Hi, I'm Dr. Kim and welcome to "Live to Be Well" 00:00:35.43\00:00:38.73 I'm so excited about this program because I get an 00:00:38.80\00:00:42.00 opportunity to talk about women and their health issues. 00:00:42.07\00:00:46.04 I have a special friend, but also an OB/GYN, 00:00:46.07\00:00:49.54 and she was my former OB/GYN. 00:00:49.58\00:00:52.31 Welcome Dr. Patricia Ferguson! 00:00:52.35\00:00:54.82 How are you doing Pat? 00:00:54.85\00:00:56.18 I'm doing well, glad to be here. 00:00:56.22\00:00:57.75 It's so good to see you. 00:00:57.79\00:00:59.19 I think about my humble beginnings and how I met you. 00:00:59.22\00:01:03.89 I was speaking at church and right then and there, 00:01:03.93\00:01:07.73 the Holy Spirit told me to STOP and I said... 00:01:07.76\00:01:11.13 "Is there an OB/GYN in the audience?" 00:01:11.17\00:01:14.60 And I said, "She's here, she's African American, she's here." 00:01:14.64\00:01:19.11 And I was looking for an OB/GYN just like that and I said, 00:01:19.14\00:01:22.14 "Could you please stand?" 00:01:22.18\00:01:23.51 And you stood up, just like that and that's how I found 00:01:23.55\00:01:27.88 my OB/GYN and it's been a wonderful experience. 00:01:27.92\00:01:31.69 Let's talk about your humble beginnings... 00:01:31.72\00:01:33.96 Why you became a physician and 00:01:33.99\00:01:37.43 are you originally from Michigan? 00:01:37.46\00:01:39.59 I am, I was born and raised in Detroit, Michigan, 00:01:39.63\00:01:42.53 I have three older siblings and it's just odd because nobody 00:01:42.56\00:01:47.40 in my family had actually gone 00:01:47.44\00:01:49.57 to college or graduated from college. 00:01:49.60\00:01:51.11 My dad was from the South and he came up here and got a 00:01:51.14\00:01:54.14 job in the pop manufacturing industry. 00:01:54.18\00:01:58.31 He was at Vernor's for a while and then Coca Cola, 00:01:58.35\00:02:00.65 and then my mother was born 00:02:00.68\00:02:02.78 and raised here, but worked for IRS... 00:02:02.82\00:02:04.25 And you know, they had my brothers 00:02:04.29\00:02:07.36 and sister, they went through college. 00:02:07.42\00:02:08.96 My brothers went to the military, 00:02:09.02\00:02:10.36 my sister started premed, but decided to get married. 00:02:10.39\00:02:14.93 So I just continued and there's no like "ah-ha" moment. 00:02:14.96\00:02:19.83 I always grew up watching medical shows on TV - like 00:02:19.87\00:02:22.70 "Marcus Welby, MD," "Rampart," remember "Emergency," 00:02:22.74\00:02:26.14 and any medical show - it was just interesting and fun. 00:02:26.17\00:02:29.04 And I think the reality hit was, my dad had a heart attack 00:02:29.08\00:02:32.81 in the middle of the night one night and I actually 00:02:32.85\00:02:34.55 performed CPR - and I was in the 11th grade, 00:02:34.58\00:02:37.02 and you know in high school, you go through CPR in gym 00:02:37.05\00:02:39.65 and I actually knew what to do. 00:02:39.69\00:02:41.86 So when we got him to the hospital, one of the docs 00:02:41.89\00:02:44.53 came by and he said, "You know if it hadn't been for what you 00:02:44.56\00:02:46.16 did, your dad wouldn't have made it," and I was, "Wow." 00:02:46.19\00:02:48.00 So the actual impact of seeing what it means to jump 00:02:49.06\00:02:53.64 into action and to maybe help preserve life and save a life, 00:02:53.67\00:02:57.07 that was the first real medical encounter being in 00:02:57.11\00:02:59.37 a hospital emergency room. 00:02:59.41\00:03:00.91 And then when I got to undergrad, my friends were 00:03:00.94\00:03:04.08 premed and we just kind of traversed 00:03:04.11\00:03:07.12 through the system together. 00:03:07.15\00:03:08.48 Where did you do your undergrad? 00:03:08.52\00:03:09.85 Wayne State, right down here. 00:03:09.88\00:03:11.35 Right here, 5 minutes away. 00:03:11.39\00:03:13.25 Alright, and then med school? Wayne State med School. 00:03:13.29\00:03:15.06 Oh, so everything was right here together. Right here, yep. 00:03:15.96\00:03:18.59 You know, why OB/GYN when you were pursuing 00:03:18.63\00:03:23.40 your clinicals, your residency, why OB/GYN? 00:03:23.43\00:03:26.37 Again, I didn't go in expecting to do OB/GYN, 00:03:26.40\00:03:31.51 as-a-matter-of-fact, I can remember thinking I would want 00:03:31.54\00:03:34.38 to do anything except pediatrics, psychiatry 00:03:34.41\00:03:37.08 and OB/GYN and OB was the last rotation of my third year 00:03:37.11\00:03:41.78 where you get to pick and choose and get exposed, 00:03:41.82\00:03:44.09 and it was the most fun, it was the most exciting. 00:03:44.12\00:03:47.06 The patients were primarily younger and healthy women 00:03:47.09\00:03:51.33 so I could relate and it was easy to communicate with, 00:03:51.36\00:03:54.66 and the issues were short and usually with good outcome, 00:03:54.70\00:03:59.83 so everybody was happy to be pregnant and have a 00:03:59.87\00:04:02.00 happy delivery. 00:04:02.04\00:04:03.37 The surgery was exciting and you could actually 00:04:03.41\00:04:06.61 see a problem and take care of it surgically. Yes 00:04:06.64\00:04:09.11 And the office visits were brief, but interactive 00:04:09.14\00:04:13.25 as opposed to some of the subspecialties that were 00:04:13.28\00:04:15.85 a little bit more labor intense and more chronic 00:04:15.88\00:04:18.69 with no real end in sight. Yes 00:04:18.72\00:04:20.62 So it was actually just a natural fit. 00:04:20.66\00:04:23.86 You have a wonderful bedside manner, when I would 00:04:23.89\00:04:26.59 come in for my regular Pap and I would get my examination, 00:04:26.63\00:04:30.80 you would just talk me through it and "How's Arthur, 00:04:30.83\00:04:34.50 how's the girls," and I have to let everyone know that 00:04:34.54\00:04:38.47 you were the one who really identified the issues 00:04:38.51\00:04:43.08 with Arthur and got us on the track that saved his life 00:04:43.11\00:04:47.58 or prolonged his life a little bit longer, 00:04:47.62\00:04:50.09 so I will always be grateful for that and I was not 00:04:50.12\00:04:53.86 ashamed to call you to say, "I need help," 00:04:53.89\00:04:57.49 and you referred us to your brother-in-law... 00:04:57.53\00:05:00.13 And you just stayed right there by our side all the way 00:05:00.16\00:05:03.06 through and why is it difficult for women, being OB/GYN 00:05:03.10\00:05:10.67 or a man, but let's talk about women... to go to the 00:05:10.71\00:05:14.04 doctor - is it mainly don't have insurance 00:05:14.08\00:05:17.05 or fear of the unknown, what is the block for us 00:05:17.08\00:05:21.55 as women? 00:05:21.58\00:05:23.08 I think primarily several things, but mostly we are so 00:05:23.12\00:05:27.32 in tune to being a primary caregiver for everybody else, 00:05:27.36\00:05:30.86 and we have to fix everything for those around us 00:05:30.89\00:05:33.43 whether siblings or children or spouse or parents 00:05:33.46\00:05:36.77 that we tend to minimize the little things that we tell 00:05:36.80\00:05:40.84 everybody to tolerate... that it will get better 00:05:40.87\00:05:44.17 or you take care of them, so you kind of manage 00:05:44.21\00:05:46.27 yourself because you have to be there to manage everybody else. 00:05:46.31\00:05:49.28 And by the time something is bothering us enough 00:05:49.31\00:05:52.71 to go in, it's usually a little bit more advanced 00:05:52.75\00:05:55.28 or a little bit more severe or significant than if we had just 00:05:55.32\00:05:58.09 stopped and made ourselves a priority. 00:05:58.12\00:06:00.29 You know, that's really something... 00:06:00.32\00:06:01.69 A few weeks ago, I was just flying here and there 00:06:01.72\00:06:05.39 well for months and I had this prolonged cough and I said... 00:06:05.43\00:06:09.40 "Well, it's just a cough, it will go away and I'm taking 00:06:09.43\00:06:12.53 Halls and I'm taking this and that and then my daughter 00:06:12.57\00:06:16.24 heard me and she said, "Mommy, it doesn't sound right." 00:06:16.27\00:06:18.71 And the next morning, I could not breathe! 00:06:18.74\00:06:21.71 And couldn't walk, it was hard to really able... 00:06:21.74\00:06:26.01 ... and I said, "Erin, (my youngest daughter), drive me 00:06:26.05\00:06:30.09 to the hospital right now." 00:06:30.12\00:06:31.45 And when they came back and said... 00:06:31.49\00:06:33.62 "You have walking pneumonia." 00:06:33.66\00:06:35.39 I'm not surprised because being you're on the go 00:06:35.42\00:06:38.89 and you have an agenda and you have a schedule and you have 00:06:38.93\00:06:40.80 places to be and commitments to keep and until you 00:06:40.83\00:06:44.93 stop, you don't even realize how tired or how sick 00:06:44.97\00:06:47.97 you actually feel. Um hm 00:06:48.00\00:06:49.40 And that's true and being on the planes, 00:06:49.44\00:06:51.67 there's just so many germs in and out. 00:06:51.71\00:06:53.98 A constant risk and then if you stop long enough to 00:06:54.01\00:06:57.28 get well and to allow your body to rest and even take a 00:06:57.31\00:07:00.72 mental break, you realize how exhausted you have become 00:07:00.75\00:07:05.15 when you actually start to feel healthy and normal again. 00:07:05.19\00:07:07.59 And then it becomes like a pattern, you just do it, 00:07:07.62\00:07:11.23 you just keep on keeping on, 00:07:11.26\00:07:14.23 and it's not healthy, it's not good. 00:07:14.26\00:07:16.20 Let's talk about the HPV virus and what is it? 00:07:16.23\00:07:21.07 HPV virus is "human papilloma virus," it's actually 00:07:21.10\00:07:25.14 currently the most common sexually transmitted disease 00:07:25.17\00:07:27.74 in America and a virus is a small organism that you 00:07:27.78\00:07:33.62 can't see with the naked eye, you can only see it 00:07:33.65\00:07:35.92 through a microscope and what it does different than germs 00:07:35.95\00:07:39.95 or bacteria that we commonly confuse is... 00:07:39.99\00:07:43.06 It actually takes over the cells of your body or the cells 00:07:43.09\00:07:47.50 of a particular area of your body and what it does is... 00:07:47.53\00:07:51.63 The cell center, the nucleus or the brains of the cell, 00:07:51.67\00:07:55.70 the virus controls the brains in the cell, so instead of 00:07:55.74\00:07:58.61 your cells making your DNA, your own genetic material, 00:07:58.64\00:08:02.71 it makes you make its own, so the virus takes over 00:08:02.74\00:08:06.41 and grows out of control. 00:08:06.45\00:08:07.92 And there are some aggressive strains - there are a lot of 00:08:07.95\00:08:11.39 different types and it's really complicated, 00:08:11.42\00:08:13.25 but there are two that are really associated with cervical 00:08:13.29\00:08:16.02 cancer and we really try to target those. 00:08:16.06\00:08:18.83 And then there are a bunch of strains that are more 00:08:18.86\00:08:20.73 benign or less significant, but they cause 00:08:20.76\00:08:24.40 issues with warts - genital warts and sometimes 00:08:24.43\00:08:28.20 discomfort, itching or bleeding, so it's not just one 00:08:28.24\00:08:32.34 thing, it's a wide conglomerate of things, but the key is 00:08:32.37\00:08:36.78 it's preventable, it's treatable, but once you have it, 00:08:36.81\00:08:40.45 you can't necessarily cure it. 00:08:40.48\00:08:43.18 You can manage it and you can eradicate it through surgery 00:08:43.22\00:08:46.59 and some medications, but once you've been exposed to it, 00:08:46.62\00:08:49.72 and it takes over the control of your cells, 00:08:49.76\00:08:52.86 it's there for life. 00:08:52.89\00:08:54.23 It's there for life. 00:08:54.26\00:08:56.30 Having an annual mammogram, how important is that? 00:08:56.33\00:09:00.40 There is a lot of controversy on that exact question... 00:09:02.97\00:09:06.54 "How important is it to get an annual mammogram" because 00:09:06.57\00:09:09.44 medicine is based on risks versus benefit, cost, 00:09:09.48\00:09:13.28 and cost-effectiveness, so a lot of studies and research 00:09:13.31\00:09:16.85 go into figuring out how many tests do we have to do 00:09:16.89\00:09:20.39 to actually find and prevent one case of cancer? 00:09:20.42\00:09:24.43 So having said all that, if it's you or your family 00:09:24.46\00:09:28.33 or that one person, it's 100% absolutely necessary 00:09:28.36\00:09:31.37 that you get annual mammograms. 00:09:31.40\00:09:33.23 Statistically, there is some discussion about changing 00:09:33.27\00:09:37.44 the requirement, so instead of every woman at age 35 00:09:37.47\00:09:40.04 getting a baseline and then every year thereafter, 00:09:40.08\00:09:43.58 they're trying to extend to maybe having your first 00:09:43.61\00:09:45.95 mammogram after age 40 to 45 and maybe every few years 00:09:45.98\00:09:50.32 after based on your risk factors, your family history 00:09:50.35\00:09:53.82 because they're saying we're doing way too many 00:09:53.86\00:09:55.69 mammograms, finding too many lumps that aren't cancerous, 00:09:55.72\00:09:59.19 and doing too many procedures 00:09:59.23\00:10:01.40 just to find out it wasn't necessary. 00:10:01.43\00:10:03.80 I had a young lady who recently passed when she was 42, 00:10:04.13\00:10:07.74 and you know, Micah had breast cancer, stage II. Right. 00:10:07.77\00:10:10.77 No one else in our family has had it, but we've had other 00:10:10.81\00:10:13.91 aspects of cancer. 00:10:13.94\00:10:16.28 But she was 42 and she had the aggressive strain 00:10:16.71\00:10:19.48 of breast cancer. Um hm 00:10:19.51\00:10:21.32 Can you talk a little bit about that? 00:10:21.35\00:10:23.05 Again, like viruses or bacteria, there's lots of different types, 00:10:23.08\00:10:27.06 nobody exactly knows what is the trigger that causes it. 00:10:27.09\00:10:30.03 There are some genes that are inherited and if you happen 00:10:30.06\00:10:32.66 to be in a family that has those genes, your risks are higher, 00:10:32.69\00:10:35.73 so you would be evaluated differently... 00:10:36.83\00:10:39.50 But in a general sense, African American women tend 00:10:39.53\00:10:42.20 to get more aggressive strains at earlier ages that 00:10:42.24\00:10:45.91 advance and spread quicker, so we tend to die 00:10:45.94\00:10:50.05 sooner if we don't detect them and find out... 00:10:50.08\00:10:53.72 And a lot of times, like we mentioned earlier, 00:10:53.75\00:10:55.52 we don't go get the lump checked out right away, 00:10:55.55\00:10:57.99 so by the time it's determined or discovered, 00:10:58.02\00:11:01.79 it's later on and more advanced. 00:11:01.82\00:11:04.93 But the things that we can do are watch diet. 00:11:04.96\00:11:09.83 watch your lifestyle and do exams monthly 00:11:09.86\00:11:14.94 to check your own breasts. 00:11:14.97\00:11:16.34 Again, the tendency is to try to get away from that 00:11:16.37\00:11:19.77 because people find lumps that aren't cancer, 00:11:19.81\00:11:21.98 then they go in and get a lot of tests and a lot of biopsies 00:11:22.01\00:11:24.75 and procedures that aren't necessary or they find 00:11:24.78\00:11:27.48 benign lumps, but I'm still like... be diligent, 00:11:27.52\00:11:31.05 be diligent with checking, be diligent with going to 00:11:31.09\00:11:33.62 report something that you find because you're the first 00:11:33.66\00:11:36.32 line of defense for yourself and if you don't get it checked 00:11:36.36\00:11:39.63 and it is a cancer in your case, it's 100% for you. Yes 00:11:39.66\00:11:44.40 Your husband is also a medical doctor. 00:11:44.43\00:11:47.24 Let's talk about how you met and how you married... 00:11:47.27\00:11:51.67 He grew up in Bloomfield Hills, Michigan, 00:11:51.71\00:11:55.34 and I grew up in Detroit. 00:11:55.38\00:11:56.75 I never knew him until we went to Wayne State, 00:11:56.78\00:11:59.38 we both were accepted in the freshman class of 1984, 00:11:59.41\00:12:02.85 and at that time they had an incoming freshman program 00:12:02.88\00:12:06.69 where you could go in the summer and get exposure to what the 00:12:06.72\00:12:09.99 first six weeks of the curriculum are like. 00:12:10.03\00:12:12.46 So we met there in a summer program and he was dating 00:12:12.49\00:12:15.16 someone and I was dating someone, so we, just by 00:12:15.20\00:12:18.63 being in that cohort and spending all day together, 00:12:18.67\00:12:21.10 we would talk with the other students too, 00:12:21.14\00:12:23.47 but we would wind up maybe having lunch here or there 00:12:23.51\00:12:26.27 or going out and then we went into our first year, 00:12:26.31\00:12:28.34 we studied together and we continued to have friends 00:12:28.38\00:12:32.21 here, there - we studied well together and we challenged 00:12:32.25\00:12:36.52 each other and competed; he was more competitive than me. 00:12:36.55\00:12:39.29 And so we would battle and we'd argue and it would be like 00:12:39.32\00:12:43.06 have a good life, we could study together, but then that was it. 00:12:43.09\00:12:46.33 And then after our first Christmas break, 00:12:46.36\00:12:49.36 that was kind of our conversation... 00:12:49.43\00:12:50.87 "You go have a good life and I'll come back," 00:12:50.90\00:12:53.44 and after the break, we started studying together again, 00:12:53.47\00:12:55.60 and I think in the spring of the end of the freshman year, 00:12:55.64\00:12:59.01 we went to a concert at Chene Park and here we are. 00:12:59.04\00:13:02.54 Here you are... how soon after? 00:13:02.58\00:13:04.18 Did you marry after medical school? 00:13:04.21\00:13:05.91 We got engaged in our senior year, as-a-matter-of-fact 00:13:05.95\00:13:11.52 at our senior graduation dinner and then he actually 00:13:11.55\00:13:15.96 went to St. Louis for a year or two to do a fellowship 00:13:15.99\00:13:18.49 to try to get in an ophthalmology program. 00:13:18.53\00:13:21.13 He's an ophthalmologist. Ophthalmologist, 00:13:21.16\00:13:22.73 and we got engaged the year of graduation and then 00:13:22.76\00:13:29.20 2 years later we got married. 00:13:29.24\00:13:31.57 How many children? 00:13:31.61\00:13:32.94 We have 4 children; 3 young ladies and my son 00:13:32.97\00:13:36.48 he'll be 19 at the end of September. Alright 00:13:36.51\00:13:40.55 So 4 children, all graduates of Bloomfield Hills High School, 00:13:40.58\00:13:43.79 and now all attended Howard University in Washington, DC. 00:13:43.82\00:13:48.92 I have one graduated in 2014 and she's a fourth year 00:13:48.96\00:13:53.36 medical student at the University of Michigan. 00:13:53.40\00:13:55.43 I have another daughter that graduated in 2016, 00:13:55.46\00:13:59.80 and she is a broadcast journalism major, 00:13:59.83\00:14:02.70 political science minor. 00:14:02.74\00:14:04.07 My third daughter is broadcast journalism. 00:14:04.11\00:14:05.84 She's interested in film production editing. 00:14:05.87\00:14:08.84 And my son is a rising sophomore, 00:14:08.88\00:14:10.78 he's a sports medicine, chemistry minor. 00:14:10.85\00:14:13.75 Isn't that something! So I'm proud of them. 00:14:13.78\00:14:16.65 So how did you balance everything, 00:14:16.69\00:14:19.29 because I remember when I went into labor; you had delivered 00:14:19.32\00:14:23.79 twins, you had been up 48 hours and you came by to 00:14:23.83\00:14:28.30 see me and I was dilating and I said, "Go home, you go home." 00:14:28.33\00:14:33.20 And you sent your partner in to take care of me and you came 00:14:33.23\00:14:37.67 back to see me the next day and I had a healthy delivery, 00:14:37.71\00:14:40.88 but I remember when you got the test results back and I was 00:14:40.91\00:14:45.05 pregnant because I was sick and I didn't know 00:14:45.08\00:14:47.45 what was going on and you looked at me and you said, 00:14:47.48\00:14:50.12 "Honey, you're pregnant," and Arthur just said, 00:14:50.15\00:14:52.45 "No, no, no." He wasn't expecting that. 00:14:52.49\00:14:54.92 We were not expecting that. 00:14:54.96\00:14:56.76 But being healthy, having checkups, being able to be 00:14:56.79\00:15:01.46 in tune, but you left your practice, 00:15:01.50\00:15:04.40 and you transitioned, why? 00:15:04.43\00:15:06.87 Well I had been in a private practice setting for 25 years, 00:15:06.90\00:15:12.01 and in a pretty intense level, we had a busy practice, 00:15:12.04\00:15:17.65 and just the changing nature of medicine and practice 00:15:17.68\00:15:22.92 partners and practice situations, I had an 00:15:22.95\00:15:25.45 opportunity to be a consultant with Blue Cross/Blue Shield 00:15:25.49\00:15:28.39 in case management which was new and it was different, 00:15:28.42\00:15:31.99 but it was an opportunity, so I had been consulting 00:15:32.03\00:15:35.60 for about 2 years and my medical director said, 00:15:35.63\00:15:39.47 "Hey Pat," (I was home actually taking a nap) and you know, 00:15:39.50\00:15:42.74 kinda played around with the idea of maybe finding 00:15:42.77\00:15:45.07 something else to do as I transitioned beyond under 50, 00:15:45.11\00:15:50.55 I'll put it that way, and she said, "Full time 00:15:50.58\00:15:54.45 positions never open up, but one is available, 00:15:54.48\00:15:56.55 are you interested," and I told her I'd pray about it, 00:15:56.58\00:15:58.59 and in my mind, I was like, "Shoot yeah, I'll take it." 00:15:58.62\00:16:00.72 And so about a week later, I let her know I was 00:16:00.76\00:16:04.33 interested and an opportunity was there and so I transitioned. 00:16:04.36\00:16:07.50 So full-time case management is where you oversee 00:16:07.53\00:16:11.50 from the educational side, I oversee nurses who call 00:16:11.53\00:16:17.91 patients maybe 50 to 100 years of age that have multiple 00:16:17.94\00:16:21.64 medical problems outside of OB/GYN, like high blood 00:16:21.68\00:16:24.08 pressure, diabetes, obesity, renal failure, 00:16:24.11\00:16:26.28 any medical problem. 00:16:26.31\00:16:28.05 When patients go to their doctor, there seemed to be a 00:16:28.08\00:16:32.25 tendency for some people to go in and out of the 00:16:32.29\00:16:34.12 emergency room over and over or hospitalization... 00:16:34.16\00:16:36.73 So we try to figure out what it is about that population 00:16:36.76\00:16:39.73 that they have recurrent ER visits, and increase their 00:16:39.76\00:16:43.06 education, resources, transportation and understanding 00:16:43.10\00:16:46.84 and why they need to be compliant with their 00:16:46.87\00:16:49.50 treatment plan and self- management plan 00:16:49.54\00:16:51.47 to minimize ER utilization... 00:16:51.51\00:16:53.61 And so that's in a nutshell what I transitioned to. 00:16:53.64\00:16:57.91 So what I realized is how important it is 00:16:57.95\00:17:01.38 to communicate the urgency of self-management, 00:17:01.42\00:17:06.25 you have to watch your diet, you have to exercise, 00:17:06.29\00:17:08.46 you have to adopt a healthy lifestyle, mindset, 00:17:08.49\00:17:11.76 and be proactive in learning what it is that you 00:17:11.79\00:17:15.56 need to do for yourself to maintain your health. 00:17:15.60\00:17:18.43 What do you see with young girls and young women 00:17:18.47\00:17:22.57 and their health issues today? 00:17:22.60\00:17:25.74 I'm little bit removed from the direct issues, 00:17:25.77\00:17:29.71 and I would say, in general, my perception and what I 00:17:29.74\00:17:32.78 used to see as an overall rule is teens tend to seek 00:17:32.81\00:17:40.79 validation and actually is women in general. 00:17:40.82\00:17:43.99 People tend to seek approval and validation 00:17:44.03\00:17:46.59 through relationships and a lot of times that allows them 00:17:46.63\00:17:50.47 to compromise maybe their values to establish some 00:17:50.50\00:17:54.17 sense of self worth or self-esteem... 00:17:54.20\00:17:56.81 And so, going back to the bedside manner, 00:17:56.84\00:17:59.37 it was easy to embrace a side of people behind closed doors 00:17:59.41\00:18:05.25 one-on-one and address really what is it that you're 00:18:05.28\00:18:07.75 looking for... because to compromise your health 00:18:07.78\00:18:12.12 in terms of sexually transmitted diseases, unintended pregnancy, 00:18:12.15\00:18:15.89 unanticipated pregnancy or a whole list of problems that 00:18:15.92\00:18:20.50 can be avoided and it really came down to really becoming 00:18:20.53\00:18:25.67 comfortable with decisions and choices that necessarily 00:18:25.70\00:18:29.84 aren't popular and I think now more than ever because 00:18:29.87\00:18:33.27 of social media and exposure, people want what they see 00:18:33.31\00:18:36.64 immediately and they don't understand... 00:18:36.68\00:18:38.98 they don't understand everything has a price. 00:18:39.01\00:18:40.98 Everything has a price, every action causes a reaction. Yep. 00:18:41.02\00:18:45.59 Medication - prescription drugs, over-the-counter drugs, 00:18:46.62\00:18:52.03 easy access - you can find it in your communities, 00:18:52.06\00:18:56.33 on the streets, you know, what is happening in our 00:18:56.36\00:19:00.14 communities now where people are so addicted to 00:19:00.17\00:19:03.61 prescription drugs and they just don't feel 00:19:03.64\00:19:06.98 they have another way out to cope or manage their pain. 00:19:07.01\00:19:11.58 Yeah, there's a lot going on with opioid addiction, 00:19:11.61\00:19:13.98 and the potency of these drugs. 00:19:14.02\00:19:16.92 Because you can get access to a lot of drugs 00:19:18.69\00:19:22.52 over-the-counter, people tend to think 00:19:22.56\00:19:24.69 they're more acceptable or less harmful. 00:19:24.73\00:19:29.73 Something as simple as antihistamines for allergies, 00:19:30.50\00:19:33.40 now Rite Aid, CVS, Walgreens, they take those 00:19:33.44\00:19:35.90 and put them behind the counter so you have to ask, 00:19:35.94\00:19:38.27 and they check ID - because if there's a way to 00:19:38.31\00:19:41.21 abuse any medication, people have found it. 00:19:41.24\00:19:45.91 I was listening to a comedy routine about use of 00:19:45.95\00:19:48.75 marijuana and this was, oh with Katt Williams, he was joking, 00:19:48.78\00:19:52.45 but there's truth in the jokes... 00:19:52.49\00:19:54.22 "Old fashioned marijuana used to be just plain," he said, 00:19:54.26\00:19:57.36 "But now they lace it with everything, you don't even 00:19:57.39\00:20:00.03 recognize what's in it," so there is no benign 00:20:00.06\00:20:04.43 okay drug - there just really isn't especially in high school, 00:20:04.47\00:20:09.74 kids can get prescriptions for attention deficit disorder, 00:20:09.77\00:20:13.41 and those are stimulants and they are mood alterers, 00:20:13.44\00:20:16.64 and for whatever, however, kids have discovered, 00:20:16.68\00:20:20.48 teenagers, college students, so they can stay up longer, 00:20:20.52\00:20:23.22 study harder - all those medicines have a side effect. 00:20:23.25\00:20:26.82 All those issues that seems to make you more alert 00:20:26.86\00:20:30.29 or more aware or make you remember, there is no easy out. 00:20:30.33\00:20:36.56 You might get away with it for a little while, 00:20:37.07\00:20:40.04 but the consequences catch up and if you are somebody that 00:20:40.07\00:20:43.07 has any tendency toward mental health, mental illness, 00:20:43.10\00:20:46.71 and you obtain opiates or narcotics or marijuana 00:20:46.74\00:20:51.85 that's laced with something, you could have a permanent 00:20:51.88\00:20:54.78 psychotic or paranoid reaction. 00:20:54.82\00:20:58.29 I heard of a nurse that was saying about a young man, 00:20:58.32\00:21:01.72 he smoked one joint and somebody had put 00:21:01.76\00:21:06.13 something in it and he was permanently paranoid. 00:21:06.16\00:21:09.63 He was crawling under furniture to get away... 00:21:09.66\00:21:12.57 they could not stop him in the hospital. 00:21:12.60\00:21:14.64 So you just never know, you never know what's going on, 00:21:14.67\00:21:18.91 it's an economic benefit to some people, 00:21:18.94\00:21:22.48 they think, "Oh here is a drug, we'll sell it." 00:21:22.51\00:21:25.88 It's kind of amazing that people are that susceptible 00:21:25.91\00:21:30.99 to buy that poison to put into their system, 00:21:31.02\00:21:35.19 but it's a medication, it's a remedy for some problem 00:21:35.22\00:21:38.89 or some pain they're trying to escape. 00:21:38.93\00:21:40.26 Even alcohol... 00:21:40.30\00:21:43.03 You can take alcohol to the limit, to the extreme, 00:21:43.06\00:21:46.03 and have alcohol intoxication and that will kill you. 00:21:46.07\00:21:48.90 And that WILL kill you. 00:21:48.94\00:21:50.64 Now let's talk about, you know, even though being in OB/GYN 00:21:50.67\00:21:54.81 and now dealing with all case management, 00:21:54.84\00:21:57.95 men tend not to want to go to a doctor, 00:21:57.98\00:22:01.32 especially African American men, is it men, women or is it 00:22:01.35\00:22:06.52 ALL people? 00:22:06.55\00:22:08.36 I think people in general and I think the more people become 00:22:08.39\00:22:13.03 comfortable with "you're your own best advocate," 00:22:13.06\00:22:15.96 your health is your priority, without your health, 00:22:16.00\00:22:18.43 you really have nothing. 00:22:18.47\00:22:20.77 You don't have the ability to obtain all the wealth 00:22:20.80\00:22:22.57 in the world if you don't have your health and most of the 00:22:22.60\00:22:25.67 concerns, I think, are fear of what they don't understand 00:22:25.71\00:22:28.64 or fear of something they've been told by somebody 00:22:28.68\00:22:30.95 that has less accurate information. 00:22:30.98\00:22:34.58 Most exams are quick and not painful; sometimes things are 00:22:34.62\00:22:39.85 a little embarrassing or a little awkward, but again, 00:22:39.89\00:22:41.76 it just depends on the physician you go to - who can kind of 00:22:41.79\00:22:45.69 break down those barriers and just make it an 00:22:45.73\00:22:48.00 interaction that's necessary and doesn't have to be 00:22:48.03\00:22:51.07 awkward or uncomfortable, but I think it's our own 00:22:51.10\00:22:54.44 fears that keep us from doing anything... 00:22:54.47\00:22:56.60 And the most important thing is pursuing and advocating 00:22:56.64\00:23:00.11 for your own health. 00:23:00.14\00:23:01.48 Let's talk about your educational program. 00:23:01.51\00:23:03.51 God put a burden on your heart and Arthur and I 00:23:03.55\00:23:06.92 was involved in the beginning, I'm still involved with it. 00:23:06.95\00:23:10.45 I was with you last year, it was right after his passing, 00:23:10.49\00:23:14.86 and I didn't have the courage or the energy and you called 00:23:14.89\00:23:19.63 and said, "Kim, I need you," and I'm so happy I did come. 00:23:19.66\00:23:24.27 Let's talk about your program that you're doing now. 00:23:24.30\00:23:27.37 I started a nonprofit organization 501c3 00:23:27.40\00:23:31.04 called, "Each One Teach One," and again, I think, 00:23:31.07\00:23:33.84 going back to 1990s, you actually offered to 00:23:33.88\00:23:37.45 be our fiduciary when I didn't even know what that was. 00:23:37.48\00:23:39.85 We had the name, we had the designation, 00:23:39.88\00:23:42.08 but actually we were trying to get the designation and 00:23:42.12\00:23:44.55 our vision back then was to try to create a supportive 00:23:44.59\00:23:49.86 environment to empower and equipped and encourage 00:23:49.89\00:23:55.43 and inspire young people to prepare themselves for success, 00:23:55.46\00:23:59.40 and we chose academics and education as that vehicle, 00:23:59.43\00:24:02.54 and some 10-15 years later we started to have workshops 00:24:02.57\00:24:09.68 like in the local school district where we would have a 00:24:09.71\00:24:12.08 one day or 3 hour events. 00:24:12.11\00:24:14.28 We did an event called "Meet the People Behind 00:24:14.32\00:24:16.42 the Professions" where students actually got to meet 00:24:16.45\00:24:18.62 judges, lawyers, teachers, doctors, VPs of corporations 00:24:18.65\00:24:22.66 who told who they were, not what they do, 00:24:22.69\00:24:26.23 and how who they were enhanced and brought 00:24:26.26\00:24:30.03 what they did to a new job or new opportunity... 00:24:30.07\00:24:32.83 Like there was an undergrad chemistry major who didn't 00:24:32.87\00:24:35.74 know what he could do with a chemistry degree... 00:24:35.77\00:24:37.57 He wound up working in an automotive plant for a summer, 00:24:37.61\00:24:42.38 and because of his chemistry background and aptitude, 00:24:42.41\00:24:44.88 somebody took an interest in him and helped him discover 00:24:44.91\00:24:48.45 a patent for the soundproofing in luxury vehicles. WHAAT? 00:24:48.48\00:24:51.89 He holds the patent for the soundproofing in Jaguar. WHAAT? 00:24:51.92\00:24:56.89 He went on to become vice-president of 00:24:56.93\00:24:59.13 "Lear Corporation, North America." 00:24:59.16\00:25:01.13 So he came, told his story and just to find out who he is, 00:25:01.16\00:25:04.83 these kids were just like on the edge of their chair, 00:25:04.87\00:25:06.90 like WOW! 00:25:06.94\00:25:08.27 So it's not so much what you do, it's who you allow 00:25:08.30\00:25:12.37 yourself to become and in that process 00:25:12.41\00:25:15.78 you bring it to whatever job. 00:25:15.81\00:25:17.15 And so, by last year we had, like yourself, we had some 00:25:17.18\00:25:22.35 people from other communication, radio broadcast, 00:25:22.38\00:25:25.55 we had Pam Perry from Branding. Yes 00:25:25.59\00:25:28.36 She spoke to students about how important it is 00:25:28.39\00:25:30.46 to have a strong, personal brand; 00:25:30.49\00:25:32.93 how important social media is - good and bad. 00:25:32.96\00:25:36.33 We had Dr. Jay Marks, he is a consultant to the 00:25:36.36\00:25:39.23 Oakland schools, raised the significance of education. 00:25:39.27\00:25:43.74 This year, we're going to have Gail Perry-Mason 00:25:43.77\00:25:47.78 talking about financial literacy, 00:25:47.81\00:25:49.51 and Heil Perkins was our MC. Yes 00:25:49.54\00:25:51.65 So the goal is to, again, expose students and their 00:25:51.68\00:25:54.82 family - we want parents to become involved so we can 00:25:54.85\00:25:57.82 show them how to advocate for themselves, 00:25:57.85\00:25:59.75 how to, you know, strategize and position themselves 00:25:59.79\00:26:03.16 to succeed. Yes 00:26:03.19\00:26:04.73 So it's coming up and it's going to be in 00:26:04.76\00:26:06.46 Birmingham City home, but it touches the tri-county 00:26:06.49\00:26:08.90 area - Macomb, Oakland and Detroit. 00:26:08.93\00:26:11.97 We've been in touch with the superintendent for 00:26:12.00\00:26:14.27 Southfield schools, DPS and I have a contact in Macomb, 00:26:14.30\00:26:17.94 but it's just in the development stage for this year. 00:26:17.97\00:26:21.08 So, yeah, I'm looking forward to it. 00:26:21.11\00:26:22.44 I just think what it all came down to is trying to help 00:26:23.61\00:26:26.08 somebody else. Yes 00:26:26.11\00:26:28.35 Well anything you know that you need me to do, 00:26:28.38\00:26:30.52 I'm there for you, Pat. Thanks. 00:26:30.55\00:26:32.22 I think that it's important, and one thing I've learned 00:26:32.25\00:26:35.22 is to pace myself, to hold myself accountable 00:26:35.26\00:26:40.43 so that I can extend myself more... 00:26:40.46\00:26:43.77 I may have to stop a few days during the week or take a week 00:26:43.80\00:26:47.30 and reassess my body, eat well, exercise, 00:26:47.34\00:26:52.01 get plenty of fluids and make sure that I'm resting. 00:26:52.04\00:26:56.38 And, it's so good to have my own personal 00:26:56.41\00:26:59.11 OB/GYN anytime. Well thanks for thinking of me. 00:26:59.15\00:27:03.18 Oh definitely, I think it's important for us to be able 00:27:03.22\00:27:06.86 to have resources available, to have people that we can 00:27:06.89\00:27:10.53 turn to, networking is crucial. Um hm 00:27:10.56\00:27:12.99 And you're such a help... 00:27:13.03\00:27:14.36 My last question, we have 42 seconds... 00:27:14.40\00:27:17.07 God, what is His role in your life? 00:27:17.10\00:27:19.47 God is central and I think when you say, 00:27:19.50\00:27:23.81 "How do you find a balance," if He is the center, 00:27:23.84\00:27:26.61 and you listen for Him and truly seek Him, 00:27:26.64\00:27:29.48 and that's what I'm learning to do and I think I've 00:27:29.51\00:27:31.81 learned more in the last few years. 00:27:31.85\00:27:34.48 When you seek His purpose and you are at peace with Him, 00:27:34.52\00:27:37.72 He answers a prayer, then He'll direct you 00:27:37.75\00:27:39.89 in what you need to do, then it becomes 00:27:39.92\00:27:41.42 doable - not easy, but you know 00:27:41.46\00:27:44.06 you're working in the right direction. 00:27:44.09\00:27:45.73 It's important, pray and keep seeking Him and He will 00:27:45.76\00:27:49.16 let you know what He has for you to do. 00:27:49.23\00:27:51.37 I'm so excited about all the wonderful things 00:27:51.40\00:27:54.04 I've learned here today on "Live to be Well" 00:27:54.07\00:27:56.20 Remember good health is in your hands, 00:27:56.24\00:27:59.87 and you are responsible for it. 00:27:59.91\00:28:02.51 I want YOU to "Live to Be Well" 00:28:02.54\00:28:04.75 I'm Dr. Kim, God bless. 00:28:04.78\00:28:07.42