The Healthcare System is in Trouble

On today’s episode of BGF, Ava and Tashaunda discuss the lack of care and empathy from doctors, when it’s time to walk away and the system reinforcing bad behavior. They dive into the tough conversation around preventative vs. reactionary health care.

How can we change the system to benefit doctors and their patients? Let us know what you think on Instagram: @blackgirlflyofficial

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:55 Healthcare is Out of Control

2:40 Glamorizing Doctors

6:50 Patients First

9:25 Individual Responsibility

15:20 Final Reflections

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Transcript

Speaker 1 | 10;15;58;03 | 10;16;01;21 | Welcome to another episode of Black Rock. I'm your Girl, Eva marie.
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Speaker 2 | 10;16;01;29 | 10;16;03;02 | And I'm Sandra Dixon.
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Speaker 1 | 10;16;04;04 | 10;16;26;22 | And today we are talking about women in health care. I don't have to. Well, actually, let me tell you about it. I got something to say on this topic, but my sister was telling me about a recent experience that was just like, Oh, we need to talk about this on the podcast because health care is out of control.
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Speaker 2 | 10;16;27;04 | 10;16;51;02 | Well, not only is it out of control, but I feel like we've got this time where doctors, they just don't get the care and that's nice, but that's me being busy. But no, like I feel like when we when we grew up by doctors are way more caring and they wanted to see you heal and they were more tied to their jobs.
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Speaker 2 | 10;16;51;20 | 10;17;04;15 | I just don't think that there's the same amount of care consideration, compassion, empathy that we had years back. I'm like, What the heck happened to me?
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Speaker 1 | 10;17;04;16 | 10;17;17;09 | I don't know. I have a few, like, close friends who are in the medical field, and honestly, they tell me about their experience and it sounds traumatizing for them.
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Speaker 2 | 10;17;17;12 | 10;17;22;27 | But okay, so everybody thought this what's going on? So. So how so?
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Speaker 1 | 10;17;22;27 | 10;17;23;09 | Like, like.
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Speaker 2 | 10;17;23;14 | 10;17;31;21 | How are they traumatized? Because and this out there, I'm like. So, first of all, I feel like they signed up for the medical profession.
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Speaker 1 | 10;17;32;18 | 10;17;34;26 | Yeah. So I can tell you. Yeah, I'll go ahead.
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Speaker 2 | 10;17;35;03 | 10;17;54;13 | I will say you knew what the job was. And and it's really sad for me to hear that because I also feel like they are actually better positioned than people coming to them. Right? Like, if you're going to a medical professional, you have a need that you can't solve on your own that you are seeking professional attention for.
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Speaker 2 | 10;17;54;20 | 10;18;03;14 | That may be I mean, you're the uncomfortable one. The medical professional should not be uncomfortable ventral in this.
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Speaker 1 | 10;18;04;14 | 10;18;29;27 | But sadly, I think the reality is that they are making it very uncomfortable for the practitioners. So. So, yeah, let's talk about your first point. I think our society glamorizes what it means to be a doctor in the medical field. Like a lot we've had, think about all the medical shows that were on when we were kids, like why we have all these medical TV shows?
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Speaker 1 | 10;18;30;20 | 10;18;32;14 | First of all, they don't make sense. But second of all is.
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Speaker 2 | 10;18;33;02 | 10;18;33;16 | It's.
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Speaker 1 | 10;18;34;20 | 10;18;44;29 | No, but like, that is actually a tactic to get people to want to go into the field that is specifically designed as a recruitment strategy.
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Speaker 2 | 10;18;45;24 | 10;18;52;05 | I can see that. Okay. Okay. And so if you're watching the right ones, I would want to go in there, prepare.
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Speaker 1 | 10;18;55;16 | 10;19;32;25 | Right. So there in some ways as you watch it. But I think it's that the salary looks really sexy. Right. And for one of my really good friends, she was driven to the field because of like, impact. Like, she grew up in a community that was underserved and like, she really wanted to be the change. And like, that position gave her hope that she would be able to give back and what she found, though, through her experience is that they made it really hard for her, specifically as a black woman in the field.
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Speaker 1 | 10;19;33;04 | 10;20;05;15 | Like, there are so many things that are working against you, but also just generally like the type of sleep schedule people are on residency, how much they pay you. You can't even make enough to live like the conditions that are there. Like it really is a hazing and the hazing goes on for so many years and then they just turn around, expect you not to have any trauma from the experience that you just undergone for, you know, 12 years like.
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Speaker 1 | 10;20;06;02 | 10;20;35;14 | So I think that the the matriculation cycle and just the way that they've set up the pipeline. There's no I am not surprised that it doesn't burst. Fruit like and flowers and birds bitter people because they're in hell and they haven't slept in 12 years. They worked really hard. They have a like they've been away from their family, like they've had to postpone their lives and like.
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Speaker 1 | 10;20;36;07 | 10;20;40;18 | Why do you think that. That people would be happy? Go lucky to serve you after all that?
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Speaker 2 | 10;20;40;25 | 10;21;10;03 | Yeah, well, it's funny, though, because I'm hearing you say that, though. I'm thinking, like all of those things were administrative decisions. Right? So the sucky part in this equation, though, is that we talk about the people being serviced and we've talked about the people who matriculate to be provide those services, but the people who set that context with those people to provide the service don't have anything to do with any of these audiences here, which is interesting.
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Speaker 1 | 10;21;10;29 | 10;21;38;05 | Yeah, And I think I mean, I heard one of my friends, you told me that is actually the more senior doctors, Right. It really kind of hazing. Yeah. And so sometimes it's them reinforcing the bad things that were done to them by the administration that we're talking about. So they they become part of the system, too, which is not good either.
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Speaker 1 | 10;21;38;13 | 10;22;05;22 | So like, you also become part of the problem. And then on the nurses side, I have a good friend who works the night shift like you, not your body is not even meant to work nights. Yeah, especially now women. And so doing that three days in a row or like doing that four times a week, like what kind of end?
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Speaker 1 | 10;22;05;22 | 10;22;25;05 | She's been hit. She's been spit on at work like all this craziness, not to mention Covi. Like, I'm not even going to go there, but I think is hard on those people. I have a lot of empathy for those people only because I know people who had that experience and have shared only a little bit of what they've gone through.
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Speaker 2 | 10;22;25;09 | 10;22;59;06 | Well, I mean, I get I get that experience, though. But at some point, I think it a reminder, though, about the people that they're servicing and that the people that they're servicing didn't do these things them like like how did bring that up? How do we make that real? Because I do agree that those are pressures. But if it comes at the if it comes at the expense of the people that they're supposed to be servicing, I think there's a there's a line that says you no longer need to be in this profession.
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Speaker 2 | 10;22;59;06 | 10;23;11;06 | Right. That that if the if this changed your desire to service and help the people who need you, somebody to walk away.
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Speaker 1 | 10;23;12;22 | 10;23;50;17 | I think it's a lot easier said than done right after investing all those years, all that time. Right. I think it's you have a specialized skill set that doesn't transfer well to any other field. Yeah, I think it's I think in theory it makes sense. But I also want to go back to your point about like, it's kind of like the system reinforcing all of this bad news, but we also can't discount why are we using these health care services in the first place, Like our model is so reactive and like we really don't in this country have a really preventative model that exists.
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Speaker 1 | 10;23;50;17 | 10;24;17;18 | And so the way that it is all situated in the first place, where you're actually coming because this is your last resort now that's already putting a level of pressure on the situation that's already pretty fragile right? And so I'm saying all this to I'm saying all this in my realizing I don't know if we're gonna come to a solution, but in this conversation, because this persistent problem.
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Speaker 2 | 10;24;19;14 | 10;24;39;01 | Not only is it the symptoms, but I do think it's important. What you just said, though, is that, you know, and also in order to be proactive, we actually don't need the doctors. So what mindframe what mindset are individuals going to the doctor with? And maybe that is also impactful to the overall treatment of individuals in that space, right?
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Speaker 2 | 10;24;39;01 | 10;24;56;26 | So if I'm a person who I know I'm diabetic, but I put the sugar down and I let the doctor because they tell me they cut off my foot, you know, that must also be draining to that progression to those people or that progression.
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Speaker 1 | 10;24;57;22 | 10;25;21;21 | Yeah, I think there's a level of individual responsibility that we have to have in that. I can tell you from personal experience, it's so easy to shirk our responsibility on taking care of ourselves. Like to not work out. Every day is so easy to work out. Every day is so hard.
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Speaker 2 | 10;25;21;27 | 10;25;25;16 | Yeah, yeah. But you're right. They're should require there.
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Speaker 1 | 10;25;26;07 | 10;25;32;02 | But it's that everyday decision that we're making for ourselves that's putting us in the hospital.
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Speaker 2 | 10;25;32;13 | 10;26;10;10 | Yeah, I actually, I went to Elevation yesterday and parts of it was like it'd be much more amazing if the bad things were instead if it happened, like if you ate a cookie and you automatically saw like, an ad, you'd be like, I like that cookie. But the fact that everything is like, prolonged or like it takes an extended period of time to really make an impact has allowed us to continually make bad decisions without it really correlating the fact that this is the end result of just poor decision.
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Speaker 1 | 10;26;11;12 | 10;26;19;27 | Oh yeah, that's so yeah. And it's so good. Yeah. Because then we, we at the hospital getting our foot cut.
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Speaker 2 | 10;26;19;27 | 10;26;21;27 | Out and.
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Speaker 1 | 10;26;21;27 | 10;26;23;13 | You know, forgot about the time. Yeah.
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Speaker 2 | 10;26;23;28 | 10;26;24;09 | Yeah.
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Speaker 1 | 10;26;26;12 | 10;26;31;26 | But you in the meeting everyone that sort of thing. Yeah. So I met Cookie two years ago.
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Speaker 2 | 10;26;33;06 | 10;26;35;25 | Know that could be more two years, right.
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Speaker 1 | 10;26;36;11 | 10;26;38;17 | It says every day for two years.
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Speaker 2 | 10;26;39;27 | 10;26;41;20 | But yeah, but I mean I think.
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Speaker 1 | 10;26;41;28 | 10;27;02;05 | Oh and I'm like oh sighing because, like, this is something I'm trying to actively reprogram my mind right now about. This is literally so, ah, inheritance. And I think about us growing up like nobody was exercising. No, no, no.
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Speaker 2 | 10;27;02;13 | 10;27;14;17 | What's going on? Wait, wait, wait, wait, wait. We are poor. So I moved this all. My sister. I was 16. I signed every day of I to walk to the city. Bless you. Right. Oh. Oh.
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Speaker 1 | 10;27;15;02 | 10;27;16;19 | So it was embedded in our lives.
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Speaker 2 | 10;27;16;29 | 10;27;17;16 | But I was.
 |  |  | 
Speaker 1 | 10;27;17;16 | 10;27;26;05 | Thinking. I was thinking about the adults, though, like, because now I have to, like, I got to put it in my schedule to go work out.
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Speaker 2 | 10;27;26;05 | 10;27;51;11 | And by the way, it's normal. So. So I do think that you touched on something because it's normal not to be activity in our culture, right? So when you say, I want to go work out, that's like an additive thing to the people around you. Right. Right. It's not like everybody should be working out for some period of the day culturally that normal to do that is not at all.
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Speaker 2 | 10;27;51;20 | 10;27;52;12 | Yeah, I went.
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Speaker 1 | 10;27;52;16 | 10;28;04;11 | I went to a conference in Ohio a few weeks ago and I was talking to this lady. We were talking pickleball. She has like, no, that literally.
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Speaker 2 | 10;28;04;27 | 10;28;19;20 | It was a comment about Jamie Foxx that kicked it all up, wasn't it? They said, you know, all that it came out of nowhere. They said that he was so right after he got sick or whatever happened to Jamie Foxx's, they said that he was out playing pickleball and it was on the Breakfast Club. They like, what is pickleball?
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Speaker 1 | 10;28;20;18 | 10;28;38;02 | Listen, I've just been hearing about pickleball this year, but apparently it's become a national craze over the last several years. Yes. And they already have champions and stuff like I'm like, okay, anyway, that's besides what.
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Speaker 2 | 10;28;38;12 | 10;28;41;19 | I got to talk about. That's outside pickleball. But it is.
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Speaker 1 | 10;28;41;20 | 10;28;45;09 | I'm about to go take two pickleball lessons. Farooq I feel like I'm.
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Speaker 2 | 10;28;45;09 | 10;28;45;27 | Out of the loop.
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Speaker 1 | 10;28;46;04 | 10;29;06;15 | But anyways, I'm at this conference and she's, we're at a conference, mind you like out of state at a conference. She had like some family with her. She's like, Yeah, we're going to go play pickleball. They play pickleball every night for like 3 hours as a family while they had a conference out of state.
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Speaker 2 | 10;29;07;22 | 10;29;08;09 | Okay, But.
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Speaker 1 | 10;29;09;06 | 10;29;29;08 | I didn't know where her culture was. Maybe Asian specific Pacific Island or something like that, But but I'm just like, it is just like, that's just what her family does. Like, it's not like they're going to work out. They're just going to spend quality time as a family. And it is a physical activity.
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Speaker 2 | 10;29;29;17 | 10;29;30;20 | Yeah, yeah, yeah.
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Speaker 1 | 10;29;31;07 | 10;29;43;04 | Oh, and even my partner, like, we talk, he does he play tennis as a child like his whole life and he would just go play tennis with his family Like that is what everyone.
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Speaker 2 | 10;29;43;07 | 10;29;48;04 | We didn't do any of that. And we, I did what I do better.
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Speaker 1 | 10;29;49;04 | 10;30;05;09 | Where did I do that? But I'm just like, it is like it has to become like that, though. Like it has to become a part of your lifestyle. And it can't just be like, I have to go to the gym because the decision not to go to the gym is so easy.
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Speaker 2 | 10;30;05;16 | 10;30;06;29 | Yeah, yeah.
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Speaker 1 | 10;30;06;29 | 10;30;21;14 | But it has to be like a part of the culture that you're creating within your family, within your friends circle, what have you. Where like it is, it's tied to fun, is tied to quality. Time is tied to the things that you already enjoy doing anyways.
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Speaker 2 | 10;30;22;13 | 10;30;22;24 | Oh, that's.
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Speaker 1 | 10;30;22;25 | 10;30;24;10 | Kind of about what.
 |  |  | 
Speaker 2 | 10;30;24;11 | 10;30;32;16 | That while I get that topic but that preventive care.
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Speaker 1 | 10;30;33;03 | 10;30;43;28 | Preventative care because my whole point is that we shouldn't be showing up at the hospital anyway. Well, while it's too late, you got to get your foot cut off. That was about 40.
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Speaker 2 | 10;30;44;10 | 10;30;45;11 | Okay, got it.
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Speaker 1 | 10;30;46;22 | 10;30;52;22 | So but yeah, I'm completely outside because I just don't close it out there. Any final words you have for the people?
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Speaker 2 | 10;30;54;11 | 10;30;57;10 | You want a little out, but it makes them you get you get.
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Speaker 1 | 10;30;57;29 | 10;31;33;13 | You know, we always bring you back. Any final reflections. I was thinking about health care. The one thing that you know, the lesson that I've learned over all of these years we've had family in hospital is just like advocating for yourself in learning for yourself. The system is so complicated and convoluted for absolutely no reason and I don't even think half the people in it understand it.
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Speaker 1 | 10;31;33;28 | 10;31;44;13 | But you really do have to go the extra mile when your care, the people that you love, their care is at risk. You cannot rely on the people.
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Speaker 2 | 10;31;44;13 | 10;32;04;08 | To tell you, Yeah, I think that's good. But I would also say that think about your own power in it too. So like the conversation about working out or doing things, do what you can do beforehand. One of the things that's been really interesting to me about the Internet is I've learned a lot of follow up on that, a lot of natural remedies.
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Speaker 2 | 10;32;05;10 | 10;32;20;09 | And so there's stuff that you can do. Don't just depend on a medical professional to take control of your life like like see what you can do to be a part of the solution and just complain about what's there to pay. I love it.
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Speaker 1 | 10;32;21;00 | 10;32;27;23 | All right. You'll be a part of the solution. Snap my fingers until next time. I'm your girl every morning.
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Speaker 2 | 10;32;27;28 | 10;32;30;11 | And I'm sorry, Dixon. And we are.
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Speaker 1 | 10;32;30;11 | 10;32;31;08 | Black girl Flag.