Dr. Miguel Ruiz

We work on it, but what do we do in the meantime until hopefully one day we get there where we have our healthcare providers representing the same diversity of the community they serve. But you know, today, human resources and medical groups and clinics and hospitals

We work on it, but what do we do in the meantime until hopefully one day we get there where we have our healthcare providers representing the same diversity of the community they serve. But you know, today, human resources and medical groups and clinics and hospitals

At least my hospital is tracking very closely what is the racial distribution of our nurses, of our, you know, CNAs, of our physicians, of our APPs. We are tracking that. And we have established clear benchmarks that we want to accomplish because we want to move the needle on this area.

At least my hospital is tracking very closely what is the racial distribution of our nurses, of our, you know, CNAs, of our physicians, of our APPs. We are tracking that. And we have established clear benchmarks that we want to accomplish because we want to move the needle on this area.

Because it's an actionable area that we can do something about that we think is going to decrease disparities and improve it. the health of our community. But yes, you're right. We need to really get to the point of trust and care, even when we have racial and linguistic issues incongruity or despite differences.

Because it's an actionable area that we can do something about that we think is going to decrease disparities and improve it. the health of our community. But yes, you're right. We need to really get to the point of trust and care, even when we have racial and linguistic issues incongruity or despite differences.

And that's the importance of many, I mean, we could talk forever about what things we could do. I can tell you what we can do, what we are doing in my hospital and in my medical group. But I mean, absolutely, you need to use medically trained interpreters when you are seeing a patient who is not able to speak English. I will say, when I'm not able to speak Somali,

And that's the importance of many, I mean, we could talk forever about what things we could do. I can tell you what we can do, what we are doing in my hospital and in my medical group. But I mean, absolutely, you need to use medically trained interpreters when you are seeing a patient who is not able to speak English. I will say, when I'm not able to speak Somali,

I need to get a Somali interpreter to help me care for my patient because I don't speak Somali. It's not that the patient doesn't speak English, it's that I don't speak Somali. I mean, we have to really start thinking, changing our way of thinking and removing the blame from the patient and putting it on us to be able to see what do I need to do to provide excellent care for this patient.

I need to get a Somali interpreter to help me care for my patient because I don't speak Somali. It's not that the patient doesn't speak English, it's that I don't speak Somali. I mean, we have to really start thinking, changing our way of thinking and removing the blame from the patient and putting it on us to be able to see what do I need to do to provide excellent care for this patient.

I think that's Those are the ways of thinking that will really increase the trust and will send the message that we do care for our patients.

I think that's Those are the ways of thinking that will really increase the trust and will send the message that we do care for our patients.

Let me see if I understand the connection here. You're trying to connect this with the issue of disparities.

Let me see if I understand the connection here. You're trying to connect this with the issue of disparities.

Yeah, obviously, as you very well point out, the cause of death of individuals have been the diseases that have been afflicting humanity and societies have changed based on on the evolution of our lifestyle and our environment and the development of antibiotics and treatments that hopefully are benefiting most people.

Yeah, obviously, as you very well point out, the cause of death of individuals have been the diseases that have been afflicting humanity and societies have changed based on on the evolution of our lifestyle and our environment and the development of antibiotics and treatments that hopefully are benefiting most people.

Although again, you think about infections, if you look at HIV, for example, clear disparity in terms of number of new cases of HIV in the US today, clearly higher among black individuals and Latino than white. Why is that? Again, back to the whole issue of education, living environments, stressors of life, and so forth. What we know is that people who are

Although again, you think about infections, if you look at HIV, for example, clear disparity in terms of number of new cases of HIV in the US today, clearly higher among black individuals and Latino than white. Why is that? Again, back to the whole issue of education, living environments, stressors of life, and so forth. What we know is that people who are

living actually, before we talk about this ACE, correct? The adverse childhood experiences. And now the researchers are talking about the pair of ACEs, which is the adverse childhood experiences. experiences, but also the adverse community environments, ACE, both of them. So even before birth, pregnant women who are suffering from continuous stress because of poverty, homelessness,

living actually, before we talk about this ACE, correct? The adverse childhood experiences. And now the researchers are talking about the pair of ACEs, which is the adverse childhood experiences. experiences, but also the adverse community environments, ACE, both of them. So even before birth, pregnant women who are suffering from continuous stress because of poverty, homelessness,