00;00;00;00 - 00;00;01;13 I'm Dr. 00;00;01;13 - 00;00;04;14 Rob Winn and you're listening to Real Cancer Talk 00;00;04;14 - 00;00;07;14 from VCU Massey Comprehensive Cancer Center. 00;00;07;14 - 00;00;09;24 We are always celebrating our rich history. 00;00;09;24 - 00;00;14;21 365 on Community Conversations, Black Health Wins. 00;00;14;21 - 00;00;16;23 And my very special guest joining me on the show. 00;00;16;23 - 00;00;21;10 He is the director of the VCU Massey Comprehensive Cancer Center. 00;00;21;15 - 00;00;23;11 Always in a win win situation. 00;00;23;11 - 00;00;25;21 Doctor Robert Winn, how are you? 00;00;25;21 - 00;00;28;02 Always good when I'm with you, Sis. 00;00;28;02 - 00;00;32;11 Wow. We're going to talk briefly about the disparities because we always give hope. 00;00;32;18 - 00;00;35;01 Black History Month and beyond. 00;00;35;01 - 00;00;36;10 So we're going to talk a little bit. 00;00;36;10 - 00;00;38;03 We're going to touch on some of the disparities. 00;00;38;03 - 00;00;41;27 But more over we're going to talk about the strides that we're making. 00;00;42;01 - 00;00;43;22 Disparities overview. 00;00;43;22 - 00;00;47;22 When it comes to the American Association for Cancer Research Disparities, 00;00;47;23 - 00;00;49;14 the progress report. Let’s... 00;00;49;14 - 00;00;51;10 Let's talk about it. Progress. 00;00;51;10 - 00;00;53;04 Social drivers of health. 00;00;53;04 - 00;00;54;25 Major contributors. 00;00;54;25 - 00;00;58;07 Redlining has been an issue from 2015 to 2019, 00;00;58;07 - 00;01;03;04 22% higher mortality rate for all cancer neighborhoods 00;01;03;04 - 00;01;08;08 subjected to redlining, and differences in ancestry related biological factors. 00;01;08;09 - 00;01;12;11 Now we're talking about some of the disparity causes in our community. 00;01;12;12 - 00;01;16;13 Now, with everything you're doing as a researcher and a scientist 00;01;16;13 - 00;01;21;02 over at VCU Massey Comprehensive Cancer Center, we have a long way to go. 00;01;21;02 - 00;01;23;01 But we're not where we were yesterday. 00;01;23;01 - 00;01;26;16 So let's talk about some of the strides that we're making now in the midst 00;01;26;24 - 00;01;30;11 of the disparities when it comes to black women and men. 00;01;30;21 - 00;01;33;05 Yeah. So, long and short. 00;01;33;05 - 00;01;37;03 Look, the reality is that that old song, 00;01;37;03 - 00;01;41;19 I, you know, I where I want to be, but I'm better off than I used to be. 00;01;41;19 - 00;01;42;27 You know that old song? 00;01;42;27 - 00;01;44;28 So I think that that's where we at. 00;01;44;28 - 00;01;46;08 So is the fact. 00;01;46;08 - 00;01;51;01 1 in 2 men, will get cancer in our lifetime. 00;01;51;24 - 00;01;55;02 1 in 3 women will get cancer 00;01;55;29 - 00;01;58;28 of one form or another in their lifetime. 00;01;59;06 - 00;02;01;08 The issue has been in 19. 00;02;01;08 - 00;02;06;13 If you look back to the 1990s, you would see that if you compared black 00;02;06;13 - 00;02;10;29 deaths versus white deaths in cancer, the difference was 33%. 00;02;10;29 - 00;02;13;29 That means that if you had three people in the room, 00;02;14;05 - 00;02;17;26 there'd be one white person that would get essentially cancer. 00;02;17;26 - 00;02;23;02 And, and essentially, you know, they'd be the majority of that room 00;02;23;02 - 00;02;24;06 would be African-Americans. Right? 00;02;24;06 - 00;02;28;05 So 33% difference means that that was significant, right? 00;02;28;05 - 00;02;30;26 That for every one there were three African-Americans. Right. 00;02;30;26 - 00;02;31;20 But check this out. 00;02;32;20 - 00;02;34;22 In 2025 and 00;02;34;22 - 00;02;37;22 then 2024 when the report came out, 00;02;37;28 - 00;02;41;09 that had dropped down to a difference of only 11%. 00;02;42;10 - 00;02;45;20 So when people say that there's a bunch of trickeration 00;02;45;20 - 00;02;47;21 and we ain't doing none and all like all the, 00;02;47;21 - 00;02;50;20 all the companies in the hospitals are doing trying to make money, 00;02;50;20 - 00;02;54;18 they sometimes can live in a world of the bubble that they want to create. 00;02;55;01 - 00;02;59;28 But there is some truth and the facts are that from the 1990s, 00;02;59;28 - 00;03;04;13 whether that 33% difference in cancer death rates between black versus 00;03;04;13 - 00;03;09;20 white people and in 2025, we could actually point to the report 00;03;09;20 - 00;03;13;24 that actually says that that's reduced down to 11% is real. 00;03;14;05 - 00;03;17;04 Now the question is, it ain't because people rubbing tea oil on themselves. 00;03;17;04 - 00;03;21;09 And it ain’t because you know it, everybody’s eating kale. Tea oil? 00;03;21;14 - 00;03;24;07 It's okay. You know, the kale is good for everything. 00;03;24;07 - 00;03;26;11 You know, it may just be that we been eating kale. 00;03;26;11 - 00;03;31;01 It's because honestly, there has been a movement of science 00;03;31;17 - 00;03;34;13 that has evolved over time 00;03;34;13 - 00;03;37;13 that allows us to treat breast cancer better. 00;03;37;23 - 00;03;40;02 Yeah. So it's not just medicine. 00;03;40;02 - 00;03;43;01 It's also behaviors, you know, and being more attentive to that. 00;03;43;07 - 00;03;45;21 It's about getting better sleep, not getting stressed. 00;03;45;21 - 00;03;47;00 But y'all need to quit playing. 00;03;47;00 - 00;03;47;19 It ain't about, 00;03;47;19 - 00;03;50;15 you know, rubbing some Vicks on you, some tea oil or some prayer oil. 00;03;50;15 - 00;03;52;05 And you just say that that's the end. 00;03;52;05 - 00;03;54;06 Then the reason why we getting healthier 00;03;54;06 - 00;03;57;22 is because we actually have the, the science 00;03;57;22 - 00;04;01;23 that's actually creating molecules that have become miracle medicines. 00;04;02;00 - 00;04;06;17 The problem is we still got some in the African-American community particularly. 00;04;06;24 - 00;04;10;26 The issue is how do we get more access to those miracle 00;04;10;26 - 00;04;14;23 drugs for our folk so that they actually live healthier lives? 00;04;14;24 - 00;04;15;27 That's what's up. 00;04;15;27 - 00;04;17;01 And when we thinking about. 00;04;17;01 - 00;04;20;09 To say that the eating and stuff...you know, look, all that alcohol, 00;04;20;09 - 00;04;23;29 I told y'all back in the day, I want to hear about all that alcohol 00;04;23;29 - 00;04;27;06 and all that crazy eating we be doing sometimes 00;04;27;14 - 00;04;30;23 actually also contributes to obesity, which contributes to cancer. 00;04;30;23 - 00;04;32;29 We now know that alcohol contributes to cancer. 00;04;32;29 - 00;04;35;29 So I'm not saying that lifestyle issues aren't important. 00;04;35;29 - 00;04;37;06 It's not an either or. 00;04;37;06 - 00;04;38;18 It's an ‘and’ conversation. 00;04;38;18 - 00;04;40;19 Wow. And it's very important. 00;04;40;19 - 00;04;41;25 I know we laughed about it. 00;04;41;25 - 00;04;42;18 We've been doing this 00;04;42;18 - 00;04;46;24 for a number of years, but yesterday's food is not today's food. 00;04;48;20 - 00;04;49;03 You know 00;04;49;03 - 00;04;53;11 grandma's your grandma's food and meat was soaked overnight. 00;04;53;11 - 00;04;56;02 And so you were cooking from the table. 00;04;56;02 - 00;04;57;25 Come on, come on. Back in the day. 00;04;57;25 - 00;04;59;07 Come on. Let's be real with it. 00;04;59;07 - 00;05;03;08 You know the you know, the reality is we look at that guide 00;05;03;08 - 00;05;06;12 and we talk about the African-American diet, about how bad it was. 00;05;06;12 - 00;05;07;21 But let's get real. 00;05;07;21 - 00;05;10;21 Most people didn't have the money to eat like that every day. 00;05;11;07 - 00;05;14;23 So the celebratory foods that we have with the mac and cheese 00;05;14;23 - 00;05;18;21 and the fried, you know, chicken in there and all the rest of that, you know, 00;05;18;21 - 00;05;21;07 the yams and stuff. Come on, we need a good plan. 00;05;21;07 - 00;05;23;20 Most of that was at special times of the year. 00;05;23;20 - 00;05;25;16 Ain't nobody like that every day. 00;05;25;16 - 00;05;26;08 They do now. 00;05;26;08 - 00;05;29;14 So we have less vege...we have vegetables, 00;05;29;14 - 00;05;32;14 more access to greens and all the rest of this other stuff. 00;05;32;18 - 00;05;36;19 And in fact, what is happened is that our diet as a culture 00;05;36;24 - 00;05;40;29 and as a, as a group of folks has changed because we've gone 00;05;41;02 - 00;05;44;08 from actually having some greens to just going to Popeye's, 00;05;44;09 - 00;05;46;13 you know what I'm saying? Yeah. And so... 00;05;46;13 - 00;05;47;20 We love Popeye's. 00;05;47;20 - 00;05;49;04 We love those restaurants though. 00;05;49;04 - 00;05;50;28 But just do it in moderation. 00;05;50;28 - 00;05;52;06 Yeah that’s all I'm saying? 00;05;52;06 - 00;05;55;03 Look, I hit a Popeye’s every now and again. I ain't worried about that. 00;05;55;03 - 00;05;55;21 You know what I'm saying? 00;05;55;21 - 00;06;00;16 But the reality is that we actually have to be, particularly now, moving ahead, 00;06;00;16 - 00;06;05;10 I think even more conscious about getting access to fruits 00;06;05;10 - 00;06;08;15 when you can, vegetables when you can, 00;06;08;21 - 00;06;11;21 and just, you know, cut back on the meats, particularly the red meats. 00;06;11;21 - 00;06;11;27 I mean, 00;06;11;27 - 00;06;15;27 we need to just think about, you know, making sure that we eat a balanced diet. 00;06;15;28 - 00;06;17;21 I ain't saying that you can't eat. No. 00;06;17;21 - 00;06;21;14 You know, every once and a while, you to rip into something, you know, 00;06;21;16 - 00;06;24;15 ice cream or you just don't get something, and that's okay. 00;06;24;15 - 00;06;28;15 But it's reality is that we can't make that a steady diet. 00;06;28;15 - 00;06;31;28 And, and I think that that's the struggle of not only African-Americans. 00;06;31;28 - 00;06;35;04 That's been the struggle of many Americans about how to eat right. 00;06;35;15 - 00;06;37;00 And I think that is so important 00;06;37;00 - 00;06;40;03 when we think about VCU Massey Comprehensive Cancer Center. 00;06;40;06 - 00;06;44;02 It's like holistic from the top of your head to the soles of your feet. 00;06;44;07 - 00;06;47;16 And we've been on the show talking about cancer disparities, 00;06;47;16 - 00;06;50;28 but more over we want to talk about some of the strides. 00;06;51;04 - 00;06;54;18 And we're in the midst of Black History Month as we celebrate 365 00;06;54;24 - 00;06;57;23 and I'll talk a little bit of more, just there's three 00;06;57;23 - 00;07;00;25 more bullet points about cancer disparities in black women. 00;07;00;29 - 00;07;02;09 And then in black men. 00;07;02;09 - 00;07;03;28 And then Doctor Winn, you talking about. 00;07;03;28 - 00;07;05;19 Yep, that was the number. 00;07;05;19 - 00;07;07;08 But look at what we're doing now. 00;07;07;08 - 00;07;10;28 Like cancer disparities, black women, higher incidence for all major 00;07;10;28 - 00;07;15;22 types of cancer except breast, lung and all cancers combined 00;07;15;29 - 00;07;19;24 twice as likely to be diagnosed with stomach, stomach cancer 00;07;20;02 - 00;07;24;05 and 40% more likely to die of breast cancer versus white women. 00;07;24;14 - 00;07;28;01 Now, on the male side of things, disparities 00;07;28;01 - 00;07;30;08 have the highest overall cancer incidence. 00;07;30;08 - 00;07;35;01 More likely to get prostate cancer, more likely to die from it, 20% higher 00;07;35;01 - 00;07;39;14 incidence of colorectal cancer than most groups, 40% more likely to die, 00;07;39;18 - 00;07;43;09 and higher incidences of mortality rates of lung cancer. 00;07;43;09 - 00;07;46;03 Now, when we're thinking about the prostate cancer 00;07;46;03 - 00;07;51;18 or the colorectal cancer in men, these are all cancers below the belt. 00;07;52;00 - 00;07;55;11 So don't you think some of the contributing factors to this not early 00;07;55;11 - 00;07;59;27 detection of men, not going to the hospital to get those type of testing? 00;08;00;04 - 00;08;01;08 Doctor Winn. 00;08;01;08 - 00;08;06;18 The the end of the conversation, we got four big cancers that are all preventable. 00;08;06;19 - 00;08;11;00 If you see your doctor and you get the appropriate screening right? 00;08;11;11 - 00;08;13;10 Colorectal, there's a test for that. 00;08;13;10 - 00;08;16;10 Prostate, we know there's a test for that and is even getting better. 00;08;16;16 - 00;08;18;20 Breast, we know there's a test for that. 00;08;18;20 - 00;08;20;29 Lung, we've got a screening test for that. 00;08;20;29 - 00;08;24;25 So the reality is the the 4 or 5 preventable cancers, 00;08;24;25 - 00;08;28;17 if you put cervical cancers in there can also be cancers 00;08;28;17 - 00;08;33;02 that can in some ways either be prevented or detected early. 00;08;33;17 - 00;08;38;10 If you actually understand how to use the system and see your doctors. 00;08;38;10 - 00;08;41;24 Right. So it is not a this is not a mystery. 00;08;41;29 - 00;08;44;11 This is not a mystery of how things get done. 00;08;44;11 - 00;08;48;03 We actually have a game plan that and rules 00;08;48;03 - 00;08;52;06 from the American Cancer Society that you can go on the website and put ACS 00;08;52;12 - 00;08;56;19 cancer screening guidelines and understand what you ought to be doing. 00;08;56;19 - 00;08;58;08 So this is not a mystery. 00;08;58;08 - 00;08;59;26 The information is out there. 00;08;59;26 - 00;09;03;10 We just have to actually, you know, group up on it, own it, 00;09;03;10 - 00;09;06;09 and actually, you know, make sure that we do what it says. 00;09;06;15 - 00;09;08;17 And the good thing about it too, Doctor Winn, 00;09;08;17 - 00;09;12;02 to search for this information is right there at your fingertips. 00;09;12;09 - 00;09;15;02 We go online for everything socially because we always have 00;09;15;02 - 00;09;19;14 our cell phones with us so we can look up or even as we are talking, 00;09;19;20 - 00;09;23;12 having this Community Conversation on our Radio One stations, 00;09;23;12 - 00;09;26;12 you can look it up, you can go to MasseyCancer.org, 00;09;26;13 - 00;09;31;28 and you can also look up the AACR Disparities progress report for 2024. 00;09;32;01 - 00;09;35;00 Notice we said progress report. 00;09;35;00 - 00;09;37;26 I think that is so interesting because a lot of times, Doctor 00;09;37;26 - 00;09;41;19 Winn, when folks get the information when it comes to health, like they say, 00;09;41;24 - 00;09;44;21 other folks may catch a cold, we catch the flu. 00;09;44;21 - 00;09;48;29 But in this case, with the community rolling with us, 00;09;49;03 - 00;09;52;08 we can make more strides and have more progress 00;09;52;08 - 00;09;55;08 when it comes to cancer in the black community as well. 00;09;55;09 - 00;09;56;25 We're going to take a break and come on back. 00;09;56;25 - 00;09;59;25 We're going to talk about from that Tuskegee 00;09;59;25 - 00;10;04;04 experiment to clinical trials today, saving lives. 00;10;04;09 - 00;10;06;29 This is Community Conversations. 00;10;06;29 - 00;10;09;20 For folks who are just joining me, you know what it is. 00;10;09;20 - 00;10;13;08 Community Conversations and the Black Health Wins podcast. 00;10;13;17 - 00;10;16;23 It’s Doctor Robert Winn and me, Miss Community Clovia. 00;10;16;26 - 00;10;21;03 Now we've been talking about black history as we celebrate our black history. 365. 00;10;21;06 - 00;10;25;08 Now we're talking about the progress, and we are making strides 00;10;25;08 - 00;10;29;18 when it comes to cancer disparities in the black and brown communities. 00;10;29;23 - 00;10;31;08 So now we're back on the show. 00;10;31;08 - 00;10;34;22 We talked about some of the cancer disparities in black women and men. 00;10;34;29 - 00;10;39;14 But now we're going to go, Doctor Winn from that Tuskegee experiment 00;10;39;26 - 00;10;42;19 to clinical trials today 00;10;42;19 - 00;10;47;18 as we're moving from disparity to determination. 00;10;47;21 - 00;10;49;02 Let's talk about it. 00;10;49;02 - 00;10;49;13 Yeah. 00;10;49;13 - 00;10;52;25 You know, I mean, people don't I mean, even if you don't know Tuskegee, 00;10;52;25 - 00;10;54;29 because most people these days don't even know what Tuskegee 00;10;54;29 - 00;10;57;12 is, I think that that's a you know, that's a generational thing. 00;10;57;12 - 00;10;59;26 But young folks know as a result of Tuskegee, 00;10;59;26 - 00;11;03;11 not to trust the system and certainly not to trust health systems. 00;11;03;11 - 00;11;07;19 So the DNA or the shock from the Tuskegee, which were many of, 00;11;07;19 - 00;11;11;20 you know, it's called it's it's really called the United States, 00;11;11;20 - 00;11;16;13 preventive, you know, Public Health Study of 1932, 00;11;16;29 - 00;11;20;17 where there was an ideal of syphilis 00;11;20;29 - 00;11;25;25 and that whether they had seeing that, and this is the true story, 00;11;25;25 - 00;11;28;26 that in apes and in monkeys, they did not get syphilis. 00;11;29;17 - 00;11;33;25 And so they then because we were under eugenic systems, 00;11;34;00 - 00;11;36;28 which was a science at the time, not a very good one, 00;11;36;28 - 00;11;41;11 thought that since African-Americans, blacks at the time were probably closer 00;11;41;12 - 00;11;44;15 to the, apes, 00;11;44;21 - 00;11;47;22 if you will, or monkeys that they would expose 00;11;47;22 - 00;11;52;08 African American men to syphilis as a control group for whites. 00;11;52;20 - 00;11;56;00 And what they wound up doing is that as a result of that study, 00;11;56;00 - 00;11;59;19 they were, unbeknownst to the black men in many cases, 00;12;00;06 - 00;12;02;06 you know, giving them syphilis. 00;12;02;06 - 00;12;05;20 Now, as horrible as it is, you would then think that they would 00;12;05;20 - 00;12;08;03 then go to their wives who were unsuspecting, 00;12;08;03 - 00;12;10;23 and being exposed to syphilis and the kids. Right? 00;12;10;23 - 00;12;14;18 So they got it from the 1932 to 1970 something. 00;12;14;22 - 00;12;16;07 This was going on. 00;12;16;07 - 00;12;20;24 So people get stuck in sometimes, like if you in a situation 00;12;20;24 - 00;12;22;13 and you can't move from it, 00;12;22;13 - 00;12;25;18 then you are doomed to repeat it because you can't progress. 00;12;25;29 - 00;12;28;29 Let's embrace it. Let's say it happenned. 00;12;29;00 - 00;12;31;08 It ain't going to be erased. That's history. 00;12;31;08 - 00;12;34;19 But since then, what has happened as a result of that? 00;12;34;25 - 00;12;36;12 The U.S. 00;12;36;12 - 00;12;39;13 Public Health Study of 1932 00;12;39;24 - 00;12;42;26 since that time, as a result of that, 00;12;42;26 - 00;12;47;23 there are so many more protections today than ever before. 00;12;48;10 - 00;12;51;08 As a result of that, the Bell Report came out, 00;12;51;08 - 00;12;54;01 which was the first one to say, you know what, you need to consent people. 00;12;54;01 - 00;12;55;26 And by the way, you need to let them decide 00;12;55;26 - 00;12;57;15 whether they want to participate or not. 00;12;57;15 - 00;12;58;15 As a result of that, 00;12;58;15 - 00;13;02;13 the community has been brought on to what I call institutional review board. 00;13;02;16 - 00;13;05;16 So there can't even be a study done 00;13;05;20 - 00;13;09;14 not one without the community voice and health 00;13;09;14 - 00;13;12;21 professionals all working together, says the this study makes sense. 00;13;12;25 - 00;13;14;03 And is it a harm to people? 00;13;14;03 - 00;13;17;03 So I understand the pain, but, you know, 00;13;17;03 - 00;13;20;16 as African-Americans, we should understand the pain of 1619, too. 00;13;20;24 - 00;13;21;20 There was slavery. 00;13;21;20 - 00;13;24;08 It was bad. Yeah. Understood. 00;13;24;08 - 00;13;29;25 So quit going back to the well is to inform us of how to move forward. 00;13;29;29 - 00;13;34;24 So, I actually want to say Black History Month, so not actually acknowledging 00;13;34;24 - 00;13;38;20 that since that time we've had giants like Vivian Pinn, Vivian 00;13;38;20 - 00;13;42;22 Pinn, who's over at University of VA, I mean, an amazing doc in her own right. 00;13;42;22 - 00;13;45;22 And just, I mean, just amazing impact on the field. 00;13;46;06 - 00;13;50;07 But by taking on the Tuskegee and not recognizing that LaSalle Leffall, 00;13;50;29 - 00;13;55;01 One of the most, most amazing African-Americans from our university 00;13;55;01 - 00;13;59;12 and first African-American to be the head of the American Cancer Society. 00;13;59;27 - 00;14;02;24 You know, these are short not to recognize Harold P. 00;14;02;24 - 00;14;05;29 Freeman, who said is a brilliant guy over at Harlem Hospital 00;14;06;06 - 00;14;09;07 back in his day, which is why we have navigation today. 00;14;09;10 - 00;14;12;14 He said, listen, I can't possibly cut out all the cancers 00;14;12;14 - 00;14;13;24 and these African-American women, 00;14;13;24 - 00;14;18;04 but maybe what I need to do is to come up with a way to navigate them, to help. 00;14;18;11 - 00;14;22;05 All those are black giants whose shoulders we stand on. 00;14;22;05 - 00;14;23;05 Folks like Otis Brawley, etc. So, I 00;14;24;11 - 00;14;25;26 understand 00;14;25;26 - 00;14;28;25 people when they are suspect and suspicious. 00;14;29;27 - 00;14;33;28 But to remain suspect and suspicious of something that was left in the past. 00;14;34;08 - 00;14;37;06 And understanding that you going to dance with that ghost as opposed to 00;14;37;06 - 00;14;40;17 a dance with the future is still home in our community. 00;14;40;17 - 00;14;42;18 So where are we now? Clinical trials. 00;14;42;18 - 00;14;46;11 We now know that at the end of the day, when you have reached 00;14;46;11 - 00;14;50;16 the end of the standard of care, the standard of care is offer of trials. 00;14;50;20 - 00;14;51;19 How do I know this? 00;14;51;19 - 00;14;54;21 I know this because there are right now women 00;14;54;26 - 00;14;58;16 that were given up for death 20, 30 years ago. 00;14;59;02 - 00;15;01;06 Give it up for dead. 00;15;01;06 - 00;15;04;16 But when we came up with a new approach of 00;15;04;17 - 00;15;07;28 what's called molecular targeted therapy, that means they find a gene. 00;15;07;28 - 00;15;11;21 And you, you, there's a signature and they create a personalized drug for you. 00;15;12;03 - 00;15;15;09 Many of those women now are running half marathons and living full lives. 00;15;15;12 - 00;15;19;03 So quit messing with me that the 33% difference between 00;15;19;03 - 00;15;23;14 African-Americans and that, you know, death between black, white and 11 today 00;15;23;17 - 00;15;27;12 just happened because the air quality got better, quit playing. 00;15;27;12 - 00;15;31;09 It’s because we had better medicines and better access of our people 00;15;31;09 - 00;15;32;08 to these clinical trials. 00;15;32;08 - 00;15;33;18 So I got it. 00;15;33;18 - 00;15;36;15 So sometimes it feels good to hang on to the past. 00;15;36;15 - 00;15;39;09 But the reality is we have to acknowledge the past. 00;15;39;09 - 00;15;43;07 Make sure that we always remember the past, but we've got to move forward. 00;15;43;10 - 00;15;45;14 Yeah. And we don't want to repeat it. 00;15;45;14 - 00;15;48;01 The way we're doing this now is we 00;15;48;01 - 00;15;51;01 have people that are in the community, the people who are willing. 00;15;51;06 - 00;15;54;07 And especially, again, when you're talking about the clinical trials 00;15;54;07 - 00;15;58;01 and and breaking it down, and the heroes, the African-American doctors 00;15;58;01 - 00;16;03;11 and physicians who fought for us to be able to get new medicines. 00;16;03;13 - 00;16;07;03 When you think back, maybe 50, 60 years ago 00;16;07;11 - 00;16;11;25 when a person was diagnosed with diabetes, they would go into a diabetic coma 00;16;12;01 - 00;16;14;02 and more than likely they won't make it out. 00;16;14;02 - 00;16;15;05 They were amputees. 00;16;15;05 - 00;16;19;12 And then all of a sudden you get diabetic medications and people are living. 00;16;19;22 - 00;16;23;10 And so we have to look at all of the strides that has been made 00;16;23;10 - 00;16;25;09 when it comes to clinical trials. 00;16;25;09 - 00;16;28;17 And you said something that was so profound, Doctor 00;16;28;17 - 00;16;32;04 Winn, you said when you go to a clinical trial, 00;16;32;21 - 00;16;35;26 that medicine that's being concocted, 00;16;36;06 - 00;16;39;06 it's designed specifically for you. 00;16;39;24 - 00;16;42;29 Look, you, listen, I would say these days, clinical trials, 00;16;42;29 - 00;16;47;06 you bring hope, hope that that drug that you first of all, 00;16;47;06 - 00;16;49;09 we know that people who are in clinical trials, 00;16;49;09 - 00;16;50;02 even if they're not 00;16;50;02 - 00;16;53;03 getting the experimental drugs, have a better outcome in general 00;16;53;07 - 00;16;56;07 than people who are not on trials that that that's in the literature. 00;16;56;09 - 00;16;57;14 But what's funny 00;16;57;14 - 00;17;00;15 is that when I think of trials, when people say, well, there ain't no more 00;17;00;15 - 00;17;02;27 we can do for you, we said, well, maybe we got a trial for you. 00;17;02;27 - 00;17;07;13 A trial means that there's potential hope that the drug, the experimental drug, 00;17;07;13 - 00;17;10;22 may work for you, but it also means that if it doesn't work 00;17;10;22 - 00;17;13;24 for you, there's hope that it may work for somebody else tomorrow. 00;17;13;24 - 00;17;14;19 So come on. 00;17;14;19 - 00;17;15;21 I think at some point 00;17;15;21 - 00;17;20;11 we got to stop playing with ourselves and and getting confused at the volume. 00;17;20;14 - 00;17;23;15 Just because you have a volume of information coming from your web 00;17;23;15 - 00;17;26;27 pages, from TikTok to Google don't mean that you become smarter. 00;17;27;00 - 00;17;29;10 It just means you just got more things to look at. 00;17;29;10 - 00;17;31;24 The reality is, we need to get to a community 00;17;31;24 - 00;17;35;23 so that we are getting knowledge as opposed to volume of information, 00;17;35;23 - 00;17;39;01 because volume of information and knowledge are not the same thing. 00;17;39;16 - 00;17;40;19 Absolutely. 00;17;40;19 - 00;17;42;18 And just being on this show, remember, 00;17;42;18 - 00;17;46;16 I had to go get a second mammogram that time and it was a doctor. 00;17;46;17 - 00;17;51;14 He lost his practice and you were like, Clo, early detection is going to be key. 00;17;52;06 - 00;17;56;20 Just go over to VCU Massey and just get you a second mammogram. 00;17;56;29 - 00;17;59;02 And testing is very important. 00;17;59;02 - 00;18;01;05 You have to get your physicals. 00;18;01;05 - 00;18;03;09 They are there is funding available. 00;18;03;09 - 00;18;06;17 You have lots of clinics including VCU Massey. 00;18;06;23 - 00;18;08;09 If you need to get those checkups. 00;18;08;09 - 00;18;11;03 Come on, black people. We need you living. 00;18;11;03 - 00;18;13;28 And so what's happening is by the time folks 00;18;13;28 - 00;18;18;01 get to the hospital, Doctor Winn is really nothing you can do. 00;18;18;04 - 00;18;22;09 Because you could have been like, look, this is a cancer that we could have cured. 00;18;22;17 - 00;18;25;17 You've run into something like that before, right? 00;18;25;21 - 00;18;26;07 Oh, yeah. 00;18;26;07 - 00;18;29;01 No, I think that, you know, here's what I say. 00;18;29;01 - 00;18;33;05 If it was a jet magazine, if we had better communications and I'm saying, you know, 00;18;33;05 - 00;18;36;24 listen, it's hard because you got TikTok, Google, Snapchat, and all of that. 00;18;36;27 - 00;18;39;01 So people don't know where to get the information from. 00;18;39;01 - 00;18;42;21 Most people right now, as we are standing, they don't recognize that from 2019 00;18;42;21 - 00;18;46;23 to 2022, there was only one African-American cancer center director 00;18;46;24 - 00;18;48;08 of a of a designated center. 00;18;48;08 - 00;18;50;06 And that was me, Doctor Rob Winn. 00;18;50;06 - 00;18;52;26 But in 2025, we now got four. 00;18;52;26 - 00;18;55;04 We got John Carpten, out there in California. 00;18;55;04 - 00;18;57;02 We got Selwyn Vickers in New York. 00;18;57;02 - 00;18;57;29 Absolutely. 00;18;57;29 - 00;19;00;15 He's running the Comprehensive Cancer Center, The City of Hope. 00;19;00;15 - 00;19;04;15 You got Selwyn Vickers who's running the famous Memorial Sloan Kettering. 00;19;04;16 - 00;19;06;04 You have Taofeek [Owonikoko] 00;19;06;04 - 00;19;08;11 who's actually running University of Maryland in the Midwest. 00;19;08;11 - 00;19;11;10 You've got Kunle Odunsi, who's running University of Chicago. 00;19;11;10 - 00;19;15;24 So we keep talking about what we don't have as opposed to what we do. 00;19;15;24 - 00;19;18;27 And sometimes I wonder as a people, are we just more comfortable 00;19;18;27 - 00;19;21;26 looking at the deficit then looking at the progress, 00;19;21;26 - 00;19;25;26 because we have made some progress in the what, what I'm worry about now 00;19;26;01 - 00;19;27;17 is the progress we made. 00;19;27;17 - 00;19;31;01 We take for granted that progress could be lost. 00;19;31;01 - 00;19;32;09 And so we're going to have to grip up 00;19;32;09 - 00;19;35;08 and decide what we're going to do with the people. And absolutely. 00;19;35;08 - 00;19;37;04 So we got to advocate for ourselves. 00;19;37;04 - 00;19;38;12 And that's why we're here. 00;19;38;12 - 00;19;40;20 Advocate with us and help us advocate with you. 00;19;40;20 - 00;19;42;13 We don't know the needs of the community 00;19;42;13 - 00;19;45;03 until you let us know and be a part of what's happening. 00;19;45;03 - 00;19;47;05 So, Doctor Robert Winn, thank you for everything. 00;19;47;05 - 00;19;49;08 We got one more break and we're going to come back. 00;19;49;08 - 00;19;50;17 You know, we got some good news. 00;19;50;17 - 00;19;51;08 Always. 00;19;51;08 - 00;19;54;08 This is Community Conversations. 00;19;54;15 - 00;19;55;15 We're back, and it’s 00;19;55;15 - 00;19;59;13 Community Conversations, the Black Health Wins podcast with Doctor 00;19;59;13 - 00;20;03;16 Robert Winn, director of the VCU Massey Comprehensive Cancer Center. 00;20;03;19 - 00;20;07;01 Doctor Robert Winn, thank you so much for all you do. 00;20;07;02 - 00;20;11;02 Now the C-word is not a death sentence anymore. 00;20;11;03 - 00;20;14;27 With all of the strides, the research and the science 00;20;14;27 - 00;20;18;00 that's out, and I love it when we actually go into the lab. 00;20;18;05 - 00;20;23;02 And now we can have a pure conversation about clinical trials. 00;20;23;02 - 00;20;27;00 A clinical trial does not mean that you're an experiment. 00;20;27;12 - 00;20;29;17 Okay. It's an experimental drug. 00;20;29;17 - 00;20;32;08 If you try and test a drug and it's not working. 00;20;32;08 - 00;20;34;07 They can mix it up and take it back. 00;20;34;07 - 00;20;36;15 And, you know, I'm just breaking it down into Clo terms. 00;20;36;15 - 00;20;39;28 You know, Doctor Robert Winn Come on now Clo. 00;20;40;11 - 00;20;40;17 Yeah. 00;20;40;17 - 00;20;43;25 So this is the by the way, people even talk about experiment, 00;20;44;03 - 00;20;46;14 but they've been taking all these supplements 00;20;46;14 - 00;20;49;02 and all this other stuff they ain't got no knowledge about 00;20;49;02 - 00;20;50;29 other than what they may read on the web. 00;20;50;29 - 00;20;52;10 They ain't got no validation. 00;20;52;10 - 00;20;54;27 There ain't no sort of organization to sort of check it. 00;20;54;27 - 00;20;57;22 But they won't put in anybody that say that that's not an experiment. 00;20;57;22 - 00;20;59;07 Come on, quit playing with me. 00;20;59;07 - 00;21;03;22 And I think it's important for people to know that as you are here, 00;21;03;25 - 00;21;04;26 you're a doctor. 00;21;04;26 - 00;21;06;02 And we were talking about 00;21;06;02 - 00;21;10;22 some of the disparities when it comes to younger people, 18 to 49. 00;21;10;22 - 00;21;14;27 And you're trying to figure out why is there a higher rate of cancer? 00;21;15;22 - 00;21;17;20 We've been talking about that. 00;21;17;20 - 00;21;19;08 Yeah, it is something. 00;21;19;08 - 00;21;22;28 It is something to look at, you know, and in May we don't know why. 00;21;22;29 - 00;21;24;05 So let me be straight up. 00;21;24;05 - 00;21;27;20 We don't know why the age group that we used to take for granted, 00;21;27;25 - 00;21;31;05 we used to say cancer is a disease of aging. 00;21;31;10 - 00;21;33;24 And for the most part, that's absolutely true. 00;21;33;24 - 00;21;37;16 Cancer is a disease of aging, which is why you see predominantly, 00;21;37;16 - 00;21;40;19 mostly older people at some point that, you know, even 00;21;40;19 - 00;21;43;19 the immune system gets weaker and they get cancer, you know? 00;21;43;20 - 00;21;48;12 But for young people between 19 and 40, there is an alarming 00;21;48;12 - 00;21;52;29 increase rate of colorectal cancer and breast cancer. 00;21;53;29 - 00;21;55;27 The reality is we don't know why. 00;21;55;27 - 00;21;57;18 I wish I could tell you right now 00;21;57;18 - 00;22;00;20 that is something in the water you drink, but that wouldn't be true. 00;22;00;23 - 00;22;06;26 We have no clue at the moment, but that's where science, right? 00;22;06;26 - 00;22;10;27 Yes, is important because it will be people like me 00;22;10;27 - 00;22;12;07 and the people over at Massey 00;22;12;07 - 00;22;14;20 and the other people in cancer centers throughout the country 00;22;14;20 - 00;22;18;20 that are going to put our heads and our bright, brightest minds 00;22;18;24 - 00;22;21;24 to figure out what's contributing to why, 00;22;22;05 - 00;22;26;15 in 2025 and 2024, 19 year olds to 40 year 00;22;26;15 - 00;22;30;10 olds are actually the fastest rising rate of the folks getting cancer. 00;22;30;15 - 00;22;33;15 We don't know why, but that's our job to figure it out. 00;22;33;21 - 00;22;35;23 And that's what the clinical trials for. 00;22;35;23 - 00;22;40;18 So yeah, if someone is diagnosed, whether they're 19 or in that age bracket, 00;22;40;18 - 00;22;44;02 you can say, hey, look, we need to understand the only way 00;22;44;02 - 00;22;47;26 we're going to be able to help us, because as you said, you know, 00;22;47;26 - 00;22;51;08 cancer was of the age of the old. 00;22;51;19 - 00;22;54;12 And now what's happening with our younger generation. 00;22;54;12 - 00;22;56;22 And we can't pretty much put our finger on it. 00;22;56;22 - 00;22;57;11 But a lot of 00;22;57;11 - 00;23;01;10 people are not going to the doctor because once folks are turning 18 now, 00;23;01;11 - 00;23;04;28 they're like, I'm free, but you still need to go to the doctor. 00;23;05;11 - 00;23;06;09 No, but you know what? 00;23;06;09 - 00;23;09;05 They are free, but they also free to get cancer. 00;23;09;05 - 00;23;13;17 It turns out that cancer don't actually all your bravado and all your I’m 00;23;13;17 - 00;23;15;11 this and I'm that, I'm so-and-so. 00;23;15;11 - 00;23;19;08 All your tinkling brass and fury don't mean nothing to the cells in your body. 00;23;19;22 - 00;23;22;18 You can howl at the moon, but the reality is 00;23;22;18 - 00;23;25;18 cancer does not care about your race. 00;23;25;20 - 00;23;28;10 Cancer does not care about your age. 00;23;28;10 - 00;23;31;17 Cancer doesn't care how much bravado you got. 00;23;31;24 - 00;23;34;23 I’m this and I got this, cancer don't care. 00;23;34;23 - 00;23;37;23 Which is why we are trying to get people to care. 00;23;37;23 - 00;23;38;21 Yeah, right. 00;23;38;21 - 00;23;41;06 Because cancer ain't never gonna stop, right? 00;23;41;06 - 00;23;43;03 It won't stop. Can't stop right. 00;23;43;03 - 00;23;47;29 Cancer is always up on the bridge saying, how am I going to cause mischief? 00;23;48;03 - 00;23;50;16 And now that in the African-American community in particular, 00;23;50;16 - 00;23;54;24 we got 18 to 40 years who are getting more cancers, you can get angry. 00;23;54;25 - 00;23;56;07 You could be frustrated. 00;23;56;07 - 00;23;57;21 You can do all these things, 00;23;57;21 - 00;23;59;13 but all the things ain't going to stop 00;23;59;13 - 00;24;01;16 the fact that cancer is going to come for you. 00;24;01;16 - 00;24;03;26 So the reality is our job as a community. 00;24;03;26 - 00;24;08;14 And Sister Clo, this is why I appreciate you is really just to do one simple thing. 00;24;08;15 - 00;24;10;14 Keep it simple, keep it real. 00;24;10;14 - 00;24;13;04 Cancer ain't no joke. Cancer don't play. 00;24;13;04 - 00;24;15;19 And the reality is, it’s stupid. 00;24;15;19 - 00;24;19;01 In 1924 I get it. You ain't had no medicine. 00;24;19;10 - 00;24;20;25 You ain't had no screening. 00;24;20;25 - 00;24;22;11 Nobody even knew what cancer was. 00;24;23;10 - 00;24;26;03 In 2025, there is no excuse. 00;24;26;03 - 00;24;27;17 Now quit playing it. 00;24;27;17 - 00;24;30;16 You got screening. We got medicine. 00;24;30;16 - 00;24;33;22 We got access to care that we didn't have before. 00;24;34;07 - 00;24;37;21 And we even got clinical trials that are not so much an experimentation 00;24;37;21 - 00;24;38;24 as an extension of care. 00;24;38;24 - 00;24;41;24 So when we know how to get, you know, 00;24;41;26 - 00;24;44;26 behaviors of stress and supplements, all that stuff. 00;24;44;26 - 00;24;48;23 So the reality is it's crazier when you have the knowledge. 00;24;49;05 - 00;24;50;22 But you know what they say. 00;24;50;22 - 00;24;53;15 As Fred Hampton once said, he don’t need nobody to be a part of a revolution. 00;24;53;15 - 00;24;55;00 If we ain’t willing to learn. 00;24;55;00 - 00;24;56;23 Oh. No. 00;24;56;23 - 00;24;58;20 I'm just saying what you're saying. 00;24;58;20 - 00;25;01;22 So the reality is, we need to be open 00;25;01;25 - 00;25;05;02 to the lessons that are right in front of us. 00;25;05;02 - 00;25;07;12 That the medicines can work. 00;25;07;12 - 00;25;08;25 You need to question your doctor. 00;25;08;25 - 00;25;10;02 Absolutely. 00;25;10;02 - 00;25;12;00 That the trials can work. 00;25;12;00 - 00;25;14;01 You need to question how it works. 00;25;14;01 - 00;25;15;00 Absolutely. 00;25;15;00 - 00;25;17;28 But this crazy thing that you get on TikTok and Google 00;25;17;28 - 00;25;19;18 and think you have all the answers. 00;25;19;18 - 00;25;22;13 It's cool that you can feel this false sense of security. 00;25;22;13 - 00;25;25;14 But cancer don't care. Cancer don't care. 00;25;25;19 - 00;25;26;19 But guess what? 00;25;26;19 - 00;25;28;07 We're coming together as one cue.. 00;25;28;07 - 00;25;30;09 community and we're going to kill it. 00;25;30;09 - 00;25;33;08 Along with Doctor Robert Winn of the VCU 00;25;33;08 - 00;25;36;08 Massey Comprehensive Cancer Center, thank you so much for this show. 00;25;36;08 - 00;25;40;02 As we celebrate our rich history and health, we're going to do it. 00;25;40;09 - 00;25;42;18 365 thank you. 00;25;42;18 - 00;25;45;08 Come on. From well, well let's do it. You know what? 00;25;45;08 - 00;25;49;10 It's a it's a it's a it's a it's a month to lift every voice and sing y'all. 00;25;49;10 - 00;25;52;07 So let's do that, sing for our health. All right. 00;25;52;07 - 00;25;56;01 This is Community Conversations, the Black Health Wins podcast.