Podcasts about Cholera

Bacterial infection of the small intestine

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Best podcasts about Cholera

Latest podcast episodes about Cholera

Alabama Short Stories
Lou Wooster

Alabama Short Stories

Play Episode Listen Later Sep 20, 2022 10:54


Cholera came to Birmingham in 1873 and hit the new town hard. By the end of the summer, over half of its citizens had fled the city. Only the sick, the physicians caring for them, and the prostitutes stayed behind. This Alabama Short Stories episode tells the story of one of those prostitutes that stayed behind, Louise Wooster. Not only did their service in nursing the sick and burying the dead help at the moment, but their service helped save a city on the verge of tremendous growth.Support the PodcastThe podcast is free, but it's not cheap. If you enjoy Alabama Short Stories, there are a few ways you can support us. Tell a friend about the podcast. Buy some merchandise from the Art Done Wright store at https://www.teepublic.com/user/wright-artMake a donation to the podcast. You can find links in the footer at  AlabamaShortStories.com. Buy the Book. https://www.amazon.com/Alabama-Short-Stories-Shawn-Wright/dp/1735582239/ref=tmm_pap_swatch_0?_encoding=UTF8&qid=1660505378&sr=8-3You can listen to the podcast on the website or wherever you prefer to listen and subscribe to podcasts.  Support the show

Die Maus - 30
Pest oder Cholera

Die Maus - 30

Play Episode Listen Later Sep 19, 2022 60:04


Die Maus zum Hören - Lach- und Sachgeschichten. Heute: mit Viren und Bakterien, geschlossenen Augen beim Niesen, Käpt`n Blaubär und der besten Medizin, mit Nina und natürlich mit der Maus und dem Elefanten. Von Nina Heuser.

4x4 Podcast
«Federer ist sicher der eleganteste Tennisspieler aller Zeiten»

4x4 Podcast

Play Episode Listen Later Sep 16, 2022 25:51


Roger Federer ist der berühmteste Schweizer Sportler und einer der grössten Tennisspieler der Geschichte. Gestern hat er seinen Rücktritt angekündigt. Was wird von ihm bleiben und wie hat er den Tennissport beeinflusst? Tennis-Experte Heinz Günthardt im Interview. Die weiteren Themen: * In Syrien ist Cholera ausgebrochen. Zum ersten Mal seit Jahren sind knapp tausend Fälle der Durchfall-Krankheit bekannt, die durch verunreinigte Lebensmittel oder Wasser übertragen wird. Dies könnte zur Bedrohung für den gesamten Nahen Osten werden. * Der grösste Wald der Welt wird kleiner und kleiner. Im Amazonas in Brasilien wüten derzeit Brände wie nie. Viele der Feuer werden von organisierten Banden gelegt. Sie wollen so den Wald abroden, um wertvolle Weideflächen zu schaffen - die können sie dann illegal verkaufen. * Es gibt viele Wörter in der deutschen Sprache, die aus dem Alltag verschwunden sind. Etwa, weil sie der Nationalsozialismus erfunden oder für sich eingenommen hat. Andere, weil sie Geringschätzung, Verachtung oder gar Hass gegenüber Menschen ausdrücken. * Es ist ein schweizweit einzigartiges Projekt: In der Stadt Luzern kriegen Seniorinnen und Senioren Gutscheine, um sich beispielsweise eine Geh-Hilfe kaufen können. Das Ziel: Ältere Menschen sollen länger in ihren eigenen vier Wänden leben können - ohne, dass sie in ein Alters- und Pflegeheim gehen müssen.

HölleHölleHölleCast
Into the Schreiberverse 11: Der literarische Gelbfilter Deutschlands

HölleHölleHölleCast

Play Episode Listen Later Sep 15, 2022 99:11


Diese Folge aus der Hölle: Paul und Marlene sind zurück mit der elften Folge des Schreiberverse! Consti haut wieder richtige Banger raus, diesmal geht es um Flüchtlingspolitik und es wird richtig, richtig abstrus. White savior, white man's burden, straight up racism, Panikmache vor Flüchtlingen und natürlich vor dem woke mob. Pick your poison! Kauft euch nicht dieses Buch, gebt eurem schlimmsten Feind lieber Pest oder Cholera, da hat er mehr von. Wenn ihr es trotzdem lesen wollt, schreibt mich an und ich leih euch meins. ;) Folgt uns auf Twitter: Der Pod: https://twitter.com/HHHCast Auf Patreon: https://www.patreon.com/hhhcast Jan: https://twitter.com/YungPatrickOne Paul: https://twitter.com/hat_recht Marlene: https://twitter.com/rosa_pinguin Kommt außerdem auf den offiziellen, deutschprachigen HHH Discord: https://discord.com/invite/2t44zXKV7M Schreibt uns Post an: 3malhoelle@protonmail.com

Radio Islam
Cholera outbreak in Syria

Radio Islam

Play Episode Listen Later Sep 15, 2022 6:30


Cholera outbreak in Syria by Radio Islam

apolut: Standpunkte
Homo demens | Von Tom-Oliver Regenauer

apolut: Standpunkte

Play Episode Listen Later Sep 14, 2022 26:08


Ein Standpunkt von Tom-Oliver Regenauer.Digitalisierung und Propaganda haben bei den meisten einen Zustand passiver Dumpfheit erzeugt, der sie außerstande setzt, selbstständige Entscheidungen zu treffen.Ein Kanzler, der unter partieller Amnesie leidet. Ein Wirtschaftsminister, der sich verhaspelt. Ein schlafkranker Gesundheitsminister, der sich andauernd selbst widerspricht ... Ist diese Politikerriege nur Vorbotin eines allgemein feststellbaren Trends zur Vertrottelung? Oder hat der Wahnsinn System? Bei Annalena Baerbock jedenfalls weiß man nicht so genau, ob ihr ihre die Bürger verachtende Äußerung („Egal, was meine deutschen Wähler denken“) nur so herausgerutscht ist oder ob es ein gezielter Affront war. Die politischen Ereignisse der letzten Zeit lassen uns alle zunehmend an unserer Weltwahrnehmung zweifeln. Ist es Wirklichkeit, ist es ein böser Traum oder ein dystopischer Film? Bin ich verrückt geworden oder der einzige Gesunde in einem riesengroßen Tollhaus? Das Erzeugen von Verwirrung könnte tatsächlich Methode haben. Die meisten Wähler sehen sich ausweglos zwischen Pest und Cholera gefangen, machtlos selbst angesichts aufgeregter Protestaktivitäten. Schon die Gewöhnung an Fernseher, Computer und Smartphone hat über Jahrzehnte eine Form geistiger Zerrüttung erzeugt, deren Früchte jetzt erkennbar werden. Verwirrt, manipuliert, entwurzelt und ihrer Urteilskraft beraubt, gleichen die Bürger Herbstblättern im Wind, die mal hierhin, mal dahin geblasen werden. Sie verlieren die Fähigkeit, selbstbestimmt eine Entscheidung zu treffen, und werden dadurch unfähig, ihr Schicksal im Gegenwind hoheitlicher Manipulationsversuche selbst in die Hand zu nehmen.„Jedes Volk hat die Regierung, die es verdient“ (Joseph de Maistre).In Deutschland bedeutet das augenscheinlich: eine Regierung, der es absolut gleichgültig ist, was die Bevölkerung weiß, wählt oder wünscht. Eine Regierung, deren dunkelgrüne Außenministerin, Annalena Baerbock, bei einer Podiumsdiskussion von „Forum 2000“ in Prag am 31. August 2022 mitteilt, dass sie ihren abstrusen Kurs in Sachen Ukrainekrise beibehalten werde, „egal was ihre deutschen Wähler denken“.... hier weiterlesen: https://apolut.net/homo-demens-von-tom-oliver-regenauer+++Apolut ist auch als kostenlose App für Android- und iOS-Geräte verfügbar! Über unsere Homepage kommen Sie zu den Stores von Apple und Huawei. Hier der Link: https://apolut.net/app/Die apolut-App steht auch zum Download (als sogenannte Standalone- oder APK-App) auf unserer Homepage zur Verfügung. Mit diesem Link können Sie die App auf Ihr Smartphone herunterladen: https://apolut.net/apolut_app.apk+++Abonnieren Sie jetzt den apolut-Newsletter: https://apolut.net/newsletter/+++Ihnen gefällt unser Programm? Informationen zu Unterstützungsmöglichkeiten finden Sie hier: https://apolut.net/unterstuetzen/+++Unterstützung für apolut kann auch als Kleidung getragen werden! Hier der Link zu unserem Fan-Shop: https://harlekinshop.com/pages/apolut+++Website und Social Media:Website: https://apolut.net/Odysee: https://odysee.com/@apolut:aRumble: https://rumble.com/ApolutInstagram: https://www.instagram.com/apolut_net/Gettr: https://gettr.com/user/apolut_netTelegram: https://t.me/s/apolutFacebook: https://www.facebook.com/apolut/Soundcloud: https://soundcloud.com/apolut Hosted on Acast. See acast.com/privacy for more information.

The Mississippi Valley Traveler Podcast
6. Twin Tragedies: Cholera and Fire Devastate St. Louis in 1849

The Mississippi Valley Traveler Podcast

Play Episode Listen Later Sep 14, 2022 24:51


In 1849, St. Louisans must have wondered what they had done so wrong to deserve suffering through two terrible tragedies. Steamboats brought cholera to the city, triggering a deadly epidemic that would ultimately kill thousands of people. In the early waves of the epidemic, a steamboat fire on the levee got out of control and quickly spread on land. While only three people died in the fire, the central part of the city was devastated. In this episode of the Mississippi Valley Traveler podcast, I describe how these two events unfolded and the impact they had on the booming city.

A Thing or Two with Claire and Erica
A Romantic-Fiction Primer and Some Identity-Protection Intel from Allstate

A Thing or Two with Claire and Erica

Play Episode Listen Later Sep 12, 2022 46:10 Very Popular


Let's go in-depth on romance novels! But first, we're chatting with Madeline Nusser from Allstate Identity Protection, which oh-so-graciously sponsored this episode, to dig into something equally sexy: doing what you can to thwart identity theft.    Go to AIP.com/AThingOrTwo today to see if Allstate Identity Protection is available through your employer. If not sign up there to get a 30-day free trial.. Check out The Washington Post article on the rise of romance in the U.S. and this Twitter thread from Helen Rosner on the weirdness of publishing categories.    Some books that are not romance novels but kind of are:  Normal People by Sally Rooney Call Me by Your Name by André Aciman Eleanor & Park by Rainbow Rowell The Sun Is Also a Star by Nicola Yoon (but her book Instructions for Dancing counts!) Love in the Time of Cholera by Gabriel García Márquez Never Let Me Go by Kazuo Ishiguro   Books we endorse for romance newbs: The Idea of You by Robinne Lee The Roommate by Rosie Danan How to Fake It in Hollywood by Ava Wilder Something Wilder by Christina Lauren Seven Days in June by Tia Williams Book Lovers by Emily Henry The Heart Principle by Helen Hoang Take a Hint, Dani Brown by Talia Hibbert (see also: our podcast ep with Tallia) Evvie Drake Starts Over by Linda Holmes Honey and Spice by Bolu Babalola (who's a great Twitter follow) Red, White & Royal Blue by Casey McQuiston Every Summer After by Carley Fortune   More romance authors with many books to dive into:  Jasmine Guillory  Abby Jimenez Tessa Bailey   Have a romance novel you want, neeeeeed to recommend? Let us know at 833-632-5463, podcast@athingortwohq.com, or @athingortwohq. And for more recommendations, try out a Secret Menu membership.   Support your hair with Nutrafol. Take $15 off your first month's subscription with the code ATHINGORTWO. Look into Allstate Identity Protection (and see if your employer offers it, too). Use our link for a 30-day free trial. Try Bombas and take 20% off your first purchase when you use our link. Book that doctor's appointment: Download the free Zocdoc app. YAY.   Produced by Dear Media  

Rough Cut
Burnout in the Time of Cholera

Rough Cut

Play Episode Listen Later Sep 12, 2022 46:41


In this episode of Rough Cut, join us - JB Jones and Alain Simic - to talk candidly about burnout! We discuss small business woes, the demands placed upon all of us our clientele, and all the ways in which we pressure ourselves to do more. If we sound a bit burned out, it's because we were really feeling it! Learn more about everything WE do at https://nycjewelryweek.com/ (http://nycjewelryweek.com) Follow us on IG https://instagram.com/nycjewelryweek?igshid=YmMyMTA2M2Y=https://instagram.com/nycjewelryweek?igshid=YmMyMTA2M2Y= (@nycjewelryweek) + https://nycjewelryweek.com/ (www.nycjewelryweek.com) For Alain's work https://instagram.com/alainsimic?igshid=YmMyMTA2M2Y= (@alainsimic) + https://instagram.com/alainsimic?igshid=YmMyMTA2M2Y= (www.alainsimic.com) For JB Jones https://instagram.com/j_b_j_o_n_e_s?igshid=YmMyMTA2M2Y= (@j_b_j_o_n_e_s)

Unfortunately Required Reading
Sexting in the Time of Cholera (Love in the Time of Cholera)

Unfortunately Required Reading

Play Episode Listen Later Sep 10, 2022 68:44


This week Amanda and Victoria read Love in the Time of Cholera. --- Support this podcast: https://anchor.fm/unfortunately-required/support

Scandal 101
Ep. 65 - The United Nations and Haiti's Cholera Outbreak

Scandal 101

Play Episode Listen Later Sep 9, 2022 31:14


Most people have probably heard of Haiti's horrible earthquake, but have you heard of Haiti's deadly Cholera outbreak in 2010-2011? More than 10,000 people died from an illness that hadn't been seen in Haiti for nearly 100 years. Though it took a while to figure out the cause, the culprit finally came clean and admitted their role in this deadly incident - the United Nations. Do you have your own personal scandal you want read on the podcast? Send it in! scandal101podcast@gmail.com Show Notes

BTC-ECHO Invest
Der EZB-Zinsentscheid am 08.09. - Gefangen zwischen Inflation und schwachen Südländern

BTC-ECHO Invest

Play Episode Listen Later Sep 5, 2022 38:19


Am kommenden Donnerstag steht der mit großer Spannung erwartete Zinsentscheid der Europäischen Zentralbank an. Diese ist aktuell in einer Zwickmühle gefangen. Einerseits muss die historische Inflation bekämpft werden, andererseits dürfen aber schwächelnde Euro-Mitgliedsstaaten nicht unter die Räder kommen. Dieser Spagat wirkt aktuell wie die Wahl zwischen Pest und Cholera.

Demystifying Science
The Shocking Origins of Epidemiology - Dr. Jim Downs, Gettysburg College

Demystifying Science

Play Episode Listen Later Sep 5, 2022 67:27


We take for granted today that public health systems around the world have the capacity to trace the progression of outbreaks, to determine how cancer clusters are linked to environmental effects, how dirty water causes outbreaks of transmissible illnesses... but where did all this knowledge come from? Contrary to popular belief, it wasn't from John Snow's identifying the origin of the Cholera epidemic as the pump on Broad Street. No, John Snow was using techniques that were passed to him fully formed. The real source of epidemiological tools lies in the brutal and bloody arc of the trans-Atlantic slave trade, a finding that shocked Gettysburg College history professor Jim Downs when he found it buried in the dusty archives from which his research is sourced. Support the scientific revolution with a monthly donation: https://bit.ly/3lcAasB Check our short-films channel, @DemystifySci: https://www.youtube.com/c/DemystifyingScience Join our mailing list https://bit.ly/3v3kz2S PODCAST INFO: Anastasia completed her PhD studying microbial communication at Columbia University. When not talking to brilliant people or making movies, she spends her time painting and exploring the woods. Michael Shilo also did his PhD at Columbia studying the elastic properties of molecular water. When he's not in the film studio, he's exploring sound in music. They are both freelance professors at various universities. - Blog: http://DemystifySci.com/blog - RSS: https://anchor.fm/s/2be66934/podcast/rss - Donate: https://bit.ly/3wkPqaD- Swag: https://bit.ly/2PXdC2y SOCIAL: - Discord: https://discord.gg/MJzKT8CQub - Facebook: https://www.facebook.com/groups/DemystifySci - Instagram: https://www.instagram.com/DemystifySci/ - Twitter: https://twitter.com/DemystifySci MUSIC: -Shilo Delay: https://g.co/kgs/oty671

Nèg Mawon Podcast
[Law Series #1a] Food Insecurities, Cholera, Garment Industry, & Sexual Exploitation and Abuse in Haiti. A conversation with w/ Attorney Sandra Wisner, JD

Nèg Mawon Podcast

Play Episode Listen Later Sep 2, 2022 44:11


Sandra Wisner is a senior staff lawyer with the Institute for Justice & Democracy in Haiti (IJDH), a U.S. human rights organization, working in partnership with the Haiti-based public interest law firm the Bureau des Avocats Internationaux (BAI) [Garment Industry] At first glance, the garment workers' protests sweeping Haiti appear to be the result of a grossly inadequate minimum wage. But listen closely to the organizers and you will see they are rooted in decades of rights violations perpetrated by foreign states' approach to investment in Haiti. Foreign actors must be held accountable to their legal obligations both for the harm they have caused and to ensure that future investment in Haiti is fair and sustainable. [Food Insecurities] A series of international economic assistance programs in Haiti has led to a protracted and worsening food crisis in the country, amplifying the country's vulnerability to starvation and malnutrition, as well as natural disasters, like earthquakes and pandemics. These economic programs, which dealt a crushing blow to the country's domestic agriculture and left the erstwhile self-sustaining nation vulnerable to chronic food insecurity, have ultimately impeded the ability of Haitian people, and their future generations, to enjoy their right to food, health, education, work, and other fundamental human rights. The lack of responsibility taken by those who imposed these policies—among them, international financial institutions like the World Bank—reveals the need for foreign actor compliance with human rights obligations and remediation. This paper proposes that the food insecurity Haitians face today constitutes a violation of the right to food—a territorial and extraterritorial obligation that foreign actors have pledged themselves, both under the United Nations Charter and other human rights instruments, to promote and respect. As such, this paper outlines the emerging recognition of extraterritorial obligations (“ETOs”) around the globe; suggests available mechanisms at the domestic, regional, and international level for adjudication of cases arising from ETOs; and proposes ETOs' application to traditional policies and remedies meant to protect individuals from harm and compensate them for harm caused. [Peacekeeper Exploitation & Abuse] In Haiti, UN peacekeeping troops have been tied to sexual exploitation and abuse towards local communities. In pursuit of justice and accountability, BAI has been supporting claims for child support on behalf of children fathered by UN peacekeepers. Our teams at BAI and IJDH are leading the litigation in Haiti and both local and international advocacy to fight for justice and defend the rights of women and children. --- Send in a voice message: https://anchor.fm/negmawonpodcast/message Support this podcast: https://anchor.fm/negmawonpodcast/support

Daily News Brief by TRT World
September 1, 2022

Daily News Brief by TRT World

Play Episode Listen Later Sep 1, 2022 2:30


*) IMF in preliminary agreement with Sri Lanka for $2.9 bln loan Crisis-hit Sri Lanka has reached a preliminary agreement with the International Monetary Fund for a loan of about $2.9 billion. "The objectives of Sri Lanka's new Fund-supported programme are to restore macroeconomic stability and debt sustainability," an IMF statement said. Sri Lanka is facing its worst economic crisis in recent memory with acute shortages of essentials like fuel, medicines and food because of serious foreign currency shortages. *) Food crisis looms as vegetable prices spike in flood-hit Pakistan Vegetable and fruit prices have soared in markets across Pakistan as devastating rains ruined crops and disrupted supplies. In the eastern city of Lahore, close to the border with India and far from the worst floods in Sindh province, prices of some vegetables have tripled. The Pakistani government sets prices for some fresh produce, although traders often ignore the guidelines. *) G7 to discuss Russian oil price cap as Ukraine fight grinds on Finance ministers from the Group of Seven club of wealthy nations will discuss the United States' proposed price cap on Russian oil. The White House said putting a cap on Russian oil will result in not only a drop in the country's oil revenue, but also global energy prices. Despite Russia's oil exports hitting their lowest levels since last August, its export revenue in June increased 40 percent above last year's average. *) Cholera outbreak kills dozens in Democratic Republic of Congo An outbreak of cholera has reportedly killed 48 people in the central province of Sankuru in the Democratic Republic of Congo. According to a report published on a privately run local news website, health officials detected 401 cases of cholera between August 15 and 21. The highest number of cases and fatalities were reported in the Lusambo health zone, with 308 cases and 24 deaths. And finally… *) 'White Noise' starring Adam Driver opens 79th Venice Film Festival The Venice Film Festival has opened with a screening of the Netflix film "White Noise". An adaptation of a Don DeLillo novel, the film stars Adam Driver of "Girls" and "Star Wars" fame. Netflix will also premiere the highly anticipated "Blonde", a dark retelling of Marilyn Monroe's tragic life, in the second week of the 10-day festival.

London Walks
Today (August 31) in London History – The Blue Death

London Walks

Play Episode Listen Later Aug 30, 2022 11:07


Prevmed
Waiting for Disease? Hoping for a Cure? Shaker Village - Cholera & water - FORD BREWER MD MPH

Prevmed

Play Episode Listen Later Aug 29, 2022 8:16


For more information, contact us at 859-721-1414 or myhealth@prevmedheartrisk.com. Also, check out the following resources:  ·Newsletter Sign Up·Jubilee website·PrevMed's website·PrevMed's Rumble channel·PrevMed's YouTube channel·PrevMed's Facebook page·PrevMed's Instagram·PrevMed's LinkedIn·PrevMed's Twitter ·PrevMed's Pinterest

The Best in Mystery, Romance and Historicals
Santa Montefiore – Beach Blockbusters

The Best in Mystery, Romance and Historicals

Play Episode Listen Later Aug 29, 2022 37:31


Santa Montefiore is the women's fiction queen, selling six million copies internationally of her heart-warming emotional sagas set in exotic places that have been described as “beach read blockbusters.” Hi there, I'm your host Jenny Wheeler, and today on The Joys of Binge Reading we've got a delightful treat – Santa Montefiore. She has published a book a year since 2001, and we're talking about two of her latest on the show today – An Italian Girl in Brooklyn, a World War II story of loss and restoration, and the latest in her hugely popular Irish historical series the Deverills, The Distant Shores. But before we get to that, some of our usual housekeeping. We've got our usual book giveaway this week – Justice Served – a historical and mystery groups giveaway. Details in the show notes for this episode on the website, www.thejoysofbingereading.com. DOWNLOAD FREE THRILLERS And Wine and Dine Booksweeps  Closing very soon win 45+books plus e-reader https://www.booksweeps.com/giveaway/august-2022/win-a-bundle-of-literary-fiction/ Santa is on the Patreon only bonus content feature Getting-to-Know-You Five Quickfire Questions. Become a supporter to listen in and help support the show at patreon.com/thejoysofbingereading, or if you particularly like this episode, shout me a coffee at https://www.buymeacoffee.com/jennywheelX  BUY ME A COFFEE! Links to topics mentioned in show: Deverill family series:  https://www.goodreads.com/series/152817-deverill-chronicles Giorgio Bassani: The Garden of the Finzi-Continis   https://www.penguin.co.uk/authors/31655/giorgio-bassani The Garden of the Finzi-Continis:  https://www.penguin.co.uk/books/57509/the-garden-of-the-finzi-continis-by-giorgio-bassani-trans--jamie-mckendrick/9780141188362 An Italian Girl in Brooklyn:  https://santamontefiore.co.uk/books/an-italian-girl-in-brooklyn/  The Distant Shores: https://santamontefiore.co.uk/books/the-distant-shores/ Love in the Time of Cholera: https://www.goodreads.com/book/show/9712.Love_in_the_Time_of_Cholera Gabriel García Márquez:    https://www.goodreads.com/author/show/13450.Gabriel_Garc_a_M_rquez Deverill Chronicles  in order: https://www.fantasticfiction.com/m/santa-montefiore/deverill-chronicles/ Secrets of the Lighthouse:  https://santamontefiore.co.uk/books/secrets-of-the-lighthouse/ The Bridges of Madison County: https://www.amazon.com/Bridges-Madison-County-Robert-Waller/dp/1455554286 Theo Fennell Jewelry: https://www.theofennell.com/ Ralph Lauren:  https://www.ralphlauren.co.uk/   Howard Shore Lord Of The Rings Soundtrack: https://www.youtube.com/watch?v=A4B1LwNM5DA Penny Vincenzi:  https://www.pennyvincenzi.com/ Sarah Waters: https://www.sarahwaters.com/ Daphne du Maurier: https://www.goodreads.com/book/show/18869978-hungry-hill Isabelle Allende: http://isabelallende.com/en/books Edith Wharton: https://www.edithwharton.org/discover/published-works/ Elizabeth Von Armin: The Enchanted April; https://www.goodreads.com/book/show/3077.The_Enchanted_April Fingersmith: https://www.sarahwaters.com/titles/sarah-waters/fingersmith/9781860498831/ JoJo Moyes, The Giver Of Stars: https://www.goodreads.com/book/show/43925876-the-giver-of-stars Joseph O'Connor, Star Of The Sea;  https://www.goodreads.com/book/show/147848.Star_of_the_Sea The Royal Rabbits series (written with her husband Simon Montefiore):  https://santamontefiore.co.uk/books/the-royal-rabbits-of-london/ Where to find Santa Montefiore: Website: www.santamontefiore.co.uk Twitter: @SantaMontefiore Instagram: @santamontefioreofficial Facebook: @SantaMontefiorebooks What follows is a "near as" transcript of our conversation, not word for word but pretty close to it, with links to the show notes in The Joys of Binge Reading.com for important mentions.But now, here's Santa. Introducing author Santa Montefiore Jenny Wheeler: Hello there, Santa,

The Bow
Cholera In Nigeria In 2021

The Bow

Play Episode Listen Later Aug 24, 2022 5:17


As we mark the African Vaccination Week 2022,we release a previously unheard podcast with facts . --- Support this podcast: https://anchor.fm/THE-BOW/support

Cause of Death -
S4 E4: The Seven Pandemics: The Story of Cholera

Cause of Death -

Play Episode Listen Later Aug 20, 2022 44:02 Very Popular


Cholera Show Notes:Cause of Death has a website! Come visit me at www.causeofdeath100secs.net. I also have an email address for the show at Jackie@causeofdeath100secs.net. Feel free to interact with me in either place!My Link Tree can be found at: https://linktr.ee/CauseofDeathpodEtiology and Pathology:https://www.uptodate.com/contents/cholera-clinical-features-diagnosis-treatment-and-prevention?sectionName=DIAGNOSIS&topicRef=2682&anchor=H938291637&source=see_link#H938291637https://www.uptodate.com/contents/cholera-microbiology-and-pathogenesishttps://www.uptodate.com/contents/approach-to-the-adult-with-acute-diarrhea-in-resource-limited-countries?topicRef=2704&source=see_linkhttps://www.uptodate.com/contents/approach-to-the-child-with-acute-diarrhea-in-resource-limited-countries?topicRef=2704&source=see_linkhttps://www.uptodate.com/contents/cholera-microbiology-and-pathogenesis?sectionName=Host%20susceptibility&topicRef=2704&anchor=H4004052879&source=see_link#H4004052879https://www.ncbi.nlm.nih.gov/books/NBK470232/https://link.springer.com/chapter/10.1007/978-1-4757-9688-9_11https://www.pasteur.fr/en/cholera-how-parasites-make-bacteria-pathogenichttps://www.frontiersin.org/articles/10.3389/fcimb.2020.572096/fullhttps://www.infectiousdiseaseadvisor.com/home/decision-support-in-medicine/infectious-diseases/vibrio-cholerae/https://www.ncbi.nlm.nih.gov/books/NBK8407/#:~:text=Vibrios%20are%20highly%20motile%2C%20gram,cholera%2C%20is%20the%20most%20important.History of Cholera:https://ed.ted.com/best_of_web/l2cLflvwhttps://academic.oup.com/ije/article/42/6/1537/744897https://www.researchgate.net/publication/327350457_Cholera_Pandemics_1816-1861/link/5bbfb06792851c88fd6515d6/downloadfile:///C:/Users/jjmor/Downloads/CHOLERA-EncyclopediaofPestilencePandemicsandPlagues.pdfhttps://www.theguardian.com/society/from-the-archive-blog/2020/apr/22/halting-cholera-pandemic-archive-1866https://www.history.com/topics/inventions/history-of-cholerahttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4144262/#:~:text=The%20first%20cholera%20vaccine%20was,1955%3B%20Mukerjee%2C%201963%5D.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4154910/https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3321917/https://www.britannica.com/science/cholera/Cholera-through-historyhttps://www.pnas.org/doi/10.1073/pnas.1608732113https://onlinelibrary.wiley.com/doi/pdf/10.1111/j.1538-4632.1969.tb00605.xfile:///C:/Users/jjmor/Downloads/CHOLERA-EncyclopediaofPestilencePandemicsandPlagues.pdfhttps://origins.osu.edu/connecting-history/cholera-covid-public-health-response?language_content_entity=enhttps://www.history.com/topics/inventions/history-of-cholerahttps://collections.nlm.nih.gov/ext/cholera/PDF/9603098.pdfhttps://collections.nlm.nih.gov/ext/cholera/PDF/9603098.pdfDarkcast Network – Promo by Edward October of OctoberpodPodcast Promos:Batwings and ButterfliesFord and VegasMusic:There is No Sequel by Philip AyersYou can reach me on:Instagram and FB: @CauseofDeathTwitter: @CauseofDeath10Please don't forget to rate and review on any of the platforms found here:www.causeofdeath100secs.netYou can support Cause of Death here:Patreon: https://www.Patreon.com/JackieMorantyKo-Fi: https://www.ko-fi.com/causeofdeathluckycharmsunpluggMerch can be found at: https://www.teepublic.com/user/causeofdeathluckycharmsunpluggedPlease share this podcast with everyone you know. Cause of Death is a proud member of the Darkcast Network. Find us at @darkcastnetwork on Twitter and @DarkcastNetwork on Facebook.Cause of Death can be found on all major podcast platforms.

New Books Network
R. F. Kuang, "Babel: Or the Necessity of Violence: An Arcane History of the Oxford Translators' Revolution" (Harper Voyager, 2022)

New Books Network

Play Episode Listen Later Aug 18, 2022 56:44


In R. F. Kuang's Babel, or The Necessity of Violence: An Arcane History of the Oxford Translators' Revolution (Harper Voyager in 2022), we meet Robin Swift. Orphaned by Cholera in Canton in 1828, he is brought to London by a mysterious Professor Lovell, who trains him in Latin, Ancient Greek, and Chinese, to prepare him for enrollment in Oxford University's Royal Institute of Translation—also known as Babel. Yet as Robin soon finds out, the glamour and glory of Babel is not all it seems, and thriving at the center of knowledge and power demands complicity in the violence and militarism of empire…. Tune in to this NBN episode to hear Rebecca discuss what motivated her to write Babel, the inspiration behind Babel's magical system of silver-working and the histories of anti-colonial struggle she wanted to illuminate in her writing, how real-life friendship inspired the friendships of Babel, the importance of sensitivity readers to imagining more diverse and complex characters, the joy of learning languages and the importance of collaboration to writing such a multilingual book, how her writing process has changed and grown since working on The Poppy War trilogy, the intersections and divergences between fiction and academic writing, and her current draft-in-progress on magician PhD students in Hell. R. F. Kuang is author of The Poppy War trilogy and a PhD student in East Asian Languages and Literatures at Yale University. Jennifer Gayoung Lee is a writer and data analyst based in New York City. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/new-books-network

New Books in Historical Fiction
R. F. Kuang, "Babel: Or the Necessity of Violence: An Arcane History of the Oxford Translators' Revolution" (Harper Voyager, 2022)

New Books in Historical Fiction

Play Episode Listen Later Aug 18, 2022 56:44


In R. F. Kuang's Babel, or The Necessity of Violence: An Arcane History of the Oxford Translators' Revolution (Harper Voyager in 2022), we meet Robin Swift. Orphaned by Cholera in Canton in 1828, he is brought to London by a mysterious Professor Lovell, who trains him in Latin, Ancient Greek, and Chinese, to prepare him for enrollment in Oxford University's Royal Institute of Translation—also known as Babel. Yet as Robin soon finds out, the glamour and glory of Babel is not all it seems, and thriving at the center of knowledge and power demands complicity in the violence and militarism of empire…. Tune in to this NBN episode to hear Rebecca discuss what motivated her to write Babel, the inspiration behind Babel's magical system of silver-working and the histories of anti-colonial struggle she wanted to illuminate in her writing, how real-life friendship inspired the friendships of Babel, the importance of sensitivity readers to imagining more diverse and complex characters, the joy of learning languages and the importance of collaboration to writing such a multilingual book, how her writing process has changed and grown since working on The Poppy War trilogy, the intersections and divergences between fiction and academic writing, and her current draft-in-progress on magician PhD students in Hell. R. F. Kuang is author of The Poppy War trilogy and a PhD student in East Asian Languages and Literatures at Yale University. Jennifer Gayoung Lee is a writer and data analyst based in New York City. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/historical-fiction

New Books in Literature
R. F. Kuang, "Babel: Or the Necessity of Violence: An Arcane History of the Oxford Translators' Revolution" (Harper Voyager, 2022)

New Books in Literature

Play Episode Listen Later Aug 18, 2022 56:44


In R. F. Kuang's Babel, or The Necessity of Violence: An Arcane History of the Oxford Translators' Revolution (Harper Voyager in 2022), we meet Robin Swift. Orphaned by Cholera in Canton in 1828, he is brought to London by a mysterious Professor Lovell, who trains him in Latin, Ancient Greek, and Chinese, to prepare him for enrollment in Oxford University's Royal Institute of Translation—also known as Babel. Yet as Robin soon finds out, the glamour and glory of Babel is not all it seems, and thriving at the center of knowledge and power demands complicity in the violence and militarism of empire…. Tune in to this NBN episode to hear Rebecca discuss what motivated her to write Babel, the inspiration behind Babel's magical system of silver-working and the histories of anti-colonial struggle she wanted to illuminate in her writing, how real-life friendship inspired the friendships of Babel, the importance of sensitivity readers to imagining more diverse and complex characters, the joy of learning languages and the importance of collaboration to writing such a multilingual book, how her writing process has changed and grown since working on The Poppy War trilogy, the intersections and divergences between fiction and academic writing, and her current draft-in-progress on magician PhD students in Hell. R. F. Kuang is author of The Poppy War trilogy and a PhD student in East Asian Languages and Literatures at Yale University. Jennifer Gayoung Lee is a writer and data analyst based in New York City. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/literature

New Books in Fantasy
R. F. Kuang, "Babel: Or the Necessity of Violence: An Arcane History of the Oxford Translators' Revolution" (Harper Voyager, 2022)

New Books in Fantasy

Play Episode Listen Later Aug 18, 2022 56:44


In R. F. Kuang's Babel, or The Necessity of Violence: An Arcane History of the Oxford Translators' Revolution (Harper Voyager in 2022), we meet Robin Swift. Orphaned by Cholera in Canton in 1828, he is brought to London by a mysterious Professor Lovell, who trains him in Latin, Ancient Greek, and Chinese, to prepare him for enrollment in Oxford University's Royal Institute of Translation—also known as Babel. Yet as Robin soon finds out, the glamour and glory of Babel is not all it seems, and thriving at the center of knowledge and power demands complicity in the violence and militarism of empire…. Tune in to this NBN episode to hear Rebecca discuss what motivated her to write Babel, the inspiration behind Babel's magical system of silver-working and the histories of anti-colonial struggle she wanted to illuminate in her writing, how real-life friendship inspired the friendships of Babel, the importance of sensitivity readers to imagining more diverse and complex characters, the joy of learning languages and the importance of collaboration to writing such a multilingual book, how her writing process has changed and grown since working on The Poppy War trilogy, the intersections and divergences between fiction and academic writing, and her current draft-in-progress on magician PhD students in Hell. R. F. Kuang is author of The Poppy War trilogy and a PhD student in East Asian Languages and Literatures at Yale University. Jennifer Gayoung Lee is a writer and data analyst based in New York City. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/fantasy

Open Source Security Podcast
Episode 336 - We don't have data, we have security biases

Open Source Security Podcast

Play Episode Listen Later Aug 15, 2022 33:31


Josh and Kurt talk about our lack of security and some of the data bias problems that can emerge. A lot of what we think is security data is really just biased data. This is OK as long as we understand the data is broken and know this is the first step in a longer journey. Show Notes Tweet about data The 6 most common types of bias when working with data Syft and Grype stars graph John Snow, Cholera, the Broad Street Pump Bob Lord tweet

The Uncensored Unprofessor
270 Climate Change (7) The Sun and Double-Speak

The Uncensored Unprofessor

Play Episode Listen Later Aug 3, 2022 43:46


The constant public refrain is that humanity is destroying the planet, that we are the problem, that our presence is the single greatest driver of climate. But actually? The science doesn't go so neat and tidy in that direction. What about the power of the sun? What about our position in our galaxy? I also think with you about reducing inflation by spending $370 billion. What is going on? Why? 

microTalk
A Career in the Time of Cholera: A Discussion with ASM Lifetime Achievement Award Winner John Mekalanos

microTalk

Play Episode Listen Later Jul 27, 2022 53:20


Dr. John Mekalanos (Harvard Medical School) has devoted his career to the study of bacterial pathogens, with a special emphasis to understanding Vibrio cholerae, the bacterium that causes the deadly disease cholera.  And what an amazingly productive research path he has followed, from the discovery and characterization of the regulon that controls V. cholerae virulence, to the identification of the pilus that allows the bacteria to colonize the intestine, to the discovery of the bacteriophage that encodes the cholera toxin.  His (relatively) recent discovery of the Type VI Secretion System and characterization of its role in inter-bacterial competition and host modulation has had broad impact on all aspects of microbiology. Dr. Mekalanos received the 2022 ASM Lifetime Achievement Award for all of his tremendous contributions to our understanding of bacterial-host interactions. Dr. Mekalanos talks about the background of some of the seminal discoveries from his laboratory, how important his laboratory personnel (graduate students, postdoctoral fellows) have been to his success, his thoughts on the eradication of cholera through vaccination, and how his love of poker has contributed to his success as a scientist.   Participants: Karl Klose, Ph.D. (UTSA) John Mekalanos, Ph.D. (Harvard Medical School) Karla Satchell, Ph.D. (Northwestern University)

MedicalMissions.com Podcast
Being Single on the Mission Field: Panel Discussion

MedicalMissions.com Podcast

Play Episode Listen Later Jul 25, 2022


We will address the challenges and advantages of being single on the mission field.

united states women canada children australia china europe education mental health prayer france japan mexico russia germany research africa ukraine italy united kingdom ireland new zealand single north america spain afghanistan nutrition south africa brazil turkey argentina vietnam iran sweden medical portugal muslims thailand iraq colombia chile cuba netherlands singapore abortion nigeria switzerland urban greece indonesia venezuela philippines reunions kenya poland peru south america taiwan norway poverty denmark public health finland costa rica syria haiti south korea belgium diabetes pakistan jamaica austria saudi arabia north korea iceland ghana buddhist uganda guatemala counseling ecuador malaysia lebanon nepal ethiopia qatar nursing sri lanka rural romania congo hungary panama bahamas el salvador zimbabwe dentists psychiatry honduras bolivia dominican republic morocco rwanda bangladesh nicaragua cambodia tanzania uruguay hindu croatia pharmacy monaco malta physical therapy ebola sudan mali bulgaria panel discussion czech republic belarus disabilities hiv aids chiropractic yemen serbia pediatrics tribal dental senegal libya estonia somalia greenland madagascar neurology infectious diseases fiji cyprus kazakhstan barbados zambia mongolia kuwait paraguay economic development lithuania angola armenia bahrain allergy macedonia belize heart disease luxembourg internal medicine plastic surgery sierra leone slovenia namibia liberia mozambique oman slovakia united arab emirates tunisia influenza malawi cameroon oncology laos botswana latvia emergency medicine south pacific midwife papua new guinea church planting surgical albania telemedicine malaria burkina faso tonga azerbaijan family medicine guyana algeria cardiology togo niger guinea community development sustainable development south sudan moldova bhutan dermatology bioethics uzbekistan maldives dieticians mauritius naturopathic burundi andorra eritrea tuberculosis gambia occupational therapy benin radiology social services grenada persecuted church cholera clean water anesthesia kyrgyzstan vanuatu gabon dengue physician assistants endocrinology ophthalmology gastroenterology san marino health education suriname solomon islands palau refugee crisis athletic trainers environmental health liechtenstein mission field brunei disaster relief lesotho turkmenistan seychelles tajikistan swaziland optometry djibouti rheumatology hematology mauritania timor leste central african republic yellow fever marshall islands disease prevention nauru nephrology healthcare administration general surgery kiribati cape verde preventative medicine short term missions french polynesia new caledonia guinea bissau international health speech pathology dental hygienists hep c typhoid orthopaedic surgery allied health tuvalu osteopathic equatorial guinea saint lucia trinidad and tobago cardiac surgery french guiana sexually transmitted infections comoros pulmonology dental assistants bosnia and herzegovina hep b unreached people groups leishmaniasis western samoa democratic republic of the congo lab medicine surgical tech laboratory technician domestic missions epidemology
Nigeria Daily
How Absence of Environmental Officials triggered Cholera Outbreak in Kano

Nigeria Daily

Play Episode Listen Later Jul 21, 2022 16:05


In Nigeria, cholera is an endemic disease that occurs annually.In Kano, the rate of reoccurrence of cholera outbreaks is on the high side, why?In this episode of Nigeria Daily, we look at how the disappearance of environmental officers has led to an increase in Cholera outbreaks.

Black and White Sports Podcast
Senator John Kennedy SLAMS Joe Biden! LESS Popular Than BANJO KID from Deliverance & CHOLERA!

Black and White Sports Podcast

Play Episode Listen Later Jul 17, 2022 10:34


Senator John Kennedy SLAMS Joe Biden! LESS Popular Than BANJO KID from Deliverance & CHOLERA! #drinkjavy Get your supply of Javy Coffee here today: https://bit.ly/3B7iUMn My Patriots Supply! Click Here: http://www.preparewithblackandwhite.com/ Get 25% off! We Are The Number 1 Conservative Sports News Entity In The USA on YOUTUBE! Make Sure You Subscribe on Podcast & YouTube! Make Sure You Subscribe on Podcast! Available on Google Podcast, Spotify, Castbox, Apple Podcasts (ITunes): https://anchor.fm/blackandwhitesports Become a Paid Subscriber: https://anchor.fm/blackandwhitesports/subscribe The podcast is all about the world of sports news, sports reactions, and the games. Website: www.blackandwhitenetwork.com

Larry Conners USA
Is Biden Trying To Destroy Small Businesses/ 1 PM LC-USA 07-15-22

Larry Conners USA

Play Episode Listen Later Jul 15, 2022 46:28


Is Biden Trying To Destroy Small Businesses/ July. 15. 2022 (Larry Conners is Paul Harvey with an Edge) Hour One of Larry Conners USA:  Senator John Kennedy  (R-LA) says Biden is as popular as Cholera.  Congressman Jim Jordan: Hunter Biden nation security risk.  Congressman McCarthy calls Biden's policies have denied Americans of oil independence.  Larry's [...] The post Is Biden Trying To Destroy Small Businesses/ 1 PM LC-USA 07-15-22 appeared first on Larry Conners USA.

HölleHölleHölleCast
Into the Schreiberverse 10: Die Genderweiber

HölleHölleHölleCast

Play Episode Listen Later Jul 13, 2022 96:36


Diese Folge aus der Hölle: Paul und Marlene sind zurück mit der zehnten Folge des Schreiberverse! Sie schauen das Malcom vs. Consti Interview von und mit Maischberger, danach wird reingegangen und Consti haut wieder richtige Banger raus, ein Bobby H-Beck stand-in, ein stand-in für sich selbst und ein stand-in für echte, richtige Nazis. Es werden so viele persönliche Axes gegrindet. Was das mit Gundam zu tun hat? Haltet euch fest und findet es raus. Kauft euch nicht dieses Buch, gebt eurem schlimmsten Feind lieber Pest oder Cholera, da hat er mehr von. Wenn ihr es trotzdem lesen wollt, schreibt mich an und ich leih euch meins. ;) Folgt uns auf Twitter: Der Pod: https://twitter.com/HHHCast Auf Patreon: https://www.patreon.com/hhhcast Jan: https://twitter.com/YungPatrickOne Paul: https://twitter.com/hat_recht Marlene: https://twitter.com/rosa_pinguin Kommt außerdem auf den offiziellen, deutschprachigen HHH Discord: https://discord.com/invite/2t44zXKV7M Schreibt uns Post an: 3malhoelle@protonmail.com

Old Time Radio Westerns
Cholera – Gunsmoke (12-04-54)

Old Time Radio Westerns

Play Episode Listen Later Jul 10, 2022 30:35


Original Air Date: December 04, 1954Host: Andrew RhynesShow: GunsmokePhone: (707) 98 OTRDW (6-8739) Stars:• William Conrad (Matt Dillion)• Parley Baer (Chester)• Georgia Ellis (Kitty)• Howard McNear (Doc) Special Guests:• Ralph Moody• Virginia Christine• Vic Perrin• Clayton Post• Sam Edwards Writer:• John Meston Producer:• Norman Macdonnell Music:• Rex Koury Exit music from: Roundup on the Prairie […]

Gunsmoke - OTRWesterns.com
Cholera – Gunsmoke (12-04-54)

Gunsmoke - OTRWesterns.com

Play Episode Listen Later Jul 10, 2022 30:35


Original Air Date: December 04, 1954Host: Andrew RhynesShow: GunsmokePhone: (707) 98 OTRDW (6-8739) Stars:• William Conrad (Matt Dillion)• Parley Baer (Chester)• Georgia Ellis (Kitty)• Howard McNear (Doc) Special Guests:• Ralph Moody• Virginia Christine• Vic Perrin• Clayton Post• Sam Edwards Writer:• John Meston Producer:• Norman Macdonnell Music:• Rex Koury Exit music from: Roundup on the Prairie […]

Yesterday's London Times
From Medieval to Modern: The London Summer of 1858

Yesterday's London Times

Play Episode Listen Later Jul 9, 2022 85:01


In this episode, we remain in Victorian London and will examine the events of the summer of 1858, the moment in time that serves as the bridge from medieval to modern London. We will explore:how The Big Stink served as an impetus for change in regards to water qualitythe contributions of Sir Joseph Bazalgette and his gift to public health: modern sanitation the beginnings of a notable British politician, Benjamin Disraelithe unintended distraction from the heat and stench: the drama of Charles Dickens' personal lifethe problematic issues of imperialism in Colonial Indiathe spark that jolted Charles Darwin to action and accelerated the publication of what would become On the Origin of SpeciesWe will also dig more deeply and question:if the Victorian era is the bridge between medieval and modern London, might we still be crossing that bridge? Are we currently in a separate era, or are we in the next chapter of that modernisation, as technology pushes us into an even more global society?Photos and links can be found in our show notes.Do you like what you hear?  Please help us find our audience by spreading some good cheer with a 5 star rating and review on Apple Podcasts!Our website: https://yltpodcast.buzzsprout.com/ Follow us on:Twitter @YLT_PodFacebook @Yesterday's London Times PodcastInstagram @Yesterday's London Times PodcastCounterSocial @YLTPodcast

Join Us in France Travel Podcast
Rosa Bonheur, the Artist Who Wore Pants

Join Us in France Travel Podcast

Play Episode Listen Later Jul 3, 2022 66:44 Very Popular


On today's episode of the podcast, Annie Sargent and Elyse Rivin talk about Rosa Bonheur on the occasion of the 200th anniversary of her birth in Bordeaux. Rosa Bonheur was one of the most successful painters of her generation and was the most important and successful woman artist of the 19th century. Known for her paintings of animals and for her eccentric and somewhat exotic lifestyle, she was a consummate artist who lived a singular life. When people who know about art and painting hear her name, what immediately comes to mind is that she painted animals. They were the passion of her life. But her work is so much more than ‘just” painting animals, and the why and how of her becoming an artist are part of an incredible story. Thomery is the chateau where Rosa spent a lot of her time. You can visit it, you can even spend the night in Rosa's room! Book Recommendation: Art is a Tyrant, the Unconventional Life of Rosa Bonheur by Catherine Hewitt YouTube video about Rosa Bonheur Table of Contents for the Rosa Bonheur Episode [00:00:00] Intro [00:00:39] What's in this episode [00:01:59] Who supports the podcast [00:03:01] Main interview [00:03:48] Who was Rosa Bonheur? [00:04:38] Rosa Bonheur's parents [00:05:42] Art education in the family [00:06:39] Rosa's father [00:07:03] Rosa's childhood [00:08:03] Her artistic environment [00:08:59] Father's ambitions [00:10:07] Family moves to Paris [00:10:17] What was the ‘Salon'? [00:12:28] Rosalie was different and more independent [00:13:36] The Political Environment in the 1830s [00:14:49] Idealist vs Realist in the family [00:15:51] The Family Moved to Rue des Tournelle [00:16:07] Her Mother Passes Away from Cholera [00:17:44] Rosa's Art Education and Gifting [00:18:50] She didn't adhere to the ‘art for women' category [00:20:31] Her companion and assistant [00:21:53] Permission to wear men's clothing [00:23:32] Men still can't wear women's clothes today [00:25:49] Rosa Bonheur was a trail blazer [00:26:45] Admitted to the Salon and wins first prize [00:27:33] Her first really famous painting [00:28:07] Financially independent [00:29:07] Her sophisticated technique [00:29:41] Accepted in the Salon by default [00:30:43] Becomes the Director of the School of Drawing [00:31:14] Rosa Bonheur was an inspiration to many artists [00:31:39] She painted the rural France [00:32:32] Rosa Bonheur surrounded herself with animals [00:33:57] Le Marché aux Chevaux [00:36:08] No rights to the photos [00:37:10] Realism focused on rural life [00:38:29] Rosa Bonheur's “Category” [00:42:02] The Barbie of the 19th Century? [00:42:40] Her looks [00:43:37] Where can you see her work? [00:44:50] 200th anniversary of her birth [00:45:19] Do we like tortured artists? [00:46:43] Outro[00:46:43] Thank you, patrons [00:48:08] Preparing to Visit France? [00:48:25] Hire me to be your itinerary consultant [00:49:38] The self-guided tours [00:50:26] Travel question of the week [00:54:21] This Week in French News [00:57:38] Security changes at the Sainte Chapelle [00:59:04] Abortion Law Changes [01:01:34] Personal update [01:03:45] Show notes [01:04:10] Next week on the podcast

SBS Nepali - एसबीएस नेपाली पोडकाष्ट
Paddy planting season begins, and the number of cholera infections in Kathmandu raises concern: Weekly Nepal update - धान रोपाइँका बिच देशका विभिन्न स्थानमा बाढी, पहिरो

SBS Nepali - एसबीएस नेपाली पोडकाष्ट

Play Episode Listen Later Jul 3, 2022 5:22


Farmers of Nepal have marked the beginning of the rice planting season by celebrating the annual paddy planting day. And concerns are raised about cholera infections outbreak. Listen to the news of the last seven days from Nepal. - असारको महिना धान रोप्ने चटारोका बिच देशका विभिन्न स्थानमा वर्षा र बाढी पहिरो जाने क्रम जारी रहेको छ। साथै काठमान्डुका कम्तीमा १० ठाउँमा हैजाको ब्याक्टेरिया भएको पुष्टि भएको लगायत पछिल्लो सात दिनका प्रमुख समाचारका साथ एक विशेष कुराकानी सुन्नुहोस्। 

History Hack
History Hack: Cholera - The Victorian Plague with Amanda Thomas

History Hack

Play Episode Listen Later Jun 29, 2022 59:20


Amanda Thomas joins us to discuss the history of a Victorian nemesis, and of course, we'd be idiots not to discuss the parallels with Covid-19 today.  Buy Amanda's book, Cholera: The Victorian Plague, at the History Hack Bookshop here: https://uk.bookshop.org/a/6252/9781526781819 Support us: https://www.patreon.com/historyhack Tips: https://ko-fi.com/historyhack Merch: https://shop.historyhackpod.com/  

Cancer Stories: The Art of Oncology
My White Coat Doesn't Fit

Cancer Stories: The Art of Oncology

Play Episode Listen Later Jun 28, 2022 35:52


“My White Coat Doesn't Fit” by Narjust Florez (Duma): a medical oncologist shares her story about exclusion, depression and finding her way in oncology as a Latina in medicine and oncology.   TRANSCRIPT Narrator: My White Coat Doesn't Fit, by Narjust Duma, MD (10.1200/JCO.21.02601) There I was, crying once again all the way from the hospital's parking lot to my apartment, into the shower, and while trying to fall asleep. This had become the norm during my internal medicine residency. For years, I tried hard every day to be someone else in order to fit in. It started with off-hand comments like “Look at her red shoes,” “You are so colorful,” and “You are so Latina.” These later escalated to being interrupted during presentations with comments about my accent, being told that my medical school training in my home country was inferior to my US colleagues, and being assigned all Spanish-speaking patients because “They are your people.” Some of those comments and interactions were unintentionally harmful but led to feelings of isolation, and over time, I began to feel like an outsider. I came to the United States with the dream of becoming a physician investigator, leaving behind family, friends, and everything I knew. Over time, I felt pigeonholed into a constricting stereotype due to my ethnicity and accent. Back home, I was one of many, but in this new setting, I was one of a few, and in many instances, I was the only Latina in the room. I was raised by divorced physician parents in Venezuela; my childhood years were often spent in the clinic waiting for my mother to see that one last patient or outside the operating room waiting for my father to take me home. The hospital felt like my second home, growing up snacking on Graham crackers and drinking the infamous hospital's 1% orange juice. “She was raised in a hospital,” my mother used to say. Sadly, that feeling of being at home in the hospital changed during medical training as I felt isolated and like I did not belong, making me question my dream and the decision to come to the United States. I remember calling my family and crying as I asked “Why did I leave?” “Why didn't you stop me from coming here?” and seeking permission to return home. I felt like I was disappointing them as I was no longer the vivid, confident young woman who left her home country to pursue a bright future. I remember one colleague, Valerie (pseudonym), from Connecticut. Valerie attended medical school in the United States, did not have an accent, and was familiar with the American health care system. She understood how the senior resident-intern relationship functioned, a hierarchy that continually confused me. Over the following weeks, I took a closer look at how my colleagues and other hospital staff interacted with Valerie. I noticed that people did not comment about her clothing or personality. She was “normal” and fit in. I remember my senior resident asking me, “Narjust, why can't you be more like Valerie?” Ashamed, I mumbled that I would try and then ran to the bathroom to cry alone. That interaction was a turning point for me; I got the message. I needed to change; I needed to stop being who I was to be accepted. As the years passed, I kept key pieces of my personality hidden, hoping I could earn the respect of my colleagues. I refrained from sharing my personal stories as they were different from those around me. I grew up in a developing country with a struggling economy and an even more challenging political situation. It was clear that we simply did not share similar experiences. When I sought help from my senior residents and attending physicians, my feelings were often minimized or invalidated. I was told that “residency is tough” and that I should “man up.” A few even suggested that I mold my personality to fit the box of what a resident physician was supposed to be. I slowly realized that my clothing changed from reds and pinks to greys and blacks because it was “more professional”; my outward appearance faded, as did my once bright sense of humor and affability. All these issues led to depression and an overwhelming sense of not belonging. A few months later, I was on antidepressants, but the crying in the shower continued. Rotation by rotation, I looked for a specialty that would help me feel like I belonged, and I found that in oncology. My mentor embraced my research ideas; my ethnic background or accent did not matter; we had the same goal, improving the care of our patients with cancer. I got to travel to national and international conferences, presented my research findings, and received a few awards along the way. From the outside, it looked like I was thriving; my mentor often called me a “Rising Star,” but in reality, I was still deeply depressed and trying to fit in every day. My career successes led me to believe that not being myself was the right thing to do. I felt isolated; I was trying to be someone I was not. A year later, I matched at my top choice oncology fellowship program; the program had the balance I was looking for between clinical care and research. This meant that I needed to move to the Midwest, further away from family, and to an area of the country with less racial and ethnic diversity. After 2 years on antidepressants and the 10 extra pounds that came with it, my white coat did not fit. My white coat felt like a costume that I would put on every day to fulfill the dream of being a doctor. I would often wake up in the middle of the night exhausted and depressed. I had all the responsibilities of a hematology/ oncology trainee and the additional full-time job of trying to fit in every day; I was using all my energy trying to be someone I was not. Regardless of my fears, I felt in my element when talking to patients and interacting with my cofellows. Despite having a different skin color and accent, I felt accepted by my patients with cancer. I remember when one of my patients requested to see me while in the emergency room because “Dr Duma just gets me.” She had been evaluated by the head of the department and attending physicians, but for her, I washer doctor. Tears of happiness accompanied my bus ride to see her; at that moment, I knew I was an oncologist, and oncology was the place I belonged. The next day, I realized that it was time to be myself: Narjust from Venezuela, a Latina oncologist who was her true self. I searched the bottom of my closet for the last piece of colorful clothing I had saved, a yellow dress. I put on that brightly colored dress for the first time in 5 years and finally felt comfortable being my authentic self; the yellow dress represented freedom and embraced the culture and colors I grew up seeing in my hometown. I finally understood that I brought something special to the table: my unique understanding of the challenges faced by Latinx patients and trainees, my advocacy skills, and my persistence to endure the academic grindstone. Psychotherapy was also an essential part of my recovery; I learned that happiness lived within me as a whole person—hiding my accent, cultural background, and past experiences was also hiding the light and joy inside me. Along the way, I found colleagues who faced the same challenges and validated that my experiences resulted from an environment that excludes the difference and values homogeneity. This route to self-discovery helped me find my calling to support others in situations similar to mine.3 I learned how to incorporate and celebrate my ethnicity in the world of academic oncology by teaching others the power of cultural humility, diversity, equity, and inclusion. Together with newfound friends and colleagues, I cofounded the #LatinasinMedicine Twitter community for those who face similar burdens during their training and careers. The #LatinasinMedicine community was created to share our stories, embrace our culture, and amplify other Latinas in medicine—to create connections that alleviate the sense of isolation that many of us have experienced and serve as role models to the next generation of Latinas in medicine. To help drive systemic change, I founded the Duma Laboratory, a research group that focuses on cancer health disparities and discrimination in medical education. Through research, the Duma Laboratory has shown that my experiences are not unique but rather an everyday reality for many international medical graduates and other under-represented groups in medicine. The Duma Laboratory has become a safe environment for many trainees; we seek to change how mentorship works for under-represented groups in oncology, with the hope that the isolation I felt during my training is not something that future physicians will ever have to endure. After years of depression and self-discovery, my white coat now fits. However, this is not your regular white coat; it has touches of color to embrace my heritage and the ancestors who paved the way for me to be here today. The face of medicine and oncology is changing around the world; young women of color are standing up to demonstrate the strength of our experiences and fuel the change that medical education needs. For all minority medical students, residents, fellows, and junior faculty, we belong in medicine even during those moments when our identity is tested. Through my journey, I learned that we can and must challenge the status quo. I hope to inspire others to join me in this path of advocating for diversity, equity, and inclusion because the time for change is now. I was finally free the moment I realized I could not be anyone else but myself, a proud Latina in medicine and oncology. Dr. Lidia Schapira: Welcome to JCO's Cancer Stories: The Art of Oncology, brought to you by the ASCO Podcast Network, which offers a range of educational and scientific content and enriching insight into the world of cancer care. You can find all of the shows including this one at podcast.asco.org. I'm your host, Lidia Shapira, Associate Editor for Art of Oncology and Professor of Medicine at Stanford. And with me today is Dr. Narjust Duma, Associate Director of the Cancer Care Equity Program and Medical Thoracic Oncologist at Dana Farber and an Assistant Professor at Harvard Medical School. We'll be discussing her Art of Oncology article, ‘My White Coat Doesn't Fit.' Our guest has a consulting or advisory role with AstraZeneca, Pfizer, NeoGenomics Laboratories, Janssen, Bristol Myers Squibb, Medarax, Merck, and Mirati. Our guest has also participated in a speaker's bureau for MJH Life Sciences. Narjust, welcome to our podcast. Dr. Narjust Duma: Thank you for the invitation and for letting us share our story. Dr. Lidia Schapira: It's lovely to have you. So, let's start with a bit of background. Your essay has so many powerful themes, the story of an immigrant in the US, the story of resilience, the story of aggression and bullying as a recipient of such during training, of overcoming this and finding not only meaning, but really being an advocate for a more inclusive and fair culture in the workplace. So, let's untangle all of these and start with your family. I was interested in reading that you're named after your two grandmothers, Narcisa and Justa. And this is how your parents, both physicians, Colombian and Dominican, gave you your name, and then you were raised in Venezuela. So, tell us a little bit about your family and the values that were passed on in your family. Dr. Narjust Duma: Thank you for asking. Having my two grandmothers names is something that my mother put a lot of effort into. She was a surgery resident with very limited time to decide to do that. And I don't have a middle name, which is quite unique in Latin America, most people in Latin America have one or two middle names. So, my mother did that to assure that I will use her piece of art, which is my first name. But little does she know that my grandmothers were going to be such an important part of my life, not only because they're in my name, but also because I am who I am thanks to them. So, the first part of my name, Narcisa was my grandma who raised me and she gave me the superpower of reading and disconnecting. So, I'm able to read no matter where I am and how loud it can be and disconnect with the world. So, it is often that my assistants need to knock on my door two or three times so, I don't like being scared because I'm able to travel away. That was also very unique because you will find me in the basketball games from high school or other activities with a book because I was able to block that noise. But it also makes very uncomfortable situations for my friends that find it embarrassing that I will pull a book in the basketball game. And as I grow, thanks to the influence of my grandmothers, I always have these, how can I say, mixed situation, in which they were very old school grandmothers with old school habits and values, and how I'm able to modify that. My grandma told me that you can be a feminist, but you still take care of your house. You can still, you know, cook. And that taught me that you don't have to pick a side, there is no one stereotype for one or another. Because as my mother being a single mother and a surgeon, my parents divorced early on, told me, ‘Yes, I can be the doctor but I can also be the person that has more than a career that's able to have hobbies.' I love cooking, and when I'm stressed, I cook. So, I had a grant deadline a few weeks ago and I cooked so much that there was food for days. So, having the names of my grandmothers is very important because I have their values, but I have modified them to the current times. Dr. Lidia Schapira: Let me ask a little bit about reading. I often ask the guests of this podcast who have written and therefore I know enjoy reading and writing, what their favorite books are or what is currently on their night table. But I'm going to ask you a second question and that is what languages do you read in? Dr. Narjust Duma: I prefer to read in Spanish. I found that books in Spanish, even if it's a book that originated in English, have these romantic characteristics. And I often tell my editors, ‘Just take into account that I think in Spanish, and write in English'. Because I grew up with Gabrielle Garcia Marquez, and when he describes a street, that's a page of the little things that he describes. So, that's how I write and that's how I read in a very romantic, elaborate way. The aspects of realistic imagism, which is my favorite genre in literature, and there are so many Latin American and South American writers that I don't think that I am going to run out. And when I run out, I reread the same books. I have read all of Gabrielle Garcia Marquez's books twice, and Borges, too. It's the type of stories that allows you to submerge yourself and you imagine yourself wearing those Victorian dresses in the heat of a Colombian street, as you try to understand if, you know, Love in the Time of Cholera, if they were more in love with being in love or what it was happening in the story. And that just gives me happiness on a Sunday morning. Dr. Lidia Schapira: That's beautiful. I must confess that reading Borges is not easy. So, I totally admire the fact that you have managed to read all of his work. And I think that you're absolutely right, that magical realism is a genre that is incredibly fresh, and perhaps for the work that we do in oncology, it's a wonderful antidote in a way to some of the realities, the very harsh realities that we deal with on a daily basis. So, let me ask you a little bit about growing up in Venezuela in the 80s, 90s, early aughts. That must have been difficult. Tell us a little bit about that, and your choice of attending medical school. Dr. Narjust Duma: So, growing up in Venezuela, with a Colombian mother, it was quite a unique perspective because she was very attached to her Colombian roots. So, a lot of the things that happened in the house were very Colombian, but I was in Venezuela. So, it was a unique characteristic of being from a country but your family is not from there. So, my parents are not from Venezuela, my grandparents either, and I'm Venezuelan because I was born and raised there. So, that brought a unique perspective, right? The music that I played in my house was Colombian music, not Venezuelan music. So, my family migrated from Colombia to Venezuela due to the challenges in the early 80s with violence and the Medellin, due to the drug cartels. So, we moved to Venezuela for a better future. And growing up in the first years, Venezuela was in a very good position. Oil was at the highest prices. Economically, the country was doing well. I remember, in my early years, the dollar and the bolivar had the same price. But then little by little I saw how my country deteriorated, and it was very heartbreaking. From a place where the shells were full of food to a place now when there is no food, and you go to the supermarket, and many of them are close. And now you're only limited to buying certain things. And you used to use your federal ID that has an electronic tracking on how much you can buy because of socialism. So, you're only allowed to buy two kilograms of rice per month, for example, you're only allowed to buy this number of plantains. So, every time I go home, because Venezuela is always going to be my home, it doesn't matter where I am., I see how my country has lost pieces by pieces, which is quite very hard because I had a very good childhood. I had a unique childhood because I was raised in hospitals. But I had a childhood in which I will play with my friends across the street. We were not worried about being kidnapped. We were not worried about being robbed. That's one thing that children in Venezuela cannot do right now. Children of doctors – there's a higher risk of being kidnapped as a kid right now if your father is a doctor or your mother. So, my childhood wasn't like that. When I teach my students or talk to my mentees, I'm often selling my country, and saying that's not what it used to be. That's not where I grew up. But every year I saw how it no longer is where I grew up. That place doesn't exist, and sometimes, Lidia, I feel like my imagination may have to fill it out with more good things. But I think it was a good childhood. It's just that nobody in Venezuela is experiencing what I experienced as a kid. Dr. Lidia Schapira: So, both parents were doctors and you chose to study medicine, was this just right out of high school? Dr. Narjust Duma: Even before high school, I found myself very connected to patients. So, since I turned 15, my father would give his secretary a month of vacation because that's the month that we fill in. So, I was the secretary for a month every summer since I was 15 until I was 20. That early exposure allowed me to like get to know these patients and they know I was the daughter, but I was also the secretary. So, I really cherished that. Growing up in my household, we're a house of service. So, our love language is acts of service. That's how pretty much my grandmas and my parents were. So, in order to be a physician, that's the ultimate act of service. I have wanted to be a doctor since I was 11. I think my mother face horrible gender harassment and sexual harassment as a female in the surgery in the early 80s, that she tried to push me away from medicine. Early on, when I was 11, or 12, being an oil engineer in Venezuela was the career that everybody should have, right? Like, people were going to the Emirates and moving to different parts of the world and were doing wonderful. So, my mother, based on her experience in the 80s, was pushing me away from it. She's like, ‘You can do other things.' My father always stayed in the back and said, ‘You can do what you want.' This is how our parents' experiences affect our future. If I wouldn't be this stubborn, I would probably be an oil engineer today, and I wouldn't be talking to you. Dr. Lidia Schapira: So, you went to medical school, and then after you graduated, what did you decide to do? Because when I look at what we know about the history there is I think you graduated in '09, and then the story that you write about sort of begins in '16 when you come to New Jersey to do training in the US, but what happened between '09 and '16? Dr. Narjust Duma: I started residency in 2013. '16 was my fellowship. So, going to medical school was one of the hardest decisions I made because right in 2003 and 2004 was a coup in Venezuela where part of the opposition took over the country for three days, and then the President of the time came back and the country really significantly destabilized after that coup. Most schools were closed. Entire private industries were closed for a month. And I think for some people, it's hard to understand what happened. Everything closed for a month, McDonald's was closed for a month. There was no Coke because a Coke company was not producing. Everything was closed. The country was just paralyzed. So, my mother and I, and my family, my father, took into account that we didn't know when medical school would resume in Venezuela. We didn't know if the schools would ever open again. I decided to apply for a scholarship and I left Venezuela at the age of 17 to go to the Dominican Republic for medical school. Very early on, I noticed that I was going to be a foreigner wherever I go because I left home. And since then, I think I became very resilient because I was 17 and I needed to move forward. So, that is what happened in 2004. I left everything I knew. I left for the Dominican. I do have family in the Dominican, but it was very hard because even if you speak the same language, the cultures are very different. And then I went to medical school in the Dominican and when I was in the Dominican Republic, I realized I really wanted to do science and be an advocate and focus on vulnerable populations with cancer. So, then I made the decision to come to the United States, I did a year of a research fellowship at Fred Hutchinson, and then I went to residency in 2013. Dr. Lidia Schapira: I see. And that's when you went to New Jersey, far away from home. And as you tell the story, the experience was awful, in part because of the unkindness and aggression, not only microaggression but outright bullying that you experienced. In reading the essay, my impression was that the bullying was mostly on two accounts. One was gender. The other was the fact that you were different. In this particular case, it was the ethnicity as a Latin or Hispanic woman. Tell us a little bit about that so we can understand that. Dr. Narjust Duma: I think what happened is that perfect example of intersectionality because we are now the result of one experience, we're the result of multiple identities. So many woman have faced gender inequalities in medicine, but when you are from a marginalized group, those inequalities multiply. I have an accent and clearly a different skin color. I grew up in a family in which you were encouraged to be your true self. My grandmothers and my mother said, ‘You never want to be the quiet woman in the corner because the quiet woman never generates change.' That's what they said, and I bet there are some who do. But that intersection of my identities was very challenging because I was seen as inferior just for being a woman and then you multiply being one of the few Latinas you are seen like you are less just because you are - it doesn't matter how many degrees or papers or grants you had done and all, I was the most productive research resident in my residency for two years in a row - but I would still be judged by my identity and not what I have produced, or what I do on my patients' experiences, which were great – the feedback from my patients. It's just because I was the different one. Dr. Lidia Schapira: When I hear your story about your origins, it seems to me that you came from a very capable loving family, and they basically told you to go conquer the world, and you did. And then you arrive and you're a productive successful resident, and yet, you are marginalized, as you say. People are really aggressive. Now that you've had some years that have passed, if you think back, what advice would you give that young Narjust? Dr. Narjust Duma: My number one advice, would be that, I will tell myself is that I belong, in many instances, I feel like I didn't belong. It makes me question all the decisions to that day because when you're doing a presentation, and I still remember like today, and you're interrupted by someone, just for them to make a comment about your accent, it really brings everything down to your core, like, 'Is my presentation not accurate? Is the information not all right? And why am I here? Why did I left everything I love to be treated like this?' Dr. Lidia Schapira: Of course. So, from New Jersey, you write in your essay that you really discover your passion for cancer research, and you land in a fellowship with a mentor who is encouraging, and things begin to change for you. Can you tell us a little bit about that phase of your training in your life where you slowly begin to find your voice in the state, that also where you crash, where you find yourself so vulnerable that things really fall apart? Dr. Narjust Duma: So, when I was a resident, I didn't know exactly - I was interested in oncology, but I wasn't sure if it was for me. So, Dr. Martin Gutierrez at Rutgers in Hackensack is the person who I cold emailed and said, ‘I'm interested in studying gastric cancer in Hispanic patients because I think that patients in the clinic are so young.' He, without knowing me or having any idea, he trusted me. We still meet. He still follows up with me. He encouraged me. I think him being a Latino made the experience better, too, because I didn't have to explain my experience to him. I didn't have to explain that. He understood because he went through the same things. And he's like, ‘I got you. Let's follow what you want to do.' He embraced who I was, and how I put who I was into my research. And thanks to Dr. Gutierrez, I'm at the Mayo Clinic as an international medical grad. So, finding a place in which my ideas were embraced was very important to allow me to stay in medicine because, Lidia, I can tell you several times, I decided to leave. I was very committed to finding something else to do or just being a researcher and leaving clinical medicine behind. So, when I went to Mayo, I still followed with that mentor, but I already knew what I wanted to do. I wanted to do cancer health disparities. I wanted to do inclusion and diversity. And that allowed me to develop the career I have now and is having that pathway because I, with my strong personality and everything else, faced this discrimination, and I can imagine for other trainees that may still be facing that or will face that in the future. So, I use the negative aspects to find my calling and do many things I have done after that. Dr. Lidia Schapira: Speaks to your strengths and your determination. Let's talk a little bit about the people who may also feel different but whose differences may not be so apparent. How do you now as an emerging leader, and as a mentor, make sure that you create an inclusive and safe environment for your younger colleagues and your mentees? Dr. Narjust Duma: One of the things that resulted was the founding of the Duma Lab, which is a research group that focuses on cancer, health disparities, social justice as a general, and inclusion in medical education. So, one of the things that I practice every day is cultural humility. I continue to read and remember the principles. I have them as the background on my computer at work. The number one principle in lifelong learning is that we learn from everyone and that we don't know everything and other people's cultures, and subculture, we learn their culture is rich. So, in every meeting, I remind the team of the principles of cultural humility when somebody is joining the lab. I have one-on-one meetings, and I provide information and videos about cultural humility because the lab has been created as an environment that's safe. We have a WhatsApp group that is now kind of famous - it's called The Daily Serotonin. The majority of the members of the lab are part of marginalized groups, not only by gender but race, religion, sexual and gender orientation. So, we created this group to share good and bads, and we provide support. So, a few weeks ago, a patient made reference to one of their lab member's body, the patient was being examined and that was quite inappropriate. The member debriefed with the group and we all provided insights on how she had responded, and how she should respond in the future. That's not only learning from the person that brought the scenario but anybody else feels empowered to stop those microaggressions and stop those inappropriate behaviors that woman particularly face during clinical care. So, cultural humility, and having this WhatsApp group that provides a place where, first, I remind everybody that's confidential, and a place in which anything is shared has been very successful to create inclusivity in the group. Dr. Lidia Schapira: You have such energy and I'm amazed by all of the things that you can do and how you have used social connection as a way of bringing people up. So, can you give our listeners perhaps some tips for how you view creating a flatter culture, one with fewer hierarchies that makes it safer for learners and for those who are practicing oncology? What are three quick things that all of us can do in our work starting this afternoon? Dr. Narjust Duma: The concept is that we all can be allies. And being an ally doesn't take a lot of time or money because people think that being an ally is a full-time job, it is not. So, the first one tip will be to bring people with you. Your success is not only yours. It's a success of your mentees. It's a success of your colleagues. So, don't see your success as my badge on my shoulder. It's the badge that goes on everyone. So, bring people in, leave the door open, not only bring them but leave the door open because when you do it helps the next generation. Two, little things make a difference. I'm going to give you three phrases that I use all the time. When you think somebody has been marginalized in a meeting, bring them up, it takes no time. For example, 'Chenoa, what do you think we can do next?' You're bringing that person to the table. Two, you can advocate for other women and minorities when they're easily interrupted in a meeting. This takes no time. ‘I'm sorry you interrupted Dr. Duma. Dr. Duma?' So, that helps. The third thing is very important. You can connect people. So, one of the things is that I don't have every skill, so I advocate for my mentees and I serve as a connector. I have a mentee that is into bioinformatics. Lidia, that's above my head. I don't understand any of that. So, I was able to connect that person to people that do bioinformatics. And follow up. My last thing is to follow up with your people because they need you. Dr. Lidia Schapira: Well, I'm very glad that you're not an oil engineer in the Emirates. I'm sure your family is incredibly proud. I hope that you're happy where you are. We started a little bit about where you started, I'd like to end with your idea of where you imagine yourself 10 years from now? Dr. Narjust Duma: That is a question I don't have an answer prepared for. I guess my career development plans I think I want to be in a place where I look back and I can see that the careers of my mentees being successful. And I think that we measure my success based not on myself, I would measure my success in 10 years based on where my mentees are. And medical education is a more inclusive place. That will be the two things I want to see in 10 years. In the personal aspect, I don't know if we have art, don't know if we have those grants as long as my mentees are in a better place. Dr. Lidia Schapira: It has been such a pleasure to have this conversation. Thank you so much, Narjust. Dr. Narjust Duma: Thank you. Dr. Lidia Schapira: Until next time, thank you for listening to this JCO's Cancer Stories: The Art of Oncology podcast. If you enjoyed what you heard today, don't forget to give us a rating or review on Apple podcasts or wherever you listen. While you're there, be sure to subscribe so you never miss an episode of JCO's Cancer Stories: The Art of Oncology podcast. This is just one of many of ASCO's podcasts. You can find all of the shows at podcast.asco.org. The purpose of this podcast is to educate and inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions. Guests on this podcast express their own opinions, experience, and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity, or therapy should not be construed as an ASCO endorsement. Narrator: My White Coat Doesn't Fit, by Narjust Duma, MD (10.1200/JCO.21.02601) There I was, crying once again all the way from the hospital's parking lot to my apartment, into the shower, and while trying to fall asleep. This had become the norm during my internal medicine residency. For years, I tried hard every day to be someone else in order to fit in. It started with off-hand comments like “Look at her red shoes,” “You are so colorful,” and “You are so Latina.” These later escalated to being interrupted during presentations with comments about my accent, being told that my medical school training in my home country was inferior to my US colleagues, and being assigned all Spanish-speaking patients because “They are your people.” Some of those comments and interactions were unintentionally harmful but led to feelings of isolation, and over time, I began to feel like an outsider. I came to the United States with the dream of becoming a physician investigator, leaving behind family, friends, and everything I knew. Over time, I felt pigeonholed into a constricting stereotype due to my ethnicity and accent. Back home, I was one of many, but in this new setting, I was one of a few, and in many instances, I was the only Latina in the room. I was raised by divorced physician parents in Venezuela; my childhood years were often spent in the clinic waiting for my mother to see that one last patient or outside the operating room waiting for my father to take me home. The hospital felt like my second home, growing up snacking on Graham crackers and drinking the infamous hospital's 1% orange juice. “She was raised in a hospital,” my mother used to say. Sadly, that feeling of being at home in the hospital changed during medical training as I felt isolated and like I did not belong, making me question my dream and the decision to come to the United States. I remember calling my family and crying as I asked “Why did I leave?” “Why didn't you stop me from coming here?” and seeking permission to return home. I felt like I was disappointing them as I was no longer the vivid, confident young woman who left her home country to pursue a bright future. I remember one colleague, Valerie (pseudonym), from Connecticut. Valerie attended medical school in the United States, did not have an accent, and was familiar with the American health care system. She understood how the senior resident-intern relationship functioned, a hierarchy that continually confused me. Over the following weeks, I took a closer look at how my colleagues and other hospital staff interacted with Valerie. I noticed that people did not comment about her clothing or personality. She was “normal” and fit in. I remember my senior resident asking me, “Narjust, why can't you be more like Valerie?” Ashamed, I mumbled that I would try and then ran to the bathroom to cry alone. That interaction was a turning point for me; I got the message. I needed to change; I needed to stop being who I was to be accepted. As the years passed, I kept key pieces of my personality hidden, hoping I could earn the respect of my colleagues. I refrained from sharing my personal stories as they were different from those around me. I grew up in a developing  country with a struggling economy and an even more challenging political situation. It was clear that we simply did not share similar experiences. When I sought help from my senior residents and attending physicians, my feelings were often minimized or invalidated. I was told that “residency is tough” and that I should “man up.” A few even suggested that I mold my personality to fit the box of what a resident physician was supposed to be. I slowly realized that my clothing changed from reds and pinks to greys and blacks because it was “more professional”; my outward appearance faded, as did my once bright sense of humor and affability. All these issues led to depression and an overwhelming sense of not belonging. A few months later, I was on antidepressants, but the crying in the shower continued. Rotation by rotation, I looked for a specialty that would help me feel like I belonged, and I found that in oncology. My mentor embraced my research ideas; my ethnic background or accent did not matter; we had the same goal, improving the care of our patients with cancer. I got to travel to national and international conferences, presented my research findings, and received a few awards along the way. From the outside, it looked like I was thriving; my mentor often called me a “Rising Star,” but in reality, I was still deeply depressed and trying to fit in every day. My career successes led me to believe that not being myself was the right thing to do. I felt isolated; I was trying to be someone I was not. A year later, I matched at my top choice oncology fellowship program; the program had the balance I was looking for between clinical care and research. This meant that I needed to move to the Midwest, further away from family, and to an area of the country with less racial and ethnic diversity. After 2 years on antidepressants and the 10 extra pounds that came with it, my white coat did not fit. My white coat felt like a costume that I would put on every day to fulfill the dream of being a doctor. I would often wake up in the middle of the night exhausted and depressed. I had all the responsibilities of a hematology/ oncology trainee and the additional full-time job of trying to fit in every day; I was using all my energy trying to be someone I was not. Regardless of my fears, I felt in my element when talking to patients and interacting with my cofellows. Despite having a different skin color and accent, I felt accepted by my patients with cancer. I remember when one of my patients requested to see me while in the emergency room because “Dr Duma just gets me.” She had been evaluated by the head of the department and attending physicians, but for her, I washer doctor. Tears of happiness accompanied my bus ride to see her; at that moment, I knew I was an oncologist, and oncology was the place I belonged. The next day, I realized that it was time to be myself: Narjust from Venezuela, a Latina oncologist who was her true self. I searched the bottom of my closet for the last piece of colorful clothing I had saved, a yellow dress. I put on that brightly colored dress for the first time in 5 years and finally felt comfortable being my authentic self; the yellow dress represented freedom and embraced the culture and colors I grew up seeing in my hometown. I finally understood that I brought something special to the table: my unique understanding of the challenges faced by Latinx patients and trainees, my advocacy skills, and my persistence to endure the academic grindstone. Psychotherapy was also an essential part of my recovery; I learned that happiness lived within me as a whole person—hiding my accent, cultural background, and past experiences was also hiding the light and joy inside me. Along the way, I found colleagues who faced the same challenges and validated that my experiences resulted from an environment that excludes the difference and values homogeneity. This route to self-discovery helped me find my calling to support others in situations similar to mine.3 I learned how to incorporate and celebrate my ethnicity in the world of academic oncology by teaching others the power of cultural humility, diversity, equity, and inclusion. Together with newfound friends and colleagues, I cofounded the #LatinasinMedicine Twitter community for those who face similar burdens during their training and careers. The #LatinasinMedicine community was created to share our stories, embrace our culture, and amplify other Latinas in medicine—to create connections that alleviate the sense of isolation that many of us have experienced and serve as role models to the next generation of Latinas in medicine. To help drive systemic change, I founded the Duma Laboratory, a research group that focuses on cancer health disparities and discrimination in medical education. Through research, the Duma Laboratory has shown that my experiences are not unique but rather an everyday reality for many international medical graduates and other under-represented groups in medicine. The Duma Laboratory has become a safe environment for many trainees; we seek to change how mentorship works for under-represented groups in oncology, with the hope that the isolation I felt during my training is not something that future physicians will ever have to endure. After years of depression and self-discovery, my white coat now fits. However, this is not your regular white coat; it has touches of color to embrace my heritage and the ancestors who paved the way for me to be here today. The face of medicine and oncology is changing around the world; young women of color are standing up to demonstrate the strength of our experiences and fuel the change that medical education needs. For all minority medical students, residents, fellows, and junior faculty, we belong in medicine even during those moments when our identity is tested. Through my journey, I learned that we can and must challenge the status quo. I hope to inspire others to join me in this path of advocating for diversity, equity, and inclusion because the time for change is now. I was finally free the moment I realized I could not be anyone else but myself, a proud Latina in medicine and oncology. Dr. Lidia Schapira: Welcome to JCO's Cancer Stories: The Art of Oncology, brought to you by the ASCO Podcast Network, which offers a range of educational and scientific content and enriching insight into the world of cancer care. You can find all of the shows including this one at podcast.asco.org. I'm your host, Lidia Shapira, Associate Editor for Art of Oncology and Professor of Medicine at Stanford. And with me today is Dr. Narjust Duma, Associate Director of the Cancer Care Equity Program and Medical Thoracic Oncologist at Dana Farber and an Assistant Professor at Harvard Medical School. We'll be discussing her Art of Oncology article, ‘My White Coat Doesn't Fit.' Our guest has a consulting or advisory role with AstraZeneca, Pfizer, NeoGenomics Laboratories, Janssen, Bristol Myers Squibb, Medarax, Merck, and Mirati. Our guest has also participated in a speaker's bureau for MJH Life Sciences. Narjust, welcome to our podcast. Dr. Narjust Duma: Thank you for the invitation and for letting us share our story. Dr. Lidia Schapira: It's lovely to have you. So, let's start with a bit of background. Your essay has so many powerful themes, the story of an immigrant in the US, the story of resilience, the story of aggression and bullying as a recipient of such during training, of overcoming this and finding not only meaning, but really being an advocate for a more inclusive and fair culture in the workplace. So, let's untangle all of these and start with your family. I was interested in reading that you're named after your two grandmothers, Narcisa and Justa. And this is how your parents, both physicians, Colombian and Dominican, gave you your name, and then you were raised in Venezuela. So, tell us a little bit about your family and the values that were passed on in your family. Dr. Narjust Duma: Thank you for asking. Having my two grandmothers names is something that my mother put a lot of effort into. She was a surgery resident with very limited time to decide to do that. And I don't have a middle name, which is quite unique in Latin America, most people in Latin America have one or two middle names. So, my mother did that to assure that I will use her piece of art, which is my first name. But little does she know that my grandmothers were going to be such an important part of my life, not only because they're in my name, but also because I am who I am thanks to them. So, the first part of my name, Narcisa was my grandma who raised me and she gave me the superpower of reading and disconnecting. So, I'm able to read no matter where I am and how loud it can be and disconnect with the world. So, it is often that my assistants need to knock on my door two or three times so, I don't like being scared because I'm able to travel away. That was also very unique because you will find me in the basketball games from high school or other activities with a book because I was able to block that noise. But it also makes very uncomfortable situations for my friends that find it embarrassing that I will pull a book in the basketball game. And as I grow, thanks to the influence of my grandmothers, I always have these, how can I say, mixed situation, in which they were very old school grandmothers with old school habits and values, and how I'm able to modify that. My grandma told me that you can be a feminist, but you still take care of your house. You can still, you know, cook. And that taught me that you don't have to pick a side, there is no one stereotype for one or another. Because as my mother being a single mother and a surgeon, my parents divorced early on, told me, ‘Yes, I can be the doctor but I can also be the person that has more than a career that's able to have hobbies.' I love cooking, and when I'm stressed, I cook. So, I had a grant deadline a few weeks ago and I cooked so much that there was food for days. So, having the names of my grandmothers is very important because I have their values, but I have modified them to the current times. Dr. Lidia Schapira: Let me ask a little bit about reading. I often ask the guests of this podcast who have written and therefore I know enjoy reading and writing, what their favorite books are or what is currently on their night table. But I'm going to ask you a second question and that is what languages do you read in? Dr. Narjust Duma: I prefer to read in Spanish. I found that books in Spanish, even if it's a book that originated in English, have these romantic characteristics. And I often tell my editors, ‘Just take into account that I think in Spanish, and write in English'. Because I grew up with Gabrielle Garcia Marquez, and when he describes a street, that's a page of the little things that he describes. So, that's how I write and that's how I read in a very romantic, elaborate way. The aspects of realistic imagism, which is my favorite genre in literature, and there are so many Latin American and South American writers that I don't think that I am going to run out. And when I run out, I reread the same books. I have read all of Gabrielle Garcia Marquez's books twice, and Borges, too. It's the type of stories that allows you to submerge yourself and you imagine yourself wearing those Victorian dresses in the heat of a Colombian street, as you try to understand if, you know, Love in the Time of Cholera, if they were more in love with being in love or what it was happening in the story. And that just gives me happiness on a Sunday morning. Dr. Lidia Schapira: That's beautiful. I must confess that reading Borges is not easy. So, I totally admire the fact that you have managed to read all of his work. And I think that you're absolutely right, that magical realism is a genre that is incredibly fresh, and perhaps for the work that we do in oncology, it's a wonderful antidote in a way to some of the realities, the very harsh realities that we deal with on a daily basis. So, let me ask you a little bit about growing up in Venezuela in the 80s, 90s, early aughts. That must have been difficult. Tell us a little bit about that, and your choice of attending medical school. Dr. Narjust Duma: So, growing up in Venezuela, with a Colombian mother, it was quite a unique perspective because she was very attached to her Colombian roots. So, a lot of the things that happened in the house were very Colombian, but I was in Venezuela. So, it was a unique characteristic of being from a country but your family is not from there. So, my parents are not from Venezuela, my grandparents either, and I'm Venezuelan because I was born and raised there. So, that brought a unique perspective, right? The music that I played in my house was Colombian music, not Venezuelan music. So, my family migrated from Colombia to Venezuela due to the challenges in the early 80s with violence and the Medellin, due to the drug cartels. So, we moved to Venezuela for a better future. And growing up in the first years, Venezuela was in a very good position. Oil was at the highest prices. Economically, the country was doing well. I remember, in my early years, the dollar and the bolivar had the same price. But then little by little I saw how my country deteriorated, and it was very heartbreaking. From a place where the shells were full of food to a place now when there is no food, and you go to the supermarket, and many of them are close. And now you're only limited to buying certain things. And you used to use your federal ID that has an electronic tracking on how much you can buy because of socialism. So, you're only allowed to buy two kilograms of rice per month, for example, you're only allowed to buy this number of plantains. So, every time I go home, because Venezuela is always going to be my home, it doesn't matter where I am., I see how my country has lost pieces by pieces, which is quite very hard because I had a very good childhood. I had a unique childhood because I was raised in hospitals. But I had a childhood in which I will play with my friends across the street. We were not worried about being kidnapped. We were not worried about being robbed. That's one thing that children in Venezuela cannot do right now. Children of doctors – there's a higher risk of being kidnapped as a kid right now if your father is a doctor or your mother. So, my childhood wasn't like that. When I teach my students or talk to my mentees, I'm often selling my country, and saying that's not what it used to be. That's not where I grew up. But every year I saw how it no longer is where I grew up. That place doesn't exist, and sometimes, Lidia, I feel like my imagination may have to fill it out with more good things. But I think it was a good childhood. It's just that nobody in Venezuela is experiencing what I experienced as a kid. Dr. Lidia Schapira: So, both parents were doctors and you chose to study medicine, was this just right out of high school? Dr. Narjust Duma: Even before high school, I found myself very connected to patients. So, since I turned 15, my father would give his secretary a month of vacation because that's the month that we fill in. So, I was the secretary for a month every summer since I was 15 until I was 20. That early exposure allowed me to like get to know these patients and they know I was the daughter, but I was also the secretary. So, I really cherished that. Growing up in my household, we're a house of service. So, our love language is acts of service. That's how pretty much my grandmas and my parents were. So, in order to be a physician, that's the ultimate act of service. I have wanted to be a doctor since I was 11. I think my mother face horrible gender harassment and sexual harassment as a female in the surgery in the early 80s, that she tried to push me away from medicine. Early on, when I was 11, or 12, being an oil engineer in Venezuela was the career that everybody should have, right? Like, people were going to the Emirates and moving to different parts of the world and were doing wonderful. So, my mother, based on her experience in the 80s, was pushing me away from it. She's like, ‘You can do other things.' My father always stayed in the back and said, ‘You can do what you want.' This is how our parents' experiences affect our future. If I wouldn't be this stubborn, I would probably be an oil engineer today, and I wouldn't be talking to you. Dr. Lidia Schapira: So, you went to medical school, and then after you graduated, what did you decide to do? Because when I look at what we know about the history there is I think you graduated in '09, and then the story that you write about sort of begins in '16 when you come to New Jersey to do training in the US, but what happened between '09 and '16? Dr. Narjust Duma: I started residency in 2013. '16 was my fellowship. So, going to medical school was one of the hardest decisions I made because right in 2003 and 2004 was a coup in Venezuela where part of the opposition took over the country for three days, and then the President of the time came back and the country really significantly destabilized after that coup. Most schools were closed. Entire private industries were closed for a month. And I think for some people, it's hard to understand what happened. Everything closed for a month, McDonald's was closed for a month. There was no Coke because a Coke company was not producing. Everything was closed. The country was just paralyzed. So, my mother and I, and my family, my father, took into account that we didn't know when medical school would resume in Venezuela. We didn't know if the schools would ever open again. I decided to apply for a scholarship and I left Venezuela at the age of 17 to go to the Dominican Republic for medical school. Very early on, I noticed that I was going to be a foreigner wherever I go because I left home. And since then, I think I became very resilient because I was 17 and I needed to move forward. So, that is what happened in 2004. I left everything I knew. I left for the Dominican. I do have family in the Dominican, but it was very hard because even if you speak the same language, the cultures are very different. And then I went to medical school in the Dominican and when I was in the Dominican Republic, I realized I really wanted to do science and be an advocate and focus on vulnerable populations with cancer. So, then I made the decision to come to the United States, I did a year of a research fellowship at Fred Hutchinson, and then I went to residency in 2013. Dr. Lidia Schapira: I see. And that's when you went to New Jersey, far away from home. And as you tell the story, the experience was awful, in part because of the unkindness and aggression, not only microaggression but outright bullying that you experienced. In reading the essay, my impression was that the bullying was mostly on two accounts. One was gender. The other was the fact that you were different. In this particular case, it was the ethnicity as a Latin or Hispanic woman. Tell us a little bit about that so we can understand that. Dr. Narjust Duma: I think what happened is that perfect example of intersectionality because we are now the result of one experience, we're the result of multiple identities. So many woman have faced gender inequalities in medicine, but when you are from a marginalized group, those inequalities multiply. I have an accent and clearly a different skin color. I grew up in a family in which you were encouraged to be your true self. My grandmothers and my mother said, ‘You never want to be the quiet woman in the corner because the quiet woman never generates change.' That's what they said, and I bet there are some who do. But that intersection of my identities was very challenging because I was seen as inferior just for being a woman and then you multiply being one of the few Latinas you are seen like you are less just because you are - it doesn't matter how many degrees or papers or grants you had done and all, I was the most productive research resident in my residency for two years in a row - but I would still be judged by my identity and not what I have produced, or what I do on my patients' experiences, which were great – the feedback from my patients. It's just because I was the different one. Dr. Lidia Schapira: When I hear your story about your origins, it seems to me that you came from a very capable loving family, and they basically told you to go conquer the world, and you did. And then you arrive and you're a productive successful resident, and yet, you are marginalized, as you say. People are really aggressive. Now that you've had some years that have passed, if you think back, what advice would you give that young Narjust? Dr. Narjust Duma: My number one advice, would be that, I will tell myself is that I belong, in many instances, I feel like I didn't belong. It makes me question all the decisions to that day because when you're doing a presentation, and I still remember like today, and you're interrupted by someone, just for them to make a comment about your accent, it really brings everything down to your core, like, 'Is my presentation not accurate? Is the information not all right? And why am I here? Why did I left everything I love to be treated like this?' Dr. Lidia Schapira: Of course. So, from New Jersey, you write in your essay that you really discover your passion for cancer research, and you land in a fellowship with a mentor who is encouraging, and things begin to change for you. Can you tell us a little bit about that phase of your training in your life where you slowly begin to find your voice in the state, that also where you crash, where you find yourself so vulnerable that things really fall apart? Dr. Narjust Duma: So, when I was a resident, I didn't know exactly - I was interested in oncology, but I wasn't sure if it was for me. So, Dr. Martin Gutierrez at Rutgers in Hackensack is the person who I cold emailed and said, ‘I'm interested in studying gastric cancer in Hispanic patients because I think that patients in the clinic are so young.' He, without knowing me or having any idea, he trusted me. We still meet. He still follows up with me. He encouraged me. I think him being a Latino made the experience better, too, because I didn't have to explain my experience to him. I didn't have to explain that. He understood because he went through the same things. And he's like, ‘I got you. Let's follow what you want to do.' He embraced who I was, and how I put who I was into my research. And thanks to Dr. Gutierrez, I'm at the Mayo Clinic as an international medical grad. So, finding a place in which my ideas were embraced was very important to allow me to stay in medicine because, Lidia, I can tell you several times, I decided to leave. I was very committed to finding something else to do or just being a researcher and leaving clinical medicine behind. So, when I went to Mayo, I still followed with that mentor, but I already knew what I wanted to do. I wanted to do cancer health disparities. I wanted to do inclusion and diversity. And that allowed me to develop the career I have now and is having that pathway because I, with my strong personality and everything else, faced this discrimination, and I can imagine for other trainees that may still be facing that or will face that in the future. So, I use the negative aspects to find my calling and do many things I have done after that. Dr. Lidia Schapira: Speaks to your strengths and your determination. Let's talk a little bit about the people who may also feel different but whose differences may not be so apparent. How do you now as an emerging leader, and as a mentor, make sure that you create an inclusive and safe environment for your younger colleagues and your mentees? Dr. Narjust Duma: One of the things that resulted was the founding of the Duma Lab, which is a research group that focuses on cancer, health disparities, social justice as a general, and inclusion in medical education. So, one of the things that I practice every day is cultural humility. I continue to read and remember the principles. I have them as the background on my computer at work. The number one principle in lifelong learning is that we learn from everyone and that we don't know everything and other people's cultures, and subculture, we learn their culture is rich. So, in every meeting, I remind the team of the principles of cultural humility when somebody is joining the lab. I have one-on-one meetings, and I provide information and videos about cultural humility because the lab has been created as an environment that's safe. We have a WhatsApp group that is now kind of famous - it's called The Daily Serotonin. The majority of the members of the lab are part of marginalized groups, not only by gender but race, religion, sexual and gender orientation. So, we created this group to share good and bads, and we provide support. So, a few weeks ago, a patient made reference to one of their lab member's body, the patient was being examined and that was quite inappropriate. The member debriefed with the group and we all provided insights on how she had responded, and how she should respond in the future. That's not only learning from the person that brought the scenario but anybody else feels empowered to stop those microaggressions and stop those inappropriate behaviors that woman particularly face during clinical care. So, cultural humility, and having this WhatsApp group that provides a place where, first, I remind everybody that's confidential, and a place in which anything is shared has been very successful to create inclusivity in the group. Dr. Lidia Schapira: You have such energy and I'm amazed by all of the things that you can do and how you have used social connection as a way of bringing people up. So, can you give our listeners perhaps some tips for how you view creating a flatter culture, one with fewer hierarchies that makes it safer for learners and for those who are practicing oncology? What are three quick things that all of us can do in our work starting this afternoon? Dr. Narjust Duma: The concept is that we all can be allies. And being an ally doesn't take a lot of time or money because people think that being an ally is a full-time job, it is not. So, the first one tip will be to bring people with you. Your success is not only yours. It's a success of your mentees. It's a success of your colleagues. So, don't see your success as my badge on my shoulder. It's the badge that goes on everyone. So, bring people in, leave the door open, not only bring them but leave the door open because when you do it helps the next generation. Two, little things make a difference. I'm going to give you three phrases that I use all the time. When you think somebody has been marginalized in a meeting, bring them up, it takes no time. For example, 'Chenoa, what do you think we can do next?' You're bringing that person to the table. Two, you can advocate for other women and minorities when they're easily interrupted in a meeting. This takes no time. ‘I'm sorry you interrupted Dr. Duma. Dr. Duma?' So, that helps. The third thing is very important. You can connect people. So, one of the things is that I don't have every skill, so I advocate for my mentees and I serve as a connector. I have a mentee that is into bioinformatics. Lidia, that's above my head. I don't understand any of that. So, I was able to connect that person to people that do bioinformatics. And follow up. My last thing is to follow up with your people because they need you. Dr. Lidia Schapira: Well, I'm very glad that you're not an oil engineer in the Emirates. I'm sure your family is incredibly proud. I hope that you're happy where you are. We started a little bit about where you started, I'd like to end with your idea of where you imagine yourself 10 years from now? Dr. Narjust Duma: That is a question I don't have an answer prepared for. I guess my career development plans I think I want to be in a place where I look back and I can see that the careers of my mentees being successful. And I think that we measure my success based not on myself, I would measure my success in 10 years based on where my mentees are. And medical education is a more inclusive place. That will be the two things I want to see in 10 years. In the personal aspect, I don't know if we have art, don't know if we have those grants as long as my mentees are in a better place. Dr. Lidia Schapira: It has been such a pleasure to have this conversation. Thank you so much, Narjust. Dr. Narjust Duma: Thank you. Dr. Lidia Schapira: Until next time, thank you for listening to this JCO's Cancer Stories: The Art of Oncology podcast. 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