Dr. Miguel Ruiz

You name it, you know, issues with drug use disorders, discrimination, poverty, poor quality of environment and so forth. That in utero, in development human, is already being affected by higher levels of stress hormones, cortisol, adrenaline, norepinephrine, and so forth.

You name it, you know, issues with drug use disorders, discrimination, poverty, poor quality of environment and so forth. That in utero, in development human, is already being affected by higher levels of stress hormones, cortisol, adrenaline, norepinephrine, and so forth.

that baby comes into the world into a situation of, again, maybe homelessness, maybe incarceration of one of the parents, maybe emotional and sexual abuse of one of the parents and so forth. So this is leading to a situation in which by the teenage years,

that baby comes into the world into a situation of, again, maybe homelessness, maybe incarceration of one of the parents, maybe emotional and sexual abuse of one of the parents and so forth. So this is leading to a situation in which by the teenage years,

they're already having to cope with that added, as they call it, allostatic load of stress that has been affecting this individual that may have already caused some, through epigenetic mechanisms, some disturbances in their nervous system. And that ultimately we know it leads to premature ageing. and to higher mortality and to shorter life expectancy. So it's there, it's in the society, really.

they're already having to cope with that added, as they call it, allostatic load of stress that has been affecting this individual that may have already caused some, through epigenetic mechanisms, some disturbances in their nervous system. And that ultimately we know it leads to premature ageing. and to higher mortality and to shorter life expectancy. So it's there, it's in the society, really.

So how do the diseases of our days, to your question of diabetes, cardiovascular diseases, how are they impacted by these disparities greatly?

So how do the diseases of our days, to your question of diabetes, cardiovascular diseases, how are they impacted by these disparities greatly?

Because if really to be able to eat healthier food, you have to pay more, or you have to have a car so you can buy the food in certain places, or you are living with a food scarcity type of situation because you are in a food desert in a bigger city, in a larger city. Those issues are going to make you more prone to fast food, intermittent food.

Because if really to be able to eat healthier food, you have to pay more, or you have to have a car so you can buy the food in certain places, or you are living with a food scarcity type of situation because you are in a food desert in a bigger city, in a larger city. Those issues are going to make you more prone to fast food, intermittent food.

That is going to make you more prone to poor control of diabetes, of hypertension, and other diseases that lead to cardiovascular death. So that's why, for example, in our hospital today, we are starting to measure food safety on any patient who is discharged from the hospital. Special workers, case managers are assessing these patients' access to food before they leave the hospital.

That is going to make you more prone to poor control of diabetes, of hypertension, and other diseases that lead to cardiovascular death. So that's why, for example, in our hospital today, we are starting to measure food safety on any patient who is discharged from the hospital. Special workers, case managers are assessing these patients' access to food before they leave the hospital.

And the safety of it. And guess what? We are finding people who don't have food security. here in St. Paul, okay? And guess what?

And the safety of it. And guess what? We are finding people who don't have food security. here in St. Paul, okay? And guess what?

Well, we have a partnership with Second Harvest or whatever nonprofit organization that can provide and we can do a follow-up and we can, how can we pretend that this patient is going to be worried about getting those medications that have been recommended following their heart attack or following their stroke or whatever else when they are most primarily worried about what they're going to be eating or how they're going to be feeding their children.

Well, we have a partnership with Second Harvest or whatever nonprofit organization that can provide and we can do a follow-up and we can, how can we pretend that this patient is going to be worried about getting those medications that have been recommended following their heart attack or following their stroke or whatever else when they are most primarily worried about what they're going to be eating or how they're going to be feeding their children.

I mean, we need to start building the house from the foundation, not from the roof.

I mean, we need to start building the house from the foundation, not from the roof.

And what we are doing sometimes with our traditional medical approach is trying to patch a sinking boat, and there's bigger holes than the medical problem. And I think basic needs need to be addressed, just to give you an example.

And what we are doing sometimes with our traditional medical approach is trying to patch a sinking boat, and there's bigger holes than the medical problem. And I think basic needs need to be addressed, just to give you an example.