Flip the Script
By Max Jordan Nguemeni Tiako, MD, MS
Flip the Script is your go-to podcast about health disparities, Hosted by Max Jordan Nguemeni Tiako, MD, MS, internal medicine resident at Brigham and Woman's Hospital. Max discusses societal and healthcare issues that disproportionately affect the health of minorities, including but not limited to racial and ethnic minorities, sexual & gender minorities, & religious minorities, on a national and global scale. These discussions are centered around the work of healthcare, public health, and health humanities professionals who dedicate their work in various ways to addressing health disparities
Flip the ScriptJun 19, 2020
00:00
38:13
What Is Protest and What Is Insanity?
Max discusses with Professor Jonathan Metzl, MD, Ph.D., professor of Psychiatry and Sociology at Vanderbilt University, where he directs the Center for Medicine, Health, and Society. The conversation covers his broad scholarship, beginning with his book "Protest Psychosis," and factors that shape the overdiagnosing of Black men with schizophrenia, medicine's attempts at medicalizing racism. Then they dovetail into his book "Dying of Whiteness" in relation to major events in 2021, including the storming of the U.S. Capitol on January 6th, the fight for (and resistance against) safe gun policies, equitable healthcare, and what it all means in our current political context.
Listen to Flip the Script on iTunes, Spotify, or wherever you get your podcast. Leave us reviews, and support the pod via Anchor! anchor.fm/flip-the-script-max
Listen to Flip the Script on iTunes, Spotify, or wherever you get your podcast. Leave us reviews, and support the pod via Anchor! anchor.fm/flip-the-script-max
Nov 29, 202127:03
No More Beds
In this episode, Max is joined by George Aumoithe, Ph.D., assistant professor of global health at Stony Brooke University, in the department of Africana Studies. They discuss his work on the effect of anti-inflationary economic policy and colorblind legal ideology on public hospitals, as it relates to the COVID-19 pandemic, namely, hospital bed shortages and lack of access to critical care in disproportionately poor Black communities. They also take a look at what the future might hold with the Biden-Harris administration as the U.S. Listen to Flip the Script on iTunes, Spotify, or wherever you get your podcast. Leave us reviews, and support the pod via Anchor! https://anchor.fm/flip-the-script-max
Aug 02, 202134:00
Worry About Infra-Redlining
Max is joined by Amy Moran-Thomas, PhD, associate professor of anthropology at MIT. They discuss current shortcomings in the FDA's medical devices approval process, with a sharp focus on pulse-oximeters, a device rendered particularly popular during the Pandemic. Studies have long shown that they do not detect low oxygen as accurately among people with darker skin, and yet, little has changed. Read more about Dr. Moran-Thomas' in-depth exploration of how pulse oximeters encode racial bias here: https://bostonreview.net/science-nature-race/amy-moran-thomas-how-popular-medical-device-encodes-racial-bias, and see the large clinical study which we refer to in the episode, published in the New England Journal of Medicine by a team from the University of Michigan: https://www.nejm.org/doi/full/10.1056/nejmc2029240.
Follow Flip The Script on Twitter at @FlipScriptPod, myself, the host at @MaxJordan_N, subscribe on Anchor, Spotify, Apple Music, or wherever you get you get your podcast! Feel free to support us with donations at anchor.fm/flip-the-script-max
Jul 16, 202138:32
Vaccine Passports, Health Security & Limitations
Max is joined by Adia Benton, PhD, MPH, cultural anthropologist with interests in global health, associate professor of anthropology at Northwestern University. Given her previous work on the HIV and Ebola epidemics, she shares her insights on the U.S.' management of the COVID-19 pandemic, the idea of vaccine passports, health security and ongoing global health concerns including trade, travel, and the more recent Ebola outbreak in West Africa.
May 31, 202144:19
Polio and Covid Wars: Warm Springs and Mar-a-Lago
Max is joined by Yale historian of medicine Naomi Rogers, PhD. In their discussion, they compare the US response to the COVID-19 pandemic and the Polio pandemic, with regards to racial disparities during both pandemics, access to treatment and vaccines, and discuss implications for U.S. social and health policy making for the Biden administration.
May 14, 202144:39
Black Maternal Health
Max is joined by Jasmine Johnson, MD, Maternal & Fetal Medicine fellow, and obstetrician gynecologist at the University of North Carolina Chapel Hill. They discuss her work related to preterm birth disparities the toll it has on Black families and other issues related to Black maternal health.
Apr 28, 202134:17
Black Medical Students’ Mental Well-being
In this brief episode, Max is joined by Rachel Hardeman, PhD, MPH, associate professor and endowed Blue Cross Endowed Professor of Health and Racial Equity in the division of health policy and management at the University of Minnesota School of Public Helth. Dr. Hardeman is a reproductive health equity researcher, but on this episode, they discuss her previous work focusing on healthcare workforce diversity and health, more specifically, racial and gender disparities in medical student mental wealth being, and her insights on needed change in that domain. Listen to Flip the Script on iTunes, Spotify, Soundcloud or wherever you get your podcast.
Feb 17, 202120:36
No More to Spend
Max is joined by Luke Messac, MD, PhD, an emergency medicine resident at Brown University and historian of science and medicine. They discuss his recent book, “No More to Spend: Neglect Construction of Scarcity in Malawi’s History of Healthcare.” They cover the impact of colonization and neocolonialism on healthcare policy in Malawi, and draw parallels with U.S. neoliberal policies and lessons applicable is healthcare system. Listen to Flip the Script on iTunes, Spotify, SoundCloud or wherever you get your podcast.
Feb 09, 202131:42
A Disease of Huge Disparity
Max is joined by Chemtai Mungo, MD, MPH, an OB/GYN and global health research fellow at the University of California, San Francisco. They discuss her research which is focused on intervention to make cervical cancer screenings more accessible to women in rural Kenya, as well as ways to translate lessons from healthcare delivery in low resource settings towards addressing health disparities in the U.S. Listen to Flip the Script on iTunes, Spotify, Soundcloud or wherever you get your podcast, and leave us reviews!
Jan 26, 202133:26
Sunscreen Wars
Max is joined by Adewole Adamson, MD, MPP, a dermatologist and assistant professor at UT Austin. They discuss the controversy around UV exposure and cutaneous melanoma in people with darker skin, disparities in access to care for skin cancer, and pitfalls in dermatological education regarding skin of color at different stages in training. Dr. Adamson recently published a systematic review on UV exposure and cutaneous melanoma in skin of color in JAMA dermatology. Listen to Flip the Script on iTunes, Spotify, Soundcloud or wherever you get your podcast, and follow us on twitter @maxjordan_n, @fliscriptpod, and our guest @adeadamson.
Jan 11, 202127:37
Health Insurance fights: In the Middle of a Pandemic!
Max is joined by Jamila Michener, PhD, associate professor in the department of government at Cornell University, and health policy scholar (@povertyscholar on twitter). They discuss Americans' the affordable care act and government-sponsored health insurance, what's race, ethnicity and migration got to do with it, and the future of the ACA in light of a new Democratic administration set to assume office in January 2021. Follow us at @flipscriptpod on twitter, leave us reviews and tune in on Spotify, iTunes, Soundcloud or wherever you get your podcasts
Dec 15, 202040:19
Sacred Birth
Max is Joined by Karen Scott, MD, MPH, an obstetrician-gynecologist at UCSF. They discuss her work as a reproductive justice-informed perinatal epidemiologist and obstetrician, the concept of participatory quality improvement, and her ongoing study "SACRED Birth" aimed at addressing obstetric racism faced by birthing Black people.
Dec 03, 202035:37
Looking beyond BMI
Max is joined by Fatima Cody Stanford, MD, MPH, MPA, an obesity medicine physician for children and adults, and researcher at Harvard Medical School. They discuss her work which focuses on racial disparities in obesity as a chronic illness, to disparities in access to treatment, stigma, and patient experiences in clinical settings. You'll also hear about how obesity relates to COVID-19 morbidity, and pitfalls in medical education regarding obesity, and metabolic syndrome. Follow Dr. Stanford on twitter at @askdrfatima. Check Flip the Script (@flipscriptpod) out on Spotify, Apple Podcasts, Soundcloud, or wherever you get your podcasts. And leave us reviews!
Nov 03, 202041:05
So, Are You Jewish?
For breast cancer awareness month, Max is joined by Erika Stallings, an attorney, writer and BRCA awareness advocate. Erika describes her experience testing positive for the BRCA2 mutation and undergoing a prophylactic double mastectomy, her journey dealing with this experience herself, racial disparities in access to genetic testing, and her advocacy work in this sphere. You may find her work at erikastallings.com/. Follow the podcast at @flipscriptpod on twitter, listen on iTunes, Spotify, Soundcloud or wherever you get our podcast, and leave us reviews!
Oct 26, 202036:08
Same Burden, Different Outcomes
Black women have a similar disease burden of endometrial cancer compared to White women, but markedly greater mortality rates.
Max is joined by Kemi Doll, MD, MCSR, a gynecologic oncologist and health services researcher at the University of Washington in Seattle. They discuss her research, focused on the experiences of Black women with endometrial cancer (also known as uterine cancer).
They also discuss shortcomings of the current gynecologic care system, which fails many Black women at different stages of care. Dr Doll created Endometrial Cancer Network for African Americans (ECANA), as a support network for patients. To that effect, they discuss importance of community-based participatory research.
Learn more about ECANA at ecanawomen.org/.
Please subscribe to the podcast on Apple Podcasts, Spotify, SoundCloud or wherever you get your podcast. Follow us on twitter at @FlipScriptPod and @MaxJordan_N
Max is joined by Kemi Doll, MD, MCSR, a gynecologic oncologist and health services researcher at the University of Washington in Seattle. They discuss her research, focused on the experiences of Black women with endometrial cancer (also known as uterine cancer).
They also discuss shortcomings of the current gynecologic care system, which fails many Black women at different stages of care. Dr Doll created Endometrial Cancer Network for African Americans (ECANA), as a support network for patients. To that effect, they discuss importance of community-based participatory research.
Learn more about ECANA at ecanawomen.org/.
Please subscribe to the podcast on Apple Podcasts, Spotify, SoundCloud or wherever you get your podcast. Follow us on twitter at @FlipScriptPod and @MaxJordan_N
Sep 08, 202040:30
The Reproductive Health Umbrella
Max is joined by Monica McLemore, RN, MPH, PhD, associate professor in Family Health Care Nursing at the University of California San Francisco. She shares her perspective as a researcher focused on the experience of people with reproductive potential, the importance of interdisciplinary and interprofessional collaborations to solve problems and arrive to policy solutions, particularly relevant amid the Black maternal health crisis and the COVID-19 pandemic. Listen to the podcast on iTunes, Spotify and Soundcloud.
Aug 28, 202034:52
Staying Afloat in Academic Medicine
Max is joined by Utibe Essien, MD, MPH, assistant professor at the University of Pittsburgh in general internal medicine. They discuss why he chose to pursue a research career and what helped him, as well as the need for more minority medical trainees to consider, and succeed in academic medicine. Subscribe and listen to Flip the Script on iTunes, Soundcloud, Spotify or wherever you get your podcasts.
Aug 07, 202038:41
Entrenched in Racism
Today on Flip the Script, Max is Joined by Uche Blackstock, MD, physician and CEO of Advancing Health Equity. They discuss her experience as a Black physician in academic medicine, her health equity efforts since leaving academia, and her perspective as both a frontline healthcare worker during COVID-19 and a health justice advocate. Listen and subscribe to the Pod on iTunes, Spotify, Soundcloud or wherever you get your podcasts.
Jul 23, 202034:09
So Much Trauma
Max is joined by Brian Williams, MD, a trauma surgeon at the University of Chicago, and host of the podcast Race Violence & Medicine. They discuss police violence, the killings of Philando Castile and Alton Sterling in July 2016, and the subsequent mass shooting against law enforcement in Dallas, where he was the on-call trauma surgeon. What his experience was like processing those events, fast forward to today, as the Black Lives Matter movement is gaining more traction, along with the need to address police violence.
Jul 08, 202030:52
Racism, Kidney Function and More
Max is joined by Amaka Eneanya, MD, MPH, nephrologist at the university of pennsylvania. They discuss the landscape of racial disparities in kidney health across the lifespan. What role does race correction play in kidney function calculations? Who gets what kind of dialysis? What does the end of life look like for people with end stage renal disease? Follow us on twitter at @FlipScriptPod and Subscribe to Flip the Script on iTunes, Spotify, Soundcloud or wherever you get your podcast
Jun 29, 202032:07
I Would (not) Like to See It
Max is joined by Myles Moody, PhD, incoming assistant professor in medical sociology at the University of Alabama at Birmingham. They discuss his work on second-hand or vicarious racism and its impact on Black people's mental health, especially in the context of constant exposure to viral videos of anti-Black violence, news coverage and even frequent experiences of revisiting traumas within work or educational settings.
Jun 26, 202036:02
What Is Racial Capitalism?
Max is joined by Whitney Pirtle, PhD, assistant professor of sociology at the University of California Merced. They discuss her recent writing on racial capitalism in the context of COVID-19, the corporate response to Anti Black racism, and her thoughts on the future of pre-health education.
Jun 19, 202032:13
Divesting from Whiteness
Max is joined today by Rhea Boyd, MD, MPH, pediatrician, child and community health advocate from California. They discuss her review of the book "Dying of Whiteness" by Jonathan Metzl, MD, PhD, and implications related to the recent response to COVID-19, racial disparities related to COVID-19 and her thoughts on what to expect should there be a vaccine in the near future.
Jun 19, 202038:13
Dealing with Racism as a Family
Max is joined by Riana Anderson, PhD, psychologist and assistant professor at the University of Michigan School of Public Health. They discuss her program EMBRACE, aimed at helping Black families cope with racism, as well as “our mental health minute,” a video series aiming to raise mental health awareness and address mental health stigma in the Black community.
Jun 09, 202030:15
Structures and Self
Max is joined by Zoe Julian, MD, MPH OBGYN & research fellow at the university of Alabama in Birmingham. They discuss the landscape of reproductive justice in medical/health professional's education, the role of community expertise in health professionals' education on structural racism & reproductive justice, and the self-learning platform she developed titled "structures and self" for learners' engagement with material on structural racism & reproductive justice.
Dr. Julian's words and opinions are hers alone and don’t represent her employer.
Feb 27, 202023:41
Constant Vigilance
Max is joined by a returning guest, Yale’s Ben Howell, MD, MHS. They discuss his involvement in advocacy efforts to get medication for opioid use disorder in Connecticut’s prisons and jails, as well as the social and legal complexities individuals with a history of incarceration & opioid use disorder face trying to access basic necessities such as housing.
Feb 10, 202030:58
Making PrEP More Accessible
Max is joined by Oni Black Stock, MD, MHS, Assistant Commissioner for the Bureau of HIV/AIDS Prevention and Control for the NYC Health Department. They discuss her transition from a primarily academic career to public health and service, sex and gender disparities in access to Pre-exposure prophylaxis medication for HIV, and her office's efforts to reduce the incidence of HIV in NYC.
Jan 24, 202024:08
When the Personal Is Political
Max is joined by Gregg Gonsalves, PhD, Assistant Professor of Epidemiology at the Yale School of Public Health, Activist and 2018 MacArthur Genius Grant winner. They discuss his work at the intersection of human rights and public health, more specifically HIV/AIDS activism, and global and domestic issues pertaining to harm reduction and access to pre-exposure prophylaxis (PrEP) for HIV.
Jan 17, 202028:26
Lonely, LGBTQ and Seeking Asylum
Max is joined by Sam Fox, MD, JD, a psychiatry resident in the Boston area and Yale Med alum. They discuss her work on LGBTQ asylum seekers' mental health, and the barriers they face during the asylum process.
Jan 10, 202031:03
Reach Out and Read
Max is joined by Dr. Nathan Chomilo, a pediatrician and Internist in Minnesotta, with a passion for education and literacy for children. They discuss the impact of structural racism on k-12 education, downstream effects on child, adolescent and adult health outcomes, and the national "Reach out and Read" initiative in clinical settings, aiming at improving literacy among children.
Dec 10, 201930:35
Look up 'Bigot Your Way to Success'
Max is joined by Dr. Jennifer Tsai, Yale Emergency Medicine resident and writer. They discuss race-based medicine: its pitfalls, its impact on medical education, and her vision for a medical education -- and medical field in general, that engages critically with the social sciences for the better.
Nov 22, 201930:03
Recovery from a Gun Shot Wound
Max is joined by Dr. Katie O'Neill, a general surgery resident and fellow in the National Clinician Scholar Program. She is interested in trauma surgery, and he research focuses on the experiences of individuals who have been victims of gun shots. They talk about the recovery period for such individuals, and especially ongoing initiatives in the New Haven community aiming at improving the quality of the recovery process, and policy implications.
Nov 05, 201927:52
Mississippi Appendectomy
Max is joined by Harriet Washington, journalist, ethicist and author of the award-winning book "Medical Apartheid: The Dark History of Medical Experimentation on Black Americans from Colonial Times to the Present" for a discussion of the book's legacy 12 years after its publishing, and her insights on unequal medical treatment on the basis of race, and the current landscape of medical research and drug discovery.
Oct 17, 201928:11
Policing Black Reproduction
Max is joined by Dorothy Roberts, JD, professor of Law, Sociology and Africana Studies at the University of Pennsylvania, to discuss her work of 30+ years analyzing the role of government in policing, and criminalizing Black women's behaviors during pregnancy, race-science, how these policies and theories propagate and have a larger impact of both maternal health and U.S. society at large.
Sep 12, 201936:16
Opioids in Black and White Pt II: IMANI.
Max discusses with Ayana Jordan, MD, PhD, Assistant Professor in psychiatry and addiction specialist at Yale School of Medicine (and friendly-rival Hampton Pirate) about the manifestations of the current opioid epidemic specifically as it regards the Black community, disparities in coverage and funding for treatment, as well as her faith-based interventions to address substance use disorders in Black and Latinx churches (Imani and Imani Rompiendo) in Connecticut.
Subscribe to Flip the Script on iTunes, Soundcloud and Spotify.
Subscribe to Flip the Script on iTunes, Soundcloud and Spotify.
Aug 29, 201926:49
The Space We Occupy: Academic Medical Centers and their Neighboring Communities
Max's guest is Sakena Abedin, MD, PhD, a pediatrician and historian of science and medicine at Yale University. They discuss the history of the relationship between Yale New Haven Hospital, the School of Medicine, and the surrounding New Haven, and larger Connecticut communities. They explore the themes of race, class and barriers that often impact the relationships between large academic medical centers and the communities their surrounding communities, and the implications for medical education and health justice.
Aug 15, 201938:20
What Could Healthcare do? (Health in the Box pt 3)
Max speaks with Dr. Emily Wang, physician and head of the health justice lab at Yale University. They discuss the nationwide Transitions Clinic Network's growth, the impact this model of care is having on the participants, and the role that the healthcare industry at large could play in contributing to criminal justice reform at a policy level, and in terms of providing resources and even employment for individuals with histories of incarceration.
Dec 17, 201829:52
Coming Home (Health and the Box pt 2)
Do you know anyone who's been to jail or prison? How is their health? This episode, Max chats with Dr Lisa Puglisi and Ms Monya Saunders of the Transitions Clinic in New Haven, CT, a member-site of a network of clinics that specialize in providing care for individuals who have histories of incarceration. They talk about the nuts and bolts of the practice, struggles their patients face during the transition period, and the value of nurturing relationships in healthcare settings to achieve greater health.
Nov 29, 201831:02
Health and the Box (pt 1)
Max discusses incarceration and health with Dr. Benjamin Howell, a physician and fellow in the national clinical scholars program at Yale. We discuss the challenges and shortcomings of U.S. healthcare and criminal justice systems, the ways in which specific conditions are criminalized and concentrated in prison settings, and the pitfalls at the intersection of health and prison. This episode is the first in a series of 3 related to health and incarceration in the U.S.
Nov 16, 201831:30
Poor, Black and Pregnant
Our guest is Khiara Bridges, JD, PhD, professor of law and anthropology at Boston university, and reproductive rights expert. We discuss the experience of low-income, pregnant Black women in NYC as they seek prenatal care -- their experience with the healthcare system, navigating imposed rules and restrictions as recipients of public insurance. We also discuss maternal mortality disparities in the broader context of race and racism in the U.S., and her future projects.
Nov 01, 201832:30
Hello, Pipeline Efforts
This episode’s topic is pipeline efforts in medicine. Max chats with Drs Darin Latimore and Joan Reed, respectively deans of diversity, inclusion and community engagement at Yale School of Medicine and Harvard School of Medicine. They have both built successful pipeline programs, and share insights in terms of why they matter, the impact they can have on efforts of diversity in medicine and addressing health disparities.
Oct 11, 201822:50
Both Hospitals Were Destroyed (Hurricane Series Part 2 of 2)
Max meets up with Dr. Marcella Nuñez-Smith, a physician and health equity researcher at Yale University and a native of Saint Thomas. They discuss the after-math of hurricanes Irma and Maria in the Virgin Islands and the rest of the Eastern Caribbean, challenges the region faces due to healthcare policies affecting the 5 U.S. territories, and a path models in which medical education has a role in disaster preparedness/relief efforts.
Sep 20, 201827:35
Puerto Rico Se Levanta (Hurricane Series Part 1)
In light of the 1 year anniversary of hurricane Maria, We are doing a 2-part series on the U.S. territories affected by last year's hurricanes Maria and Irma. For Part 1, Max chats with Dr Marietta Vazquez, a Yale pediatric infectious disease specialist and Boricua, about the hurricane aftermath from the Puerto-rican diaspora’s perspective: the medical relief efforts that took place, hurricane season preparation in Puerto Rico, and the role of disaster preparedness education for physicians in this era of climate change.
Sep 13, 201827:38
Acá y Allá: Protest Psychiatry and Physician Activism
Max discusses with Dr. Marco Ramos, a psychiatry resident and historian of medicine at Yale, about the activist role psychiatrists played in Argentina during the authoritarian regime through their therapeutic relationships with patients who faced state violence, some outcome of this movement, and lessons to be learned for today's medical trainees interested in advocacy.
Aug 30, 201826:57
More Harm Reduction, Please.
Max meets up with Dr. Benjamin Oldfield, a primary care physician at Yale. They talk about harm reduction: the concept, current efforts, barriers and patient engagement strategies, as we face the current drug epidemic, and work towards improving our health systems' effectiveness.
Aug 16, 201822:11
Opioids in Black and White
Max talks with Dr. Helena Hansen, a psychiatrist and anthropologist at NYU, about opioids and other addictive substances: drug marketing, federal and state policies, overdose epidemics, public reaction and the racialization of it all, having led to the creation of a 2-tiered system when it comes to addiction interventions, primarily on the basis of race. They take a deeper dive into elements of harm reduction, and the barriers some patients in her clinical practice face due to race and class.
Aug 06, 201834:27
Let's Get Active
Max meets up with Dr. Akshay Pendyal, a cardiologist & fellow in the national clinician scholars program at Yale, and they discuss his recent piece in KevinMD, calling physicians to action about using their power to address structural racism. They take a closer look at a particular issue impacted by structural racism: housing insecurity, and this creates for patients with heart failure when seeking relief.
Jul 27, 201826:53
To Heal and To Harm
Max's guest is Dr. Carolyn Roberts, an assistant professor of history of science and medicine at Yale University. Max and Carolyn discuss the role physicians had in the British transatlantic slave trade, from the coast of Africa to the Americas, as well as the burgeoning of the pharmaceutical industry then; and what lessons we can learn from this history in order to continue improving the nature of medicine and its role in the lives of historically marginalized populations.
Jul 12, 201830:28
Flip The Script: Teaser
Want to hear more about the gaps in health outcomes between different groups in our society? Ever wonder why your zip-code is such a strong predictor of health? Flip The Script’s goal to shine a light on issues related to health disparities nationally and globally, and discussing potential solutions with our guest-experts. We’ll interview healthcare, public health, health humanities/science professionals who dedicate their careers to contributing to achieving health equity.
Jun 22, 201801:34