 01:38:42,960 TRAINEES. THERE ARE THINGS WE 2291 01:38:42,960 --> 01:38:44,120 NEED TO KNOW ABOUT AND ON THIS 2292 01:38:44,120 --> 01:38:46,440 SLIDE YOU SEE A WORD CLOUD THAT 2293 01:38:46,440 --> 01:38:48,560 HAS VARIOUS EUPHEMISMS FOR 2294 01:38:48,560 --> 01:38:49,960 DISABILITY WITHIN THE WORD 2295 01:38:49,960 --> 01:38:53,040 CLOUD. THOSE ARE VARIOUS COLORS, 2296 01:38:53,040 --> 01:38:55,000 GREEN BLUE AN YELLOW AND SOME OF 2297 01:38:55,000 --> 01:38:56,880 THOSE EUPHEMISMS ARE DISABLED 2298 01:38:56,880 --> 01:38:59,240 PERSON SPECIAL NEEDS HANDICAPPED 2299 01:38:59,240 --> 01:39:00,560 DIFFERENTLY ABLED PHYSICALLY 2300 01:39:00,560 --> 01:39:01,840 CHALLENGED, THINGS OF THAT 2301 01:39:01,840 --> 01:39:03,680 NATURE. WITHIN THIS WORD CLOUD 2302 01:39:03,680 --> 01:39:05,240 ARE SOME TERMS I DON'T USE AND 2303 01:39:05,240 --> 01:39:07,200 SOME TERMS THAT ARE COMMONLY 2304 01:39:07,200 --> 01:39:12,240 USED IN MEDICINE. UNFORTUNATELY 2305 01:39:12,240 --> 01:39:13,960 THOSE LANGUAGES SOMETHING AS 2306 01:39:13,960 --> 01:39:15,720 PERVASIVE IN MEDICINE, OFTEN 2307 01:39:15,720 --> 01:39:17,920 TIMES YOU WILL HAVE PEOPLE AGAIN 2308 01:39:17,920 --> 01:39:19,320 NOT HAVE ANY PARTICULAR 2309 01:39:19,320 --> 01:39:20,640 EDUCATION ABOUT DISABILITY 2310 01:39:20,640 --> 01:39:22,120 INCLUSIVE COMMUNICATION, WHAT 2311 01:39:22,120 --> 01:39:25,240 HAVE YOU WHO ARE SERVING AS 2312 01:39:25,240 --> 01:39:25,960 EDUCATORS FOR THE NEXT 2313 01:39:25,960 --> 01:39:28,240 GENERATION OF TRAINEES BY MEANS 2314 01:39:28,240 --> 01:39:31,160 THESE TERMS HAVE PASSED DOWN, 2315 01:39:31,160 --> 01:39:32,440 DON'T NECESSARILY KNOW YOU DON'T 2316 01:39:32,440 --> 01:39:34,640 NEED TO USE THEM AND DON'T HAVE 2317 01:39:34,640 --> 01:39:37,640 ANY ALTERNATIVES TO WHAT THEY 2318 01:39:37,640 --> 01:39:39,040 CAN BE USING LANGUAGE THAT 2319 01:39:39,040 --> 01:39:41,720 CONTRIBUTES TO THE 2320 01:39:41,720 --> 01:39:42,920 STIGMATIZATION OF DISABILITY AND 2321 01:39:42,920 --> 01:39:48,240 DISABLED PEOPLE. SOME THINGS WE 2322 01:39:48,240 --> 01:39:50,200 KNOW AGAIN HIGHLIGHTED IN THE 2323 01:39:50,200 --> 01:39:55,560 PREVIOUS TALK, IS THERE ARE SOME 2324 01:39:55,560 --> 01:39:57,040 -- COMING UP, THERE'S MEDICAL 2325 01:39:57,040 --> 01:39:58,520 SCHOOLS THAT PARTNER WITH 2326 01:39:58,520 --> 01:40:00,040 DISABLED EDUCATORS AN 2327 01:40:00,040 --> 01:40:02,800 RESEARCHERS INCLUDING DISABLED 2328 01:40:02,800 --> 01:40:04,480 PEOPLE INTO DESIGN OF CURRICULA 2329 01:40:04,480 --> 01:40:06,520 FOR MEDICAL STUDENTS AND 2330 01:40:06,520 --> 01:40:09,000 RESIDENTS, WE KNOW THERE ARE 2331 01:40:09,000 --> 01:40:11,000 DISABILITIES FOCUSED CURRICULA 2332 01:40:11,000 --> 01:40:13,040 OR CENTERED CURRICULA COMING UP 2333 01:40:13,040 --> 01:40:14,720 FOR TRAINEES. OF COURSE THERE 2334 01:40:14,720 --> 01:40:16,480 ARE MORE OPPORTUNITIES FOR 2335 01:40:16,480 --> 01:40:17,600 CONTINUING MEDICAL EDUCATION, 2336 01:40:17,600 --> 01:40:20,120 RESIDENTS AND PEOPLE AND 2337 01:40:20,120 --> 01:40:22,600 PRACTICE ALREADY. I WAS JUST AT 2338 01:40:22,600 --> 01:40:24,640 AMERICAN ACADEMY OF NEUROLOGY 2339 01:40:24,640 --> 01:40:26,320 MEETING AND ONE THING I WAS 2340 01:40:26,320 --> 01:40:27,960 PLEASANTLY SURPRISED BY AND 2341 01:40:27,960 --> 01:40:30,400 HOPEFUL FOR WAS THE FACT THAT WE 2342 01:40:30,400 --> 01:40:32,000 HAVE SO MANY MORE TALKS 2343 01:40:32,000 --> 01:40:33,200 SPECIFICALLY DISABILITY FOCUSED 2344 01:40:33,200 --> 01:40:35,600 AT SOME OF OUR ACADEMIC MEDICAL 2345 01:40:35,600 --> 01:40:38,400 CONFERENCES. SO AGAIN, OTHER 2346 01:40:38,400 --> 01:40:40,000 OPPORTUNITIES FOR TRAINEE, 2347 01:40:40,000 --> 01:40:41,960 PEOPLE IN PRACTICE TO GET 2348 01:40:41,960 --> 01:40:44,200 DISABILITY EDUCATION. AND THEN 2349 01:40:44,200 --> 01:40:45,720 ALSO MENTORSHIP PROGRAMS 2350 01:40:45,720 --> 01:40:49,440 DEVELOPING FOR TRAINEES AND 2351 01:40:49,440 --> 01:40:51,320 FACULTY SO THAT WE CAN CONNECT 2352 01:40:51,320 --> 01:40:53,280 WITH OTHER DISABLED PEOPLE AND 2353 01:40:53,280 --> 01:40:55,520 AGAIN SEE THAT IT IS POSSIBLE TO 2354 01:40:55,520 --> 01:40:57,800 HAVE A CAREER ACADEMIC MEDICINE 2355 01:40:57,800 --> 01:41:00,360 OR HAVE A CAREER IN MEDICINE AND 2356 01:41:00,360 --> 01:41:02,160 BE ABLE TO SEE THAT YOU CAN 2357 01:41:02,160 --> 01:41:05,360 CONTINUE TO MAKE PROGRESS AND BE 2358 01:41:05,360 --> 01:41:08,200 SUCCESSFUL AND HELP YOUR 2359 01:41:08,200 --> 01:41:10,360 PATIENTS. OTHER THINGS, SOME 2360 01:41:10,360 --> 01:41:11,640 THINGS THAT SOME PHYSICIAN 2361 01:41:11,640 --> 01:41:13,560 EDUCATORS OTHER PEOPLE IN 2362 01:41:13,560 --> 01:41:15,160 MEDICINE CAN DO TO SUPPORT 2363 01:41:15,160 --> 01:41:18,440 TRAINEES AND COLLEAGUES IS TO 2364 01:41:18,440 --> 01:41:20,920 RECOGNIZE DISABILITY, NOTION OR 2365 01:41:20,920 --> 01:41:23,080 IMPORTANCE OF DISABILITIES AND 2366 01:41:23,080 --> 01:41:24,720 IDENTITY, ACKNOWLEDGING ABLEISM 2367 01:41:24,720 --> 01:41:28,320 NEGATIVELY INFLUENCES MEDICAL 2368 01:41:28,320 --> 01:41:31,760 EDUCATION AND HEALTH. SIMILAR TO 2369 01:41:31,760 --> 01:41:33,760 OF COURSE OWN BIASES THESE ARE 2370 01:41:33,760 --> 01:41:34,880 SOME OF THE THINGS WE ARE 2371 01:41:34,880 --> 01:41:37,360 WORKING ON AND SOME OF THOSE 2372 01:41:37,360 --> 01:41:40,080 TALKS I REPRESENT AT THE ACADEMY 2373 01:41:40,080 --> 01:41:41,240 LAST WEEK AND I MOW OTHERS ARE 2374 01:41:41,240 --> 01:41:43,800 WORKING ON ACROSS THE COUNTRY. 2375 01:41:43,800 --> 01:41:47,120 SOME OTHER STEPS PHYSICIANS AN 2376 01:41:47,120 --> 01:41:48,640 EDUCATORS INCORPORATE 2377 01:41:48,640 --> 01:41:49,480 ANTI-ABLEIST PRACTICE INTO 2378 01:41:49,480 --> 01:41:50,600 MEDICAL TRAINING. THERE ARE 2379 01:41:50,600 --> 01:41:51,600 OTHER KINDS OF PROGRAMS STARTING 2380 01:41:51,600 --> 01:41:53,640 TO WORK ON THINGS LIKE THAT. AND 2381 01:41:53,640 --> 01:41:56,680 ALSO DOING THESE KINDS OF NEEDS 2382 01:41:56,680 --> 01:41:57,680 ASSESSMENTS TO EXAMINE 2383 01:41:57,680 --> 01:42:00,720 INSTITUTIONAL POLICIES AND HAVE 2384 01:42:00,720 --> 01:42:04,560 ANOTHER TALK WE WERE GIVEN LAST 2385 01:42:04,560 --> 01:42:05,720 WEEK, ALSO ACADEMY TALK 2386 01:42:05,720 --> 01:42:08,320 SPECIFICALLY ABOUT HOW TO 2387 01:42:08,320 --> 01:42:09,720 ABLEIST MEDICAL LANGUAGE FROM 2388 01:42:09,720 --> 01:42:11,880 OUR PERSONAL LEXICONS SO THESE 2389 01:42:11,880 --> 01:42:13,320 CLINICIANS DON'T PERPETUATE 2390 01:42:13,320 --> 01:42:17,160 THOSE STEREOTYPES. IS MY LAST 2391 01:42:17,160 --> 01:42:20,720 SLIDE AND SHOWS CIRCLES ONE THAT 2392 01:42:20,720 --> 01:42:25,800 SAYS LGBTQ POSITIONS, ONE 2393 01:42:25,800 --> 01:42:27,680 LABELED UNDER-REPRESENTED 2394 01:42:27,680 --> 01:42:28,800 MINORITY PHYSICIAN AND ONE THAT 2395 01:42:28,800 --> 01:42:31,000 REPRESENTS PHYSICIANS WITH 2396 01:42:31,000 --> 01:42:32,200 DISABILITIES, SIDE NOTE I THINK 2397 01:42:32,200 --> 01:42:34,480 IT IS FUNNY BECAUSE PEOPLE DON'T 2398 01:42:34,480 --> 01:42:36,000 REALIZE YOU CAN BE ALL AT ONCE 2399 01:42:36,000 --> 01:42:38,520 BUT IN THE CENTER OF THE 2400 01:42:38,520 --> 01:42:39,280 CIRCLES, AGAIN SOME OF THE STEPS 2401 01:42:39,280 --> 01:42:41,440 WE CAN DO TO SUPPORT PHYSICIANS 2402 01:42:41,440 --> 01:42:42,600 AND TRAINEES FROM 2403 01:42:42,600 --> 01:42:43,840 UNDER-REPRESENTED GROUPS IN 2404 01:42:43,840 --> 01:42:46,360 MEDICINE, THOSE INCLUDE 2405 01:42:46,360 --> 01:42:47,880 MEDICATION, BIAS TRAINING 2406 01:42:47,880 --> 01:42:50,720 CULTURAL COMPETENCY AND 2407 01:42:50,720 --> 01:42:53,560 SENSITIVITY TRAINING DEBT 2408 01:42:53,560 --> 01:42:54,920 REDUCTION AND COMPENSATION 2409 01:42:54,920 --> 01:42:59,240 EQUITY AND ANOTHER TOPIC AND 2410 01:42:59,240 --> 01:43:00,040 INITIATIVES AND WORK FORCE 2411 01:43:00,040 --> 01:43:01,600 STUDIES. I WILL STOP SHARING. 2412 01:43:01,600 --> 01:43:11,800 THANK YOU. 2413 01:43:14,960 --> 01:43:18,640 >>WONDERFUL TALK, DIANA AND 2414 01:43:18,640 --> 01:43:19,960 GOOD SEGUE TO WHAT I'M TALKING 2415 01:43:19,960 --> 01:43:23,920 ABOUT THIS MORNING. WHICH IS 2416 01:43:23,920 --> 01:43:25,560 ORGANIZING AND ADVOCATING. I'M 2417 01:43:25,560 --> 01:43:28,480 GOING TO TALK A LITTLE BIT ABOUT 2418 01:43:28,480 --> 01:43:31,640 MY EXPERIENCE AT STANFORD. AS A 2419 01:43:31,640 --> 01:43:33,760 VISUAL DESCRIPTION I'M A BROWN 2420 01:43:33,760 --> 01:43:37,760 HAIRED BLUE EYED WHITE MAN, AND 2421 01:43:37,760 --> 01:43:41,760 I HAVE A BLUE SHIRT AND GRAY, I 2422 01:43:41,760 --> 01:43:45,640 THINK, YES, GRAY, SPORT COAT I 2423 01:43:45,640 --> 01:43:47,560 HAVE A HALF SMILE, IDENTIFIED AS 2424 01:43:47,560 --> 01:43:50,080 DISABLED I HAVE A C 3 C 4 2425 01:43:50,080 --> 01:43:57,600 INCOMPLETE SPINAL CORD INJURY. 2426 01:43:57,600 --> 01:43:59,560 SO I FINISHED MY TRAINING IN 2427 01:43:59,560 --> 01:44:01,960 RADIOLOGY IN 2009 AND JOINED THE 2428 01:44:01,960 --> 01:44:05,720 FACULTY AND WORKED ON A LOT OF 2429 01:44:05,720 --> 01:44:07,120 INITIATIVES RELATED TO EDUCATION 2430 01:44:07,120 --> 01:44:10,080 AND RESIDENCY TRAINING AND AFTER 2431 01:44:10,080 --> 01:44:13,640 I STOPPED DOING A IN 2016 AND 17 2432 01:44:13,640 --> 01:44:15,640 STARTED LOOKING AROUND AND SAW 2433 01:44:15,640 --> 01:44:16,840 THAT DIVERSITY INITIATIVES WERE 2434 01:44:16,840 --> 01:44:19,840 POPPING UP ALL OVER CAMPUS AND I 2435 01:44:19,840 --> 01:44:21,400 HAD ALWAYS BEEN INTERESTED IN 2436 01:44:21,400 --> 01:44:23,760 DIVERSITY AND SOCIAL JUSTICE. 2437 01:44:23,760 --> 01:44:25,680 AND I WAS REALLY EXCITED WHEN I 2438 01:44:25,680 --> 01:44:28,200 GOT THIS NOTIFICATION THAT MY 2439 01:44:28,200 --> 01:44:29,480 DEPARTMENT WAS LAUNCHING A 2440 01:44:29,480 --> 01:44:30,880 DIVERSITY INITIATIVE AND I SAID 2441 01:44:30,880 --> 01:44:33,280 WOW THIS IS GREAT LOOK THERE'S 2442 01:44:33,280 --> 01:44:34,160 SOMEBODY IN A WHEELCHAIR AN 2443 01:44:34,160 --> 01:44:36,040 SOMEBODY WITH A WALKER, IT IS 2444 01:44:36,040 --> 01:44:38,120 VERY INCLUSIVE OF THOSE WITH 2445 01:44:38,120 --> 01:44:38,840 DISABILITIES, BUT WHEN I LOOKED 2446 01:44:38,840 --> 01:44:40,680 AT THE MEMBERS OF THE COMMITTEE 2447 01:44:40,680 --> 01:44:43,640 I NOTED THAT THERE WASN'T 2448 01:44:43,640 --> 01:44:46,280 ANYBODY WITH A VISIBLE OR KNOWN 2449 01:44:46,280 --> 01:44:47,920 DISABILITY SO I COULDN'T BE 2450 01:44:47,920 --> 01:44:50,520 CERTAIN THAT DISABILITY WAS 2451 01:44:50,520 --> 01:44:53,120 BEING REMITTED AND FOLLOWING THE 2452 01:44:53,120 --> 01:44:54,480 NOTHING ABOUT US WITHOUT US 2453 01:44:54,480 --> 01:45:00,160 MANTRA I VOLUNTEERED TO JOIN. 2454 01:45:00,160 --> 01:45:02,160 THE MORE I LEARNED ABOUT 2455 01:45:02,160 --> 01:45:04,400 DIVERSITY THE MORE I REALIZE 2456 01:45:04,400 --> 01:45:07,640 THAT IT LOOKS MORE LIKE THIS 2457 01:45:07,640 --> 01:45:12,240 WITH GENDER AND RACE AND SEXUAL 2458 01:45:12,240 --> 01:45:13,920 ORIENTATION WHICH ARE VERY 2459 01:45:13,920 --> 01:45:16,240 IMPORTANT COMPONENTS OF 2460 01:45:16,240 --> 01:45:19,040 DIVERSITY BUT NOT MUCH 2461 01:45:19,040 --> 01:45:20,120 REPRESENTATION OF DISABILITY. 2462 01:45:20,120 --> 01:45:23,920 AND I BEGAN TO REALIZE THAT 2463 01:45:23,920 --> 01:45:26,040 DISABILITY WAS EXCLUDED FROM 2464 01:45:26,040 --> 01:45:27,760 DIVERSITY EFFORTS AND MULTIPLE 2465 01:45:27,760 --> 01:45:29,760 LEVELS, WE HAD A DIVERSITY 2466 01:45:29,760 --> 01:45:32,560 CABINET AT STANFORD FOR TEN 2467 01:45:32,560 --> 01:45:35,960 YEARS THAT HAD NO DISABILITY 2468 01:45:35,960 --> 01:45:37,600 REPRESENTATION AND WE ARE OFTEN 2469 01:45:37,600 --> 01:45:40,080 AN AFTER THOUGHT OR THE LAST 2470 01:45:40,080 --> 01:45:43,480 GROUP TO JOIN THESE TYPES OF 2471 01:45:43,480 --> 01:45:47,080 DIVERSITY ALLIANCES. I ALSO 2472 01:45:47,080 --> 01:45:50,680 VOLUNTEERED FOR A FACULTY SENATE 2473 01:45:50,680 --> 01:45:51,640 SUBCOMMITTEE ON DIVERSITY AND IT 2474 01:45:51,640 --> 01:45:54,000 WAS THERE I SHEEPISHLY SUGGESTED 2475 01:45:54,000 --> 01:45:56,320 THAT WE WORK ON DISABILITY 2476 01:45:56,320 --> 01:45:59,000 ISSUES, AS PART OF OUR PROJECT 2477 01:45:59,000 --> 01:46:03,800 FOR THE UPCOMING YEAR. OUT OF 2478 01:46:03,800 --> 01:46:05,760 THAT THE WORK CULMINATED IN 2479 01:46:05,760 --> 01:46:10,080 FORMATION OF SMADI. PREVIOUSLY 2480 01:46:10,080 --> 01:46:13,240 CALLED SMAC IN LATE 2018, TO 2481 01:46:13,240 --> 01:46:14,880 DIEIA THAT'S DISCUSSION ABOUT 2482 01:46:14,880 --> 01:46:15,920 EUPHEMISMS WHEN I NAMED THE 2483 01:46:15,920 --> 01:46:18,040 GROUP I DIDN'T KNOW MUCH ABOUT 2484 01:46:18,040 --> 01:46:21,360 DISABLED CULTURE, AND LANGUAGE 2485 01:46:21,360 --> 01:46:25,000 SO AFTER A FEW YEARS WE DECIDED 2486 01:46:25,000 --> 01:46:26,920 TO CHANGE OUR NAME FOR ALLIANCE 2487 01:46:26,920 --> 01:46:28,840 OF DISABILITY INCLUSION AND 2488 01:46:28,840 --> 01:46:32,520 EQUITY LEADING INTO THE TERM 2489 01:46:32,520 --> 01:46:33,760 DISABILITY AND SO DISABILITY 2490 01:46:33,760 --> 01:46:36,160 PRIDE. THESE ARE PICTURES OF 2491 01:46:36,160 --> 01:46:37,400 OUR LAUNCH EVENT WHEN WE BECAME 2492 01:46:37,400 --> 01:46:38,960 EMPLOYEE RESOURCE GROUP AT 2493 01:46:38,960 --> 01:46:40,120 STANFORD HOSPITAL AND WILL IS 2494 01:46:40,120 --> 01:46:43,000 SOME LEADERS ON THE STAGE MAKING 2495 01:46:43,000 --> 01:46:44,200 SPEECHES AND AUDIENCE MEMBERS 2496 01:46:44,200 --> 01:46:48,520 ARE SITTING AT ROUND TABLES WITH 2497 01:46:48,520 --> 01:46:49,960 TABLE CLOTHS AND OFF TO THE SIDE 2498 01:46:49,960 --> 01:46:51,800 THERE IS MY ASSISTANT WITH MY 2499 01:46:51,800 --> 01:46:53,880 CRUTCHES WAITING FOR MY TURN TO 2500 01:46:53,880 --> 01:46:58,200 TALK. I THINK THAT I BENEFITED 2501 01:46:58,200 --> 01:47:01,400 SOMEWHAT BECAUSE THE TIME WAS 2502 01:47:01,400 --> 01:47:02,880 RIGHT, SEPARATELY PEOPLE WERE 2503 01:47:02,880 --> 01:47:04,920 THINKING ABOUT HOW TO INCLUDE 2504 01:47:04,920 --> 01:47:05,840 DISABILITY AND DIVERSITY BUT 2505 01:47:05,840 --> 01:47:09,520 DIDN'T KNOW HOW TO START 2506 01:47:09,520 --> 01:47:10,760 DISABILITY WAS STIGMATIZED, THEY 2507 01:47:10,760 --> 01:47:13,160 WERE AFRAID OF SAYING THE WRONG 2508 01:47:13,160 --> 01:47:15,680 THING OR ASKING THE -- SAYING OR 2509 01:47:15,680 --> 01:47:18,800 ASKING THE RIGHT QUESTIONS, AND 2510 01:47:18,800 --> 01:47:20,720 EVEN WONDERING IF ASKING ABOUT 2511 01:47:20,720 --> 01:47:24,520 DISPARITIES WAS AGAINST THE LAW 2512 01:47:24,520 --> 01:47:25,560 -- DISABILITY WAS AGAINST THE 2513 01:47:25,560 --> 01:47:27,200 LAW. SO THERE WAS A GREAT DEAL 2514 01:47:27,200 --> 01:47:28,920 OF RELIEF WHEN I STARRED WORKING 2515 01:47:28,920 --> 01:47:31,080 ON THIS BECAUSE AS DISABLED 2516 01:47:31,080 --> 01:47:32,240 PERSON I WAS TASKED WITH IT AND 2517 01:47:32,240 --> 01:47:39,080 IT WAS TAKEN OFF THEIR PLATE. 2518 01:47:39,080 --> 01:47:41,960 SO THE FIRST THING I DID WHEN 2519 01:47:41,960 --> 01:47:44,280 STARTING SMATIE, THESE ARE WHAT 2520 01:47:44,280 --> 01:47:46,080 I THINK ARE BEST PRACTICES OR 2521 01:47:46,080 --> 01:47:47,400 THINGS THAT I LEARNED FROM MY 2522 01:47:47,400 --> 01:47:49,240 EFFORTS WAS TO LEARN ABOUT THE A 2523 01:47:49,240 --> 01:47:52,600 B Cs, SO JUST UNDERSTANDING 2524 01:47:52,600 --> 01:47:54,320 THE DISABILITY LANDSCAPE AT 2525 01:47:54,320 --> 01:47:56,360 STANFORD AND ACROSS THE NATION, 2526 01:47:56,360 --> 01:47:58,080 THE ACRONYMS THAT EXIST 2527 01:47:58,080 --> 01:48:00,240 EVERYWHERE LIKE THE OAE OFFICE 2528 01:48:00,240 --> 01:48:02,840 OF ACCESSIBLE EDUCATION OR THE 2529 01:48:02,840 --> 01:48:04,800 DAO DIVERSITY AND ACCESS OFFICE. 2530 01:48:04,800 --> 01:48:06,280 WHO WORKED IN THOSE OFFICES AND 2531 01:48:06,280 --> 01:48:09,960 WHAT THEIR ROLES WERE. HAD TO 2532 01:48:09,960 --> 01:48:11,560 UNDERSTAND THAT SO THAT I WASN'T 2533 01:48:11,560 --> 01:48:16,760 JUST DUPLICATING EFFORTS ONE OF 2534 01:48:16,760 --> 01:48:18,480 MY PET PEEVES TO FIND OUT 2535 01:48:18,480 --> 01:48:19,520 SOMEBODY ELSE IS WORKING ON SAME 2536 01:48:19,520 --> 01:48:21,080 THING I'M WORKING ON AND WE ARE 2537 01:48:21,080 --> 01:48:24,680 NOT COLLABORATING TOGETHER ON 2538 01:48:24,680 --> 01:48:28,320 IT. SO WE REALLY ALSO STRIVE TO 2539 01:48:28,320 --> 01:48:31,360 BE INCLUSIVE IN OUR ADVOCACY, 2540 01:48:31,360 --> 01:48:33,040 INCLUDING ALL TYPES OF 2541 01:48:33,040 --> 01:48:35,600 DISABILITY GROUPS REPRESENTING 2542 01:48:35,600 --> 01:48:37,160 THE DIVERSITY WITHIN DISABILITY 2543 01:48:37,160 --> 01:48:42,920 AND THEN AS WELL AS DRAWING FROM 2544 01:48:42,920 --> 01:48:45,240 ALLYSHIP SUPPORT. SO THIS 2545 01:48:45,240 --> 01:48:47,080 INTERSECTIONAL APPROACH NOT ONLY 2546 01:48:47,080 --> 01:48:49,960 ADVANCES ANTI-ABLEISM BUT IS 2547 01:48:49,960 --> 01:48:51,440 MUTUALLY BENEFICIAL AND BEING 2548 01:48:51,440 --> 01:48:55,680 PART OF DEI NETWORK OPENS UP 2549 01:48:55,680 --> 01:48:58,360 RESOURCES IN TERMS OF FINANCIAL 2550 01:48:58,360 --> 01:49:00,800 RESOURCES EXPERIENTIAL RESOURCES 2551 01:49:00,800 --> 01:49:05,800 AND OTHERS THAT ARE CRITICAL TO 2552 01:49:05,800 --> 01:49:08,280 GROWTH. IT IS IMPORTANT TO 2553 01:49:08,280 --> 01:49:09,480 DEVELOP VALUES AND VISION AN 2554 01:49:09,480 --> 01:49:11,200 MISSION STATEMENTS IN ORDER TO 2555 01:49:11,200 --> 01:49:13,280 FOCUS YOUR EFFORTS. THESE HAVE 2556 01:49:13,280 --> 01:49:14,640 BEEN CAREFULLY CRAFTED AND 2557 01:49:14,640 --> 01:49:16,520 REFINED OVER TIME, I SORT OF 2558 01:49:16,520 --> 01:49:19,920 MADE UP THE ORIGINALS AND THEN 2559 01:49:19,920 --> 01:49:21,120 REFINED THEM WITH MEMBERS OF MY 2560 01:49:21,120 --> 01:49:26,800 BOARD OF DIRECTORS. AND SO UNDER 2561 01:49:26,800 --> 01:49:29,240 THE VALUES WE BELIEVE IN A WORLD 2562 01:49:29,240 --> 01:49:33,840 WHERE DISABILITY IS CELEBRATED 2563 01:49:33,840 --> 01:49:39,000 AS INTEGRAL PART OF EPILOU UZITY 2564 01:49:39,000 --> 01:49:40,120 DIVERSITY AND EQUITY, WE BELIEVE 2565 01:49:40,120 --> 01:49:41,600 IN A WORLD THAT WE ARE NOT QUITE 2566 01:49:41,600 --> 01:49:45,200 THERE YET AND THE CELEBRATED 2567 01:49:45,200 --> 01:49:46,720 WORD TO EXPRESS DISABILITY IS 2568 01:49:46,720 --> 01:49:48,720 NOT A PROBLEM TO BE SOLVED BUT 2569 01:49:48,720 --> 01:49:52,080 SOMETHING TO BE SOUGHT AFTER AND 2570 01:49:52,080 --> 01:49:54,840 CELEBRATED AND INCLUDED AS A 2571 01:49:54,840 --> 01:49:57,560 VITAL PART OF DIVERSITY. THEN WE 2572 01:49:57,560 --> 01:49:59,040 ALSO ENDEAVOR IN OUR VISION 2573 01:49:59,040 --> 01:50:02,360 STATEMENT TO TRANSFORM THE 2574 01:50:02,360 --> 01:50:03,400 CULTURE OF STANFORD MEDICINE 2575 01:50:03,400 --> 01:50:06,080 FROM BEYOND ONE OF COMPLIANCE TO 2576 01:50:06,080 --> 01:50:09,760 PROVOCATIVE ANTI-ABLEISM WHERE 2577 01:50:09,760 --> 01:50:11,840 EVERYONE CAN THRIVE. AS DIANA 2578 01:50:11,840 --> 01:50:14,440 SAID THIS CULTURE CHANGE IS 2579 01:50:14,440 --> 01:50:16,480 ESPECIALLY IMPORTANT REDUCING 2580 01:50:16,480 --> 01:50:21,280 IMPLICIT AND EXPLICIT BIAS, 2581 01:50:21,280 --> 01:50:23,520 NAMING ABLEISM AS ENEMY AND 2582 01:50:23,520 --> 01:50:25,760 UNDERSTANDING IT AND HOW IT 2583 01:50:25,760 --> 01:50:28,360 MANIFESTS AND THEN AGAIN 2584 01:50:28,360 --> 01:50:30,240 FOCUSING ON EFFORTS MUTUALLY 2585 01:50:30,240 --> 01:50:32,320 BENEFICIAL. THERE IS EVEN 2586 01:50:32,320 --> 01:50:37,800 OUTSIDE DISABILITY COMMUNITY. IN 2587 01:50:37,800 --> 01:50:40,960 ROOTING OUR MISSION WITHIN 2588 01:50:40,960 --> 01:50:43,120 DIVERSITY EFFORTS INTEGRATING 2589 01:50:43,120 --> 01:50:44,440 ACROSS STANFORD WE ARE ABLE TO 2590 01:50:44,440 --> 01:50:46,520 APPROACH THIS WORK FROM SEVERAL 2591 01:50:46,520 --> 01:50:49,360 AREAS OF IMPACT. THESE ARE 2592 01:50:49,360 --> 01:50:51,200 RESEARCH ADVOCACY COMMUNITY 2593 01:50:51,200 --> 01:50:56,120 EDUCATION HEALTH EQUITY AND 2594 01:50:56,120 --> 01:51:01,760 MENTORSHIP SORRY, I HAVE DRY 2595 01:51:01,760 --> 01:51:03,920 MOUTH. SO THESE ARE VERY 2596 01:51:03,920 --> 01:51:09,800 IMPORTANT FOR ESTABLISHING 2597 01:51:09,800 --> 01:51:15,200 ACADEMIC CREDIBILITY FOR 2598 01:51:15,200 --> 01:51:18,040 DEVELOPING ROBUST PROGRAM THAT 2599 01:51:18,040 --> 01:51:20,520 CAN SUPPORT NOT ONLY DOCTORS AND 2600 01:51:20,520 --> 01:51:23,720 TRAINEES AND OTHER EMPLOYEES 2601 01:51:23,720 --> 01:51:25,440 WITH DISABILITY BUT PATIENTS 2602 01:51:25,440 --> 01:51:27,080 WITH DISABILITIES. AN EXAMPLE 2603 01:51:27,080 --> 01:51:29,440 OF EDUCATION IS OUR ANNUAL 2604 01:51:29,440 --> 01:51:33,640 CONFERENCE THAT JUST TOOK PLACE 2605 01:51:33,640 --> 01:51:37,240 ON SATURDAY, UNDER THE HEALTH 2606 01:51:37,240 --> 01:51:39,160 EQUITY MISSION. THERE WAS AN 2607 01:51:39,160 --> 01:51:40,600 AMBULATORY TRANSFORMATION TASK 2608 01:51:40,600 --> 01:51:42,400 FORCE THAT LAUNCH AD COUPLE OF 2609 01:51:42,400 --> 01:51:44,800 YEARS AGO TO IMPROVE ACCESS TO 2610 01:51:44,800 --> 01:51:46,000 HEALTH FOR THE COMMUNITY AND I 2611 01:51:46,000 --> 01:51:48,680 WANT TO MAKE SURE THEY WERE 2612 01:51:48,680 --> 01:51:51,080 FOCUSING ON DISABILITY WHICH 2613 01:51:51,080 --> 01:51:53,240 THEY HADN'T THOUGHT ABOUT. AND 2614 01:51:53,240 --> 01:51:55,840 MENTORSHIP WITH OUR MENTORSHIP 2615 01:51:55,840 --> 01:51:57,640 PROGRAM I WILL TALK ABOUT AFTER. 2616 01:51:57,640 --> 01:51:59,280 SO THESE ARE THE SIX MISSION 2617 01:51:59,280 --> 01:52:01,760 FUNCTIONS AND THEN WE ALSO 2618 01:52:01,760 --> 01:52:04,360 WANTED TO TO INTEGRATE ACROSS 2619 01:52:04,360 --> 01:52:07,400 THE INSTITUTIONAL ENTERPRISE. 2620 01:52:07,400 --> 01:52:09,640 STANFORD IS A BIG ACADEMIC 2621 01:52:09,640 --> 01:52:11,640 MEDICAL CENTER UNDER THE 2622 01:52:11,640 --> 01:52:15,120 UMBRELLA OF STANFORD UNIVERSITY, 2623 01:52:15,120 --> 01:52:16,960 UNDER THAT THERE IS SCHOOL OF 2624 01:52:16,960 --> 01:52:18,200 MEDICINE. WE HAVE STANFORD 2625 01:52:18,200 --> 01:52:21,200 HEALTHCARE OUR ADULT HOSPITAL, 2626 01:52:21,200 --> 01:52:22,920 STANFORD CHILDREN'S HEALTH 2627 01:52:22,920 --> 01:52:25,000 PEDIATRIC HOSPITAL, AND THOSE 2628 01:52:25,000 --> 01:52:27,320 ARE SEPARATE BUSINESS ENTITIES, 2629 01:52:27,320 --> 01:52:29,480 THEN THERE ARE SOME GROUPS THAT 2630 01:52:29,480 --> 01:52:33,240 SPAN BOTH HOSPITAL AND SCHOOL OF 2631 01:52:33,240 --> 01:52:35,360 MEDICINE. SO WE WANTED TO MAKE 2632 01:52:35,360 --> 01:52:36,120 SURE THAT DISABILITY WAS 2633 01:52:36,120 --> 01:52:38,840 REPRESENTED IN ALL OF THESE 2634 01:52:38,840 --> 01:52:42,200 SPHERESS. SO IN STANFORD 2635 01:52:42,200 --> 01:52:43,360 HEALTHCARE WE STARTED A PATIENT 2636 01:52:43,360 --> 01:52:46,080 FAMILY ADVISORY COUNCIL TO TIME 2637 01:52:46,080 --> 01:52:48,240 UP PATIENTS AND CAREGIVER -- 2638 01:52:48,240 --> 01:52:49,840 TEAM UP PATIENTS AND CAREGIVERS 2639 01:52:49,840 --> 01:52:51,200 WITH IS A STAFF TO WORK ON 2640 01:52:51,200 --> 01:52:56,800 ACCESSIBILITY PROJECTS AT THE 2641 01:52:56,800 --> 01:52:58,760 HOSPITAL. WE WORKED WITH OUR 2642 01:52:58,760 --> 01:53:00,640 LIBRARY COLLEAGUES TO CREATE 2643 01:53:00,640 --> 01:53:03,720 INTERSECTIONAL DISCUSSION GROUPS 2644 01:53:03,720 --> 01:53:05,000 WITH OTHER EMPLOYEE RESOURCE 2645 01:53:05,000 --> 01:53:06,680 GROUPS TO BUILD ALLIANCES FOR 2646 01:53:06,680 --> 01:53:10,160 EXAMPLE, WE HAD ONE ON BEING 2647 01:53:10,160 --> 01:53:13,160 BLACK AND DISABLED, ANOTHER ONE 2648 01:53:13,160 --> 01:53:23,680 ON BEING QUEER AND DISABLED. 2649 01:53:25,000 --> 01:53:27,040 THESE EFFORTS AND ALLIANCES THAT 2650 01:53:27,040 --> 01:53:30,280 WE CREATED ARE UNIQUE AND HASN'T 2651 01:53:30,280 --> 01:53:32,800 BEEN AN ORGANIZATION AT STANFORD 2652 01:53:32,800 --> 01:53:34,800 THAT HAS PUT HOLD IN 2653 01:53:34,800 --> 01:53:35,640 RELATIONSHIPS MANY ALL THESE 2654 01:53:35,640 --> 01:53:38,000 DIFFERENT AREAS. THAT'S SORT OF 2655 01:53:38,000 --> 01:53:40,080 PROFILE HAS RESULTED IN US 2656 01:53:40,080 --> 01:53:42,760 HAVING A SEAT AT THE TABLE. 2657 01:53:42,760 --> 01:53:47,600 IMPORTANT DISCUSSIONS. ONE OTHER 2658 01:53:47,600 --> 01:53:49,760 THING THAT IS IMPORTANT IS TO 2659 01:53:49,760 --> 01:53:50,960 UNDERSTAND YOUR LANDSCAPE AND 2660 01:53:50,960 --> 01:53:53,720 HAVE DATA TO BACK UP YOUR 2661 01:53:53,720 --> 01:53:54,960 ASSERTIONS. WE HAVE THIS JUSTICE 2662 01:53:54,960 --> 01:54:01,280 EQUITY AN DISABILITY SURVEY IN 2663 01:54:01,280 --> 01:54:04,160 2020 AND FOUND OUT STANFORD 2664 01:54:04,160 --> 01:54:05,440 MEDICINE 26% OF STUDENTS 2665 01:54:05,440 --> 01:54:08,960 EMPLOYEES HAVE A DISABILITY. 2666 01:54:08,960 --> 01:54:11,040 THOUGH MOST DON'T IDENTIFY, ONLY 2667 01:54:11,040 --> 01:54:13,920 8% COMMUNITY IDENTIFIES HAVING A 2668 01:54:13,920 --> 01:54:15,440 DISABILITY. WE FOUND OUT THAT 2669 01:54:15,440 --> 01:54:18,600 MOST HAVE NO ACCOMMODATIONS IN 2670 01:54:18,600 --> 01:54:21,000 PLACE. AND IN THE QUALITATIVE 2671 01:54:21,000 --> 01:54:25,400 ANALYSIS BECAUSE THE COST IN 2672 01:54:25,400 --> 01:54:27,440 TERMS OF STIGMA AND CAREER HARM 2673 01:54:27,440 --> 01:54:29,400 WERE TOO HIGH AND PEOPLE DIDN'T 2674 01:54:29,400 --> 01:54:31,280 REALLY SEE THE BENEFITS WITHOUT 2675 01:54:31,280 --> 01:54:34,400 THE RISKS OUT-- OR HOW RISKS 2676 01:54:34,400 --> 01:54:36,200 OUTWEIGHED THE BENEFITS. WE 2677 01:54:36,200 --> 01:54:37,240 FOUND THERE WASN'T A STRONG 2678 01:54:37,240 --> 01:54:38,520 SENSE OF COMMUNITY, DISABILITY 2679 01:54:38,520 --> 01:54:40,040 COMMUNITY AT STANFORD AND THEN 2680 01:54:40,040 --> 01:54:43,000 WHEN WE LOOK AT THE CLIMATE WE 2681 01:54:43,000 --> 01:54:46,000 SAW THAT EXPERIENCE OF OUR 2682 01:54:46,000 --> 01:54:47,120 DISABLED STUDENTS AND COLLEAGUES 2683 01:54:47,120 --> 01:54:50,840 WAS LOWER THAN EVEN AMONG OTHER 2684 01:54:50,840 --> 01:54:52,560 MINORITIZE GROUPSES AND THERE 2685 01:54:52,560 --> 01:54:57,960 WAS A STRONG SENSE OF EXCLUSION 2686 01:54:57,960 --> 01:55:02,200 AND POOR TREATMENT TO BE FRANK. 2687 01:55:02,200 --> 01:55:05,360 THEN THESE SORTS OF SURVEYS AND 2688 01:55:05,360 --> 01:55:08,080 UNDERSTANDING THE LANDSCAPE LED 2689 01:55:08,080 --> 01:55:11,080 TO MORE RECENTLY DR. MEEKS CAME 2690 01:55:11,080 --> 01:55:13,240 TO DO A SITE VISIT TO ASSESS 2691 01:55:13,240 --> 01:55:14,240 MEDICAL SCHOOL LEARNING 2692 01:55:14,240 --> 01:55:15,080 ENVIRONMENT AND HOPEFULLY THAT 2693 01:55:15,080 --> 01:55:17,200 IS GOING TO RESULT IN SOME 2694 01:55:17,200 --> 01:55:20,680 CHANGES INCLUDING SOME NEWLY 2695 01:55:20,680 --> 01:55:22,520 CREATED LEADERSHIP POSITIONS TO 2696 01:55:22,520 --> 01:55:26,280 MAKE SURE DISABILITY TREATMENT 2697 01:55:26,280 --> 01:55:30,600 IS IMPROVED. SO YOU DON'T HAVE 2698 01:55:30,600 --> 01:55:31,960 TO REINVENT THE WHEEL, THERE'S A 2699 01:55:31,960 --> 01:55:33,480 LOT OF TOOLS OUT THERE, FOR 2700 01:55:33,480 --> 01:55:35,000 LEARNING THAT YOU CAN APPLY TO 2701 01:55:35,000 --> 01:55:39,520 YOUR OWN INSTITUTIONS LIKE AAMC 2702 01:55:39,520 --> 01:55:42,320 REPORT. AUTHORED BY MEEKS AND 2703 01:55:42,320 --> 01:55:45,160 JANE AND OTHERS, NIH SCIENTIFIC 2704 01:55:45,160 --> 01:55:47,240 WORK FORCE DIVERSITY TOOL KIT. 2705 01:55:47,240 --> 01:55:48,680 THERE ARE BOOKS SUCH AS EQUAL 2706 01:55:48,680 --> 01:55:50,520 ACCESS FOR STUDENTS WITH 2707 01:55:50,520 --> 01:55:52,160 DISABILITIES, AND DISABILITY AS 2708 01:55:52,160 --> 01:55:54,840 DIVERSITY, THERE IS A PLETHORA 2709 01:55:54,840 --> 01:55:58,240 OF AAMC WEBINARS, COALITION OF 2710 01:55:58,240 --> 01:56:00,160 DISABILITY ACCESS AND HEALTH 2711 01:56:00,160 --> 01:56:02,920 SCIENCE EDUCATION HAS A LOT OF 2712 01:56:02,920 --> 01:56:04,800 RESOURCES ALSO ONE HINGE THAT WE 2713 01:56:04,800 --> 01:56:08,360 RECENTLY LAUNCHED IS AN ONLINE 2714 01:56:08,360 --> 01:56:11,200 COURSE CALLED CREATIVE INCLUSIVE 2715 01:56:11,200 --> 01:56:12,000 LEARNING ENVIRONMENT TO 2716 01:56:12,000 --> 01:56:13,920 MEDICINE, A GUIDE TO 2717 01:56:13,920 --> 01:56:15,960 ACCOMMODATIONS FOR LEARNERS IT 2718 01:56:15,960 --> 01:56:17,240 IS DISABILITY, THESE ARE 2719 01:56:17,240 --> 01:56:19,040 ANIMATED INTERACTIVE MODULES 2720 01:56:19,040 --> 01:56:21,040 THAT ILLUSTRATE BEST PRACTICES 2721 01:56:21,040 --> 01:56:23,680 FOR INCLUSION. YOU CAN FIND THIS 2722 01:56:23,680 --> 01:56:26,480 ONLINE BY SEARCHING THIS TITLE 2723 01:56:26,480 --> 01:56:31,200 AND IT IS ON STANFORD CME 2724 01:56:31,200 --> 01:56:35,320 WEBSITE. ALSO LIKE TO HIGHLIGHT 2725 01:56:35,320 --> 01:56:36,480 THE DOCS WITH DISABILITIES 2726 01:56:36,480 --> 01:56:37,640 INITIATIVE AND RESOURCES THROUGH 2727 01:56:37,640 --> 01:56:42,560 THAT INCLUDING THE PODCAST THE 2728 01:56:42,560 --> 01:56:45,320 DISABILITY GRADUATE MEDICAL 2729 01:56:45,320 --> 01:56:47,400 EDUCATION GROUP, THERE IS DR. 2730 01:56:47,400 --> 01:56:51,080 MEEKS HAS A TON OF RESOURCES ON 2731 01:56:51,080 --> 01:56:53,240 THERE. LASTLY I WANT TO TALK 2732 01:56:53,240 --> 01:56:55,280 ABOUT DISABILITY IN MEDICINE 2733 01:56:55,280 --> 01:57:01,280 MUTUAL MENTORSHIP PROGRAM. WE 2734 01:57:01,280 --> 01:57:03,920 INVITE ANYONE TO JOIN THE 2735 01:57:03,920 --> 01:57:05,440 PROGRAM, MENTORSHIP PROGRAM TO 2736 01:57:05,440 --> 01:57:07,720 RECOGNIZE OUR INTERDEPENDENCE 2737 01:57:07,720 --> 01:57:10,120 AND THAT EVERYBODY HAS SOMETHING 2738 01:57:10,120 --> 01:57:11,480 TO OFFER AS MENTOR AND EVERYBODY 2739 01:57:11,480 --> 01:57:13,920 CAN BE MENTORED AND RECOGNIZING 2740 01:57:13,920 --> 01:57:15,720 THAT ONE'S EXPERIENCE WITH 2741 01:57:15,720 --> 01:57:16,720 DISABILITY DOESN'T CORRELATE 2742 01:57:16,720 --> 01:57:20,560 WITH ACADEMIC RANK. WE HAVE 2743 01:57:20,560 --> 01:57:23,040 VIRTUAL MONTHLY MEETINGS WITH 2744 01:57:23,040 --> 01:57:24,400 DIDACTIC LECTURES AND 2745 01:57:24,400 --> 01:57:25,560 INTERACTIVE SESSIONS AND BREAK 2746 01:57:25,560 --> 01:57:28,240 OUT ROOMS. WE HAVE NETWORKING 2747 01:57:28,240 --> 01:57:31,400 EVENTS BEFORE AND AFTER, WE HAVE 2748 01:57:31,400 --> 01:57:35,400 OPPORTUNITIES FOR ASYNCHRONOUS 2749 01:57:35,400 --> 01:57:36,920 MEN VERYSHIP ONLINE. THIS IS ALL 2750 01:57:36,920 --> 01:57:38,520 DISABLED HEALTHCARE WORKERS, 2751 01:57:38,520 --> 01:57:40,520 TRAINEES AND ALLIES, IT IS 2752 01:57:40,520 --> 01:57:46,280 TOTALLY FREE, YOU CAN FIND US AT 2753 01:57:46,280 --> 01:57:48,040 DISABILITYMENTORS.ORG OR EMAIL 2754 01:57:48,040 --> 01:57:50,640 AT DISABILITYMEDMENTORS.ORG. 2755 01:57:50,640 --> 01:57:57,760 WITH THAT I WILL CONCLUDE. STOP 2756 01:57:57,760 --> 01:58:02,680 MY SLIDE SHOW. 2757 01:58:02,680 --> 01:58:04,880 >>THANK YOU, I WILL INVITE ALL 2758 01:58:04,880 --> 01:58:05,320 MY PANELISTS TO. 2759 01:58:05,320 --> 01:58:15,800 COP BACK ON CAMERA. JUST TO 2760 01:58:17,280 --> 01:58:19,960 REMIND THE AUDIENCE, OUR PLAN 2761 01:58:19,960 --> 01:58:22,600 FROM OUT HERE IS WE HAVE A FEW 2762 01:58:22,600 --> 01:58:26,600 PREPARED DISCUSSION TOPICS AND 2763 01:58:26,600 --> 01:58:28,080 THEN THERE ARE LOTS OF AMAZING 2764 01:58:28,080 --> 01:58:31,560 QUESTIONS COMING IN THROUGH THE 2765 01:58:31,560 --> 01:58:33,120 Q&A. AND THROUGH SOME OTHER 2766 01:58:33,120 --> 01:58:34,680 CHANNELS AND WE WILL SEE HOW 2767 01:58:34,680 --> 01:58:38,040 MANY OF THEM WE CAN GET TO. I'M 2768 01:58:38,040 --> 01:58:39,880 GOING TO DO SOME QUICK ONES 2769 01:58:39,880 --> 01:58:41,880 FIRST WHICH IS THAT THERE HAVE 2770 01:58:41,880 --> 01:58:42,920 BEEN QUESTIONS ABOUT WHETHER 2771 01:58:42,920 --> 01:58:44,960 FOLKS ARE WILLING TO SHARE THEIR 2772 01:58:44,960 --> 01:58:48,600 SLIDES AND PROVIDE CITATIONS. I 2773 01:58:48,600 --> 01:58:49,640 AM GUESSING MOST OF YOU WOULD BE 2774 01:58:49,640 --> 01:58:52,320 WILLING TO DO THAT BUT WE WILL 2775 01:58:52,320 --> 01:58:53,800 DEFINITELY FOLLOW-UP WITH THOSE 2776 01:58:53,800 --> 01:58:56,200 OF YOU ASKING QUESTIONS AND 2777 01:58:56,200 --> 01:58:58,880 ATTENDING ABOUT THAT AFTER THE 2778 01:58:58,880 --> 01:59:02,680 MEETING. THE FIRST QUESTION I 2779 01:59:02,680 --> 01:59:05,960 WILL THROW UP MY PLEA THREE 2780 01:59:05,960 --> 01:59:08,320 PANELISTS IS SO Y'ALL PROVIDED A 2781 01:59:08,320 --> 01:59:13,200 LOT OF AMAZING DATA AND CONTEXT. 2782 01:59:13,200 --> 01:59:16,360 WOULD YOU BE WILLING TO SHARE 2783 01:59:16,360 --> 01:59:19,200 YOUR -- SHARE ANY NECK DOSE 2784 01:59:19,200 --> 01:59:20,840 WHETHER YOURS OR THOSE OF OTHERS 2785 01:59:20,840 --> 01:59:21,880 THAT HELP ILLUSTRATE THE POINTS 2786 01:59:21,880 --> 01:59:23,800 FROM YOUR TALKS ABOUT THE IMPACT 2787 01:59:23,800 --> 01:59:30,080 OF ABLEISM ON WORK FORCE? 2788 01:59:30,080 --> 01:59:32,800 >>THIS IS MY TALK SINCE MY TALK 2789 01:59:32,800 --> 01:59:35,320 WAS FIRST I WILL START. IF YOU 2790 01:59:35,320 --> 01:59:36,560 SHORT STORIES THAT ILLUSTRATE 2791 01:59:36,560 --> 01:59:40,760 THESE IDEAS, IN PRIMARILY MORE 2792 01:59:40,760 --> 01:59:43,960 RESEARCH BASE FOR THIS PART, FOR 2793 01:59:43,960 --> 01:59:44,600 EXAMPLE I KNOW I WORK IN 2794 01:59:44,600 --> 01:59:46,960 RESEARCH TO DO WITH LONG TERM 2795 01:59:46,960 --> 01:59:48,960 OUTCOMES AND PREMATURITY, IF YOU 2796 01:59:48,960 --> 01:59:52,560 LOOK AT RESEARCH LITERATURE ON 2797 01:59:52,560 --> 01:59:54,720 THAT GROUP KIDS INTO MILD OR NO 2798 01:59:54,720 --> 01:59:56,120 DISABILITY MODERATE BUT THE 2799 01:59:56,120 --> 01:59:58,120 THING YOU GET TO LAST CATEGORY 2800 01:59:58,120 --> 01:59:59,960 GROUPS SEVERE DISABILITY AN 2801 01:59:59,960 --> 02:00:01,760 DEATH AS ONE CATEGORY. I HAVE 2802 02:00:01,760 --> 02:00:03,320 COLLEAGUES WHO FIND THAT 2803 02:00:03,320 --> 02:00:06,800 INCREDIBLY OFFENSIVE. IS 2804 02:00:06,800 --> 02:00:09,120 IMPLICATION THAT JUST BECAUSE 2805 02:00:09,120 --> 02:00:12,040 THEY HAVE CP DEGREE THEY HAD 2806 02:00:12,040 --> 02:00:14,040 DIFFICULTY WALKING OR DON'T WALK 2807 02:00:14,040 --> 02:00:18,480 AT ALL, MIGHT BE BLIND OR DEAF 2808 02:00:18,480 --> 02:00:19,280 DISABILITY BUT RESEARCH IS 2809 02:00:19,280 --> 02:00:23,200 FRAMING THEM AS EQUIVALENT AND 2810 02:00:23,200 --> 02:00:26,160 THAT IS JUST ORIAL. THAT ONE -- 2811 02:00:26,160 --> 02:00:27,560 HORRIBLE. ONE PLACE YOU CAN SEE 2812 02:00:27,560 --> 02:00:29,080 THIS. I KNOW PEOPLE INTERESTED 2813 02:00:29,080 --> 02:00:31,160 IN GOING INTO RESEARCH FOCUSING 2814 02:00:31,160 --> 02:00:34,360 ON CONDITION THAT THEY HAVE. 2815 02:00:34,360 --> 02:00:36,040 THEN DECIDED TO CHANGE RESEARCH 2816 02:00:36,040 --> 02:00:37,760 DIRECTIONS BECAUSE OF FEELING 2817 02:00:37,760 --> 02:00:39,480 UNCOMFORTABLE GOING TO TALKS AND 2818 02:00:39,480 --> 02:00:41,760 OTHERWISE IN SPACES WHERE PEOPLE 2819 02:00:41,760 --> 02:00:46,240 LIKE THEM TALK ABOUT NEGATIVE 2820 02:00:46,240 --> 02:00:48,440 PATHOLPATHOLOGIZING WAY THEY TUD 2821 02:00:48,440 --> 02:00:50,680 OFF AND MOVE TO ANOTHER FIELD SO 2822 02:00:50,680 --> 02:00:52,880 DEFINITELY SOMETHING IMPACTFUL 2823 02:00:52,880 --> 02:00:57,720 TO PEOPLE IN THIS SPACE. 2824 02:00:57,720 --> 02:00:59,560 >>I'M HAPPY TO SHARE AS WELL. 2825 02:00:59,560 --> 02:01:01,800 SPECIFICALLY THINKING ABOUT THE 2826 02:01:01,800 --> 02:01:04,320 WHOLE RECRUITMENT PROCESS FOR 2827 02:01:04,320 --> 02:01:06,400 OUR TRAINEES, AT THIS POINT I 2828 02:01:06,400 --> 02:01:09,320 HAVE BEEN INVOLVED IN 2829 02:01:09,320 --> 02:01:10,880 RECRUITMENT FOR RESIDENCY AND 2830 02:01:10,880 --> 02:01:12,320 FELLOWSHIP PROGRAMS, IN 2831 02:01:12,320 --> 02:01:14,800 RESIDENCY FELLOWSHIP MYSELF. AND 2832 02:01:14,800 --> 02:01:16,840 OFTEN TIMES PARTICULARLY ATHINK 2833 02:01:16,840 --> 02:01:18,840 ONE OF THE THINGS THAT PEPPAR 2834 02:01:18,840 --> 02:01:21,840 MENTIONED WAS SO MANY DISABLED 2835 02:01:21,840 --> 02:01:22,960 TRAINEES OR TRAINEES HAVE 2836 02:01:22,960 --> 02:01:25,560 PROBLEMS GETTING ACCOMMODATIONS 2837 02:01:25,560 --> 02:01:27,080 FOR SPECIFIC CONDITIONS OR TESTS 2838 02:01:27,080 --> 02:01:29,920 WHAT HAVE YOU. THERE HAVE BEEN 2839 02:01:29,920 --> 02:01:31,480 MANY TIMES IN THE ROOM AND 2840 02:01:31,480 --> 02:01:33,760 DISCUSSIONS ABOUT TRAINEE WHO 2841 02:01:33,760 --> 02:01:36,240 MIGHT BE OTHERWISE FANTASTIC, 2842 02:01:36,240 --> 02:01:38,560 MAYBE THEY NEEDED ACCOMMODATION 2843 02:01:38,560 --> 02:01:40,120 FOR CERTAIN TEST OR MAYBE THEY 2844 02:01:40,120 --> 02:01:42,400 HAVE A HISTORY OF HAVING FAILED 2845 02:01:42,400 --> 02:01:45,000 ONE OF THE STEPS OR ONE OF THE 2846 02:01:45,000 --> 02:01:46,320 STANDARDIZED TESTS. THE QUESTION 2847 02:01:46,320 --> 02:01:48,680 IS ALWAYS IS THIS PERSON GOING 2848 02:01:48,680 --> 02:01:50,480 TO BE A LIABILITY WHAT KIND OF 2849 02:01:50,480 --> 02:01:53,560 THINGS WE AS PROGRAM GOING TO BE 2850 02:01:53,560 --> 02:01:55,840 MISSING OUT ON IF WE END UP 2851 02:01:55,840 --> 02:01:57,080 TAKING THIS PERSON IN AND 2852 02:01:57,080 --> 02:01:58,480 ALREADY STARTING TO PROJECTED 2853 02:01:58,480 --> 02:02:01,280 ARE THEY GOING TO BE ABLE TO 2854 02:02:01,280 --> 02:02:02,680 PASS THE TEST BE ABLE TO DO 2855 02:02:02,680 --> 02:02:04,280 THESE THINGS RATHER THAN LOOKING 2856 02:02:04,280 --> 02:02:06,840 AT THE REST OF THE APPLICATION, 2857 02:02:06,840 --> 02:02:07,720 LOOK AT THE REST OF THE 2858 02:02:07,720 --> 02:02:09,600 APPLICANT SO THERE'S SO MUCH 2859 02:02:09,600 --> 02:02:11,160 FOCUS ON OH THIS IS A PERSON 2860 02:02:11,160 --> 02:02:13,080 THAT WILL BE DETRIMENTAL TO OUR 2861 02:02:13,080 --> 02:02:14,000 PROGRAM RATHER THAN THINKING 2862 02:02:14,000 --> 02:02:16,480 WHAT IS -- HOW OUR PROGRAM CAN 2863 02:02:16,480 --> 02:02:19,400 BENEFIT FROM HAVING THIS PERSON 2864 02:02:19,400 --> 02:02:22,000 AND PARTICULAR EXPERIENCES. 2865 02:02:22,000 --> 02:02:23,800 THINKING ABOUT AGAIN LIKE PIGGY 2866 02:02:23,800 --> 02:02:25,600 BACKING OFF SOMETHING PEPPAR 2867 02:02:25,600 --> 02:02:27,080 SAID, SOMETHING ABOUT NOT 2868 02:02:27,080 --> 02:02:28,080 WANTING TO BE IN A ROOM OR NOT 2869 02:02:28,080 --> 02:02:32,920 WANTING TO HEAR HOW PEOPLE SPEAK 2870 02:02:32,920 --> 02:02:35,200 ABOUT YOU SO I GUESS YOU HEARD 2871 02:02:35,200 --> 02:02:37,120 BEFORE I'M A CANCER SURVIVOR, 2872 02:02:37,120 --> 02:02:40,480 STROKE SURVIVOR AND I DID 2873 02:02:40,480 --> 02:02:42,320 TRAINING IN PEDIATRIC NEUROLOGY, 2874 02:02:42,320 --> 02:02:44,160 WE HAVE TO SPEND A YEAR ON THE 2875 02:02:44,160 --> 02:02:46,680 THE ADULT NEUROLOGY SITE. I 2876 02:02:46,680 --> 02:02:49,560 SPEND TIME WORKING IN THE STROKE 2877 02:02:49,560 --> 02:02:50,600 UNIVERSITY, BEING THE PERSON WHO 2878 02:02:50,600 --> 02:02:52,160 WAS FIRST RESPONDER TO A STROKE 2879 02:02:52,160 --> 02:02:55,920 CODE, AND THEN OF COURSE SITTING 2880 02:02:55,920 --> 02:02:57,520 IN STROKE REPORT WHICH IS WHERE 2881 02:02:57,520 --> 02:03:00,400 YOU ALL OF THE RESIDENTS AND 2882 02:03:00,400 --> 02:03:01,800 SEVERAL OF THE ATTENDINGS AND 2883 02:03:01,800 --> 02:03:04,080 STROKE ATTENDINGS AND CRITICAL 2884 02:03:04,080 --> 02:03:05,760 CARE IN PARTICULAR SIT AND TALK 2885 02:03:05,760 --> 02:03:06,960 ABOUT PATIENTS AND WHAT WE ARE 2886 02:03:06,960 --> 02:03:09,600 SUPPOSED TO LEARN. THERE ARE 2887 02:03:09,600 --> 02:03:11,240 MANY TIMES I AS THE TRAINEE, 2888 02:03:11,240 --> 02:03:12,520 WOULD BE SITTING IN AND 2889 02:03:12,520 --> 02:03:15,440 LISTENING TO PEOPLE TALK ABOUT A 2890 02:03:15,440 --> 02:03:17,360 PATIENT AND HOW THEY WERE 2891 02:03:17,360 --> 02:03:18,880 RESPONDING, TALK ABOUT THEIR 2892 02:03:18,880 --> 02:03:20,240 LESIONS, PARTICULARLY TALK ABOUT 2893 02:03:20,240 --> 02:03:22,600 WHAT WAS EXPECTED FOR THEIR 2894 02:03:22,600 --> 02:03:24,000 LIFE. AND IT WOULD BE HARD TO 2895 02:03:24,000 --> 02:03:27,000 HEAR. BECAUSE IT WAS JUST LIKE 2896 02:03:27,000 --> 02:03:28,240 OH THIS PERSON'S LIFE IS OVER, 2897 02:03:28,240 --> 02:03:29,560 THEY ARE NOT ABLE TO HAVE A JOB, 2898 02:03:29,560 --> 02:03:32,760 NOT GOING TO BE ABLE TO DO X Y 2899 02:03:32,760 --> 02:03:34,080 AND Z, SOMETIMES IT WOULD BE 2900 02:03:34,080 --> 02:03:36,160 PEOPLE HAVE SIMILAR PATTERNS OF 2901 02:03:36,160 --> 02:03:38,880 DISTRIBUTION OF A STROKE TO MY 2902 02:03:38,880 --> 02:03:41,280 OWN SO THAT WOULD CERTAINLY WAS 2903 02:03:41,280 --> 02:03:43,120 EMOTIONALLY DISTRESSING. I THINK 2904 02:03:43,120 --> 02:03:45,080 THAT I'M LUCKY AND I DID HAVE 2905 02:03:45,080 --> 02:03:48,440 SOME PEOPLE WITHIN MY PROGRAM 2906 02:03:48,440 --> 02:03:49,520 THAT I COULD TALK TO THAT 2907 02:03:49,520 --> 02:03:51,560 PROVIDED MENTORSHIP AND 2908 02:03:51,560 --> 02:03:53,200 ADDITIONAL GUIDANCE AND SUPPORT. 2909 02:03:53,200 --> 02:03:55,880 I SHUTTER TO THINK HOW MANY 2910 02:03:55,880 --> 02:03:57,640 TIMES DISABLED PEOPLE ARE IN THE 2911 02:03:57,640 --> 02:04:00,000 ROOM LISTENING AND HEARING THESE 2912 02:04:00,000 --> 02:04:03,520 CONVERSATIONS. AND UNFORTUNATELY 2913 02:04:03,520 --> 02:04:05,520 INSTANTLY INCREDIBLY AWARE OF 2914 02:04:05,520 --> 02:04:12,280 THE ABLEISM THAT SURROUNDS THEM 2915 02:04:12,280 --> 02:04:15,520 >>MY EXPERIENCE AT STANFORD 2916 02:04:15,520 --> 02:04:17,120 WHEN I FROM THE TIME I FIRST 2917 02:04:17,120 --> 02:04:21,120 STARTED THERE, WAS POSITIVE ONE. 2918 02:04:21,120 --> 02:04:23,640 THEY REALLY DIDN'T KNOW EXACTLY 2919 02:04:23,640 --> 02:04:25,520 HOW TO ACCOMMODATE ME AND I 2920 02:04:25,520 --> 02:04:27,280 ENDED UP FIGURING OUT A LOT OF 2921 02:04:27,280 --> 02:04:28,720 MY OWN ACCOMMODATIONS WHICH I 2922 02:04:28,720 --> 02:04:32,720 THINK IS OFTEN THE CASE. I 2923 02:04:32,720 --> 02:04:35,440 CONTINUE TO SELF-ACCOMMODATE, I 2924 02:04:35,440 --> 02:04:38,160 HAVE A VOLUNTEER PROGRAM WHERE 2925 02:04:38,160 --> 02:04:41,360 THESE PREVENT STUDENTS 2926 02:04:41,360 --> 02:04:43,280 GRACIOUSLY VOLUNTEER COCOME AND 2927 02:04:43,280 --> 02:04:44,680 HELP ME AS PERSONAL ASSISTANT 2928 02:04:44,680 --> 02:04:46,440 THROUGHOUT THE DAY. IT IS A 2929 02:04:46,440 --> 02:04:48,760 MUTUALLY BENEFICIAL RELATIONSHIP 2930 02:04:48,760 --> 02:04:52,720 AND CREATES A WIN WIN WHEREAS I 2931 02:04:52,720 --> 02:04:54,200 HAVE THE HELP THAT I NEED TO BE 2932 02:04:54,200 --> 02:04:56,160 MORE EFFICIENT AT MY JOB AND DO 2933 02:04:56,160 --> 02:04:57,480 THE WORKLOAD EQUIVALENT TO MY 2934 02:04:57,480 --> 02:05:01,120 PEERS AND THEY GET MENTORSHIP 2935 02:05:01,120 --> 02:05:03,000 AND CLINICAL EXPERIENCE THAT 2936 02:05:03,000 --> 02:05:04,320 HELPS THEM ON THEIR MEDICAL 2937 02:05:04,320 --> 02:05:05,800 SCHOOL APPLICATIONS. BUT AGAIN 2938 02:05:05,800 --> 02:05:07,720 THAT IS SOMETHING I DO ON MY 2939 02:05:07,720 --> 02:05:11,360 OWN. FACILITATED BY THE HOSPITAL 2940 02:05:11,360 --> 02:05:13,720 BUT TRY TO MINIMIZE AMOUNT OF 2941 02:05:13,720 --> 02:05:17,880 WORK THEY HAVE TO DO. THAT IS 2942 02:05:17,880 --> 02:05:21,160 SORT OF A COMMON THEME, ALWAYS 2943 02:05:21,160 --> 02:05:22,320 BEING CAREFUL NOT TO ASK FOR TOO 2944 02:05:22,320 --> 02:05:27,800 MUCH. I THIS I THAT ONCE I 2945 02:05:27,800 --> 02:05:32,120 STARTED A SMATIE I HEARD MORE 2946 02:05:32,120 --> 02:05:33,240 ANECDOTES ABOUT DISABILITY 2947 02:05:33,240 --> 02:05:34,200 TREATMENT AT STANFORD AND ACROSS 2948 02:05:34,200 --> 02:05:37,000 THE COUNTRY. I THINK THE IMPACT 2949 02:05:37,000 --> 02:05:38,920 OF A IS WE ENDS UP LOSING GOODS 2950 02:05:38,920 --> 02:05:43,240 PEOPLE, PEOPLE ARE PUSHED TO THE 2951 02:05:43,240 --> 02:05:45,240 BRINK. AND ARE DEMORALIZED 2952 02:05:45,240 --> 02:05:48,880 BECAUSE OF THEIR EXPERIENCES. SO 2953 02:05:48,880 --> 02:05:52,240 ONE OF MY FRIENDS, SHE HAS A 2954 02:05:52,240 --> 02:05:53,520 VISUAL DISABILITY AND HAS BEEN 2955 02:05:53,520 --> 02:05:55,640 TRYING TO GET ACCOMMODATED FOR 2956 02:05:55,640 --> 02:05:58,320 YEARS TO GET THE ELECTRONIC 2957 02:05:58,320 --> 02:06:03,600 MEDICAL RECORDS TO WORK WITH 2958 02:06:03,600 --> 02:06:05,200 THIS SCREEN MAGNIFICATION 2959 02:06:05,200 --> 02:06:07,240 SOFTWARE AND THE RESULT IS THAT 2960 02:06:07,240 --> 02:06:09,520 SHE CAN'T REALLY CHART AT WORK 2961 02:06:09,520 --> 02:06:12,600 SO SHE HAS TO CHART AT HOME LIKE 2962 02:06:12,600 --> 02:06:14,720 SHE IS UP UNTIL MIDNIGHT AT 2963 02:06:14,720 --> 02:06:16,080 NIGHT, IT'S BEEN RECOMMENDED 2964 02:06:16,080 --> 02:06:20,440 THAT SHE RETIRE. THAT MAYBE IT 2965 02:06:20,440 --> 02:06:23,320 IS JUST NOT WORTH IT AND SHE HAS 2966 02:06:23,320 --> 02:06:24,560 BEEN REALLY TOUGH AND DOESN'T 2967 02:06:24,560 --> 02:06:26,120 WANT TO QUIT. SHE LOVES HER 2968 02:06:26,120 --> 02:06:28,960 JOB. SHE LOVES BEING IN A 2969 02:06:28,960 --> 02:06:33,120 POSITION TO HELP OTHER PEOPLE 2970 02:06:33,120 --> 02:06:35,320 WITH DISABILITY AND USING THAT 2971 02:06:35,320 --> 02:06:36,440 EXPERTISE BUT IT IS DEMORALIZING 2972 02:06:36,440 --> 02:06:39,360 TO KEEP GOING AROUND IN CIRCLES 2973 02:06:39,360 --> 02:06:41,200 AND SO MANY OF OUR -- MY LIGHT 2974 02:06:41,200 --> 02:06:47,280 JUST TURNED OFF. SO MANY OF OUR 2975 02:06:47,280 --> 02:06:50,040 HR SYSTEMS, JUST NOT OPTIMIZE 2976 02:06:50,040 --> 02:06:52,080 FOR EFFICIENCY AND PEOPLE END UP 2977 02:06:52,080 --> 02:06:53,640 RUNNING AROUND MANY CIRCLES AND 2978 02:06:53,640 --> 02:06:56,880 HAVING ALL SORTS OF DELAYS. THE 2979 02:06:56,880 --> 02:06:58,600 RESULT IS THAT PEOPLE QUIT AND 2980 02:06:58,600 --> 02:07:06,520 WE LOSE A LOT OF GOOD FOLKS. 2981 02:07:06,520 --> 02:07:09,480 >>THANK YOU ALL. I WANT TO MOVE 2982 02:07:09,480 --> 02:07:12,760 TO OUR NEXT TOPIC WHICH IS ONE 2983 02:07:12,760 --> 02:07:15,400 THAT HAS COME UP OVER BOTH DAYS 2984 02:07:15,400 --> 02:07:18,920 OF THIS MEETING, IN SEVERAL OF 2985 02:07:18,920 --> 02:07:20,400 YOUR TALKS AND THAT IS ABOUT 2986 02:07:20,400 --> 02:07:27,680 DISCLOSURE. SO WE TALK ABOUT 2987 02:07:27,680 --> 02:07:29,800 MAKING PROGRESS RECRUITING AN 2988 02:07:29,800 --> 02:07:31,480 RETAINING DISABLED PERSONS IN 2989 02:07:31,480 --> 02:07:33,240 SCIENTIFIC AND MELDCAL WORK 2990 02:07:33,240 --> 02:07:35,000 FORCE UNLESS GOOD BASELINE DATA 2991 02:07:35,000 --> 02:07:37,320 BUT PEOPLE ARE RELUCTANT TO 2992 02:07:37,320 --> 02:07:41,520 DISCLOSE. WE RECOGNIZE IT IS A 2993 02:07:41,520 --> 02:07:42,120 DEEPLY PERSONAL COMPLICATED 2994 02:07:42,120 --> 02:07:44,880 ISSUE. IF YOU ARE WILLING WE 2995 02:07:44,880 --> 02:07:46,600 LOVE THREE OF YOU TO SHARE YOUR 2996 02:07:46,600 --> 02:07:50,280 THOUGHTS ABOUT DISCLOSURE OR 2997 02:07:50,280 --> 02:07:56,240 NON-DISCLOSURE. 2998 02:07:56,240 --> 02:07:59,800 >>I SPECIFICALLY DISCLOSED I 2999 02:07:59,800 --> 02:08:02,240 WANTED TO TAKE THE TIME TO TALK 3000 02:08:02,240 --> 02:08:05,400 ABOUT HOW DISCLOSE AND WHY IN 3001 02:08:05,400 --> 02:08:06,520 REGARDS TO THIS QUESTION. I'M 3002 02:08:06,520 --> 02:08:08,680 GENERALLY OPEN ABOUT HAVING BEEN 3003 02:08:08,680 --> 02:08:09,640 BORN THREE MONTHS EARLY SIMILAR 3004 02:08:09,640 --> 02:08:11,480 TO KIDS IN MY RESEARCH STUDIES. 3005 02:08:11,480 --> 02:08:14,520 I WILL DEPEN FEND MY Ph.D. 3006 02:08:14,520 --> 02:08:15,920 NEXT MONTH AND OPEN MY TALKS 3007 02:08:15,920 --> 02:08:17,960 WITH PREMATURITY I PUT MY OWN 3008 02:08:17,960 --> 02:08:19,280 BABY PICTURE ON THE SLIDES. I 3009 02:08:19,280 --> 02:08:20,640 THINK REALLY THIS IS BENEFITED 3010 02:08:20,640 --> 02:08:22,760 ME, MY OWN HISTORY A LOT IN MY 3011 02:08:22,760 --> 02:08:24,480 CAREECAREER. WHY WHICHENT TO THE 3012 02:08:24,480 --> 02:08:26,760 FIELD TO BEGIN WITH, PROBABLY 3013 02:08:26,760 --> 02:08:27,800 DON'T MEET SIX-YEAR-OLD WHOSE 3014 02:08:27,800 --> 02:08:29,920 WILL TELL YOU I WANT TO BE A 3015 02:08:29,920 --> 02:08:35,320 NEONANEONATOLOGIST, PEOPLE/PUSHE 3016 02:08:35,320 --> 02:08:37,280 IN THAT AREA FOR A LONG TIME. 3017 02:08:37,280 --> 02:08:39,320 PART OF WHY I WAS SO OPEN ABOUT 3018 02:08:39,320 --> 02:08:40,760 THIS, BEFORE I CAME TO IDENTIFY 3019 02:08:40,760 --> 02:08:43,000 AS DISABLED IS BECAUSE PEOPLE 3020 02:08:43,000 --> 02:08:45,720 PERCEIVED SOMETHING LIKE THAT, 3021 02:08:45,720 --> 02:08:47,920 AS BEING IN THE PAST. I MEAN 3022 02:08:47,920 --> 02:08:50,680 BOTH WHEN I TALK ABOUT IT AND 3023 02:08:50,680 --> 02:08:52,440 ALSO GETTING TO LARGE COMMUNITY 3024 02:08:52,440 --> 02:08:54,840 AND STARTING TO BECOME 3025 02:08:54,840 --> 02:08:56,880 RECOGNIZED THAT THAT IS NOT SO 3026 02:08:56,880 --> 02:08:59,400 TRUE. IN FACT I REMEMBER ONCE 3027 02:08:59,400 --> 02:09:00,920 MANY YEARS AGO SHADOWING WITH 3028 02:09:00,920 --> 02:09:01,640 PEDIATRIC RESIDENT AND SHE 3029 02:09:01,640 --> 02:09:03,640 WANTED TO GO TO NEONATOLOGY, I 3030 02:09:03,640 --> 02:09:05,240 TOLD HER MY STORY AND SHE HAULED 3031 02:09:05,240 --> 02:09:07,040 ME TO SHOW ONE OF HER COLLEAGUES 3032 02:09:07,040 --> 02:09:08,680 AND SAID SEE THEY DON'T ALL GROW 3033 02:09:08,680 --> 02:09:11,920 UP DISABLED. AND I DIDN'T 3034 02:09:11,920 --> 02:09:14,480 IDENTIFY AS DISABLED AT THE TIME 3035 02:09:14,480 --> 02:09:17,560 BUT UNDERSCORES THE IDEA THAT'S 3036 02:09:17,560 --> 02:09:18,400 SPECIALLY SOMETHING -- PEOPLE 3037 02:09:18,400 --> 02:09:20,720 THINK OF IT THAT SOMETHING HAS 3038 02:09:20,720 --> 02:09:22,560 POTENTIAL TO LEAD TO DISABILITY 3039 02:09:22,560 --> 02:09:25,520 AND OWNS EVERYTHING OR DOESN DO. 3040 02:09:25,520 --> 02:09:28,080 RESEARCH IS SHOWING MY RESEARCH 3041 02:09:28,080 --> 02:09:29,800 AND OTHERS IN THE FIELD THIS 3042 02:09:29,800 --> 02:09:31,440 AFFECTS PEOPLE LIFE LONG EVEN IF 3043 02:09:31,440 --> 02:09:34,480 YOU LIKE ME AS MOM SAYS KICKED 3044 02:09:34,480 --> 02:09:36,640 OUT OF PAL CLINIC EARLY FOR 3045 02:09:36,640 --> 02:09:39,160 DOING TOO WELL. SO COMING TO SEE 3046 02:09:39,160 --> 02:09:40,320 THAT, YOU CAN BE AS YOU MIGHT 3047 02:09:40,320 --> 02:09:42,880 SAY A SUCCESS STORY AND DISABLED 3048 02:09:42,880 --> 02:09:45,520 AT THE SAME TIME. SO IN 3049 02:09:45,520 --> 02:09:47,880 PROFESSIONAL SPACES I GO BY THE 3050 02:09:47,880 --> 02:09:49,560 BLANKET DISABLED BECAUSE AS 3051 02:09:49,560 --> 02:09:51,360 TRAINEE I DON'T WANT TO OPEN 3052 02:09:51,360 --> 02:09:53,840 MYSELF UP TO THE DISCRIMINATION 3053 02:09:53,840 --> 02:09:55,320 AND OTHER QUESTIONS AND ISSUES 3054 02:09:55,320 --> 02:09:57,760 THAT WILL COME FROM MORE 3055 02:09:57,760 --> 02:09:59,920 SPECIFIC ABOUT EXACTLY WHAT IS 3056 02:09:59,920 --> 02:10:01,560 DIAGNOSED SINCE MY EARLY DAYS 3057 02:10:01,560 --> 02:10:04,120 AND HOW THAT EFFECT AS THINGS 3058 02:10:04,120 --> 02:10:05,360 UNLESS SOMEONE HAS REASON TO 3059 02:10:05,360 --> 02:10:06,800 KNOW BUT ALSO WANTING TO ADVANCE 3060 02:10:06,800 --> 02:10:08,880 CAUGHT AND TRYING TO KEEP THE 3061 02:10:08,880 --> 02:10:12,240 FOCUS MORE ON PEOPLE I'M TALKING 3062 02:10:12,240 --> 02:10:13,920 AND THE WORK THAT I DO MORE SO 3063 02:10:13,920 --> 02:10:16,320 THAN SPECIFICS OF MY STORY 3064 02:10:16,320 --> 02:10:18,280 IMPACTED. THAT IS MY LITTLE 3065 02:10:18,280 --> 02:10:24,720 THING TO SAY ABOUT DISCLOSURE. 3066 02:10:24,720 --> 02:10:29,320 >>SO I AT THIS POINT I'M PRETTY 3067 02:10:29,320 --> 02:10:31,320 -- I DON'T WANT TO SAY CHOOSEY 3068 02:10:31,320 --> 02:10:31,920 HOW I DISCLOSE BUT AT THE SAME 3069 02:10:31,920 --> 02:10:34,560 TIME I FEEL LIKE I'M FAIRLY OPEN 3070 02:10:34,560 --> 02:10:37,240 ABOUT MY OWN PERSONAL HISTORY. 3071 02:10:37,240 --> 02:10:39,800 MY VIEWS ABOUT DISCLOSURE 3072 02:10:39,800 --> 02:10:41,320 COMPLICATED AS EVERYBODY'S ARE 3073 02:10:41,320 --> 02:10:43,680 BY THE FACT THAT WHEN I FIRST 3074 02:10:43,680 --> 02:10:44,440 HAD MY ILLNESS I DIDN'T FEEL 3075 02:10:44,440 --> 02:10:48,320 LIKE I HAD A CHOICE TO DISCLOSE. 3076 02:10:48,320 --> 02:10:51,240 I WAS IN RESIDENCY WHEN I 3077 02:10:51,240 --> 02:10:52,720 FINALLY ACCURATELY GOT A 3078 02:10:52,720 --> 02:10:54,640 DIAGNOSIS AN HAD TO START HAVING 3079 02:10:54,640 --> 02:10:55,640 SURGERIES AN AS EVERYBODY WHO 3080 02:10:55,640 --> 02:10:57,040 HAS BEEN THROUGH MEDICAL 3081 02:10:57,040 --> 02:10:59,720 TRAINING UNDERSTANDS, RESIDENCY 3082 02:10:59,720 --> 02:11:01,160 SCHEDULES ARE SET A YEAR IN 3083 02:11:01,160 --> 02:11:03,960 ADVANCE. YOU DON'T HAVE OTHER 3084 02:11:03,960 --> 02:11:06,360 FACTORS BUILT IN, THERE ISN'T 3085 02:11:06,360 --> 02:11:09,160 PUSH IN TIME, I CAN'T JUST TAKE 3086 02:11:09,160 --> 02:11:11,360 TIME OFF BY ME BEING OUT TO 3087 02:11:11,360 --> 02:11:12,600 RECOVER FOR SURGERY THAT MEANT 3088 02:11:12,600 --> 02:11:15,000 OTHER RESIDENTS WERE GOING TO BE 3089 02:11:15,000 --> 02:11:16,720 TO HAVE TO BE PUT IN PLACE WHERE 3090 02:11:16,720 --> 02:11:18,680 I WAS SUPPOSED TO BE IN SCHEDULE 3091 02:11:18,680 --> 02:11:20,920 SO I WASN'T I COMPLETELY HIDE OR 3092 02:11:20,920 --> 02:11:22,120 NOT TELL ANYBODY WHAT WAS GOING 3093 02:11:22,120 --> 02:11:23,800 ON, I HAD TO TELL PEOPLE I HAD 3094 02:11:23,800 --> 02:11:25,560 TO BE AWAY AN HAD TO HAVE A GOOD 3095 02:11:25,560 --> 02:11:26,640 REASON AND USUALLY THE ONLY 3096 02:11:26,640 --> 02:11:28,080 REASONS WERE YOU ARE SICK, YOU 3097 02:11:28,080 --> 02:11:31,560 ARE PREGNANT, OR SOMEONE DIED. 3098 02:11:31,560 --> 02:11:35,760 SO I KIND OF TOLD FIRST MY 3099 02:11:35,760 --> 02:11:37,040 PROGRAM DIRECTORS AND MY CHIEF 3100 02:11:37,040 --> 02:11:39,560 RESIDENCES WHAT WAS GOING ON, 3101 02:11:39,560 --> 02:11:41,760 AND BEING A SMALL PROGRAM, 3102 02:11:41,760 --> 02:11:45,400 DESPITE THE FACT THAT PEOPLE ARE 3103 02:11:45,400 --> 02:11:48,040 SUPPOSED TO I GUESS KEEP THINGS 3104 02:11:48,040 --> 02:11:49,160 CONFIDENTIAL, THAT IS PART OF 3105 02:11:49,160 --> 02:11:50,960 OUR TRAINING TOO, THAT IS NOT 3106 02:11:50,960 --> 02:11:52,840 HOW IT WORKS IN RESIDENCY EITHER 3107 02:11:52,840 --> 02:11:53,840 EVERYBODY KNOW'S EVERYBODY'S 3108 02:11:53,840 --> 02:11:57,480 BUSINESS QUICKLY. SO AT FIRST IT 3109 02:11:57,480 --> 02:11:58,920 WAS ABOUT JUST LOGISTICALLY 3110 02:11:58,920 --> 02:12:00,280 TRYING TO MAKE SURE THAT 3111 02:12:00,280 --> 02:12:02,080 EVERYBODY KNEW WHAT WAS GOING ON 3112 02:12:02,080 --> 02:12:07,000 SO THAT I COULD GET MY SHIFT 3113 02:12:07,000 --> 02:12:09,520 COVERED. THERE WAS ALSO WHEN I 3114 02:12:09,520 --> 02:12:11,720 WAS SICK I GOT MY TREATMENT AT 3115 02:12:11,720 --> 02:12:13,120 THE ONE OF THE HOSPITALS WHERE 3116 02:12:13,120 --> 02:12:16,680 WE WORKED. SO IT WAS SEEN FOR ME 3117 02:12:16,680 --> 02:12:17,960 I GUESS YOU COULD SAY TO BE ABLE 3118 02:12:17,960 --> 02:12:20,680 TO GET MY CARE THERE. AT THE 3119 02:12:20,680 --> 02:12:22,000 SAME TIME BECAUSE I WAS 3120 02:12:22,000 --> 02:12:23,320 HOSPITALIZED IN THE HOSPITAL I 3121 02:12:23,320 --> 02:12:26,000 WORKED THAT MEANT THAT MY 3122 02:12:26,000 --> 02:12:28,360 COLLEAGUES ATTENDINGS, WHOEVER, 3123 02:12:28,360 --> 02:12:31,760 COULD COME BY AND SEE ME ON DAYS 3124 02:12:31,760 --> 02:12:33,400 WHEN I WAS HOSPITALIZED. 3125 02:12:33,400 --> 02:12:34,840 EVERYBODY KNEW WHERE I WAS. AND 3126 02:12:34,840 --> 02:12:37,920 AGAIN I THINK THAT SOMETIMES WE 3127 02:12:37,920 --> 02:12:39,840 IN HEALTHCARE DON'T DO A GOOD 3128 02:12:39,840 --> 02:12:42,040 JOB UNDERSTANDING WHERE BARRIER 3129 02:12:42,040 --> 02:12:43,320 -- WHERE BOUNDARIES LIE. AND 3130 02:12:43,320 --> 02:12:45,600 WHERE THEY SHOULD LIE. BETWEEN 3131 02:12:45,600 --> 02:12:46,560 COLLEAGUES, BETWEEN YOUR 3132 02:12:46,560 --> 02:12:49,160 PATIENTS, WHAT HAVE YOU. SO 3133 02:12:49,160 --> 02:12:51,600 ALREADY DEFINITELY CROSS 3134 02:12:51,600 --> 02:12:53,200 BOUNDARIES, PEOPLE WHO CAME TO 3135 02:12:53,200 --> 02:12:54,400 SEE ME WHEN THEY SHOULDN'T. 3136 02:12:54,400 --> 02:12:56,120 PEOPLE WHO LEARNED ABOUT WHAT IS 3137 02:12:56,120 --> 02:12:57,960 GOING ON WITH ME, AGAIN WHEN 3138 02:12:57,960 --> 02:12:59,240 THEY SHOULDN'T AND WHO KNEW MUCH 3139 02:12:59,240 --> 02:13:01,240 MORE ABOUT ME AND MY HEALTHCARE 3140 02:13:01,240 --> 02:13:02,080 CONDITION THAN I FELT 3141 02:13:02,080 --> 02:13:04,000 COMFORTABLE WITH AT THE TIME AND 3142 02:13:04,000 --> 02:13:05,000 DIDN'T UNDERSTAND HOW TO 3143 02:13:05,000 --> 02:13:08,400 ARTICULATE THOSE FEELINGS. AT 3144 02:13:08,400 --> 02:13:09,560 FIRST IT FELT LIKE EVERYBODY 3145 02:13:09,560 --> 02:13:11,040 KNEW WHAT WAS GOING ON WITH ME 3146 02:13:11,040 --> 02:13:13,360 AND MY BODY EXCEPT FOR ME 3147 02:13:13,360 --> 02:13:15,800 SOMETIMES PARTICULARLY WHEN I 3148 02:13:15,800 --> 02:13:17,680 WAS STILL FRESHLY HAD A STROKE 3149 02:13:17,680 --> 02:13:21,160 INTUBATED SEDATED AND IN THE ICU 3150 02:13:21,160 --> 02:13:22,120 PEOPLE MYWHAT WAS GOING ON WHEN 3151 02:13:22,120 --> 02:13:24,560 I LITERALLY WAS STILL IN 3152 02:13:24,560 --> 02:13:28,360 TWILIGHT. AFTER I STARTED COMING 3153 02:13:28,360 --> 02:13:30,840 BACK TO WORK AND STARTED REALLY 3154 02:13:30,840 --> 02:13:34,440 TRYING TO GET MY FEET BACK UNDER 3155 02:13:34,440 --> 02:13:35,160 ME AND FEW BURR WHAT I WAS GOING 3156 02:13:35,160 --> 02:13:37,080 TO DO WITH MYSELF AND MY CAREER, 3157 02:13:37,080 --> 02:13:38,480 AGAIN, A LOT OF PEOPLE KNEW WHAT 3158 02:13:38,480 --> 02:13:39,440 WAS GOING ON WITH ME BEFORE I 3159 02:13:39,440 --> 02:13:43,480 HAD THE CHANCE TO DISCLOSE BUT 3160 02:13:43,480 --> 02:13:45,200 WHEN IT CAME TIME TO MEET 3161 02:13:45,200 --> 02:13:47,680 ACCOMMODATIONS, SUDDENLY PEOPLE 3162 02:13:47,680 --> 02:13:50,400 DIDN'T UNDERSTAND WHY WE NEED 3163 02:13:50,400 --> 02:13:52,360 ACCOMMODATION, THOUGH THEY HAD 3164 02:13:52,360 --> 02:13:53,880 LITERALLY SEEN ME WHEN I WAS IN 3165 02:13:53,880 --> 02:13:55,520 ICU OR LOOK AT MY SKINS WHEN 3166 02:13:55,520 --> 02:13:57,200 THEY SHOULDN'T HAVE OR TALKED TO 3167 02:13:57,200 --> 02:13:58,280 MY FAMILY, MAYBE WHEN I CROSSED 3168 02:13:58,280 --> 02:13:59,040 THE BOUNDARY THEY SHOULDN'T 3169 02:13:59,040 --> 02:14:05,440 HAVE. SO AT FIRST I AGAIN WAS 3170 02:14:05,440 --> 02:14:10,480 PROTECTIVE, OF MYSELF AND 3171 02:14:10,480 --> 02:14:12,520 INFORMATION AND DISABILITY. BUT 3172 02:14:12,520 --> 02:14:14,320 I KIND OF GOT TO THE POINT WHERE 3173 02:14:14,320 --> 02:14:16,520 I WAS KIND OF LIKE EVERYBODY 3174 02:14:16,520 --> 02:14:18,440 KNOWS I HAVE THINGS THAT I NEED 3175 02:14:18,440 --> 02:14:21,000 AND IF I DON'T SAY THAT I NEED 3176 02:14:21,000 --> 02:14:22,080 THESE KIND OF ACCOMMODATIONS 3177 02:14:22,080 --> 02:14:23,360 NOBODY IS GOING TO FIGHT FOR ME 3178 02:14:23,360 --> 02:14:27,160 SO I GOT TO BE THE ONE TO DO SO 3179 02:14:27,160 --> 02:14:29,560 SO THAT POINT I STARTED GETTING 3180 02:14:29,560 --> 02:14:32,640 MUCH MORE PURPOSEFUL TALKING 3181 02:14:32,640 --> 02:14:35,120 ABOUT ACCOMMODATION NEEDS, 3182 02:14:35,120 --> 02:14:35,920 ACCESSIBILITY NEEDS AND 3183 02:14:35,920 --> 02:14:38,080 ULTIMATELY TALKING DISABILITY, 3184 02:14:38,080 --> 02:14:40,640 IT WASN'T REALLY UNTIL I STARTED 3185 02:14:40,640 --> 02:14:42,600 TO IDENTIFY AS A PERSON WHO IS 3186 02:14:42,600 --> 02:14:43,880 DISABLED UNTIL I STARTED 3187 02:14:43,880 --> 02:14:48,920 SPENDING MORE TIME IN DISABILITY 3188 02:14:48,920 --> 02:14:52,920 SPACES SO TRAINEE EDUCATION AND 3189 02:14:52,920 --> 02:14:53,880 RELATED DISABILITY TRAINEE, BUT 3190 02:14:53,880 --> 02:14:55,360 THAT WAS THE FIRST TIME BEING IN 3191 02:14:55,360 --> 02:14:57,160 THAT SPACE WITH OTHER DISABLED 3192 02:14:57,160 --> 02:14:58,680 PEOPLE WHO FEEL SELF-ADVOCATES 3193 02:14:58,680 --> 02:15:00,080 WORKING IN THEIR RESPECTIVE 3194 02:15:00,080 --> 02:15:01,800 FIELDS WHO COULD TALK ABOUT 3195 02:15:01,800 --> 02:15:04,000 DISABILITY AS IF IT WASN'T A BAD 3196 02:15:04,000 --> 02:15:04,880 WORD I PERSONALLY STARTED TO 3197 02:15:04,880 --> 02:15:06,000 FEEL MORE COMFORTABLE TALKING 3198 02:15:06,000 --> 02:15:08,120 ABOUT MYSELF BEING DISABLED. 3199 02:15:08,120 --> 02:15:09,840 AND NOW AGAIN, ON THE ONE HAND I 3200 02:15:09,840 --> 02:15:11,480 DON'T TELL EVERYBODY ALL THE 3201 02:15:11,480 --> 02:15:12,400 TIME, BUT I FEEL MORE 3202 02:15:12,400 --> 02:15:14,440 COMFORTABLE TELLING MANY I 3203 02:15:14,440 --> 02:15:16,400 COLLEAGUES, TRAINEES, ALL MY 3204 02:15:16,400 --> 02:15:17,880 TRAINEES AND COLLEAGUES AT THIS 3205 02:15:17,880 --> 02:15:19,320 POINT KNOW A LITTLE BIT ABOUT MY 3206 02:15:19,320 --> 02:15:22,640 HISTORY AND I TALK ABOUT TO 3207 02:15:22,640 --> 02:15:24,600 NORMALIZE IT PARTLY AND TO 3208 02:15:24,600 --> 02:15:25,560 PARTLY AGAIN HELP THEM 3209 02:15:25,560 --> 02:15:27,040 UNDERSTAND WHERE BARRIERS ARE 3210 02:15:27,040 --> 02:15:30,040 AND THE PERSONAL ASPECTS AROUND 3211 02:15:30,040 --> 02:15:32,000 DISCLOSURE. I ALSO SOMETIMES 3212 02:15:32,000 --> 02:15:34,600 DISPOSED OF PATIENTS AS -- 3213 02:15:34,600 --> 02:15:36,360 DISCLOSED TO PATIENTS AS WELL, 3214 02:15:36,360 --> 02:15:38,400 THAT IS ALSO PEOPLE DEBATE 3215 02:15:38,400 --> 02:15:39,240 WHETHER YOU SHOULD DO THAT AS 3216 02:15:39,240 --> 02:15:41,160 CLINIC. I DON'T DO IT WITH EVERY 3217 02:15:41,160 --> 02:15:42,600 PATIENT BUT TIMES I HAVE I FEEL 3218 02:15:42,600 --> 02:15:45,240 LIKE IT HAS ONLY STRENGTHENED 3219 02:15:45,240 --> 02:15:47,400 OUR RELATIONSHIP SO AGAIN, 3220 02:15:47,400 --> 02:15:49,720 PATIENTS CAN SEE HEY, YOU CAN 3221 02:15:49,720 --> 02:15:52,280 ABSOLUTELY BE DISABLED AND 3222 02:15:52,280 --> 02:15:53,320 HEALTHY, YES DISABLED AND HAVE 3223 02:15:53,320 --> 02:15:54,880 THE CAREER THAT YOU WANT, YES 3224 02:15:54,880 --> 02:15:57,200 YOU CAN BE DISABLED AND EXIST AS 3225 02:15:57,200 --> 02:16:00,240 A PERSON. SO THOSE ARE MY 3226 02:16:00,240 --> 02:16:05,760 THOUGHTS ABOTHOUGHTS ABOUT IT. 3227 02:16:05,760 --> 02:16:07,680 >>DISCLOSURE WASN'T EVER REALLY 3228 02:16:07,680 --> 02:16:10,880 A QUESTION FOR ME. I THINK THAT 3229 02:16:10,880 --> 02:16:13,400 WELL, NUMBER ONE WHEN YOU SEE ME 3230 02:16:13,400 --> 02:16:15,000 I'M QUITE VISIBLY DISABLED 3231 02:16:15,000 --> 02:16:18,640 WALKING WITH CRUTCHES OR ON MY 3232 02:16:18,640 --> 02:16:21,360 SEGUE. BUT WHEN I DECIDED TO 3233 02:16:21,360 --> 02:16:22,880 SWITCH RESIDENCIES I HAD TO 3234 02:16:22,880 --> 02:16:23,880 WRITE A PERSONAL STATEMENT OF 3235 02:16:23,880 --> 02:16:26,840 COURSE AND I INCLUDED IN THERE 3236 02:16:26,840 --> 02:16:28,760 MY OWN PERSONAL STORY WITH 3237 02:16:28,760 --> 02:16:30,360 SPINAL CORD INJURY AN WHY I WAS 3238 02:16:30,360 --> 02:16:35,200 SWITCHING FIELDS. I USED MY 3239 02:16:35,200 --> 02:16:40,440 STORY IN A SENSE TO ILLUSTRATE 3240 02:16:40,440 --> 02:16:42,600 MY STRENGTH AND MY RESILIENCE. I 3241 02:16:42,600 --> 02:16:45,040 DON'T REALLY PARTICULARLY LIKE 3242 02:16:45,040 --> 02:16:47,320 THESE OVERCOMING NARRATIVES OR 3243 02:16:47,320 --> 02:16:50,080 INSPIRATIONAL NARRATIVES BUT I 3244 02:16:50,080 --> 02:16:51,800 THINK THAT WITH THOUGHT ONE CAN 3245 02:16:51,800 --> 02:16:56,320 SHARE ONE STORY AND SHOW IT HOW 3246 02:16:56,320 --> 02:16:57,720 DISABILITY HAS ACTUALLY -- IS 3247 02:16:57,720 --> 02:17:00,440 ACTUALLY A STRENGTH AND HOW IT 3248 02:17:00,440 --> 02:17:06,000 GIVES INSIGHTS AND REALLY INSIDE 3249 02:17:06,000 --> 02:17:07,920 VIEW OF HEALTHCARE FROM THE 3250 02:17:07,920 --> 02:17:10,520 INSIDE. THAT IS INSTRUMENTAL 3251 02:17:10,520 --> 02:17:13,560 IMPROVING THE HEALTHCARE OF 3252 02:17:13,560 --> 02:17:16,520 PATIENTS WITH DISABILITIES. I 3253 02:17:16,520 --> 02:17:18,480 USED TO OVERSHARE IN THE 3254 02:17:18,480 --> 02:17:21,400 BEGINNING. I DIDN'T REALLY KNOW 3255 02:17:21,400 --> 02:17:23,440 WHERE ON THE DISCLOSURE SPECTRUM 3256 02:17:23,440 --> 02:17:27,520 I SHOULD LAND. SO I THINK THAT I 3257 02:17:27,520 --> 02:17:28,920 WAS DEFINITELY OVERSHARING, A 3258 02:17:28,920 --> 02:17:30,080 FEW TIMES PROGRAM DIRECTOR WAS 3259 02:17:30,080 --> 02:17:31,360 LIKE YOU DON'T HAVE TO TELL ME 3260 02:17:31,360 --> 02:17:35,480 ALL OF THIS STUFF. AND SO I SORT 3261 02:17:35,480 --> 02:17:39,680 OF LEARNED OVER TIME I DON'T 3262 02:17:39,680 --> 02:17:40,720 TALK ABOUT MY PERSONAL 3263 02:17:40,720 --> 02:17:44,320 EXPERIENCE THAT MUCH. WITH MY 3264 02:17:44,320 --> 02:17:46,760 COLLEAGUES. I DO IN LECTURES 3265 02:17:46,760 --> 02:17:50,000 SOMETIMES I USE PHOTOS OF 3266 02:17:50,000 --> 02:17:55,400 MYSELF. AND MY PATH TO 3267 02:17:55,400 --> 02:17:57,040 ILLUSTRATE WHAT I HAVE BEEN 3268 02:17:57,040 --> 02:18:00,000 THROUGH. I DO A LECTURE, GIVE A 3269 02:18:00,000 --> 02:18:03,080 LECTURE ONCE A YEAR TO THE 3270 02:18:03,080 --> 02:18:06,240 MEDICAL STUDENTS WHO ARE 3271 02:18:06,240 --> 02:18:07,560 STARTING THIRD YEAR PHYSICIAN 3272 02:18:07,560 --> 02:18:11,040 AND PATIENT AND I USE ANECDOTES 3273 02:18:11,040 --> 02:18:15,040 FROM MY HOSPITALIZATIONS TO 3274 02:18:15,040 --> 02:18:17,200 ILLUSTRATE POINTS ABOUT WHAT 3275 02:18:17,200 --> 02:18:19,360 PEOPLE HAVE DONE THAT WAS 3276 02:18:19,360 --> 02:18:21,200 SUCCESSFUL OR INTERACTIONS THAT 3277 02:18:21,200 --> 02:18:25,760 WERE MEANINGFUL OR HELPFUL. AND 3278 02:18:25,760 --> 02:18:26,600 ALSO ILLUSTRATE SOME THINGS THAT 3279 02:18:26,600 --> 02:18:30,840 HAPPEN TO ME THAT WERE NOT SO 3280 02:18:30,840 --> 02:18:34,840 GREAT. I USE MY NARRATIVE, I 3281 02:18:34,840 --> 02:18:37,000 THINK, AS A TOOL. I USE IT 3282 02:18:37,000 --> 02:18:38,080 DEPENDING ON THE SITUATION IN A 3283 02:18:38,080 --> 02:18:41,720 WAY THAT I THINK WILL BENEFIT ME 3284 02:18:41,720 --> 02:18:46,560 OR BENEFIT OTHERS. THERE IS A 3285 02:18:46,560 --> 02:18:48,120 TERM CALLED POLITICAL 3286 02:18:48,120 --> 02:18:50,360 DISCLOSURE, I LEARNED FROM 3287 02:18:50,360 --> 02:18:52,360 (INAUDIBLE) JANE PEOPLE DISCLOSE 3288 02:18:52,360 --> 02:18:55,920 NOT JUST TO UNLOCK THEIR OWN 3289 02:18:55,920 --> 02:18:59,800 ACCOMMODATIONS BUT TO LIKE DIANA 3290 02:18:59,800 --> 02:19:03,160 AND PEPPAR WERE SAYING DECREASE 3291 02:19:03,160 --> 02:19:04,360 STIGMA AROUND DISABILITY O 3292 02:19:04,360 --> 02:19:06,440 NORMALIZE DISABILITY TO 3293 02:19:06,440 --> 02:19:08,280 ENCOURAGE OTHERS TO DISCLOSE. SO 3294 02:19:08,280 --> 02:19:12,920 I WOULD SAY THAT ALSO SOME 3295 02:19:12,920 --> 02:19:15,760 PEOPLE MAY NOT EVEN REALIZE THEY 3296 02:19:15,760 --> 02:19:17,480 ARE DISCLOSING OR THAT SOMEONE 3297 02:19:17,480 --> 02:19:20,120 IS DISCLOSING TO THEM. I THIS IS 3298 02:19:20,120 --> 02:19:21,120 IT IS IMPORTANT TO EDUCATE 3299 02:19:21,120 --> 02:19:24,920 PEOPLE ON WHAT CONSTITUTES A 3300 02:19:24,920 --> 02:19:26,760 DISABILITY. IT DOESN'T HAVE TO 3301 02:19:26,760 --> 02:19:28,760 BE IN A WHEELCHAIR OR BLIND OR 3302 02:19:28,760 --> 02:19:31,480 DEAF, THAT THERE IS A PLETHORA 3303 02:19:31,480 --> 02:19:32,600 OF DIVERSITY WITHIN DISABILITY 3304 02:19:32,600 --> 02:19:34,960 AND TO TELL PEOPLE TO ENCOURAGE 3305 02:19:34,960 --> 02:19:39,960 PEOPLE IF THEY ARE HAVING 3306 02:19:39,960 --> 02:19:40,840 IMPAIRMENT OR CONDITION THAT 3307 02:19:40,840 --> 02:19:43,640 SOME WAY LIMITS THEIR 3308 02:19:43,640 --> 02:19:44,600 ACTIVITIES, THAT THAT COUNTS AS 3309 02:19:44,600 --> 02:19:46,720 A DISABILITY. AND SAYING THAT 3310 02:19:46,720 --> 02:19:48,160 WORD OR UNDERSTANDING THAT WORDS 3311 02:19:48,160 --> 02:19:53,320 IF YOU ARE A UP SUPERVISOR 3312 02:19:53,320 --> 02:19:55,200 UNLOCKS KEY TO ACCOMMODATIONS AN 3313 02:19:55,200 --> 02:19:57,960 LETS EVERYBODY KNOW THAT THIS IS 3314 02:19:57,960 --> 02:20:00,680 A PROTECTED ZONE BUT THE LAW IS 3315 02:20:00,680 --> 02:20:04,560 PROTECTING THIS INTERACTION. AND 3316 02:20:04,560 --> 02:20:08,800 THE PERSON HAS A RIGHT. IT PUTS 3317 02:20:08,800 --> 02:20:14,800 EVERYBODY ON ALERT AND ATTENTION 3318 02:20:14,800 --> 02:20:16,240 H. THEY HAVE AN OBLIGATION TO 3319 02:20:16,240 --> 02:20:17,600 HELP THAT PERSON ACCORDING TO 3320 02:20:17,600 --> 02:20:20,160 THE LAW. THE LAST SLIDE I HAVE 3321 02:20:20,160 --> 02:20:21,960 ABOUT DISCLOSURE, IT IS 3322 02:20:21,960 --> 02:20:22,920 IMPORTANT ABOUT THE SYSTEMS WE 3323 02:20:22,920 --> 02:20:24,840 HAVE IN PLACE ENCOURAGE 3324 02:20:24,840 --> 02:20:26,800 DISCLOSURE, THAT THERE IS A 3325 02:20:26,800 --> 02:20:29,160 SYSTEM WHERE BRING BIA PERSON 3326 02:20:29,160 --> 02:20:30,560 DISCLOSES TO AN APPROPRIATE 3327 02:20:30,560 --> 02:20:33,080 PERSON, NOT NECESSARILY A DIRECT 3328 02:20:33,080 --> 02:20:34,760 SUPERVISOR OR PROGRAM DIRECTOR, 3329 02:20:34,760 --> 02:20:36,360 OR THEY ARE NOT FORCED TO MAKE 3330 02:20:36,360 --> 02:20:40,600 REPEATED DISCLOSURES TO MULTIPLE 3331 02:20:40,600 --> 02:20:43,120 SUPERVISORS. ALLEGATION TO MAKE 3332 02:20:43,120 --> 02:20:45,560 HOUR THE PROCESS ISN'T ONEROUS 3333 02:20:45,560 --> 02:20:46,840 AND THAT AFTER ACCOMMODATIONS 3334 02:20:46,840 --> 02:20:51,480 ARE PUT IN PLACE, THAT THERE IS 3335 02:20:51,480 --> 02:20:54,080 FOLLOW-UP. AND THAT IS A 3336 02:20:54,080 --> 02:20:56,480 CONSTANT ITERATIVE INTERACTIVE 3337 02:20:56,480 --> 02:20:59,920 PROCESS. 3338 02:20:59,920 --> 02:21:01,480 >>THANK YOU ALL THREE OF YOU. 3339 02:21:01,480 --> 02:21:04,960 SO THE NEXT QUESTION IS ONE WE 3340 02:21:04,960 --> 02:21:06,200 PLANNED BUT ONE SOME OF YOU 3341 02:21:06,200 --> 02:21:09,520 TOUCHED ON ALREADY SO WE CAN 3342 02:21:09,520 --> 02:21:11,640 MAKE RELATIVELY BRIEF AND MOVE 3343 02:21:11,640 --> 02:21:14,640 TO AUDIENCE QUESTIONS. WHAT I 3344 02:21:14,640 --> 02:21:16,080 HAVE IN MY NOTES IS WE TALKED 3345 02:21:16,080 --> 02:21:18,560 ABOUT HOW ONE OF THE REASONS 3346 02:21:18,560 --> 02:21:20,400 PEOPLE ARE RELUCTANT TO DISCLOSE 3347 02:21:20,400 --> 02:21:21,840 IS BECAUSE OF THEIR EXPERIENCES 3348 02:21:21,840 --> 02:21:24,880 FOLLOWING DISCLOSURE. WHETHER 3349 02:21:24,880 --> 02:21:27,400 THAT IS DISCRIMINATION, STIGMA, 3350 02:21:27,400 --> 02:21:29,600 WHETHER THAT IS ADMINISTRATIVE 3351 02:21:29,600 --> 02:21:32,440 OR PROCEDURAL BARRIERS. ANY 3352 02:21:32,440 --> 02:21:34,640 ADDITIONAL THOUGHTS HOW WE 3353 02:21:34,640 --> 02:21:36,880 IMPROVE PEOPLE'S EXPERIENCES 3354 02:21:36,880 --> 02:21:41,000 FOLLOWING DISCLOSURE? 3355 02:21:41,000 --> 02:21:44,000 >>BRIEFLY I WOULD SAY ASK WHAT 3356 02:21:44,000 --> 02:21:47,760 WE WANT TO GET OUT OF THIS, 3357 02:21:47,760 --> 02:21:49,200 DISCLOSURE OR TRYING TO EDUCATE 3358 02:21:49,200 --> 02:21:52,080 THE OTHER PERSON OR 3359 02:21:52,080 --> 02:21:52,640 ACCOMMODATIONS AN RECOGNIZE 3360 02:21:52,640 --> 02:21:53,240 DISABILITY SOMEONE HAD FOR A 3361 02:21:53,240 --> 02:21:54,880 LONG TIME, THE PERSON HAS A GOOD 3362 02:21:54,880 --> 02:21:56,240 IDEA WHAT THEY NEED AND THEY 3363 02:21:56,240 --> 02:21:58,240 HAVE BEEN ABLE TO GET THIS FOR 3364 02:21:58,240 --> 02:21:59,520 OUR 60 DAY IN THAT YOU ARE SPACE 3365 02:21:59,520 --> 02:22:01,720 SO DON'T DISCOUNT SOMEONE'S -- 3366 02:22:01,720 --> 02:22:03,200 BECAUSE NOW YOU KNOW THEY ALSO 3367 02:22:03,200 --> 02:22:07,760 HAD A DISABILITY ALONG THE WAY. 3368 02:22:07,760 --> 02:22:09,400 >>I HAVE TO SAY ONE THING WE 3369 02:22:09,400 --> 02:22:11,000 SHALL DO IS ANTICIPATE THAT 3370 02:22:11,000 --> 02:22:15,760 DISCLOSURE MIGHT HAPPEN. AND 3371 02:22:15,760 --> 02:22:17,720 RECOGNIZE DISABLED PEOPLE ARE 3372 02:22:17,720 --> 02:22:19,040 ALREADY HERE IN MEDICINE. 3373 02:22:19,040 --> 02:22:20,240 SOMETHING THAT SAFER FOR PEOPLE 3374 02:22:20,240 --> 02:22:24,480 TO DISCLOSE. RATHER THAN THE 3375 02:22:24,480 --> 02:22:26,760 WORK ON THE BACK END. 3376 02:22:26,760 --> 02:22:29,880 >>PUTTING SYSTEMS IN PLACE 3377 02:22:29,880 --> 02:22:32,080 WHERE TAKES THE ONUS OFF 3378 02:22:32,080 --> 02:22:33,880 DISABLED PERSON, LIKE I SAID 3379 02:22:33,880 --> 02:22:37,360 EARLIER TO DISCLOSE REPEATEDLY 3380 02:22:37,360 --> 02:22:39,840 BUT OFFICES OF ACCESSIBLE 3381 02:22:39,840 --> 02:22:41,760 EDUCATION SHOULD HAVE STAFF TO 3382 02:22:41,760 --> 02:22:43,560 FACILITATE THIS SORT OF 3383 02:22:43,560 --> 02:22:45,800 COMMUNICATION TO ENSURE THE 3384 02:22:45,800 --> 02:22:47,640 RIGHT PEOPLE ONLY PROPER PEOPLE 3385 02:22:47,640 --> 02:22:49,360 ARE AWARE OF THE ACCOMMODATIONS 3386 02:22:49,360 --> 02:22:53,240 THAT ARE NEEDED. AND THAT DON'T 3387 02:22:53,240 --> 02:22:55,680 OVERSHARE THE WHY THEY NEED 3388 02:22:55,680 --> 02:22:57,480 ACCOMMODATIONS. THAT TO EDUCATE 3389 02:22:57,480 --> 02:22:59,200 PEOPLE THAT IT IS NOT 3390 02:22:59,200 --> 02:23:00,680 APPROPRIATE TO ASK PERSONAL 3391 02:23:00,680 --> 02:23:01,840 QUESTIONS ABOUT WHAT IS 3392 02:23:01,840 --> 02:23:03,960 DISABILITY OR THAT WHEN YOU HAVE 3393 02:23:03,960 --> 02:23:06,080 A DISABLED STUDENT OR RESIDENT 3394 02:23:06,080 --> 02:23:08,280 YOU APPROACH THEM AS A PATIENT, 3395 02:23:08,280 --> 02:23:10,920 ESPECIALLY IF THEY HAVE UNKNOWN 3396 02:23:10,920 --> 02:23:12,440 DIAGNOSIS AND PROBING AND 3397 02:23:12,440 --> 02:23:13,880 PRODDING AND TRYING TO FIGURE 3398 02:23:13,880 --> 02:23:15,520 OUT QUOTE UNQUOTE WHAT IS WRONG 3399 02:23:15,520 --> 02:23:17,160 WITH THEM. BUT ACCORDING TO THE 3400 02:23:17,160 --> 02:23:19,320 LAW, THIS HAS TO BE AN 3401 02:23:19,320 --> 02:23:20,400 INTERACTIVE PROCESS. IT IS NOT 3402 02:23:20,400 --> 02:23:23,000 JUST A ONE AND DONE. YOU DON'T 3403 02:23:23,000 --> 02:23:26,400 DISCLOSE GET ACCOMMODATIONS AND 3404 02:23:26,400 --> 02:23:27,720 IMPLEMENT THEM BUT YET YOU ARE 3405 02:23:27,720 --> 02:23:30,440 OBLIGATED TO FOLLOW-UP AND TO 3406 02:23:30,440 --> 02:23:32,560 MAKE SURE THAT THE 3407 02:23:32,560 --> 02:23:33,840 ACCOMMODATIONS ARE EFFECTIVE AND 3408 02:23:33,840 --> 02:23:36,320 IF CHANGES NEED TO BE MADE TO 3409 02:23:36,320 --> 02:23:39,280 MAKE THEM. IT IS NOT ENOUGH TO 3410 02:23:39,280 --> 02:23:40,800 JUST HAND A STUDENT A LETTER AND 3411 02:23:40,800 --> 02:23:46,400 SEND THEM ON THEIR WAY. 3412 02:23:46,400 --> 02:23:49,320 >>I AM GOING TO MOVE TO THE 3413 02:23:49,320 --> 02:23:51,760 QUESTIONS IN THE Q&A. I WANT TO 3414 02:23:51,760 --> 02:23:53,080 ACKNOWLEDGE OFF BAT THERE ARE 3415 02:23:53,080 --> 02:23:55,040 AMAZING QUESTIONS HERE, WE ARE 3416 02:23:55,040 --> 02:23:57,200 NOT GOING TO GET TO ALL OF THEM. 3417 02:23:57,200 --> 02:23:58,680 I THINK WHAT WE ARE GOING TO DO 3418 02:23:58,680 --> 02:24:01,600 IS GET TO AS MANY AS WE CAN AND 3419 02:24:01,600 --> 02:24:03,840 WE WILL CIRCULATE THE QUESTIONS 3420 02:24:03,840 --> 02:24:06,240 TO OUR PANELISTS AN TO THE 3421 02:24:06,240 --> 02:24:07,160 PARTICIPANTS AFTER THE MEETING 3422 02:24:07,160 --> 02:24:10,160 AND GIVE PEOPLE THE OPPORTUNITY 3423 02:24:10,160 --> 02:24:11,240 TO RESPOND IN MEETING A Z WELL 3424 02:24:11,240 --> 02:24:13,080 AND WE WILL TRY TO POST THAT 3425 02:24:13,080 --> 02:24:15,080 SOMEWHERE. I'M GOING TO START 3426 02:24:15,080 --> 02:24:16,520 GOING THROUGH THESE. ONE 3427 02:24:16,520 --> 02:24:18,440 ATTENDEE ASKS ARE WILL RESOURCES 3428 02:24:18,440 --> 02:24:21,440 BESIDES A LAWYER, FOR TRAIN 3429 02:24:21,440 --> 02:24:24,480 TRAINEES OR RESIDENTS WITH 3430 02:24:24,480 --> 02:24:26,200 DISABILITY WHO ARGUING 3431 02:24:26,200 --> 02:24:27,560 ACCOMMODATIONS ARE UNREASONABLE 3432 02:24:27,560 --> 02:24:28,960 WITHOUT HAVING TO FURTHER ARGUE 3433 02:24:28,960 --> 02:24:35,600 OR CONFIRM THAT CONCLUSION? 3434 02:24:35,600 --> 02:24:37,400 >>IT CAN BE HELPFUL TO REACH 3435 02:24:37,400 --> 02:24:39,920 OUT TO THE DISABILITY COMMUNITY. 3436 02:24:39,920 --> 02:24:41,800 IF YOU CAN -- I HAVE HEARD FROM 3437 02:24:41,800 --> 02:24:45,320 SOME PEOPLE THAT SHARING 3438 02:24:45,320 --> 02:24:48,080 INFORMATION ABOUT ANOTHER PERSON 3439 02:24:48,080 --> 02:24:49,560 WITH A SIMILAR DISABILITY THAT'S 3440 02:24:49,560 --> 02:24:51,400 BEEN SUCCESSFULLY ACCOMMODATED 3441 02:24:51,400 --> 02:24:53,320 CAN BE POWERFUL. I KNOW PEOPLE 3442 02:24:53,320 --> 02:24:56,200 HAVE USED MY SITUATION AS 3443 02:24:56,200 --> 02:24:57,720 ANECDOTE TO SHOW THAT SOMEBODY 3444 02:24:57,720 --> 02:24:59,600 WITH PARALYSIS CAN DO A 3445 02:24:59,600 --> 02:25:02,280 RESIDENCY IN RADIOLOGY. FOR 3446 02:25:02,280 --> 02:25:04,600 EXAMPLE. SO THE PROBLEM IS THAT 3447 02:25:04,600 --> 02:25:07,600 PEOPLE DON'T KNOW A LOT OF OTHER 3448 02:25:07,600 --> 02:25:11,600 DISABLED PE PEOPLE SOMETIMES AND 3449 02:25:11,600 --> 02:25:14,040 FEEL ALONE, THAT'S WHERE SOCIETY 3450 02:25:14,040 --> 02:25:17,960 FOR PHYSICIANS WITH DISABILITIES 3451 02:25:17,960 --> 02:25:19,680 COMES IN, DR. KIM HAS A THOUSAND 3452 02:25:19,680 --> 02:25:22,680 PEOPLE ON LIST SERVE WITH ALL 3453 02:25:22,680 --> 02:25:24,720 SORTS OF DISABILITIES WHO ARE 3454 02:25:24,720 --> 02:25:25,440 WILLING TO ANSWER QUESTIONS AND 3455 02:25:25,440 --> 02:25:28,400 PLUG FOR OUR IT IS ABILITY 3456 02:25:28,400 --> 02:25:29,720 MENTORSHIP -- DISABILITY 3457 02:25:29,720 --> 02:25:31,000 MENTORSHIP PROGRAM, PEOPLE CAN 3458 02:25:31,000 --> 02:25:36,080 SEEK OUT OTHERS WITH SIMILAR 3459 02:25:36,080 --> 02:25:41,160 DISABILITIES TO STRATEGIZE BEST 3460 02:25:41,160 --> 02:25:42,800 WAYS TO GET OUR NEEDS MET. 3461 02:25:42,800 --> 02:25:45,000 >>MOVE TO THE NEXT QUESTION. 3462 02:25:45,000 --> 02:25:46,960 AGAIN, THIS SOMETHING THAT I 3463 02:25:46,960 --> 02:25:48,920 THINK Y'ALL TOUCHED ON BUT AN 3464 02:25:48,920 --> 02:25:50,440 INTERESTING FRAMING. CAN THE 3465 02:25:50,440 --> 02:25:52,080 SPEAKERS ADDRESS HOW THE ISSUE 3466 02:25:52,080 --> 02:25:54,200 OF DISABILITY -- ADDRESS THE 3467 02:25:54,200 --> 02:25:56,960 ISSUE OF DISABILITY TOKENISM IN 3468 02:25:56,960 --> 02:25:58,560 DEIA EFFORTS? HOW CAN WE 3469 02:25:58,560 --> 02:26:00,320 ENCOURAGE RESEARCHERS AND 3470 02:26:00,320 --> 02:26:03,400 CLINICIANS WITH INVISIBLE 3471 02:26:03,400 --> 02:26:05,680 DISABILITIES TO DISCLOSE THEIR 3472 02:26:05,680 --> 02:26:09,920 STATUS? 3473 02:26:09,920 --> 02:26:12,200 >>TO BE HONEST I'M ALMOST GLAD 3474 02:26:12,200 --> 02:26:15,080 YOU ARE ASKING ABOUT TOKENISM 3475 02:26:15,080 --> 02:26:16,200 MOST TIME WE ARE NOT THERE YET. 3476 02:26:16,200 --> 02:26:18,440 TO BE A TOKEN PERSON THEY HAD TO 3477 02:26:18,440 --> 02:26:20,160 HAVE SOMEONE WILL TO BEGIN WITH 3478 02:26:20,160 --> 02:26:22,000 AND MOST OF THE FIGHT IS ALONG 3479 02:26:22,000 --> 02:26:24,560 LINES INCLUDING DISABILITY AT 3480 02:26:24,560 --> 02:26:26,880 ALALL. SO LETS THEM ADDRESS 3481 02:26:26,880 --> 02:26:29,160 THOUSAND GET TO THE NEXT STEP 3482 02:26:29,160 --> 02:26:31,080 PAST THAT. BUT IN TERMS OF 3483 02:26:31,080 --> 02:26:33,600 VISIBLE DISABILITY, NOT UPDATED 3484 02:26:33,600 --> 02:26:36,680 BUT INVISIBLY DISABLED P AND IN 3485 02:26:36,680 --> 02:26:38,560 ORDER TO DISCLOSE YOU HAVE TO 3486 02:26:38,560 --> 02:26:41,760 MAKE PEOPLE FEEL SAFE DOING SO, 3487 02:26:41,760 --> 02:26:43,800 NOT AS MUCH WORRIED ABOUT WHAT 3488 02:26:43,800 --> 02:26:45,320 KINDS OF DISCRIMINATION THEY ARE 3489 02:26:45,320 --> 02:26:47,280 GOING TO FACE IF PEOPLE KNOW 3490 02:26:47,280 --> 02:26:50,200 BECAUSE THAT IS FOR MOST PEOPLE, 3491 02:26:50,200 --> 02:26:53,360 THE BIG BARRIER, THAT AS ATALKED 3492 02:26:53,360 --> 02:26:56,920 ABOUT BEFORE PEOPLE MIGHT NOT 3493 02:26:56,920 --> 02:26:58,280 FEEL THEY HAVE DISCLOSE WITHOUT 3494 02:26:58,280 --> 02:26:59,840 DOCUMENTATION. THAT'S FIVE 3495 02:26:59,840 --> 02:27:00,960 YEARS BETWEEN WHEN I DISCLOSED 3496 02:27:00,960 --> 02:27:02,240 BECAUSE I DIDN'T HAVE PAPERWORK 3497 02:27:02,240 --> 02:27:05,400 AT THE TIME. 3498 02:27:05,400 --> 02:27:10,720 >>I WOULD SAY FOR MULTIPLE 3499 02:27:10,720 --> 02:27:13,760 REASONS, THE IDEA OF TOKENISM IN 3500 02:27:13,760 --> 02:27:16,920 DEIA IS SOMETHING I HAD PERSONAL 3501 02:27:16,920 --> 02:27:18,400 EXPERIENCE WITH. ONE OF THE 3502 02:27:18,400 --> 02:27:20,560 THINGS I USUAL USUALLY SAY WHEN 3503 02:27:20,560 --> 02:27:22,840 I'M ON ONE OF THESE DEI 3504 02:27:22,840 --> 02:27:24,440 COMMITTEES OR WORKING ON 3505 02:27:24,440 --> 02:27:25,920 PROJECTS IS THAT I CANNOT BE 3506 02:27:25,920 --> 02:27:28,440 EVERYTHING TO EVERYBODY. THE ONE 3507 02:27:28,440 --> 02:27:29,760 PERSON REPRESENT THE ENTIRE 3508 02:27:29,760 --> 02:27:31,320 DISABILITY COMMUNITY NOR SHOULD 3509 02:27:31,320 --> 02:27:32,320 THEY. JUST THINKING ABOUT THE 3510 02:27:32,320 --> 02:27:35,040 FACT THAT THERE IS SO MUCH 3511 02:27:35,040 --> 02:27:37,880 DIVERSITY WITHIN DISABILITY, AND 3512 02:27:37,880 --> 02:27:40,080 THAT'S BECAUSE INDIVIDUAL 3513 02:27:40,080 --> 02:27:43,000 CONDITIONS THAT IS BECAUSE I'M A 3514 02:27:43,000 --> 02:27:45,000 BLACK LATINA DISABLED PERSON, I 3515 02:27:45,000 --> 02:27:46,080 MIGHT NOT HAVE THE SAME 3516 02:27:46,080 --> 02:27:47,400 EXPERIENCE AS SOMEONE NOT THOSE 3517 02:27:47,400 --> 02:27:48,960 THINGS. SO TRYING TO MAKE SURE 3518 02:27:48,960 --> 02:27:51,000 THAT IF YOU ARE TALKING ABOUT 3519 02:27:51,000 --> 02:27:52,680 DISABILITY IN DEI YOU GET AS 3520 02:27:52,680 --> 02:27:53,320 MANY REPRESENTATIONS AS 3521 02:27:53,320 --> 02:27:55,680 POSSIBLEPOSSIBLE. IS SOMETHINGE 3522 02:27:55,680 --> 02:27:57,160 SHOULD DO. I THINK THAT ONE 3523 02:27:57,160 --> 02:27:58,800 THING WE DON'T DO AS OFTEN AS WE 3524 02:27:58,800 --> 02:28:00,240 SHOULD IN MEDICINE IS LOOK 3525 02:28:00,240 --> 02:28:03,680 OUTSIDE OF MEDICINE FOR 3526 02:28:03,680 --> 02:28:05,680 EXPERTISE. FOR DATA, FOR 3527 02:28:05,680 --> 02:28:07,280 WHATEVER OTHER KINDS OF 3528 02:28:07,280 --> 02:28:08,760 INFORMATION COULD BE HELPFUL TO 3529 02:28:08,760 --> 02:28:10,720 US. SOME OF THE THINGS I TRY TO 3530 02:28:10,720 --> 02:28:12,760 ENCOURAGE NOT JUST IN DEI 3531 02:28:12,760 --> 02:28:13,960 COMMUNITIES BUT OTHER PEOPLE I 3532 02:28:13,960 --> 02:28:15,400 MIGHT BE WORKING WITH IS TO 3533 02:28:15,400 --> 02:28:16,960 PARTNER WITH DISABLED PEOPLE IN 3534 02:28:16,960 --> 02:28:18,320 THE COMMUNITIES WITH WHICH YOU 3535 02:28:18,320 --> 02:28:21,720 ARE TRYING TO WORK. TO MAKE SURE 3536 02:28:21,720 --> 02:28:23,560 THE WORK YOU ARE DOING IS 3537 02:28:23,560 --> 02:28:25,560 APPLICABLE FOR THEM. ONE THING I 3538 02:28:25,560 --> 02:28:27,400 HAD ANOTHER STUDENT OR STUDENT 3539 02:28:27,400 --> 02:28:30,200 ASK ME, SPECIFICALLY DOING SOME 3540 02:28:30,200 --> 02:28:32,040 WORK WITH LIKE BLACK AUTISTIC 3541 02:28:32,040 --> 02:28:35,880 COMMUNITY AND THEY ARE LIKE IT'S 3542 02:28:35,880 --> 02:28:37,120 GOOD, WE HAVE REPRESENTATION FOR 3543 02:28:37,120 --> 02:28:38,720 THE DISABILITY COMMUNITY. I'M 3544 02:28:38,720 --> 02:28:40,240 NOT NEUROTYPICAL BUT I'M NOT 3545 02:28:40,240 --> 02:28:42,080 AUTISTIC. SO IF I WANT TO MAKE 3546 02:28:42,080 --> 02:28:44,400 SURE I'M HAVING THAT REPRESENTED 3547 02:28:44,400 --> 02:28:46,000 IN THE WORK I'M DOING I GOT TO 3548 02:28:46,000 --> 02:28:47,760 GET SOMEBODY WHO IDENTIFIES WITH 3549 02:28:47,760 --> 02:28:49,080 THAT COMMUNITY, MULTIPLE PEOPLE 3550 02:28:49,080 --> 02:28:52,120 TO TRY TO SEE IF I CAN GET THOSE 3551 02:28:52,120 --> 02:28:53,920 PERSPECTIVES INCLUDED FROM THE 3552 02:28:53,920 --> 02:28:55,960 OUTSIDE OF STARTING ANY SUBJECT. 3553 02:28:55,960 --> 02:28:57,400 SO I THINK THAT THAT WOULD BE 3554 02:28:57,400 --> 02:28:59,760 ONE WAY NOT JUST HAVING ONE 3555 02:28:59,760 --> 02:29:01,800 PERSON IF YOU CAN GET THERE. BUT 3556 02:29:01,800 --> 02:29:04,120 TRYING TO SEE THAT IF YOU CAN 3557 02:29:04,120 --> 02:29:05,840 GET MULTIPLE PEOPLE TO HAVE 3558 02:29:05,840 --> 02:29:08,520 MULTIPLE KINDS OF PERSPECTIVES. 3559 02:29:08,520 --> 02:29:11,840 >>ANOTHER WAY TO AVOID TOKENISM 3560 02:29:11,840 --> 02:29:14,920 IS TO BE AN ALLY TO OTHERS, I 3561 02:29:14,920 --> 02:29:20,120 SHOW UP IN DIVERSITY SPACES AS 3562 02:29:20,120 --> 02:29:22,320 DISABLED PERSON BUT ALSO WHITE 3563 02:29:22,320 --> 02:29:23,680 MALE THAT GIVES ME CERTAIN 3564 02:29:23,680 --> 02:29:28,160 AMOUNT OF PRIVILEGE. DOESN'T 3565 02:29:28,160 --> 02:29:31,760 ALLOW ME TO REALLY -- I KNOW 3566 02:29:31,760 --> 02:29:36,440 PERSONAL EXMEANS BEING RACIALLY 3567 02:29:36,440 --> 02:29:38,440 MINORITIZED INDIVIDUAL SO I HAVE 3568 02:29:38,440 --> 02:29:40,520 TO REALIZE THAT MY PERSPECTIVE 3569 02:29:40,520 --> 02:29:46,480 IS JUST ONE BUT THAT RECOGNIZING 3570 02:29:46,480 --> 02:29:49,560 DIVERSITY OF DISABILITY THAT I'M 3571 02:29:49,560 --> 02:29:53,360 THERE TO REPRESENT THE 3572 02:29:53,360 --> 02:29:55,720 COMMUNITY. I TRY TO LOOK TO 3573 02:29:55,720 --> 02:29:57,040 PRINCIPLES OF DISABILITY JUSTICE 3574 02:29:57,040 --> 02:30:00,840 WHICH IS A MOVEMENT STARTED BY 3575 02:30:00,840 --> 02:30:02,600 PEOPLE OF COLOR AND SEXUAL AND 3576 02:30:02,600 --> 02:30:10,840 GENDER MINORITIES TO ADVANCE THE 3577 02:30:10,840 --> 02:30:14,400 INCLUSION, THE TREATMENT P 3578 02:30:14,400 --> 02:30:16,400 BASICALLY TO IMPROVE THE 3579 02:30:16,400 --> 02:30:19,040 SITUATION FOR DISABLED PEOPLE. 3580 02:30:19,040 --> 02:30:23,240 SO I DON'T HAVE THAT EXPERIENCE 3581 02:30:23,240 --> 02:30:24,560 BUT THEY HAVE IMPORTANT TENANTS 3582 02:30:24,560 --> 02:30:27,080 AS PART OF THEIR MOVEMENT THAT I 3583 02:30:27,080 --> 02:30:30,560 TRIED TO IMPLEMENT. ONE OF THOSE 3584 02:30:30,560 --> 02:30:33,160 IS CROSS MOVEMENT ORGANIZING. 3585 02:30:33,160 --> 02:30:35,280 THUS BECOMING AN ALLY OR BEING 3586 02:30:35,280 --> 02:30:38,720 AN ALLY COME IN TO REALIZE THAT 3587 02:30:38,720 --> 02:30:39,960 IT IS IMPORTANT WE ALL SUPPORT 3588 02:30:39,960 --> 02:30:44,000 EACH OTHER THAT ANTI-RACIST 3589 02:30:44,000 --> 02:30:47,320 EFFORTS ALSO ARE ANTI--- 3590 02:30:47,320 --> 02:30:49,440 ANTI-ABLEIST AND VICE VERSA. THE 3591 02:30:49,440 --> 02:30:50,480 LEADERSHIP ARE THE MOST IMPACTED 3592 02:30:50,480 --> 02:30:52,520 SO LISTENING TO STUDENTS AND 3593 02:30:52,520 --> 02:30:54,680 RESIDENTS AND STAFF AND THOSE IN 3594 02:30:54,680 --> 02:31:00,400 LESS PRIVILEGED POSITIONS, AND 3595 02:31:00,400 --> 02:31:02,520 FOLLOWING THEIR LEAD SO TO 3596 02:31:02,520 --> 02:31:04,640 SPEAK. I THINK YOU HAVE THE 3597 02:31:04,640 --> 02:31:07,880 PROGRESS BENEFITS ALL OF US. 3598 02:31:07,880 --> 02:31:11,280 >>AWESOME. I DO WANT TO 3599 02:31:11,280 --> 02:31:13,000 ACKNOWLEDGE FOR OUR VIEWERS WE 3600 02:31:13,000 --> 02:31:16,000 ARE AT PUBLISHED BREAK TIME. BUT 3601 02:31:16,000 --> 02:31:17,840 THERE ARE ALL THESE QUESTIONS SO 3602 02:31:17,840 --> 02:31:19,240 WE TOTALLY UNDERSTAND IF PEOPLE 3603 02:31:19,240 --> 02:31:20,720 NEED TO STEP AWAY BECAUSE THEY 3604 02:31:20,720 --> 02:31:21,880 HAVE OTHER COMMITMENTS BECAUSE 3605 02:31:21,880 --> 02:31:23,680 IF FOR THOSE WHO HAVE THE 3606 02:31:23,680 --> 02:31:25,240 FLEXIBILITY TO STAY, I WOULD 3607 02:31:25,240 --> 02:31:26,880 LIKE TO POLL TWO MORE QUESTIONS 3608 02:31:26,880 --> 02:31:30,520 FROM OUR PANELISTS. ONE IS A 3609 02:31:30,520 --> 02:31:32,000 RELATIVELY LONG WINDED, I WOULD 3610 02:31:32,000 --> 02:31:35,160 LIKE TO READ VERBATIM. WE KNOW 3611 02:31:35,160 --> 02:31:36,720 FROM PROFESSOR ELIZABETH 3612 02:31:36,720 --> 02:31:37,880 MORGAN'S TALK THAT OFTEN 3613 02:31:37,880 --> 02:31:40,360 INCREASE KNOWLEDGE AND EDUCATION 3614 02:31:40,360 --> 02:31:42,080 REDUCE EXPLICIT BIAS BUT 3615 02:31:42,080 --> 02:31:45,200 INCREASE IMPLICIT BIAS. SHE 3616 02:31:45,200 --> 02:31:47,600 EXPLAINED THIS SUGGESTS DOCTORS 3617 02:31:47,600 --> 02:31:50,400 EDUCATION CONTRIBUTES TO 3618 02:31:50,400 --> 02:31:51,560 ABLEISMs MEANS BY PATIENTS IN 3619 02:31:51,560 --> 02:31:53,520 HEALTHCARE SETTINGS INTRODUCING 3620 02:31:53,520 --> 02:31:54,600 ANOTHER BARRIER. CAN YOU COMMENT 3621 02:31:54,600 --> 02:31:56,840 HOW PRACTICERS WITH DISABILITY 3622 02:31:56,840 --> 02:31:59,720 REDUCE HARMFUL UNINTENDED 3623 02:31:59,720 --> 02:32:01,720 CONSEQUENCE OF INCREASE IMPLICIT 3624 02:32:01,720 --> 02:32:03,920 BIAS, DUE TO INCREASED 3625 02:32:03,920 --> 02:32:07,480 EDUCATION? HAVE YOU SEEN CHANGES 3626 02:32:07,480 --> 02:32:10,400 IN YOUR ABLED COLLEAGUES? 3627 02:32:10,400 --> 02:32:13,680 >>I CAN START THIS QUESTION AND 3628 02:32:13,680 --> 02:32:16,560 CREDIT TO DR. BETHANY, 3629 02:32:16,560 --> 02:32:18,400 DEVELOPMENTAL PEDIATRICIAN. WHO 3630 02:32:18,400 --> 02:32:19,880 POINTED OUT THAT IN MEDICAL 3631 02:32:19,880 --> 02:32:21,400 TRAINING, WE SPEND THE VAST 3632 02:32:21,400 --> 02:32:22,680 MAJORITY OF TIME ON THE 3633 02:32:22,680 --> 02:32:24,360 INPATIENT FLOORS IN THE 3634 02:32:24,360 --> 02:32:25,960 HOSPITALS. SO SHE COMES FROM 3635 02:32:25,960 --> 02:32:27,200 PEDIATRIC BACK GROWN, AS AN 3636 02:32:27,200 --> 02:32:30,360 EXAMPLE TALKED HOW WHEN SHE 3637 02:32:30,360 --> 02:32:31,440 LEARNED AND COLLEAGUE LEARN 3638 02:32:31,440 --> 02:32:34,680 ABOUT KIDS WITH TYPE 1 DIABETES, 3639 02:32:34,680 --> 02:32:36,400 THAT THE KIDS THEY SEE IN THE 3640 02:32:36,400 --> 02:32:37,720 HOSPITAL ARE GOING TO BE AN 3641 02:32:37,720 --> 02:32:39,600 OVERREPRESENTATION OF THE KIDS 3642 02:32:39,600 --> 02:32:42,480 WHO HAVE A MORE SIMILAR FORM OF 3643 02:32:42,480 --> 02:32:43,720 DISEASE OR HARDER TIME MANAGING 3644 02:32:43,720 --> 02:32:44,960 IT AND THAT IS BECAUSE THOSE ARE 3645 02:32:44,960 --> 02:32:45,600 THE ONES. 3646 02:32:45,600 --> 02:32:47,280 COOING BACK TO THE HOSPITAL. IF 3647 02:32:47,280 --> 02:32:50,200 OF A KID WHO GETS HOSPITALSED 3648 02:32:50,200 --> 02:32:52,520 DISABILITY DISEASE ONSET AN GOES 3649 02:32:52,520 --> 02:32:54,680 HOME AND MANAGES GREAT AND NO 3650 02:32:54,680 --> 02:32:56,080 PROBLEMS THEY DON'T PRESENT TO 3651 02:32:56,080 --> 02:32:58,200 HEALTHCARE. SO WHAT THAT MEANS 3652 02:32:58,200 --> 02:32:59,720 IS THAT AS PHYSICIANS AS WE GO 3653 02:32:59,720 --> 02:33:01,360 THROUGH TRAINING, WE ARE 3654 02:33:01,360 --> 02:33:03,960 PRESENTED WITH 3655 02:33:03,960 --> 02:33:06,440 INCREASINGBLYINGLY SKEWED 3656 02:33:06,440 --> 02:33:07,960 PERSPECTIVE OF WHAT LIFE WITH 3657 02:33:07,960 --> 02:33:08,880 DISABILITY LOOKS LIKE BECAUSE 3658 02:33:08,880 --> 02:33:11,120 WHICH ONLY SEE PEOPLE WILL THE 3659 02:33:11,120 --> 02:33:12,560 MOST SEVERE POINTS OF THEIR LIVE 3660 02:33:12,560 --> 02:33:14,000 AND WE SEE THEM AT THE WORST 3661 02:33:14,000 --> 02:33:16,040 POINT OFTEN IN THAT EPISODE OF 3662 02:33:16,040 --> 02:33:17,960 WHATEVER IT IS. AND SO THE WAY 3663 02:33:17,960 --> 02:33:19,880 OUR TRAINING IS PUT TOGETHER, IT 3664 02:33:19,880 --> 02:33:23,200 IS REALLY IN A WAY SET UP TO 3665 02:33:23,200 --> 02:33:27,200 GIVE OUR COLLEAGUES HERE A 3666 02:33:27,200 --> 02:33:28,360 REALLY UNDER-REPRESENTED SAMPLE 3667 02:33:28,360 --> 02:33:29,800 OF WHAT IT MEANS TO LIVE WITH 3668 02:33:29,800 --> 02:33:31,360 ANY CONDITION. THERE'S STUDIES 3669 02:33:31,360 --> 02:33:33,840 THAT HAVE SHOWN DIFFERENCES IN 3670 02:33:33,840 --> 02:33:37,080 SOME OF THE ASPECT OF BIAS 3671 02:33:37,080 --> 02:33:39,040 AROUND DISABILITY RELATED TO 3672 02:33:39,040 --> 02:33:40,320 WHAT SPECIALTY PEOPLE WERE IN 3673 02:33:40,320 --> 02:33:41,960 FOR THE PARTICULAR SCENARIO THEY 3674 02:33:41,960 --> 02:33:44,200 WERE TALKING ABOUT, WHAT POINT 3675 02:33:44,200 --> 02:33:45,200 ALONG CARE PATHWAY SEEING 3676 02:33:45,200 --> 02:33:46,440 PATIENTS WHETHER THAT IS IN 3677 02:33:46,440 --> 02:33:51,400 THERE LIKE INTENSIVE CARE UNIT 3678 02:33:51,400 --> 02:33:52,760 WORST POINT VERSUS SOMEBODY SEES 3679 02:33:52,760 --> 02:33:54,080 THESE KIDS OUTPATIENT FOR YEARS 3680 02:33:54,080 --> 02:33:55,360 AND HEAR ABOUT THEM GOING ABOUT 3681 02:33:55,360 --> 02:33:56,760 EVERY DAY LIVES. SO I THINK 3682 02:33:56,760 --> 02:33:58,440 THAT'S ONE OF THE REASONS WHY AT 3683 02:33:58,440 --> 02:34:00,280 LEAST IN THIS SPECIFIC SETTING, 3684 02:34:00,280 --> 02:34:01,520 INCREASED EDUCATION LEADS TO 3685 02:34:01,520 --> 02:34:03,240 INCREASE IMPLICIT BIAS. BECAUSE 3686 02:34:03,240 --> 02:34:04,720 OF SPECIFICALLY WHAT THAT 3687 02:34:04,720 --> 02:34:09,080 EDUCATION ENTAILS. AS DISABLED 3688 02:34:09,080 --> 02:34:10,440 PERSON IN MEDICINE ONE THING WE 3689 02:34:10,440 --> 02:34:12,760 CAN DO BY BEING THERE AND EVEN 3690 02:34:12,760 --> 02:34:15,880 BEING BLANKET DISCLOSING LIKE I 3691 02:34:15,880 --> 02:34:17,480 DO WITHOUT SPECIFICS IS IT MAKES 3692 02:34:17,480 --> 02:34:20,720 THE POINT TO MY COLLEAGUES THAT 3693 02:34:20,720 --> 02:34:23,120 THERE IS -- I LIKE TO PUT IT 3694 02:34:23,120 --> 02:34:24,760 PATIENTS DON'T HAVE MONOPOLY ON 3695 02:34:24,760 --> 02:34:26,760 DISABILITY. THERE IS MORE 3696 02:34:26,760 --> 02:34:27,760 OVERLAP BETWEEN DISABLE 3697 02:34:27,760 --> 02:34:29,560 POPULATION AN COLLEAGUES, IT 3698 02:34:29,560 --> 02:34:33,200 GIVES AN EXAMPLE OF PEOPLE 3699 02:34:33,200 --> 02:34:35,040 DISABLED PEOPLE CAN SUCCEED AND 3700 02:34:35,040 --> 02:34:37,160 HAVE CAREERS, CAN BE THEIR 3701 02:34:37,160 --> 02:34:38,280 COLLEAGUES. THAT SAN IMPORTANT 3702 02:34:38,280 --> 02:34:44,720 PIECE OF WHAT WE CAN DO. 3703 02:34:44,720 --> 02:34:48,080 >>THAT WAS ABSOLUTELY FANTASTIC 3704 02:34:48,080 --> 02:34:51,680 ANSWER. I COMPLETELY AGREED. I 3705 02:34:51,680 --> 02:34:54,240 THIS I THAT PARTICULARLY WITHIN 3706 02:34:54,240 --> 02:34:56,360 NEUROLOGY PEDIATRIC NEUROLOGY, 3707 02:34:56,360 --> 02:34:58,200 WE ARE NOT SEEING PEOPLE LIKE 3708 02:34:58,200 --> 02:35:02,400 YEARS DOWN THE LINE. SO I'M 3709 02:35:02,400 --> 02:35:05,280 THINKING MY OWN USING MYSELF AS 3710 02:35:05,280 --> 02:35:06,600 AN EXAMPLE, YOU MIGHT SEE THAT 3711 02:35:06,600 --> 02:35:09,240 PERSON AT THE MOMENT THEY HAD A 3712 02:35:09,240 --> 02:35:10,600 VEHICLE, WE ARE FIRST RESPONDERS 3713 02:35:10,600 --> 02:35:12,960 TO STROKE IN THE HOSPITAL. WE 3714 02:35:12,960 --> 02:35:14,200 MIGHT SEE THEM OFTEN TO THE 3715 02:35:14,200 --> 02:35:16,320 POINT THEY DISCHARGE TO 3716 02:35:16,320 --> 02:35:18,920 REHABILITATION FACILITY OR HOME 3717 02:35:18,920 --> 02:35:20,680 OR WHEREVER. AND IF WE ARE NOT 3718 02:35:20,680 --> 02:35:22,760 WORKING IN STROKE WE DON'T 3719 02:35:22,760 --> 02:35:24,120 NECESSARILY SEE THEM FIVE, TEN, 3720 02:35:24,120 --> 02:35:27,560 15 YEARS LATER. BY BEING MORE 3721 02:35:27,560 --> 02:35:28,760 OPEN ABOUT WHAT MY OWN 3722 02:35:28,760 --> 02:35:30,200 EXPERIENCES ARE I CAN TALK ABOUT 3723 02:35:30,200 --> 02:35:32,800 THE FACT THAT I'M AN EXAMPLE OF 3724 02:35:32,800 --> 02:35:34,400 WHAT CAN HAPPEN, WHAT LIFE CAN 3725 02:35:34,400 --> 02:35:37,000 BE LIKE FIVE, TEN, 15 YEARS 3726 02:35:37,000 --> 02:35:38,480 LATER. AND I TEND TO 3727 02:35:38,480 --> 02:35:41,200 PARTICULARLY WITH MY TRAINEES, 3728 02:35:41,200 --> 02:35:43,640 LESS SO THAN WITH COLLEAGUES 3729 02:35:43,640 --> 02:35:45,920 THOUGH SURE LET THEM NOTICE 3730 02:35:45,920 --> 02:35:48,440 POINT, BE AN EXAMPLE FOR YES, 3731 02:35:48,440 --> 02:35:50,360 OKAY, I'M HERE, I'M WORKING I 3732 02:35:50,360 --> 02:35:52,200 SEEM LIKE I'M DOING PRETTY WELL, 3733 02:35:52,200 --> 02:35:54,320 I LIKE TO THINK THAT I HAVE A 3734 02:35:54,320 --> 02:35:59,840 DECENT LIFE, BUT STILL DEALING 3735 02:35:59,840 --> 02:36:01,800 WITH AFFECT OF STROKE, CANCER, 3736 02:36:01,800 --> 02:36:03,040 PHYSICAL THERAPY, OAR ISSUES SO 3737 02:36:03,040 --> 02:36:04,960 IT IS NOT -- OTHER ISSUES COMING 3738 02:36:04,960 --> 02:36:06,440 UP SO NOT JUST THIS ONE THING 3739 02:36:06,440 --> 02:36:11,080 HAPPENED. THAT'S ALL. YES. I AM 3740 02:36:11,080 --> 02:36:13,200 LIVING LIFE AFTER ILLNESS, BUT 3741 02:36:13,200 --> 02:36:14,760 STILL LIVING WITH EFFECTS OF IT 3742 02:36:14,760 --> 02:36:16,240 BUT ALSO JUST BECAUSE I'M LIVING 3743 02:36:16,240 --> 02:36:20,120 WITH THE AFFECT OF IT DOES NOT 3744 02:36:20,120 --> 02:36:21,880 MEAN I CANNOT LIVE A HAPPY 3745 02:36:21,880 --> 02:36:23,280 SUCCESSFUL PRODUCTIVE LIFE. I 3746 02:36:23,280 --> 02:36:25,520 HAVE DEFINITELY NOTICED CHANGES 3747 02:36:25,520 --> 02:36:27,800 IN MY COLLEAGUES, AND IN MY 3748 02:36:27,800 --> 02:36:30,280 TRAINEES I WAS JUST HAVING A 3749 02:36:30,280 --> 02:36:32,000 CONVERSATION WITH THEM NOT TOO 3750 02:36:32,000 --> 02:36:34,720 LONG AGO. I HAD GIVEN TALK TO 3751 02:36:34,720 --> 02:36:36,800 OUR DEPARTMENT ABOUT INCLUSIVE 3752 02:36:36,800 --> 02:36:38,880 COMMUNICATION FOR PEOPLE WITH 3753 02:36:38,880 --> 02:36:41,480 DISABILITY AND TALKING ABOUT 3754 02:36:41,480 --> 02:36:43,840 ABLEIST LANGUAGE THINGS WE HAVE 3755 02:36:43,840 --> 02:36:45,200 TRADITIONALLY SAID WITHIN 3756 02:36:45,200 --> 02:36:47,360 NEUROLOGY WAYS WE -- THINGS WE 3757 02:36:47,360 --> 02:36:49,440 SHOULD NOT SAY WITH NEUROLOGY. I 3758 02:36:49,440 --> 02:36:51,120 WAS NOT EAVESDROPPING BUT 3759 02:36:51,120 --> 02:36:53,640 HAPPENED TO BE IN THE ROOM 3760 02:36:53,640 --> 02:36:55,600 LISTENING TO COLLEAGUES ONE OF 3761 02:36:55,600 --> 02:36:57,000 MY RESIDENTS WAS PRESENTING TO 3762 02:36:57,000 --> 02:36:58,320 ONE OF MY COLLEAGUES AND THEY 3763 02:36:58,320 --> 02:37:01,160 STARTED USING TERMS LIKE 3764 02:37:01,160 --> 02:37:02,800 NON-SPEAKING, THEY WERE USING 3765 02:37:02,800 --> 02:37:04,160 WHEELCHAIR USER I WAS LIKE YOU 3766 02:37:04,160 --> 02:37:05,960 DIDN'T SAY THAT, I REMEMBER US 3767 02:37:05,960 --> 02:37:07,720 HAVING CONVERSATIONS WHERE I 3768 02:37:07,720 --> 02:37:08,680 SPECIFICALLY HEARD SOME OF THE 3769 02:37:08,680 --> 02:37:10,520 LANGUAGES THAT YOU USED. SO EVEN 3770 02:37:10,520 --> 02:37:11,560 THOUGH NOT SPECIFICALLY SAYING 3771 02:37:11,560 --> 02:37:15,480 HEY, LOOK AT ME, I'M USING THIS 3772 02:37:15,480 --> 02:37:17,160 ABLEIST LANGUAGE, THE FACT THEY 3773 02:37:17,160 --> 02:37:19,040 ARE USING IT I GUESS WHEN THEY 3774 02:37:19,040 --> 02:37:21,000 DON'T EVEN KNOW THAT I HAVE I'M 3775 02:37:21,000 --> 02:37:22,440 IN THE ROOM IS NICE TO SEE 3776 02:37:22,440 --> 02:37:23,800 BECAUSE THAT MEANS THAT MAYBE 3777 02:37:23,800 --> 02:37:26,760 SOMETHING THAT I HAVE 3778 02:37:26,760 --> 02:37:27,680 (INAUDIBLE) TEACH THEM IS 3779 02:37:27,680 --> 02:37:32,800 GETTING INTO THE DAILY PRACTICE 3780 02:37:32,800 --> 02:37:35,320 >>THIS IS SUCH A GOOD QUESTION. 3781 02:37:35,320 --> 02:37:37,000 THE IDEA OF UNINTENDED 3782 02:37:37,000 --> 02:37:38,640 CONSEQUENCES IS SOMETHING I 3783 02:37:38,640 --> 02:37:41,440 THINK ABOUT A LOT. I WORRY WHEN 3784 02:37:41,440 --> 02:37:43,040 I'M GIVING MY TALKS AND SHARING 3785 02:37:43,040 --> 02:37:45,760 MY PERSONAL STORY. I HAVE TO ASK 3786 02:37:45,760 --> 02:37:48,960 MYSELF IS THIS INSPIRATION PORN 3787 02:37:48,960 --> 02:37:52,240 OR TRAUMA PORN, WHY AM I SHARING 3788 02:37:52,240 --> 02:37:54,680 THIS? WHAT IS MY GOAL IN SHARING 3789 02:37:54,680 --> 02:37:56,400 THIS INFORMATION? AND TRYING TO 3790 02:37:56,400 --> 02:37:59,960 DO IT IN WAY THAT DOESN'T 3791 02:37:59,960 --> 02:38:01,600 PROMOTE HARMFUL NARRATIVES LIKE 3792 02:38:01,600 --> 02:38:04,360 I WAS SAYING THE IDEA OF 3793 02:38:04,360 --> 02:38:06,080 OVERCOMING AND THAT IT IS LOOK 3794 02:38:06,080 --> 02:38:09,040 AT ME, I GOT PARALYZED NOW I CAN 3795 02:38:09,040 --> 02:38:13,000 WALK AGAIN AND I AM AN ATTENDING 3796 02:38:13,000 --> 02:38:13,920 PHYSICIAN. I DON'T WANT PEOPLE 3797 02:38:13,920 --> 02:38:16,360 TO GET THE IDEA THAT THAT IS 3798 02:38:16,360 --> 02:38:20,160 LIKE EASY OR THAT BECAUSE ONE 3799 02:38:20,160 --> 02:38:21,040 DISABLED PERSON CAN ACCOMPLISH 3800 02:38:21,040 --> 02:38:22,360 SOMETHING THAT ALL DISABLED 3801 02:38:22,360 --> 02:38:24,760 PEOPLE SHOULD BE ABLE TO 3802 02:38:24,760 --> 02:38:28,760 ACCOMPLISH THEM. I TRIED 3803 02:38:28,760 --> 02:38:32,000 DISCLOSE ALL WAYS WHICH 3804 02:38:32,000 --> 02:38:33,680 CIRCUMSTANCES OF MY LIFE AN 3805 02:38:33,680 --> 02:38:37,240 PRIVILEGE THAT I HAVE ALLOW ME 3806 02:38:37,240 --> 02:38:39,880 TO OCCUPY THIS POSITION AND HOW 3807 02:38:39,880 --> 02:38:44,760 A LOT OF PEOPLE WITH 3808 02:38:44,760 --> 02:38:45,760 DISABILITIES BECAUSE OF THE WAY 3809 02:38:45,760 --> 02:38:47,320 OR SOCIETY IS SET UP ARE MORE 3810 02:38:47,320 --> 02:38:51,040 LIKELY TO LIVE IN POVERTY, MORE 3811 02:38:51,040 --> 02:38:53,960 LIKELY TO LACK SOCIAL SUPPORTS, 3812 02:38:53,960 --> 02:38:59,000 TO HAVE OR HEALTH NOT EVERYBODY 3813 02:38:59,000 --> 02:39:00,280 HAS OPPORTUNITY TO BE SET UP TO 3814 02:39:00,280 --> 02:39:02,800 LIVE UP TO THEIR POTENTIAL AND 3815 02:39:02,800 --> 02:39:06,840 TO SUCCUSSE SUCCEED. THIS CAME P 3816 02:39:06,840 --> 02:39:09,040 RECENTLY I IN OUR PATIENT FAMILY 3817 02:39:09,040 --> 02:39:09,880 ADVISORY COUNCIL WHEN WE WERE 3818 02:39:09,880 --> 02:39:11,440 TALKING ABOUT WAYS TO MAKE AN 3819 02:39:11,440 --> 02:39:13,280 IMPACT THIS YEAR AND SOMEBODY 3820 02:39:13,280 --> 02:39:16,360 SUGGESTED THIS DAY IN THE LIFE 3821 02:39:16,360 --> 02:39:17,640 KIND OF THING WHERE YOU CAN PUT 3822 02:39:17,640 --> 02:39:19,360 SOMEBODY IN A BLINDFOLD FOR A 3823 02:39:19,360 --> 02:39:20,920 DAY AND SIMULATE APPEARANCE OF 3824 02:39:20,920 --> 02:39:21,960 BEING BLIND OR PUSH THEM AROUND 3825 02:39:21,960 --> 02:39:24,840 IN A WHEELCHAIR AND I STARTED 3826 02:39:24,840 --> 02:39:26,360 READING ABOUT THIS AND READING 3827 02:39:26,360 --> 02:39:28,480 ABOUT THE UNINTENDED 3828 02:39:28,480 --> 02:39:31,680 CONSEQUENCES OF ACTUALLY 3829 02:39:31,680 --> 02:39:36,480 DECREASING PEOPLE'S EMPATHY AS 3830 02:39:36,480 --> 02:39:37,440 RELATES TO DISABILITY, BECAUSE 3831 02:39:37,440 --> 02:39:38,640 QUOTE UNQUOTE IT IS NOT SO BAD 3832 02:39:38,640 --> 02:39:40,440 TO BE PUSHED AROUND IN A 3833 02:39:40,440 --> 02:39:43,120 WHEELCHAIR ALL DAY OR LIKE NO 3834 02:39:43,120 --> 02:39:46,160 BIG DEAL TO BE BLINDFOLDED AND 3835 02:39:46,160 --> 02:39:49,000 SORT OF DOESN'T REALLY PROVIDE 3836 02:39:49,000 --> 02:39:50,160 LIKE REALISTIC EXPERIENCE OF 3837 02:39:50,160 --> 02:39:52,840 WHAT PEOPLE EXPERIENCE ON A 3838 02:39:52,840 --> 02:39:56,520 DAY-TO-DAY BASIS. AND OVER TIME. 3839 02:39:56,520 --> 02:39:59,360 SO I THINK WE JUST HAVE TO BE 3840 02:39:59,360 --> 02:40:02,960 REALLY THOUGHTFUL ABOUT WAYS WE 3841 02:40:02,960 --> 02:40:05,040 ENGAGE AND ALWAYS BE ASSESSING 3842 02:40:05,040 --> 02:40:10,280 FOR UNINTENDED CONSEQUENCES. 3843 02:40:10,280 --> 02:40:12,200 >>THANK YOU ALL. I'M GOING TO 3844 02:40:12,200 --> 02:40:13,720 ASK ONE LAST QUESTION AND ENON A 3845 02:40:13,720 --> 02:40:15,320 HIGH NOTE A LITTLE BIT. AGAIN, 3846 02:40:15,320 --> 02:40:16,800 TO THE AUDIENCE I UNDERSTAND IF 3847 02:40:16,800 --> 02:40:18,320 YOU HAVE TO LEAVE. WE WILL HAVE 3848 02:40:18,320 --> 02:40:19,400 A BREAK UNTIL 2 O'CLOCK AFTER 3849 02:40:19,400 --> 02:40:23,560 THIS. SO THERE IS A QUESTION IN 3850 02:40:23,560 --> 02:40:26,320 THE CHAT SAYING PER ANY SPEAKERS 3851 02:40:26,320 --> 02:40:27,240 IS THERE A SPECIFIC TIME WHEN 3852 02:40:27,240 --> 02:40:28,840 YOU ARE EXPERIENCES HAVE HELPED 3853 02:40:28,840 --> 02:40:30,960 IN THE DIAGNOSIS OR TREATMENT OF 3854 02:40:30,960 --> 02:40:32,840 A PATIENT OR WHERE YOU WERE ABLE 3855 02:40:32,840 --> 02:40:34,600 TO PULL OUT AN INSIGHT OTHER 3856 02:40:34,600 --> 02:40:45,160 CLINICAL COLLEAGUES MISSED? THE 3857 02:40:47,840 --> 02:40:52,520 DONE REALLY SEE -- YET YET. HAD 3858 02:40:52,520 --> 02:40:53,640 THAT TO THE TWO OF YOU. 3859 02:40:53,640 --> 02:40:56,160 >>I HAVE HAD A COUPLE OF 3860 02:40:56,160 --> 02:40:57,280 EXPERIENCES WHICH HAVE BEEN 3861 02:40:57,280 --> 02:40:58,560 GREAT, SOME OF THEM GREAT, SOME 3862 02:40:58,560 --> 02:41:00,600 OF THEM NOT THE GREATEST. I 3863 02:41:00,600 --> 02:41:02,120 THINK ONE OF THE FIRST ONES THAT 3864 02:41:02,120 --> 02:41:05,760 I HAD WAS WHEN I WAS STILL IN 3865 02:41:05,760 --> 02:41:08,000 TRAINING AND AT THAT TIME I WAS 3866 02:41:08,000 --> 02:41:09,760 TRYING TO -- I WAS -- I GUESS 3867 02:41:09,760 --> 02:41:11,360 YOU WOULD SAY DEVELOPMENT WITH 3868 02:41:11,360 --> 02:41:12,720 MY OWN DISABILITY IDENTITY AND 3869 02:41:12,720 --> 02:41:15,280 TRYING TO FIGURE OUT HOW TO WORK 3870 02:41:15,280 --> 02:41:21,120 EVERYTHING OUT FOR MYSELF. SAW 3871 02:41:21,120 --> 02:41:23,640 THIS PATIENT WHO WAS YOUNG BLACK 3872 02:41:23,640 --> 02:41:27,560 WOMAN COMING IN I SAW HER IN THE 3873 02:41:27,560 --> 02:41:29,520 EMERGENCY ROOM SHE WAS COMING 3874 02:41:29,520 --> 02:41:33,720 WITH THESE VERY VAGUE 3875 02:41:33,720 --> 02:41:35,880 NEUROLOGICAL COMPLAINTS, SHE HAD 3876 02:41:35,880 --> 02:41:37,760 BEEN TO A COUPLE OF HOSPITALS 3877 02:41:37,760 --> 02:41:41,200 AND - OVER SPAN OF A FEW MONTHS, 3878 02:41:41,200 --> 02:41:43,240 SHE TALKED TO PRIMARY CARE AND 3879 02:41:43,240 --> 02:41:44,120 FEW OTHER PHYSICIANS OVER THE 3880 02:41:44,120 --> 02:41:47,280 SPAN OF NEXT FEW MONTHS. WAS 3881 02:41:47,280 --> 02:41:48,600 ALWAYS TOLD IT IS NOTHING, YOU 3882 02:41:48,600 --> 02:41:51,760 ARE ANXIOUS, IT IS FINE, GO 3883 02:41:51,760 --> 02:41:53,400 HOME. NOW SHE WAS COMING TO OUR 3884 02:41:53,400 --> 02:41:54,800 EMERGENCY ROOM AND I HAD TO BE 3885 02:41:54,800 --> 02:41:56,640 THE PERSON WHO WAS DOING THE 3886 02:41:56,640 --> 02:41:59,480 CONSULT FOR HER. I REMEMBER 3887 02:41:59,480 --> 02:42:00,720 DOING HER PHYSICAL EXAM AND 3888 02:42:00,720 --> 02:42:01,920 THINKING THERE IS SOMETHING THAT 3889 02:42:01,920 --> 02:42:04,080 IS HERE, I JUST CAN'T FIGURE 3890 02:42:04,080 --> 02:42:09,960 WHAT IT WAS. ALSO REMEMBER SHE 3891 02:42:09,960 --> 02:42:13,320 HAD SOME SIGNS WHERE ONE OF THE 3892 02:42:13,320 --> 02:42:15,360 THINGS THEY TEACH YOU ABOUT 3893 02:42:15,360 --> 02:42:17,880 WHICH I HAVE VERY COMPLICATED 3894 02:42:17,880 --> 02:42:18,920 FEELINGS ABOUT WITHIN NEUROLOGY 3895 02:42:18,920 --> 02:42:21,720 IS THE IDEA OF PATIENTS WILL 3896 02:42:21,720 --> 02:42:23,040 SOMETIMES EMBELLISH SYMPTOMS. 3897 02:42:23,040 --> 02:42:25,360 PUT ON A LITTLE BIT, TO SHOW 3898 02:42:25,360 --> 02:42:26,040 WHATEVER IT IS THEY ARE TRYING 3899 02:42:26,040 --> 02:42:27,720 TO SHOW. I HAD ACTUALLY HAD A 3900 02:42:27,720 --> 02:42:28,880 COLLEAGUE TALK TO ME ABOUT THAT 3901 02:42:28,880 --> 02:42:30,800 A FEW WEEKS BEFORE SO BASICALLY 3902 02:42:30,800 --> 02:42:32,600 WARN ME AGAINST BELIEVING 3903 02:42:32,600 --> 02:42:35,560 PATIENTS SOMETIMES. SO WITH THIS 3904 02:42:35,560 --> 02:42:39,040 INDIVIDUAL SEEN IN THE ER, I 3905 02:42:39,040 --> 02:42:41,760 NOTICED THAT OKAY MAYBE SHE HAD 3906 02:42:41,760 --> 02:42:44,360 A LITTLE BIT OF LIMP BUT DID 3907 02:42:44,360 --> 02:42:46,720 SEEM LIKE MORE WHEN I WAS 3908 02:42:46,720 --> 02:42:48,360 LOOKING AT IT OPPOSED TO WHEN 3909 02:42:48,360 --> 02:42:50,120 SHE WAS WALKING AROUND IN THE 3910 02:42:50,120 --> 02:42:51,520 ROOM ON HER OWN. STILL SOMETHING 3911 02:42:51,520 --> 02:42:54,360 I COULD NOT GET OUT OF MY HEAD. 3912 02:42:54,360 --> 02:42:57,000 SO MY UPPER LEVEL WANTED TO SEND 3913 02:42:57,000 --> 02:42:59,640 HER HOME, OUR SERVICE WAS PRETTY 3914 02:42:59,640 --> 02:43:01,240 FULL BUT I THOUGHT THERE WAS 3915 02:43:01,240 --> 02:43:02,680 SOMETHING ELSE GOING ON AND WE 3916 02:43:02,680 --> 02:43:05,960 NEEDED TO SEE WHAT IT WAS. I 3917 02:43:05,960 --> 02:43:08,680 THINK OUT OF THE FACT THAT MY 3918 02:43:08,680 --> 02:43:10,240 UPPER LEVEL RESIDENT RESPECTED 3919 02:43:10,240 --> 02:43:11,640 MY OPINION HE WAS LIKE FINE 3920 02:43:11,640 --> 02:43:13,680 BRING HER IN FOR OBSERVATION AND 3921 02:43:13,680 --> 02:43:15,560 SEE WHAT IS GOING ON. WE DID A 3922 02:43:15,560 --> 02:43:17,920 WORK UP AND DOING SOME IMAGING 3923 02:43:17,920 --> 02:43:21,960 AND FOUND OUT SHE HAD A 3924 02:43:21,960 --> 02:43:23,800 NEUROLOGICAL DISEASE WHICH WE 3925 02:43:23,800 --> 02:43:25,000 COULD HELP AND WE CAN TREAT HER 3926 02:43:25,000 --> 02:43:28,120 FOR. ON THE ONE HAND THAT WAS 3927 02:43:28,120 --> 02:43:30,000 INCREDIBLY DISTRESSING BECAUSE I 3928 02:43:30,000 --> 02:43:31,840 KEPT THINKING HOW LONG IS THIS 3929 02:43:31,840 --> 02:43:33,440 WOMAN WALKING AROUND TRYING TO 3930 02:43:33,440 --> 02:43:34,760 GET SOMEONE TO TAKE THIS 3931 02:43:34,760 --> 02:43:36,400 SERIOUSLY AND THEY HAVEN'T. THE 3932 02:43:36,400 --> 02:43:41,880 OTHER HAND, I THINK I'M JUST A 3933 02:43:41,880 --> 02:43:44,160 REGULAR RESIDENT, IT MIGHT NOT 3934 02:43:44,160 --> 02:43:47,120 HAVE BEEN ME THERE AT THAT NIGHT 3935 02:43:47,120 --> 02:43:48,840 AND WOULD SHE STILL BE WALKING 3936 02:43:48,840 --> 02:43:50,800 AROUND GETTING HELP AFTER WEEKS 3937 02:43:50,800 --> 02:43:53,520 OF TRYING TO GET IN SOMEONE. THE 3938 02:43:53,520 --> 02:43:55,040 OTHER THING I WAS THINKING AT 3939 02:43:55,040 --> 02:43:56,720 THE SAME TAME, I HAVE A VERY 3940 02:43:56,720 --> 02:43:59,200 SIMILAR STORY WHERE IT TOOK 3941 02:43:59,200 --> 02:44:00,400 YEARS FOR DOCTOR TO UNDERSTAND 3942 02:44:00,400 --> 02:44:03,040 AN LISTEN TO ME WHEN I WAS 3943 02:44:03,040 --> 02:44:04,320 SAYING I WAS HAVING SOME KIND OF 3944 02:44:04,320 --> 02:44:07,720 ISSUE. AND THEN YEARS BEFORE IT 3945 02:44:07,720 --> 02:44:09,320 WAS CORRECTLY DIAGNOSED SO IT IS 3946 02:44:09,320 --> 02:44:11,040 A HAPPY NOT HAPPY BECAUSE SHE 3947 02:44:11,040 --> 02:44:16,600 REALLY DOES HAVE A NEUROLOGICAL 3948 02:44:16,600 --> 02:44:18,360 DISABILITY NOW BUT HAPPY THAT I 3949 02:44:18,360 --> 02:44:19,800 THINK SHE FELT VALIDATED FOR THE 3950 02:44:19,800 --> 02:44:23,520 FIRST TIME IN HER CARE. AND I 3951 02:44:23,520 --> 02:44:26,160 FELT HAPPY THAT I COULD BE THAT 3952 02:44:26,160 --> 02:44:28,200 PERSON TO GIVE HER THAT 3953 02:44:28,200 --> 02:44:29,000 VALIDATION SUPPORT AND I THIS I 3954 02:44:29,000 --> 02:44:31,800 THAT IS ONE OF THE CASES, I KNOW 3955 02:44:31,800 --> 02:44:32,960 EVERYBODY HAS SEVERAL THAT 3956 02:44:32,960 --> 02:44:35,200 CHANGED TRAJECTORY OF LIFE, 3957 02:44:35,200 --> 02:44:38,200 LUCKILY I HAVE LOTS OF 3958 02:44:38,200 --> 02:44:40,840 OPPORTUNITIES TO INTERACT WITH 3959 02:44:40,840 --> 02:44:43,240 OTHER DISABLED PEOPLE WROTE AN 3960 02:44:43,240 --> 02:44:44,200 ARTICLE AND WRITING ANOTHER ONE 3961 02:44:44,200 --> 02:44:45,680 THAT IS ABOUT SOME OF THESE 3962 02:44:45,680 --> 02:44:47,840 INSTANCES AROUND DISCLOSURE. 3963 02:44:47,840 --> 02:44:49,360 PARTICULARLY FOR KIDS WITH 3964 02:44:49,360 --> 02:44:54,640 DISPARITIEDISABILITY TO SHADDOCD 3965 02:44:54,640 --> 02:44:55,920 SIMILAR KINDS OF THINGS. SO YEAH 3966 02:44:55,920 --> 02:44:59,120 I THINK IT IS SOMETHING THAT HAS 3967 02:44:59,120 --> 02:45:02,000 BEEN -- BEING HAVING MY ILLNESS 3968 02:45:02,000 --> 02:45:04,160 WOULD HAVE CHANGED TRAJECTORY OF 3969 02:45:04,160 --> 02:45:06,480 MY CAREER ANYWAY, BUT I THINK 3970 02:45:06,480 --> 02:45:08,720 THAT ALL OF THIS IN PARTICULARLY 3971 02:45:08,720 --> 02:45:09,960 CONNECTING WITH OTHER DISABLED 3972 02:45:09,960 --> 02:45:11,640 PEOPLE AND BEING ABLE TO HAVE 3973 02:45:11,640 --> 02:45:13,360 THOSE MOMENTS WHERE WE SEE EACH 3974 02:45:13,360 --> 02:45:14,320 OTHER OR UNDERSTAND WHERE WE ARE 3975 02:45:14,320 --> 02:45:16,880 COMING FROM, IS VALUABLE TO MY 3976 02:45:16,880 --> 02:45:18,720 DEVELOPMENT AS PHYSICIAN AND 3977 02:45:18,720 --> 02:45:20,680 MADE ME EVEN MORE PASSIONATE 3978 02:45:20,680 --> 02:45:22,600 ABOUT CARING FOR DISABLED PEOPLE 3979 02:45:22,600 --> 02:45:27,240 IN MEDICINE. 3980 02:45:27,240 --> 02:45:30,240 >>I CHOSE TO NOT SEE PATIENTS 3981 02:45:30,240 --> 02:45:33,000 ANY MORE AFTER MY DISABILITY. I 3982 02:45:33,000 --> 02:45:35,560 THOUGHT ABOUT DOING A FELLOWSHIP 3983 02:45:35,560 --> 02:45:37,560 IN SPINAL CORD INJURY WHICH 3984 02:45:37,560 --> 02:45:41,760 WOULD HAVE BEEN LIKE ONE YEAR 3985 02:45:41,760 --> 02:45:42,960 AFTER MY -- IT WOULD HAVE BEEN 3986 02:45:42,960 --> 02:45:45,680 ONLY A ONE YEAR BUT WHEN I WENT 3987 02:45:45,680 --> 02:45:50,840 INTO THE SPINAL CORD INJURY UNIT 3988 02:45:50,840 --> 02:45:53,280 I HAD SERIOUS PTSD TYPE SYMPTOMS 3989 02:45:53,280 --> 02:45:58,160 AND STARTED FEELING VERY UNWELL. 3990 02:45:58,160 --> 02:46:00,720 SO I DIDN'T WANT MY LIFE TO 3991 02:46:00,720 --> 02:46:02,960 REVOLVE AROUND MY DISABILITY SO 3992 02:46:02,960 --> 02:46:04,480 DECIDED TO RETRAIN. I WOULD SAY 3993 02:46:04,480 --> 02:46:07,360 MOST OF MY INSIGHTS HAVE COME 3994 02:46:07,360 --> 02:46:08,840 FROM OTHER SIDE. LIKE THINGS I 3995 02:46:08,840 --> 02:46:11,560 HAVE LEARNED AS A PATIENT THAT 3996 02:46:11,560 --> 02:46:13,680 CAN HELP THE HEALTHCARE SYSTEM 3997 02:46:13,680 --> 02:46:16,520 OR HELP EDUCATE OTHER DOCTORS. 3998 02:46:16,520 --> 02:46:19,840 RATHER THAN MY DISABILITY GIVING 3999 02:46:19,840 --> 02:46:20,960 ME THE INSIGHT TO HELP OTHER 4000 02:46:20,960 --> 02:46:24,960 PEOPLE. BUT I HAVE HEARD FROM A 4001 02:46:24,960 --> 02:46:29,200 LOT OF OTHER DISABLED 4002 02:46:29,200 --> 02:46:29,840 PHYSICIANS, SIMILAR STORIES TO 4003 02:46:29,840 --> 02:46:37,320 WHAT DIANA SAID, WHERE ONE'S 4004 02:46:37,320 --> 02:46:38,920 INSIGHT AND THE CHANGES AND 4005 02:46:38,920 --> 02:46:40,920 TYPES OF QUESTIONS THEY ASK AND 4006 02:46:40,920 --> 02:46:44,520 THE LENS THEY TAKE AFFECTED BE I 4007 02:46:44,520 --> 02:46:47,480 THEIR DISABILITY HAS LED TO 4008 02:46:47,480 --> 02:46:50,320 BETTER INSIGHTS INTO WHAT A 4009 02:46:50,320 --> 02:46:52,840 PATIENT NEEDS AND INTO MAKING 4010 02:46:52,840 --> 02:46:55,840 IMPORTANT DIAGNOSES. NOT JUST 4011 02:46:55,840 --> 02:46:56,760 DIAGNOSES BUT TREATMENT PLANS 4012 02:46:56,760 --> 02:47:02,680 THAT MATTER. 4013 02:47:02,680 --> 02:47:04,800 >>THAT IS AN NIH EVENT RESEARCH 4014 02:47:04,800 --> 02:47:07,360 AGE L A BIT NOT JUST CLINICAL 4015 02:47:07,360 --> 02:47:08,880 SPACE BUT DOING RESEARCH MANY A 4016 02:47:08,880 --> 02:47:11,000 POPULATION THAT I'M PART OF IS 4017 02:47:11,000 --> 02:47:13,320 ALSO INFLUENCED BIT OF HOW I 4018 02:47:13,320 --> 02:47:14,760 APPROACH RESEARCH AND WHAT I 4019 02:47:14,760 --> 02:47:15,800 TALK ABOUT AS I HAVE BEEN 4020 02:47:15,800 --> 02:47:17,240 REALIZING DISCUSSION CHAPTER IN 4021 02:47:17,240 --> 02:47:18,880 MY Ph.D. IS MY CHANCE TO GET 4022 02:47:18,880 --> 02:47:21,080 ON ALL THE SOAP BOXES. THAT 4023 02:47:21,080 --> 02:47:22,720 INCLUDES THINGS LIKE I WORK ON 4024 02:47:22,720 --> 02:47:25,320 OUTCOME PREDICTION, 4025 02:47:25,320 --> 02:47:26,520 DEVELOPMENTAL OUTCOME PREDICTION 4026 02:47:26,520 --> 02:47:28,520 AND PRE-TERM BIRTH. WHEN PEOPLE 4027 02:47:28,520 --> 02:47:29,840 HEAR AND THINK ABOUT THAT IN A 4028 02:47:29,840 --> 02:47:31,640 RESEARCH SPACE THEY THINK OH 4029 02:47:31,640 --> 02:47:32,880 RIGHT WE CAN DECIDE WHICH TO 4030 02:47:32,880 --> 02:47:35,960 REALLY GET ON REFERRALS FOR 4031 02:47:35,960 --> 02:47:36,920 EARLIER EX MANIED THAT IS 4032 02:47:36,920 --> 02:47:38,320 IMPORTANT BUT ALSO I'M BRINGING 4033 02:47:38,320 --> 02:47:40,520 TO THE TABLE THE IDEA WE NEED TO 4034 02:47:40,520 --> 02:47:41,960 THINK ABOUT THESE ARE 4035 02:47:41,960 --> 02:47:43,880 POTENTIALLY KIDS WHO MIGHT NEED 4036 02:47:43,880 --> 02:47:46,240 TO GET INTEGRATED TO DISABILITY 4037 02:47:46,240 --> 02:47:47,760 COMMUNITY CENTER START PLANNING 4038 02:47:47,760 --> 02:47:49,160 ACCOMMODATIONS AND WRITING SECS 4039 02:47:49,160 --> 02:47:51,160 IN THERE THOSE RE-- SECTIONS IN 4040 02:47:51,160 --> 02:47:52,520 THOSE RESEARCH SHOWING THAT, 4041 02:47:52,520 --> 02:47:54,320 BEING IN THE GENERAL CULTURAL 4042 02:47:54,320 --> 02:47:56,080 MILIEU, PARENTS ARE PROBABLY 4043 02:47:56,080 --> 02:47:58,520 BRINGING ABLEISM INTO THIS 4044 02:47:58,520 --> 02:47:59,840 CHILD'S LIFE BEGINNING AND HOW 4045 02:47:59,840 --> 02:48:01,400 WE HELP THEM WORK THROUGH THAT 4046 02:48:01,400 --> 02:48:03,440 MORE QUICKLY. THESE ARE ASPECTS 4047 02:48:03,440 --> 02:48:05,480 THAT WOULDN'T HAVE COME UP IF I 4048 02:48:05,480 --> 02:48:07,120 HAD JUST BEEN STANDARD PERSON 4049 02:48:07,120 --> 02:48:12,760 COMING TO THIS RESEARCH SPACE. 4050 02:48:12,760 --> 02:48:13,840 BRINGING DIFFERENT ASPECT OF 4051 02:48:13,840 --> 02:48:14,800 LIFE AND THINKING ABOUT THE 4052 02:48:14,800 --> 02:48:16,960 WIDER RANGING IMPACT BECAUSE I 4053 02:48:16,960 --> 02:48:18,760 WORK ON MOTOR DISABILITY IT IS 4054 02:48:18,760 --> 02:48:20,440 NOT JUST DO THESE KIDS WALK AND 4055 02:48:20,440 --> 02:48:22,240 HOW WELL BUT HOW IT IMPACTS 4056 02:48:22,240 --> 02:48:23,600 SCHOOL, MAKING FRIENDS AND GOING 4057 02:48:23,600 --> 02:48:25,440 ABOUT HAVING HOBBIES AND ALL IN 4058 02:48:25,440 --> 02:48:27,160 THIS DIFFERENT ASPECTS OF LIFE. 4059 02:48:27,160 --> 02:48:29,520 SO BRINGING THAT BROADER 4060 02:48:29,520 --> 02:48:31,120 PERSPECTIVE AND THINKING ABOUT 4061 02:48:31,120 --> 02:48:33,080 MORE THAN NARROW MEDICAL 4062 02:48:33,080 --> 02:48:34,280 COMPONENT IS AN IMPORTANT THING 4063 02:48:34,280 --> 02:48:35,200 THIS CAN BRING TO THE RESEARCH 4064 02:48:35,200 --> 02:48:40,360 SPACE. 4065 02:48:40,360 --> 02:48:44,720 >>SO WE ARE NOW 20 MINUTES PAST 4066 02:48:44,720 --> 02:48:46,600 OUR SUPPOSED END OF OUR SESSION 4067 02:48:46,600 --> 02:48:49,920 WHICH I THINK SPEAKS JUST TO THE 4068 02:48:49,920 --> 02:48:54,800 AMAZING EXPERTISE AND PRESENCE 4069 02:48:54,800 --> 02:48:57,360 OF OUR SPEAKERS, AND TO THE HIGH 4070 02:48:57,360 --> 02:48:59,200 LEVEL INTEREST IN THIS TOPIC. I 4071 02:48:59,200 --> 02:49:00,920 DO WANT TO APOLOGIZE TO THOSE 4072 02:49:00,920 --> 02:49:02,240 WHO PUT IN QUESTIONS THAT WE 4073 02:49:02,240 --> 02:49:05,240 WESTERN ABLE TO GET TO. WE WILL 4074 02:49:05,240 --> 02:49:07,040 TRY TO RESPOND TO THEM OUTSIDE 4075 02:49:07,040 --> 02:49:09,440 THE MEETING AS MUCH AS WE CAN. I 4076 02:49:09,440 --> 02:49:12,280 WANTED TO EXTEND MY OWN 4077 02:49:12,280 --> 02:49:13,280 INCREDIBLY DEEP PERSONAL 4078 02:49:13,280 --> 02:49:14,680 GRATITUDE TO OUR THREE SPEAKERS 4079 02:49:14,680 --> 02:49:15,800 WHO HAVE BEEN AMAZING TO WORK 4080 02:49:15,800 --> 02:49:17,280 WITH AND PLANNING THIS SESSION 4081 02:49:17,280 --> 02:49:19,720 AND FROM WHOM I LEARNED 4082 02:49:19,720 --> 02:49:20,640 INCREDIBLE AMOUNT TODAY. THANK 4083 02:49:20,640 --> 02:49:27,120 YOU VERY MUCH. I AM GOING TO 4084 02:49:27,120 --> 02:49:28,760 SEND US ALL TO OUR BREAK WHICH 4085 02:49:28,760 --> 02:49:30,760 WAS ORIGINALLY A ONE HOUR BREAK 4086 02:49:30,760 --> 02:49:32,360 AN NOW 40 MINUTE BREAK. TO THOSE 4087 02:49:32,360 --> 02:49:35,320 OF YOU ON ZOOM, PLEASE STAY LOG 4088 02:49:35,320 --> 02:49:38,360 ON TO ZOOM, WE ARE GOING TO PUT 4089 02:49:38,360 --> 02:49:40,560 UP A BREAK SLIDE AND PLEASE 4090 02:49:40,560 --> 02:49:46,080 RETURN ON THE HOUR. 2 P.M. 4091 02:49:46,080 --> 02:49:48,360 EASTERN AND I CAN'T DO THE MATH. 4092 02:49:48,360 --> 02:49:53,520 1 P.M. CENTRAL, NOON MOUNTAIN 4093 02:49:53,520 --> 02:49:55,320 AND 11 A.M. PACIFIC. MY DEEPEST 4094 02:49:55,320 --> 02:49:56,600 GRATITUDE TO YOU ARE SPEAKERS 4095 02:49:56,600 --> 02:49:58,920 AND TO ALL OF THOSE WHO ARE 4096 02:49:58,920 --> 02:50:00,800 PARTICIPATING IN THIS 4097 02:50:00,800 --> 02:50:05,520 DISCUSSION. HAVE A GOOD DAY. 4098 02:50:05,520 --> 02:50:08,360 >>WELCOME BACK, EVERYBODY TO 4099 02:50:08,360 --> 02:50:12,160 THE ABLEISM WORKSHOP. 4100 02:50:12,160 --> 02:50:13,920 WE HAVE LOTS MORE REALLY 4101 02:50:13,920 --> 02:50:15,640 EXCITING AND INTERESTING 4102 02:50:15,640 --> 02:50:17,440 ACTIVITIES OR SPEAKERS FOR THE 4103 02:50:17,440 --> 02:50:19,800 REMAINDER OF TODAY. 4104 02:50:19,800 --> 02:50:21,080 I HOPE YOU WILL STICK AROUND 4105 02:50:21,080 --> 02:50:27,320 FORT REST OF THE AFTERNOON. 4106 02:50:27,320 --> 02:50:32,360 WE WILL BEGIN WITH SESSION 4 4107 02:50:32,360 --> 02:50:33,040 OPPORTUNITIES TO ADDRESS ABLEISM 4108 02:50:33,040 --> 02:50:37,160 IN THE BIOMEDICAL RESEARCH 4109 02:50:37,160 --> 02:50:43,200 COMMUNITY. 4110 02:50:43,200 --> 02:50:46,800 I'M SORRY -- I WASN'T ON CAMERA. 4111 02:50:46,800 --> 02:50:52,240 THERE WE GO. 4112 02:50:52,240 --> 02:50:55,240 SO, I AM -- MY NAME IS KATHY 4113 02:50:55,240 --> 02:50:56,880 MANN KOEPKE AND I'M FROM THE 4114 02:50:56,880 --> 02:50:58,480 CHILD AND HEALTH AND HUMAN 4115 02:50:58,480 --> 02:50:58,840 DEVELOPMENT. 4116 02:50:58,840 --> 02:51:01,080 I'M HONORED TO SERVE AS A 4117 02:51:01,080 --> 02:51:03,680 MODERATOR AT THIS INCREDIBLY 4118 02:51:03,680 --> 02:51:05,520 IMPORTANT MEETING WHICH HAS 4119 02:51:05,520 --> 02:51:11,600 ALREADY GUN HUGELY INFORMATIVE, 4120 02:51:11,600 --> 02:51:14,600 EDUCATIONAL AND I ANTICIPATE 4121 02:51:14,600 --> 02:51:16,280 THAT IT WILL CONTINUE TO BE 4122 02:51:16,280 --> 02:51:17,680 UNTIL LAST MINUTE. 4123 02:51:17,680 --> 02:51:21,360 I FIE AS A WHITE HISPANIC WOMAN 4124 02:51:21,360 --> 02:51:23,520 WITH MULTIPLE ONSET DIAGNOSIS 4125 02:51:23,520 --> 02:51:24,680 THAT TOGETHER WITH THE WORLD I 4126 02:51:24,680 --> 02:51:29,680 LIVE IN, HAS CREATED BARRIERS TO 4127 02:51:29,680 --> 02:51:31,480 FULL INCLUSION. 4128 02:51:31,480 --> 02:51:36,920 I HAVE SALT AND PEPPER, 4129 02:51:36,920 --> 02:51:38,920 SHOULDER-LENGTH WAVY HAIR AND 4130 02:51:38,920 --> 02:51:40,360 WEARING RIM LESS EYEGLASSES AND 4131 02:51:40,360 --> 02:51:43,040 A BLACK AND WHITE LEAF MOTIF 4132 02:51:43,040 --> 02:51:44,360 BLOUSE AND A BLACK JACKET. 4133 02:51:44,360 --> 02:51:47,600 I ALSO IDENTIFY AS A MOM OF A 4134 02:51:47,600 --> 02:51:51,800 PERSON WHO ALSO IS IDENTIFIED AS 4135 02:51:51,800 --> 02:51:53,280 DISABLED WITH DIAGNOSIS 4136 02:51:53,280 --> 02:51:55,040 UNRELATED TO MY OWN. 4137 02:51:55,040 --> 02:51:58,680 PROFESSIONALLY, I IDENTIFY AS A 4138 02:51:58,680 --> 02:52:00,240 LIFE COURSE DEVELOPMENTAL 4139 02:52:00,240 --> 02:52:02,480 COGNITIVE NURSE 4140 02:52:02,480 --> 02:52:03,120 SCIENTIST/EYECOLOGIST WITH A 4141 02:52:03,120 --> 02:52:05,960 FOCUS ON THE NEUROBIOLOGY OF 4142 02:52:05,960 --> 02:52:08,840 LEARNING AND NEURO COGNITIVE 4143 02:52:08,840 --> 02:52:10,640 DEVELOPMENT AND COGNITIVE 4144 02:52:10,640 --> 02:52:14,120 DISABILITIES IN LEARNING AND 4145 02:52:14,120 --> 02:52:15,320 COGNITION. 4146 02:52:15,320 --> 02:52:16,960 THROUGHOUT THE LIFE, BOTH IN 4147 02:52:16,960 --> 02:52:19,120 HUMAN AND ANIMAL MODELS. 4148 02:52:19,120 --> 02:52:22,480 IN ADDITION TO MY MORE TYPICAL 4149 02:52:22,480 --> 02:52:25,000 ACADEMIC ACHIEVEMENTS, I TAKE MY 4150 02:52:25,000 --> 02:52:27,760 PASSION AND ADVOCACY TO RACE UP 4151 02:52:27,760 --> 02:52:30,280 THE VOICES OF PERSONS WITH 4152 02:52:30,280 --> 02:52:36,080 ABILITY DIFFERENCES OF ALL 4153 02:52:36,080 --> 02:52:36,840 TYPES, TO THE COMMUNITIES WHERE 4154 02:52:36,840 --> 02:52:37,760 I LIVE AND WORK. 4155 02:52:37,760 --> 02:52:40,600 I'M A BIG BELIEVER OF VOLUNTARY. 4156 02:52:40,600 --> 02:52:42,440 I I'D LIKE TO REMIND EVERYBODY 4157 02:52:42,440 --> 02:52:43,960 HOW WE PLAN TO MOVE FORWARD WITH 4158 02:52:43,960 --> 02:52:46,920 THIS PANEL, AND I'LL INTRODUCE 4159 02:52:46,920 --> 02:52:48,920 EACH SPEAKER FOLLOWED BY THEIR 4160 02:52:48,920 --> 02:52:52,920 PREVIOUS PRESENTATION AND HAVE A 4161 02:52:52,920 --> 02:52:54,680 CHIEF ANSWER AND ANSWER PERIOD. 4162 02:52:54,680 --> 02:52:56,200 DON'T FORGET THOSE IN THE 4163 02:52:56,200 --> 02:52:57,560 AUDIENCE TO ENTER YOUR QUESTIONS 4164 02:52:57,560 --> 02:53:08,080 INTO THE Q&A SECTION AND NOT AND 4165 02:53:18,560 --> 02:53:21,120 I WILL APOLOGIZE IF WE CAN'T GET 4166 02:53:21,120 --> 02:53:23,360 TO YOUR ANSWERS. 4167 02:53:23,360 --> 02:53:24,520 WE WILL ANSWER THEM LIVE DURING 4168 02:53:24,520 --> 02:53:28,920 THE MEETING OR BY E-MAIL AFTER 4169 02:53:28,920 --> 02:53:32,400 THE MEETING. 4170 02:53:32,400 --> 02:53:37,240 LET ME FIRST OUR FIRST SPEAKER 4171 02:53:37,240 --> 02:53:39,040 AND MYA SABATELLO IS AN 4172 02:53:39,040 --> 02:53:41,640 ASSISTANT PROFESSOR OF CLINICAL 4173 02:53:41,640 --> 02:53:43,640 BIOETHICS IN THE DEPARTMENT OF 4174 02:53:43,640 --> 02:53:49,680 PSYCHIATRY AT COLOMBIA 4175 02:53:49,680 --> 02:53:55,240 UNIVERSITIES SHE HOLDS A PH.D 4176 02:53:55,240 --> 02:53:56,360 FROM THE UNIVERSITY OF SOUTHERN 4177 02:53:56,360 --> 02:53:59,160 CALIFORNIA AND A LLB FROM THE 4178 02:53:59,160 --> 02:54:01,240 HEBREW UNIVERSITY OF JERUSALEM. 4179 02:54:01,240 --> 02:54:03,320 SHE WAS APPOINTED AS A RESEARCH 4180 02:54:03,320 --> 02:54:06,200 FELLOW IN MEDICAL ETHICS AND 4181 02:54:06,200 --> 02:54:07,880 HARVARD UNIVERSITY'S MEDICAL 4182 02:54:07,880 --> 02:54:12,920 SCHOOL IN 2011 AND SHE HAS 4183 02:54:12,920 --> 02:54:15,680 LITIGATED CASES FOR MEDICAL 4184 02:54:15,680 --> 02:54:16,840 NEGLIGENCE AND HAS WORKED AS A 4185 02:54:16,840 --> 02:54:19,920 LEGAL ADVISER AT NATIONAL AND 4186 02:54:19,920 --> 02:54:22,080 INTERNATIONAL NON GOVERNMENTAL 4187 02:54:22,080 --> 02:54:24,320 ORGANIZATIONS TO PROMOTE 4188 02:54:24,320 --> 02:54:26,920 HEALTH-RELATED HUMAN RIGHTS AND 4189 02:54:26,920 --> 02:54:27,800 DISABILITY ISSUES. 4190 02:54:27,800 --> 02:54:30,680 AS A PERMANENT REPRESENTATIVE 4191 02:54:30,680 --> 02:54:31,960 FOR NON GOVERNMENT ORGANIZATIONS 4192 02:54:31,960 --> 02:54:35,400 AT THE UNITED NATIONS, SHE ALSO 4193 02:54:35,400 --> 02:54:36,520 PARTICIPATES IN THE U.N. 4194 02:54:36,520 --> 02:54:38,720 SESSIONS ON THE FORMULATION OF 4195 02:54:38,720 --> 02:54:40,440 THE CONVENTION ON THE RIGHTS OF 4196 02:54:40,440 --> 02:54:43,040 PERSONS WITH DISABILITIES. 4197 02:54:43,040 --> 02:54:47,760 SO, WELCOME, MAYA AND PLEASE, 4198 02:54:47,760 --> 02:54:48,600 TAKE IT OVER. 4199 02:54:48,600 --> 02:54:50,640 >>THANK YOU SO MUCH, KATHY, I 4200 02:54:50,640 --> 02:54:51,440 APPRECIATE IT. 4201 02:54:51,440 --> 02:54:52,280 IT'S GREAT TO BE HERE. 4202 02:54:52,280 --> 02:54:54,440 THANK YOU FOR IN INVITING ME AND 4203 02:54:54,440 --> 02:54:57,880 WHAT A WONDERFUL CONFERENCE. 4204 02:54:57,880 --> 02:55:00,440 I AM AN ASSOCIATE PROFESSOR AT 4205 02:55:00,440 --> 02:55:02,360 COLOMBIA UNIVERSITY CENTER FOR 4206 02:55:02,360 --> 02:55:03,560 PRECISION MEDICINE AND GENOMICS 4207 02:55:03,560 --> 02:55:10,800 AND THE DIVISION OF ETHICS. 4208 02:55:10,800 --> 02:55:16,000 AND -- AND PROCEDURE MEDICINE 4209 02:55:16,000 --> 02:55:17,840 AND RESEARCH AND OTHER 4210 02:55:17,840 --> 02:55:19,680 SCRIPTERS, I AM A WHITE WOMAN 4211 02:55:19,680 --> 02:55:21,440 WITH LONG CURLY, DARK HAIR. 4212 02:55:21,440 --> 02:55:23,360 ROUND, BLACK AND PURPLE GLASSES 4213 02:55:23,360 --> 02:55:27,120 AND WEARING A BLACK SHIRT AND A 4214 02:55:27,120 --> 02:55:27,520 TURQUOISE BLAZER. 4215 02:55:27,520 --> 02:55:31,000 I'M A LOW-VISION INDIVIDUAL AND 4216 02:55:31,000 --> 02:55:34,760 SHARE BONNIE'S COMMENTS 4217 02:55:34,760 --> 02:55:35,840 YESTERDAY MORNING ABOUT 4218 02:55:35,840 --> 02:55:36,280 IDENTITIES. 4219 02:55:36,280 --> 02:55:46,720 I WANT TO SHARE MY SLIDES. 4220 02:55:49,880 --> 02:55:51,520 ALL RIGHT. 4221 02:55:51,520 --> 02:55:51,840 SO -- CAN. 4222 02:55:51,840 --> 02:55:55,440 >>CAN YOU MOVE INTO PRESENTER 4223 02:55:55,440 --> 02:55:56,000 MODE, PLEASE. 4224 02:55:56,000 --> 02:55:56,640 >>THERE WE GO. 4225 02:55:56,640 --> 02:55:57,880 >>CAN YOU SEE IT? 4226 02:55:57,880 --> 02:55:58,280 >>YES. 4227 02:55:58,280 --> 02:56:00,320 >>FANTASTIC. 4228 02:56:00,320 --> 02:56:01,480 THANK YOU. 4229 02:56:01,480 --> 02:56:02,920 SO, THE TITLE OF MY TALK IS 4230 02:56:02,920 --> 02:56:03,920 INCLUSION OF PEOPLE WITH 4231 02:56:03,920 --> 02:56:05,560 DISABILITY AND BIOMEDICAL 4232 02:56:05,560 --> 02:56:07,240 RESEARCH WITH A QUESTION MARK. 4233 02:56:07,240 --> 02:56:16,440 AND WHAT I HOPE TO DO AND I'LL 4234 02:56:16,440 --> 02:56:18,920 DISCUSS ABLEISM AND DISTRUST IN 4235 02:56:18,920 --> 02:56:20,320 BIOMEDICAL RESEARCH FOCUSING ON 4236 02:56:20,320 --> 02:56:22,320 TWO STUDIES, THREE ACTUALLY, 4237 02:56:22,320 --> 02:56:23,880 BOTH IN CLINICAL TRIALS AS WELL 4238 02:56:23,880 --> 02:56:27,640 AS PRECISION MEDICINE RESEARCH 4239 02:56:27,640 --> 02:56:29,160 AND I'LL MOVE FORWARD TO DISCUSS 4240 02:56:29,160 --> 02:56:31,920 THE DISABILITY ASPECTS FOR 4241 02:56:31,920 --> 02:56:33,480 EQUITABLE INCLUSION IN 4242 02:56:33,480 --> 02:56:35,680 BIOMEDICAL RESEARCH. 4243 02:56:35,680 --> 02:56:39,320 BEFORE WE MOVE ON, I DO ALSO 4244 02:56:39,320 --> 02:56:42,760 WANT TO GIVE A STATEMENT HERE, A 4245 02:56:42,760 --> 02:56:44,760 DISCLAIMER, I'M AN IRB MEMBER OF 4246 02:56:44,760 --> 02:56:46,400 THE ALL OF US RESEARCH PROGRAM 4247 02:56:46,400 --> 02:56:48,920 SO MY PRESENTATION IS IN MY 4248 02:56:48,920 --> 02:56:49,480 PERSONAL CAPACITY. 4249 02:56:49,480 --> 02:56:51,840 I WANT TO USE SOME UNPUBLISHED 4250 02:56:51,840 --> 02:56:54,200 MATERIALS SO PLEASE DO NOT USE 4251 02:56:54,200 --> 02:56:57,600 IT WITHOUT PERMISSION. 4252 02:56:57,600 --> 02:56:58,640 SO, THE DEFINITION OF STRUCTURAL 4253 02:56:58,640 --> 02:57:00,440 ABLEISM THAT HELPS ME AS WE GO 4254 02:57:00,440 --> 02:57:04,240 ALONG WITH THE PRESENTATION, I'M 4255 02:57:04,240 --> 02:57:05,760 LOOKING AT DEFINITION WHICH IS A 4256 02:57:05,760 --> 02:57:07,080 SYSTEM THAT PLACES VALUE ON 4257 02:57:07,080 --> 02:57:09,320 PEOPLE'S BODIES AND MINDS BASED 4258 02:57:09,320 --> 02:57:11,480 ON SOCIETALLY CONSTRUCTED IDEAS 4259 02:57:11,480 --> 02:57:13,520 OF NORMALCY, INTELLIGENCE, 4260 02:57:13,520 --> 02:57:15,040 EXCELLENCE AND PRODUCTIVITY. 4261 02:57:15,040 --> 02:57:18,960 THIS FORM OF SYSTEMIC OPPRESSION 4262 02:57:18,960 --> 02:57:20,520 LEADS TO PEOPLE AND SOCIETY 4263 02:57:20,520 --> 02:57:21,800 DETERMINE HOG IS VALUABLE AND 4264 02:57:21,800 --> 02:57:23,200 WORTHY BASED ON A PERSON'S 4265 02:57:23,200 --> 02:57:28,200 APPEARANCE AND OR THEIR ABILITY 4266 02:57:28,200 --> 02:57:29,240 TO SATISFACTORILY REPRODUCE, 4267 02:57:29,240 --> 02:57:31,400 EXCEL AND BEHAVE. 4268 02:57:31,400 --> 02:57:35,400 THE HIGHLIGHTS IS THE SOCIETAL 4269 02:57:35,400 --> 02:57:37,200 DELINEATION OF NORMAL AND TO 4270 02:57:37,200 --> 02:57:39,240 DECIDE ABOUT WHO IS WORTHY OF 4271 02:57:39,240 --> 02:57:40,640 INCLUSION AND I WANT TO 4272 02:57:40,640 --> 02:57:42,520 HIGHLIGHT THE SYSTEMIC NATURE 4273 02:57:42,520 --> 02:57:44,320 THERE OF ALL LEVELS OF SOCIETY 4274 02:57:44,320 --> 02:57:46,400 ACROSS THE SYSTEMS AND 4275 02:57:46,400 --> 02:57:48,120 ORGANIZATIONS AND ALSO THAT 4276 02:57:48,120 --> 02:57:49,560 STRUCTURAL ABLEISM IS 4277 02:57:49,560 --> 02:57:51,080 INSEPARABLE FROM OTHER FORMS OF 4278 02:57:51,080 --> 02:57:53,560 DISCRIMINATION INCLUDING SEXISM, 4279 02:57:53,560 --> 02:57:56,400 RACISM, CLASSISM AND OTHERS. 4280 02:57:56,400 --> 02:57:59,160 SO, WHAT DO WE KNOWS WHEN IT 4281 02:57:59,160 --> 02:58:00,440 COMES TO PEOPLE WITH 4282 02:58:00,440 --> 02:58:01,760 DISABILITIES IN BIOMEDICAL 4283 02:58:01,760 --> 02:58:03,320 RESEARCH AND THE REGULATIONS FOR 4284 02:58:03,320 --> 02:58:05,080 RESEARCH WITH HUMAN SUBJECTS, 4285 02:58:05,080 --> 02:58:06,640 DEVELOPED IN THE BACKGROUND ON 4286 02:58:06,640 --> 02:58:09,240 THE BACKGROUND OF WORLD WAR II 4287 02:58:09,240 --> 02:58:10,560 AND THE HISTORY OF ABUSE OF 4288 02:58:10,560 --> 02:58:11,880 PEOPLE WITH DISABILITIES AND 4289 02:58:11,880 --> 02:58:13,760 RESEARCH FROM THE NAZI REGIME TO 4290 02:58:13,760 --> 02:58:14,720 STUDIES THAT WERE CONDUCTED ON 4291 02:58:14,720 --> 02:58:16,640 PEOPLE WITH DISABILITIES, AND I 4292 02:58:16,640 --> 02:58:19,080 GUEINSTITUTIONS IN THE UNITED 4293 02:58:19,080 --> 02:58:20,360 STATES AND ELSEWHERE WITHOUT 4294 02:58:20,360 --> 02:58:24,000 CONSENT AN HYPED CLOSED DOORS. 4295 02:58:24,000 --> 02:58:26,360 EXPOSING PEOPLE WITH 4296 02:58:26,360 --> 02:58:28,160 INTELLECTUAL VISIBILITIES WITH 4297 02:58:28,160 --> 02:58:28,800 VIRUSSORS RADIATION. 4298 02:58:28,800 --> 02:58:30,880 WE HAVE FEDERAL REGULATIONS OF 4299 02:58:30,880 --> 02:58:32,040 RESEARCH THAT AIM TO ADDRESS 4300 02:58:32,040 --> 02:58:35,200 SOME OF THESE ISSUES AND ABUSES. 4301 02:58:35,200 --> 02:58:37,000 AND THEY MOVED TO CREATE 4302 02:58:37,000 --> 02:58:40,960 PROTECTION OF VULNERABLE 4303 02:58:40,960 --> 02:58:42,760 POPULATIONS WHICH FROM THE 4304 02:58:42,760 --> 02:58:44,280 REGULATIONS INCLUDES CHILDREN, 4305 02:58:44,280 --> 02:58:46,320 PRISONERS, PREGNANT WOMEN, 4306 02:58:46,320 --> 02:58:48,720 MENTALLY DISABLED PERSONS OR 4307 02:58:48,720 --> 02:58:51,520 ECONOMIC OR EDUCATIONAL 4308 02:58:51,520 --> 02:58:52,440 DISADVANTAGED PERSONS. 4309 02:58:52,440 --> 02:58:55,360 AND THEY REQUIRE ALSO PROXY OR 4310 02:58:55,360 --> 02:58:56,160 GUARDIAN CONTENT WHEN 4311 02:58:56,160 --> 02:58:58,360 INDIVIDUALS CANNOT PROVIDE 4312 02:58:58,360 --> 02:58:59,960 CONSENT. 4313 02:58:59,960 --> 02:59:01,160 SIGNIFICANTLY, NIH POLICY 4314 02:59:01,160 --> 02:59:03,240 REGARDING PEOPLE WITH SO-CALLED 4315 02:59:03,240 --> 02:59:04,920 QUESTIONABLE CAPACITY TO 4316 02:59:04,920 --> 02:59:10,720 CONCEPT, WHICH HAVE INCLUDED 4317 02:59:10,720 --> 02:59:12,240 PROHIBITS CATEGORIC ALEX 4318 02:59:12,240 --> 02:59:13,080 CONCLUSION AND REQUIRES 4319 02:59:13,080 --> 02:59:16,480 ASSESSMENT OF CAPACITY TO 4320 02:59:16,480 --> 02:59:17,120 CONSENT. 4321 02:59:17,120 --> 02:59:18,800 SO THAT EFFORTS TO PROTECT FROM 4322 02:59:18,800 --> 02:59:21,520 ABUSE ON THE ONE HAND, ON THE 4323 02:59:21,520 --> 02:59:22,840 OTHER HAND INSURING 4324 02:59:22,840 --> 02:59:23,920 INDIVIDUALIZED CAPACITY 4325 02:59:23,920 --> 02:59:25,400 ASSESSMENT SHOULD ALLOW FOR IN 4326 02:59:25,400 --> 02:59:26,760 CONCLUSION OF PEOPLE WITH DIS 4327 02:59:26,760 --> 02:59:31,440 AMOUNTS IN DIVERSE RESEARCH 4328 02:59:31,440 --> 02:59:32,840 PROJECTS. 4329 02:59:32,840 --> 02:59:34,040 THAT DOES NOT SEEM TO BE THE 4330 02:59:34,040 --> 02:59:34,400 CASE. 4331 02:59:34,400 --> 02:59:36,400 IN A STUDY WITH MY COLLEAGUES 4332 02:59:36,400 --> 02:59:39,920 Dr. KATIE MCDONALD'S FROM 4333 02:59:39,920 --> 02:59:41,440 SYRACUSE UNIVERSITY AND Dr. 4334 02:59:41,440 --> 02:59:42,600 SCHWARTZ FROM THE INSTITUTE OF 4335 02:59:42,600 --> 02:59:44,320 HEALTH PROFESSIONS IN BOSTON, 4336 02:59:44,320 --> 02:59:45,960 WHICH YOU CAN SEE THE FIRST PAGE 4337 02:59:45,960 --> 02:59:50,280 OF THE MANUSCRIPT ON THE RIDE OF 4338 02:59:50,280 --> 02:59:52,600 THE SLIDE AND WE LIKED AT TRIALS 4339 02:59:52,600 --> 02:59:55,720 ON GOING AND THAT WERE OPEN TO 4340 02:59:55,720 --> 02:59:56,760 WORKING AGE VICTIMS FROM THE 4341 02:59:56,760 --> 02:59:59,360 GENERAL PUBLIC BETWEEN 4342 02:59:59,360 --> 03:00:00,640 FEBRUARY 2018 AND FEBRUARY 2021 4343 03:00:00,640 --> 03:00:03,000 AND WE FOCUSED ON CLINICAL 4344 03:00:03,000 --> 03:00:08,800 TRIALS TWO OR THREE AND FOUR AND 4345 03:00:08,800 --> 03:00:11,760 ARE LESS RISKY WITH PHASES 3 AND 4346 03:00:11,760 --> 03:00:14,960 4. 4347 03:00:14,960 --> 03:00:25,480 WE IDENTIFIED INCLUDES BASED ON 4348 03:00:34,720 --> 03:00:40,920 INTELLECTUAL DISABILITY AND 4349 03:00:40,920 --> 03:00:42,400 HIGH-IMPACT ON ADULTS WITH 4350 03:00:42,400 --> 03:00:44,480 DISABILITIES AND THAT INCLUDES 4351 03:00:44,480 --> 03:00:45,800 FUNCTIONAL CAPACITY AND SUCH AS 4352 03:00:45,800 --> 03:00:49,440 NON PERFORMING CERTAIN TASKS OR 4353 03:00:49,440 --> 03:00:51,000 SELF-CASE, ABILITY TO READ AND 4354 03:00:51,000 --> 03:00:56,080 WRITE AND TECH DIVIDE AND STAFF 4355 03:00:56,080 --> 03:01:06,280 DISCRETION. 4356 03:01:27,320 --> 03:01:29,840 AND CHRONIC CONDITIONS AT 10.1% 4357 03:01:29,840 --> 03:01:33,120 AND INFECTIOUS DISEASES AT 8.9% 4358 03:01:33,120 --> 03:01:37,360 AND COVID-19 STUDIES AT 7.3%. 4359 03:01:37,360 --> 03:01:40,640 MOST OF THE STUDIES WERE PHASE 3 4360 03:01:40,640 --> 03:01:41,840 WHICH JUST TO EXPLAIN THAT IS 4361 03:01:41,840 --> 03:01:43,760 THE FINAL PHASE BEFORE A 4362 03:01:43,760 --> 03:01:46,680 TREATMENT RECEIVED FDA APPROVAL. 4363 03:01:46,680 --> 03:01:50,080 FOLLOWED BY PHASE 4 WHICH WE HAD 4364 03:01:50,080 --> 03:01:53,640 32%, PHASE 3 WE HAD 54.8% AND 4365 03:01:53,640 --> 03:01:57,200 PAGE 4 WE HAD 32.7% WHICH COMES 4366 03:01:57,200 --> 03:01:59,640 AFTER THE FDA APPROVAL IT'S 4367 03:01:59,640 --> 03:02:00,640 ESSENTIALLY THE MONEY TOURING 4368 03:02:00,640 --> 03:02:03,520 PHASE OF THE EXPERIMENTED 4369 03:02:03,520 --> 03:02:04,040 TREATMENT. 4370 03:02:04,040 --> 03:02:05,480 SO, WHAT ARE OUR FINDINGS IN 4371 03:02:05,480 --> 03:02:07,360 TERMS OF INCLUSION? 4372 03:02:07,360 --> 03:02:08,920 OF PEOPLE, ADULTS WITH 4373 03:02:08,920 --> 03:02:10,320 INTELLECTUAL DISABILITIES IN 4374 03:02:10,320 --> 03:02:11,880 THESE NIH FUNDED CLINICAL 4375 03:02:11,880 --> 03:02:12,560 TRIALS. 4376 03:02:12,560 --> 03:02:13,720 SO, THE FIRST THING WE FOUND 4377 03:02:13,720 --> 03:02:15,760 WHICH THE GOOD NEWS IS THAT WE 4378 03:02:15,760 --> 03:02:18,640 FOUND LESS DIAGNOSTIC BASED 4379 03:02:18,640 --> 03:02:19,800 EXCLUSIONS THAN WE THOUGHT WE 4380 03:02:19,800 --> 03:02:22,360 WOULD FIND JUST ABOUT FIVE 4381 03:02:22,360 --> 03:02:23,880 PERCENT AND ANOTHER SIX PERCENT 4382 03:02:23,880 --> 03:02:26,240 THAT WERE INCLUDED BASED ON 4383 03:02:26,240 --> 03:02:28,160 COGNITIVE CAPACITY. 4384 03:02:28,160 --> 03:02:30,880 HOWEVER, THE LESS GOOD NEWS IS 4385 03:02:30,880 --> 03:02:36,920 THAT EXPLICIT INCLUSION IS RARE 4386 03:02:36,920 --> 03:02:40,360 ONLY 12.7% OF THE 220 ADULT-ONLY 4387 03:02:40,360 --> 03:02:42,360 STUDIES ALLOWS CONSENT OF 4388 03:02:42,360 --> 03:02:44,720 ILLEGALLY AUTHORIZED 4389 03:02:44,720 --> 03:02:46,880 REPRESENTATIVES TO PROVIDE 4390 03:02:46,880 --> 03:02:49,160 CONSENT AND ONLY ONE STUDY 4391 03:02:49,160 --> 03:02:51,000 PROVIDED ACCOMMODATIONS AND ALSO 4392 03:02:51,000 --> 03:02:53,040 HERE IT WAS A QUESTION OF 4393 03:02:53,040 --> 03:02:57,280 ALLOWING SOME READINGS 4394 03:02:57,280 --> 03:02:58,280 ASSISTANCE IN ORDER FOR A 4395 03:02:58,280 --> 03:03:01,600 INDIVIDUAL TO PARTICIPATE IN THE 4396 03:03:01,600 --> 03:03:03,520 STUDY. 4397 03:03:03,520 --> 03:03:05,960 OVER ALL THERE ARE CRITERIA AND 4398 03:03:05,960 --> 03:03:07,400 ADULTS WITH I AM ELECT ACTUAL 4399 03:03:07,400 --> 03:03:08,320 DISABILITIES FROM CLINICAL 4400 03:03:08,320 --> 03:03:10,480 TRIALS AND THE IMAGE OF THE 4401 03:03:10,480 --> 03:03:11,680 RIGHT OF THE SLIDE SHOWS THAT 4402 03:03:11,680 --> 03:03:15,240 THE EIGHT LAYERS OF DIRECTOR 4403 03:03:15,240 --> 03:03:16,440 INDIRECT EXCLUSION CRITERIA WE 4404 03:03:16,440 --> 03:03:16,760 HAVE. 4405 03:03:16,760 --> 03:03:19,120 I'LL JUST KIND OF SAY THAT OVER 4406 03:03:19,120 --> 03:03:22,000 ALL, FINDINGS HERE, THAT ABOUT 4407 03:03:22,000 --> 03:03:24,120 33% OF THE STUDIES HAVE DIRECT 4408 03:03:24,120 --> 03:03:26,360 EXCLUSION CRITERIA BASED ON, FOR 4409 03:03:26,360 --> 03:03:28,960 EXAMPLE, CONSENT CAPACITY, 4410 03:03:28,960 --> 03:03:31,000 DIAGNOSIS OF INTELLECTUAL 4411 03:03:31,000 --> 03:03:32,640 DISABILITIES, COGNITIVE 4412 03:03:32,640 --> 03:03:33,840 CAPACITY, OR CAPACITY TO ENGAGE 4413 03:03:33,840 --> 03:03:36,360 IN THE STUDIES THAT IS A 4414 03:03:36,360 --> 03:03:38,080 PRESUMPTION OF EXCLUSION ON 4415 03:03:38,080 --> 03:03:40,120 THOSE GROUNDS. 4416 03:03:40,120 --> 03:03:42,160 AND 65% OF THE STUDIES HAVE 4417 03:03:42,160 --> 03:03:43,800 INDIRECT EXCLUSION CRITERIA AND 4418 03:03:43,800 --> 03:03:45,880 AGAIN I WANTED TO HIGHLIGHT A 4419 03:03:45,880 --> 03:03:47,560 FEW IMPORTANT FACT HERE. 4420 03:03:47,560 --> 03:03:50,520 ONE IS THAT MEASUREMENTS OF 4421 03:03:50,520 --> 03:03:54,760 CAPACITY FOCUSED MOSTLY ON OR 4422 03:03:54,760 --> 03:04:01,320 ALMOST OVERWHELMING CONDITION, 4423 03:04:01,320 --> 03:04:04,160 IT'S HOW ADULTS DO BUT NOT WITH 4424 03:04:04,160 --> 03:04:07,800 THE BASELINE OF INTELLECTUAL 4425 03:04:07,800 --> 03:04:10,120 ABILITIES OR INTELLECTUAL 4426 03:04:10,120 --> 03:04:12,760 DISABILITY ANDS ALSO MEASUREMENT 4427 03:04:12,760 --> 03:04:13,720 OF CAPACITY. 4428 03:04:13,720 --> 03:04:15,760 THE CAPACITY TO CONSENT OR TO 4429 03:04:15,760 --> 03:04:19,040 READ LARGELY ARE MISSING, ONLY 4430 03:04:19,040 --> 03:04:20,840 FOUR OF THE 220 STUDIES FOR 4431 03:04:20,840 --> 03:04:23,680 ADULTS INCLUDE ASSESSMENT FOR 4432 03:04:23,680 --> 03:04:25,400 INDIVIDUAL CAPACITY TO CONSENT. 4433 03:04:25,400 --> 03:04:26,760 ANOTHER THING IS THAT THE 4434 03:04:26,760 --> 03:04:28,560 STUDIES THAT DID INCLUDE 4435 03:04:28,560 --> 03:04:31,080 MEASUREMENTS, WHICH FOCUSES ON 4436 03:04:31,080 --> 03:04:33,400 FUNCTIONSAL CAPACITY, FOCUS ON 4437 03:04:33,400 --> 03:04:34,360 CONDITIONS SPECIFIC CONDITIONS, 4438 03:04:34,360 --> 03:04:36,800 NOT TAKING INTO A COUNT THE 4439 03:04:36,800 --> 03:04:38,360 BASELINE OF WHERE THIS PERSON 4440 03:04:38,360 --> 03:04:40,720 STARTS AND WHERE THAT PERSON IS 4441 03:04:40,720 --> 03:04:41,880 AROUND THE PROCESS. 4442 03:04:41,880 --> 03:04:44,280 AND THEY FOCUSED ONLY INDIVIDUAL 4443 03:04:44,280 --> 03:04:45,840 ASSESSMENTS WITHOUT SUPPORT SO 4444 03:04:45,840 --> 03:04:47,600 ANYONE WHO NEEDED SUPPORT 4445 03:04:47,600 --> 03:04:49,960 ESSENTIALLY WAS NOT ASSESSED 4446 03:04:49,960 --> 03:04:51,480 ACCORDING TO A SUPPORTED SYSTEM 4447 03:04:51,480 --> 03:04:53,280 IN ANYWAY BUT IT WAS REALLY AN 4448 03:04:53,280 --> 03:04:55,400 INDIVIDUALIZED ASSESSMENT HERE. 4449 03:04:55,400 --> 03:04:57,320 AND THEN, THE OTHER THING TO 4450 03:04:57,320 --> 03:04:59,480 POINT OUT IS THE CATEGORIES OF 4451 03:04:59,480 --> 03:05:00,880 EXCLUSION, IT WILL LOOK AT THEM 4452 03:05:00,880 --> 03:05:03,520 OVER ALL, NEARLY 50% OF ALL THE 4453 03:05:03,520 --> 03:05:07,360 STUDIES THAT EXCLUDE ADULTS WITH 4454 03:05:07,360 --> 03:05:11,400 INTELLECTUAL DISABILITIES, ARE 4455 03:05:11,400 --> 03:05:15,600 BASED ON RESEARCH STAFF 4456 03:05:15,600 --> 03:05:17,800 DISCRETION AND IT WILL HAVE 4457 03:05:17,800 --> 03:05:20,760 DISCRETION IT IS VERY BIG AND 4458 03:05:20,760 --> 03:05:23,600 VERY CATCH-ALL CATEGORY WITHOUT 4459 03:05:23,600 --> 03:05:24,880 CLEAR EXPLANATION OR HOW 4460 03:05:24,880 --> 03:05:28,120 DECISIONS ARE TO BE MADE AND SO 4461 03:05:28,120 --> 03:05:29,640 THAT EP INCLUDES STATEMENTS OF 4462 03:05:29,640 --> 03:05:31,520 JUST THAT THE RESEARCH STUFF 4463 03:05:31,520 --> 03:05:33,600 DOES NOT THINK AND THAT IS ONE 4464 03:05:33,600 --> 03:05:37,240 CAN CONSENT OR THEY'RE MORE 4465 03:05:37,240 --> 03:05:39,880 ISSUES ABOUT, THAT THERE MIGHT 4466 03:05:39,880 --> 03:05:43,040 BE A HEALTH CONDITION THAN MIGHT 4467 03:05:43,040 --> 03:05:44,480 INTERACT BUT THERE'S NO CLEAR 4468 03:05:44,480 --> 03:05:47,640 EXPLANATION OF ASSESSMENT OF 4469 03:05:47,640 --> 03:05:49,200 REQUIREMENTS OF WHO IS ASSESSING 4470 03:05:49,200 --> 03:05:51,640 BY WHAT CRITERIA SO IT'S LIKELY 4471 03:05:51,640 --> 03:05:54,680 TO EMBED AND PURSUE INCAPACITIES 4472 03:05:54,680 --> 03:05:55,880 THAT SNEAK INTO THE DECISIONS 4473 03:05:55,880 --> 03:05:58,240 ABOUT WHO WILL BE INCLUDED OR 4474 03:05:58,240 --> 03:05:59,880 EXCLUDED IN THIS STUDY. 4475 03:05:59,880 --> 03:06:01,760 AND THEN FINALLY IT'S AN 4476 03:06:01,760 --> 03:06:03,640 IMPORTANT COMMENTS OR FINDINGS 4477 03:06:03,640 --> 03:06:05,720 IS THAT WE FOUND MULTIPLE I 4478 03:06:05,720 --> 03:06:07,920 GUESS CONCLUSION ARY CRITERIA 4479 03:06:07,920 --> 03:06:13,440 AND 70% OF THE DIRECT EXCLUSION 4480 03:06:13,440 --> 03:06:15,040 CRITERIA INLEWD INDIRECT 4481 03:06:15,040 --> 03:06:17,200 EXCLUSION CRITERIA AND 45% WAS 4482 03:06:17,200 --> 03:06:20,560 MORE THAN ONE DIRECTOR INDIRECT 4483 03:06:20,560 --> 03:06:21,960 EXCLUSIONARY CRITERIA SO IF WE 4484 03:06:21,960 --> 03:06:24,320 LOOK AT THE NUMBER OF INSTANCES 4485 03:06:24,320 --> 03:06:26,880 WHERE PEOPLE WITH INTELLECTUAL 4486 03:06:26,880 --> 03:06:28,200 DISABILITIES MIGHT BE INCLUDED 4487 03:06:28,200 --> 03:06:31,040 IN STUDIES, WE COME DOWN TO JUST 4488 03:06:31,040 --> 03:06:34,120 ABOUT 25% OF NIH FUNDED CLINICAL 4489 03:06:34,120 --> 03:06:35,520 STUDIES. 4490 03:06:35,520 --> 03:06:37,080 AGAIN, EVEN HERE, MOST OF THEM 4491 03:06:37,080 --> 03:06:39,440 WOULD BE IN THE CONTEXT OF 4492 03:06:39,440 --> 03:06:40,480 CANCER AND ONE OF THE THINGS 4493 03:06:40,480 --> 03:06:42,120 THAT I DID WANT TO POINT OUT, 4494 03:06:42,120 --> 03:06:43,320 THIS IS ANOTHER TABLE THAT KIND 4495 03:06:43,320 --> 03:06:46,280 OF SHOWS THAT THERE'S HIGHLY 4496 03:06:46,280 --> 03:06:47,480 LIKELY FROM DEVELOP RANT STUDIES 4497 03:06:47,480 --> 03:06:49,200 FOR ADULTS WITH INTELLECTUAL DIS 4498 03:06:49,200 --> 03:06:53,800 A LOTS, WE CAN SEE THAT CANCER, 4499 03:06:53,800 --> 03:06:56,280 THE LIKELY EXCLUSION IS VERY 4500 03:06:56,280 --> 03:06:58,640 HIGH IN STUDIES ABOUT CANCER, 4501 03:06:58,640 --> 03:07:01,040 CHRONIC CONDITIONS, INFECTIOUS 4502 03:07:01,040 --> 03:07:04,320 DISEASES AND SUBSTANCE USE. 4503 03:07:04,320 --> 03:07:06,000 ALL OF WHICH HAVE SIGNIFICANT 4504 03:07:06,000 --> 03:07:07,120 RELEVANCE FOR THIS POPULATION 4505 03:07:07,120 --> 03:07:09,240 AND WE KNOW FROM STUDIES THAT 4506 03:07:09,240 --> 03:07:10,520 COMPARED TO PEOPLE WITHOUT 4507 03:07:10,520 --> 03:07:11,920 INTELLECTUAL DISABILITIES, 4508 03:07:11,920 --> 03:07:14,320 PEOPLE WITH DISABILITIES ARE 4509 03:07:14,320 --> 03:07:15,720 THREE TO FOUR TIMES MORE LIKELY 4510 03:07:15,720 --> 03:07:17,280 TO EXPERIENCE, HAVE LATE 4511 03:07:17,280 --> 03:07:18,840 DIAGNOSIS AND DIE FROM THESE 4512 03:07:18,840 --> 03:07:20,000 CONDITIONS SOP GOING BACK TO THE 4513 03:07:20,000 --> 03:07:22,520 DEFINITION OF STRUCTURAL 4514 03:07:22,520 --> 03:07:24,920 ABLEISM, THIS EXCLUSION IS NOT 4515 03:07:24,920 --> 03:07:26,800 ONLY ONE ABOUT INCLUSION AND 4516 03:07:26,800 --> 03:07:28,960 WHETHER STUDY FINDINGS WILL BE 4517 03:07:28,960 --> 03:07:30,080 GENERALIZABLE, TO THE POPULATION 4518 03:07:30,080 --> 03:07:32,640 OF ADULTS WITH INTELLECTUAL 4519 03:07:32,640 --> 03:07:33,960 DISABILITIES BUT IT SENDS A 4520 03:07:33,960 --> 03:07:36,080 MESSAGE, EVEN IF UNINTENTIONALLY 4521 03:07:36,080 --> 03:07:38,480 THAT CURING AND TREATING THESE 4522 03:07:38,480 --> 03:07:40,200 CONDITIONS IT WILL ADULTS WITH I 4523 03:07:40,200 --> 03:07:41,160 AM ELECT ACTUAL DISABILITIES IS 4524 03:07:41,160 --> 03:07:42,520 NOT A PRIORITY. 4525 03:07:42,520 --> 03:07:45,600 PERHAPS BECAUSE THIS POPULATION 4526 03:07:45,600 --> 03:07:47,320 IS NOT WORTHY OF INVESTMENT. 4527 03:07:47,320 --> 03:07:49,120 THAT'S EXACTLY THE IDEA OF 4528 03:07:49,120 --> 03:07:51,160 STRUCTURAL ABLEISM OF THE 4529 03:07:51,160 --> 03:07:54,960 DELINEATE HOG WHO IS IN WHO ARS 4530 03:07:54,960 --> 03:07:57,400 OUT ON THE BASIS OF CATEGORY AND 4531 03:07:57,400 --> 03:07:59,200 DECISIONS ABOUT THE NORMAL AND 4532 03:07:59,200 --> 03:08:01,800 THE AB NORM A WE'RE NOT ALONE IN 4533 03:08:01,800 --> 03:08:04,160 OUR STUDY LOOKING AT STUDIES IN 4534 03:08:04,160 --> 03:08:05,880 THE PAST 15 YEARS, WE CAN SEE ON 4535 03:08:05,880 --> 03:08:06,600 THIS SLIDE. 4536 03:08:06,600 --> 03:08:08,240 IMAGES OF FOUR OTHER STUDIES 4537 03:08:08,240 --> 03:08:11,280 THAT FOUND SIMILAR EXCLUSION OF 4538 03:08:11,280 --> 03:08:13,200 ADULTS WITH INTELLECTUAL 4539 03:08:13,200 --> 03:08:15,000 DISABILITIES OR PSYCHIATRIC 4540 03:08:15,000 --> 03:08:16,440 CONDITIONS FROM DIFFERENT 4541 03:08:16,440 --> 03:08:17,840 CLINICAL TRIALS INCLUDING TO 4542 03:08:17,840 --> 03:08:21,520 IMPROVE MEDICATIO MEDICINE ADHES 4543 03:08:21,520 --> 03:08:22,920 WELL AS A MORE RECENT STUDY IN 4544 03:08:22,920 --> 03:08:25,080 THE U.S. THAT FOUND SIMILAR 4545 03:08:25,080 --> 03:08:26,600 EXCLUSION FROM CLINICAL TRAILS 4546 03:08:26,600 --> 03:08:29,720 AS WE DID AND NOT ONLY FOR 4547 03:08:29,720 --> 03:08:31,120 PEOPLE WITH INTELLECTUAL 4548 03:08:31,120 --> 03:08:32,680 DISABILITIES BUT ALSO FOR PEOPLE 4549 03:08:32,680 --> 03:08:34,720 WITH DISABILITY MORE GENERAL. 4550 03:08:34,720 --> 03:08:37,120 SO MOVING TO PRECISION MEDICINE 4551 03:08:37,120 --> 03:08:38,200 RESEARCH, THIS IS A GROWING 4552 03:08:38,200 --> 03:08:41,840 AREA, A PROMISING ENDEAVOR IN 4553 03:08:41,840 --> 03:08:44,480 BIOMEDICAL RESEARCH AND LESS 4554 03:08:44,480 --> 03:08:45,680 RISKY FOR PRECIPITATION AND 4555 03:08:45,680 --> 03:08:47,200 WE'RE TRYING NEW DRUGS, WE'RE 4556 03:08:47,200 --> 03:08:49,120 TRYING NEW INTERVENTIONS AND 4557 03:08:49,120 --> 03:08:51,120 THERE'S ALWAYS CONCERN ABOUT 4558 03:08:51,120 --> 03:08:51,760 POTENTIAL HARM. 4559 03:08:51,760 --> 03:08:53,560 WITH PRECISION MEDICINE 4560 03:08:53,560 --> 03:08:56,840 RESEARCH, IT AIMS TO IDENTIFY 4561 03:08:56,840 --> 03:09:01,000 TRAILER AND HEALTH CONDITIONS IT 4562 03:09:01,000 --> 03:09:02,920 TAKES A HOLISTIC AND 4563 03:09:02,920 --> 03:09:05,040 PERSON-CENTERED APPROACH 4564 03:09:05,040 --> 03:09:06,400 INCLUDING INFORMATION ON 4565 03:09:06,400 --> 03:09:08,080 INDIVIDUALS, BIOLOGICAL AND 4566 03:09:08,080 --> 03:09:09,400 GENETIC, ENVIRONMENTAL AND 4567 03:09:09,400 --> 03:09:10,520 LIFESTYLE CHOICES WHICH I USE 4568 03:09:10,520 --> 03:09:13,040 HERE ON THE RIGHT SIDE OF THE 4569 03:09:13,040 --> 03:09:14,920 SLIDE ALSO AN IMAGE FROM THE ALL 4570 03:09:14,920 --> 03:09:16,360 OF US RESEARCH PROGRAM. 4571 03:09:16,360 --> 03:09:18,480 IT PROMISES TO REDUCE HEALTH 4572 03:09:18,480 --> 03:09:19,760 DISPARITIES WITH SOME FOCUS ON 4573 03:09:19,760 --> 03:09:21,520 THOSE EXACT CHRONIC CONDITIONS 4574 03:09:21,520 --> 03:09:26,480 THAT ARE DISPROPORTIONATELY 4575 03:09:26,480 --> 03:09:28,120 BURDENING UNDERSERVED AND UNDER 4576 03:09:28,120 --> 03:09:31,160 REPRESENTED POPULATION AND HAS A 4577 03:09:31,160 --> 03:09:32,960 STRONG COMPONENT OF COMMUNITY 4578 03:09:32,960 --> 03:09:34,960 ENGAGEMENT AS A PATHWAY OF 4579 03:09:34,960 --> 03:09:36,840 IMPROVING OF INVOLVEMENT OF 4580 03:09:36,840 --> 03:09:39,000 INCREASED REPRESENTATION AND 4581 03:09:39,000 --> 03:09:40,680 STUDIES AND IMPROVED HEALTH 4582 03:09:40,680 --> 03:09:42,320 OUTCOMES IN THE LONG-TERM. 4583 03:09:42,320 --> 03:09:43,880 NOW AGAIN, THE ALL OF US 4584 03:09:43,880 --> 03:09:45,320 RESEARCH PROGRAM IS THE NATIONAL 4585 03:09:45,320 --> 03:09:46,160 PRECISION MEDICINE RESEARCH 4586 03:09:46,160 --> 03:09:47,440 PROGRAM AND IT'S BEEN SUCCESSFUL 4587 03:09:47,440 --> 03:09:49,360 IN RECRUITING VICTIMS FROM 4588 03:09:49,360 --> 03:09:51,280 HISTORICALLY UNDER REPRESENTED 4589 03:09:51,280 --> 03:09:54,800 COMMUNITIES AND I KNOW CHARLES 4590 03:09:54,800 --> 03:09:55,920 WILL DISCUSS IT IN A FEW 4591 03:09:55,920 --> 03:09:56,360 MINUTES. 4592 03:09:56,360 --> 03:09:57,920 THERE ARE MANY PRECISION 4593 03:09:57,920 --> 03:09:58,960 MEDICINE STUDIES IN THE UNITED 4594 03:09:58,960 --> 03:10:01,120 STATES AND ALL OF THE LARGE 4595 03:10:01,120 --> 03:10:02,400 MEDICAL CENTERS IN THE COUNTRY 4596 03:10:02,400 --> 03:10:04,600 AND ELSEWHERE, AND THAT THE 4597 03:10:04,600 --> 03:10:05,760 PRACTICES AND PROCEDURES AND 4598 03:10:05,760 --> 03:10:09,000 APPROACHES IN THOSE LOW CALL 4599 03:10:09,000 --> 03:10:10,400 PRECISION MEDICINE PROGRAMS VARY 4600 03:10:10,400 --> 03:10:10,840 SIGNIFICANTLY. 4601 03:10:10,840 --> 03:10:12,160 WHAT DO WE KNOW ABOUT PEOPLE 4602 03:10:12,160 --> 03:10:14,640 WITH DISABILITIES IN PRECISION 4603 03:10:14,640 --> 03:10:15,960 MEDICINE RESEARCH? 4604 03:10:15,960 --> 03:10:18,120 IT WILL NOT BE SURPRISING AS A 4605 03:10:18,120 --> 03:10:20,400 FIRST THING, WE DON'T HAVE 4606 03:10:20,400 --> 03:10:21,440 COMPREHENSIVE DATA. 4607 03:10:21,440 --> 03:10:26,000 REALITY IS THAT IN MOST PRE 4608 03:10:26,000 --> 03:10:36,560 SESSION AND IN A NATIONAL SURVEY 4609 03:10:40,360 --> 03:10:42,160 THAT WE CONDUCTED ABOUT 1300 4610 03:10:42,160 --> 03:10:44,640 PARTICIPANTS WITH DIVERSE 4611 03:10:44,640 --> 03:10:47,880 ABILITIES, IN 2018, WE FOUND 4612 03:10:47,880 --> 03:10:49,440 HIGH INTEREST IN PARTICIPATION 4613 03:10:49,440 --> 03:10:52,240 ACROSS DISABILITY SUBGROUPS, 4614 03:10:52,240 --> 03:10:53,960 ESPECIALLY BLIND, LOW VISION 4615 03:10:53,960 --> 03:10:54,200 VICTIMS. 4616 03:10:54,200 --> 03:10:57,720 WE FIND THEY WERE VERY MUCH 4617 03:10:57,720 --> 03:10:59,480 INTERESTED IN PARTICIPATION AND 4618 03:10:59,480 --> 03:11:00,880 THEY THOUGHT THIS WOULD BE 4619 03:11:00,880 --> 03:11:01,760 VALUABLE AND THEY WERE WILLING 4620 03:11:01,760 --> 03:11:03,920 TO PROVIDE A RANGE OF DATA FOR 4621 03:11:03,920 --> 03:11:05,320 PRECISION MEDICINE RESEARCH AND 4622 03:11:05,320 --> 03:11:06,400 EXPRESS INTEREST IN RECEIVING 4623 03:11:06,400 --> 03:11:16,160 BACK A RANGE OF WE ALSO FOUND 4624 03:11:16,160 --> 03:11:19,560 BARRIERS FOR THEIR INCLUSION AND 4625 03:11:19,560 --> 03:11:23,040 CONCERNS THAT INDICATED THIS. 4626 03:11:23,040 --> 03:11:25,440 SO GOING INTO GOES CONCERNS, 4627 03:11:25,440 --> 03:11:27,160 THERE WERE TREMENDOUS CONCERNS 4628 03:11:27,160 --> 03:11:30,080 ABOUT ACCESS AND COMMUNICATION 4629 03:11:30,080 --> 03:11:30,680 BARRIERS. 4630 03:11:30,680 --> 03:11:32,560 THE KEY ONCE HERE IS YOU CAN SEE 4631 03:11:32,560 --> 03:11:35,760 ON THIS SLIDE, AND AGAIN, 4632 03:11:35,760 --> 03:11:37,400 SUMMARIZED AS WELL IS THAT 4633 03:11:37,400 --> 03:11:38,520 TRANSPORTATION COST IN 4634 03:11:38,520 --> 03:11:40,400 AVAILABILITY WERE SELECTED BY 4635 03:11:40,400 --> 03:11:44,280 MORE THAN 41 TO 53% FOR EXAMPLE 4636 03:11:44,280 --> 03:11:47,520 THAT'S MOST AND AGAIN WE HAD 4637 03:11:47,520 --> 03:11:49,680 ALMOST 1300 PARTICIPANTS. 4638 03:11:49,680 --> 03:11:51,440 INACCESSIBLE FACILITIES AND 4639 03:11:51,440 --> 03:11:54,040 EQUIPMENT WERE SELECTED BY 56% 4640 03:11:54,040 --> 03:11:58,680 OF OUR PARTICIPANTS AND 4641 03:11:58,680 --> 03:11:59,400 INACCESSIBLE INFORMATION WAS 4642 03:11:59,400 --> 03:12:01,240 SELECTED BY 43% OF OUR 4643 03:12:01,240 --> 03:12:04,520 PARTICIPANTS AND COMMUNICATION 4644 03:12:04,520 --> 03:12:05,920 WITH RESEARCH -- COMMUNICATION 4645 03:12:05,920 --> 03:12:08,640 WITH RESEARCHERS IS DIFFICULT 4646 03:12:08,640 --> 03:12:13,680 AND WORRIES THAT BY 44% OF OUR 4647 03:12:13,680 --> 03:12:15,440 PARTICIPANTS AND THESE FINDINGS 4648 03:12:15,440 --> 03:12:19,040 RESINATE WITH FINDINGS ON 4649 03:12:19,040 --> 03:12:20,080 CLINICAL SETTINGS AND OF COURSE, 4650 03:12:20,080 --> 03:12:22,320 WE SAY IT'S ONLY WONDERFUL WORK 4651 03:12:22,320 --> 03:12:25,040 AND SEMINAR WORK ON CLINICIANS 4652 03:12:25,040 --> 03:12:25,920 AND ATTITUDES TOWARDS PEOPLE 4653 03:12:25,920 --> 03:12:27,880 WITH DISABILITIES END INDICATING 4654 03:12:27,880 --> 03:12:29,960 THAT THE LIMITED KNOWLEDGE IS 4655 03:12:29,960 --> 03:12:34,640 DISABILITY ACCESSIBILITY AND 4656 03:12:34,640 --> 03:12:37,800 ACCOMMODATIONS PROVIDING THESE 4657 03:12:37,800 --> 03:12:39,080 PATIENTS WITH DISABILITIES AND 4658 03:12:39,080 --> 03:12:40,800 OF COURSE, MORE BIAS IS ABOUT 4659 03:12:40,800 --> 03:12:44,840 THE QUALITY OF LIFE AND SO 4660 03:12:44,840 --> 03:12:46,720 FOURTH. 4661 03:12:46,720 --> 03:12:49,360 WE FOUND HARM RELATED WORK AND 4662 03:12:49,360 --> 03:12:56,240 OUR PARTICIPANTS AND INCLUDE A 4663 03:12:56,240 --> 03:13:06,720 THIRD AND THAT IT MIGHT HARM 4664 03:13:11,240 --> 03:13:21,720 PEOPLE LIKE THAT AND RESEARCHERS 4665 03:13:23,440 --> 03:13:26,880 DO NOT KNOW THAT SO THESE 4666 03:13:26,880 --> 03:13:28,320 BARRIERS INDICATE DISTRUST, 4667 03:13:28,320 --> 03:13:30,000 SIGNIFICANT DISTRUST AND IT HAS 4668 03:13:30,000 --> 03:13:33,800 SHOWN IN STUDIES WITH 4669 03:13:33,800 --> 03:13:35,360 MARGINALIZED AND COMMUNITIES A 4670 03:13:35,360 --> 03:13:36,920 SITUATION THAT HAS NEGATIVE 4671 03:13:36,920 --> 03:13:38,840 IMPACTS ON HEALTH OUTCOMES AND 4672 03:13:38,840 --> 03:13:41,080 RESEARCH COLLABORATION AND 4673 03:13:41,080 --> 03:13:42,760 DISTRUST IS ASSOCIATED WITH 4674 03:13:42,760 --> 03:13:44,640 DISTRUST IN THE RESEARCH 4675 03:13:44,640 --> 03:13:46,080 FINDINGS AND THEIR 4676 03:13:46,080 --> 03:13:47,360 GENERALIZABILITY BECAUSE FOLKS 4677 03:13:47,360 --> 03:13:49,400 LIKE ME ARE NOT INCLUDED IN 4678 03:13:49,400 --> 03:13:50,920 BIOMEDICAL RESEARCH, HOW DO WE 4679 03:13:50,920 --> 03:13:52,720 KNOW THE FINDINGS ARE APPLICABLE 4680 03:13:52,720 --> 03:13:54,360 TO US AS WELL. 4681 03:13:54,360 --> 03:13:56,160 SO WITH THIS IN MIND, I'M 4682 03:13:56,160 --> 03:13:58,320 CURRENTLY LEADING ANOTHER 4683 03:13:58,320 --> 03:14:00,720 COMMUNITY BASED PARTICIPATORY 4684 03:14:00,720 --> 03:14:03,080 STUDY WITH LOW VISION ADULT, 4685 03:14:03,080 --> 03:14:04,240 DEAF AND HARD OF HEARING ADULTS 4686 03:14:04,240 --> 03:14:05,680 AND ADULTS OF WITH DISABILITY 4687 03:14:05,680 --> 03:14:09,160 AND WITH A GOAL OF IDENTIFYING 4688 03:14:09,160 --> 03:14:11,120 THE SOURCES OF DISTRUST IN 4689 03:14:11,120 --> 03:14:12,280 PRECISION MEDICINE RESEARCH AND 4690 03:14:12,280 --> 03:14:14,440 WHAT CAN BE DONE WITH MEDICINE 4691 03:14:14,440 --> 03:14:16,520 RESEARCH PROGRAMS TO BE TRUST 4692 03:14:16,520 --> 03:14:17,920 WORTHY AND THE PERSPECTIVE OF 4693 03:14:17,920 --> 03:14:20,200 PEOPLE WITH DISABILITIES. 4694 03:14:20,200 --> 03:14:22,240 SO FAR WE CONDUCTED 18 FOCUS 4695 03:14:22,240 --> 03:14:24,240 GROUPS AND THE NEXT FEW SLIDES 4696 03:14:24,240 --> 03:14:26,240 THAT I'LL BE SHARING ARE SOME OF 4697 03:14:26,240 --> 03:14:32,280 THE EXPERIENCES AND CONCERNS 4698 03:14:32,280 --> 03:14:34,160 THAT CAME OFF AND THIS IS A 4699 03:14:34,160 --> 03:14:38,520 STUDY OF FUNDED BY NIH OD OFFICE 4700 03:14:38,520 --> 03:14:41,080 OF DIRECTORS AND SO THE FIRST 4701 03:14:41,080 --> 03:14:43,000 THEME THAT CAME UP, VERY 4702 03:14:43,000 --> 03:14:45,440 STRONGLY ACROSS FOCUS GROUPS IS 4703 03:14:45,440 --> 03:14:47,120 THE CLINICAL SETTINGS AND WE 4704 03:14:47,120 --> 03:14:48,680 HEAR A LOT ABOUT THESE DIAGNOSIS 4705 03:14:48,680 --> 03:14:51,360 BEING OVERLOOKED AND DOWN UPON 4706 03:14:51,360 --> 03:14:54,880 AND DISRESPECTED AND TREATED THE 4707 03:14:54,880 --> 03:14:56,400 CLINICAL TEAMS AND THEIR STAFF, 4708 03:14:56,400 --> 03:15:00,760 ESPECIALLY WHEN THEY'RE MULTIPLE 4709 03:15:00,760 --> 03:15:01,720 MARGINALIZATIONS THAT IS WHEN 4710 03:15:01,720 --> 03:15:04,920 YOU HAVE BEING BLIND, AS WELL AS 4711 03:15:04,920 --> 03:15:06,920 BEING AFRICAN AMERICAN. 4712 03:15:06,920 --> 03:15:08,680 PARTICIPANTS EXPLAINED, THESE 4713 03:15:08,680 --> 03:15:10,600 EXPERIENCES INCLUDING CARE 4714 03:15:10,600 --> 03:15:12,280 SETTINGS, NEGATIVELY IMPACT 4715 03:15:12,280 --> 03:15:14,000 THEIR TRUST IN PRECISION 4716 03:15:14,000 --> 03:15:16,120 MEDICINE RESEARCH, EVEN THOUGH 4717 03:15:16,120 --> 03:15:19,280 THESE ARE SEPARATE SETTINGS, 4718 03:15:19,280 --> 03:15:20,160 BECAUSE TODAY'S PRECISION 4719 03:15:20,160 --> 03:15:21,760 MEDICINE RESEARCH IS TOMORROW'S 4720 03:15:21,760 --> 03:15:23,280 CLINICAL CARE. 4721 03:15:23,280 --> 03:15:24,480 AND THEIR NEGATIVE EXPERIENCES 4722 03:15:24,480 --> 03:15:27,480 IN CLINICAL SETTINGS ARE THE PRE 4723 03:15:27,480 --> 03:15:28,800 CURSERS ARE EXPERIENCES THEY 4724 03:15:28,800 --> 03:15:30,720 WILL LIKELY HAVE IN PRECISION 4725 03:15:30,720 --> 03:15:33,480 MEDICINE RESEARCH STUDIES AS 4726 03:15:33,480 --> 03:15:36,880 WELL. 4727 03:15:36,880 --> 03:15:41,160 AND SECOND THEME IS THE 4728 03:15:41,160 --> 03:15:41,840 CONNECTION BETWEEN 4729 03:15:41,840 --> 03:15:43,160 DISCRIMINATION AND 4730 03:15:43,160 --> 03:15:43,880 INACCESSIBILITY IN EACH AND 4731 03:15:43,880 --> 03:15:45,040 EVERY STEP OF THE PRECISION 4732 03:15:45,040 --> 03:15:47,200 MEDICINE RESEARCH CYCLE FROM THE 4733 03:15:47,200 --> 03:15:48,600 STUDY INFORMATION TO CONSENT 4734 03:15:48,600 --> 03:15:50,760 PROCESSES TO STUDY WEB SITES, 4735 03:15:50,760 --> 03:15:52,960 STUDY PROCEDURES, RETURN OF 4736 03:15:52,960 --> 03:15:57,080 RESULTS, AND OPTIONS. 4737 03:15:57,080 --> 03:16:07,560 AS PARTICIPANTS WHICH MAKES IT 4738 03:16:10,560 --> 03:16:11,840 HARDER FOR THEM TO PARTICIPATE. 4739 03:16:11,840 --> 03:16:13,840 IT'S THEM NOT BEING PROVIDED 4740 03:16:13,840 --> 03:16:16,040 ACCOMMODATIONS FOR THE STUDY 4741 03:16:16,040 --> 03:16:18,520 PROCEDURES. 4742 03:16:18,520 --> 03:16:22,200 THE IMAGE ON THE RIGHT OF THE 4743 03:16:22,200 --> 03:16:23,880 SLIDE IS AN PERPS THAT CAME UP 4744 03:16:23,880 --> 03:16:27,400 SEVERAL TIMES. 4745 03:16:27,400 --> 03:16:32,880 IT'S USED IN COLD AND INCLUDING 4746 03:16:32,880 --> 03:16:33,600 OPHTHALMOLOGIST OFFICE AND IT'S 4747 03:16:33,600 --> 03:16:35,280 UP WITH OF OUR BLACK AFRICAN 4748 03:16:35,280 --> 03:16:40,520 AMERICANS SHARES THE PEOPLE LOOK 4749 03:16:40,520 --> 03:16:44,360 AT YOU LIKE -- THEY INSIST I 4750 03:16:44,360 --> 03:16:47,880 NEED TO DO IT OR THEY EVEN ASK, 4751 03:16:47,880 --> 03:16:51,400 IS THERE SOMEONE OR SORRY, 4752 03:16:51,400 --> 03:16:54,920 THERE'S SOMEONE HAS AUDACITY TO 4753 03:16:54,920 --> 03:16:56,280 ASK YOU, WELL, DID YOU BRING 4754 03:16:56,280 --> 03:16:57,040 SOMEONE WITH YOU. 4755 03:16:57,040 --> 03:16:59,120 IT'S IMPOSED INCOMPETENCY THAT 4756 03:16:59,120 --> 03:17:00,760 ONLY RAISE FORCES THESE 4757 03:17:00,760 --> 03:17:09,520 PERCEPTIONS ABOUT INABILITIES. 4758 03:17:09,520 --> 03:17:11,800 IT'S ACCESS TO BENEFITS AND THE 4759 03:17:11,800 --> 03:17:13,080 PICTURE ON THIS SLIDE HIGHLIGHTS 4760 03:17:13,080 --> 03:17:14,880 A CONDITION FROM REA LOT OF 4761 03:17:14,880 --> 03:17:16,160 EXCLUSION TO INCLUSION IT 4762 03:17:16,160 --> 03:17:18,400 CONTAINS FIVE BOXES, WITH IMAGES 4763 03:17:18,400 --> 03:17:19,840 OF THREE PEOPLE TRYING TO BE 4764 03:17:19,840 --> 03:17:21,760 INCLUDED IN A PUBLIC SPACE WITH 4765 03:17:21,760 --> 03:17:23,640 THE BOX THIS TITLE FROM LEFT TO 4766 03:17:23,640 --> 03:17:25,880 RIGHT, REALITY, EQUALITY, 4767 03:17:25,880 --> 03:17:27,320 EQUITY, JUSTICE AND INCLUSION 4768 03:17:27,320 --> 03:17:37,840 AND SHOW HOW THESE SITUATIONS 4769 03:17:41,800 --> 03:17:44,120 TODAY AND IN THE FUTURE. 4770 03:17:44,120 --> 03:17:45,840 THEY LIE HEIGHT THE COST OF 4771 03:17:45,840 --> 03:17:47,400 CARE, HIGH POVERTY RATES AND 4772 03:17:47,400 --> 03:17:48,720 PEOPLE WITH DISABILITIES MORE 4773 03:17:48,720 --> 03:17:51,640 GENERALLY AND ESPECIALLY THOSE 4774 03:17:51,640 --> 03:17:54,440 OF MULTIPLE AND THEY TECH 4775 03:17:54,440 --> 03:17:55,680 DIVIDES THAT WILL PRECLUDE THEM 4776 03:17:55,680 --> 03:17:59,720 FROM ME JOINING THE BENEFITS AND 4777 03:17:59,720 --> 03:18:01,840 THEY WILL PAY MUCH HIGHER PRICES 4778 03:18:01,840 --> 03:18:06,360 AND CITED PEOPLE FOR ALL ASPECTS 4779 03:18:06,360 --> 03:18:13,480 OF PRECISE MEDICINE REOPEN AND 4780 03:18:13,480 --> 03:18:16,760 AND THEY NEED TO COVER THE COST 4781 03:18:16,760 --> 03:18:19,160 THAT WILL MAKE OTHERWISE 4782 03:18:19,160 --> 03:18:21,120 PUBLICLY AVAILABLE SERVICES 4783 03:18:21,120 --> 03:18:26,960 ACCESSIBLE TO THEM. 4784 03:18:26,960 --> 03:18:29,320 AND WHAT OUR PARTICIPANTS FEARED 4785 03:18:29,320 --> 03:18:30,200 IS THAT THEY WILL ALWAYS REMAIN 4786 03:18:30,200 --> 03:18:34,160 IN THE FIRST BOX ON THE LEFT OF 4787 03:18:34,160 --> 03:18:35,840 REALITY AND INEQUITY, INJUSTICE 4788 03:18:35,840 --> 03:18:37,840 AND EXCLUSION FROM ACCESSING THE 4789 03:18:37,840 --> 03:18:43,000 BENEFITS OF PRECISION MEDICINE 4790 03:18:43,000 --> 03:18:44,560 AND ANOTHER CONCERN WE HAVE, AND 4791 03:18:44,560 --> 03:18:46,440 RELATES TO THE BENEFITS OR HOW 4792 03:18:46,440 --> 03:18:49,920 WE DEFINE THE BENEFITS IS THE 4793 03:18:49,920 --> 03:18:51,720 QUESTION OF STRUCTURAL ABLEISM 4794 03:18:51,720 --> 03:18:53,120 IN GENOMICS RESEARCH MORE 4795 03:18:53,120 --> 03:19:03,120 GENERALLY AND OF COURSE, IT'S A 4796 03:19:03,120 --> 03:19:04,640 DECOMPONENT AND A VERY 4797 03:19:04,640 --> 03:19:05,760 FOUNDATIONAL STATEMENT BY JANE 4798 03:19:05,760 --> 03:19:08,400 WATSON THE PERSON WHO IDENTIFIED 4799 03:19:08,400 --> 03:19:12,080 HAS HAD A HUGE IMPACT ON THE 4800 03:19:12,080 --> 03:19:13,040 FIELDS, SEEING THE BRIGHT SIDE 4801 03:19:13,040 --> 03:19:15,040 OF BEING HANDICAPPED IS PRAISING 4802 03:19:15,040 --> 03:19:16,800 THE EXTREME POVERTY AND TO BE 4803 03:19:16,800 --> 03:19:18,400 SURE THERE ARE MANY INDIVIDUALS 4804 03:19:18,400 --> 03:19:24,000 WHO RISE OUT OF THE INHER 4805 03:19:24,000 --> 03:19:25,440 ENTERED AUTOMATIC THOUGH THERE'S 4806 03:19:25,440 --> 03:19:26,400 DIVERSITY WHETHER ONE WANTS 4807 03:19:26,400 --> 03:19:28,120 THEIR DISABILITIES TREATED OR 4808 03:19:28,120 --> 03:19:30,160 NOT, THIS RESEARCH MAY CLASS 4809 03:19:30,160 --> 03:19:31,760 WITH MANY PEOPLE WITH 4810 03:19:31,760 --> 03:19:34,160 DISABILITIES AND REFERENCES AND 4811 03:19:34,160 --> 03:19:42,720 THE ARTICLE ON THE RIGHT, THE 4812 03:19:42,720 --> 03:19:48,000 CLASS AND LOSTS AND ENSUING LOST 4813 03:19:48,000 --> 03:19:50,040 IN LASTING AND PEOPLE WITH 4814 03:19:50,040 --> 03:19:51,360 DISABILITIES AND AS A GROUP IN 4815 03:19:51,360 --> 03:19:56,360 LIFE OF THE GENOMIC RESEARCH AND 4816 03:19:56,360 --> 03:20:00,920 AGENDA AND AND IT'S RELEVANT 4817 03:20:00,920 --> 03:20:07,880 ACROSS AND THEY ARE IN OUR STUDY 4818 03:20:07,880 --> 03:20:18,560 AND WHETHER GENETIC RESEARCH HAS 4819 03:20:18,560 --> 03:20:20,640 YOU GENETICS AND THE IMPACTS ON 4820 03:20:20,640 --> 03:20:23,480 EXISTING PEOPLE WITH A 4821 03:20:23,480 --> 03:20:23,880 DISABILITY. 4822 03:20:23,880 --> 03:20:25,760 AND IT'S ONE OF OUR PARTICIPANTS 4823 03:20:25,760 --> 03:20:27,000 STATED AND I QUOTE, EVERYONE 4824 03:20:27,000 --> 03:20:29,280 WILL NEED TO ACHIEVE A RANDOM 4825 03:20:29,280 --> 03:20:31,920 IDEAL BODY TYPE OR A RANDOM 4826 03:20:31,920 --> 03:20:33,720 SKILL SET AS PART OF THE 4827 03:20:33,720 --> 03:20:34,080 CONCERNS. 4828 03:20:34,080 --> 03:20:35,720 AND FINAL ISSUE THAT I WANT TO 4829 03:20:35,720 --> 03:20:39,600 BRING UP IS DATA SHARING. 4830 03:20:39,600 --> 03:20:42,440 THIS IS A GROWING PRACTICE IN 4831 03:20:42,440 --> 03:20:43,480 PRECISION MEDICINE AND RESEARCH 4832 03:20:43,480 --> 03:20:45,680 AND OTHER HEALTH RESEARCH -- 4833 03:20:45,680 --> 03:20:47,120 >>MAYA. 4834 03:20:47,120 --> 03:20:47,560 TWO MINUTES. 4835 03:20:47,560 --> 03:20:48,200 >>OKAY. 4836 03:20:48,200 --> 03:20:49,960 AT ITS CORE, DATA SHARING HAS 4837 03:20:49,960 --> 03:20:51,120 IMPORTANT GOALS INCLUDING THE 4838 03:20:51,120 --> 03:20:52,920 NEED TO HAVE LARGE DATASETS FOR 4839 03:20:52,920 --> 03:20:54,920 SCIENTIFIC FINDINGS TO EMERGE 4840 03:20:54,920 --> 03:20:57,280 AND MAXIMUM USE OF FEDERAL 4841 03:20:57,280 --> 03:20:59,280 FUNDING AND WE DID FIND SUPPORT 4842 03:20:59,280 --> 03:20:59,880 FOR THAT. 4843 03:20:59,880 --> 03:21:01,760 FOR DATA SHARING IN OUR SURVEY 4844 03:21:01,760 --> 03:21:04,360 BUT WHAT WE ASKED ABOUT WHO THEY 4845 03:21:04,360 --> 03:21:05,720 WOULD BE WILLING TO SHARE THEIR 4846 03:21:05,720 --> 03:21:08,920 DATA WITH, WHAT WE FOUND IS 4847 03:21:08,920 --> 03:21:10,600 SIGNIFICANT RELUCTANCE TO SHARE 4848 03:21:10,600 --> 03:21:11,880 THE DATA WITH THE DRUG COMPANIES 4849 03:21:11,880 --> 03:21:14,400 AND ESPECIALLY IN BLIND AND LOW 4850 03:21:14,400 --> 03:21:15,960 VISION INDIVIDUALS WHERE SHARING 4851 03:21:15,960 --> 03:21:17,840 DATA WITH UNIVERSITY RESEARCHERS 4852 03:21:17,840 --> 03:21:19,880 AND NIH RESEARCHERS WAS MUCH 4853 03:21:19,880 --> 03:21:21,080 HIGHER AND IN DISCUSSING THIS 4854 03:21:21,080 --> 03:21:22,880 ISSUE WITH THE COMMUNITY 4855 03:21:22,880 --> 03:21:25,720 MEMBERS, WHAT WE FOUND IS THAT 4856 03:21:25,720 --> 03:21:27,200 PART OF RELUCTANCE AND WE HAVE 4857 03:21:27,200 --> 03:21:29,040 TO DO WITH PHARMACEUTICAL 4858 03:21:29,040 --> 03:21:31,600 COMPANIES ARE NOT PROVIDING 4859 03:21:31,600 --> 03:21:33,480 ACCESSIBILITY TRAVEL LABELS AND 4860 03:21:33,480 --> 03:21:34,720 EFFECTIVELY CONTRIBUTING TO THE 4861 03:21:34,720 --> 03:21:36,520 WORSE HEALTH OUTCOME OF BLIND 4862 03:21:36,520 --> 03:21:38,400 AND LOW VISION INDIVIDUALS. 4863 03:21:38,400 --> 03:21:48,920 SO THERE ARE MANY OTHER THINGS 4864 03:21:50,400 --> 03:21:55,800 WE HAVE TO ALLOW DATA SHARING 4865 03:21:55,800 --> 03:21:56,760 WITH RESPONSIBILITY SHARING AND 4866 03:21:56,760 --> 03:21:58,240 REQUIREMENTS OF THOSE WHO USE 4867 03:21:58,240 --> 03:22:00,880 THE DATA, THE SECONDARY USERS TO 4868 03:22:00,880 --> 03:22:03,880 ENSURE THEIR DISCRIMINATORY 4869 03:22:03,880 --> 03:22:05,160 PRACTICES ARE COMING TO AN END 4870 03:22:05,160 --> 03:22:06,800 AND AGAIN, THAT THEY PLAY A ROLE 4871 03:22:06,800 --> 03:22:09,280 IN ENSURING HEALTH EQUITY. 4872 03:22:09,280 --> 03:22:11,520 AND THEN THAT'S MY LAST SLIDE. 4873 03:22:11,520 --> 03:22:15,640 SO WE HEARD A LOT OF ABOUT 4874 03:22:15,640 --> 03:22:17,920 DISTRUST AND CHALLENGES THAT IS 4875 03:22:17,920 --> 03:22:19,360 ACTUALLY FOCUSING ON INDIVIDUALS 4876 03:22:19,360 --> 03:22:21,080 RATHER ON THE SYSTEM AND I THINK 4877 03:22:21,080 --> 03:22:22,880 THAT AS WE MOVE ALONG, WE HAVE 4878 03:22:22,880 --> 03:22:25,040 TO START THINKING ABOUT JUST 4879 03:22:25,040 --> 03:22:26,800 WORTHINESS AND IT'S A CALLING OF 4880 03:22:26,800 --> 03:22:28,800 DISABILITY ETHICS, REQUIRING THE 4881 03:22:28,800 --> 03:22:30,040 RESEARCH PROGRAMS INCLUDING 4882 03:22:30,040 --> 03:22:31,680 PRECISION MEDICINE RESEARCH ARE 4883 03:22:31,680 --> 03:22:36,600 JUST WORTHY AS INDIVIDUALS TO 4884 03:22:36,600 --> 03:22:37,880 PARTICIPANTS TRUST SHOWING 4885 03:22:37,880 --> 03:22:38,960 ABILITY TO ENGAGE AND THE 4886 03:22:38,960 --> 03:22:40,520 ABILITY TO ACTUALLY SHOW CARE 4887 03:22:40,520 --> 03:22:44,040 AND GOOD INTENTIONS AND SHOW 4888 03:22:44,040 --> 03:22:47,160 INTEGRITY AND I PUT HERE SOME 4889 03:22:47,160 --> 03:22:48,560 SUGGESTIONS THIS IS A PART OF MY 4890 03:22:48,560 --> 03:22:51,160 CURRENT STUDY AND WE'RE STILL 4891 03:22:51,160 --> 03:22:52,800 STUDY IT IN GREATER DETAIL BUT 4892 03:22:52,800 --> 03:22:54,640 VERY BRIEFLY WE NEED TO FIRST OF 4893 03:22:54,640 --> 03:22:56,040 ALL HAVE CLEAR INTEREST AND 4894 03:22:56,040 --> 03:22:57,480 COMMITMENT TO INCLUDE PEOPLE 4895 03:22:57,480 --> 03:22:59,000 WITH DISABILITIES IN RESEARCH ON 4896 03:22:59,000 --> 03:23:00,800 AN EQUAL BASIS AND WE NEED TO 4897 03:23:00,800 --> 03:23:02,000 START REPORTING DATA AND WE HAVE 4898 03:23:02,000 --> 03:23:05,520 TO START FROM THE PRESUMPTION OF 4899 03:23:05,520 --> 03:23:06,640 COMPETENCY AND SURE THEY'RE 4900 03:23:06,640 --> 03:23:09,720 SUPPORTED PROCESSES SO WE DO NOT 4901 03:23:09,720 --> 03:23:10,600 CONFLATE BETWEEN COM PEN TEE AND 4902 03:23:10,600 --> 03:23:12,360 LACK OF SUPPORT BUT UNIVERSAL 4903 03:23:12,360 --> 03:23:13,600 DESIGN FROM THE GET-GO SO 4904 03:23:13,600 --> 03:23:14,520 EVERYONE CAN PARTICIPATE IN 4905 03:23:14,520 --> 03:23:15,840 THOSE STUDIES AND WE HAVE TO 4906 03:23:15,840 --> 03:23:20,560 ALSO INCREASE WORKFORCE 4907 03:23:20,560 --> 03:23:21,720 DIVERSITY SO THEY INCLUDE PEOPLE 4908 03:23:21,720 --> 03:23:24,000 WITH DISABILITIES AS LEADERS OF 4909 03:23:24,000 --> 03:23:26,920 STUDIES AND ENGAGE WITH 4910 03:23:26,920 --> 03:23:27,520 COMMUNITIES OF PEOPLE WITH 4911 03:23:27,520 --> 03:23:28,720 DISABILITIES TO HEAR THEIR VIEWS 4912 03:23:28,720 --> 03:23:30,480 AND IDENTIFY THE AREA OF 4913 03:23:30,480 --> 03:23:32,120 INTEREST AND SO FOURTH AND THEN 4914 03:23:32,120 --> 03:23:33,560 FINALLY WE HAVE TO CREATE 4915 03:23:33,560 --> 03:23:35,240 RESEARCH POLICIES AND 4916 03:23:35,240 --> 03:23:36,600 ACCOUNTABILITY MEASURES TO 4917 03:23:36,600 --> 03:23:38,840 ENSURE THAT WE DISABLE 4918 03:23:38,840 --> 03:23:40,000 STRUCTURAL ABLEISTS. 4919 03:23:40,000 --> 03:23:41,640 WITH THAT, I JUST WANT TO THANK 4920 03:23:41,640 --> 03:23:43,280 THE RESEARCH PARTICIPANTS IN OUR 4921 03:23:43,280 --> 03:23:44,520 STUDIES AND COMMUNITY PARTNERS 4922 03:23:44,520 --> 03:23:47,200 AND RESEARCH STAFF, AND 4923 03:23:47,200 --> 03:23:48,480 COLLABORATIONS ACROSS PROJECTS 4924 03:23:48,480 --> 03:23:50,520 ARE FUNDERS, MY HOME DEPARTMENTS 4925 03:23:50,520 --> 03:23:52,120 OF COLOMBIA AND ALL THE 4926 03:23:52,120 --> 03:23:53,120 INDIVIDUAL EXPERTS WHO HAVE 4927 03:23:53,120 --> 03:23:54,400 SHARED WITH ME THEIR IN SIGHT, 4928 03:23:54,400 --> 03:23:54,920 KNOWLEDGE AND TIME. 4929 03:23:54,920 --> 03:23:56,880 THANK YOU SO MUCH AND I'LL LOOK 4930 03:23:56,880 --> 03:23:58,160 FORWARD TO THE CONVERSATION. 4931 03:23:58,160 --> 03:24:00,960 >>THANK YOU SO MUCH, MAYA. 4932 03:24:00,960 --> 03:24:05,880 WONDERFUL PRESENTATION. 4933 03:24:05,880 --> 03:24:08,760 TERRIFIC CONCEPT TO ADDRESS AND 4934 03:24:08,760 --> 03:24:09,360 LOOK AT. 4935 03:24:09,360 --> 03:24:11,160 I'M GOING TO GO AHEAD AND MOVE 4936 03:24:11,160 --> 03:24:12,440 FORWARD IN THE INTEREST OF TIME 4937 03:24:12,440 --> 03:24:16,440 TO OUR NEXT SPEAKER, CHARLES 4938 03:24:16,440 --> 03:24:16,960 DRUM. 4939 03:24:16,960 --> 03:24:19,320 THE DIRECTOR OF THE NATIONAL 4940 03:24:19,320 --> 03:24:21,680 CENTER ON RESEARCH, KNOWLEDGE, 4941 03:24:21,680 --> 03:24:23,080 TRANSLATION AND DISSEMINATION AT 4942 03:24:23,080 --> 03:24:24,640 THE AMERICAN ASSOCIATION ON 4943 03:24:24,640 --> 03:24:27,240 HEALTH AND DISABILITY AND WE'LL 4944 03:24:27,240 --> 03:24:31,880 TALK BEEN ALL OF THE ALL OF US 4945 03:24:31,880 --> 03:24:33,120 PROGRAM. 4946 03:24:33,120 --> 03:24:34,280 THANK YOU, CHARLES, WELCOME. 4947 03:24:34,280 --> 03:24:36,680 >>THANK YOU FOR THE INVITATION 4948 03:24:36,680 --> 03:24:38,720 TO BE HERE AND THIS DYNAMIC AND 4949 03:24:38,720 --> 03:24:39,400 IMPORTANT CONFERENCE OVER THE 4950 03:24:39,400 --> 03:24:40,520 LAST TWO DAYS. 4951 03:24:40,520 --> 03:24:41,640 MY NAME IS CHARLES. 4952 03:24:41,640 --> 03:24:44,880 I'M AN AGING, WHITE MALE WITH 4953 03:24:44,880 --> 03:24:46,560 GRAYING HAIR ALTHOUGH I STILL 4954 03:24:46,560 --> 03:24:47,960 HAVE RETAINED SOME OF THE RED. 4955 03:24:47,960 --> 03:24:50,720 I'M IN A BLUE SHIRT WITH A 4956 03:24:50,720 --> 03:24:51,440 BLURRED BACKGROUND. 4957 03:24:51,440 --> 03:24:57,120 MY PRONOUNS ARE HE/HIM/HISS AND 4958 03:24:57,120 --> 03:25:01,680 I HAVE A NON ADVISABLE VISIBLE . 4959 03:25:01,680 --> 03:25:03,200 I'LL TALK ABOUT A FEW THINGS OF 4960 03:25:03,200 --> 03:25:04,760 THE ALL OF US RESEARCH PROGRAM 4961 03:25:04,760 --> 03:25:06,280 THAT MAYA INTRODUCED. 4962 03:25:06,280 --> 03:25:08,400 I'M GOING TO DO A BRIEF OVERVIEW 4963 03:25:08,400 --> 03:25:09,080 OF THE PROGRAM. 4964 03:25:09,080 --> 03:25:12,280 I'M GOING TO TALK ABOUT SOME OF 4965 03:25:12,280 --> 03:25:14,200 INNOVATIVE ASPECTS OF THE 4966 03:25:14,200 --> 03:25:16,040 PROGRAM, ACCESSIBILITY EXAMPLES, 4967 03:25:16,040 --> 03:25:18,520 AREAS NEEDING IMPROVEMENT AND 4968 03:25:18,520 --> 03:25:20,120 NEW OPPORTUNITIES FOR IN 4969 03:25:20,120 --> 03:25:22,520 CONCLUSION INTO THE PROGRAM. 4970 03:25:22,520 --> 03:25:24,880 LIKE MAYA, I WILL START WITH A 4971 03:25:24,880 --> 03:25:25,280 DISCLAIMER. 4972 03:25:25,280 --> 03:25:27,200 BEFORE I DO THAT, I WANT TO GIVE 4973 03:25:27,200 --> 03:25:28,360 PARTICULAR THANKS TO MY 4974 03:25:28,360 --> 03:25:30,120 COLLEAGUE, Dr. JACOB DITCH, 4975 03:25:30,120 --> 03:25:33,560 FOR HIS REVIEW AND ASSISTANCE IN 4976 03:25:33,560 --> 03:25:35,920 COMMENTS ON THIS POWERPOINT 4977 03:25:35,920 --> 03:25:36,600 PRESENTATION. 4978 03:25:36,600 --> 03:25:40,080 NEXT SLIDE, PLEASE. 4979 03:25:40,080 --> 03:25:43,800 SO, IN DEED, HHD IS FUNDED BY 4980 03:25:43,800 --> 03:25:45,080 THE NIH ALL OF US RESEARCH 4981 03:25:45,080 --> 03:25:46,720 PROGRAM AND I'M THE PRINCIPLE 4982 03:25:46,720 --> 03:25:47,920 INVESTIGATOR AND DIRECTOR OF 4983 03:25:47,920 --> 03:25:49,400 THAT PROJECT AND THE DISABILITY 4984 03:25:49,400 --> 03:25:51,360 COMMUNITY ENGAGEMENT PARTNER 4985 03:25:51,360 --> 03:25:52,040 PROJECT. 4986 03:25:52,040 --> 03:25:55,120 WHICH IS CONDUCTING OUTREACH AND 4987 03:25:55,120 --> 03:25:57,480 ENGAGEMENT WITH THE DISABILITY 4988 03:25:57,480 --> 03:26:00,560 COMMUNITY ADULTS, TO ENCOURAGE 4989 03:26:00,560 --> 03:26:03,680 THEM TO PARTICIPATE IN THE 4990 03:26:03,680 --> 03:26:04,480 PROGRAM. 4991 03:26:04,480 --> 03:26:07,120 THE OPINIONS EXPRESSED IN THIS 4992 03:26:07,120 --> 03:26:09,040 REPRESENTATION ARE HOWEVER MY 4993 03:26:09,040 --> 03:26:11,600 OWN AND DO NOT REFLECT THE 4994 03:26:11,600 --> 03:26:14,360 POSITIONS OF AHD OR NIH'S ALL OF 4995 03:26:14,360 --> 03:26:16,160 US RESEARCH PROGRAM. 4996 03:26:16,160 --> 03:26:17,520 FOR THOSE OF YOU FAMILIAR WITH 4997 03:26:17,520 --> 03:26:22,000 MY WORK, YOU MAY KNOW THAT I DO 4998 03:26:22,000 --> 03:26:23,840 HAVE SOMETIMES, A DIPLOMATIC 4999 03:26:23,840 --> 03:26:25,920 APPROACH TO CRITICISM AND I WILL 5000 03:26:25,920 --> 03:26:28,160 BE CRITICIZING THE PROGRAM IN 5001 03:26:28,160 --> 03:26:28,760 SOME WAYS. 5002 03:26:28,760 --> 03:26:31,480 NEXT SLIDE, PLEASE. 5003 03:26:31,480 --> 03:26:33,960 SO, WHAT IS THE ALL OF US 5004 03:26:33,960 --> 03:26:34,960 RESEARCH PROGRAM. 5005 03:26:34,960 --> 03:26:38,640 IT'S A MASSIVE, HISTORIC, 5006 03:26:38,640 --> 03:26:39,960 LONGITUDINAL EFFORT TO GATHER 5007 03:26:39,960 --> 03:26:43,640 DATA FROM MORE THAN ONE MILLION 5008 03:26:43,640 --> 03:26:44,960 PEOPLE LIVING IN THE UNITED 5009 03:26:44,960 --> 03:26:46,880 STATES TO ACCELERATE RESEARCH 5010 03:26:46,880 --> 03:26:49,960 AND IMPROVE HEALTH. 5011 03:26:49,960 --> 03:26:51,240 BY CONSIDERING INDIVIDUAL 5012 03:26:51,240 --> 03:26:53,720 DIFFERENCES, AND LIFESTYLES, 5013 03:26:53,720 --> 03:26:55,720 SOCIOECONOMICS AND ENVIRONMENT, 5014 03:26:55,720 --> 03:26:58,880 BIOLOGY, AND OTHER FACTORS, THE 5015 03:26:58,880 --> 03:27:02,720 PROGRAM EXPECTS THAT RESEARCHERS 5016 03:27:02,720 --> 03:27:04,120 WILL UNCOVER PATHS TOWARDS 5017 03:27:04,120 --> 03:27:09,320 DELIVERING PERSONALIZED, 5018 03:27:09,320 --> 03:27:10,080 INDIVIDUALIZED, MEDICINE AND 5019 03:27:10,080 --> 03:27:11,280 HEALTHCARE AND ACHIEVING HEALTH 5020 03:27:11,280 --> 03:27:11,880 EQUITY. 5021 03:27:11,880 --> 03:27:16,440 THESE ARE LOT ABLE GOALS FOR THE 5022 03:27:16,440 --> 03:27:20,840 PROGRAM. 5023 03:27:20,840 --> 03:27:24,840 SO, IT'S A GUY NORM US 5024 03:27:24,840 --> 03:27:27,600 LONGITUDINAL OBSERVATIONAL 5025 03:27:27,600 --> 03:27:31,120 COHORT DATABASE CREATION. 5026 03:27:31,120 --> 03:27:32,360 ONE OF THE THINGS THAT I THINK 5027 03:27:32,360 --> 03:27:34,720 IS REALLY INNOVATIVE ABOUT THE 5028 03:27:34,720 --> 03:27:36,640 PROJECT IS THAT THEY'RE REALLY 5029 03:27:36,640 --> 03:27:41,880 WORK TO GO ACHIEVE DIVERSITY AND 5030 03:27:41,880 --> 03:27:43,680 SCALE. 5031 03:27:43,680 --> 03:27:46,080 THEY'RE FOCUSING ON 5032 03:27:46,080 --> 03:27:48,320 DEMOGRAPHICALLY, GEOGRAPHICALLY, 5033 03:27:48,320 --> 03:27:51,280 DIVERSITY, AND INCLUDING PERSONS 5034 03:27:51,280 --> 03:27:53,240 THAT THEY DESCRIBE IS UNDER 5035 03:27:53,240 --> 03:27:55,320 REPRESENTED IN BIOMEDICAL 5036 03:27:55,320 --> 03:27:57,200 RESEARCH, UBR. 5037 03:27:57,200 --> 03:28:00,720 RACE, ETHNICITY, GENDER, AGE, 5038 03:28:00,720 --> 03:28:03,400 SEXUAL ORIENTATION, RURAL 5039 03:28:03,400 --> 03:28:05,840 STATUS, SOCIOECONOMICS, AND 5040 03:28:05,840 --> 03:28:08,080 IMPORTANTLY FOR OUR WORD, 5041 03:28:08,080 --> 03:28:08,440 DISABILITY. 5042 03:28:08,440 --> 03:28:12,720 TO DATE, THEY HAVE OVER 600,000 5043 03:28:12,720 --> 03:28:14,760 PARTICIPANTS, 80% OF THE 5044 03:28:14,760 --> 03:28:17,640 PARTICIPANTS FALL INTO THE UBR 5045 03:28:17,640 --> 03:28:19,320 CATEGORY. 5046 03:28:19,320 --> 03:28:20,920 15% OF THE PARTICIPANTS ARE 5047 03:28:20,920 --> 03:28:23,560 PEOPLE WITH DISABILITIES AND AS 5048 03:28:23,560 --> 03:28:25,800 WE HAVE WORKED ON THIS PROJECT 5049 03:28:25,800 --> 03:28:28,160 NOW FOR A YEAR AND THREE 5050 03:28:28,160 --> 03:28:30,640 QUARTERS, WE'RE REALLY TRYING TO 5051 03:28:30,640 --> 03:28:31,720 INCREASE THE PREPORTION OF 5052 03:28:31,720 --> 03:28:34,200 PEOPLE WITH DISABILITIES THAT 5053 03:28:34,200 --> 03:28:35,160 ARE PARTICIPANTS. 5054 03:28:35,160 --> 03:28:37,160 IT'S A HUGE DIVERSE RANGE OF 5055 03:28:37,160 --> 03:28:38,880 DATA THAT IS AVAILABLE. 5056 03:28:38,880 --> 03:28:41,000 THEY HAVE A NUMBER OF SOCIAL 5057 03:28:41,000 --> 03:28:43,120 SCIENCE SURVEYS AND AS A SOCIAL 5058 03:28:43,120 --> 03:28:44,720 SCIENTIST, I RESINATE TOWARDS 5059 03:28:44,720 --> 03:28:45,200 THAT. 5060 03:28:45,200 --> 03:28:47,280 IT INCLUDES SURVEYS ON 5061 03:28:47,280 --> 03:28:49,320 LIFESTYLES, OVER ALL HEALTH, 5062 03:28:49,320 --> 03:28:51,480 HEALTHCARE ACCESS AND 5063 03:28:51,480 --> 03:28:52,920 UTILIZATION, PERSONALIZED 5064 03:28:52,920 --> 03:28:59,000 MEDICAL HISTORY, FAMILY HEALTH 5065 03:28:59,000 --> 03:29:00,080 HISTORY, TWO DIFFERENT COVID 5066 03:29:00,080 --> 03:29:03,800 FOCUSED SURVEYS, SOCIAL 5067 03:29:03,800 --> 03:29:06,400 DETERMINANTS OF HEALTH AND THEY 5068 03:29:06,400 --> 03:29:07,800 TAKE PHYSICAL MEASUREMENTS AND 5069 03:29:07,800 --> 03:29:10,840 THEY PROVIDE WEARABLES TO SOME 5070 03:29:10,840 --> 03:29:14,120 FOLKS AND YOU CAN SIGN UP TO 5071 03:29:14,120 --> 03:29:15,040 PROVIDE SAMPLES. 5072 03:29:15,040 --> 03:29:18,120 IT'S THE LARGEST GENETIC DATASET 5073 03:29:18,120 --> 03:29:22,160 IN THE ENTIRE WORLD WITH OVER 5074 03:29:22,160 --> 03:29:23,280 450,000 PEOPLE THAT HAVE 5075 03:29:23,280 --> 03:29:26,920 PROVIDED BIO SAMPLES FOR GENETIC 5076 03:29:26,920 --> 03:29:27,360 ANALYSIS. 5077 03:29:27,360 --> 03:29:28,840 AND THEY'RE EXPANDING. 5078 03:29:28,840 --> 03:29:35,320 THEY'RE LOOKING FOR NEW SURVEYS 5079 03:29:35,320 --> 03:29:39,760 AND THEY RESURVEY PARTICIPANTS 5080 03:29:39,760 --> 03:29:42,080 WHO HAD NOT HAD AN OPPORTUNITY 5081 03:29:42,080 --> 03:29:42,720 TO COMPLETE TOES SURVEYS. 5082 03:29:42,720 --> 03:29:47,040 NEXT SLIDE, PLEASE. 5083 03:29:47,040 --> 03:29:48,560 THE GOAL IS TO HAVE THIS GUY 5084 03:29:48,560 --> 03:29:52,240 NORM US DATABASE RESEARCHER WORK 5085 03:29:52,240 --> 03:29:53,800 BENCH, THAT IS A NATIONAL 5086 03:29:53,800 --> 03:30:04,120 RESOURCE FOR ALL. 5087 03:30:12,560 --> 03:30:14,360 THEY HAVE TALKED ABOUT CITIZENRY 5088 03:30:14,360 --> 03:30:15,800 SEARCHERS AND A DASHBOARD THAT 5089 03:30:15,800 --> 03:30:18,080 THEY HAVE CREATED AND ARE 5090 03:30:18,080 --> 03:30:19,840 CONSISTENTLY UPDATING. 5091 03:30:19,840 --> 03:30:21,360 THERE'S A LOT OF PARTICIPANT 5092 03:30:21,360 --> 03:30:22,000 CHOICE. 5093 03:30:22,000 --> 03:30:24,360 YOU CAN TAKE ONE SURVEY OR ALL. 5094 03:30:24,360 --> 03:30:26,360 YOU CAN TAKE PROVIDE ELECTRONIC 5095 03:30:26,360 --> 03:30:27,440 HEALTH RECORDS OR NONE. 5096 03:30:27,440 --> 03:30:30,520 YOU CAN PROVIDE BIO SAMPLES OR 5097 03:30:30,520 --> 03:30:31,600 NOT AT ALL. 5098 03:30:31,600 --> 03:30:33,600 YOU CAN CHOSE TO GET THE DATA 5099 03:30:33,600 --> 03:30:34,800 INFORMATION BACK TO YOU OR YOU 5100 03:30:34,800 --> 03:30:36,200 CAN AVOID THAT. 5101 03:30:36,200 --> 03:30:39,400 IF IF YOU PROVIDE BIO SAMPLES 5102 03:30:39,400 --> 03:30:41,320 AND THERE ARE CONCERNING 5103 03:30:41,320 --> 03:30:43,440 RESULTS, THEY HAVE A GENETIC 5104 03:30:43,440 --> 03:30:45,200 COUNSELING PROGRAM WHERE THEY 5105 03:30:45,200 --> 03:30:47,680 CAN COUNCIL PARTICIPANTS. 5106 03:30:47,680 --> 03:30:49,440 THEY REALLY DO FOCUS ON 5107 03:30:49,440 --> 03:30:50,760 PARTICIPANTS AS PARTNERS, 5108 03:30:50,760 --> 03:30:55,280 THEY'RE INCLUDED IN THE 5109 03:30:55,280 --> 03:30:57,520 GOVERNANCE, PARTICIPATORY ACTION 5110 03:30:57,520 --> 03:30:58,960 RESEARCH OR COMMUNITY BASED 5111 03:30:58,960 --> 03:31:00,760 RESEARCH IS ENCOURAGED AND 5112 03:31:00,760 --> 03:31:02,760 THERE'S MECHANISMS FOR 5113 03:31:02,760 --> 03:31:04,000 PARTICIPANTS TO IDENTIFY OF 5114 03:31:04,000 --> 03:31:05,400 AREAS WHERE THERE SHOULD BE 5115 03:31:05,400 --> 03:31:11,920 RESEARCH STUDIES GOING ON. 5116 03:31:11,920 --> 03:31:13,480 THEY A WORKGROUP AND THE 5117 03:31:13,480 --> 03:31:19,840 CERTAINLY IMPLICATIMPLICATIONS. 5118 03:31:19,840 --> 03:31:22,000 THIS IS TAKING ON THESE TOUGH 5119 03:31:22,000 --> 03:31:27,840 QUESTIONS MADE UP OF GRANTEES, 5120 03:31:27,840 --> 03:31:29,280 AWARDEES TO EXAMINE THESE ISSUES 5121 03:31:29,280 --> 03:31:30,320 FOR THE PROGRAM. 5122 03:31:30,320 --> 03:31:35,120 NEXT SLIDE, PLEASE. 5123 03:31:35,120 --> 03:31:36,800 SO, HERE IS SOME OF THE REASONS 5124 03:31:36,800 --> 03:31:40,280 FROM A DISABILITY PERSPECTIVE 5125 03:31:40,280 --> 03:31:44,480 THAT I ENDORSE THE ALL OF US 5126 03:31:44,480 --> 03:31:45,560 RESEARCH PROGRAM. 5127 03:31:45,560 --> 03:31:47,840 IT'S THE PERSONALIZED MEDICINE 5128 03:31:47,840 --> 03:31:51,400 INDIVIDUALIZED HEALTHCARE FIRST 5129 03:31:51,400 --> 03:31:57,800 AND FOR MOST AS CONFERENCE HAS 5130 03:31:57,800 --> 03:31:58,560 DEMONSTRATED, MEDICAL CARE IF 5131 03:31:58,560 --> 03:32:01,240 YOU HAVE A DISABILITY IS NOT 5132 03:32:01,240 --> 03:32:01,600 SUFFICIENT. 5133 03:32:01,600 --> 03:32:04,120 THEY ALSO HAVE A GOAL OF 5134 03:32:04,120 --> 03:32:06,840 FOCUSING ON HEALTH EQUITY AND 5135 03:32:06,840 --> 03:32:09,080 THIS RESINATES TO ME AS A 5136 03:32:09,080 --> 03:32:10,760 DISABILITY RESEARCHER. 5137 03:32:10,760 --> 03:32:13,120 THEY HAVE A UNIQUE COMBINATION 5138 03:32:13,120 --> 03:32:16,520 OF DATA AND I'VE WORKED WITH THE 5139 03:32:16,520 --> 03:32:17,840 BEHAVIORAL RISK FACTOR 5140 03:32:17,840 --> 03:32:21,360 SURVEILLANCE SYSTEM, MATS AND 5141 03:32:21,360 --> 03:32:23,280 NHIS AND OTHER SECONDARY DATA 5142 03:32:23,280 --> 03:32:25,360 SOURCES. 5143 03:32:25,360 --> 03:32:27,000 HERE YOU HAVE GENETIC DATA, 5144 03:32:27,000 --> 03:32:29,480 CLINICAL DATA AND SOCIAL SCIENCE 5145 03:32:29,480 --> 03:32:30,760 SURVEYS ALL BROUGHT TOGETHER. 5146 03:32:30,760 --> 03:32:33,000 THEY USE THE DISABILITY 5147 03:32:33,000 --> 03:32:34,240 IDENTIFIERS THAT ARE CONTAINED 5148 03:32:34,240 --> 03:32:36,040 IN THE AMERICAN COMMUNITY SURVEY 5149 03:32:36,040 --> 03:32:38,360 AND SO IT DOES ALLOW COMPARISONS 5150 03:32:38,360 --> 03:32:42,000 WITH POPULATION BASED SURVEYS. 5151 03:32:42,000 --> 03:32:44,600 THE PROGRAM MADE THE CHOICE TO 5152 03:32:44,600 --> 03:32:54,040 FUND A NUMBER OF NATIONAL AND 5153 03:32:54,040 --> 03:32:55,440 ENGAGEMENT PARTNERS TO PROVIDE 5154 03:32:55,440 --> 03:32:57,800 THAT PERSPECTIVE BOTH IN TERMS 5155 03:32:57,800 --> 03:33:00,640 OF RECRUITMENT AND ENGAGEMENT 5156 03:33:00,640 --> 03:33:03,760 AND ALSO WITH THE OPERATIONS OF 5157 03:33:03,760 --> 03:33:07,600 THE PROGRAMS ITSELF AND AS A 5158 03:33:07,600 --> 03:33:09,120 RESEARCHER ADVOCATE, THEY DO 5159 03:33:09,120 --> 03:33:19,360 HEAR FROM US. 5160 03:33:19,720 --> 03:33:22,520 WE BRING THE VOICE OF MANY 5161 03:33:22,520 --> 03:33:23,200 DIFFERENT DISABILITY GROUPS INTO 5162 03:33:23,200 --> 03:33:23,840 OUR WORKS. 5163 03:33:23,840 --> 03:33:26,440 SO WE HAVE 25 NATIONAL AND LOCAL 5164 03:33:26,440 --> 03:33:27,280 DISABILITIES ORGANIZATIONS THAT 5165 03:33:27,280 --> 03:33:29,920 ARE PART OF THAT CONSORTIUM. 5166 03:33:29,920 --> 03:33:35,080 THEY INCLUDE ORGANIZATIONS LIKE 5167 03:33:35,080 --> 03:33:37,840 NICKEL AND APRIL AND AUCD AND 5168 03:33:37,840 --> 03:33:39,640 CFP AND THE SPINA BIFIDA 5169 03:33:39,640 --> 03:33:41,880 ASSOCIATION AND MANY OTHERS. 5170 03:33:41,880 --> 03:33:44,800 INCLUDING LOCAL CENTERS FOR 5171 03:33:44,800 --> 03:33:45,520 INDEPENDENT LIVING. 5172 03:33:45,520 --> 03:33:47,080 PART OF WHAT WE DID IN THE FIRST 5173 03:33:47,080 --> 03:33:48,680 YEAR OF THE PROJECT IS WE 5174 03:33:48,680 --> 03:33:50,600 CREATED AN ENDORSEMENT AND 5175 03:33:50,600 --> 03:33:52,520 INCLUSION STATEMENT THAT WAS 5176 03:33:52,520 --> 03:33:55,480 ADOPTED BY OUR FULL DISABILITY 5177 03:33:55,480 --> 03:33:56,120 CONSORTIUM. 5178 03:33:56,120 --> 03:33:59,280 THIS IS AN APPROVED 5179 03:33:59,280 --> 03:34:00,680 COMMUNICATION ASSET BY NIH 5180 03:34:00,680 --> 03:34:03,320 COMMUNICATION OFFICE AND IRB. 5181 03:34:03,320 --> 03:34:05,200 THEY LET US CRITICIZE THE 5182 03:34:05,200 --> 03:34:07,360 PROGRAM IN THIS STATEMENT, LET 5183 03:34:07,360 --> 03:34:13,160 ME BE CLEAR, WE LET THE WORK 5184 03:34:13,160 --> 03:34:14,920 THEY'VE DONE TO MAKE THE PROGRAM 5185 03:34:14,920 --> 03:34:16,600 ACCESSIBLE BUT WE ALSO POINT OUT 5186 03:34:16,600 --> 03:34:23,760 THAT THEY NEED TO ADOPT MAKE 5187 03:34:23,760 --> 03:34:25,440 SURE THE RESEARCH INCLUDES ALL 5188 03:34:25,440 --> 03:34:27,320 PEOPLE WITH DISABILITIES 5189 03:34:27,320 --> 03:34:28,640 INCLUDING PEOPLE WHO CANNOT 5190 03:34:28,640 --> 03:34:29,600 CONSENT ON THEIR OWN. 5191 03:34:29,600 --> 03:34:36,640 NEXT SLIDE, PLEASE. 5192 03:34:36,640 --> 03:34:41,360 HERE IS THE ACCESSIBLE AND IT'S 5193 03:34:41,360 --> 03:34:47,520 DONE AND THEY ARE 508 ACCESSIBLE 5194 03:34:47,520 --> 03:34:49,560 AND THEY FOCUS ON MEETING A 5195 03:34:49,560 --> 03:34:52,040 SIXTH GRADE READING LEVEL OR 5196 03:34:52,040 --> 03:34:52,960 LOWER. 5197 03:34:52,960 --> 03:34:55,480 SO SOME BUT NOT ALL OF THE 5198 03:34:55,480 --> 03:34:57,640 RECRUITMENT MATERIALS INCLUDE 5199 03:34:57,640 --> 03:34:59,440 DISABILITY IMAGES. 5200 03:34:59,440 --> 03:35:00,840 SOME OF THE RECRUITMENT 5201 03:35:00,840 --> 03:35:03,240 MATERIALS INCLUDE SPECIFIC 5202 03:35:03,240 --> 03:35:04,400 TESTIMONY ALS FROM PEOPLE WITH 5203 03:35:04,400 --> 03:35:06,280 DISABILITIES AS TO WHY THEY 5204 03:35:06,280 --> 03:35:08,760 SIGNED UP TO BE PARTICIPANTS. 5205 03:35:08,760 --> 03:35:10,680 THE ALL OF US LANDING PAGE 5206 03:35:10,680 --> 03:35:12,240 INCLUDES PHONE, E-MAIL AND 5207 03:35:12,240 --> 03:35:15,920 ON-LINE CHAT OPTIONS, FROM THAT 5208 03:35:15,920 --> 03:35:18,120 MAIN WEB PAGE FROM 7:00 A.M. TO 5209 03:35:18,120 --> 03:35:20,280 10:00 P.M. EASTERN STANDARD 5210 03:35:20,280 --> 03:35:20,680 TIME. 5211 03:35:20,680 --> 03:35:24,840 THE ALL OF US LAPPI LANDING HAS 5212 03:35:24,840 --> 03:35:27,480 TOLL-FREE TTY TELE 5213 03:35:27,480 --> 03:35:28,680 COMMUNICATIONS RELAY SERVICES 5214 03:35:28,680 --> 03:35:30,160 THAT ARE AVAILABLE. 5215 03:35:30,160 --> 03:35:33,600 NEXT SLIDE, PLEASE. 5216 03:35:33,600 --> 03:35:35,720 SO THEY HAVE OUTREACH AND 5217 03:35:35,720 --> 03:35:36,880 ENGAGEMENT MATERIALS, 5218 03:35:36,880 --> 03:35:37,720 RECRUITMENT MATERIALS AND THEN 5219 03:35:37,720 --> 03:35:41,160 THEY HAVE ENROLLMENT MATERIALS. 5220 03:35:41,160 --> 03:35:42,920 THESE MATERIALS MEET 508 5221 03:35:42,920 --> 03:35:44,360 REQUIREMENTS AND ARE AT THE 5222 03:35:44,360 --> 03:35:46,440 SIXTH GRADE READING LEVEL OR 5223 03:35:46,440 --> 03:35:47,160 LOWER. 5224 03:35:47,160 --> 03:35:50,120 THEY PROVIDE SUPPORT ON THE 5225 03:35:50,120 --> 03:35:52,760 ENROLLMENT HOME PAGE VIA CHATBOX 5226 03:35:52,760 --> 03:35:55,240 TO ANSWER QUESTIONS IF PEOPLE 5227 03:35:55,240 --> 03:35:56,800 HAVE THEM. 5228 03:35:56,800 --> 03:35:58,920 AND ENROLLMENT CAN BE DONE 5229 03:35:58,920 --> 03:36:00,080 REMOTELY THROUGH A WESTBOUND 5230 03:36:00,080 --> 03:36:02,520 BROWSER OR A MOBILE APP THAT IS 5231 03:36:02,520 --> 03:36:04,880 SCREEN READER COMPATIBLE. 5232 03:36:04,880 --> 03:36:08,080 THEY ALSO PROVIDE IN-PERSON 5233 03:36:08,080 --> 03:36:08,920 ENROLLMENT OPPORTUNITIES AS A 5234 03:36:08,920 --> 03:36:10,920 NETWORK OF HEALTH PROVIDERS 5235 03:36:10,920 --> 03:36:12,120 ORGANIZATIONS SUCH AS HOSPITALS 5236 03:36:12,120 --> 03:36:13,960 AND CLINICS, WHERE ONE CAN GO 5237 03:36:13,960 --> 03:36:15,440 AND ENROLL IN THE PROGRAM AND 5238 03:36:15,440 --> 03:36:18,040 PROVIDE BIO SAMPLES. 5239 03:36:18,040 --> 03:36:19,600 THEY HAVE SEVERAL ALL OF US 5240 03:36:19,600 --> 03:36:21,600 JOURNEY BUSES THAT DOES 5241 03:36:21,600 --> 03:36:25,400 EDUCATION AND ENROLLMENT AND ARE 5242 03:36:25,400 --> 03:36:30,680 GOING ACROSS THE NATION MU OFTEO 5243 03:36:30,680 --> 03:36:32,520 RURAL AREAS TO PROVIDE EDUCATION 5244 03:36:32,520 --> 03:36:36,640 AND ENROLLMENT AND THEY SUPPORT 5245 03:36:36,640 --> 03:36:37,560 POP-UP CLINICS. 5246 03:36:37,560 --> 03:36:42,920 THEY'RE IN ACCESSIBILITY IN ACC. 5247 03:36:42,920 --> 03:36:46,280 FROM THE PARTICIPANT 5248 03:36:46,280 --> 03:36:48,680 PERSPECTIVE, I REALLY VALUE AND 5249 03:36:48,680 --> 03:36:51,000 THINK IT'S IMPORTANT THAT THE 5250 03:36:51,000 --> 03:36:53,760 SURVEYS ARE AT SIXTH GRADE LEVEL 5251 03:36:53,760 --> 03:36:57,040 OR LOWER. 5252 03:36:57,040 --> 03:37:03,240 I HAVE BEEN BLESS BLESS BLESSEDO 5253 03:37:03,240 --> 03:37:04,680 ACCESS TO EDUCATION SO IT'S 5254 03:37:04,680 --> 03:37:05,880 IMPORTANT GIVEN THE COMPLEXITY 5255 03:37:05,880 --> 03:37:07,040 OF SOME OF THESE QUESTIONS THAT 5256 03:37:07,040 --> 03:37:08,880 THE SURVEY ITEMS THEMSELVES ARE 5257 03:37:08,880 --> 03:37:12,760 AT SIXTH GRADE LEVEL OR LOWER. 5258 03:37:12,760 --> 03:37:15,640 THEY HAVE SALIVA KITS FOR FOLKS 5259 03:37:15,640 --> 03:37:16,800 WHO FIND IT DIFFICULT TO LEAVE 5260 03:37:16,800 --> 03:37:17,920 THEIR HOME OR TRANSPORTATION 5261 03:37:17,920 --> 03:37:19,120 ISN'T AVAILABLE. 5262 03:37:19,120 --> 03:37:20,920 THEY CAN GET THROUGH THE MAIL 5263 03:37:20,920 --> 03:37:27,000 AND RETURN TO THE PROGRAM. 5264 03:37:27,000 --> 03:37:28,800 I THINK IT'S IMPORTANT THEY 5265 03:37:28,800 --> 03:37:31,400 LISTEN AND ADD NEW. 5266 03:37:31,400 --> 03:37:36,320 IT'S NOT AROUND THE NEW SURVEYS. 5267 03:37:36,320 --> 03:37:39,480 FROM A PARTICIPANT PERSPECTIVE 5268 03:37:39,480 --> 03:37:42,080 IT'S REALLY IMPORTANT AND 5269 03:37:42,080 --> 03:37:49,080 UNDERSTAND AN ELAN ELEMENTOF EMM 5270 03:37:49,080 --> 03:37:50,360 MAINTAINS A WEBSITE OF ALL THE 5271 03:37:50,360 --> 03:37:51,680 DIFFERENT RESEARCH PROJECTS THAT 5272 03:37:51,680 --> 03:37:54,840 ARE GOING ON. 5273 03:37:54,840 --> 03:37:56,760 PARTICIPANTS OR OTHER 5274 03:37:56,760 --> 03:37:59,000 RESEARCHERS CAN INITIATE A 5275 03:37:59,000 --> 03:38:02,120 REVIEW OF WHAT THAT PERSON FEELS 5276 03:38:02,120 --> 03:38:07,040 LIKE THE STIGMATIZING RESEARCH 5277 03:38:07,040 --> 03:38:08,640 PROJECTS AND IT'S DONE BY A 5278 03:38:08,640 --> 03:38:10,200 RESEARCH ACCESS BOARD AND THAT 5279 03:38:10,200 --> 03:38:13,160 BOARD TAKES A RANDOM SAMPLE OF 5280 03:38:13,160 --> 03:38:14,240 PROJECTS ANNUALLY AS WELL TO 5281 03:38:14,240 --> 03:38:16,360 REVIEW TO SEE IF THERE'S 5282 03:38:16,360 --> 03:38:18,280 STIGMATIZING RESEARCH GOING ON. 5283 03:38:18,280 --> 03:38:26,480 THAT IS A POWERFUL CHOICE. 5284 03:38:26,480 --> 03:38:28,480 IT'S NOT PERFECT. 5285 03:38:28,480 --> 03:38:30,520 PEOPLE ARE WAITING FOR THE 5286 03:38:30,520 --> 03:38:32,200 IMPLIED CRITICISM OR THE DIRECT 5287 03:38:32,200 --> 03:38:32,800 CRITICISM. 5288 03:38:32,800 --> 03:38:34,320 AND I'M HAPPY TO GIVE THAT 5289 03:38:34,320 --> 03:38:36,800 BECAUSE IT HELPS IMPROVE THE 5290 03:38:36,800 --> 03:38:39,600 PROGRAMS. 5291 03:38:39,600 --> 03:38:41,840 SO, WHILE MOST OF THE 5292 03:38:41,840 --> 03:38:43,640 RECRUITMENT MATERIALS ARE 508 5293 03:38:43,640 --> 03:38:45,640 COMPLIANCE, THEY ALL HAVE TO BE 5294 03:38:45,640 --> 03:38:51,280 508 COMPLIANT. 5295 03:38:51,280 --> 03:38:53,520 THE DISABILITY ARE LIMITED TO 5296 03:38:53,520 --> 03:38:55,760 MOBILITY AND OTHER VISIBLE 5297 03:38:55,760 --> 03:38:58,000 DISABILITIES AND THEY LACK IN MY 5298 03:38:58,000 --> 03:38:59,640 OPINION, KIND OF 5299 03:38:59,640 --> 03:39:02,040 INTERSECTIONALITY BETWEEN RACE, 5300 03:39:02,040 --> 03:39:06,800 ETHNICITY, AND DISABILITY. 5301 03:39:06,800 --> 03:39:08,440 THE LANDING PAGES AND SOME OF 5302 03:39:08,440 --> 03:39:11,000 THE FRONT PAGES OF THE AOU WEB 5303 03:39:11,000 --> 03:39:15,160 SITES ARE 508 COMPLIANT. 5304 03:39:15,160 --> 03:39:17,880 LIKE MANY WEB SITES, WHEN YOU 5305 03:39:17,880 --> 03:39:18,720 START DRILLING DEEPER THERE'S 5306 03:39:18,720 --> 03:39:20,960 PROBLEMS WITH 508 COMPLIANCE AND 5307 03:39:20,960 --> 03:39:25,000 MEETING THOSE STANDA STANDARDS S 5308 03:39:25,000 --> 03:39:29,440 TOUGH BUT IT NEEDS TO BE MET. 5309 03:39:29,440 --> 03:39:31,560 THE FOCUS ON INTERSECTIONALITY 5310 03:39:31,560 --> 03:39:33,080 THAT WE HAVE AROUND DISABILITY 5311 03:39:33,080 --> 03:39:36,360 RACE AND ETHNICITY, IS REALLY 5312 03:39:36,360 --> 03:39:39,640 UNDER CUT BY THE FACT THAT THE 5313 03:39:39,640 --> 03:39:41,000 SURVEYS ARE OFFERED AND THE 5314 03:39:41,000 --> 03:39:42,520 MATERIALS ARE OFFERED IN ENGLISH 5315 03:39:42,520 --> 03:39:44,400 AND SPANISH AND THAT IS AN AREA 5316 03:39:44,400 --> 03:39:46,440 WHERE THEY NEED TO DO MORE WORK 5317 03:39:46,440 --> 03:39:49,040 AND OFFER THEM IN OTHER 5318 03:39:49,040 --> 03:39:49,440 LANGUAGES. 5319 03:39:49,440 --> 03:39:52,840 AND THEY DON'T ALWAYS FOLLOW 5320 03:39:52,840 --> 03:39:55,000 BEST PRACTICES OF HAVING THEIR 5321 03:39:55,000 --> 03:39:56,520 PROGRAMS LED OF PRESENTATIONS 5322 03:39:56,520 --> 03:40:00,080 AND CONFERENCES AND THE INTERNAL 5323 03:40:00,080 --> 03:40:03,520 MEETINGS AND HAVING ASL 5324 03:40:03,520 --> 03:40:05,120 INTERPRETERS AND CART BEING 5325 03:40:05,120 --> 03:40:05,840 OFFERED. 5326 03:40:05,840 --> 03:40:08,560 WHILE THE JOURNEY BUSES ARE 5327 03:40:08,560 --> 03:40:09,560 ACCESSIBLE, WE HAVE MONITORED 5328 03:40:09,560 --> 03:40:13,760 THEM TO MAKE SURE THAT THERE'S A 5329 03:40:13,760 --> 03:40:16,000 RAMP AT THE BACK OF THE BUS, 5330 03:40:16,000 --> 03:40:18,040 THEY DON'T PARK THE BUS WITH A 5331 03:40:18,040 --> 03:40:19,320 HAM NOT HOLE BEHIND IT SO THAT 5332 03:40:19,320 --> 03:40:23,480 IS AN AREA THAT NEEDS TO BE 5333 03:40:23,480 --> 03:40:31,840 MONITORED. 5334 03:40:31,840 --> 03:40:32,920 THERE'S AN EFFORT TO ADDRESS 5335 03:40:32,920 --> 03:40:38,320 THESE AND I THINK AHD WAS PRIOR 5336 03:40:38,320 --> 03:40:39,960 TO A YEAR AND THREE QUARTERS AGO 5337 03:40:39,960 --> 03:40:41,760 WAS A SUB AWARD' AND IT DIDN'T 5338 03:40:41,760 --> 03:40:45,840 HAVE THE INFLUENCE IT HAS NOW 5339 03:40:45,840 --> 03:40:47,640 AND SO WE'RE SPONSORING A PHOTO 5340 03:40:47,640 --> 03:40:51,720 SHOOT THAT WILL PROVIDE A BROAD 5341 03:40:51,720 --> 03:40:54,520 ARRAY OF DISABILITY IMAGES BEING 5342 03:40:54,520 --> 03:40:54,960 REPRESENTED. 5343 03:40:54,960 --> 03:40:58,080 WE HAVE A REMEDIATION SPECIALIST 5344 03:40:58,080 --> 03:41:00,200 SO WE'LL DO A LOT TAGS SO IF THE 5345 03:41:00,200 --> 03:41:03,240 PERSON LIKE MYSELF, HAS A NON 5346 03:41:03,240 --> 03:41:07,120 ADVISABLE DISABILITY, THEY'LL BE 5347 03:41:07,120 --> 03:41:10,520 AN ALT TAG TO INDICATE WHAT THAT 5348 03:41:10,520 --> 03:41:11,400 IS. 5349 03:41:11,400 --> 03:41:15,000 PEDIATRIC ENROLLMENT IS UNDER 5350 03:41:15,000 --> 03:41:15,600 DEVELOPMENT. 5351 03:41:15,600 --> 03:41:17,880 AND THEY HAVE SPECIFICALLY 5352 03:41:17,880 --> 03:41:22,640 DECIDED TO INCLUDE CHILDREN WITH 5353 03:41:22,640 --> 03:41:25,240 DISABILITIES. 5354 03:41:25,240 --> 03:41:27,840 KIDS WITH IDD OR OTHER KINDS OF 5355 03:41:27,840 --> 03:41:31,560 DISABILITIES ARE NOT GOING TO BE 5356 03:41:31,560 --> 03:41:33,080 EXCLUDED FROM THE PEDIATRIC 5357 03:41:33,080 --> 03:41:34,680 RESEARCH THAT IS GOING ON AND 5358 03:41:34,680 --> 03:41:38,320 WE'VE BEEN WORKING CLOSELY WITH 5359 03:41:38,320 --> 03:41:43,000 THE NEW DIRECTOR OF PEDIATRICS. 5360 03:41:43,000 --> 03:41:44,880 HAVING DISCUSSIONS ABOUT OPTIONS 5361 03:41:44,880 --> 03:41:49,160 FOR HOW YOU DEFINE DISABILITY 5362 03:41:49,160 --> 03:41:50,960 AND MECHANISMS FOR INSURING KIDS 5363 03:41:50,960 --> 03:41:52,160 WITH DISABILITIES AND THEIR 5364 03:41:52,160 --> 03:41:55,920 PARENTS HAVE AN OPPORTUNITY TO 5365 03:41:55,920 --> 03:41:56,520 ENROLL. 5366 03:41:56,520 --> 03:41:59,600 THEY'RE TALKING ABOUT DOING HOME 5367 03:41:59,600 --> 03:42:01,320 VISITS WHICH IS KIND OF MIND 5368 03:42:01,320 --> 03:42:05,080 BOGGLING BUT MAY HAVE REALLY 5369 03:42:05,080 --> 03:42:07,480 HELPED A NUMBER OF PEOPLE WITH 5370 03:42:07,480 --> 03:42:08,400 DISABILITIES THAT FIND IT 5371 03:42:08,400 --> 03:42:10,080 DIFFICULT TO GET OUT OF HOME OR 5372 03:42:10,080 --> 03:42:10,880 HAVE TRANSPORTATION ISSUES. 5373 03:42:10,880 --> 03:42:15,120 IT'S BEEN A DISABILITY SURVEY 5374 03:42:15,120 --> 03:42:17,600 THAT WAS -- WE GAVE COMMENTS ON 5375 03:42:17,600 --> 03:42:18,560 SEVERAL YEARS AGO. 5376 03:42:18,560 --> 03:42:20,280 IT'S NOW BEING REVISITED TO SEE 5377 03:42:20,280 --> 03:42:26,120 IF THAT CAN'T BE TWEAKED. 5378 03:42:26,120 --> 03:42:28,520 SO WHAT I WANT TO SAY ABOUT THE 5379 03:42:28,520 --> 03:42:31,240 PROGRAM IS IF YOU ARE OKAY WITH 5380 03:42:31,240 --> 03:42:34,960 A LONGITUDINAL OBSERVATIONAL 5381 03:42:34,960 --> 03:42:36,360 COHORT, IT'S A GREAT OPPORTUNITY 5382 03:42:36,360 --> 03:42:40,280 TO DO RESEARCH THAT IS FOCUSED 5383 03:42:40,280 --> 03:42:44,280 ON HEALTH EQUITY AND VICE I'D 5384 03:42:44,280 --> 03:42:46,680 THE HEALTHCARE PRECISION 5385 03:42:46,680 --> 03:42:47,320 MEDICINE. 5386 03:42:47,320 --> 03:42:49,320 THE RESEARCHER WORK BENCH IS 5387 03:42:49,320 --> 03:42:52,000 ACCESSIBLE AND IT'S 508 5388 03:42:52,000 --> 03:42:53,560 COMPLIANT SO IF YOU HAVE LOW 5389 03:42:53,560 --> 03:42:54,760 VISION OR ARE BLIND, THERE'S 5390 03:42:54,760 --> 03:42:57,560 OPPORTUNITIES TO DO RESEARCH. 5391 03:42:57,560 --> 03:42:58,640 ONE OF THE THINGS THAT WE'VE 5392 03:42:58,640 --> 03:43:03,800 JUST STARTED DOING RECENTLY, IS 5393 03:43:03,800 --> 03:43:06,160 CO-SPONSORING A WEBINAR ON THE 5394 03:43:06,160 --> 03:43:09,400 RESEARCHER WORK BENCH ITSELF. 5395 03:43:09,400 --> 03:43:11,840 IN OLE CAB RACE WITH FOLKS FROM 5396 03:43:11,840 --> 03:43:12,320 VANDERBILT UNIVERSITY. 5397 03:43:12,320 --> 03:43:13,120 IF APPROXIMATE YOU ARE 5398 03:43:13,120 --> 03:43:14,200 INTERESTED IN THAT SORT OF 5399 03:43:14,200 --> 03:43:19,440 THING, YOU CAN E-MAIL ME. 5400 03:43:19,440 --> 03:43:22,120 AND I LOOK FORWARD TO ANSWERING 5401 03:43:22,120 --> 03:43:23,920 ANY OF THE QUESTIONS THAT HAVE 5402 03:43:23,920 --> 03:43:24,920 COME UP ABOUT THE PARTICULAR 5403 03:43:24,920 --> 03:43:27,960 PROGRAM. 5404 03:43:27,960 --> 03:43:38,120 THANK YOU. 5405 03:43:38,520 --> 03:43:41,040 >>YOU ARE ON MUTE, KATHY. 5406 03:43:41,040 --> 03:43:41,760 >>SORRY. 5407 03:43:41,760 --> 03:43:43,040 THANK YOU VERY MUCH CHARLES FOR 5408 03:43:43,040 --> 03:43:47,080 YOUR PRESENTATION. 5409 03:43:47,080 --> 03:43:52,360 I WANT TO REMIND EVERYBODY THAT 5410 03:43:52,360 --> 03:43:54,320 QUESTIONS AND ANSWERS WILL ONLY 5411 03:43:54,320 --> 03:43:58,520 BE ADDRESSED IF THEY'RE IN THE 5412 03:43:58,520 --> 03:43:59,720 Q&A. 5413 03:43:59,720 --> 03:44:07,320 THE ABILITY TO REACH OUT TO -- 5414 03:44:07,320 --> 03:44:09,680 TO RESPOND TO YOUR QUESTIONS IS 5415 03:44:09,680 --> 03:44:11,480 CHALLENGED IF YOU ARE NOT 5416 03:44:11,480 --> 03:44:13,600 PUTTING THEM IN THE Q&A SECTION 5417 03:44:13,600 --> 03:44:17,160 SO THANK YOU VERY MUCH FOR 5418 03:44:17,160 --> 03:44:21,680 EVERYBODY TO FOR O'BONSAWIN 5419 03:44:21,680 --> 03:44:22,840 THAT. 5420 03:44:22,840 --> 03:44:24,240 I GUESS I WILL START BY ASKING A 5421 03:44:24,240 --> 03:44:27,440 COUPLE QUESTIONS. 5422 03:44:27,440 --> 03:44:33,880 ONE IS, CHARLES, IS THERE ALL 5423 03:44:33,880 --> 03:44:37,880 THE OF US IS NOT ACCESSIBLE TO 5424 03:44:37,880 --> 03:44:40,800 PEOPLE WHO RECOGNIZE TO SPEECH 5425 03:44:40,800 --> 03:44:42,000 RECOGNITION AND DETECTION 5426 03:44:42,000 --> 03:44:44,000 SOFTWARE. 5427 03:44:44,000 --> 03:44:45,360 ARE THERE PLANS TO ADDRESS THAT 5428 03:44:45,360 --> 03:44:52,040 AND SECONDARILY, THE MORE 5429 03:44:52,040 --> 03:44:56,160 GENERIC QUESTION OF ENGAGING THE 5430 03:44:56,160 --> 03:44:59,760 COMMUNITY, NOT ONLY BEFORE BUT 5431 03:44:59,760 --> 03:45:01,320 AFTER IS PROBABLY A CHALLENGE 5432 03:45:01,320 --> 03:45:04,560 FOR ALL OF US. 5433 03:45:04,560 --> 03:45:07,800 IN THAT THE COMMUNITY IS ACROSS 5434 03:45:07,800 --> 03:45:12,640 THE COUNTRY, EVERYWHERE. 5435 03:45:12,640 --> 03:45:17,840 SO, HOW DO YOU ENSURE THE 5436 03:45:17,840 --> 03:45:19,960 PARTICIPANTS THAT YOU HEAR THEM 5437 03:45:19,960 --> 03:45:22,360 QUITE LITERALLY AS IN VOICE 5438 03:45:22,360 --> 03:45:24,680 RECOGNITION SOFTWARE, BUT ALSO, 5439 03:45:24,680 --> 03:45:28,080 THAT YOU HEAR THEM THAT WE WANT 5440 03:45:28,080 --> 03:45:31,320 DIRECT -- OR THAT PARTICIPANTS 5441 03:45:31,320 --> 03:45:34,720 WANT TO SEE THAT THEY AND THEIR 5442 03:45:34,720 --> 03:45:36,480 COMMUNITY GOING BACK TO THE 5443 03:45:36,480 --> 03:45:41,600 ISSUE OF TAILORED MEDICINE, 5444 03:45:41,600 --> 03:45:42,360 INDIVIDUALIZED MATERIAL ORDER 5445 03:45:42,360 --> 03:45:43,840 MEDICINE, HOW DOES THE COMMUNITY 5446 03:45:43,840 --> 03:45:47,160 BENEFIT FROM PARTICIPATING? 5447 03:45:47,160 --> 03:45:48,320 >>THERE'S SEVERAL DIFFERENT 5448 03:45:48,320 --> 03:45:51,000 WAYS TO ANSWER THAT PARTICULAR 5449 03:45:51,000 --> 03:45:51,440 QUESTION. 5450 03:45:51,440 --> 03:45:55,120 LET BE ME CLEAR AND IF I WANT AT 5451 03:45:55,120 --> 03:45:59,360 THE OUTSET THE PROGRAM IS NOT 5452 03:45:59,360 --> 03:46:01,320 PERFECT. 5453 03:46:01,320 --> 03:46:02,480 AFTER 30 YEARS WORKING IN 5454 03:46:02,480 --> 03:46:03,840 DISABILITY RESEARCH FIELD IN MY 5455 03:46:03,840 --> 03:46:07,280 OWN OPINION, IT'S THE PROGRAM 5456 03:46:07,280 --> 03:46:10,000 AND AFTER FUNDING FROM CDC AND 5457 03:46:10,000 --> 03:46:20,520 NIH AND DOE AND ACL I SEE MORE 5458 03:46:21,000 --> 03:46:22,560 COMMITMENT TO ACCESSIBILITY THAN 5459 03:46:22,560 --> 03:46:26,120 ANY OTHER PROGRAM OVER THE 5460 03:46:26,120 --> 03:46:28,360 YEARS. 5461 03:46:28,360 --> 03:46:29,480 WE SERVE AS A VOICE. 5462 03:46:29,480 --> 03:46:31,360 I HAVE NOT HEARD FROM THE 5463 03:46:31,360 --> 03:46:34,920 DISABILITY COMMUNITY ABOUT THE 5464 03:46:34,920 --> 03:46:36,040 DRAG ON OF BARRIER. 5465 03:46:36,040 --> 03:46:38,280 WE WILL WELCOME, I WELCOME, ANY 5466 03:46:38,280 --> 03:46:42,720 PERSON WITH A DISABILITY, ANY 5467 03:46:42,720 --> 03:46:44,440 DISABILITY RESEARCH ANY 5468 03:46:44,440 --> 03:46:46,920 RESEARCHER WHO KNOWS OF 5469 03:46:46,920 --> 03:46:47,960 DEFICIENCIES IN THE PROGRAM TO 5470 03:46:47,960 --> 03:46:49,360 BRING IT TO OUR ATTENTION 5471 03:46:49,360 --> 03:46:50,520 BECAUSE THAT'S PART OF OUR JOB 5472 03:46:50,520 --> 03:46:53,360 IS TO BRING IT UP WITH THEM AND 5473 03:46:53,360 --> 03:46:54,320 TO PUSH THEM. 5474 03:46:54,320 --> 03:46:55,760 NOW WITHIN OUR OWN PROGRAMS 5475 03:46:55,760 --> 03:46:57,640 WHERE WE HAVE A REMEDIATION 5476 03:46:57,640 --> 03:46:59,040 SPECIALIST, AND SO WE WORK ON 5477 03:46:59,040 --> 03:47:03,480 THESE ACCESSIBILITY ISSUES, THE 5478 03:47:03,480 --> 03:47:05,280 PROGRAM HAS WAY MORE RESOURCES 5479 03:47:05,280 --> 03:47:08,080 THAN WE DO SO WE HAVE TO BE A 5480 03:47:08,080 --> 03:47:12,760 CONDUIT TO PUSH ON THESE KINDS 5481 03:47:12,760 --> 03:47:16,120 OF ISSUES AND I'M HAPPY DOING 5482 03:47:16,120 --> 03:47:19,440 THAT AND I'M HAPPIER WHEN WE SEE 5483 03:47:19,440 --> 03:47:23,120 RESULTS OF THESE KINDS OF ISSUES 5484 03:47:23,120 --> 03:47:23,760 AND CONCERNS. 5485 03:47:23,760 --> 03:47:26,120 YOU KNOW, WE FORMED THIS 5486 03:47:26,120 --> 03:47:27,360 DISABILITY CONSORTIUM SO WE 5487 03:47:27,360 --> 03:47:32,440 COULD HAVE A BROAD EFFECT SO WE 5488 03:47:32,440 --> 03:47:36,800 TAKE A POINT OR PROJECT AND 5489 03:47:36,800 --> 03:47:38,920 PROGRAM AND MIDDLE, ALL OF THE 5490 03:47:38,920 --> 03:47:39,880 DISABILITIES ORGANIZATIONS AND 5491 03:47:39,880 --> 03:47:43,280 NATIONAL AND LOCAL AND MASS OR 5492 03:47:43,280 --> 03:47:45,280 THE TARGET AUDIENCE SO WE USE OR 5493 03:47:45,280 --> 03:47:50,160 PARTNERS TO GET THE WORD OUT TO 5494 03:47:50,160 --> 03:47:51,120 THE BROADER DISABILITY 5495 03:47:51,120 --> 03:47:51,760 COMMUNITY. 5496 03:47:51,760 --> 03:47:53,000 WE KNOW, HOWEVER, A LOT OF FOLKS 5497 03:47:53,000 --> 03:47:59,240 WITH DISABILITIES DON'T THINK OF 5498 03:47:59,240 --> 03:48:01,240 THEMSELVES AS HAVING A 5499 03:48:01,240 --> 03:48:03,480 DISABILITY AND AREN'T PART OF 5500 03:48:03,480 --> 03:48:04,880 FORMAL DISABILITY ORGANIZATIONS, 5501 03:48:04,880 --> 03:48:08,360 WE TRIED TO THINK OF WAYS TO 5502 03:48:08,360 --> 03:48:09,680 REACH THAT POPULATION. 5503 03:48:09,680 --> 03:48:11,040 IF WE HAD $30 MILLION A YEAR WE 5504 03:48:11,040 --> 03:48:17,640 MIGHT BE MORE SUCCESSFUL AT IT 5505 03:48:17,640 --> 03:48:19,120 SO WE'RE PLANNING FOR YEAR THREE 5506 03:48:19,120 --> 03:48:25,320 AND WE ARE GOING TO FOCUS ON 5507 03:48:25,320 --> 03:48:27,080 EXPANDING OUR REACH TO 5508 03:48:27,080 --> 03:48:28,120 DISABILITY ORGANIZATIONS KNOWING 5509 03:48:28,120 --> 03:48:29,440 THERE'S LIMITATIONS AND HOW MANY 5510 03:48:29,440 --> 03:48:32,800 FOLKS THAT WE CAN REACH. 5511 03:48:32,800 --> 03:48:36,440 THE LAST THING I'LL SAY IS THAT 5512 03:48:36,440 --> 03:48:38,240 THIS IS APP OPPORTUNITY FOR 5513 03:48:38,240 --> 03:48:43,120 RESEARCHERS TO SIGN UP AND 5514 03:48:43,120 --> 03:48:43,640 UTILIZE THIS DATA. 5515 03:48:43,640 --> 03:48:45,160 THIS IS WHERE THE DISABILITY 5516 03:48:45,160 --> 03:48:46,880 COMMUNITY NEEDS TO WORK WITH THE 5517 03:48:46,880 --> 03:48:48,200 RESEARCHERS AND DISABILITY 5518 03:48:48,200 --> 03:48:49,360 RESEARCHERS LIKE MYSELF, NEED TO 5519 03:48:49,360 --> 03:48:52,560 BE FULLY COMMITTED TO 5520 03:48:52,560 --> 03:48:53,640 PARTICIPATORY ACTION RESEARCH, 5521 03:48:53,640 --> 03:48:57,280 YEAH, YOU'VE GOT SOME GREAT 5522 03:48:57,280 --> 03:48:58,400 DATA, YOU NEED TO UNDERSTAND 5523 03:48:58,400 --> 03:49:00,360 WHAT YOUR RESEARCHING AND 5524 03:49:00,360 --> 03:49:02,720 EMPHASIZE WHAT YOU WANT OUT OF 5525 03:49:02,720 --> 03:49:03,160 IT. 5526 03:49:03,160 --> 03:49:05,200 AND I THINK WE'VE PRETTY MUCH 5527 03:49:05,200 --> 03:49:08,360 DOCUMENTED THAT HEALTH 5528 03:49:08,360 --> 03:49:09,200 DISPARITIES EXIST. 5529 03:49:09,200 --> 03:49:11,320 WE NEED RESEARCH THAT COMES UP 5530 03:49:11,320 --> 03:49:15,040 WITH PRAB ATTIC AND POLICY 5531 03:49:15,040 --> 03:49:16,720 INTERVENTIONS TO STARTS THEM AND 5532 03:49:16,720 --> 03:49:27,000 I'LL STOP THERE. 5533 03:49:34,560 --> 03:49:39,800 VERY QUICKLY, I'LL ASK ONE OF 5534 03:49:39,800 --> 03:49:41,200 THE OTHER QUESTIONS HERE, THAT 5535 03:49:41,200 --> 03:49:44,240 IS, HOW DOES SOMEONE WHO IS OR 5536 03:49:44,240 --> 03:49:48,600 WANTS TO BE A PARTICIPANT IN ALL 5537 03:49:48,600 --> 03:49:51,160 OF US, IDENTIFY THE CONCERNS 5538 03:49:51,160 --> 03:49:55,280 THAT ARE KEEPING THEM FROM 5539 03:49:55,280 --> 03:49:56,560 PARTICIPATING? 5540 03:49:56,560 --> 03:49:58,320 >>PART OF WHAT WE EMPHASIZE 5541 03:49:58,320 --> 03:50:01,040 WHEN WE MEET WITH FOLKS WITH 5542 03:50:01,040 --> 03:50:04,680 DISABILITIES, AND WE DO 5543 03:50:04,680 --> 03:50:06,480 PRESENTATIONS OR WEBINARS OR THE 5544 03:50:06,480 --> 03:50:07,640 INFORMATION WE'RE SENDING OUT IS 5545 03:50:07,640 --> 03:50:09,640 WE GET AHEAD OF THINGS, RIGHT. 5546 03:50:09,640 --> 03:50:13,880 DATA SECURITY IS A BIG ISSUE. 5547 03:50:13,880 --> 03:50:15,080 BECAUSE OF THE HISTORICAL 5548 03:50:15,080 --> 03:50:17,080 TREATMENT OF PEOPLE WITH 5549 03:50:17,080 --> 03:50:20,880 DISABILITIES AND THE POOR 5550 03:50:20,880 --> 03:50:22,080 TREATMENT. 5551 03:50:22,080 --> 03:50:26,200 SO WHAT WE DO IS TRY TO CAPTURE 5552 03:50:26,200 --> 03:50:27,880 AND DESCRIBE THE EXTENSIVE 5553 03:50:27,880 --> 03:50:32,200 EFFORTS THAT THE PROGRAM 5554 03:50:32,200 --> 03:50:33,280 SUBPOENA MADE O KEEP THE DATA 5555 03:50:33,280 --> 03:50:34,920 SECURE AND MAKE SURE THERE ARE 5556 03:50:34,920 --> 03:50:36,520 NOT DATA BREACHES SO THAT'S PART 5557 03:50:36,520 --> 03:50:41,960 OF WHAT WE DO. 5558 03:50:41,960 --> 03:50:43,760 WHEN WE DO PRESENTATIONS, SAY 5559 03:50:43,760 --> 03:50:45,200 WE'RE WORKING WITH A LOCAL 5560 03:50:45,200 --> 03:50:49,840 INTEREST FOR INDEPENDENT LIVING 5561 03:50:49,840 --> 03:50:51,840 AND WE'RE AT A MEETING THERE 5562 03:50:51,840 --> 03:50:52,920 VIRTUALLY, WE WANT PEOPLE TO 5563 03:50:52,920 --> 03:50:57,600 RAISE THESE ISSUES AND CONCERNS. 5564 03:50:57,600 --> 03:50:58,880 IF THEY KNOW THERE'S A LOCAL 5565 03:50:58,880 --> 03:51:00,320 HEALTH PROVIDER ORGANIZATION, 5566 03:51:00,320 --> 03:51:01,920 THAT'S PART OF THE NETWORK, AND 5567 03:51:01,920 --> 03:51:03,600 THEY KNOW THAT IT'S 5568 03:51:03,600 --> 03:51:05,520 INACCESSIBLE, WE WANT TO HEAR 5569 03:51:05,520 --> 03:51:09,040 THAT BECAUSE PART OF OUR JOB IS 5570 03:51:09,040 --> 03:51:10,920 NOT JUST PROVIDING INFORMATION 5571 03:51:10,920 --> 03:51:15,880 ABOUT THE PROGRAMS, BUT IT'S 5572 03:51:15,880 --> 03:51:16,560 RAISING THESE ISSUES 5573 03:51:16,560 --> 03:51:17,200 DIRECTIONALLY WITH THE PROGRAM 5574 03:51:17,200 --> 03:51:21,120 SO I HOPE THAT ANSWERS YOUR 5575 03:51:21,120 --> 03:51:22,960 QUESTIONS. 5576 03:51:22,960 --> 03:51:24,400 >>SO WE NEED TO MOVE ON. 5577 03:51:24,400 --> 03:51:25,760 THERE ARE A LOT OF OTHER 5578 03:51:25,760 --> 03:51:26,480 QUESTIONS AND I'M SORRY THAT 5579 03:51:26,480 --> 03:51:27,680 WE'RE NOT GOING TO BE ABLE TO 5580 03:51:27,680 --> 03:51:30,040 GET TO ALL OF THEM TODAY DURING 5581 03:51:30,040 --> 03:51:30,720 THE MEETING. 5582 03:51:30,720 --> 03:51:33,280 I WANT TO REMIND PEOPLE WE WILL 5583 03:51:33,280 --> 03:51:38,320 MAKE EVERY EFFORT TO REACH BACK 5584 03:51:38,320 --> 03:51:41,840 TO QUESTIONERS AND PROVIDE 5585 03:51:41,840 --> 03:51:42,320 ANSWERS. 5586 03:51:42,320 --> 03:51:45,160 PLEASE STICK WITH US. 5587 03:51:45,160 --> 03:51:46,920 DON'T BE AFRAID TO PUT YOUR 5588 03:51:46,920 --> 03:51:47,960 QUESTIONS, POSITIVE OR NEGATIVE 5589 03:51:47,960 --> 03:51:51,600 INTO THE Q&A AND WE'LL ADDRESS 5590 03:51:51,600 --> 03:51:52,080 THEM. 5591 03:51:52,080 --> 03:51:55,080 AS BEST WE'RE ABLE TO. 5592 03:51:55,080 --> 03:52:00,040 OUR NEXT PRESENTER Ms. EVE 5593 03:52:00,040 --> 03:52:01,240 HILL, IT WILL BE DISCUSSING 5594 03:52:01,240 --> 03:52:05,440 LEGAL PROTECTIONS AND 5595 03:52:05,440 --> 03:52:06,880 OPPORTUNITIES EVE HILL IS A 5596 03:52:06,880 --> 03:52:09,040 PARTNER AT BROWN GOLDSTEIN AND 5597 03:52:09,040 --> 03:52:11,280 LEVEE AND FOUNDER OF THE 5598 03:52:11,280 --> 03:52:13,360 INCLUSIVITY STRATEGIC 5599 03:52:13,360 --> 03:52:14,080 CONSULTING. 5600 03:52:14,080 --> 03:52:16,560 EVE HAS DECADES OF EXPERIENCE 5601 03:52:16,560 --> 03:52:19,000 IMPLEMENTING THE AMERICANS WITH 5602 03:52:19,000 --> 03:52:22,760 DISABILITIES AGENT AND ZOO 5603 03:52:22,760 --> 03:52:24,920 DISABILITIES RIDES LAWS THROUGH 5604 03:52:24,920 --> 03:52:28,880 CONSULTATION, TRAINING, GUIDANCE 5605 03:52:28,880 --> 03:52:29,800 AND ENFORCEMENT. 5606 03:52:29,800 --> 03:52:31,120 SHE'S A SENIOR FEDERAL 5607 03:52:31,120 --> 03:52:32,240 GOVERNMENT OFFICIAL AT THE 5608 03:52:32,240 --> 03:52:33,080 DEPARTMENT OF JUSTICE CIVIL 5609 03:52:33,080 --> 03:52:36,360 RIGHTS DIVISION, AS A DIRECTOR 5610 03:52:36,360 --> 03:52:37,800 OF DISTRICT OF COLOMBIA OFFICE 5611 03:52:37,800 --> 03:52:41,560 OF DISABILITIES RIGHTS AND AT 5612 03:52:41,560 --> 03:52:47,920 THE BURTON BLAT INSTITUTE IN AK 5613 03:52:47,920 --> 03:52:49,520 A DEEMIA NON-PROFIT SECTOR. 5614 03:52:49,520 --> 03:52:53,360 SHE HAS EXPERIENCE HELPING 5615 03:52:53,360 --> 03:52:55,360 ENTITIES GO BEYOND COMPLIANCE 5616 03:52:55,360 --> 03:52:57,120 WITH DIS ACT AS PART OF THEIR 5617 03:52:57,120 --> 03:52:58,800 DIVERSITY AND EQUITY AND 5618 03:52:58,800 --> 03:52:59,760 INCLUSION EFFORTS ALL AROUND. 5619 03:52:59,760 --> 03:53:01,200 THANK YOU, EVE. 5620 03:53:01,200 --> 03:53:03,960 TAKE IT AWAY. 5621 03:53:03,960 --> 03:53:04,440 >>THANK YOU. 5622 03:53:04,440 --> 03:53:06,440 I WANT TO DO A VISUAL 5623 03:53:06,440 --> 03:53:07,480 DESCRIPTION OF MYSELF. 5624 03:53:07,480 --> 03:53:10,000 A I'M A WHITE WOMAN WITH 5625 03:53:10,000 --> 03:53:11,720 REDDISH-BROWN HAIR AND FRECKLES. 5626 03:53:11,720 --> 03:53:13,440 I'M SITTING IN FRONT OF A SCREEN 5627 03:53:13,440 --> 03:53:17,720 THAT HAS SOME FLOWERS ON IT. 5628 03:53:17,720 --> 03:53:19,720 I'M WEARING A BLACK AND WHITE 5629 03:53:19,720 --> 03:53:20,000 JACKET. 5630 03:53:20,000 --> 03:53:24,480 I HAVE A HIDDEN DISABILITY AND 5631 03:53:24,480 --> 03:53:27,240 I'M SHE/HER/HERS. 5632 03:53:27,240 --> 03:53:29,720 I AM THE MOST BORING SLIDES IN 5633 03:53:29,720 --> 03:53:30,080 THE WORLD. 5634 03:53:30,080 --> 03:53:32,640 THIS IS A LOVELY SUNSET COLORED 5635 03:53:32,640 --> 03:53:33,960 SLIDE THAT AS ABLEISM IN 5636 03:53:33,960 --> 03:53:35,480 MEDICINE AND SCIENTIFIC RESEARCH 5637 03:53:35,480 --> 03:53:36,600 AND LEGAL TOOLS AND TECHNIQUES 5638 03:53:36,600 --> 03:53:37,960 AND I WANT TO THANK THE 5639 03:53:37,960 --> 03:53:39,160 ORGANIZERS OF THIS REALLY 5640 03:53:39,160 --> 03:53:41,480 IMPORTANT CONFERENCE AND 5641 03:53:41,480 --> 03:53:42,320 CONVERSATION. 5642 03:53:42,320 --> 03:53:43,600 SOCIETY HAS IGNORED DISABILITY 5643 03:53:43,600 --> 03:53:44,680 IN THE FIELDS OF MEDICINE AND 5644 03:53:44,680 --> 03:53:46,360 CLINICAL RESEARCH FOR SO LONG 5645 03:53:46,360 --> 03:53:48,400 AND THIS CONVERSATION REALLY 5646 03:53:48,400 --> 03:53:49,720 BEGINS TO CHANGE THAT AND BRING 5647 03:53:49,720 --> 03:53:51,280 THE ISSUE INTO THE LIGHT AND I'M 5648 03:53:51,280 --> 03:53:52,680 REALLY HAPPY TO HAVE BEEN 5649 03:53:52,680 --> 03:53:57,680 INVITED TO BE A PART OF IT EVEN 5650 03:53:57,680 --> 03:53:59,560 THOUGH I'M NOT A DOCTOR OR PH.D, 5651 03:53:59,560 --> 03:54:06,280 I'M JUST A LAWYER. 5652 03:54:06,280 --> 03:54:07,200 WAY HEAVED ABOUT THE PREVALENCE 5653 03:54:07,200 --> 03:54:08,320 OF ABLEISM IN THE FIELDS OF 5654 03:54:08,320 --> 03:54:09,720 MEDICINE AND CLINICAL RESEARCH 5655 03:54:09,720 --> 03:54:11,280 AND THE TREMENDOUS NEGATIVE 5656 03:54:11,280 --> 03:54:12,960 EFFECTS OF SUCH ABLEISM ON 5657 03:54:12,960 --> 03:54:14,520 PEOPLE WITH DISABILITIES AND ON 5658 03:54:14,520 --> 03:54:15,920 THE QUALITY OF HEALTHCARE, AND 5659 03:54:15,920 --> 03:54:17,840 ON THE QUALITY OF CLINICAL 5660 03:54:17,840 --> 03:54:19,240 RESEARCH AND THIS SLIDE HAS JUST 5661 03:54:19,240 --> 03:54:22,880 A PICTURE OF A SET OF VIALS FOR 5662 03:54:22,880 --> 03:54:26,600 MEDICINE MEDICAL TESTING. 5663 03:54:26,600 --> 03:54:27,760 WE'RE DEALING WITH PHYSICIANS 5664 03:54:27,760 --> 03:54:28,840 WITH ABLEIST BELIEVES ABOUT THE 5665 03:54:28,840 --> 03:54:30,120 LIVES OF PEOPLE WITH DISABILITY 5666 03:54:30,120 --> 03:54:31,840 AND PHYSICIAN WHO'S ARE HESITANT 5667 03:54:31,840 --> 03:54:33,120 TO TREAT PEOPLE WITH DISABILITY 5668 03:54:33,120 --> 03:54:37,760 AND WE KNOW PEOPLE WITH 5669 03:54:37,760 --> 03:54:38,800 DISABILITIES ARE UNABLE TO 5670 03:54:38,800 --> 03:54:40,120 ACCESS HEALTHCARE SERVICE AND 5671 03:54:40,120 --> 03:54:41,400 UNDER REPRESENTED IN MEDICINE 5672 03:54:41,400 --> 03:54:45,240 AND RESEARCH. 5673 03:54:45,240 --> 03:54:46,360 THEY ARE UNDER REPRESENTED IN 5674 03:54:46,360 --> 03:54:48,200 THE STEM ACADEMIC PATHWAY 5675 03:54:48,200 --> 03:54:49,360 DROPPING LOWER AT EVERY STAGE IN 5676 03:54:49,360 --> 03:54:53,080 THAT PATHWAY. 5677 03:54:53,080 --> 03:54:54,320 I'LL TALK ABOUT HOW WE CAN USE 5678 03:54:54,320 --> 03:54:58,160 THE LAW TO DO SOMETHING ABOUT 5679 03:54:58,160 --> 03:55:01,600 IT. 5680 03:55:01,600 --> 03:55:02,920 THIS SLIDE IS LABELED THE 5681 03:55:02,920 --> 03:55:04,640 PROBLEM AND HAS A BLACKBOARD 5682 03:55:04,640 --> 03:55:07,480 FULL OF COMPLICATED MATHY 5683 03:55:07,480 --> 03:55:10,560 INDICATIONS ON IT. 5684 03:55:10,560 --> 03:55:12,160 WE SEE ABLEISM IN EVERY ASPECT 5685 03:55:12,160 --> 03:55:13,440 OF MEDICINE AND CLINICAL 5686 03:55:13,440 --> 03:55:17,600 RESEARCH FROM RECRUITMENT AND 5687 03:55:17,600 --> 03:55:22,120 ACCOMMODATIONS TO ATTITUDES 5688 03:55:22,120 --> 03:55:23,600 TOWARDS DOCTORS AND NURSE AND 5689 03:55:23,600 --> 03:55:24,920 RESEARCHERS TO INCLUSION OR 5690 03:55:24,920 --> 03:55:26,240 EXCLUSION AND DISABILITIES 5691 03:55:26,240 --> 03:55:30,320 RELATED SUBJECTS AND RESEARCH 5692 03:55:30,320 --> 03:55:31,160 AND PATIENTS TO EXCLUSION OF 5693 03:55:31,160 --> 03:55:34,880 PEOPLE WITH DISABILITY 0 5694 03:55:34,880 --> 03:55:37,920 CLINICAL TRIALS. 5695 03:55:37,920 --> 03:55:39,440 THIS SLIDE IS LABELED THE LAW 5696 03:55:39,440 --> 03:55:42,760 AND HAS A PICTURE OF A SCALES OF 5697 03:55:42,760 --> 03:55:44,200 JUSTICE AND THAT THIS WILL BE 5698 03:55:44,200 --> 03:55:54,160 THE IMAGE ON THE NEXT I'M A 5699 03:55:54,160 --> 03:55:55,600 LITTLE RIGHTS LAWYER SO PROHIBIT 5700 03:55:55,600 --> 03:55:57,240 ON THE LABEL OF DISABILITY SO 5701 03:55:57,240 --> 03:55:58,400 YOU MIGHT THINK THAT LAWS ARE 5702 03:55:58,400 --> 03:56:01,040 NOT THAT IMPORTANT BECAUSE THEY 5703 03:56:01,040 --> 03:56:02,000 DON'T CHANGEABLIST STUDENTS AND 5704 03:56:02,000 --> 03:56:04,240 THE REAL GOAL OF THESE LAWS IS 5705 03:56:04,240 --> 03:56:06,040 NOT JUST TO CHANGE THE BEHAVIOR 5706 03:56:06,040 --> 03:56:07,520 TOWARDS A PARTICULAR PERSON OR 5707 03:56:07,520 --> 03:56:08,920 GROUP WITH DISABILITIES WHICH 5708 03:56:08,920 --> 03:56:11,000 THEY DO DO IN EACH CASE, BUT TO 5709 03:56:11,000 --> 03:56:13,000 LEAD TO GREATER I AM CONCLUSION 5710 03:56:13,000 --> 03:56:13,920 OF PEOPLE WITH DISABILITIES AND 5711 03:56:13,920 --> 03:56:17,200 ALL ASPECTS OF OUR SOCIETY. 5712 03:56:17,200 --> 03:56:18,800 BECAUSE WHEN WE WORK AND STUDY 5713 03:56:18,800 --> 03:56:20,200 AND PLAY AND INTERACT WITH 5714 03:56:20,200 --> 03:56:22,080 PEOPLE WITH DISABILITIES, OUR 5715 03:56:22,080 --> 03:56:24,600 ATTITUDES AS A SOCIETY AND OUR 5716 03:56:24,600 --> 03:56:26,040 ABLEISM ARE REDUCED. 5717 03:56:26,040 --> 03:56:27,240 SO FOR EXAMPLE, THE AMERICANS 5718 03:56:27,240 --> 03:56:29,240 WITH DISABILITIES ACT, WHICH 5719 03:56:29,240 --> 03:56:30,520 I'VE BEEN ENFORCEMENT FOR ALMOST 5720 03:56:30,520 --> 03:56:32,560 THE ENTIRE TIME IT'S BEEN IN 5721 03:56:32,560 --> 03:56:33,720 EFFECT, HAS HAD THAT AFFECT. 5722 03:56:33,720 --> 03:56:35,720 WHEN I STARTED DOING THIS WORK, 5723 03:56:35,720 --> 03:56:37,160 MANY PEOPLE I TRAINED WOULD SAY 5724 03:56:37,160 --> 03:56:38,720 THEY DIDN'T KNOW ANYONE WITH A 5725 03:56:38,720 --> 03:56:39,560 DISABILITY. 5726 03:56:39,560 --> 03:56:41,160 NOW, VERY FEW PEOPLE CAN SAY 5727 03:56:41,160 --> 03:56:41,520 THAT. 5728 03:56:41,520 --> 03:56:43,280 BECAUSE THE ADA HAS CLEARED 5729 03:56:43,280 --> 03:56:47,320 PATHWPATHWAYS TO ALLOW PEOPLE OF 5730 03:56:47,320 --> 03:56:48,760 INSTITUTIONS AND OUT OF THEIR 5731 03:56:48,760 --> 03:56:50,280 HOMES INTO THE WORLD INTERACTING 5732 03:56:50,280 --> 03:56:51,560 WITH PEOPLE WITH DISABILITIES 5733 03:56:51,560 --> 03:56:53,520 REGULARLY AND I BELIEVE THAT 5734 03:56:53,520 --> 03:56:55,280 INTERACTION, IS WHAT CHANGES 5735 03:56:55,280 --> 03:56:58,400 ATTITUDES. 5736 03:56:58,400 --> 03:57:02,760 NEXT SLIDE. 5737 03:57:02,760 --> 03:57:06,360 LETLET'S TALK ABOUT THEADA. 5738 03:57:06,360 --> 03:57:12,400 DISCRIMINATION AND EMPLOYMENT 5739 03:57:12,400 --> 03:57:14,320 AND TITLE TWO DISCRIMINATION BY 5740 03:57:14,320 --> 03:57:16,320 STATE AND LOCAL GOVERNMENT 5741 03:57:16,320 --> 03:57:18,320 INCLUDING PUBLIC COLLEGES AND 5742 03:57:18,320 --> 03:57:19,760 UNIVERSITIES, PUBLIC RESEARCH 5743 03:57:19,760 --> 03:57:21,400 INSTITUTIONS AND SOCIAL SERVICE 5744 03:57:21,400 --> 03:57:23,160 PROVIDERS AND PUBLIC HOSPITALS 5745 03:57:23,160 --> 03:57:25,160 AND OTHER MEDICAL FACILITIES. 5746 03:57:25,160 --> 03:57:27,200 AND TITLE THREE, PROHIBITS 5747 03:57:27,200 --> 03:57:29,200 DISCRIMINATION BY PUBLIC 5748 03:57:29,200 --> 03:57:30,120 ACCOMMODATIONS, THAT'S 12 5749 03:57:30,120 --> 03:57:31,920 CATEGORIES OF BUSINESSES, WHICH 5750 03:57:31,920 --> 03:57:33,800 INCLUDES PRIVATE COLLEGES AND 5751 03:57:33,800 --> 03:57:34,840 UNIVERSITIES, PRIVATE SOCIAL 5752 03:57:34,840 --> 03:57:36,360 SERVICE PROVIDERS AND PRIVATE 5753 03:57:36,360 --> 03:57:38,440 MEDICAL PROVIDERS AND HOSPITALS. 5754 03:57:38,440 --> 03:57:40,560 SO TITLE 1, IS IMPORTANT HERE 5755 03:57:40,560 --> 03:57:42,480 BECAUSE IT HELPS TO ADDRESS THE 5756 03:57:42,480 --> 03:57:43,640 TRADITIONAL EXCLUSION OF PEOPLE 5757 03:57:43,640 --> 03:57:45,400 WITH DISABILITIES FROM THE RANKS 5758 03:57:45,400 --> 03:57:47,800 OF MEDICAL PROFESSIONALS AND 5759 03:57:47,800 --> 03:57:48,280 RESEARCHERS. 5760 03:57:48,280 --> 03:57:49,360 AND UNTIL PEOPLE WITH 5761 03:57:49,360 --> 03:57:52,000 DISABILITIES ARE EXCLUDED IN 5762 03:57:52,000 --> 03:57:53,160 CONCLUDED IN THOSE RANKS, WE 5763 03:57:53,160 --> 03:57:55,000 DON'T MAKE THE KIND OF PROGRESS 5764 03:57:55,000 --> 03:57:56,520 GETTING RID OF ABLEISM THAT WE 5765 03:57:56,520 --> 03:57:59,400 NEED TO BE ABLE TO MAKE. 5766 03:57:59,400 --> 03:58:01,800 TITLE ONE SAYS THAT RESEARCH 5767 03:58:01,800 --> 03:58:03,160 INSTITUTIONS, UNIVERSITIES AND 5768 03:58:03,160 --> 03:58:05,040 MEDICAL PRACTICES THAT HIRE 5769 03:58:05,040 --> 03:58:07,160 PROFESSIONALS AND RESEARCHERS, 5770 03:58:07,160 --> 03:58:08,680 CAN'T EXCLUDE PEOPLE WITH 5771 03:58:08,680 --> 03:58:10,360 DISABILITIES FROM THEIR RANKS. 5772 03:58:10,360 --> 03:58:13,840 AND CAN'T IMPOSE QUALIFICATION 5773 03:58:13,840 --> 03:58:15,040 STANDARDS THAT TEND TO EXCLUDE 5774 03:58:15,040 --> 03:58:16,560 PEOPLE WITH DISABILITIES AND THE 5775 03:58:16,560 --> 03:58:18,240 ONLY WAY THEY CAN IMPOSE 5776 03:58:18,240 --> 03:58:18,920 QUALIFICATION STANDARDS THAT 5777 03:58:18,920 --> 03:58:22,000 TEND TO EXCLUDE PEOPLE WITH 5778 03:58:22,000 --> 03:58:23,400 DISABILITIES WITH THOSE ARE VERY 5779 03:58:23,400 --> 03:58:25,200 CLEARLY JOB RELATED AND 5780 03:58:25,200 --> 03:58:27,360 NECESSARY FOR THE JOB. 5781 03:58:27,360 --> 03:58:28,960 SO, FOR EXAMPLE, A HOSPITAL 5782 03:58:28,960 --> 03:58:30,760 CAN'T REFUSE TO HIRE A NURSE, 5783 03:58:30,760 --> 03:58:32,360 BECAUSE HE HAS A SEIZURE 5784 03:58:32,360 --> 03:58:33,880 DISORDER AND DOESN'T HAVE A 5785 03:58:33,880 --> 03:58:34,360 DRIVER'S LICENSE. 5786 03:58:34,360 --> 03:58:35,400 WHEN DRIVING ISN'T AN ESSENTIAL 5787 03:58:35,400 --> 03:58:39,840 FUNCTION OF THE JOB. 5788 03:58:39,840 --> 03:58:41,160 EVEN WHEN IT'S A TRAVELING NURSE 5789 03:58:41,160 --> 03:58:42,320 POSITION, IF IF THE PERSON CAN 5790 03:58:42,320 --> 03:58:43,720 GET AROUND OTHER WAYS THAN 5791 03:58:43,720 --> 03:58:45,880 DRIVING, SUCH AS RIDE SHARES OR 5792 03:58:45,880 --> 03:58:47,160 TAXIS OR PUBLIC TRANSPORTATION, 5793 03:58:47,160 --> 03:58:51,560 THE HOSPITAL STILL CAN'T USE A 5794 03:58:51,560 --> 03:58:52,280 DRIVER'S LICENSE AS A CALL 5795 03:58:52,280 --> 03:58:52,920 CARRYING THEY'RE THINKING ABOUT 5796 03:58:52,920 --> 03:58:54,320 IT IN ONE WAY THAT YOU 5797 03:58:54,320 --> 03:58:55,520 ACCOMPLISHED THE TASK IN ONE WAY 5798 03:58:55,520 --> 03:59:00,360 WHEN IN FACT, PEOPLE ACCOMPLISH 5799 03:59:00,360 --> 03:59:01,480 THE SAME TASK IN DIFFERENT WAYS 5800 03:59:01,480 --> 03:59:02,760 SO YOU HAVE TO BE CAREFUL ABOUT 5801 03:59:02,760 --> 03:59:04,800 YOUR QUALIFICATIONS STANDARDS 5802 03:59:04,800 --> 03:59:13,000 WHEN HIRING. 5803 03:59:13,000 --> 03:59:14,440 EMPLOYERS MUST ACCOMMODATE THOSE 5804 03:59:14,440 --> 03:59:15,840 WITH DIS ACTS SO A REASONABLE 5805 03:59:15,840 --> 03:59:17,720 ACCOMMODATION CAN BE ANY CHANGE 5806 03:59:17,720 --> 03:59:19,440 THAT IS NECESSARY FOR THE PERSON 5807 03:59:19,440 --> 03:59:21,680 WITH A DISABILITY TO BE ABLE TO 5808 03:59:21,680 --> 03:59:22,520 PERFORM THE ESSENTIAL FUNCTIONS 5809 03:59:22,520 --> 03:59:26,160 OF THE JOB. 5810 03:59:26,160 --> 03:59:27,960 IT CAN'T BE AN UNDUE HARDSHIP 5811 03:59:27,960 --> 03:59:29,600 FOR THE EMPLOYER. 5812 03:59:29,600 --> 03:59:31,520 SO FOR EXAMPLE, A CLINICAL 5813 03:59:31,520 --> 03:59:33,160 RESEARCH FACILITY HAS TO ALLOW 5814 03:59:33,160 --> 03:59:35,160 AN EMPLOYEE WITH A VISION 5815 03:59:35,160 --> 03:59:36,720 IMPAIRMENT TO BRING THEIR 5816 03:59:36,720 --> 03:59:40,080 SERVICE ANIMAL TO WORK UNLESS 5817 03:59:40,080 --> 03:59:41,480 THERE'S A REASON THE ANIMAL 5818 03:59:41,480 --> 03:59:44,240 WOULD INTERFERE WITH THE 5819 03:59:44,240 --> 03:59:45,800 RESEARCH BEING DONE. 5820 03:59:45,800 --> 03:59:47,560 IT'S ENFORCEABLE BY THE PERSON 5821 03:59:47,560 --> 03:59:49,440 EXPERIENCE DISCRIMINATION AND 5822 03:59:49,440 --> 03:59:50,440 THE EQUAL EMPLOYMENT OPPORTUNITY 5823 03:59:50,440 --> 03:59:50,720 COMMISSION. 5824 03:59:50,720 --> 03:59:52,800 THE REMEDY FOR VIOLATIONS OF 5825 03:59:52,800 --> 03:59:54,200 TITLE 1 INCLUDE DAMAGES, BACK 5826 03:59:54,200 --> 03:59:56,400 PAY AND FRONT PAY, GETTING YOUR 5827 03:59:56,400 --> 03:59:58,560 ATTORNEYS FEES REIMBURSED AND 5828 03:59:58,560 --> 03:59:59,720 INJUNK TIVE RELIEF MAKING THE 5829 03:59:59,720 --> 04:00:06,120 EMPLOYER DO THE RIGHT THING. 5830 04:00:06,120 --> 04:00:07,760 NOW TITLE 2 IS IMPORTANT BECAUSE 5831 04:00:07,760 --> 04:00:11,720 IT GOVERNS HOW STATE AND LOCAL 5832 04:00:11,720 --> 04:00:13,840 MEDICAL AND RESEARCH FACILITIES 5833 04:00:13,840 --> 04:00:15,400 INTERACT WITH NON EMPLOYEES WITH 5834 04:00:15,400 --> 04:00:17,160 DISABILITIES SUCH AS PATIENTS 5835 04:00:17,160 --> 04:00:18,680 AND RESEARCH AND OTHERS AND 5836 04:00:18,680 --> 04:00:21,040 TITLE THREE, IMPOSES THE SAME 5837 04:00:21,040 --> 04:00:22,320 OBLIGATIONS ON PRIVATE MEDICAL 5838 04:00:22,320 --> 04:00:23,720 AND RESEARCH FACILITIES THAT ARE 5839 04:00:23,720 --> 04:00:26,800 OPEN TO THE PUBLIC. 5840 04:00:26,800 --> 04:00:29,400 SO TITLE THREE AND TWO PROHIBIT 5841 04:00:29,400 --> 04:00:31,960 AGAINST THE PARTICIPANTS WITH 5842 04:00:31,960 --> 04:00:33,360 DISABILITY AND SO MEDICAL 5843 04:00:33,360 --> 04:00:34,920 PROVIDERS CAN'T REFUSE TO SERVE 5844 04:00:34,920 --> 04:00:37,720 PATIENTS WITH DISABILITY, A 5845 04:00:37,720 --> 04:00:39,040 DENTIST CAN'T REFUSE A PATIENT 5846 04:00:39,040 --> 04:00:44,320 WITH HIV, A GYNECOLOGIST CAN'T 5847 04:00:44,320 --> 04:00:45,800 EXCLUDE PARTICIPANTS WITH VISION 5848 04:00:45,800 --> 04:00:49,680 DISABILITIES AND THERE ARE A FEW 5849 04:00:49,680 --> 04:00:50,760 EXCEPTIONS, IF THE PERSON WITH 5850 04:00:50,760 --> 04:00:53,040 THE DISABILITY WOULD IMPOSE A 5851 04:00:53,040 --> 04:00:54,440 DIRECT THREAT THE ANALYSIS HAS 5852 04:00:54,440 --> 04:00:58,200 TO BE BASED ON SCIENCE NOT JUST 5853 04:00:58,200 --> 04:00:59,840 COMMON BELIEFS OR PERCEPTIONS OR 5854 04:00:59,840 --> 04:01:01,120 ATTITUDES OR ASSUMPTIONS. 5855 04:01:01,120 --> 04:01:02,320 THE OTHER REASON TIME OF PERSON 5856 04:01:02,320 --> 04:01:04,080 CAN BE EXCLUDE SOLDIER IF THE 5857 04:01:04,080 --> 04:01:07,040 EXCLUSION IS NECESSARY FOR FOR 5858 04:01:07,040 --> 04:01:08,720 THE PROVISION OF THE SERVICE 5859 04:01:08,720 --> 04:01:10,800 BEING OFFERED AND IF A PERSON'S 5860 04:01:10,800 --> 04:01:12,120 DISABILITY WOULD MAKE IT 5861 04:01:12,120 --> 04:01:13,560 IMPOSSIBLE TO CONDUCT THE 5862 04:01:13,560 --> 04:01:15,360 RESEARCH OR PROVIDE THE MEDICAL 5863 04:01:15,360 --> 04:01:18,480 SERVICE, THAT PERSON CAN BE 5864 04:01:18,480 --> 04:01:20,000 EXCLUDED BUT TITLE TWO AND THREE 5865 04:01:20,000 --> 04:01:21,840 REQUIRE MEDICAL AND RESEARCH 5866 04:01:21,840 --> 04:01:24,280 FACILITIES TO REASONABLY MODIFY 5867 04:01:24,280 --> 04:01:25,600 THEIR POLICIES WHEN IT'S 5868 04:01:25,600 --> 04:01:26,800 NECESSARY TO INCLUDE A PERSON 5869 04:01:26,800 --> 04:01:29,360 WITH A DISABILITY. 5870 04:01:29,360 --> 04:01:33,080 AND ALL THEIR COMMUNICATIONS ARE 5871 04:01:33,080 --> 04:01:34,600 JUST AS EFFECTIVE AS THEIR 5872 04:01:34,600 --> 04:01:35,200 COMMUNICATIONS WITH PEOPLE 5873 04:01:35,200 --> 04:01:40,320 WITHOUT DISABILITIES. 5874 04:01:40,320 --> 04:01:41,880 EYE REASONABLE MODIFICATION CAN 5875 04:01:41,880 --> 04:01:43,800 BE ANY CHANGE IN HOW THINGS ARE 5876 04:01:43,800 --> 04:01:45,600 DONE THAT IS NECESSARY TOWN CLAD 5877 04:01:45,600 --> 04:01:50,360 A PERSON WITH A DISABILITY. 5878 04:01:50,360 --> 04:01:53,040 SO, FOR EXAMPLE, THEY MUST HAVE 5879 04:01:53,040 --> 04:01:54,000 THEIR FROM SERVING A PERSON WITH 5880 04:01:54,000 --> 04:01:56,120 A MOBILITY IMPAIRMENT WHO CAN'T 5881 04:01:56,120 --> 04:01:58,200 TRANSFER THEMSELVES ON TO AN 5882 04:01:58,200 --> 04:02:00,160 INACCESSIBLE EXAM TABLE AND THE 5883 04:02:00,160 --> 04:02:03,480 WAY THEY DO THAT IS PROVIDING AN 5884 04:02:03,480 --> 04:02:04,800 ACCESSIBLE EXAM TABLE, A LIFT TO 5885 04:02:04,800 --> 04:02:08,080 HELP THE PERSON GET UP ONTO THE 5886 04:02:08,080 --> 04:02:09,000 EXAM TABLE AND HAVING TRAINED 5887 04:02:09,000 --> 04:02:11,280 PERSONNEL TO ASSIST THE PERSON 5888 04:02:11,280 --> 04:02:12,600 WITH THE TRANSFER TO THE TABLE 5889 04:02:12,600 --> 04:02:17,240 AND THERE'S A VERY NICE PIECE ON 5890 04:02:17,240 --> 04:02:18,680 THIS FROM THE DEPARTMENT OF 5891 04:02:18,680 --> 04:02:23,400 JUSTICE AT 5892 04:02:23,400 --> 04:02:26,880 ADA.GOV/RESOURCES/MEDICAL -- 5893 04:02:26,880 --> 04:02:30,120 CARE/MOBILITY. 5894 04:02:30,120 --> 04:02:31,160 EFFECTIVE COMMUNICATION IS 5895 04:02:31,160 --> 04:02:33,080 ACCOMPLISHED BY PROVIDING AID 5896 04:02:33,080 --> 04:02:34,560 AND SERVICE AND THOSE ARE THINGS 5897 04:02:34,560 --> 04:02:38,880 LIKE ACCESSIBLE FORMAT 5898 04:02:38,880 --> 04:02:40,760 MATERIALS, AND ELECTRONIC FORMAT 5899 04:02:40,760 --> 04:02:44,400 MATERIALS AND ACCESSIBLE WEB 5900 04:02:44,400 --> 04:02:45,480 SITES AND SIGN LANGUAGE 5901 04:02:45,480 --> 04:02:46,480 INTERPRETERS AND THE LIKE. 5902 04:02:46,480 --> 04:02:48,360 SO A RESEARCH FACILITY HAS TO 5903 04:02:48,360 --> 04:02:51,880 ENSURE IT'S ON-LINE INFORMATION 5904 04:02:51,880 --> 04:02:53,360 IS ACCESSIBLE AND IT FORMS THAT 5905 04:02:53,360 --> 04:02:54,800 YOU HAVE TO FILL OUT ARE 5906 04:02:54,800 --> 04:02:58,680 AVAILABLE IN ACCESSIBLE FORM A 5907 04:02:58,680 --> 04:03:00,000 USUALLY THAT'S ACCESSIBLE 5908 04:03:00,000 --> 04:03:01,280 ELECTRONIC FORMATS, NOT JUST 5909 04:03:01,280 --> 04:03:02,600 PIECES OF PAPER THAT YOU EXPECT 5910 04:03:02,600 --> 04:03:04,520 PEOPLE TO FILL OUT WITH A PEN 5911 04:03:04,520 --> 04:03:05,200 AND PAPER. 5912 04:03:05,200 --> 04:03:07,960 AND A DOCTOR FOR EXAMPLE, HAS TO 5913 04:03:07,960 --> 04:03:08,440 PROVIDE A SALE LANGUAGE 5914 04:03:08,440 --> 04:03:09,680 INTERPRETER FOR A DEAF PATIENT 5915 04:03:09,680 --> 04:03:13,480 AND BY THE WAY, COVERED ENTITY 5916 04:03:13,480 --> 04:03:14,880 CANNOT CHARGE EXTRA FOR THE 5917 04:03:14,880 --> 04:03:16,560 PROVISION OF AIDS AND SERVICES 5918 04:03:16,560 --> 04:03:18,480 EVEN IF THEY COST MORE. 5919 04:03:18,480 --> 04:03:20,160 THOSE COSTS ARE PART OF THE COST 5920 04:03:20,160 --> 04:03:24,400 OF DOING BUSINESS LIKE RENT. 5921 04:03:24,400 --> 04:03:27,240 THE DEFENSE TO REASONABLE 5922 04:03:27,240 --> 04:03:29,800 MODIFICATION ARE, UNDUE BURDEN, 5923 04:03:29,800 --> 04:03:31,440 IF IT'S AN UNDUE HARDSHIP FOR 5924 04:03:31,440 --> 04:03:33,280 THE BUSINESS OR FOR THE STATE OR 5925 04:03:33,280 --> 04:03:34,840 LOCAL GOVERNMENT OR IF IT WOULD 5926 04:03:34,840 --> 04:03:35,920 FUNDAMENTALLY ALTER THE PROGRAM 5927 04:03:35,920 --> 04:03:38,040 OR SERVICES VERY RARE THAT 5928 04:03:38,040 --> 04:03:39,360 SOMETHING WOULD FUNDAMENTALLY 5929 04:03:39,360 --> 04:03:41,840 ALTER THE PROGRAM OR SERVICE. 5930 04:03:41,840 --> 04:03:45,000 SO IT'S VERY UNUSUAL. 5931 04:03:45,000 --> 04:03:46,880 AND TITLE 2 AND TITLE 3 APPLY TO 5932 04:03:46,880 --> 04:03:49,040 PUBLIC AND PRIVATE PRIMARY AND 5933 04:03:49,040 --> 04:03:50,480 SECONDARY SCHOOLS AND PUBLIC AND 5934 04:03:50,480 --> 04:03:52,800 PRIVATE COLLEGES AND 5935 04:03:52,800 --> 04:03:54,360 UNIVERSITIES INCLUDING MEDICAL 5936 04:03:54,360 --> 04:03:55,160 SCHOOLS. 5937 04:03:55,160 --> 04:03:56,280 SO THESE CAN'T DISCRIMINATE 5938 04:03:56,280 --> 04:03:57,200 AGAINST STUDENTS WITH 5939 04:03:57,200 --> 04:03:58,680 DISABILITIES WHO WANT TO STUDY 5940 04:03:58,680 --> 04:04:00,640 THE STEM FIELDS OR WHO WANT TO 5941 04:04:00,640 --> 04:04:06,920 PRACTICE MEDICINE OR GO INTO 5942 04:04:06,920 --> 04:04:07,880 SCIENTIFIC RESEARCH THEY HAVE TO 5943 04:04:07,880 --> 04:04:12,320 ACCEPT THOSE STUDENTS AND FORT 5944 04:04:12,320 --> 04:04:13,040 ACCOMMODATE THEM. 5945 04:04:13,040 --> 04:04:15,600 THIS PROHIBITS ADDRESSES THE 5946 04:04:15,600 --> 04:04:17,240 ATTITUDES THAT PEOPLE WITH 5947 04:04:17,240 --> 04:04:19,120 DISABILITIES CAN'T SUCCEED IN 5948 04:04:19,120 --> 04:04:23,640 STEM OR MEDICAL PRACTICE OR THE 5949 04:04:23,640 --> 04:04:25,000 STUDENT THAT IF YOU CAN'T DO 5950 04:04:25,000 --> 04:04:26,160 EVERYTHING AS THE DOCTOR YOU 5951 04:04:26,160 --> 04:04:27,600 CAN'T BE A DOCTOR AT ALL. 5952 04:04:27,600 --> 04:04:32,320 IT ADDRESSES THE ASSUMPTION THAT 5953 04:04:32,320 --> 04:04:33,560 A PERSON WON'T OBTAIN THE 5954 04:04:33,560 --> 04:04:34,960 LICENSES, THE SCHOOL, FOR 5955 04:04:34,960 --> 04:04:36,360 EXAMPLE, CAN'T MAKE ITS 5956 04:04:36,360 --> 04:04:37,800 DECISIONS BASED ON ITS 5957 04:04:37,800 --> 04:04:38,640 ASSUMPTION OF WHETHER THE 5958 04:04:38,640 --> 04:04:39,840 STUDENT WILL BE ABLE TO 5959 04:04:39,840 --> 04:04:40,720 EVENTUALLY GET LICENSED. 5960 04:04:40,720 --> 04:04:42,080 AND IT NEEDS TO DEAL WITH 5961 04:04:42,080 --> 04:04:42,920 WHETHER THE STUDENT CAN 5962 04:04:42,920 --> 04:04:44,160 ACCOMPLISH THE GOALS OF THIS 5963 04:04:44,160 --> 04:04:44,600 SCHOOL. 5964 04:04:44,600 --> 04:04:49,760 AND THE EDUCATION. 5965 04:04:49,760 --> 04:04:51,080 IT REQUIRES SCHOOLS NOT TO ACT 5966 04:04:51,080 --> 04:04:53,240 ON THOSE STUDENTS AND PHYSICAL 5967 04:04:53,240 --> 04:04:54,880 ACCESSIBILITY, REASONABLE 5968 04:04:54,880 --> 04:04:56,200 MODIFICATIONS, AND EFFECTIVE 5969 04:04:56,200 --> 04:04:57,640 COMMUNICATIONS LIKE THE REST OF 5970 04:04:57,640 --> 04:04:58,800 TITLE 2 AND TITLE 3. 5971 04:04:58,800 --> 04:05:00,720 SO SCHOOLS NEED TO HAVE 5972 04:05:00,720 --> 04:05:01,440 ACCESSIBLE LABS. 5973 04:05:01,440 --> 04:05:04,440 YOU HAVE NO IDEA HOW MANY TIMES 5974 04:05:04,440 --> 04:05:06,480 I'VE HEARD THAT WE DON'T HAVE AN 5975 04:05:06,480 --> 04:05:07,760 ACCESSIBLE LAB SO THIS STUDENT 5976 04:05:07,760 --> 04:05:10,560 CAN'T BE A STUDENT HERE. 5977 04:05:10,560 --> 04:05:12,120 IT'S NOT AN EXCUSE. 5978 04:05:12,120 --> 04:05:13,600 YOU SHOULD HAVE AN ACCESSIBLE 5979 04:05:13,600 --> 04:05:14,200 LAB. 5980 04:05:14,200 --> 04:05:15,800 THE SCHOOLS HAVE TO ALLOW EXTRA 5981 04:05:15,800 --> 04:05:18,720 TIME ON TESTS FOR STUDENTS WITH 5982 04:05:18,720 --> 04:05:19,840 LEARNING DISABILITIES FOR 5983 04:05:19,840 --> 04:05:21,680 EXAMPLE AND THOSE TO MAKE THEIR 5984 04:05:21,680 --> 04:05:23,480 SCIENTIFIC STUDY MATERIALS 5985 04:05:23,480 --> 04:05:25,640 ACCESSIBLE FOR BLIND STUDENTS. 5986 04:05:25,640 --> 04:05:27,280 I KNOW MANY, MANY BLIND STUDENTS 5987 04:05:27,280 --> 04:05:30,880 WHO ARE STUDYING HIGH LEVEL STEM 5988 04:05:30,880 --> 04:05:32,600 FIELDS AND HAVING HUGE TROUBLE 5989 04:05:32,600 --> 04:05:33,760 GETTING THE MATERIALS THAT THEY 5990 04:05:33,760 --> 04:05:36,360 NEED TO STUDY FOR THOSE FIELDS 5991 04:05:36,360 --> 04:05:39,480 MADE ACCESSIBLE TO THEM. 5992 04:05:39,480 --> 04:05:41,720 NOW TITLE 2 AND TITLE 3 ARE 5993 04:05:41,720 --> 04:05:43,640 ENFORCEABLE BY THE PERSON 5994 04:05:43,640 --> 04:05:44,560 EXPERIENCING DISCRIMINATION AND 5995 04:05:44,560 --> 04:05:50,640 THE JUSTICE DEPARTMENT. 5996 04:05:50,640 --> 04:05:52,240 DAMAGES, ATTORNEY FEES AND 5997 04:05:52,240 --> 04:05:54,360 INJUNK TIVE RELIEF AND THE 5998 04:05:54,360 --> 04:05:55,840 REMEDY FOR TITLE 3 VIOLATIONS 5999 04:05:55,840 --> 04:05:59,840 ARE RELIEF AND ATTORNEY FEES YOU 6000 04:05:59,840 --> 04:06:00,800 CAN'T GET DAMAGES UNDER TITLE 6001 04:06:00,800 --> 04:06:01,960 THREE AND A COUPLE OF 6002 04:06:01,960 --> 04:06:02,880 DEVELOPMENTS ARE NOW MAKING 6003 04:06:02,880 --> 04:06:05,680 THEIR WAY THROUGH THE RUL MAKING 6004 04:06:05,680 --> 04:06:08,000 PROCESS AND UNDER THE ADA 6005 04:06:08,000 --> 04:06:09,160 INCLUDING A PROPOSED REGULATION 6006 04:06:09,160 --> 04:06:11,560 FROM THE JUSTICE DEPARTMENT ON 6007 04:06:11,560 --> 04:06:14,240 ACCESSIBILITY REQUIREMENTS FOR 6008 04:06:14,240 --> 04:06:15,360 WEB SITES AND REGULATION FROM 6009 04:06:15,360 --> 04:06:17,000 THE ACCESS BOARD ON 6010 04:06:17,000 --> 04:06:18,320 ACCESSIBILITY STANDARDS FOR 6011 04:06:18,320 --> 04:06:20,560 KIOSKS INCLUDING THE MEDICAL 6012 04:06:20,560 --> 04:06:24,160 KIOSKS THAT WE TALKED ABOUT 6013 04:06:24,160 --> 04:06:26,040 EARLIER. 6014 04:06:26,040 --> 04:06:29,080 SO ANOTHER RELATIVELY NEW LAW 6015 04:06:29,080 --> 04:06:31,480 THAT ACTS IN THE SPACE IS 6016 04:06:31,480 --> 04:06:33,680 SECTION 1557 OF THE AFFORDABLE 6017 04:06:33,680 --> 04:06:34,720 CARE ACT. 6018 04:06:34,720 --> 04:06:35,920 PROHIBITS DISCRIMINATION ON THE 6019 04:06:35,920 --> 04:06:39,240 BASIS OF DISABILITY AND OTHER 6020 04:06:39,240 --> 04:06:40,520 CHARACTERISTICS AND END TEASE 6021 04:06:40,520 --> 04:06:41,160 THAT RECEIVE GRANTS FROM THE 6022 04:06:41,160 --> 04:06:44,080 DEPARTMENT OF HEALTH AND HUMAN 6023 04:06:44,080 --> 04:06:44,880 SERVICES. 6024 04:06:44,880 --> 04:06:49,000 INCLUDING MEDICARE, CHIP OR 6025 04:06:49,000 --> 04:06:51,960 MEDICAID FUNDING AND INSURERS 6026 04:06:51,960 --> 04:06:53,680 WHO RECEIVE PREMIUM TAX CREDITS. 6027 04:06:53,680 --> 04:06:55,920 SO ENTITIES THAT GET NIH GRANTS 6028 04:06:55,920 --> 04:06:58,160 OR CDC GRANTS FOR EXAMPLE ARE 6029 04:06:58,160 --> 04:07:01,120 COVERED BY SECTION 1557 6030 04:07:01,120 --> 04:07:04,240 SPECIFICALLY AND SECTION 1557 6031 04:07:04,240 --> 04:07:05,760 EXTENDS THE TITLE 2 OBLIGATIONS 6032 04:07:05,760 --> 04:07:08,520 OF THE ADA TO ALL RECIPIENTS OF 6033 04:07:08,520 --> 04:07:09,320 HHS GRANTS. 6034 04:07:09,320 --> 04:07:10,520 REGARDLESS OF WHETHER THEY'RE A 6035 04:07:10,520 --> 04:07:13,000 PUBLIC ENTER TEE, OR A PUBLIC 6036 04:07:13,000 --> 04:07:13,520 ACCOMMODATION. 6037 04:07:13,520 --> 04:07:15,480 AND TO ENSURERS. 6038 04:07:15,480 --> 04:07:17,000 SO, SOME PRIVATE RESEARCH 6039 04:07:17,000 --> 04:07:18,160 FACILITY MIGHT BE ABLE TO ARGUE 6040 04:07:18,160 --> 04:07:19,640 THAT THEY'RE NOT COVERED BY 6041 04:07:19,640 --> 04:07:21,760 TITLE 3 OF THE ADA, BUT THEY'RE 6042 04:07:21,760 --> 04:07:24,640 CLEARLY COVERED BY SECTION 1557. 6043 04:07:24,640 --> 04:07:27,400 THE ONLY PROBLEM IS SECTION 1557 6044 04:07:27,400 --> 04:07:30,680 DOESN'T APPLY TO EMPLOYMENT. 6045 04:07:30,680 --> 04:07:35,720 IT APPLIES TO HOW WE DEAL WITH 6046 04:07:35,720 --> 04:07:45,960 PARTICIPANTS. 6047 04:07:48,280 --> 04:07:58,760 AND THE CURRENT AND SECTION 1557 6048 04:08:01,400 --> 04:08:02,880 GO SOMEWHAT BEYOND TITLE TWO OF 6049 04:08:02,880 --> 04:08:05,680 THE ADA BY REQUIRING COVERING 6050 04:08:05,680 --> 04:08:08,960 ENTITIES TO HAVE A WRITTEN 6051 04:08:08,960 --> 04:08:10,160 POLICY FOR HOW TO PROVIDE 6052 04:08:10,160 --> 04:08:11,240 EFFECTIVE COMMUNICATION AND HOW 6053 04:08:11,240 --> 04:08:13,080 THEY PROVIDE REASONABLE 6054 04:08:13,080 --> 04:08:17,080 MODIFICATION AND TO TRAIN THEIR 6055 04:08:17,080 --> 04:08:20,680 EMPLOYEES ON THE OBLIGATION BUT 6056 04:08:20,680 --> 04:08:22,400 THEY'RE NOT ENFORCED YET BUT 6057 04:08:22,400 --> 04:08:25,120 THEY WILL, 1557 CAN BE ENFORCED 6058 04:08:25,120 --> 04:08:26,640 BY THE PERSON BEING 6059 04:08:26,640 --> 04:08:27,200 DISCRIMINATED AGAINST OR THE 6060 04:08:27,200 --> 04:08:28,400 DEPARTMENT OF HEALTH AND HUMAN 6061 04:08:28,400 --> 04:08:29,560 SERVICES AND THE FEDERAL 6062 04:08:29,560 --> 04:08:30,920 GOVERNMENT IN ADDITION TO 6063 04:08:30,920 --> 04:08:37,320 ENFORCING THE LAW IN COURT, CAN 6064 04:08:37,320 --> 04:08:39,080 WITHDRAW FEDERAL FUNDS SO THAT 6065 04:08:39,080 --> 04:08:42,720 NIH GRANT COULD BE TAKEN AWAY IF 6066 04:08:42,720 --> 04:08:44,440 YOU VIOLATE SECTION 1557. 6067 04:08:44,440 --> 04:08:50,480 NEXT SLIDE, PLEASE. 6068 04:08:50,480 --> 04:08:52,880 ALMOST FINALLY, SECTION 504 OF 6069 04:08:52,880 --> 04:08:54,760 THE REHABILITATION ACT HAS BEEN 6070 04:08:54,760 --> 04:08:57,080 AROUND SINCE 1973 BUT WASN'T 6071 04:08:57,080 --> 04:08:58,960 ENFORCED MUCH UNTIL RECENTLY AND 6072 04:08:58,960 --> 04:09:00,880 IT PROHIBITS A DISCRIMINATION BY 6073 04:09:00,880 --> 04:09:02,600 ANY ENTITY THAT RECEIVES FEDERAL 6074 04:09:02,600 --> 04:09:04,600 FINANCIAL ASSISTANCE FROM ANY 6075 04:09:04,600 --> 04:09:07,640 AGENCY, NOT JUST AN HHS. 6076 04:09:07,640 --> 04:09:09,440 IT APPLIES TO TITLE 2 6077 04:09:09,440 --> 04:09:11,240 PROHIBITION TO ALL FEDERAL GRANT 6078 04:09:11,240 --> 04:09:11,960 RECIPIENTS WHETHER THE GRANTS 6079 04:09:11,960 --> 04:09:16,120 ARE FROM HHS OR ANY OTHER 6080 04:09:16,120 --> 04:09:17,480 AGENCY. 6081 04:09:17,480 --> 04:09:20,440 IT CAN BE ENFORCED BY THE 6082 04:09:20,440 --> 04:09:22,560 FUNDING AGENCY AND IT ALLOWS FOR 6083 04:09:22,560 --> 04:09:24,360 DAMAGES ATTORNEY FEES AND INJUNK 6084 04:09:24,360 --> 04:09:25,760 TIVE RELIEF AS WELL AS 6085 04:09:25,760 --> 04:09:33,200 REVOCATION OF FEDERAL FUNDING. 6086 04:09:33,200 --> 04:09:34,160 IF YOU HAVE FUNDING FROM THE 6087 04:09:34,160 --> 04:09:37,560 DEPARTMENT OF JUSTICE OR FUNDING 6088 04:09:37,560 --> 04:09:38,880 FROM ANY AGENCY THE VIOLENCE 6089 04:09:38,880 --> 04:09:43,600 AGAINST WOMEN AGENCY, YOU CAN 6090 04:09:43,600 --> 04:09:45,120 LOOSE THAT IF YOUR 6091 04:09:45,120 --> 04:09:45,800 DISCRIMINATING AGAINST PEOPLE 6092 04:09:45,800 --> 04:09:50,600 WITH DISABILITYS SO THIS COVERS 6093 04:09:50,600 --> 04:09:51,560 MEDICARE AND AS WELL AS COLLEGE 6094 04:09:51,560 --> 04:09:53,120 THAT'S GET DEPARTMENT OF 6095 04:09:53,120 --> 04:09:55,360 EDUCATION GRANTS AND BOTH HHS 6096 04:09:55,360 --> 04:09:56,280 AND THE DEPARTMENT OF EDUCATION 6097 04:09:56,280 --> 04:09:58,080 ARE EX POCKETED TO ISSUE NEW 6098 04:09:58,080 --> 04:10:00,280 PROPOSED REGULATIONS UNDER 6099 04:10:00,280 --> 04:10:01,480 SECTION 504 LATER THIS YEAR 6100 04:10:01,480 --> 04:10:06,360 BECAUSE THOSE REGULATIONS 6101 04:10:06,360 --> 04:10:07,520 HAVEN'T BEEN UPDATE INSIDE 30 6102 04:10:07,520 --> 04:10:07,840 YEARS. 6103 04:10:07,840 --> 04:10:11,960 NEXT SLIDE, PLEASE. 6104 04:10:11,960 --> 04:10:14,200 FINALLY, REALLY NOW, SECTION 503 6105 04:10:14,200 --> 04:10:15,720 OF THE REHABILITATION ACT, THIS 6106 04:10:15,720 --> 04:10:18,320 APPLIES TO FEDERAL CONTRACTORS. 6107 04:10:18,320 --> 04:10:19,720 IF AN ENTITY DOESN'T HAVE A 6108 04:10:19,720 --> 04:10:22,960 GRANT WITH THE FEDERAL 6109 04:10:22,960 --> 04:10:26,600 GOVERNMENT BUT AWE CONTRACT IT 6110 04:10:26,600 --> 04:10:28,040 WILL PROVIDE EFFECTIVE 6111 04:10:28,040 --> 04:10:33,800 COMMUNICATION AND SO FOURTH AND 6112 04:10:33,800 --> 04:10:36,680 WITH A GOAL OF HAVING 7% OF ITS 6113 04:10:36,680 --> 04:10:40,280 WORKFORCE BE PEOPLE WITH 6114 04:10:40,280 --> 04:10:50,520 DISABILITIES. 6115 04:11:23,640 --> 04:11:25,200 VOCATIONAL REHABILITATION 6116 04:11:25,200 --> 04:11:35,760 SERVICES AND TECHNOLOGY THAT BY 6117 04:11:54,640 --> 04:11:56,480 THERE'S MORE AND THIS IS MY 6118 04:11:56,480 --> 04:11:58,000 SUNSET COLORED SLIDES SAYING 6119 04:11:58,000 --> 04:11:58,640 BEST PRACTICES. 6120 04:11:58,640 --> 04:12:00,440 THERE ARE BEST PRACTICES WE CAN 6121 04:12:00,440 --> 04:12:02,360 IMPLEMENT TO OVERCOME THIS LONG 6122 04:12:02,360 --> 04:12:03,920 HISTORY OF DISABILITY 6123 04:12:03,920 --> 04:12:05,600 DISCRIMINATION AND EXCLUSION. 6124 04:12:05,600 --> 04:12:07,040 AND IMPORTANT BEST PRACTICES 6125 04:12:07,040 --> 04:12:09,960 HERE IS AFFIRMATIVE ACTION. 6126 04:12:09,960 --> 04:12:11,520 UNLIKE IN THE RACE CONTEXT 6127 04:12:11,520 --> 04:12:12,600 THERE'S NOTHING IN THE 6128 04:12:12,600 --> 04:12:14,040 CONSTITUTION THAT LIMITS OUR 6129 04:12:14,040 --> 04:12:16,320 ABILITY TO IMPLEMENT AFFIRMATIVE 6130 04:12:16,320 --> 04:12:17,480 ACTION FOR PEOPLE WITH 6131 04:12:17,480 --> 04:12:19,240 DISABILITIES AND THIS IS IN FACT 6132 04:12:19,240 --> 04:12:23,000 A BEST PRACTICE FOR ENTITIES 6133 04:12:23,000 --> 04:12:24,760 THAT WANT TO HAVE THEIR 6134 04:12:24,760 --> 04:12:25,600 WORKFORCES REPRESENT THE 6135 04:12:25,600 --> 04:12:26,480 COMMUNITY. 6136 04:12:26,480 --> 04:12:27,600 AND AFFIRMATIVE ACTION CAN TAKE 6137 04:12:27,600 --> 04:12:29,280 THE FORM OF TARGETED OUTREACH 6138 04:12:29,280 --> 04:12:31,320 AND RECRUITING. 6139 04:12:31,320 --> 04:12:35,160 TARGETED APPRENTICESHIP AND 6140 04:12:35,160 --> 04:12:39,680 INTERNSHIP PROGRAMS AND 6141 04:12:39,680 --> 04:12:43,000 HIGHERING GOALS MAINTAINING 6142 04:12:43,000 --> 04:12:44,880 RESUMES OR CONTRACTING WITH A 6143 04:12:44,880 --> 04:12:48,560 RECRUITER THAT SPECIAL SIZES IN 6144 04:12:48,560 --> 04:12:50,600 THAT AND FAST TRACK HIGHERING 6145 04:12:50,600 --> 04:12:51,920 AUTHORITY AND IT'S UNDER 6146 04:12:51,920 --> 04:12:53,400 SCHEDULE A WHERE YOU GET TO 6147 04:12:53,400 --> 04:12:56,040 SCHOLARSHIP SOME OF THE CIVIL 6148 04:12:56,040 --> 04:12:57,560 SERVICE, REQUIRE OR SKIP THE 6149 04:12:57,560 --> 04:12:58,360 COMPETITION REQUIREMENTS IF IF 6150 04:12:58,360 --> 04:13:02,760 YOU ARE HIRING A PERSON WITH A 6151 04:13:02,760 --> 04:13:05,480 DISABILITY AND IT SAVES CERTAIN 6152 04:13:05,480 --> 04:13:06,120 REQUIREMENTS AGAIN LIKE SKIPPING 6153 04:13:06,120 --> 04:13:10,720 A CIVIL SERVICE TEST AND NOT 6154 04:13:10,720 --> 04:13:12,640 HAVING TO BARRIER TO EMPLOYMENT 6155 04:13:12,640 --> 04:13:16,040 AND INCLUDING HIRING PREVALENCES 6156 04:13:16,040 --> 04:13:18,480 LIKE POINTS PREVALENCES OR WHEN 6157 04:13:18,480 --> 04:13:21,240 THERE ARE TWO CANDIDATES THAT 6158 04:13:21,240 --> 04:13:23,720 ARE EQUAL AND AND THE DISABILITY 6159 04:13:23,720 --> 04:13:26,880 AND OR HAVING MANDATORY WHEN YOU 6160 04:13:26,880 --> 04:13:28,320 HAVE A CANDIDATE WITH A 6161 04:13:28,320 --> 04:13:28,640 DISABILITY. 6162 04:13:28,640 --> 04:13:30,120 THESE ARE SOME OF THE BEST 6163 04:13:30,120 --> 04:13:34,160 PRACTICES FOR INCREASING OUR 6164 04:13:34,160 --> 04:13:44,440 REPRESENTATION. 6165 04:13:49,520 --> 04:13:50,880 >>TERRIFIC REPRESENTATION. 6166 04:13:50,880 --> 04:13:51,480 THANK YOU, VERY MUCH. 6167 04:13:51,480 --> 04:13:57,840 I WANT TO START BY SAYING EARLY 6168 04:13:57,840 --> 04:14:01,000 IN THE FIRST 10 MINUTES OF YOUR 6169 04:14:01,000 --> 04:14:02,760 PRESENTATION, YOU MENTIONED A 6170 04:14:02,760 --> 04:14:05,280 DOJ ADA RESOURCE CAN YOU SLOWLY 6171 04:14:05,280 --> 04:14:07,200 ARTICULATE THE WEBSITE FOR THE 6172 04:14:07,200 --> 04:14:07,440 AUDIENCE. 6173 04:14:07,440 --> 04:14:09,080 >>I WILL DO THAT AND I WILL PUT 6174 04:14:09,080 --> 04:14:15,880 IT IN THE CHAT. 6175 04:14:15,880 --> 04:14:23,320 HOLD ON ONE SECOND. 6176 04:14:23,320 --> 04:14:28,680 IT'S WWW.ADA.GOV. 6177 04:14:28,680 --> 04:14:30,720 SO THIS IS A WEBSITE ALONE WITH 6178 04:14:30,720 --> 04:14:41,120 A LOT OF INFORMATION AN 6179 04:14:53,280 --> 04:14:59,080 AND/MEDICAL/CARE/MOBILITY. 6180 04:14:59,080 --> 04:14:59,280 OKAY? 6181 04:14:59,280 --> 04:15:03,720 >>THANK YOU. 6182 04:15:03,720 --> 04:15:06,320 >>IF ANY OF THE TECHNOLOGY 6183 04:15:06,320 --> 04:15:09,360 PEOPLE COULD PUT THAT INTO THE 6184 04:15:09,360 --> 04:15:10,880 Q&A ANSWERS, I WOULD BE GRATEFUL 6185 04:15:10,880 --> 04:15:12,120 BECAUSE I DON'T SEEM TO BE ABLE 6186 04:15:12,120 --> 04:15:13,080 TO DO THAT. 6187 04:15:13,080 --> 04:15:18,160 I TRIED TO. 6188 04:15:18,160 --> 04:15:20,040 SO, LET'S GET TO SOME OF THE 6189 04:15:20,040 --> 04:15:25,080 OTHER QUESTIONS THAT WE HAD. 6190 04:15:25,080 --> 04:15:29,440 THE DEFINITION OF REASONABLE 6191 04:15:29,440 --> 04:15:31,840 ACCOMMODATION AND UNDUE 6192 04:15:31,840 --> 04:15:33,000 HARDSHIP. 6193 04:15:33,000 --> 04:15:36,320 COULD YOU HELP OUR ATTENDEES 6194 04:15:36,320 --> 04:15:37,440 UNDERSTAND WHAT THAT COMES DOWN 6195 04:15:37,440 --> 04:15:37,720 TO? 6196 04:15:37,720 --> 04:15:39,920 >>SURE. 6197 04:15:39,920 --> 04:15:41,520 REASONABLE MEANS REASONABLE IN 6198 04:15:41,520 --> 04:15:43,040 THE GENERAL SENSE. 6199 04:15:43,040 --> 04:15:44,360 USUALLY IT MEANS IF YOU CAN 6200 04:15:44,360 --> 04:15:45,640 POINT TO OTHER PEOPLE WHO HAVE 6201 04:15:45,640 --> 04:15:47,080 DONE IT OTHER PLACES WHO HAVE 6202 04:15:47,080 --> 04:15:49,560 DONE THIS ACCOMMODATION OR IF 6203 04:15:49,560 --> 04:15:51,240 YOUR EMPLOYER ITSELF HAS DONE 6204 04:15:51,240 --> 04:15:52,440 THIS ACCOMMODATION IN THE PAST, 6205 04:15:52,440 --> 04:15:54,320 THEN IT'S CLEARLY REASONABLE. 6206 04:15:54,320 --> 04:15:55,520 BUT YOU CAN ALSO SHOW THAT 6207 04:15:55,520 --> 04:15:57,000 SOMETHING IS REASONABLE JUST BY 6208 04:15:57,000 --> 04:16:00,120 SHOWING THAT IT CAN BE DONE. 6209 04:16:00,120 --> 04:16:02,120 THAT IT'S NOT OUTRAGEOUS. 6210 04:16:02,120 --> 04:16:03,480 SO THAT SORT OF THE STANDARD. 6211 04:16:03,480 --> 04:16:07,960 IS IT OUTRAGEOUS. 6212 04:16:07,960 --> 04:16:10,200 IF IT'S NOT IT SHOWS IT'S AN 6213 04:16:10,200 --> 04:16:12,120 UNDUE BURDEN FOR THEM. 6214 04:16:12,120 --> 04:16:13,320 IF IT'S REASONABLE IN THE 6215 04:16:13,320 --> 04:16:15,640 GENERAL SENSE, IT HAS TO BE IN 6216 04:16:15,640 --> 04:16:21,440 ORDER FOR THEM TON DO IT AND AND 6217 04:16:21,440 --> 04:16:23,200 THEY HAVE TO SHOW WHY. 6218 04:16:23,200 --> 04:16:25,200 IT'S THEIR BURDEN TO SHOW IT'S 6219 04:16:25,200 --> 04:16:27,000 AN UNDUE BURDEN, SO IT'S 6220 04:16:27,000 --> 04:16:28,840 SWITCHING TO THEM AND THIS COMES 6221 04:16:28,840 --> 04:16:30,880 UP A LOT IN MEDICAL SCHOOL AND 6222 04:16:30,880 --> 04:16:32,040 RESIDENTS SEE AND I ACTUALLY 6223 04:16:32,040 --> 04:16:35,080 HAVE A PARTNER WHO BASICALLY 6224 04:16:35,080 --> 04:16:36,280 SPECIALIZES IN WORKING WITH 6225 04:16:36,280 --> 04:16:38,080 RESIDENTS WHO ARE BEING DENIED 6226 04:16:38,080 --> 04:16:41,280 ACCOMMODATIONS BECAUSE OF THIS 6227 04:16:41,280 --> 04:16:42,440 ATTITUDE IS THAT YOU HAVE TO BE 6228 04:16:42,440 --> 04:16:44,520 SUPER HUMAN TO BE A DOCTOR. 6229 04:16:44,520 --> 04:16:48,520 BUT IT IS NOT A BLACK AND WHITE 6230 04:16:48,520 --> 04:16:49,720 DECISION, OF COURSE, 6231 04:16:49,720 --> 04:16:50,400 UNFORTUNATELY. 6232 04:16:50,400 --> 04:16:54,440 IT ALWAYS DEPENDS ON THE 6233 04:16:54,440 --> 04:16:57,880 CIRCUMSTANCES. 6234 04:16:57,880 --> 04:16:58,360 >>GREAT. 6235 04:16:58,360 --> 04:16:59,880 THANK YOU, I'M TRYING TO READ 6236 04:16:59,880 --> 04:17:10,440 THIS QUESTION, WHICH IS LONGISH. 6237 04:17:11,720 --> 04:17:16,320 >>I UNDERSTAND FROM THE Dr. 6238 04:17:16,320 --> 04:17:17,320 JANE COX INSTITUTIONS ARE 6239 04:17:17,320 --> 04:17:19,920 ALLOWED TO DETERMINE THEIR OPEN 6240 04:17:19,920 --> 04:17:22,120 THRESHOLDS FOR A COMPUTATIONS, 6241 04:17:22,120 --> 04:17:23,280 DOCUMENTATION. 6242 04:17:23,280 --> 04:17:25,320 INSTITUTIONS ARE INCREASINGLY 6243 04:17:25,320 --> 04:17:29,400 ABLE TO USE ONE -- USE OWNERS 6244 04:17:29,400 --> 04:17:31,720 DOCUMENT REQUIREMENTS TO DENY 6245 04:17:31,720 --> 04:17:33,240 COMBINATIONS WHILE CLAIMING THEY 6246 04:17:33,240 --> 04:17:36,440 ARE ENGAGING IN THE ADA 6247 04:17:36,440 --> 04:17:37,960 COMPLIANT ITERATIVE COMPLIANCE 6248 04:17:37,960 --> 04:17:40,040 AND SOME OF IT DATA CITED 6249 04:17:40,040 --> 04:17:42,320 EARLIER IN PEPPER SIZED 6250 04:17:42,320 --> 04:17:42,960 PRESENTATION. 6251 04:17:42,960 --> 04:17:45,680 ARE THERE PARTS OF THE ADA THAT 6252 04:17:45,680 --> 04:17:48,320 PROTECT PERSONS WITH 6253 04:17:48,320 --> 04:17:50,560 DISABILITIES FROM HAVING THEIR 6254 04:17:50,560 --> 04:17:52,520 OWN UNDUE BURDEN IMPOSED UPON 6255 04:17:52,520 --> 04:17:55,480 THEM BY THE INSTITUTIONS 6256 04:17:55,480 --> 04:17:57,560 REQUIRING DOCUMENTATION, FOR 6257 04:17:57,560 --> 04:17:59,800 EXAMPLE, CONTINUOUS NEURO 6258 04:17:59,800 --> 04:18:01,560 PSYCHIC TESTING OR CURRENT 6259 04:18:01,560 --> 04:18:03,040 QUOTE-UNQUOTE PHYSICIAN LETTERS 6260 04:18:03,040 --> 04:18:07,960 FOR A LIFELONG AND OR STABLE AND 6261 04:18:07,960 --> 04:18:09,840 WELL ESTABLISHED CONDITION. 6262 04:18:09,840 --> 04:18:11,960 >>SO THIS IS A TOUGH QUESTION. 6263 04:18:11,960 --> 04:18:14,000 THERE'S NOTHING EXPLICIT IN THE 6264 04:18:14,000 --> 04:18:16,600 ADA THAT SAYS THAT LIMITS WHAT 6265 04:18:16,600 --> 04:18:19,080 THE ENTITY CAN REQUIRE IN ORDER 6266 04:18:19,080 --> 04:18:20,280 TO HAVE YOU DEMONSTRATE THAT YOU 6267 04:18:20,280 --> 04:18:22,840 HAVE A DISABILITY. 6268 04:18:22,840 --> 04:18:26,120 AT SOME POINT, I WOULD ARGUE CAN 6269 04:18:26,120 --> 04:18:27,680 THIS IS JUST ME ARGUING AND TAKE 6270 04:18:27,680 --> 04:18:29,120 MY LEGAL ADVISE FOR WHAT YOU 6271 04:18:29,120 --> 04:18:32,440 PAID FOR IT -- ADVICE FOR WHAT 6272 04:18:32,440 --> 04:18:33,960 YOU PAID FOR IT, BECAUSE I DON'T 6273 04:18:33,960 --> 04:18:35,360 KNOW YOUR SITUATION SUFFICIENTLY 6274 04:18:35,360 --> 04:18:37,080 TO GIVE YOU A LEGAL OPINION. 6275 04:18:37,080 --> 04:18:40,680 IN MY OPINION, SOME FOLKS COULD 6276 04:18:40,680 --> 04:18:42,960 ARGUE THAT ONCE THE BURDEN 6277 04:18:42,960 --> 04:18:45,240 BECOMES SO GREAT THAT YOU CAN'T 6278 04:18:45,240 --> 04:18:49,440 POLITICACCOMPLISH IT OR IT'S REY 6279 04:18:49,440 --> 04:18:51,200 UNNECESSARY, THEY ARE DENYING 6280 04:18:51,200 --> 04:18:53,440 YOU AN ACCOMMODATION AND YOU CAN 6281 04:18:53,440 --> 04:18:55,400 GO AND GO TO COURT AT THAT POINT 6282 04:18:55,400 --> 04:18:59,320 AND SAY, LOOK, I HAVE A 6283 04:18:59,320 --> 04:19:02,160 REASONABLE ACCOMMODATION 6284 04:19:02,160 --> 04:19:03,080 REQUEST, THEY ARE CLEARLY 6285 04:19:03,080 --> 04:19:05,040 THROWING UP UNNECESSARY BARRIERS 6286 04:19:05,040 --> 04:19:07,400 TO ME GETTING IT AND THAT'S A 6287 04:19:07,400 --> 04:19:09,080 DENIAL OF MY ACCOMMODATION AND 6288 04:19:09,080 --> 04:19:14,240 IT SHOULD BE TREATED AS AN ADA 6289 04:19:14,240 --> 04:19:19,840 VIOLATION. 6290 04:19:19,840 --> 04:19:21,160 >>UP WITH MORE QUESTION AND 6291 04:19:21,160 --> 04:19:22,360 THEN WE NEED TO MOVE ON. 6292 04:19:22,360 --> 04:19:27,400 SO IT THIS QUARRY IS HHA GRANT 6293 04:19:27,400 --> 04:19:31,760 FUNDING UNDER THE LORNA BREEN 6294 04:19:31,760 --> 04:19:33,920 ACT SUCH AS SO-CALLED PHYSICIAN 6295 04:19:33,920 --> 04:19:35,120 HEALTH PROGRAMS WOULD BE 6296 04:19:35,120 --> 04:19:37,280 THREATENED IF SUCH A GRANTEE IS 6297 04:19:37,280 --> 04:19:40,760 NOT COMPLIANT WITH THE ADA. 6298 04:19:40,760 --> 04:19:44,280 VIA THE REHAB ACT SECTION 504. 6299 04:19:44,280 --> 04:19:45,120 >>RIGHT. 6300 04:19:45,120 --> 04:19:46,840 WHO ENFORCES THIS? 6301 04:19:46,840 --> 04:19:50,440 >>THE HHS ITSELF WILL DO THE 6302 04:19:50,440 --> 04:19:52,240 FUNDS WITHDRAWAL AND OR THEY CAN 6303 04:19:52,240 --> 04:19:54,280 MAKE A RECOMMENDATION, A 6304 04:19:54,280 --> 04:19:55,480 REFERRAL TO THE JUSTICE 6305 04:19:55,480 --> 04:19:57,600 DEPARTMENT WHO TAKES IT TO COURT 6306 04:19:57,600 --> 04:19:59,160 AND THEN THE INDIVIDUAL CAN ALSO 6307 04:19:59,160 --> 04:20:00,120 ENFORCE IT IN COURT. 6308 04:20:00,120 --> 04:20:02,120 BUT FOR THE FUNDING WITHDRAWAL, 6309 04:20:02,120 --> 04:20:02,960 HHS WOULD DO IT. 6310 04:20:02,960 --> 04:20:05,520 THEY HAVE A PROCESS FOR DOING 6311 04:20:05,520 --> 04:20:06,320 IT. 6312 04:20:06,320 --> 04:20:07,600 >>OKAY. 6313 04:20:07,600 --> 04:20:11,280 BUT THERE ARE ADDITIONAL MODES 6314 04:20:11,280 --> 04:20:12,960 OF OR ROUTES FOR ENFORCEMENT? 6315 04:20:12,960 --> 04:20:14,040 >>YES. 6316 04:20:14,040 --> 04:20:14,600 >>GREAT. 6317 04:20:14,600 --> 04:20:15,960 >>THANK YOU. 6318 04:20:15,960 --> 04:20:19,120 >>WELL, THANK YOU, EVERYONE, 6319 04:20:19,120 --> 04:20:22,320 FOR WONDERFUL PRESENTATIONS, 6320 04:20:22,320 --> 04:20:23,840 WONDERFUL DISCUSSION IN THIS 6321 04:20:23,840 --> 04:20:24,640 PARTICULAR PANEL. 6322 04:20:24,640 --> 04:20:27,760 WE'RE GOING TO GO AHEAD AND MOVE 6323 04:20:27,760 --> 04:20:33,280 ON NOW TO OUR CLOSING KEYNOTE 6324 04:20:33,280 --> 04:20:39,760 SPEAKER, Dr. LISA IZONNE, MD 6325 04:20:39,760 --> 04:20:42,000 AND PROFESSOR OF MEDICINE, 6326 04:20:42,000 --> 04:20:44,480 HARVARD MEDICAL SCHOOL AND BASED 6327 04:20:44,480 --> 04:20:45,800 AT MASSACHUSETTS GENERAL 6328 04:20:45,800 --> 04:20:48,880 HOSPITAL AND WHERE SHE STUDIES 6329 04:20:48,880 --> 04:20:50,080 HEALTHCARE EXPERIENCES OF 6330 04:20:50,080 --> 04:20:52,800 PERSONS WITH DISABILITIES. 6331 04:20:52,800 --> 04:20:55,400 Dr. IEZZONI IS A MEMBER OF THE 6332 04:20:55,400 --> 04:20:57,680 NATIONAL ACADEMY OF MEDICINE IN 6333 04:20:57,680 --> 04:20:59,920 THE NATIONAL ACADEMIES OF 6334 04:20:59,920 --> 04:21:02,080 SCIENCES AND ENGINEERING AND 6335 04:21:02,080 --> 04:21:02,320 MEDICINE. 6336 04:21:02,320 --> 04:21:04,800 THANK YOU, LISA, FOR BRINGING US 6337 04:21:04,800 --> 04:21:07,520 HERE AND THE CRSCENDO OF TWO 6338 04:21:07,520 --> 04:21:10,840 DAYS OF FANTASTIC PRESENTATIONS 6339 04:21:10,840 --> 04:21:12,840 AND WE'RE LOOKING FORWARD TO YOU 6340 04:21:12,840 --> 04:21:16,200 HELPING US BRING IT ALL 6341 04:21:16,200 --> 04:21:17,040 TOGETHER. 6342 04:21:17,040 --> 04:21:18,160 >>Lisa Lezzoni: NO, NO, NO, I'M 6343 04:21:18,160 --> 04:21:19,400 NOT GOING TO DO THAT. 6344 04:21:19,400 --> 04:21:20,800 DON'T PUT TOO MUCH PRESSURE ON 6345 04:21:20,800 --> 04:21:21,160 ME. 6346 04:21:21,160 --> 04:21:23,000 LET ME GIVE YOU A VISUAL 6347 04:21:23,000 --> 04:21:24,040 DESCRIPTION, I'M OLDER WHITE 6348 04:21:24,040 --> 04:21:27,240 WOMAN WITH SHORT, CURLY GREAT 6349 04:21:27,240 --> 04:21:27,440 HAIR. 6350 04:21:27,440 --> 04:21:29,040 I'M WEARING GLASSES AND A BLUE 6351 04:21:29,040 --> 04:21:29,800 SCARF BECAUSE IT'S BOSTON AND 6352 04:21:29,800 --> 04:21:32,040 IT'S CHILLY AND I'M IN MY HOME 6353 04:21:32,040 --> 04:21:32,400 OFFICE. 6354 04:21:32,400 --> 04:21:34,720 I WANTED TO JUST SAY THIS IS 6355 04:21:34,720 --> 04:21:36,000 BEEN AN EXTRAORDINARY TWO DAYS 6356 04:21:36,000 --> 04:21:38,880 AND I WANT TO CONGRATULATE Dr. 6357 04:21:38,880 --> 04:21:40,920 CRUZ, THE ENTIRE TEAM THAT PUT 6358 04:21:40,920 --> 04:21:43,360 THIS TOGETHER AND THE SPEAKERS 6359 04:21:43,360 --> 04:21:45,520 HAVE BEEN TRULY INCREDIBLE AND 6360 04:21:45,520 --> 04:21:46,800 I'VE LEARNED A LOT BY BEING ABLE 6361 04:21:46,800 --> 04:21:51,800 TO LISTEN IN AND WHEN I WAS 6362 04:21:51,800 --> 04:22:00,800 ASKED TO BE THE FINAL KEYNOTE 6363 04:22:00,800 --> 04:22:02,480 SPEAKER, YOU ARE LEARY SO I 6364 04:22:02,480 --> 04:22:05,520 THOUGHT THAT WHAT I WOULD DO IS 6365 04:22:05,520 --> 04:22:08,120 JUST TELL STORIES ABOUT THE LATE 6366 04:22:08,120 --> 04:22:09,480 JUDY HUMAN AND Dr. CRUZ WAS 6367 04:22:09,480 --> 04:22:11,680 KIND ENOUGH TO LET ME DO THAT, 6368 04:22:11,680 --> 04:22:13,520 ALTHOUGH I KNOW THAT SHE WAS 6369 04:22:13,520 --> 04:22:14,920 INTERESTED IN MAKING SOME 6370 04:22:14,920 --> 04:22:19,240 COMMENTS ABOUT JUDY HUMAN AT THE 6371 04:22:19,240 --> 04:22:23,680 BEGINNING OF HER TIME. 6372 04:22:23,680 --> 04:22:25,920 I LIKE TO START BY SAYING THAT 6373 04:22:25,920 --> 04:22:30,320 THE TITLE OF MY TALK IS "I 6374 04:22:30,320 --> 04:22:30,800 PERSIST." 6375 04:22:30,800 --> 04:22:32,640 AND I FEEL THAT THAT IS KIND OF 6376 04:22:32,640 --> 04:22:38,240 AN EMBLEMATIC CONCLUSION TO OUR 6377 04:22:38,240 --> 04:22:40,400 TWO DAYS THAT I PERSIST AND ON 6378 04:22:40,400 --> 04:22:42,440 MY FINAL SLIDE I'M GOING TO 6379 04:22:42,440 --> 04:22:44,680 TRANSFORM INTO WE PERSIST 6380 04:22:44,680 --> 04:22:46,480 BECAUSE THIS IS A QUOTE TAKEN 6381 04:22:46,480 --> 04:22:50,000 FROM JUDY FROM HER MEMOIR ABOUT 6382 04:22:50,000 --> 04:22:52,360 HER CONCLUSION ABOUT HERSELF AND 6383 04:22:52,360 --> 04:22:56,360 HER CAREER THAT SHE PERSISTS. 6384 04:22:56,360 --> 04:22:59,120 NEXT SLIDE, PLEASE. 6385 04:22:59,120 --> 04:23:09,600 ALL RIGHT, SO, WHEN YOU TALK 6386 04:23:13,040 --> 04:23:15,000 ABOUT JUDY HUMAN HER STORY 6387 04:23:15,000 --> 04:23:17,600 REALLY STARTS WITH HER ADVOCACY 6388 04:23:17,600 --> 04:23:19,600 AROUND THE LAW AND 50 YEARS HAVE 6389 04:23:19,600 --> 04:23:21,360 PASSED SINCE THE FIRST MAJOR 6390 04:23:21,360 --> 04:23:22,800 FEDERAL DISABILITIES CIVIL 6391 04:23:22,800 --> 04:23:27,000 RIGHTS LAW SECTION 504, OF THE 6392 04:23:27,000 --> 04:23:37,520 REHABILITATION ACTED OF 1973. 6393 04:23:44,840 --> 04:23:49,560 BE EXCLUDED IN AND THE BENEFITS 6394 04:23:49,560 --> 04:24:00,080 OF AND ONE THING I FORGOT, ONE 6395 04:24:01,360 --> 04:24:03,120 OF THE THINGS ABOUT ZOOM IS YOU 6396 04:24:03,120 --> 04:24:06,240 CAN'T SEE PEOPLE WHO ARE 6397 04:24:06,240 --> 04:24:08,000 WHEELCHAIR USERS AND I'VE BEEN A 6398 04:24:08,000 --> 04:24:09,600 WHEELCHAIR USER FOR 35 YEARS AND 6399 04:24:09,600 --> 04:24:11,440 I AM REFLECTING LIVED EXPERIENCE 6400 04:24:11,440 --> 04:24:14,840 IN SOME OF MY COMMENTS OF THIS 6401 04:24:14,840 --> 04:24:19,840 SIMILAR TO JUDY'S EXPERIENCE. 6402 04:24:19,840 --> 04:24:22,840 THAT LAW PASSED IN 1973, IT'S 6403 04:24:22,840 --> 04:24:29,120 NOT QUITE 50 YEARS. 6404 04:24:29,120 --> 04:24:30,440 AND PART THAT HAVE IS BECAUSE 6405 04:24:30,440 --> 04:24:31,880 THE TWO PRESIDENTIAL 6406 04:24:31,880 --> 04:24:32,800 ADMINISTRATION THAT'S CONFRONTED 6407 04:24:32,800 --> 04:24:35,960 IT REALLY DID NOT WANT TO WRITE 6408 04:24:35,960 --> 04:24:37,760 TO IMPLEMENT IT SO I THINK THAT 6409 04:24:37,760 --> 04:24:42,240 THIS IS A VERY INTERESTING 6410 04:24:42,240 --> 04:24:44,120 CAUTIONARY TALE AT THE START OF 6411 04:24:44,120 --> 04:24:45,680 DISABILITY CIVIL RIGHTS THAT 6412 04:24:45,680 --> 04:24:47,120 NEITHER NIXSON NOR THEN THE 6413 04:24:47,120 --> 04:24:48,520 CARTER ADMINISTRATION REALLY 6414 04:24:48,520 --> 04:24:51,400 WANTED TO GET GOING ON SECTION 6415 04:24:51,400 --> 04:24:52,080 504. 6416 04:24:52,080 --> 04:24:54,800 SO, FINALLY, THE AMERICAN 6417 04:24:54,800 --> 04:24:56,360 COALITION OF CITIZENS WITH 6418 04:24:56,360 --> 04:24:58,400 DISABILITIES WHO CREATED THIS 6419 04:24:58,400 --> 04:24:59,920 CUTE LITTLE YELLOW PIN THEY WORE 6420 04:24:59,920 --> 04:25:01,320 BACK THEN, EVEN THOUGH IT DID 6421 04:25:01,320 --> 04:25:04,920 SAY HANDICAPPED HUMAN RIGHTS ON 6422 04:25:04,920 --> 04:25:07,360 IT, SAID THEY WOULD ACT IF 6423 04:25:07,360 --> 04:25:08,680 SECTION 504 REGULATIONS WERE NOT 6424 04:25:08,680 --> 04:25:12,760 SIGNED BY APRIL 5th OF 1977 6425 04:25:12,760 --> 04:25:14,600 AND JOSEPH, WHO WAS THEN 6426 04:25:14,600 --> 04:25:16,400 CARTER'S SECRETARY OF HEALTH AND 6427 04:25:16,400 --> 04:25:18,400 EDUCATION AND WELFARE, DID NOT 6428 04:25:18,400 --> 04:25:24,680 RESPOND AND SO ACCD ACTED. 6429 04:25:24,680 --> 04:25:26,440 AND ONE OF THE LEADERS OF THAT 6430 04:25:26,440 --> 04:25:27,920 ACTION WAS OF COURSE, THE LATE 6431 04:25:27,920 --> 04:25:31,480 JUDY HUMAN WHO DIED ON 6432 04:25:31,480 --> 04:25:32,120 MARCH 4th. 6433 04:25:32,120 --> 04:25:33,960 AND I TAKE PUBLIC TRANSPORTATION 6434 04:25:33,960 --> 04:25:35,080 HOME FROM MY WORKPLACE. 6435 04:25:35,080 --> 04:25:37,600 I HAVE TO TAKE A BUS AND THE 6436 04:25:37,600 --> 04:25:39,880 SUBWAY AND I WAS ON THE 86 BUS 6437 04:25:39,880 --> 04:25:42,480 WHICH GOES PAST THE GBH PUBLIC 6438 04:25:42,480 --> 04:25:44,280 TELEVISION STUDIOS ON MARKET 6439 04:25:44,280 --> 04:25:45,560 STREET IN BRIGHTON, 6440 04:25:45,560 --> 04:25:47,400 MASSACHUSETTS AND I SAW OUT OF 6441 04:25:47,400 --> 04:25:50,200 THE CORNER OF MY EYE THIS HUGE, 6442 04:25:50,200 --> 04:25:51,880 HUGE IMAGE OF JUDY. 6443 04:25:51,880 --> 04:25:54,680 NOW THIS IS THE DIGITAL MURAL 6444 04:25:54,680 --> 04:25:57,520 THE SIDE OF THE GBH STUDIOS THAT 6445 04:25:57,520 --> 04:26:00,280 GOES OVER ROUTE 90 GOING INTO 6446 04:26:00,280 --> 04:26:02,560 BOSTON MANY OF THE DIGITAL MURAL 6447 04:26:02,560 --> 04:26:03,280 IS ENVIRONMENTALLY APPROPRIATE 6448 04:26:03,280 --> 04:26:06,720 IT USES LED TECHNOLOGY BUT IT IS 6449 04:26:06,720 --> 04:26:09,960 A 35-FOOT BY 40-FOOT PICTURE AND 6450 04:26:09,960 --> 04:26:12,240 I AM SURE THAT THE LATE JUDY 6451 04:26:12,240 --> 04:26:13,360 HUMAN WHO I KNOW, WOULD HAVE 6452 04:26:13,360 --> 04:26:15,400 BEEN VERY HAPPY TO HAVE THIS 6453 04:26:15,400 --> 04:26:18,840 HUGE IMAGE OF HER DISPLAYED OVER 6454 04:26:18,840 --> 04:26:20,800 ROUTE 90 GOING INTO BOSTON. 6455 04:26:20,800 --> 04:26:25,320 SO NEXT SLIDE. 6456 04:26:25,320 --> 04:26:26,680 HERE IS WHERE JUDY COMES IN. 6457 04:26:26,680 --> 04:26:28,640 SHE WAS PART OF THE GROUP THAT 6458 04:26:28,640 --> 04:26:33,520 SAID NOPE, NOPE, EVE GOT TO GET 6459 04:26:33,520 --> 04:26:34,520 SECTION 504 IMPLEMENTED AND 6460 04:26:34,520 --> 04:26:35,880 WE'RE GOING TO PROTEST AND MAKE 6461 04:26:35,880 --> 04:26:38,040 SURE IT HAPPENS AND STARTING 6462 04:26:38,040 --> 04:26:39,880 APRIL 5th OF 1977, SHE WAS ONE 6463 04:26:39,880 --> 04:26:42,880 OF THE LEADERS OF WHAT 6464 04:26:42,880 --> 04:26:44,720 ENTITLEDDED UP BEING ALMOST A 6465 04:26:44,720 --> 04:26:46,720 MONTH-LONG SIT-IN OF A SAN 6466 04:26:46,720 --> 04:26:49,160 FRANCISCO FEDERAL BUILDING AND 6467 04:26:49,160 --> 04:26:51,680 THIS SLIDE SHOWS SOME PICTURES 6468 04:26:51,680 --> 04:26:55,680 OUTSIDE OF SOME PROTESTORS AND 6469 04:26:55,680 --> 04:26:57,600 THEN IT SHOWS PEOPLE INSIDE WITH 6470 04:26:57,600 --> 04:26:59,440 JUDY HUMAN INSIDE CORNER OF THE 6471 04:26:59,440 --> 04:27:03,160 TABLE WHO WERE PROTESTING FOR 6472 04:27:03,160 --> 04:27:04,560 THE CARTER ADMINISTRATION TO PUT 6473 04:27:04,560 --> 04:27:09,160 THE REGULATIONS FOR SECTION 504 6474 04:27:09,160 --> 04:27:10,240 INTO PLACE. 6475 04:27:10,240 --> 04:27:12,280 SO, JUDY HUMAN WAS AGAIN ONE OF 6476 04:27:12,280 --> 04:27:14,760 THE LEADERS OF ABOUT 150 6477 04:27:14,760 --> 04:27:16,120 PROTESTORS WHO STAYED FOR ALMOST 6478 04:27:16,120 --> 04:27:18,720 A MONTH INSIDE OF THIS FEDERAL 6479 04:27:18,720 --> 04:27:20,760 BUILDING AND AS SHE SAID IN HER 6480 04:27:20,760 --> 04:27:22,440 MEMOIR, AT THE START OF HER 6481 04:27:22,440 --> 04:27:24,920 DEMONSTRATION AT THE HEW OFFICES 6482 04:27:24,920 --> 04:27:27,800 OFFICIALS TREATED US WITH CON 6483 04:27:27,800 --> 04:27:29,680 DEN SENG, GIVING US COOKIES AND 6484 04:27:29,680 --> 04:27:30,800 PUNCH AS IF YOUR WORSHIP ON SOME 6485 04:27:30,800 --> 04:27:35,640 KIND OF FIELD TRIP. 6486 04:27:35,640 --> 04:27:37,440 BUT FROM BEING OPPRESSED 6487 04:27:37,440 --> 04:27:39,640 INDIVIDUALS, INTO BEING 6488 04:27:39,640 --> 04:27:40,480 EMPOWERED INDIVIDUALS. 6489 04:27:40,480 --> 04:27:42,800 WE DEMONSTRATED TO THE ENTIRE 6490 04:27:42,800 --> 04:27:45,040 NATION THAT DISABLED PEOPLE 6491 04:27:45,040 --> 04:27:46,720 WOULD TAKE CONTROL OVER OUR OWN 6492 04:27:46,720 --> 04:27:47,800 LIVES AND TAKE LEADERSHIP AND 6493 04:27:47,800 --> 04:27:52,120 THE STRUGGLE FOR EQUALITY. 6494 04:27:52,120 --> 04:27:54,080 AND JOSEPH SIGNED THE 6495 04:27:54,080 --> 04:27:55,360 REGULATIONS ON APRIL 28th, 6496 04:27:55,360 --> 04:28:01,080 WHICH TO THE DAY, SO IT'S AN 6497 04:28:01,080 --> 04:28:08,840 ANNIVERSARY IN 1977. 6498 04:28:08,840 --> 04:28:14,960 YEARS AGO FORWARD, WE HAVE THE 6499 04:28:14,960 --> 04:28:17,000 STAY OF HIS PRESIDENCY 6500 04:28:17,000 --> 04:28:19,160 JULY 26th, 1990 WHEN HE SIGNED 6501 04:28:19,160 --> 04:28:23,320 THE AMERICANS WITH DISABILITIES 6502 04:28:23,320 --> 04:28:27,400 ACT. 6503 04:28:27,400 --> 04:28:31,560 THE 88 IS A COMPLICATED LAW. 6504 04:28:31,560 --> 04:28:33,800 IT'S UNLIKE OTHER CIVIL RIGHTS 6505 04:28:33,800 --> 04:28:35,800 LAWS IN A TWO-STEP KIND OF 6506 04:28:35,800 --> 04:28:36,280 STRUCTURE. 6507 04:28:36,280 --> 04:28:38,280 FIRST YOU HAVE TO PROVE THAT YOU 6508 04:28:38,280 --> 04:28:40,440 ACTUALLY HAVE A DISABILITY AND 6509 04:28:40,440 --> 04:28:42,840 THEREFORE YOU ARE ENTITLED TO 6510 04:28:42,840 --> 04:28:46,600 PROTECTION UNDER THE ADA. 6511 04:28:46,600 --> 04:28:49,080 AND THIS REQUIRES LARGELY A 6512 04:28:49,080 --> 04:28:50,880 MEDICAL MODEL TYPE OF 6513 04:28:50,880 --> 04:28:52,760 PERSPECTIVE ON WHO QUALIFIES AS 6514 04:28:52,760 --> 04:28:55,280 DISABLED UNDER THE ADA AND WE 6515 04:28:55,280 --> 04:28:57,040 HEARD SOME GREAT TALKS AT THE 6516 04:28:57,040 --> 04:28:59,960 BEGINNING OF THE CONFERENCE 6517 04:28:59,960 --> 04:29:03,000 YESTERDAY MORNING ABOUT THE 6518 04:29:03,000 --> 04:29:05,800 SOCIAL MAUD VERSE KIND OF 6519 04:29:05,800 --> 04:29:06,960 THINKING AND THEN YOU HAVE TO 6520 04:29:06,960 --> 04:29:08,400 PROVE THAT YOU ARE INJURED OR 6521 04:29:08,400 --> 04:29:09,920 HARM BECAUSE OF ITS DIS ABILITY 6522 04:29:09,920 --> 04:29:13,640 OR FAILURE TO RECEIVE REASONABLE 6523 04:29:13,640 --> 04:29:14,840 ACCOMMODATIONS AND I WAS GLAD TO 6524 04:29:14,840 --> 04:29:16,480 HEAR YOU SAY THERE AREN'T BLACK 6525 04:29:16,480 --> 04:29:19,920 AND WHITE CRITERIA FOR A REAP 6526 04:29:19,920 --> 04:29:21,960 ABLE ACCOMMODATION OR IN FACT 6527 04:29:21,960 --> 04:29:23,360 ULTIMATELY WHO MAKES THE 6528 04:29:23,360 --> 04:29:24,000 DECISION. 6529 04:29:24,000 --> 04:29:25,760 A LOT OF THE WAY THAT I AM 6530 04:29:25,760 --> 04:29:29,640 TALKING ABOUT THIS REFLECTS IN A 6531 04:29:29,640 --> 04:29:31,680 35-YEARS OF OBSERVING WHAT IT'S 6532 04:29:31,680 --> 04:29:33,200 LIKE FOR PEOPLE WITH 6533 04:29:33,200 --> 04:29:34,960 DISABILITIES TO TRY TO GET THESE 6534 04:29:34,960 --> 04:29:37,160 KIND OF PROTECTIONS UNDER THE 6535 04:29:37,160 --> 04:29:40,360 LAW. 6536 04:29:40,360 --> 04:29:41,080 NEXT SLIDE. 6537 04:29:41,080 --> 04:29:45,160 SO THEN, OF COURSE, WE HAVE THE 6538 04:29:45,160 --> 04:29:45,880 U.S. SUPREME COURT. 6539 04:29:45,880 --> 04:29:48,320 THIS IS A PICTURE OF THE U.S. 6540 04:29:48,320 --> 04:29:50,000 SUPREME COURT WITH WILLIAM 6541 04:29:50,000 --> 04:29:51,760 RENQUEST AS THE CHIEF JUSTICE 6542 04:29:51,760 --> 04:29:53,200 BECAUSE THIS WAS A SUPREME COURT 6543 04:29:53,200 --> 04:29:55,480 IN PLACE AFTER THE ADA WAS PUT 6544 04:29:55,480 --> 04:29:57,000 IN PLACE AND IT'S THE SUPREME 6545 04:29:57,000 --> 04:29:59,480 COURT THAT BEGAN TO RATCHET DOWN 6546 04:29:59,480 --> 04:30:03,320 ON WHO WOULD QUALIFY AS DISABLED 6547 04:30:03,320 --> 04:30:04,720 AND THEREFORE GAP PROTECTION 6548 04:30:04,720 --> 04:30:09,640 UNDER THE ADA. 6549 04:30:09,640 --> 04:30:13,760 SO THEN OF COURSE WE HAD GEORGE 6550 04:30:13,760 --> 04:30:18,000 W. BUSH IN 2008 WITH HIS DAD 6551 04:30:18,000 --> 04:30:19,640 STANDING TO THE LEFT OF THIS 6552 04:30:19,640 --> 04:30:21,680 PICTURE OF HIM SURROUND BY A 6553 04:30:21,680 --> 04:30:24,240 BUNCH OF PEOPLE INCLUDING 6554 04:30:24,240 --> 04:30:25,280 SENATOR HARKIN FROM IOWA, 6555 04:30:25,280 --> 04:30:28,120 SIGNING THE ADA AMENDMENT ACT 6556 04:30:28,120 --> 04:30:30,720 THAT IF YOU LOOK AT IT USES VERY 6557 04:30:30,720 --> 04:30:33,000 MEDICAL MODEL LANGUAGE IN 6558 04:30:33,000 --> 04:30:43,880 DETERMINELANGUAGE UNDER THE ADA. 6559 04:30:44,720 --> 04:30:46,160 BUT CONSIDERABLE SUBJECTIVITY 6560 04:30:46,160 --> 04:30:47,600 STILL EXISTS AND JUDGMENTS ARE 6561 04:30:47,600 --> 04:30:50,200 MADE ON ASSUMPTIONS THAT ARE 6562 04:30:50,200 --> 04:30:52,800 POSSIBLY ERRONEOUS ABOUT THE 6563 04:30:52,800 --> 04:30:53,840 IMPACT, WHETHER SOMEONE ACTUALLY 6564 04:30:53,840 --> 04:31:00,040 HAS A DISABILITY. 6565 04:31:00,040 --> 04:31:01,880 NOW, THE REVEREND MARTIN LUTHER 6566 04:31:01,880 --> 04:31:05,080 KING JUNIOR IS A PERSON WE TURN 6567 04:31:05,080 --> 04:31:08,080 TO MAKE PRONOUNCEMENTS OF 6568 04:31:08,080 --> 04:31:08,360 TRUTHS. 6569 04:31:08,360 --> 04:31:10,320 AND AS HE SAID IN THIS TALK AT 6570 04:31:10,320 --> 04:31:12,320 THE WESTERN MICHIGAN UNIVERSITY 6571 04:31:12,320 --> 04:31:15,840 IN DECEMBER OF 1963, LEGISLATION 6572 04:31:15,840 --> 04:31:18,120 CANNOT REALLY SOLVE THE PROBLEM 6573 04:31:18,120 --> 04:31:20,400 BECAUSE YOU'VE GOT TO CHANGE THE 6574 04:31:20,400 --> 04:31:23,120 HEART AND YOU CAN'T CHANGE THE 6575 04:31:23,120 --> 04:31:24,600 HEART THROUGH LEGISLATION. 6576 04:31:24,600 --> 04:31:27,440 YOU CAN'T LEGISLATE MORALS. 6577 04:31:27,440 --> 04:31:30,200 BUT BEHAVIOR CAN BE REGULATED. 6578 04:31:30,200 --> 04:31:31,880 AND SO THEREFORE THERE'S A NEED 6579 04:31:31,880 --> 04:31:37,520 FOR CIVIL RIGHTS LEGISLATION. 6580 04:31:37,520 --> 04:31:39,280 SO WHAT I'D LIKE TO DO IN THE 6581 04:31:39,280 --> 04:31:40,480 FINAL FEW MINUTES OF MY TALK 6582 04:31:40,480 --> 04:31:43,240 WHICH IS SHORT, AS YOU CAN TELL, 6583 04:31:43,240 --> 04:31:45,920 IS I WOULD LIKE TO DRAW FROM 6584 04:31:45,920 --> 04:31:49,120 JUDY HEUMANN SOME LESSONS THAT 6585 04:31:49,120 --> 04:31:51,360 WE CAN LEARN TOWARDS ADDRESSING 6586 04:31:51,360 --> 04:31:51,800 ABLEISM. 6587 04:31:51,800 --> 04:31:53,600 WHICH IS THE TOPIC OF THE 6588 04:31:53,600 --> 04:31:57,240 CONFERENCE SO I'M GOING TO DRAW 6589 04:31:57,240 --> 04:32:00,520 FROM HER MEMOIR PUBLISHED IN 6590 04:32:00,520 --> 04:32:04,880 2000 WIN WITH CHRISTIAN JOINER. 6591 04:32:04,880 --> 04:32:06,680 AND THEN A TED TALK SHE GAVE I 6592 04:32:06,680 --> 04:32:08,680 THINK IN 2018 AND THIS IS A 6593 04:32:08,680 --> 04:32:13,960 PICTURE OF JUDY IN A BRIGHT, RED 6594 04:32:13,960 --> 04:32:14,920 SHORT-SLEEVED JACKET IN A 6595 04:32:14,920 --> 04:32:20,280 WHEELCHAIR AT THE TED TALK. 6596 04:32:20,280 --> 04:32:25,000 AND THEN I WAS PRIVILEGED ALONG 6597 04:32:25,000 --> 04:32:31,040 WITH JAVIER ROBLES TO INTERVIEW 6598 04:32:31,040 --> 04:32:32,440 JUDE FOR THE THEME ISSUE ON 6599 04:32:32,440 --> 04:32:33,560 DISABILITY THAT CAME OUT FROM 6600 04:32:33,560 --> 04:32:35,200 THE HEALTH POLICY JOURNAL, 6601 04:32:35,200 --> 04:32:39,360 HEALTH AFFAIRS, IN OCTOBER OF 6602 04:32:39,360 --> 04:32:43,760 2022 THAT INTERVIEW WAS 6603 04:32:43,760 --> 04:32:48,000 VIDEOTAPED AND IN A HALF-HOUR 6604 04:32:48,000 --> 04:32:49,240 INTERVIEW AND IT'S ON-LINE AND 6605 04:32:49,240 --> 04:32:52,960 YOU CAN LOOK AT IT AND THAT 6606 04:32:52,960 --> 04:32:54,520 ISSUE OF HEALTH AFFAIRS IS OPEN 6607 04:32:54,520 --> 04:32:58,040 ACCESS AND IT HAS REALLY JUST 6608 04:32:58,040 --> 04:32:59,960 REALLY WONDERFUL ARTICLES IN IT 6609 04:32:59,960 --> 04:33:03,800 AND IF YOU HAVEN'T LOOKED AT IT 6610 04:33:03,800 --> 04:33:04,640 YOU SHOULD. 6611 04:33:04,640 --> 04:33:08,200 SO ONE OF THE THINGS THAT JUDY 6612 04:33:08,200 --> 04:33:10,440 VERY CLEARLY SAID IN HER MEMOIR 6613 04:33:10,440 --> 04:33:12,840 WAS THAT RESEARCH INFORMS 6614 04:33:12,840 --> 04:33:14,080 ADVOCACY. 6615 04:33:14,080 --> 04:33:16,200 AND SHE HAD TO ADVOCATE, ALL OF 6616 04:33:16,200 --> 04:33:18,080 HER LIFE. 6617 04:33:18,080 --> 04:33:20,280 WHEN HER MOTHER TRIED TO ENROLL 6618 04:33:20,280 --> 04:33:21,360 HER IN KINDERGARTEN, HOW SHE WAS 6619 04:33:21,360 --> 04:33:23,680 VIEWED AS A FIRE HAZARD AND SO 6620 04:33:23,680 --> 04:33:26,800 WASN'T GOINWASN'T GOING TO BE AO 6621 04:33:26,800 --> 04:33:28,200 THE LOCAL SCHOOL, YOU NEED 6622 04:33:28,200 --> 04:33:30,120 RESEARCH TO IDENTIFY BARRIERS 6623 04:33:30,120 --> 04:33:31,160 AND DEVELOP STRATEGIES AND 6624 04:33:31,160 --> 04:33:34,960 ADDRESS THESE BARRIERS, BUT AS 6625 04:33:34,960 --> 04:33:37,680 JUDY SAID, IN HER INTERVIEW WITH 6626 04:33:37,680 --> 04:33:39,680 US, THERE'S A LACK OF SYSTEM AT 6627 04:33:39,680 --> 04:33:41,800 TECH DATA ON DISABILITY THAT 6628 04:33:41,800 --> 04:33:44,200 IMPEDES BOTH RESEARCH AND POLICY 6629 04:33:44,200 --> 04:33:46,920 MAKING AND SHE NOTED THIS WAS A 6630 04:33:46,920 --> 04:33:48,680 ESPECIALLY TRUE DURING THE 6631 04:33:48,680 --> 04:33:49,760 COVID-19 PANDEMIC THAT LEFT 6632 04:33:49,760 --> 04:33:52,480 PUBLIC-HEALTH OFFICIALS WITHOUT 6633 04:33:52,480 --> 04:33:53,600 CRITICAL INFORMATION ON 6634 04:33:53,600 --> 04:33:55,480 POPULATIONS WITH DISABILITIES 6635 04:33:55,480 --> 04:33:58,920 WHO WERE AT PARTICULAR RISK AND 6636 04:33:58,920 --> 04:34:02,760 RESEARCH ALSO COM BATS ERRONEOUS 6637 04:34:02,760 --> 04:34:05,160 ASSUMPTIONS ABOUT ABLEISM AND 6638 04:34:05,160 --> 04:34:06,160 DISABILITY THAT WE'VE HEARD SO 6639 04:34:06,160 --> 04:34:08,920 MUCH ABOUT OVER THE LAST TWO 6640 04:34:08,920 --> 04:34:09,880 DAYS. 6641 04:34:09,880 --> 04:34:12,440 SO, JUDY ALSO WAS ONE WHO WAS 6642 04:34:12,440 --> 04:34:16,560 VERY CLEAR ABOUT THE BASICS. 6643 04:34:16,560 --> 04:34:18,680 SHE NEEDED PERSONAL ASSISTANCE 6644 04:34:18,680 --> 04:34:21,880 IN HER HOME TO BE ABLE TO LIVE 6645 04:34:21,880 --> 04:34:24,560 AND FUNCTION INDEPENDENTLY AND 6646 04:34:24,560 --> 04:34:26,680 DO HER WORK. 6647 04:34:26,680 --> 04:34:28,480 SO, ONE OF THE THINGS THAT JUDY 6648 04:34:28,480 --> 04:34:30,360 WAS ACTUALLY DISAPPOINTED ABOUT 6649 04:34:30,360 --> 04:34:33,320 THE ADA WAS THAT SHE FELT IT 6650 04:34:33,320 --> 04:34:34,360 DIDN'T GO FAR ENOUGH. 6651 04:34:34,360 --> 04:34:38,840 SHE FELT THAT THE ADA IS SHOULD 6652 04:34:38,840 --> 04:34:39,560 HAVE GONE FARTHER TO REQUIRE 6653 04:34:39,560 --> 04:34:42,400 PEOPLE WITH DISABILITIES AS THE 6654 04:34:42,400 --> 04:34:43,560 CONVENTION FOR THE RIGHTS OF 6655 04:34:43,560 --> 04:34:45,440 PEOPLE WITH DISABILITIES FROM 6656 04:34:45,440 --> 04:34:48,840 THE WORLD HEALTH ORGANIZATION 6657 04:34:48,840 --> 04:34:50,720 AND ABOUT WHICH IS TALK ABOUT 6658 04:34:50,720 --> 04:34:52,840 THEIR BEING A HUMAN RIGHT TO IN 6659 04:34:52,840 --> 04:34:54,720 HOME ASSISTANCE TO ALLOW PEOPLE 6660 04:34:54,720 --> 04:34:56,680 WITH DISABILITIES WHO NEED THAT 6661 04:34:56,680 --> 04:34:59,280 KIND OF SUPPORT TO LIVE 6662 04:34:59,280 --> 04:35:00,600 INDEPENDENT LIVES AND SO WHEN 6663 04:35:00,600 --> 04:35:02,160 JUDY MOVED FROM BURKELY, 6664 04:35:02,160 --> 04:35:04,600 CALIFORNIA, TO BE THE ASSISTANT 6665 04:35:04,600 --> 04:35:05,800 SECRETARY OF THE OFFICE OF 6666 04:35:05,800 --> 04:35:07,960 SPECIAL EDUCATION, AND 6667 04:35:07,960 --> 04:35:12,680 REHABILITATION SERVICES IN THE 6668 04:35:12,680 --> 04:35:14,760 CLINTON ADDIZATION, SAYS SHE 6669 04:35:14,760 --> 04:35:16,800 SAID IN HER MEMOIR WHAT IS 6670 04:35:16,800 --> 04:35:20,480 WANTING THAN THE PROSPECT OF 6671 04:35:20,480 --> 04:35:22,840 MANAGING 400 STAFF AND 6672 04:35:22,840 --> 04:35:25,800 $10 MILLION, AN ACCESSIBLE THREE 6673 04:35:25,800 --> 04:35:28,520 BEDROOM APARTMENT AND WASHINGTON 6674 04:35:28,520 --> 04:35:31,040 D.C. 6675 04:35:31,040 --> 04:35:32,080 NEXT SLIDE. 6676 04:35:32,080 --> 04:35:33,600 AND I HAVE THE CHANCE TO TALK TO 6677 04:35:33,600 --> 04:35:35,520 HER ABOUT THIS IF THE LATE 6678 04:35:35,520 --> 04:35:39,760 SUMMER OF 2021 AS A COVID 6679 04:35:39,760 --> 04:35:41,400 PANDEMIC SIMMERED AND JUDY TOLD 6680 04:35:41,400 --> 04:35:42,960 ME SHE WAS HAVING INCREASING 6681 04:35:42,960 --> 04:35:44,760 TROUBLE FINDING IN HOME SUPPOSE 6682 04:35:44,760 --> 04:35:48,320 ORDERS AND WE FIND THAT NOW THAT 6683 04:35:48,320 --> 04:35:50,520 WITH COVID-19, I WON'T GO ON WHY 6684 04:35:50,520 --> 04:35:52,400 THIS MIGHT BE BUT THE PERSONAL 6685 04:35:52,400 --> 04:35:54,000 ASSISTANCE SERVICES WORKFORCE 6686 04:35:54,000 --> 04:35:57,520 HAS MELTED AWAY AND SOME PLACES 6687 04:35:57,520 --> 04:36:04,240 AND SO, SHE, JUDY HEUMANN THIS 6688 04:36:04,240 --> 04:36:06,240 INCREDIBLE ICONIC WORRIED HOW 6689 04:36:06,240 --> 04:36:10,560 SHE AND HER HUSBAND WOULD MANAGE 6690 04:36:10,560 --> 04:36:12,080 AT HOME. 6691 04:36:12,080 --> 04:36:13,400 JUDY ALSO RECOGNIZED THAT SHE 6692 04:36:13,400 --> 04:36:16,360 HAD MULTIPLE IDENTITIES AND FELT 6693 04:36:16,360 --> 04:36:17,760 VERY STRONGLY THAT 6694 04:36:17,760 --> 04:36:18,960 INTERSECTIONALITY WAS A CRITICAL 6695 04:36:18,960 --> 04:36:21,200 THING TO THINK ABOUT AND SHE 6696 04:36:21,200 --> 04:36:23,440 SELF-IDENTIFIED AS A WOMAN, WHO 6697 04:36:23,440 --> 04:36:27,000 WAS WHITE, A JEWISH WITH A 6698 04:36:27,000 --> 04:36:28,720 IMMIGRANT HERITAGE AND IN HER 6699 04:36:28,720 --> 04:36:30,040 GLOBAL WORK WITH A WORLD BANK 6700 04:36:30,040 --> 04:36:32,440 AND THE U.S. DEPARTMENT OF 6701 04:36:32,440 --> 04:36:34,080 STATE, SHE WITNESSED THAT THE 6702 04:36:34,080 --> 04:36:35,440 INTERSECTION IDENTITIES 6703 04:36:35,440 --> 04:36:38,480 COMPOUNDED WITH THE 6704 04:36:38,480 --> 04:36:42,080 MARGINALIZATION OF PEOPLE WITH 6705 04:36:42,080 --> 04:36:45,240 DISABILITIES. 6706 04:36:45,240 --> 04:36:46,520 NOW, WHO QUALIFIES DISABLED FOR 6707 04:36:46,520 --> 04:36:50,920 THE ADA I'VE TEED UP THAT 6708 04:36:50,920 --> 04:36:52,480 QUESTION BUT THESE QUESTIONS ARE 6709 04:36:52,480 --> 04:36:57,040 GOING TO BE INCREASINGLY, THINK, 6710 04:36:57,040 --> 04:36:58,000 RAISESSED WITH LONG COVID. 6711 04:36:58,000 --> 04:37:00,160 THERE'S BEEN A HISTORY OF 6712 04:37:00,160 --> 04:37:00,880 CONDITIONS THAT ARE NOT 6713 04:37:00,880 --> 04:37:02,800 RECOGNIZED BY MEDICAL 6714 04:37:02,800 --> 04:37:08,280 AUTHORITIES CAUSING PROBLEMS FOR 6715 04:37:08,280 --> 04:37:09,600 PEOPLE CLAIMING QUOTE-UNQUOTE 6716 04:37:09,600 --> 04:37:10,200 DISABILITY. 6717 04:37:10,200 --> 04:37:16,200 CHRONIC FATIGUE SYNDROME, FIBER 6718 04:37:16,200 --> 04:37:18,120 MYALGIA AND WHAT IS GOING TO 6719 04:37:18,120 --> 04:37:20,120 HAPPEN WITH PEOPLE WITH LONG 6720 04:37:20,120 --> 04:37:20,520 COVID? 6721 04:37:20,520 --> 04:37:23,720 ALL MY PEOPLE WITH LONG COVID 6722 04:37:23,720 --> 04:37:25,360 CHANGED THE ELIGIBILITY THINKING 6723 04:37:25,360 --> 04:37:27,160 UNDER THE ADA. 6724 04:37:27,160 --> 04:37:31,080 WE ALREADY SEE SOME BEGINNING 6725 04:37:31,080 --> 04:37:34,760 PUSH-BACK AROUND PEOPLE WITH 6726 04:37:34,760 --> 04:37:37,400 LONG-TERM COVID AND WHO HAVE 6727 04:37:37,400 --> 04:37:38,440 SYMPTOMS THAT CLEARLY FROM MY 6728 04:37:38,440 --> 04:37:40,240 POINT OF VIEW, QUALIFIES 6729 04:37:40,240 --> 04:37:44,920 DISABLED BUT FROM A MEDICAL 6730 04:37:44,920 --> 04:37:46,000 MODEL, YOU KNOW, THIS IS 6731 04:37:46,000 --> 04:37:47,120 SOMETHING WE NEED TO KEEP OUR 6732 04:37:47,120 --> 04:37:54,360 EYE ON AS WE MOVE FORWARD. 6733 04:37:54,360 --> 04:37:58,320 DESPITE WHAT YOU SAID, A LOT OF 6734 04:37:58,320 --> 04:37:59,600 DISCRIMINATION HAPPENS BEHIND 6735 04:37:59,600 --> 04:38:03,240 CLOSED DOORS AND THE PERSON WITH 6736 04:38:03,240 --> 04:38:05,800 DISABILITY MAY NOT FEEL THAT 6737 04:38:05,800 --> 04:38:08,960 THEY HAVE THE ENERGY, THE 6738 04:38:08,960 --> 04:38:13,280 KNOWLEDGE, THE MONEY TO GO 6739 04:38:13,280 --> 04:38:14,600 FORWARD AND LODGE THAT LAWSUIT 6740 04:38:14,600 --> 04:38:15,920 SO NEXT LINE, PLEASE. 6741 04:38:15,920 --> 04:38:17,840 I'D LIKE TO JUST TELL YOU A TINY 6742 04:38:17,840 --> 04:38:21,640 STORY ABOUT MYSELF. 6743 04:38:21,640 --> 04:38:24,920 I WAS A CANDIDATE FOR AN ENDOW 6744 04:38:24,920 --> 04:38:26,640 CHAIR AT A BIG PRESTIGIOUS 6745 04:38:26,640 --> 04:38:27,880 UNIVERSITY IN THE MIDWEST AND I 6746 04:38:27,880 --> 04:38:30,680 WAS REALLY EXCITED ABOUT THIS, 6747 04:38:30,680 --> 04:38:32,360 BECAUSE I'M SOMEONE WHO LIVES ON 6748 04:38:32,360 --> 04:38:34,600 SOFT MONEY AND WOULDN'T IT BE 6749 04:38:34,600 --> 04:38:36,720 AMAZING TO GET AN ENDOW CHAIR. 6750 04:38:36,720 --> 04:38:39,160 I WAS ALSO AT THAT POINT A 6751 04:38:39,160 --> 04:38:40,320 PROFESSOR AT HARVARD MEDICAL 6752 04:38:40,320 --> 04:38:42,040 SCHOOL SO I PROBABLY QUALIFIED 6753 04:38:42,040 --> 04:38:46,520 AS KIND OF HAVING SOME RESEARCH 6754 04:38:46,520 --> 04:38:47,440 CAPABILITIES. 6755 04:38:47,440 --> 04:38:49,120 AND THE INVU WAS SET FOR ME TO 6756 04:38:49,120 --> 04:38:53,320 FLY OUT THERE TO INTERVIEW FOR 6757 04:38:53,320 --> 04:38:54,280 THE ENDOW CHAIR BUT I CALLED 6758 04:38:54,280 --> 04:38:55,960 BEFORE GOING TO TALK TO THE 6759 04:38:55,960 --> 04:38:57,160 ADMINISTRATIVE ASSISTANT WHO 6760 04:38:57,160 --> 04:38:58,720 ORGANIZED ALL THE INTERVIEWS TO 6761 04:38:58,720 --> 04:39:00,920 CONFIRM, THAT THE INTERVIEW 6762 04:39:00,920 --> 04:39:04,360 LOCATIONS WOULD BE WHEELCHAIR 6763 04:39:04,360 --> 04:39:04,720 ACCESSIBLE. 6764 04:39:04,720 --> 04:39:06,240 THERE WAS A PAUSE ON THE OTHER 6765 04:39:06,240 --> 04:39:08,600 END OF THE TELEPHONE LINE AND 6766 04:39:08,600 --> 04:39:10,480 THE ADMINISTRATIVE ASSISTANT 6767 04:39:10,480 --> 04:39:13,440 SAID, WE DIDN'T KNOW YOU USED A 6768 04:39:13,440 --> 04:39:14,400 WHEELCHAIR. 6769 04:39:14,400 --> 04:39:16,440 AND SO DURING THE TWO-DAY VISIT, 6770 04:39:16,440 --> 04:39:17,720 THE PHYSICIAN WHO WAS LEADING 6771 04:39:17,720 --> 04:39:20,160 THE RECRUITMENT, RARELY LOOKED 6772 04:39:20,160 --> 04:39:23,320 ME IN THE EYE, AND DID NOT SAY 6773 04:39:23,320 --> 04:39:27,600 GOOD-BYE AT THE VISITS' END. 6774 04:39:27,600 --> 04:39:32,120 I NEVER HEART ANO HEARD ANOTHERM 6775 04:39:32,120 --> 04:39:32,320 THEM. 6776 04:39:32,320 --> 04:39:34,240 BUT IF APPROXIMATE I WAS TO 6777 04:39:34,240 --> 04:39:37,000 CLAIM DISABILITY DISCRIMINATION, 6778 04:39:37,000 --> 04:39:38,760 I WOULD SOUND LIKE A FOOL 6779 04:39:38,760 --> 04:39:40,560 SAYING, WELL, THE PERSON DIDN'T 6780 04:39:40,560 --> 04:39:42,480 LOOK ME IN THE EYE AND DIDN'T 6781 04:39:42,480 --> 04:39:44,160 SAY GOOD-BYE TO THEM. 6782 04:39:44,160 --> 04:39:46,800 I MEAN HOW WOULD I BE ABLE TO 6783 04:39:46,800 --> 04:39:50,240 PROVE THAT ANY OF THIS WAS 6784 04:39:50,240 --> 04:39:51,960 ACTUALLY DISABILITY 6785 04:39:51,960 --> 04:39:52,640 DISCRIMINATION? 6786 04:39:52,640 --> 04:39:58,120 AGAIN, BEHIND CLOSED DOORS. 6787 04:39:58,120 --> 04:40:01,080 SO AS ONE OF MY FIRST AND 6788 04:40:01,080 --> 04:40:02,640 PROBABLY 300 INTERVIEWEES THAT 6789 04:40:02,640 --> 04:40:03,920 I'VE INTERVIEWED OVER MY COURSE 6790 04:40:03,920 --> 04:40:05,600 OF DOING RESEARCH SAID TO ME, 6791 04:40:05,600 --> 04:40:09,560 DISABILITY CAN BE A LONELY 6792 04:40:09,560 --> 04:40:12,800 STATE. 6793 04:40:12,800 --> 04:40:14,960 BUT THEN LET'S GO BACK TO JUDY. 6794 04:40:14,960 --> 04:40:18,400 AS JUDY SAID IN HER MEMOIR ON 6795 04:40:18,400 --> 04:40:19,840 PAGE 156, I PERSIST. 6796 04:40:19,840 --> 04:40:21,640 I INSIST ON SPEAKING. 6797 04:40:21,640 --> 04:40:27,440 ON BEING HEARD. 6798 04:40:27,440 --> 04:40:29,880 AND AS JUDY SAID IN HER TED TALK 6799 04:40:29,880 --> 04:40:31,680 AND AGAIN THIS IS A PICTURE OF 6800 04:40:31,680 --> 04:40:37,280 HER IN HER TED TALK NEXT SLIDE. 6801 04:40:37,280 --> 04:40:37,880 PLEASE. 6802 04:40:37,880 --> 04:40:40,840 TOGETHER THAT IT HAS TO BE 6803 04:40:40,840 --> 04:40:43,080 TOGETHER WE CAN SPEAK UP FOR 6804 04:40:43,080 --> 04:40:44,360 JUSTICE. 6805 04:40:44,360 --> 04:40:48,400 TOGETHER WE CAN CHANGE THE 6806 04:40:48,400 --> 04:40:50,320 WORLD. 6807 04:40:50,320 --> 04:40:53,600 SO INSTEAD OF BEING LONELY, BACK 6808 04:40:53,600 --> 04:40:56,440 IN 1979, THE DISABILITY LAW 6809 04:40:56,440 --> 04:41:00,640 CENTER WITH JUDY HUEMANN THERE 6810 04:41:00,640 --> 04:41:02,880 AND THIS IS A BLACK AND WHITE 6811 04:41:02,880 --> 04:41:03,480 PHOTOGRAPH OF ALL THE PEOPLE 6812 04:41:03,480 --> 04:41:04,600 FROM THE DISABILITY LAW CENTER 6813 04:41:04,600 --> 04:41:07,920 AND I THINK THIS IS A COPY 6814 04:41:07,920 --> 04:41:10,800 RIGHTED PHOTO THAT I WAS ABLE TO 6815 04:41:10,800 --> 04:41:11,640 TAKE OFF THE WEB. 6816 04:41:11,640 --> 04:41:12,960 THEY ALL GOT TOGETHER AND 6817 04:41:12,960 --> 04:41:15,480 DECIDED THEY WOULD CHANGE 6818 04:41:15,480 --> 04:41:16,400 BERKELEY, CALIFORNIA, AND THEY 6819 04:41:16,400 --> 04:41:18,800 WOULD MAKE IT AN ACCESSIBLE 6820 04:41:18,800 --> 04:41:23,200 COMMUNITY TO WHICH IT STILL IS 6821 04:41:23,200 --> 04:41:25,120 TODAY. 6822 04:41:25,120 --> 04:41:27,480 SO I ALWAYS LIKE TO END MY TALKS 6823 04:41:27,480 --> 04:41:29,760 WITH INDEPENDENCE DAY AND THE 6824 04:41:29,760 --> 04:41:31,760 PLAY FOR SOMEHOW FOR US TO 6825 04:41:31,760 --> 04:41:34,400 FIGURE OUT WAYS THAT WE WON'T 6826 04:41:34,400 --> 04:41:36,880 FEEL ALONE WHEN WE CONFRONT 6827 04:41:36,880 --> 04:41:38,200 ABLEIST STUDENTS AND THAT WE 6828 04:41:38,200 --> 04:41:39,720 WILL FIND SOMEWAY TO SUPPORT 6829 04:41:39,720 --> 04:41:41,960 EACH OTHER AND MOVE THIS WAY 6830 04:41:41,960 --> 04:41:42,480 FORWARD. 6831 04:41:42,480 --> 04:41:47,320 THAT'S THE END OF MY TALK, THANK 6832 04:41:47,320 --> 04:41:52,000 YOU, VERY MUCH. 6833 04:41:52,000 --> 04:41:55,080 >>THANK YOU SO MUCH, LISA. 6834 04:41:55,080 --> 04:41:59,640 YOU KNOW, WHEN WE THIS IS WHAT 6835 04:41:59,640 --> 04:42:04,320 I'M GOING TO DO -- JUST LISTEN 6836 04:42:04,320 --> 04:42:06,320 BECAUSE SHE KNOWS BEST AND I 6837 04:42:06,320 --> 04:42:09,160 THINK THAT TALK WAS REALLY PROOF 6838 04:42:09,160 --> 04:42:10,840 THAT YOU KNOW WHAT THIS 6839 04:42:10,840 --> 04:42:12,440 CONFERENCE NEEDED TO END WITH 6840 04:42:12,440 --> 04:42:14,080 AND I'M JUST SO PLEASED WITH IT. 6841 04:42:14,080 --> 04:42:15,120 THANK YOU SO MUCH. 6842 04:42:15,120 --> 04:42:18,280 >>YES, THANK YOU. 6843 04:42:18,280 --> 04:42:20,520 >>I'M SEEING LOTS OF 6844 04:42:20,520 --> 04:42:22,160 CONGRATULATIONS FOR YOU IN THE 6845 04:42:22,160 --> 04:42:25,920 CHAT BUT NO QUESTIONS. 6846 04:42:25,920 --> 04:42:27,640 >>I DID WANT TO SAY SOMETHING 6847 04:42:27,640 --> 04:42:28,800 AND I SHOULD HAVE SAID THIS AT 6848 04:42:28,800 --> 04:42:31,680 THE BEGINNING, SO MANY PEOPLE 6849 04:42:31,680 --> 04:42:33,840 HAVE QUOTED OR RESEARCH THAT I 6850 04:42:33,840 --> 04:42:36,920 HAVEN'T FELT LIKE I NEEDED TO. 6851 04:42:36,920 --> 04:42:44,880 SO I WANTED TO THANK THE NICHD 6852 04:42:44,880 --> 04:42:46,280 FOR FUNDING OUR RESEARCH BECAUSE 6853 04:42:46,280 --> 04:42:48,440 IT'S BEEN TOUGH TO GET RESEARCH 6854 04:42:48,440 --> 04:42:50,080 FUNDING FOR DISABILITY RESEARCH. 6855 04:42:50,080 --> 04:42:51,040 THAT'S ANOTHER PLACE WHERE SO 6856 04:42:51,040 --> 04:42:53,320 MANY OF US HAVE FELT ALONE OVER 6857 04:42:53,320 --> 04:42:55,560 THE YEARS AND SO Dr. CRUZ, I 6858 04:42:55,560 --> 04:42:56,720 WANT TO THANK YOU FOR ALL THAT 6859 04:42:56,720 --> 04:42:58,360 YOU HAVE DONE TO SUPPORT OUR 6860 04:42:58,360 --> 04:42:59,440 RESEARCH GOING FORWARD. 6861 04:42:59,440 --> 04:43:00,360 THANK YOU. 6862 04:43:00,360 --> 04:43:04,600 >>THANK YOU FOR DOING THE HARD 6863 04:43:04,600 --> 04:43:05,200 WORK. 6864 04:43:05,200 --> 04:43:05,960 ALL RIGHT. 6865 04:43:05,960 --> 04:43:07,040 WE'RE GOING TO END IT AND I'M 6866 04:43:07,040 --> 04:43:11,400 GOING TO TRY TO BRING IT ALL 6867 04:43:11,400 --> 04:43:15,880 TOGETHER. 6868 04:43:15,880 --> 04:43:19,160 WE'VE HAD SEVERAL QUESTIONS 6869 04:43:19,160 --> 04:43:21,760 ABOUT NIH, THIS WAS GREAT, IT'S 6870 04:43:21,760 --> 04:43:23,120 ABOUT TIME. 6871 04:43:23,120 --> 04:43:25,720 BETTER LATE THAN NEVER, BUT WHAT 6872 04:43:25,720 --> 04:43:28,520 ARE YOU GOING TO DO NOW? 6873 04:43:28,520 --> 04:43:35,720 THIS WAS GOOD BUT WHAT COMES 6874 04:43:35,720 --> 04:43:41,640 NEXT? 6875 04:43:41,640 --> 04:43:43,640 SO I WILL START IMMEDIATELY AND 6876 04:43:43,640 --> 04:43:47,000 THEN MOVE ON WITH TIME SO MOST 6877 04:43:47,000 --> 04:43:47,680 IMMEDIATELY. 6878 04:43:47,680 --> 04:43:50,440 THE NIH VIDEO CAST WEBSITE WILL 6879 04:43:50,440 --> 04:43:53,280 POST TO THE RECORDING OF 6880 04:43:53,280 --> 04:43:54,040 YESTERDAY'S AND TODAY. 6881 04:43:54,040 --> 04:43:55,840 SO YOU MIGHT NOT REALIZE THIS IS 6882 04:43:55,840 --> 04:43:57,520 BEEN STREAMING THROUGH THE NIH 6883 04:43:57,520 --> 04:44:00,280 VIDEO CAST AND WE'VE HAD ANOTHER 6884 04:44:00,280 --> 04:44:03,120 20 TO 30 PEOPLE LOGGING IN THAT 6885 04:44:03,120 --> 04:44:03,800 WAY. 6886 04:44:03,800 --> 04:44:05,760 SO NEXT WEEK, IT GENERALLY TAKES 6887 04:44:05,760 --> 04:44:06,960 ABOUT THREE TO FIVE BUSINESS 6888 04:44:06,960 --> 04:44:08,640 DAYS FOR THOSE RECORDINGS TO 6889 04:44:08,640 --> 04:44:09,120 POST. 6890 04:44:09,120 --> 04:44:11,160 SO WE'VE HAD A LOT OF REQUESTS 6891 04:44:11,160 --> 04:44:12,960 FOR RECORDINGS OF THIS. 6892 04:44:12,960 --> 04:44:14,360 THAT WILL BE PUBLICLY AVAILABLE. 6893 04:44:14,360 --> 04:44:16,120 YOU DON'T NEED TO REGISTER OR DO 6894 04:44:16,120 --> 04:44:16,480 ANYTHING. 6895 04:44:16,480 --> 04:44:19,560 IT'S ON THE NIH VIDEO CAST PAST 6896 04:44:19,560 --> 04:44:22,040 EVENTS WEBSITE. 6897 04:44:22,040 --> 04:44:26,280 I'M GOING TO CONFIRM WITH THE 6898 04:44:26,280 --> 04:44:28,080 SPEAKERS, WHICH PARTS OF THEIR 6899 04:44:28,080 --> 04:44:29,320 PRESENTATIONS WITH BE SHARED 6900 04:44:29,320 --> 04:44:30,000 WIDELY. 6901 04:44:30,000 --> 04:44:33,120 WE SAW UNPUBLISHED DATA AND 6902 04:44:33,120 --> 04:44:35,360 PERSONAL THINGS AND THEY MAY NOT 6903 04:44:35,360 --> 04:44:37,040 WANT IT ALL SHARED AND I RESPECT 6904 04:44:37,040 --> 04:44:37,560 THAT. 6905 04:44:37,560 --> 04:44:39,680 SO I'M GOING TO CONFIRM WITH 6906 04:44:39,680 --> 04:44:42,400 THEM WHAT CAN AND CANNOT BE 6907 04:44:42,400 --> 04:44:42,880 SHARED. 6908 04:44:42,880 --> 04:44:45,040 SOME OF THE PRESENTATIONS HAVE 6909 04:44:45,040 --> 04:44:47,800 NOT BEEN FULLY REMEDIATED FOR 6910 04:44:47,800 --> 04:44:49,000 ACCESSIBILITY SO WE ALSO NEED 6911 04:44:49,000 --> 04:44:51,360 SOME TIME TO MAKE SURE THOSE ARE 6912 04:44:51,360 --> 04:44:53,360 IN A FORM TA WE CAN DISTRIBUTE. 6913 04:44:53,360 --> 04:44:55,200 SO YOU WILL BE GETTING, ANYONE 6914 04:44:55,200 --> 04:44:57,080 WHO REGISTERED, YOU BE GETTING 6915 04:44:57,080 --> 04:44:59,400 AN E-MAIL FROM ME. 6916 04:44:59,400 --> 04:45:01,080 GIVE ME A FEW WEEKS TO MAKE SURE 6917 04:45:01,080 --> 04:45:04,480 I GET ALL THAT ACCESSIBILITY 6918 04:45:04,480 --> 04:45:05,760 SQUARED AWAY. 6919 04:45:05,760 --> 04:45:07,200 SO, IN THAT E-MAIL, YOU WILL 6920 04:45:07,200 --> 04:45:09,360 HAVE THE LINKS, IF I CAN GET IT 6921 04:45:09,360 --> 04:45:10,640 TOGETHER WE'LL HAVE THE SURVEY, 6922 04:45:10,640 --> 04:45:12,040 BECAUSE I WANT SOME MORE 6923 04:45:12,040 --> 04:45:17,880 FEEDBACK FROM YOU, AND THEN 6924 04:45:17,880 --> 04:45:21,760 WE'LL HAVE THE PRESENTATIONS. 6925 04:45:21,760 --> 04:45:27,440 SPEAKING OF E-MAILS, I'M SORRY, 6926 04:45:27,440 --> 04:45:28,840 THAT NOISE. 6927 04:45:28,840 --> 04:45:31,480 I WRITE A NEWSLETTER EVERY 6928 04:45:31,480 --> 04:45:32,080 COUPLE WEEKS. 6929 04:45:32,080 --> 04:45:34,400 THAT'S HOW I INFORM PEOPLE ABOUT 6930 04:45:34,400 --> 04:45:36,920 WHAT IS GOING ON AT NIH IN 6931 04:45:36,920 --> 04:45:38,800 REHABILITATION RESEARCH. 6932 04:45:38,800 --> 04:45:43,160 SO, I NOW HAVE 500 NEW FRIENDS. 6933 04:45:43,160 --> 04:45:45,680 SO YOU WILL SEE ME IN YOUR INBOX 6934 04:45:45,680 --> 04:45:46,720 EVERY COUPLE WEEKS IF IF YOU 6935 04:45:46,720 --> 04:45:48,400 DON'T WANT ME THERE, JUST CLICK 6936 04:45:48,400 --> 04:45:49,800 THE UNSUBSCRIBE AND I'LL GO 6937 04:45:49,800 --> 04:45:50,160 AWAY. 6938 04:45:50,160 --> 04:45:52,440 BUT THAT'S HOW I COMMUNICATE AND 6939 04:45:52,440 --> 04:45:53,720 WE'LL LET YOU GUYS KNOW ABOUT 6940 04:45:53,720 --> 04:45:59,320 WHAT IS GOING ON FOLLOWING THIS 6941 04:45:59,320 --> 04:46:00,400 CONFERENCE. 6942 04:46:00,400 --> 04:46:00,760 MIDTERMS STEPS. 6943 04:46:00,760 --> 04:46:04,280 NIH IS A RESOURCE ORGANIZATION 6944 04:46:04,280 --> 04:46:05,640 WE'VE HEARD A LOT OF AREAS WHERE 6945 04:46:05,640 --> 04:46:09,520 WE NEED TO DO MORE RESEARCH. 6946 04:46:09,520 --> 04:46:11,680 SO, BEFORE WE PUT OUT TARGETED 6947 04:46:11,680 --> 04:46:14,040 NOTICES OF FUNDING 6948 04:46:14,040 --> 04:46:15,960 OPPORTUNITIES, YOU MIGHT HEAR 6949 04:46:15,960 --> 04:46:19,000 THE TERM NOFO AND NOTICE OF 6950 04:46:19,000 --> 04:46:19,720 FUNDING OPPORTUNITY. 6951 04:46:19,720 --> 04:46:21,840 IT'S WHAT WE'RE CALLING FOAs 6952 04:46:21,840 --> 04:46:22,200 NOW. 6953 04:46:22,200 --> 04:46:24,080 WE HAVE TO CLEAR THAT CONCEPT 6954 04:46:24,080 --> 04:46:26,640 WITH AN ADVISORY BOARD OR A 6955 04:46:26,640 --> 04:46:27,400 COUNCIL. 6956 04:46:27,400 --> 04:46:29,720 SO LAST YEAR, I CLEARED A 6957 04:46:29,720 --> 04:46:31,840 CONCEPT FOR ABLEISM AT THE 6958 04:46:31,840 --> 04:46:33,280 NATIONAL ADVISORY BOARD FOR 6959 04:46:33,280 --> 04:46:36,600 MEDICAL REHABILITATION RESEARCH. 6960 04:46:36,600 --> 04:46:39,120 YOU WILL BE SEEING MORE FROM 6961 04:46:39,120 --> 04:46:40,680 NCMRR FROM ME, THE BUCK STOPS 6962 04:46:40,680 --> 04:46:42,680 HERE, ON ABLEISM. 6963 04:46:42,680 --> 04:46:44,600 THE OTHER THING I WANTED TO LET 6964 04:46:44,600 --> 04:46:46,520 YOU KNOWS IS THAT THE NATIONAL 6965 04:46:46,520 --> 04:46:48,040 INSTITUTE ON MINORITY HEALTH AND 6966 04:46:48,040 --> 04:46:50,760 HEALTH DISPARITY COUNCIL CLEARED 6967 04:46:50,760 --> 04:46:53,040 A CONCEPT THAT'S VERY RELATED TO 6968 04:46:53,040 --> 04:46:55,200 IT CONFERENCE AND IT'S THE 6969 04:46:55,200 --> 04:46:57,920 INTERSECTION OF DISABILITY WITH 6970 04:46:57,920 --> 04:47:00,160 OTHER MARGINALIZED IDENTITIES 6971 04:47:00,160 --> 04:47:02,240 SO, RACIAL AND ETHNIC MINORITY, 6972 04:47:02,240 --> 04:47:04,280 SEXUAL GENDER MINORITY, RURAL 6973 04:47:04,280 --> 04:47:05,000 POPULATION, ET CETERA. 6974 04:47:05,000 --> 04:47:08,760 SO MORE TO COME THERE. 6975 04:47:08,760 --> 04:47:11,440 AND NIH PLANNING COMMITTEE. 6976 04:47:11,440 --> 04:47:13,360 WE'RE GOING TO PULL THIS 6977 04:47:13,360 --> 04:47:13,640 TOGETHER. 6978 04:47:13,640 --> 04:47:15,360 WORE GOING TO PUT TOGETHER A 6979 04:47:15,360 --> 04:47:15,840 PAPER. 6980 04:47:15,840 --> 04:47:17,960 HAVE A JOURNAL IN MIND. 6981 04:47:17,960 --> 04:47:19,160 HOPEFULLY WE CAN GET IT OUT 6982 04:47:19,160 --> 04:47:19,520 THERE. 6983 04:47:19,520 --> 04:47:21,720 BUT AT A MINIMUM, THERE WILL BE 6984 04:47:21,720 --> 04:47:24,280 A SUMMARY OF THIS MEETING 6985 04:47:24,280 --> 04:47:25,360 PUBLISHED ON OUR WELCOME BACK 6986 04:47:25,360 --> 04:47:29,000 SWEBSITE SO YOUWILL HAVE SOMETHO 6987 04:47:29,000 --> 04:47:30,280 REFERENCE. 6988 04:47:30,280 --> 04:47:36,360 I THINK THE LONGER TERM ISSUE 6989 04:47:36,360 --> 04:47:39,440 AND THE ELEPHANT IN THE ROOM IS 6990 04:47:39,440 --> 04:47:42,720 THE ACD RECOMMENDATIONS. 6991 04:47:42,720 --> 04:47:45,560 SO, WHAT I CAN TELL YOU IS THAT 6992 04:47:45,560 --> 04:47:47,680 NIH LEADERSHIP IS SETTING UP 6993 04:47:47,680 --> 04:47:50,920 STRUCTURES TO RESPOND TO THOSE 6994 04:47:50,920 --> 04:47:52,120 RECOMMENDATIONS AND KEY LEADERS 6995 04:47:52,120 --> 04:47:57,440 HAVE BEEN IDENTIFIED. 6996 04:47:57,440 --> 04:47:59,080 I AND OTHERS MEMBERS OF THE 6997 04:47:59,080 --> 04:48:00,680 PLANNING COMMITTEE HAVE BEEN IN 6998 04:48:00,680 --> 04:48:02,080 CONVERSATIONS WITH THOSE 6999 04:48:02,080 --> 04:48:02,560 LEADERS. 7000 04:48:02,560 --> 04:48:06,680 WE'VE DIRECTED THEM TO THIS 7001 04:48:06,680 --> 04:48:07,600 WORKSHOP. 7002 04:48:07,600 --> 04:48:11,040 SO, YOU KNOW, THINGS ARE 7003 04:48:11,040 --> 04:48:13,120 HAPPENING. 7004 04:48:13,120 --> 04:48:14,760 MY HOPE THAT WE WILL BE ABLE TO 7005 04:48:14,760 --> 04:48:16,680 HAVE ONE OF THOSE LEADERS SPEAK 7006 04:48:16,680 --> 04:48:19,960 AT NCMRR'S ADVISORY BOARD IN 7007 04:48:19,960 --> 04:48:22,920 DECEMBER SO ROUGHLY A YEAR AFTER 7008 04:48:22,920 --> 04:48:25,840 THE RECOMMENDATIONS TO GIVE AN 7009 04:48:25,840 --> 04:48:29,120 UPDATE ON WHERE THOSE 7010 04:48:29,120 --> 04:48:29,840 RECOMMENDATIONS ARE. 7011 04:48:29,840 --> 04:48:31,720 I REALIZE THAT'S NOT A PERFECT 7012 04:48:31,720 --> 04:48:33,000 VENUE BUT IT'S THE ONE I HAVE 7013 04:48:33,000 --> 04:48:34,320 INFLUENCE OVER AND I GET TO SET 7014 04:48:34,320 --> 04:48:36,200 THE AGENDA SO IF I'M GOING TO 7015 04:48:36,200 --> 04:48:38,120 USE IT FOR WHAT I THINK WE 7016 04:48:38,120 --> 04:48:39,400 SHOULD USE IT FOR. 7017 04:48:39,400 --> 04:48:47,040 SO, IN CLOSING, JUST ANOTHER 7018 04:48:47,040 --> 04:48:48,400 HUGE, HUGE THANK YOU TO THE 7019 04:48:48,400 --> 04:48:49,800 SPEAKERS, THE AUDIENCE, THE 7020 04:48:49,800 --> 04:48:52,720 PLANNING COMMITTEE AND ALL THE 7021 04:48:52,720 --> 04:48:54,280 LOGISTICS SUPPORT AND THE PEOPLE 7022 04:48:54,280 --> 04:48:55,800 BEHIND THE SCENES MAKING THIS 7023 04:48:55,800 --> 04:48:57,000 HAPPEN AND YOU KNOW, I HAD A 7024 04:48:57,000 --> 04:48:58,520 FEELING THIS WAS GOING TO BE A 7025 04:48:58,520 --> 04:49:01,520 REALLY GOOD MEETING BUT IT IS 7026 04:49:01,520 --> 04:49:03,600 JUST EVEN EXCEEDED MY 7027 04:49:03,600 --> 04:49:04,800 EXPECTATIONS. 7028 04:49:04,800 --> 04:49:07,280 SO, THANK YOU SO MUCH. 7029 04:49:07,280 --> 04:49:09,200 BE SAFE. 7030 04:49:09,200 --> 04:49:12,000 AND YOU WILL HEAR MORE FROM US. 7031 04:49:12,000 --> 04:49:12,560 THANK YOU. 7032 04:49:12,560 --> 04:49:22,640 BYE.