00;00;00;00 - 00;00;04;14 I’m Dr. Rob Winn and you're listening to Real Cancer Talk 00;00;04;14 - 00;00;07;15 from VCU Massey Comprehensive Cancer Center. 00;00;07;15 - 00;00;09;14 I am Community Clo. 00;00;09;14 - 00;00;12;23 Welcome to another great edition of Community Conversations. 00;00;12;23 - 00;00;15;04 You want to turn us all the way up? 00;00;15;04 - 00;00;18;10 You know, it's Black History Month and of course we celebrate 00;00;18;10 - 00;00;21;10 our black rich history, 365. 00;00;21;11 - 00;00;23;25 But for the sake of this month, Black History Month, 00;00;23;25 - 00;00;27;03 this is also National Cancer Prevention Month. 00;00;27;18 - 00;00;29;18 Black cancer disparities. 00;00;29;18 - 00;00;31;06 We want to talk about all of that. 00;00;31;06 - 00;00;34;04 And on the show with me, I brought a few friends along. 00;00;34;04 - 00;00;38;20 Doctor Gary Ellison is deputy director of the Division of Cancer Control 00;00;38;24 - 00;00;45;06 and Population Sciences at the National Cancer Institute, the NCI. 00;00;45;11 - 00;00;48;11 What's up, Doctor Ellison? Hey, 00;00;48;24 - 00;00;50;14 how are y'all doing? 00;00;50;14 - 00;00;52;15 Well, it's good to have you on the show. 00;00;52;15 - 00;00;53;08 And you know what? 00;00;53;08 - 00;00;57;03 We're in a win win situation when this doctor, he's a pulmonologist. 00;00;57;12 - 00;01;01;19 Quote-unquote, lung cancer runnin’ the head guy 00;01;01;23 - 00;01;07;00 over at the VCU Massey Comprehensive Cancer Center. Dr. 00;01;07;00 - 00;01;08;13 Robert Winn. 00;01;08;13 - 00;01;09;28 You know what? 00;01;09;28 - 00;01;11;22 You know I’m good when you here. 00;01;11;22 - 00;01;14;05 So, look, we gonna turn this all the way up. 00;01;14;05 - 00;01;16;22 We gonna turn it all the way up. Yeah. That's right. 00;01;16;22 - 00;01;18;15 And we got to. And I know folks are listening. 00;01;18;15 - 00;01;19;07 It's like, wait a minute. 00;01;19;07 - 00;01;21;28 How do you have laughs? 00;01;21;28 - 00;01;23;18 Because we're talking about cancer. 00;01;23;18 - 00;01;25;00 It's time. 00;01;25;00 - 00;01;26;26 It's time to have those conversations. 00;01;26;26 - 00;01;29;08 But because cures are right around the corner. 00;01;29;08 - 00;01;32;01 But most importantly, cancer control. 00;01;32;01 - 00;01;35;21 So, Doctor Ellison, can we start with some of the black cancer disparities 00;01;35;26 - 00;01;38;29 as this info is from the National Cancer Institute. 00;01;39;01 - 00;01;40;05 Talk to us. 00;01;40;05 - 00;01;41;25 Yeah. How's everybody doing? 00;01;41;25 - 00;01;43;06 I hope you doing well. 00;01;43;06 - 00;01;46;10 I know that I'm about to present some statistics 00;01;46;10 - 00;01;51;15 that are really sobering, but let me just say, the overall mortality 00;01;51;15 - 00;01;56;09 rate, the death rate from cancer is going down for everybody. 00;01;56;09 - 00;01;58;03 So let's start with some good news. 00;01;58;03 - 00;01;59;28 Oh, that's that's. 00;01;59;28 - 00;02;01;13 That's excellent news. 00;02;01;13 - 00;02;03;29 Dr. Elllison, say that again! What? Right. 00;02;03;29 - 00;02;08;01 The death rate for everybody is slowing down. Wow. 00;02;08;07 - 00;02;11;18 That's because, you know, decreasing incidence. 00;02;12;02 - 00;02;14;22 You know, fewer people are getting cancer. 00;02;14;22 - 00;02;16;15 The rates are going down. 00;02;16;15 - 00;02;18;01 People are surviving better. 00;02;18;01 - 00;02;21;28 And that's because of all the progress that we've made over the last 30 years. 00;02;22;03 - 00;02;22;18 Thank you. 00;02;22;18 - 00;02;27;15 Detecting cancers, you know, reducing smoking in our communities. 00;02;27;25 - 00;02;30;23 Also treatment and prevention. 00;02;30;23 - 00;02;34;28 You know, we're we're exercising we're doing things better for ourselves 00;02;34;29 - 00;02;38;04 so that we can prevent cancer from even occurring. 00;02;38;14 - 00;02;40;03 So that's the good news. 00;02;40;03 - 00;02;43;17 But there's still large disparities, right? 00;02;43;18 - 00;02;46;14 There's still differences in those rates. 00;02;46;14 - 00;02;46;22 Right. 00;02;46;22 - 00;02;47;22 With black people 00;02;47;22 - 00;02;52;04 having the highest mortality rate of any other racial ethnic group. 00;02;52;17 - 00;02;55;09 And we usually compare our rates to, 00;02;55;09 - 00;02;58;03 that of the white population. 00;02;58;03 - 00;03;03;20 I like to compare the rate to, you know, those who are doing the best stuff 00;03;03;20 - 00;03;06;20 because we want to, you know, be where they are. 00;03;06;24 - 00;03;09;17 So our rates of mortality rates, 00;03;09;17 - 00;03;13;12 overall death rates are 82% 00;03;13;12 - 00;03;17;15 higher than the Asian American non-Hispanic population. 00;03;17;15 - 00;03;21;26 Yeah, that's quite significant and only 12% higher than whites. 00;03;21;26 - 00;03;24;26 So we have, some work to do. 00;03;25;05 - 00;03;28;21 And when we look at, yeah, when we, when we break it 00;03;28;21 - 00;03;34;05 down, between males and females looking at, males, 00;03;34;05 - 00;03;37;06 which we have the highest mortality 00;03;37;06 - 00;03;41;25 rate, our death rate due to cancer is 95, 94% higher 00;03;42;06 - 00;03;47;03 than, Asian and Pacific Islanders and 17% higher than whites. 00;03;47;03 - 00;03;50;29 So definitely we have, some work to do. 00;03;51;10 - 00;03;52;00 And we're talking 00;03;52;00 - 00;03;55;20 about the three C's breast cancer, prostate cancer and cervical cancer. 00;03;55;24 - 00;03;58;07 And a lot of folks are just not getting checked up. 00;03;58;07 - 00;04;02;24 Doctor Ellison, so what causes cancer disparities? 00;04;03;04 - 00;04;08;05 Well, there are many things that causes, disparities in cancer. 00;04;08;06 - 00;04;13;01 We talk about, social determinants are are drivers of health. 00;04;13;13 - 00;04;18;27 I believe that those are the main things that, cause, disparities in cancer. 00;04;18;28 - 00;04;20;25 We don't want to blame the individual. 00;04;20;25 - 00;04;24;13 We know that there are individual behaviors that people can engage in, like, 00;04;24;20 - 00;04;28;10 more physical activity, watching what they eat. 00;04;28;11 - 00;04;32;14 We were talking earlier about looking at, you know, labels and the packages. 00;04;32;29 - 00;04;36;02 But there are other things, the structural issues, like, 00;04;36;12 - 00;04;39;12 low income and poverty, for example. 00;04;40;01 - 00;04;43;06 Poverty is the fourth leading cause of death. 00;04;43;06 - 00;04;47;25 And I don't know, if if people really knew that. 00;04;48;05 - 00;04;53;00 James Baldwin said that, anyone who has ever struggled 00;04;53;00 - 00;04;58;10 with poverty knows how extremely expensive it is to be poor. 00;04;58;10 - 00;05;01;22 And so the ultimate expense, you know, as you know, 00;05;01;22 - 00;05;05;24 we've seen over the years is death from cancer, right? 00;05;05;25 - 00;05;06;26 So, yeah, 00;05;06;26 - 00;05;10;26 so those are some of the things that that we're dealing with in our community. 00;05;10;26 - 00;05;14;29 Because, you know, when we look at poverty, close 00;05;14;29 - 00;05;20;00 to 20% of black people live in poverty. 00;05;20;13 - 00;05;26;05 And we represent 13 to 14% of, of the population. 00;05;26;21 - 00;05;29;12 So, and so those are 00;05;29;12 - 00;05;33;16 some of the main drivers of what causes disparities. 00;05;33;16 - 00;05;35;17 When we look at these social issues. 00;05;35;17 - 00;05;38;24 Also, looking at health care, 00;05;39;04 - 00;05;42;20 there's a lot of distrust in our community. 00;05;42;21 - 00;05;47;22 When you go to, hospitals and, and health care facilities 00;05;47;22 - 00;05;51;23 and folks don't look like you, I think if we had more folks 00;05;51;23 - 00;05;56;02 who participate in, you know, these health care professions 00;05;56;10 - 00;06;00;28 that look like, you know, us, then, 00;06;01;12 - 00;06;05;28 you know, that might instill greater trust in the health care system. 00;06;06;11 - 00;06;08;21 Well, and so, you know, go ahead. 00;06;08;21 - 00;06;12;07 Well, I just want to jump in here and and, Doctor Ellison, 00;06;12;07 - 00;06;15;26 thank you so much for the statistics on this black cancer disparities. 00;06;16;02 - 00;06;19;26 But when you say it struck something in me when you said poverty 00;06;20;05 - 00;06;23;05 is the fourth leading cause of death. 00;06;23;07 - 00;06;26;18 Now, when we talking about also and I want to add to that, 00;06;27;02 - 00;06;32;18 hey, we want more folks of color to go into the medical field. 00;06;32;23 - 00;06;36;08 But if you're poor and you have the will and you can't do it, 00;06;36;17 - 00;06;40;25 maybe we should look at providing more scholarships for these kids 00;06;40;25 - 00;06;45;08 to get into school, because medical school initially can be very expensive. 00;06;45;16 - 00;06;46;26 You bring up a good point. 00;06;46;26 - 00;06;50;02 And and I really, you know, first of all, doctor, thank you for. 00;06;50;21 - 00;06;52;06 Thank you. So much. James. 00;06;52;06 - 00;06;53;00 James Baldwin 00;06;53;00 - 00;06;58;18 because I think that that fits in with, what they talked about in 1989. 00;06;58;19 - 00;07;01;07 I think Doctor Broder, who actually had also been at the 00;07;01;07 - 00;07;04;17 NIH and NCI, talked about poverty as a carcinogen. 00;07;05;08 - 00;07;08;17 And then a way to look at that as poverty is a cancer causing agent. 00;07;09;02 - 00;07;11;19 The reality is I think structure matters. 00;07;11;19 - 00;07;14;14 I do think that as we are looking to the future about 00;07;14;14 - 00;07;17;24 how we're going to tackle this problem, it's not just going to be creating 00;07;17;24 - 00;07;21;25 a molecule that becomes a medicine and the medicine becomes available. 00;07;21;26 - 00;07;25;19 It's dealing with the structural issues of which I really love that 00;07;25;19 - 00;07;29;19 we're expounding on now that places like the NCI underneath, 00;07;30;00 - 00;07;32;21 you know, that the leadership of Doctor Ravenel, 00;07;32;21 - 00;07;35;17 that they're looking at, not just the basic science is, 00;07;35;17 - 00;07;38;14 but also those population scientists about 00;07;38;14 - 00;07;41;16 how do we get the discoveries to people. 00;07;42;10 - 00;07;45;09 So that's going to be on all of us to figure out 00;07;45;09 - 00;07;48;28 how do we get better, not only access, but high quality access in? 00;07;48;28 - 00;07;51;27 If you can't get around it without talking about workforce. 00;07;51;29 - 00;07;56;09 So we all in the fields are going to have to grapple as a country as a, as a, 00;07;56;18 - 00;08;01;22 as a, about how we are going to grapple with the next workforce. 00;08;01;22 - 00;08;02;06 That's going to 00;08;02;06 - 00;08;05;18 have to be able to provide care not just for some, but for all of us. 00;08;06;03 - 00;08;07;19 To get us really healthy. 00;08;07;19 - 00;08;10;08 So I think that's a great point to bring out. 00;08;10;08 - 00;08;12;18 Sister Clo. Yeah, absolutely. 00;08;12;18 - 00;08;17;14 And poverty is a cancer causing agent in our communities as well. 00;08;17;14 - 00;08;21;20 So all of us as community advocates, whether it's community advocates 00;08;21;20 - 00;08;23;23 on human rights and civil rights, 00;08;23;23 - 00;08;27;27 when we need to include health rights as well, and we need to start 00;08;27;27 - 00;08;32;13 training us as community advocates when we go into these communities as well. 00;08;32;15 - 00;08;35;26 We're talking about other disparities, but we must include the health, 00;08;35;26 - 00;08;39;03 especially when poverty is a cancer agent. 00;08;39;08 - 00;08;42;08 And Doctor Ellison, I can't thank you enough 00;08;42;16 - 00;08;44;29 for putting those numbers out there because it's life. 00;08;44;29 - 00;08;47;27 And then what we have to do as community advocates, 00;08;47;27 - 00;08;51;18 we have to go into the communities to make sure those families 00;08;51;22 - 00;08;55;04 who are eligible for Medicaid help them get enrolled. 00;08;55;16 - 00;08;58;03 Would you both agree, Doc and Doc? 00;08;58;03 - 00;09;00;18 Yeah, I agree with that wholeheartedly. 00;09;00;18 - 00;09;01;21 I agree with that also. 00;09;01;21 - 00;09;06;26 You know, and the other thing I wanted to mention too is that, you 00;09;06;26 - 00;09;11;22 know, NCI, the National Cancer Institute is a research institution, right? 00;09;12;01 - 00;09;14;24 And we fund 00;09;14;24 - 00;09;19;25 from where I sit, we, we fund, research is that academic institutions 00;09;19;25 - 00;09;23;28 or other types of research institutions to conduct the work. 00;09;24;12 - 00;09;29;17 Now there's a move a movement to involve more community. 00;09;30;05 - 00;09;32;22 And the work that we do, because we realize 00;09;32;22 - 00;09;36;20 that the communities are actually having these lived experiences. 00;09;36;20 - 00;09;37;11 Right. 00;09;37;11 - 00;09;40;17 So they can actually drive the important questions 00;09;40;17 - 00;09;45;05 that need to be asked so that we can intervene and, and, 00;09;45;09 - 00;09;49;25 and do the type of research that's really important for those communities. 00;09;50;04 - 00;09;56;01 And there's also a push to not only look at factors in these, individuals. 00;09;56;01 - 00;09;59;25 I talked about that earlier, but we were talking about some of the 00;09;59;25 - 00;10;03;29 structures, like poverty, for example, or other social factors. 00;10;04;06 - 00;10;08;29 There's a movement to actually intervene on those. 00;10;09;10 - 00;10;12;27 And it requires people from multiple, 00;10;12;27 - 00;10;16;25 disciplines to get involved, like, I'm an epidemiologist. 00;10;16;25 - 00;10;21;03 So I look at, you know, factors associated with these risk, 00;10;21;03 - 00;10;24;26 but we require people from the policy background, people from economics. 00;10;24;26 - 00;10;28;22 So I think it's going to take all of us to intervene on 00;10;28;22 - 00;10;30;14 these very critical issues. 00;10;30;14 - 00;10;33;10 Welcome back to Community Conversations. 00;10;33;10 - 00;10;37;13 It's a show of no white coats and no co-pays. Yep. 00;10;37;14 - 00;10;38;18 You're listening out. 00;10;38;18 - 00;10;41;14 Doctor Robert Winn of the VCU Massey 00;10;41;14 - 00;10;44;27 Cancer Comprehensive Center is joining me on the show. 00;10;44;27 - 00;10;48;04 And Doctor Gary Ellison with the National Cancer Institute. 00;10;48;07 - 00;10;49;16 Welcome back to the show. 00;10;49;16 - 00;10;52;01 Now, Doctor Winn I know you've been holding your thoughts. 00;10;52;01 - 00;10;53;09 Let's get back to it. 00;10;53;09 - 00;10;58;00 We got to bring it all in and talk about one team, one fight. 00;10;58;05 - 00;10;59;06 Let's go. 00;10;59;06 - 00;10;59;17 You know. 00;10;59;17 - 00;11;01;28 Hey, look, you know, I was told to do stuff like Method Man. 00;11;03;00 - 00;11;03;17 But you know what? 00;11;03;17 - 00;11;05;15 I'm very excited. 00;11;05;15 - 00;11;06;27 I like. 00;11;06;27 - 00;11;07;22 Oh, my God. 00;11;07;22 - 00;11;08;20 Have you all on the break? 00;11;08;20 - 00;11;11;20 We think get ready to go. 00;11;11;28 - 00;11;12;07 Yeah. 00;11;12;07 - 00;11;15;28 I think the real the real issue here is in something 00;11;15;28 - 00;11;18;28 that I really love, that Ellison says. 00;11;19;00 - 00;11;21;24 Bottom line about how these things can connect. 00;11;21;24 - 00;11;24;28 It's just you never say I mean straight up 00;11;24;28 - 00;11;28;02 your whole point about being one team, one fight. 00;11;28;02 - 00;11;31;27 Yeah, that is that we actually have this mistrust and distrust 00;11;31;27 - 00;11;34;18 and low trust and a whole lot of things. You know why we hear that? 00;11;34;18 - 00;11;35;24 Because we don't know. 00;11;35;24 - 00;11;37;27 But we trust everybody in the community. 00;11;37;27 - 00;11;39;09 Because you here. Right. 00;11;39;09 - 00;11;43;28 I get you so that we now know the reality is research is real. 00;11;44;14 - 00;11;44;23 Right. 00;11;44;23 - 00;11;47;11 And that research is, you know, with research, 00;11;47;11 - 00;11;48;23 I think one of the huge actually. 00;11;48;23 - 00;11;50;22 So is that research thought in the mind. 00;11;50;22 - 00;11;52;21 Right. Science thoughts in the mind. 00;11;52;21 - 00;11;59;03 And so imagine you get bright people who are at the level at the NIH or the NCI 00;11;59;07 - 00;12;02;29 who are thinking about the science and the research from their mind 00;12;02;29 - 00;12;04;27 and trying to now make that real. 00;12;04;27 - 00;12;06;07 That's why we need the parts, right? 00;12;06;07 - 00;12;08;25 So you have the research ideal and concept, 00;12;08;25 - 00;12;12;10 but then that's why you have cancer centers like all across the United States 00;12;12;10 - 00;12;17;11 and the NCI designated cancer centers like, like us, like a VCU 00;12;17;28 - 00;12;21;01 Massey that are able then to not only do the science, 00;12;21;01 - 00;12;23;02 but take it to the street and make it real. 00;12;23;02 - 00;12;24;03 Yeah. Right. 00;12;24;03 - 00;12;27;19 But then you need the community because the reality is we have 00;12;27;19 - 00;12;29;25 they had a model for 50 plus years. 00;12;29;25 - 00;12;33;23 We talk about the beds the bedside, as if one bright idea 00;12;33;25 - 00;12;34;29 could just get to the bedside. 00;12;34;29 - 00;12;37;01 But what about this community not getting to our bedside? 00;12;37;01 - 00;12;40;20 So I'll flip the script and call it a community bench model. 00;12;40;26 - 00;12;44;14 In where the information about our science is being informed 00;12;44;14 - 00;12;46;05 by the people we serve. 00;12;46;05 - 00;12;46;25 You see that? 00;12;46;25 - 00;12;50;05 So the reality is this whole concept of wanting to fight. 00;12;50;05 - 00;12;53;18 Sometimes I think we get so into our own selves that we forget 00;12;53;18 - 00;12;56;18 that the only way to do big things is to do them together. 00;12;56;24 - 00;12;59;25 And I think that this concept, and Sister Clo. 00;13;00;05 - 00;13;02;10 I cannot, cannot actually 00;13;02;10 - 00;13;06;00 give you more props to what you started when you started this show. 00;13;06;06 - 00;13;09;22 Because what we're trying to do is to bring everybody on the one hand. 00;13;09;23 - 00;13;11;17 Yes, I would say by bringing us together. 00;13;11;17 - 00;13;13;26 And I appreciate what you've been doing. Thank you. 00;13;13;26 - 00;13;15;08 I couldn't do it without, 00;13;15;08 - 00;13;16;18 you know, my black scientists 00;13;16;18 - 00;13;19;23 and researchers is now when I say black scientists and researchers 00;13;19;23 - 00;13;23;22 and doctors, I'm not talking about just serving African-Americans. 00;13;23;22 - 00;13;27;12 Yes, that's important, but you're serving the entire population, 00;13;27;18 - 00;13;30;11 and that's what we got to do is bring the trust back. 00;13;30;11 - 00;13;33;19 But understanding the science, when you're talking about cancer control, 00;13;34;00 - 00;13;36;02 who's having a conversation, Dr. 00;13;36;02 - 00;13;41;25 Ellison in the community about cancer control, population science and research. 00;13;41;26 - 00;13;44;11 We're not having those conversations. 00;13;44;11 - 00;13;45;17 So now with the road 00;13;45;17 - 00;13;48;25 to trust into community conversations, and we're going to talk all about that. 00;13;49;09 - 00;13;52;26 But, Doctor Ellison, I want to get back to 00;13;52;26 - 00;13;57;00 for folks who are just joining us, the cancer disparities when it comes to 00;13;57;00 - 00;14;02;21 and I love this DNA versus ZNA, talk about it. 00;14;03;02 - 00;14;05;05 DNA versus ZNA. 00;14;05;05 - 00;14;10;24 So and I've heard Doctor Winn say this many times that, 00;14;11;07 - 00;14;15;08 you know, it's not necessarily the DNA, but it's where the neighborhoods 00;14;15;08 - 00;14;21;05 that you live in and how those can have an impact on your cancer experience. 00;14;21;21 - 00;14;22;04 Right. 00;14;22;04 - 00;14;26;18 We know that individuals, from low income 00;14;26;21 - 00;14;30;22 and they could be any racial or ethnic group tend to live in communities 00;14;30;22 - 00;14;36;25 where they, perhaps who live next to industrial facilities, 00;14;36;26 - 00;14;39;27 waste sites where they are exposed to 00;14;40;08 - 00;14;43;07 a number of different, carcinogens. 00;14;43;07 - 00;14;48;11 I just gave a talk at the Advancement of Science of Cancer in Latinos conference, 00;14;48;14 - 00;14;51;27 and the focus was of that meeting 00;14;51;27 - 00;14;55;19 was climate change and its impact on Latinos. 00;14;55;19 - 00;15;01;02 But you could put any community there because climate change affects all of us. 00;15;01;21 - 00;15;04;16 But when we think about, you know, 00;15;04;16 - 00;15;08;05 who bears the excess burden of pollution? 00;15;08;10 - 00;15;11;03 Yeah. For climate change. Right. 00;15;11;03 - 00;15;15;29 And it it depends on where you live. 00;15;15;29 - 00;15;20;15 And so think about, you know, African-Americans, 00;15;20;24 - 00;15;26;03 bearing the excess burden of pollution due to the burning of fossil fuels. 00;15;26;03 - 00;15;32;06 They have more than, I believe a 50, 55% affects exposure to pollution. 00;15;32;06 - 00;15;34;29 And this pollution is air pollution. 00;15;34;29 - 00;15;40;28 It has carcinogens like benzene, formaldehyde and other carcinogens. 00;15;40;28 - 00;15;45;16 These are things that have been determined carcinogenic to humans. And, 00;15;46;15 - 00;15;49;01 they bear this excess exposure 00;15;49;01 - 00;15;52;26 relative to that caused by their consumption. 00;15;52;26 - 00;15;55;17 So they're not the ones causing the pollution, 00;15;55;17 - 00;15;59;26 but they're experiencing the hardships associated with that, that pollution. 00;16;00;13 - 00;16;04;22 And so I think that's, something important to consider. 00;16;04;22 - 00;16;07;22 And that's why I said earlier, that's why we're, 00;16;08;20 - 00;16;11;26 tackling the structures that are the individuals, 00;16;12;07 - 00;16;15;12 we understand that the individuals live within these structures, 00;16;15;12 - 00;16;20;12 but we are tackling these structures to mitigate some of these, exposures 00;16;20;12 - 00;16;24;19 that people have living in these neighbors neighborhoods that with the increased 00;16;24;19 - 00;16;28;07 risk for developing cancer or other cancer outcomes. Wow. 00;16;28;09 - 00;16;32;07 This is so important to understand the breathe, the air that you breathe. 00;16;32;13 - 00;16;36;14 And years and years and years ago, we used to have all of these commercials 00;16;36;14 - 00;16;39;18 about breathing and reading the back of the labels. 00;16;39;19 - 00;16;41;16 Remember, you have to eat your greens, 00;16;41;16 - 00;16;44;05 you have to eat all of your leafy vegetables. 00;16;44;05 - 00;16;47;05 And hey, is that almost like a thing of the past? 00;16;47;21 - 00;16;50;12 That's what's happening when it comes to our communities. 00;16;50;12 - 00;16;55;04 So wouldn't you agree, Doctor Ellison, even if you are living in these areas, 00;16;55;22 - 00;16;59;08 that you're having some polluted water and some polluted air, 00;16;59;16 - 00;17;03;24 but if you could just change your diet, could we start there? 00;17;03;24 - 00;17;06;16 Could that help a little bit to control the cancer? 00;17;08;17 - 00;17;09;03 I think that 00;17;09;03 - 00;17;14;06 there, a number of things that we can do, but sometimes and that's why 00;17;14;06 - 00;17;17;03 I think it's important to to tackle the communities, 00;17;17;03 - 00;17;20;15 because we know that, you know, physical activity 00;17;20;15 - 00;17;23;27 is associated with developing, I believe, 13 types of cancer. 00;17;23;27 - 00;17;24;18 Right. 00;17;24;18 - 00;17;28;11 And so if your neighborhood is not conducive to walking, 00;17;28;16 - 00;17;34;02 right, if you don't have sidewalks, right, then then, you know, 00;17;34;02 - 00;17;35;09 how can we tell people 00;17;35;09 - 00;17;39;08 that you need to get out and walk when it's unsafe for them to do that? 00;17;39;08 - 00;17;43;22 So that's why it's really important to tackle things in the neighborhood. 00;17;44;00 - 00;17;47;04 Also, you know, we understand that people live in, 00;17;47;12 - 00;17;50;01 you know, neighborhoods where there are foods deserts. 00;17;50;01 - 00;17;50;25 And the only thing that 00;17;50;25 - 00;17;55;03 they have available to them is, you know, being like a corner store, 00;17;55;03 - 00;18;00;10 for example, to have, food that is heavily processed, not nutritious. 00;18;00;10 - 00;18;04;21 But we know that, you know, processed food leads to, 00;18;05;04 - 00;18;07;22 you know, the development of cancer, right? 00;18;07;22 - 00;18;12;18 So, so there are things that we can do, you know, going back to, 00;18;12;23 - 00;18;17;28 you know, tackling these structures, in our communities that would, 00;18;18;02 - 00;18;22;24 and enhance our, our health in a, in a great way. 00;18;23;06 - 00;18;26;26 So, yes, there are things that individuals can do, 00;18;27;06 - 00;18;33;02 but it's like, you know, Martin Luther King said it's cruel 00;18;33;02 - 00;18;36;11 to tell people to pull themselves up by their bootstraps 00;18;36;11 - 00;18;39;06 when they don't have any food, so don't have any. Yeah. 00;18;41;24 - 00;18;42;24 This is good stuff. 00;18;42;24 - 00;18;47;12 And, and Doctor Winn for folks who are listening again locally 00;18;47;12 - 00;18;50;13 and internationally, we gotta pull back 00;18;50;13 - 00;18;53;13 from eating every part of the hog. 00;18;53;20 - 00;18;56;11 And, and we've had several conversations now. 00;18;56;11 - 00;18;58;28 We've had several conversations about that. 00;18;58;28 - 00;19;00;15 You know, you got potatoes 00;19;00;15 - 00;19;03;23 and then you got it all buttered, and then you got it all cheesy. 00;19;04;02 - 00;19;08;19 I mean, we I mean, carbs on carbs, all of this stuff is killing us. 00;19;08;26 - 00;19;14;00 Not even looking at the package when you're talking about 500mg of sodium. 00;19;15;07 - 00;19;17;19 And, you right now, you don't know 00;19;17;19 - 00;19;20;23 you right now, you're going to be messin’ with people with stuff like that. 00;19;20;23 - 00;19;22;09 But you know, tell the truth. 00;19;22;09 - 00;19;24;15 So if you tell the truth. 00;19;24;15 - 00;19;24;27 And that fat-back. 00;19;24;27 - 00;19;25;01 Don’t leave my fat-back. 00;19;25;01 - 00;19;28;23 In reality. 00;19;28;23 - 00;19;31;00 You know what I would suggest we, You. 00;19;31;00 - 00;19;35;00 So, yeah, that thing that happen annually, right, its called. 00;19;35;00 - 00;19;38;24 I think family reunions where you have some of the best 00;19;38;24 - 00;19;42;17 and brightest people, particularly, people of color, 00;19;42;17 - 00;19;43;22 you know, the sister who wrote ‘High on the Hog’ 00;19;43;22 - 00;19;47;00 and all of these other folks getting together talking about food 00;19;47;09 - 00;19;49;28 and what a friend of mine took there once. 00;19;49;28 - 00;19;50;25 And you know what? 00;19;50;25 - 00;19;53;25 The best conversation happened that really is? 00;19;54;06 - 00;19;57;12 Let me just say, you know, what we don't recognize 00;19;57;12 - 00;20;00;27 is that the foods that we actually try to consume, all that stuff 00;20;00;27 - 00;20;03;27 with celebration, food that wasn't everyday food. 00;20;04;00 - 00;20;09;21 And so I think as a people, we need to kind of reorient the realities of that. 00;20;09;21 - 00;20;14;04 Some of those heavy things, those were really only done in special times. 00;20;14;10 - 00;20;17;24 And and we've gotten the myth now that that's how everybody eat every day. 00;20;17;27 - 00;20;19;09 That's not how it was. 00;20;19;09 - 00;20;21;17 Our folk and our generation in the 80s 00;20;21;17 - 00;20;24;26 that came before us and old folks, from Virginia all the way to Califronia, 00;20;24;26 - 00;20;28;14 what those folk did not eat, the way we think they ate. 00;20;28;15 - 00;20;31;07 In reality, some of those foods are comfort food. 00;20;31;07 - 00;20;32;22 Those are celebratory foods. 00;20;32;22 - 00;20;35;05 Those a whole families came together. 00;20;35;05 - 00;20;37;06 People eating celebratory foods every day. 00;20;37;06 - 00;20;40;02 Exactly. Every day. You can't. And that's what we know. 00;20;40;02 - 00;20;41;11 And that's what's causing us a lot of grief. 00;20;41;11 - 00;20;44;22 So it would be wonderful to actually, I think, you know, to really 00;20;44;22 - 00;20;48;22 awaken ourselves to the fact that there are other avenues of eating. 00;20;48;22 - 00;20;52;17 And I think we have to relearn, my man Terry Mason once as a doctor, 00;20;52;17 - 00;20;56;18 Illinois says we don't have to teach our folks how to learn how to eat. 00;20;56;19 - 00;20;59;19 Yeah, healthy because we once used to do that. 00;20;59;25 - 00;21;02;24 Yeah. Celebrity. I mean, what do you say? 00;21;02;24 - 00;21;07;11 Comfort food and celebratory foods have become daily foods. 00;21;07;19 - 00;21;10;06 That's causing the stress and creating a whole lot of mess. 00;21;10;06 - 00;21;11;07 For real? For real. 00;21;11;07 - 00;21;13;08 We're going to take a break and come on back. 00;21;13;08 - 00;21;15;05 We'll have more good news. 00;21;15;05 - 00;21;16;12 Stay close. 00;21;16;12 - 00;21;20;01 This is Community Conversations. 00;21;20;06 - 00;21;23;11 I am Community Clo, my special guest on the show. 00;21;23;11 - 00;21;26;17 You know, this is a show of no white coats and no co-pays. 00;21;26;17 - 00;21;28;18 You know, don't play like that, Dr. 00;21;28;18 - 00;21;32;07 Gary Ellison is with the National Cancer Institute, 00;21;32;13 - 00;21;34;27 and we're always in a win win situation wicka-wicka, with 00;21;35;29 - 00;21;36;22 Doctor Robert 00;21;36;22 - 00;21;39;26 Winn of the VCU Comprehensive Cancer Center. 00;21;39;26 - 00;21;41;03 Welcome back to the show. 00;21;41;03 - 00;21;42;05 Thank you. Good. 00;21;42;05 - 00;21;43;15 Good to be with you, Sis. 00;21;43;15 - 00;21;46;26 Doctor Ellison, I want you to close this out for folks who are just joining us. 00;21;46;26 - 00;21;49;26 And then we want to send people to your website to get more information. 00;21;50;01 - 00;21;50;17 Sure. 00;21;50;17 - 00;21;54;15 So when we think about cancer control, we think about the continuum. 00;21;54;16 - 00;21;57;14 We think about all the way from the beginning, understanding 00;21;57;14 - 00;22;02;00 what causes it so that we can prevent it all the way to cancer survivorship. 00;22;02;00 - 00;22;05;28 And there are things that we can do amongst cancer survivors to help them live 00;22;06;07 - 00;22;10;08 longer and healthier lives after a cancer diagnosis. 00;22;10;16 - 00;22;15;13 So for more information on what we do at the National Cancer Institute, 00;22;15;14 - 00;22;19;17 you can go to our website, cancer.gov. 00;22;19;17 - 00;22;23;03 It's a big site, so if you're interested in cancer 00;22;23;03 - 00;22;26;19 control, there's a division of cancer control and Population Sciences. 00;22;26;19 - 00;22;31;01 You can navigate to that and you'll find information on on what we do. 00;22;31;14 - 00;22;33;17 Appreciate the time here today. 00;22;33;17 - 00;22;34;27 Well thank you Doctor Ellison. 00;22;34;27 - 00;22;40;07 The cancer control patrol at cancer.gov. 00;22;40;10 - 00;22;41;20 Now quickly, Dr. 00;22;41;20 - 00;22;44;24 Winn, we going to talk about how are we some of the initiatives 00;22;44;24 - 00;22;47;17 that Massey has in reference to cancer disparities. 00;22;47;17 - 00;22;49;06 Real quick. For sure. 00;22;49;06 - 00;22;52;22 And you know, as many people know that this cancer center really does. 00;22;52;22 - 00;22;56;04 The reality is that if the science is moving, 00;22;56;09 - 00;22;59;02 that science need to touch as many people as possible. Yeah. 00;22;59;02 - 00;23;02;11 So this whole issue around equity, from whether it's, about race 00;23;02;13 - 00;23;05;21 ethnicity to rural, we have and any of that information, 00;23;05;21 - 00;23;11;06 you can always get to us by looking at and typing in VCU, Massey Cancer Center. 00;23;11;06 - 00;23;14;06 And you'll be able to get all that information about what we're trying to do. 00;23;14;07 - 00;23;17;04 And since we're celebrating 00;23;17;04 - 00;23;20;20 our rich history 365 and our topic has been cancer 00;23;20;20 - 00;23;24;04 disparities, February's Black History Month is national Cancer Prevention Month. 00;23;24;13 - 00;23;28;15 Let's talk about some heroes that have been on the cutting edge 00;23;28;15 - 00;23;30;26 when it comes to cancer or just the medical field. 00;23;30;26 - 00;23;32;22 Let's start with you, Doctor Ellison. 00;23;32;22 - 00;23;36;25 Yeah, I want to give a shout out to Worta McCaskill-Stevens. 00;23;36;25 - 00;23;39;25 She was a medical oncologist 00;23;40;00 - 00;23;43;01 working at the National Cancer Institute. 00;23;43;01 - 00;23;46;03 She was a champion for addressing cancer disparities. 00;23;46;21 - 00;23;50;22 She passed away on November 15th, 2023. 00;23;51;03 - 00;23;55;16 She had a lifelong commitment to advantage, advancing knowledge 00;23;55;16 - 00;23;59;09 through clinical cancer research and inclusion, 00;23;59;10 - 00;24;04;13 minoritized communities in underserved, people and and research. 00;24;04;13 - 00;24;10;11 So I want to recognize her and celebrate her and, rest in peace. 00;24;10;11 - 00;24;13;19 Doctor McCaskill. Stevens. Doctor Stevens. 00;24;14;02 - 00;24;14;14 All right. 00;24;14;14 - 00;24;18;00 Doctor Winn I know you want to shout out some great woman, 00;24;18;17 - 00;24;22;01 black woman that is, Come on now, come on out. 00;24;22;01 - 00;24;23;06 Yeah, I love this. 00;24;23;06 - 00;24;23;26 You know what? 00;24;23;26 - 00;24;24;05 Yeah. 00;24;24;05 - 00;24;27;16 You know, this is Black History Month, and we can't have black history 00;24;27;16 - 00;24;29;00 without passing on our history. 00;24;29;00 - 00;24;32;07 I want everybody to hear open up your ears now 00;24;32;15 - 00;24;36;12 that the doctor, Edith Mitchell, has just gone home. 00;24;36;25 - 00;24;38;29 But that sister, during her period of time. 00;24;38;29 - 00;24;43;02 She was born and raised in Virginia, I should say born corners, 00;24;43;02 - 00;24;45;26 raised, born and reared people. Kids are reared. 00;24;45;26 - 00;24;46;22 Cord is raised. 00;24;46;22 - 00;24;50;02 So she was born and reared in Virginia. 00;24;50;06 - 00;24;54;00 But that Sisters life is a dabbler of the life well lived. 00;24;54;00 - 00;24;55;14 She has touched many of us. 00;24;55;14 - 00;24;57;00 She's a medical oncologist. 00;24;57;00 - 00;24;59;09 She was in Philadelphia, at Thomas Jefferson, 00;24;59;09 - 00;25;03;17 but her whole effort was, how can we bring and make sure 00;25;03;17 - 00;25;07;13 that our science benefits everybody, including black folks and everybody? 00;25;07;13 - 00;25;09;23 And Edith Mitchell was a warrior. 00;25;09;23 - 00;25;14;19 May she actually had a great home going a she also rest in peace. 00;25;14;19 - 00;25;16;20 But she's one of our great giants along with Dr. 00;25;16;20 - 00;25;18;05 McCaskill. Wow. 00;25;18;05 - 00;25;18;26 Thank you so much. 00;25;18;26 - 00;25;23;02 And you know, as we're talking about all of the world issues 00;25;23;02 - 00;25;24;06 and the world is listening. 00;25;24;06 - 00;25;26;06 Thank you so much for listening. 00;25;26;06 - 00;25;28;09 But I'm going to head on down to Virginia. 00;25;28;09 - 00;25;29;03 All right. 00;25;29;03 - 00;25;32;26 She was the first woman of any race 00;25;33;10 - 00;25;37;03 to be board certified as a medical doctor 00;25;37;11 - 00;25;41;03 in Virginia, the Virginia State Medical Examining Board. 00;25;41;20 - 00;25;44;21 She couldn't practice at the Medical College of Virginia. 00;25;44;21 - 00;25;45;18 So guess what she did? 00;25;45;18 - 00;25;48;03 Doctor Winn, like any other woman boss. 00;25;48;03 - 00;25;49;29 She built her own hospital. 00;25;49;29 - 00;25;53;11 She built her own hospital over in Jackson Ward. 00;25;55;08 - 00;25;59;12 She spread out and brought her husband along with her. 00;25;59;21 - 00;26;03;09 So after she bought the hospital, I have it because, you know, 00;26;03;09 - 00;26;04;26 you know, we're bosses, right? 00;26;04;26 - 00;26;06;09 We make things happen. 00;26;06;09 - 00;26;10;11 And then her hospital went over to Churchill, known today 00;26;10;11 - 00;26;12;01 as Richmond Community Hospital. 00;26;12;01 - 00;26;16;03 So I just want to shout out Sarah Garland Jones for all she's doing. 00;26;16;08 - 00;26;21;08 And with all of that, being the first woman of any race, she's brown sugar. 00;26;21;08 - 00;26;22;13 She's a black girl. 00;26;22;13 - 00;26;23;29 Y'all 00;26;23;29 - 00;26;26;17 give it up for all of our black girl bosses. 00;26;26;17 - 00;26;27;16 That’s right. 00;26;27;16 - 00;26;28;24 Always be proud of ya. 00;26;28;24 - 00;26;31;04 You got to have three black girl powers. 00;26;31;04 - 00;26;34;04 No doubt black is you gotta play with. 00;26;34;08 - 00;26;36;16 Whoa. Now, I call that a show. 00;26;36;16 - 00;26;39;07 That's what I'm talking about. Where black girl bosses. 00;26;39;07 - 00;26;39;20 That's right. 00;26;39;20 - 00;26;42;18 That's the way you celebrate our rich history. 00;26;42;18 - 00;26;46;29 365 Doctor Gary Ellison with the National Cancer Institute. 00;26;46;29 - 00;26;52;04 Thank you, Doctor Robert Winn, we're always in a win win situation with you. 00;26;52;04 - 00;26;55;16 And before you go, you're going to help us all the way up. 00;26;55;25 - 00;26;56;26 Let's go. 00;26;56;26 - 00;26;59;01 You know how I'm so close is out now. 00;26;59;01 - 00;27;00;08 You know I'm a hip hop here. 00;27;00;08 - 00;27;02;27 But we going to go a little R&B with 00;27;02;27 - 00;27;04;21 with EWF, Earth, Wind, and Fire, those you don't know. 00;27;04;21 - 00;27;06;27 Keep your head to tha’ sky. 00;27;06;27 - 00;27;09;11 Because ultimately we got a lot of work to do. 00;27;09;11 - 00;27;12;05 Y'all all right that way. Go this out. 00;27;12;05 - 00;27;13;22 We got some an app. 00;27;13;22 - 00;27;19;01 This has been Community Conversations and I am Community Clo.