# Uplift: She's creating solutions to address health inequities amongst Black Families living in the South.

An episode of [Money Making Conversations Master Class](https://invisiblenetwork.ai/podcast/1264705641), 26 Oct 2024, 40 min.

Audio: https://podtrac.com/pts/redirect.mp3/traffic.omny.fm/d/clips/e73c998e-6e60-432f-8610-ae210140c5b1/b1db7263-d1a3-4d00-8976-af62012aab44/8d2542ad-55e0-40dd-9b03-b2cd015f15c1/audio.mp3?utm_source=Podcast&in_playlist=35a10561-3e1b-4d05-a529-af62012aab6a

Listen and subscribe to Money Making Conversations on iHeartRadio, Apple Podcasts, Spotify, www.moneymakingconversations.com/subscribe/ or wherever you listen to podcasts. New Money Making Conversations episodes drop daily. I want to alert you, so you don’t miss out on expert analysis and insider perspectives from my guests who provide tips that can help you uplift the community, improve your financial planning, motivation, or advice on how to be a successful entrepreneur. Keep winning! Two-time Emmy and Three-time NAACP Image Award-winning, television Executive Producer Rushion McDonald interviewed Schenita D. Randolph. Dr. Schenita D. Randolph is an Associate Professor at Duke University School of Nursing and Founding Director of the HEEAT Lab, which stands for addressing Health disparities through Engagement, Equity, Advocacy and Trust. A registered nurse for over 25 years, Dr. Randolph is advancing nursing science by using community partnerships to address the health inequities among Black Families living in the United States south. Her work has received national attention in the popular media and has been supported by public and private funders. She has publications in numerous journals including the New England Journal of Medicine and the Journal of the American Medical Association, that highlight population health and community engagement in education and research. She is a Fellow in the American Academy of Nursing which represent nursing’s most accomplished leaders in policy, research, administration, practice, and academia. She is a proud HBCU graduate of North Carolina Agricultural and Technical (A&T) State University. Dr. Randolph is dedicated to partnering with the community to develop culturally and socially relevant interventions that will advance health equity and improve health outcomes for minoritized communities. She is also committed to mentoring and supporting the next generation of nurse leaders and scientists. Company Description * The HEEAT Lab is an interdisciplinary team of researchers, clinicians, business owners, and community members who are dedicated to addressing health disparities through equity, engagement, advocacy, and trust. #BEST #STRAW #SHMS Money Making Conversations Master Class with Rushion McDonald is America's premier entrepreneurship, business leadership, financial literacy, and wealth-building podcast featuring successful entrepreneurs, executives, founders, celebrities, and industry experts sharing actionable insights for professional and financial success. Business Podcast Entrepreneurship Small Business Business Growth Financial Literacy Wealth Building Black Entrepreneurs Minority Business Leadership Executive Leadership Business Funding Marketing Strategies Personal Development Startup Advice Sales Training CEO Interviews Founder Stories Professional Development Economic Empowerment Business Success Networking Brand Building Innovation How to start a business Small business funding Entrepreneur success stories Business leadership podcast Wealth building strategies Black entrepreneur podcast Minority business development Marketing for small businesses Business growth strategies Startup funding opportunities Executive leadership training Financial literacy education Success mindset podcast See omnystudio.com/listener for privacy information.

## Transcript

[0:00] Speaker 1: Hi, I am Rashaan McDonald, a host of weekly Money
[0:02] Speaker 1: Making Conversation Masterclass show. The interviews and information that this
[0:06] Speaker 1: show provides off for everyone. It's time to stop reading
[0:09] Speaker 1: other people's success stories and start living your own.
[0:13] Speaker 2: If you want to be a.
[0:14] Speaker 1: Guest on my show, please visit our website, Moneymakingconversations dot
[0:19] Speaker 1: com and click to be a guest.
[0:21] Speaker 2: Buddy.
[0:22] Speaker 1: My guest is a proud graduate HBCU, graduate of North
[0:26] Speaker 1: Carolina A and T. And she's also an Associate professor
[0:29] Speaker 1: at Duke University of Nursing and founding director of the
[0:34] Speaker 1: Heat Lab. She is advancing nursing signs by using community
[0:37] Speaker 1: partnerships to address the help inequities among black families living
[0:42] Speaker 1: in the United States South. Please welcome to the Money
[0:45] Speaker 1: Making Conversation Masterclass. Doctor Shanida d Randolph. Hey dog Shanda,
[0:51] Speaker 1: I am doing wonderful. Dot me dode, doctor Shanda, Shanida,
[0:55] Speaker 1: Doctor Raddolph, give me the name, Give me the.
[0:57] Speaker 3: Name Shanida dot Randolph. Either one, I am, I am
[1:04] Speaker 3: both good.
[1:05] Speaker 1: Well, when Doctor Randolph, we start off that and I'm
[1:08] Speaker 1: sure I'm just lie that you need.
[1:10] Speaker 2: As we get to know each other and all those
[1:12] Speaker 2: good things.
[1:13] Speaker 1: Tell me a little background about yourself, I said, HBCU graduate,
[1:16] Speaker 1: and now you're associate profess associate professor at the at
[1:20] Speaker 1: Duke University. Tell me about how it all started at
[1:22] Speaker 1: the HBCU.
[1:24] Speaker 3: Absolutely absolutely, I am definitely a proud graduate of North
[1:29] Speaker 3: Carolina Agricultural and Technical statement. You got to say it
[1:34] Speaker 3: like that, little Aggie pride. Yes, and so I completed
[1:39] Speaker 3: my undergraduate nursing degree at North Carolina A and T.
[1:44] Speaker 3: And actually from from there, I've actually had the opportunity
[1:48] Speaker 3: to also be on faculty years later, full circle at
[1:54] Speaker 3: the School of Nursing at A and T. So I'm
[1:55] Speaker 3: definitely a proud graduate of the university. HBCUs are undeniable
[2:03] Speaker 3: in their influence and the impact that they have across disciplines,
[2:07] Speaker 3: but specifically in nursing. So very proud to call myself
[2:12] Speaker 3: a A and T graduate.
[2:14] Speaker 1: Well, I'm proud for you to say that I'm an
[2:16] Speaker 1: advocate of HBCUs. I'm always stepping up an opportunity to
[2:21] Speaker 1: present and showcase what HBC's are delivering to this country
[2:25] Speaker 1: on a historical basis and with the future holds for HBCUs.
[2:32] Speaker 2: Why did you choose nursing.
[2:35] Speaker 3: That's a great question, A great question my aunt actually had.
[2:41] Speaker 4: I will say that she had an influence on me.
[2:43] Speaker 4: My great aunt was a nurse.
[2:47] Speaker 3: As I was preparing for college and just having the
[2:49] Speaker 3: opportunity to care in different ways for my grandparents. It
[2:54] Speaker 3: was a discipline that I was exposed to. I saw
[2:59] Speaker 3: others doing it and thought that I would take that route.
[3:02] Speaker 3: I will say that it was probably one of the
[3:04] Speaker 3: best decisions.
[3:05] Speaker 4: That I've made being a nurse.
[3:08] Speaker 3: I mean, most people think about nursing as hospital and
[3:12] Speaker 3: as bed guide and taking care of people, but nursing
[3:15] Speaker 3: is so much more than that, so much more. We
[3:19] Speaker 3: are entrepreneurs, we're in the business sector. I myself now,
[3:24] Speaker 3: I am a nurse scientist, so I actually am a
[3:27] Speaker 3: researcher and I engage in advancing health by looking at
[3:33] Speaker 3: programs and interventions that are socially and culturally relevant, doing
[3:38] Speaker 3: that through our research process with the community. And so
[3:42] Speaker 3: nursing is so broad. It's more than just the bedside.
[3:45] Speaker 2: And it is a you know, you have serotypes.
[3:48] Speaker 1: You know what a nurse is to come in, take
[3:50] Speaker 1: your temperature, the doctor comes in, or the nurse comes
[3:53] Speaker 1: in before the doctor. So the nurse in some ways
[3:57] Speaker 1: I believe is disrespected from a standpoint of what you guys,
[4:01] Speaker 1: the full scope of what you guys do, based on
[4:05] Speaker 1: what I understand and what the general person understand. Now,
[4:08] Speaker 1: doing this interview, I heard the word nurse and science
[4:12] Speaker 1: together in the same sentence. I had never seen that before.
[4:16] Speaker 1: Talk to me about that, doctor Randolph.
[4:18] Speaker 3: Absolutely, absolutely so. I have a PhD in public health. Actually,
[4:25] Speaker 3: there is also an opportunity for people to get a
[4:27] Speaker 3: PhD in nursing and as a scientist, as a nurse scientist,
[4:31] Speaker 3: it gives us an opportunity to look at some methodologies,
[4:36] Speaker 3: evidence based literature and programs and interventions and really thinking
[4:43] Speaker 3: about the science behind what it is that we do
[4:47] Speaker 3: as we are. For me, it's implementation science, and so
[4:50] Speaker 3: I spend a lot of time on the development of
[4:53] Speaker 3: interventions that will address health and equities, and in doing that,
[4:58] Speaker 3: we are looking at the methods behind that right that
[5:02] Speaker 3: scientific rigor to show that these things.
[5:05] Speaker 4: Are grounded in evidence.
[5:08] Speaker 3: And so when you think about nurse scientists, that is
[5:11] Speaker 3: sort of a role that many people don't recognize that
[5:14] Speaker 3: that nurses have. I will say that less than one
[5:18] Speaker 3: percent of nurse sciences are actually black, and so I'm
[5:22] Speaker 3: always trying to expose nurses and expose others to the role.
[5:30] Speaker 3: And most think that nurse scientists are limited to academic settings, right,
[5:35] Speaker 3: and so I work at Duke in the School of Nursing.
[5:39] Speaker 3: But there are research entities and organizations and industry that
[5:45] Speaker 3: nurse scientists could also be a part of as they're
[5:48] Speaker 3: looking at that even from a clinical perspective. You know,
[5:51] Speaker 3: I focus on more and so behavioral science, but there's
[5:54] Speaker 3: also the science where you can look at drugs, right,
[5:57] Speaker 3: and how these drugs are impacting the body, and you
[6:00] Speaker 3: know how these drugs are are in clinical trials, and
[6:05] Speaker 3: so you have nurses that are a part of that
[6:07] Speaker 3: piece of research and scientists as well.
[6:10] Speaker 1: Now my intro, I said, heat lab you founded and
[6:14] Speaker 1: you're the director of the heat lab. Okay, No, you're
[6:16] Speaker 1: nurse signs and I'm learning about you. You know you graduate, okay,
[6:22] Speaker 1: associate professor that do you know your nurse scientists you're
[6:27] Speaker 1: more engaged in research. You're not that classic in our
[6:30] Speaker 1: mind what you think of what nurse and what she does?
[6:34] Speaker 2: What is heat lab?
[6:36] Speaker 4: Yep?
[6:37] Speaker 3: So the heat lab heat with two ease means addressing
[6:42] Speaker 3: health disparities through engagement, equity, advocacy, and trust. And so
[6:48] Speaker 3: the Heat Lab consists of myself as a founding director.
[6:52] Speaker 3: We also have our co director, doctor Reagan Johnson, who
[6:57] Speaker 3: is also a nurse. She's a nurse practitioner that gives
[7:00] Speaker 3: another role right of the of nursing and what it offers.
[7:06] Speaker 3: But we also it's an interdisciplinary group of entrepreneurs, community advocates, clinicians,
[7:13] Speaker 3: business owners.
[7:15] Speaker 4: Who have a shared vision.
[7:16] Speaker 3: And our shared vision is to address the health inequities
[7:20] Speaker 3: that exist specifically in black communities. And how we do
[7:26] Speaker 3: that is through different mechanisms. Mainly, the Heat Lab focuses
[7:30] Speaker 3: on addressing HIV prevention.
[7:34] Speaker 4: Among Black women particularly, but.
[7:37] Speaker 3: We also have an arm of what we do that
[7:40] Speaker 3: focuses on black male adolescents and young adults and engaging
[7:44] Speaker 3: their fathers and their parents in sexual health communication to
[7:50] Speaker 3: make sure that we are living sexual healthy lives.
[7:54] Speaker 4: And preventing HIV.
[7:58] Speaker 3: You know, we make up a small population, but HIV
[8:00] Speaker 3: is still a thing, absolutely absolutely, and you know, make
[8:06] Speaker 3: women make up over half of the new HIV cases
[8:09] Speaker 3: and so in the Heat Lab, although those are two
[8:11] Speaker 3: things that we're focusing on now, our larger vision and
[8:16] Speaker 3: shared mission is to partner with the community to address
[8:19] Speaker 3: these inequities. We also are doing some things around firearm
[8:22] Speaker 3: violence with a nonprofit organization in North Carolina.
[8:26] Speaker 1: And so so that's where you get your funding from.
[8:29] Speaker 1: Or because I'm shaying the government now is making all
[8:33] Speaker 1: these cuts, are you afraid? Are you impacted by these cuts?
[8:38] Speaker 1: If they are made, where would you get your funding?
[8:41] Speaker 3: Yeah, that's a really great question. And yes, there's a
[8:44] Speaker 3: lot going on right now. We were recently funded as
[8:48] Speaker 3: of the end of last year by the nih actually
[8:52] Speaker 3: particularly the National Institute for Nursing.
[8:55] Speaker 4: Research, and they are cutting funding for that.
[8:57] Speaker 3: We do have a currently we have like a four
[9:01] Speaker 3: point four million dollar grant that over five years is
[9:05] Speaker 3: focusing around black women and PREP use, which is pre
[9:10] Speaker 3: exposure profilaxis.
[9:11] Speaker 4: You may have heard it now, it's PREP.
[9:13] Speaker 3: Has been a conversation that some influencers have been having
[9:18] Speaker 3: lately right in the.
[9:19] Speaker 4: Use of PREP to protect your one from getting HIV.
[9:23] Speaker 3: Right, and so as that funding, you know, is up
[9:27] Speaker 3: for being cut, I think that you know, we also
[9:30] Speaker 3: have the Heat Lab has funding through industry through foundations
[9:35] Speaker 3: as well, and so I think the good thing about
[9:38] Speaker 3: the heat lab is that we have not focused all
[9:41] Speaker 3: of our efforts on federal dollars.
[9:44] Speaker 1: Right, Well, I think it's important that we talk about
[9:48] Speaker 1: your program. You found it, you director of it.
[9:52] Speaker 2: It's important to you.
[9:53] Speaker 1: And then some people come along and say, well, you
[9:55] Speaker 1: know they're doing that over there in Houston.
[9:57] Speaker 2: Are they doing that in New York? We don't need
[9:59] Speaker 2: you to.
[9:59] Speaker 1: Do the same thing in their mind in North Carolina.
[10:04] Speaker 1: But then you say, you're about health inequities for black
[10:07] Speaker 1: families in the United States South?
[10:11] Speaker 2: Yes, why is that important?
[10:13] Speaker 4: Good question? Good question.
[10:15] Speaker 3: You know, when we think about social determinants of health
[10:18] Speaker 3: and our health as as black individuals, as black, as
[10:22] Speaker 3: a black woman, we have to face the reality that
[10:25] Speaker 3: there are some things that are occurring.
[10:28] Speaker 4: In the South.
[10:29] Speaker 3: The first reason, though, the answer to that is that
[10:32] Speaker 3: a lot of the HIV rates are higher in the
[10:35] Speaker 3: southern region of the United States.
[10:37] Speaker 2: Why why?
[10:40] Speaker 3: There are multiple things that that address that. Some of
[10:43] Speaker 3: those things include access to care.
[10:47] Speaker 2: Right, it's a population mass population. Mass populations I would
[10:52] Speaker 2: think of to be on the.
[10:52] Speaker 1: East coast, where are predominant amount of the African American
[10:56] Speaker 1: population kind of goes swings south to the east.
[11:00] Speaker 3: It does, and so that is one reason as well,
[11:02] Speaker 3: that is where a large population of Black Americans reside
[11:07] Speaker 3: are in those areas as well. You know another factor
[11:11] Speaker 3: that I don't think that we can leave out and
[11:14] Speaker 3: not have conversation and bring awareness to and acknowledge.
[11:19] Speaker 4: And that is systemic racism.
[11:20] Speaker 3: I know it's a thing now that people don't want
[11:22] Speaker 3: to talk about, and you know, you gotta be careful
[11:26] Speaker 3: around having those conversations, but it is one that is
[11:30] Speaker 3: historically it's true, right, and so there are impacts of
[11:38] Speaker 3: implicit bias and systemic racism that is grounded. It was
[11:43] Speaker 3: built in our systems that are impacting people's health.
[11:48] Speaker 2: What exactly is systemic racism.
[11:52] Speaker 3: Systemic racism goes beyond I'm black, you're white.
[11:58] Speaker 4: We don't like each other.
[11:59] Speaker 3: It's beyond prejudice, right, It's beyond an emotional attachment to
[12:05] Speaker 3: the color of your skin. Systemic racism is really looking
[12:10] Speaker 3: at how these systems are created and how they function
[12:16] Speaker 3: that creates barriers in health care delivery, health care access
[12:21] Speaker 3: for patients.
[12:22] Speaker 4: Right.
[12:24] Speaker 3: Systemic racism looks at the fact that you know, when
[12:28] Speaker 3: you think about for example, we'll take education for example, Right,
[12:34] Speaker 3: when you think about where a school is located, and
[12:37] Speaker 3: how much funding that school actually receives can really have
[12:42] Speaker 3: an impact on where that school is located right within
[12:45] Speaker 3: that county.
[12:46] Speaker 4: Right.
[12:47] Speaker 3: You think about even redlining, right, and how certain communities
[12:54] Speaker 3: may not have access to healthy foods right within the communities,
[13:00] Speaker 3: desert within their communities. Those things are that system, right,
[13:05] Speaker 3: And so how are systems, even our healthcare system, and
[13:09] Speaker 3: how it functions to to not meet all of the
[13:13] Speaker 3: knees and access of those people. All of those things
[13:18] Speaker 3: are sort of they're they're they're rooted and grounded, and
[13:21] Speaker 3: how the system was created to separate and I think
[13:25] Speaker 3: those are things that that we really have to.
[13:29] Speaker 4: Take into consideration and how they how they impact.
[13:33] Speaker 1: He well, can we say this that I'm an African
[13:37] Speaker 1: American man, as I say to people, I've been black
[13:41] Speaker 1: all my life, But also I'm in the culture that's
[13:45] Speaker 1: in denial, in denial about the gay community within our
[13:51] Speaker 1: denial by high blood pressure, denial by diabetes, high cholesterol.
[13:57] Speaker 2: So that denial does it.
[13:59] Speaker 1: Feed into the factors of saying that this is why
[14:03] Speaker 1: it's also a problem within our community, the HIV explosion.
[14:13] Speaker 4: It's a tricky question.
[14:16] Speaker 1: Why isn't a tricky question, doctor, because I said, because
[14:18] Speaker 1: I believe it is true. I know my people, I
[14:21] Speaker 1: know we are sitting in that corner and looking at
[14:24] Speaker 1: won't admit, won't admit. And it's sad to say because
[14:28] Speaker 1: of the facts that there in front of us. We
[14:31] Speaker 1: are a people who tend to are so proud and
[14:35] Speaker 1: so stubborn. That's why we were victimized by COVID, because
[14:41] Speaker 1: of weight issues, because of health issues, because we have
[14:45] Speaker 1: refused to acknowledge that there's a high level of obesity,
[14:50] Speaker 1: there's a high level of blood pressure issues, and cholesterol
[14:54] Speaker 1: issues and diabetic issues, and they all came out with COVID.
[14:58] Speaker 1: So I'm not trying to push anything on you, not
[15:03] Speaker 1: telling you what I see and what I feel. But
[15:05] Speaker 1: I wanted to have an open dialogue with you because
[15:08] Speaker 1: you are the subject matter expert.
[15:10] Speaker 3: Yes, yes, absolutely, absolutely so, so let me let me
[15:12] Speaker 3: acknowledge that.
[15:15] Speaker 4: Your feelings are accurate.
[15:17] Speaker 3: And that many may feel that way. And so I
[15:20] Speaker 3: want to acknowledge that and not deny it. Right, I
[15:23] Speaker 3: think that you know the term of denying that there
[15:28] Speaker 3: is a problem denying that. I think I pause in
[15:36] Speaker 3: that moment because although that is some truth to that,
[15:40] Speaker 3: we also have to think about why that truth exists.
[15:44] Speaker 3: And if we put that truth there and put a period,
[15:48] Speaker 3: then that makes us the the reason for the problem,
[15:55] Speaker 3: and that's not the case. So so let me give
[15:57] Speaker 3: you a point a point of real scenario. A real
[16:02] Speaker 3: scenario is I have a family member who denied that
[16:09] Speaker 3: there was a problem with their health. Okay, they denied
[16:13] Speaker 3: that they were potentially having a stroke. Right, they denied
[16:21] Speaker 3: it and wanted to put it on other things, right
[16:23] Speaker 3: as to not seek care.
[16:26] Speaker 4: Right. But when you dig deeper to that, why was
[16:29] Speaker 4: that denial?
[16:30] Speaker 2: Right?
[16:30] Speaker 4: And so do I put that denial on them?
[16:32] Speaker 3: And when you dig deeper, it was also because the
[16:35] Speaker 3: last time I went to the hospital, the doctor did
[16:40] Speaker 3: nothing for me. I stayed there for twelve hours and
[16:43] Speaker 3: they did nothing for me.
[16:45] Speaker 4: Right.
[16:46] Speaker 3: Or you know every time I go, I have to
[16:50] Speaker 3: pay two hundred dollars for each visit. Right, And so
[16:56] Speaker 3: you see the association with the denial of that, right,
[17:01] Speaker 3: And so I think it gets deeper a little bit
[17:04] Speaker 3: deeper than that. There are there are reasons, specifically I'm
[17:07] Speaker 3: speaking for the healthcare system, there are reasons that I
[17:12] Speaker 3: may not think that something is for me, right, so
[17:17] Speaker 3: with prep, for example, women will say, oh, that's not
[17:20] Speaker 3: for me.
[17:21] Speaker 4: I'm not going to be on prep. Prep is not
[17:23] Speaker 4: for me.
[17:24] Speaker 3: That's denying, right, right, that's denying. But on the other
[17:28] Speaker 3: side of that is women also have not been given
[17:31] Speaker 3: the opportunity to see themselves in the messaging behind prep.
[17:35] Speaker 3: Women have also gone to their doctors, and their doctors
[17:39] Speaker 3: not offer them prep.
[17:41] Speaker 4: You see.
[17:41] Speaker 3: So I think it's a it's a it's a joint responsibility.
[17:48] Speaker 4: I definitely don't want.
[17:49] Speaker 3: To put all the ownst on us as a community
[17:53] Speaker 3: to say that.
[17:59] Speaker 4: All of that responsibilit lies on us, because let me.
[18:02] Speaker 1: Go in deeper here, miss scientists, what role does the
[18:06] Speaker 1: church play in all this? Because they have a captain audience,
[18:10] Speaker 1: they can speak the truth, and that's when denial can
[18:14] Speaker 1: become even more magnified. Who wants to bring the gay
[18:18] Speaker 1: community into the church, conversation into the church, and one
[18:22] Speaker 1: talks about HIV, they tend to want to think it's
[18:24] Speaker 1: just a gay issue, and it's not. It's a it's
[18:28] Speaker 1: a communication issue. It's a sexual transmitted disease issue. And
[18:33] Speaker 1: there are a lot of individuals out there who are
[18:36] Speaker 1: not gay that are getting HIV through sexual relationships. So
[18:42] Speaker 1: what role can the church play? I know, pushing this
[18:45] Speaker 1: a little bit far out there for you, but you
[18:47] Speaker 1: know you HBCU graduate, you associate professor that do I
[18:51] Speaker 1: think I can talk to you like this?
[18:53] Speaker 4: You can talk?
[18:54] Speaker 2: Now?
[18:55] Speaker 3: Is the time where you call me not doctor Randols? Yeah?
[19:00] Speaker 3: So many social determinants of health, right, And so when
[19:04] Speaker 3: did you talk about this notion of many people thinking
[19:08] Speaker 3: this is a gay disease?
[19:10] Speaker 4: Right?
[19:10] Speaker 3: Right? Historically black women get HIV through hetero sexual contact.
[19:17] Speaker 3: That is the primary way of getting HIV, right, and
[19:21] Speaker 3: so we cannot limit it to it being a certain gender.
[19:28] Speaker 4: Or certain sexual preference.
[19:31] Speaker 3: Right. We really have to start looking at this to
[19:33] Speaker 3: the lens that HIV impacts everyone, and I think that's
[19:37] Speaker 3: a place that we.
[19:38] Speaker 2: Have to start, right.
[19:40] Speaker 1: And that's why we're having this conversation because I'm trying
[19:43] Speaker 1: to When I did my research on you, doctor Randolph,
[19:46] Speaker 1: the whole thing was about information, and when you get
[19:49] Speaker 1: into that HIV lane, Oh, it's a recognized day and
[19:53] Speaker 1: it goes away. And it also just like COVID, people
[19:57] Speaker 1: think COVID is going away. People are still dying of
[19:59] Speaker 1: COVID right now. And so it's the same thing with
[20:02] Speaker 1: HIV is not on the front lines of conversation, So
[20:05] Speaker 1: people go it doesn't bother me, it's not part of
[20:08] Speaker 1: my lifestyle.
[20:08] Speaker 5: Please don't go anywhere. We'll be right back with more
[20:11] Speaker 5: money Making Conversations Masterclass. Welcome back to the Money Making
[20:20] Speaker 5: Conversations Masterclass, hosted by Rashaan McDonald. Money Making Conversations Masterclass
[20:26] Speaker 5: continues online at Moneymakingconversations dot com and follow money Making
[20:31] Speaker 5: Conversations Masterclass on Facebook, Twitter, and Instagram.
[20:34] Speaker 1: I don't have to worry about that, but here you
[20:36] Speaker 1: are of a program called heat Lab and you are.
[20:41] Speaker 2: Adamant that we still need to.
[20:44] Speaker 4: But the great thing is, uh huh, you don't have to.
[20:48] Speaker 4: And I'm going to get back to your church question.
[20:50] Speaker 2: I know we're not running from that, but you know,
[20:52] Speaker 2: you're one of those people.
[20:53] Speaker 1: I gotta like stop you here because you've be throwing
[20:56] Speaker 1: out those good vibes and information. I got to make
[20:58] Speaker 1: sure I get that broken down.
[21:00] Speaker 2: But you know nothing, you run from the church question,
[21:02] Speaker 2: and no, I'm not.
[21:04] Speaker 4: Running from it.
[21:04] Speaker 3: So the thing is, though, that the good thing is
[21:09] Speaker 3: we're in twenty twenty five, yes, ma'am, And so there
[21:13] Speaker 3: have been so many advancements in HIV, right, there is
[21:20] Speaker 3: there is an opportunity now to live healthy lives with HIV.
[21:26] Speaker 3: There's medications that if one is HIV positive that they
[21:31] Speaker 3: actually can become undetectable where there is no trace. Right,
[21:36] Speaker 3: there's there that they can live a healthy life undetectable
[21:41] Speaker 3: right with HIV.
[21:42] Speaker 4: And then there's PREP.
[21:43] Speaker 3: So if I, if I, if somebody is HIV positive
[21:46] Speaker 3: and they decide that they have a partner, their partner
[21:49] Speaker 3: can be on PREP which will prevent them and decrease
[21:53] Speaker 3: their chances of getting HIV from their HIV positive partner.
[21:58] Speaker 3: So we are not in the same times that we
[22:01] Speaker 3: were previously. And I think that's the message to that
[22:06] Speaker 3: no one, no woman, no woman, no man, has to
[22:11] Speaker 3: live with with HIV. They're they're they're advancements in that
[22:16] Speaker 3: right if we make a decision to you know, they're
[22:21] Speaker 3: there are other options for us, right, And I think
[22:24] Speaker 3: that getting tested is very important, getting tested frequently, getting
[22:30] Speaker 3: tested at least once a year, but also depending on
[22:34] Speaker 3: your sexual health and your sexual life, right, and so
[22:41] Speaker 3: whatever that looks like for someone, it may mean that
[22:43] Speaker 3: they need to get tested more often. And so there
[22:46] Speaker 3: are so many advances in HIV that I think that
[22:51] Speaker 3: we can sort of look at things a little bit different,
[22:55] Speaker 3: Whereas before you get an HIV diagnosis and you're like, Okay,
[23:00] Speaker 3: let's start planning because I'm about to die of this disease.
[23:03] Speaker 3: And that is not where we are in twenty twenty five. However,
[23:07] Speaker 3: where we are still is that we have PREP has
[23:12] Speaker 3: been around since twenty twelve, and we still have less
[23:17] Speaker 3: than two percent or so of women who are on
[23:23] Speaker 3: it right. And a part of that, again, when you
[23:26] Speaker 3: talk about that denial piece, part of that is us
[23:29] Speaker 3: as healthcare providers. Do your providers even know about it?
[23:33] Speaker 3: Do they talk to you about it? How easily is
[23:36] Speaker 3: it for you to access it? Do you even see
[23:39] Speaker 3: yourself in a messaging? And that has been a big
[23:41] Speaker 3: thing for us, is that when we bring PREP up,
[23:43] Speaker 3: women are like, oh, I've seen that commercial, but I
[23:46] Speaker 3: thought it was for gay man because I didn't see myself.
[23:50] Speaker 4: I didn't even know it was for me.
[23:52] Speaker 3: And so I think that's a piece as well that
[23:56] Speaker 3: I just wanted to bring up to church. Now there
[23:59] Speaker 3: you go, church, Okay. So historically, yes, there continues to
[24:06] Speaker 3: be I think some some barriers in having conversations within
[24:12] Speaker 3: our churches around sex period more or less around HIV.
[24:20] Speaker 3: You know, whenever we do our work in the Heat Lab,
[24:24] Speaker 3: we partner with the beauty industry. So we have partners
[24:28] Speaker 3: as that are part of the Heat Lab that have
[24:30] Speaker 3: actually co developed interventions. One of our interventions is called updues,
[24:36] Speaker 3: which is using PREP doing It for Ourselves, which is
[24:41] Speaker 3: an initiative to really bring awareness to Black women around
[24:45] Speaker 3: PREP and help them to.
[24:47] Speaker 4: Get on PREP.
[24:48] Speaker 3: They can actually access telehealth, speak with the provider, send
[24:52] Speaker 3: an HIV test to their house, send PREP.
[24:54] Speaker 4: To their house.
[24:55] Speaker 3: We have That is what we are actually doing as
[24:59] Speaker 3: a part of this study with Updues. But we partner
[25:03] Speaker 3: with the beauty industry, right and so we have barbers,
[25:06] Speaker 3: we have stylists who partner with us. And so I
[25:10] Speaker 3: say all that to say it continues to be in
[25:16] Speaker 3: some churches stigmatized, and I think it just means that
[25:21] Speaker 3: we have to find other routes and other avenues.
[25:25] Speaker 1: Used the word most churches, you know, because let's be
[25:28] Speaker 1: real about this, because if I'm you, doctor Randolph, I'm
[25:32] Speaker 1: frustrated because you see a problem. It's not being magnified,
[25:38] Speaker 1: like you said in a beauty salon, and a barbershop.
[25:42] Speaker 2: That should be a poster acknowledging this is happening. That
[25:46] Speaker 2: should be.
[25:48] Speaker 1: When I go to a doctor, it's gotten so non personal.
[25:53] Speaker 1: You know, you do it on an app and they
[25:55] Speaker 1: say yes or no. And I'm telling you, I'm not
[25:58] Speaker 1: gonna put all my personal stuff on an app or
[26:01] Speaker 1: type out the description of your sexual preference on an
[26:05] Speaker 1: app or computer form. And so I think the way
[26:10] Speaker 1: whethersin is being handled because we're in a rush to
[26:15] Speaker 1: get all these forms filled out before you arrived.
[26:18] Speaker 2: So in your ride, we coulda rush you back out
[26:20] Speaker 2: the door.
[26:21] Speaker 1: Because our job is to turn around and flip as
[26:23] Speaker 1: many patients so.
[26:24] Speaker 2: We can make as much money. So when we.
[26:27] Speaker 1: Get flipped in flipped out, don't know the proper care,
[26:30] Speaker 1: the proper reason we are in there. And guess what
[26:33] Speaker 1: next thing? You know, we sitting in a drug store.
[26:35] Speaker 1: They're giving us some pills. We don't know if that
[26:37] Speaker 1: pill gonna take care of you. The reason I say
[26:39] Speaker 1: that because I wake up and take six pills every morning.
[26:43] Speaker 1: I don't know who if those six pills can help
[26:45] Speaker 1: me live ten years, twenty years, or thirty years. But
[26:48] Speaker 1: I know I'm taking those pills and That's where the
[26:51] Speaker 1: nurse and the science is frustrating me because the system
[26:56] Speaker 1: I don't believe is allowing you an opportunity to be
[26:58] Speaker 1: as successful.
[27:00] Speaker 2: Is that truth?
[27:01] Speaker 3: I would echo that with exclamation points.
[27:05] Speaker 2: Sir, thank you.
[27:07] Speaker 1: And I'm not here to say anything bad. I'm just
[27:11] Speaker 1: saying that I'm trying to figure out how I can
[27:13] Speaker 1: help you. But I know in some ways my energy
[27:17] Speaker 1: to help you is only going to be a small
[27:20] Speaker 1: amount of information that's being distributed because again, people, especially
[27:24] Speaker 1: people of color, we just in denial, denial, denio.
[27:29] Speaker 2: It's ridiculous.
[27:30] Speaker 1: And then we have programs like DEI that's claiming like
[27:34] Speaker 1: DEI is only helping black people are people of color,
[27:38] Speaker 1: and we all know it's white women who are benefiting
[27:40] Speaker 1: from this, the most welfare, white people benefiting from this,
[27:44] Speaker 1: the most unemployment, white people benefiting.
[27:48] Speaker 2: The most. Only thing we leading in is prison.
[27:51] Speaker 1: Now we went in in prison with everything else where
[27:54] Speaker 1: you can benefit from, we in behind. But they stereotype
[27:59] Speaker 1: us and make us believe that we are the bigger
[28:02] Speaker 1: benefactors of this. Come to HIV when I have an
[28:06] Speaker 1: opportunity to speak and be your bullhorn, what can I
[28:09] Speaker 1: do to help you?
[28:09] Speaker 2: Out, doctor Randolph, because I'm fired up.
[28:11] Speaker 1: You know you're fired up first or night you get
[28:14] Speaker 1: a brother fired up?
[28:15] Speaker 2: Now, I love it.
[28:16] Speaker 4: I love it.
[28:17] Speaker 3: I think really just you know, two things I think
[28:22] Speaker 3: think come to mind. Definitely, follow some of the work
[28:26] Speaker 3: that we're doing in in the Heat Lab. When it
[28:29] Speaker 3: comes to research, there is some distrust historically and current
[28:35] Speaker 3: with our participation as Black Americans in research, and that's
[28:40] Speaker 3: completely understood, right. But following the heat Lab at the
[28:46] Speaker 3: heat lab dot org for you know, different programs and
[28:50] Speaker 3: ways that the community can be engaged in that work,
[28:53] Speaker 3: and to bring awareness to that work would be very,
[28:56] Speaker 3: very helpful to be an advocate and help us to
[28:59] Speaker 3: add cap for that and our shared vision.
[29:04] Speaker 4: You know, we do our work with.
[29:05] Speaker 3: The community, and the community voice is always prioritized.
[29:10] Speaker 4: We have a community Advisory Council.
[29:13] Speaker 3: Again, we have partners and consultants to our community members
[29:17] Speaker 3: and not sciences that are working alongside of us.
[29:20] Speaker 4: And so I think that's one thing.
[29:23] Speaker 3: I think the other thing is just continuing to recognize
[29:28] Speaker 3: that we are operating within a system that I honestly
[29:34] Speaker 3: and this is this is Shanita speaking here, I think
[29:38] Speaker 3: that we're going to really have to think of ways
[29:41] Speaker 3: as a community to advance our own health and be
[29:48] Speaker 3: opinion leaders and share information, community organizing, partnering with one another,
[29:55] Speaker 3: and collaborating with one another to advance our health because,
[29:58] Speaker 3: as you stated, our system, even our healthcare system. I've
[30:02] Speaker 3: experienced it the past month or so on a personal basis,
[30:07] Speaker 3: and it's heartbreaking, right, It's very heartbreaking just to see
[30:15] Speaker 3: and to experience some of the things that I have personally.
[30:19] Speaker 2: But you know, just share a personal story.
[30:21] Speaker 1: I was in high school and I did a class
[30:24] Speaker 1: assignment was drug addicted babies. These are babies who are born,
[30:29] Speaker 1: they're born, they got to have they're born addicted to
[30:31] Speaker 1: drugs and that's about forty years ago, and.
[30:36] Speaker 2: That's still a problem today. The people. It's a problem.
[30:41] Speaker 1: And so when I because I saw you become emotional,
[30:44] Speaker 1: which means that emotion is usually tied to frustration, and
[30:48] Speaker 1: then it also tied to you see the numbers. You
[30:51] Speaker 1: see the reality, and you don't see that reality turning
[30:55] Speaker 1: fast enough for you.
[30:56] Speaker 4: We were talking about it for a long time.
[30:58] Speaker 1: I know, like I said, that's trying to bring up
[31:00] Speaker 1: my story abou drug edicen babies. You know that affected
[31:04] Speaker 1: me way when I was in high school and today
[31:06] Speaker 1: is still a problem. And so I want to ask
[31:08] Speaker 1: this question, to read it off the card, how do
[31:11] Speaker 1: you mentor the next generation of nurse scholars who will
[31:15] Speaker 1: be committed to addressing the health of our black communities.
[31:19] Speaker 3: Absolutely, If you remember, I became a nurse because I
[31:24] Speaker 3: saw a black woman who was a nurse who looked
[31:26] Speaker 3: like me, And I think that representation definitely matters. Some
[31:31] Speaker 3: of the experience that you shared about your own health
[31:35] Speaker 3: experiences in terms of the system, all of that matters.
[31:40] Speaker 3: So it matters that I see a black nurse. It
[31:43] Speaker 3: matters that I see a black nurse scientist. Representation definitely matters.
[31:48] Speaker 3: It matters that as a black woman with a lived
[31:52] Speaker 3: experience who goes to the beauty salon, like I understand
[31:56] Speaker 3: at a different level whenever.
[31:58] Speaker 4: I am operating in my role as a.
[32:01] Speaker 3: Nurse scientist to develop interventions right and to talk.
[32:05] Speaker 4: About the lived experiences.
[32:07] Speaker 3: So all of that matters, and so one thing that
[32:10] Speaker 3: we have done, I'm a co founder of Black PhD
[32:14] Speaker 3: Nurse Scientists. Three of my other colleagues who are also
[32:19] Speaker 3: black PhD prepared nurse scientists who also have graduated from
[32:25] Speaker 3: HBCUs Howard Perry View University. We have partnered and we
[32:32] Speaker 3: are doing HBCU tours at schools of nursing. So there
[32:36] Speaker 3: are thirty three HBCUs that have.
[32:41] Speaker 4: Schools of nursing.
[32:43] Speaker 3: Only three of those schools have PhD programs where you
[32:48] Speaker 3: could be a nurse and get your PhD in nursing.
[32:52] Speaker 3: That's problematic, right, and so what we are doing is
[32:55] Speaker 3: really just going to HBCUs. We've been to A and T,
[32:58] Speaker 3: we went to Howard University and large, and we're just
[33:02] Speaker 3: allowing undergraduate nursing students to see.
[33:06] Speaker 4: What we do as a nurse scientist.
[33:09] Speaker 3: We expose them to this role in hopes that they
[33:13] Speaker 3: will see this representation and it will spark something for
[33:17] Speaker 3: them to be able to think about this as a
[33:20] Speaker 3: career trajectory. Again, there's like less than one to two
[33:25] Speaker 3: percent of us are nurses who have PhDs who are
[33:29] Speaker 3: nurse scientists are black. And so if we're talking about
[33:31] Speaker 3: addressing health disparities and most of those researchers who are
[33:37] Speaker 3: doing that are not black, there's opportunities there, right, Because
[33:44] Speaker 3: there is something that to be said that whenever I
[33:49] Speaker 3: have lived that experience, I can offer a lot to
[33:53] Speaker 3: that conversation. And so that's one thing that we're doing
[33:56] Speaker 3: is through our Black PhD Nurse Scientists Program is exposing
[34:03] Speaker 3: others through our HBCU tours. We're also trying to support
[34:06] Speaker 3: other nurse scientists who are currently in that role through
[34:12] Speaker 3: wellness retreats and writing retreats to make sure that they
[34:16] Speaker 3: have scholarly impact and that they are sharing their work
[34:21] Speaker 3: within the academic setting, but more importantly, that they have
[34:24] Speaker 3: the strategies to make sure that we share who we
[34:28] Speaker 3: are and what we do and why to a broader community.
[34:32] Speaker 3: For an example, having the opportunity to sit down with
[34:35] Speaker 3: you today, you know that that's that's important. This means
[34:38] Speaker 3: more to me than it does my New England Journal
[34:42] Speaker 3: Medicine article, right because it picks up the New England
[34:45] Speaker 3: Journal Medicine and read it.
[34:49] Speaker 4: Right.
[34:49] Speaker 1: But I don't know, right, I bet you hurt.
[34:54] Speaker 2: In my head. I got enough problem. I don't need
[34:57] Speaker 2: to be hurt some more. Understand right, what.
[35:00] Speaker 4: People listen to you in your podcast? Right?
[35:03] Speaker 3: So that's how I like to support current and future
[35:08] Speaker 3: NERSE scientists.
[35:09] Speaker 1: And for the beauty of my show, you know, it's
[35:12] Speaker 1: syndicated to twenty HPCUS nationwide. It's also syndicated on Serious X,
[35:19] Speaker 1: which is HPCU. It airs on the WCLK in Atlanta, Georgia.
[35:23] Speaker 1: So a good and also my podcast is a nationwide
[35:28] Speaker 1: global podcast.
[35:30] Speaker 2: And when I look at.
[35:31] Speaker 1: You, you know your smile is too brilliant for it
[35:36] Speaker 1: to be tied to disappointment. So you said, why are
[35:40] Speaker 1: you motivated. I'm motivated by keeping a smile on your
[35:42] Speaker 1: face and by letting you know I believe in what
[35:46] Speaker 1: you're doing. I'm an honest guy because honesty has allowed
[35:50] Speaker 1: me to be able to say there's a lot more
[35:53] Speaker 1: to do. It's just saying I'm in.
[35:57] Speaker 2: I'm in. There's a lot of people in. But what
[35:59] Speaker 2: are you doing? Being right? Right? Get dirty? But I
[36:04] Speaker 2: just wanted to bring you on.
[36:05] Speaker 1: And this is not a one time relationship. I want
[36:08] Speaker 1: you to believe that we're gonna start, this is gonna
[36:11] Speaker 1: be ongoing because like I said, I saw drug addicted
[36:14] Speaker 1: babies more than fifty years ago and they still a.
[36:17] Speaker 2: Drug addicted baby today.
[36:18] Speaker 1: And if we don't make change, if another COVID hit,
[36:21] Speaker 1: it's gonna be We're gonna be at the top of
[36:22] Speaker 1: the list of the ethnic group that is impacted the
[36:27] Speaker 1: most in a negative way. Same thing with the HIV
[36:31] Speaker 1: and now every time I hear about HIV in the
[36:33] Speaker 1: Black community is impacting women. I was born and raised
[36:36] Speaker 1: with six sisters, and so there are men out there
[36:39] Speaker 1: that are caring this disease. So women have to know
[36:42] Speaker 1: they have to be the first in the lead for
[36:44] Speaker 1: protecting themselves and not trusting their quote unquote partners because
[36:50] Speaker 1: they are being impacted the most. And we all know
[36:52] Speaker 1: that women, they are more women than men. So when
[36:54] Speaker 1: you say women are leading in the HIV, that means
[36:57] Speaker 1: there are a few guys out there that are doing
[37:00] Speaker 1: things they should be doing and not being honest with
[37:02] Speaker 1: their sexual parts. So with that being said, I allow
[37:05] Speaker 1: you to close by show with eighty follow up thoughts.
[37:09] Speaker 3: Yeah, first of all, thank you, thank you so much
[37:12] Speaker 3: for having me today, and I look forward to the
[37:15] Speaker 3: opportunities to be able to share, if nothing else, is
[37:17] Speaker 3: to share what we're doing in the heat lab. And
[37:20] Speaker 3: you know how the community can be impacted.
[37:22] Speaker 4: You know, we talked a lot.
[37:24] Speaker 3: I think the one thing I would close with is
[37:26] Speaker 3: that I hope that we as a community can be
[37:30] Speaker 3: empowered and that we can support one another for our health.
[37:36] Speaker 4: If we see something.
[37:38] Speaker 3: Or we we we hear you know that we get
[37:41] Speaker 3: this knowledge or that we can share it with others,
[37:43] Speaker 3: and that we are truly our brother and our sister's keeper.
[37:47] Speaker 3: There are challenges and barriers that have persisted for years
[37:53] Speaker 3: right and until we take some empowerment and and ownership
[38:01] Speaker 3: for each other to advance our own health and to
[38:08] Speaker 3: make sure that we are healthy.
[38:10] Speaker 4: And that we are you know, not living this life
[38:13] Speaker 4: full full of stress and being here for one for
[38:17] Speaker 4: one another, and that I would also say, you know,
[38:20] Speaker 4: follow us at the heat lab dot org.
[38:23] Speaker 3: Our work now has a focus in six counties throughout
[38:27] Speaker 3: North Carolina, Mecklenburg, Forsyth County, Wake, Durham County, Guildford County
[38:34] Speaker 3: to name to name those in Cumberland County. Reach out
[38:39] Speaker 3: to us. If you're a beauty salon who would like
[38:41] Speaker 3: to be engaged in this work, we would definitely love
[38:44] Speaker 3: to partner with you in in that and through collaboration
[38:48] Speaker 3: and partnership. You know, we just got to be there
[38:51] Speaker 3: for for one another and for our community.
[38:54] Speaker 1: To thank you for coming on Money making Converses Masterclass
[38:57] Speaker 1: Doctor Randolph h.
[39:03] Speaker 2: I'm up and love.
[39:04] Speaker 1: I just did a big bag for you guys hosted again.
[39:07] Speaker 1: Thank you and I appreciate you coming on my show
[39:09] Speaker 1: and taking the time to share your knowledge and your
[39:12] Speaker 1: nurse science knowledge with my audience.
[39:15] Speaker 4: Okay, thank you so much. Thank you for having me.
[39:19] Speaker 6: This has been another edition of Money Making Conversation Masterclass
[39:22] Speaker 6: hosted by me Rashaun McDonald. Thank you to our guests
[39:25] Speaker 6: on the show today, and thank you listening to the
[39:28] Speaker 6: audience now. If you want to listen to any episode
[39:30] Speaker 6: I want to be a guest on the show, visit
[39:32] Speaker 6: Moneymakingconversations dot com. Our social media handle is money Making Conversation.
[39:38] Speaker 6: Join us next week and remember to always leave with
[39:40] Speaker 6: your gifts.
[39:41] Speaker 2: Keep winning.

Shows are listed from Apple Podcasts' charts and directory, and Podcast Index where it is used. Every show and episode belongs to its publisher and plays from the publisher's own feed; this site hosts none of them.