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Traumatic Connection: Women and Health Care Providers | Elizabeth Shadigian | TEDxJHUDC


thank you for your patience mm-hmm

thank you for your patience mm-hmm when was the last time a health care

when was the last time a health care

when was the last time a health care provider asked if you had been

provider asked if you had been

provider asked if you had been gang-raped when is the last time a

gang-raped when is the last time a

gang-raped when is the last time a health care provider asks if your

health care provider asks if your

health care provider asks if your partner chokes you when is the last time

partner chokes you when is the last time

partner chokes you when is the last time a health care provider asked if you had

a health care provider asked if you had

a health care provider asked if you had been treated hurtfully as a child or

been treated hurtfully as a child or

been treated hurtfully as a child or neglected in some way when is the last

neglected in some way when is the last

neglected in some way when is the last time a doctor or dentist asked if they

time a doctor or dentist asked if they

time a doctor or dentist asked if they could touch you before they touched you

my name is Elizabeth I’m a 52 year-old

my name is Elizabeth I’m a 52 year-old privileged white straight sis woman

privileged white straight sis woman

privileged white straight sis woman mother daughter sister friend partner

mother daughter sister friend partner

mother daughter sister friend partner physician woman advocate and surgeon

when I was a medical student and in my

when I was a medical student and in my ob/gyn residency several times I was

ob/gyn residency several times I was

ob/gyn residency several times I was solicited by senior physicians to have

solicited by senior physicians to have

solicited by senior physicians to have sex with them one of them even

sex with them one of them even

sex with them one of them even threatened to have me kicked out of my

threatened to have me kicked out of my

threatened to have me kicked out of my residency program if I said anything to

residency program if I said anything to

residency program if I said anything to anyone

anyone

anyone I had an 80 year-old esteemed Dinah

I had an 80 year-old esteemed Dinah

I had an 80 year-old esteemed Dinah ecology professor pinched my butt

ecology professor pinched my butt

ecology professor pinched my butt I had a surgeon in the operating room of

I had a surgeon in the operating room of

I had a surgeon in the operating room of a major teaching hospital throw

a major teaching hospital throw

a major teaching hospital throw instruments so close to my eye I was

instruments so close to my eye I was

instruments so close to my eye I was afraid it was going to put out my eye

welcome to the best medical school in

welcome to the best medical school in the world I was just a woman I was just

the world I was just a woman I was just

the world I was just a woman I was just another woman

another woman

another woman I was just another piece of ass

when I was a medical student when I was

when I was a medical student when I was a resident when I was a professor I

a resident when I was a professor I

a resident when I was a professor I always felt like I wasn’t doing a good

always felt like I wasn’t doing a good

always felt like I wasn’t doing a good enough job that I could have done a

enough job that I could have done a

enough job that I could have done a better job if I had just had a little

better job if I had just had a little

better job if I had just had a little bit more time and knew a little bit more

bit more time and knew a little bit more

bit more time and knew a little bit more about the person in front of me and then

about the person in front of me and then

about the person in front of me and then I could do an amazing job for them one

I could do an amazing job for them one

I could do an amazing job for them one thing that propelled me into this field

thing that propelled me into this field

thing that propelled me into this field of course were there things that I

of course were there things that I

of course were there things that I experienced both as a child as a

experienced both as a child as a

experienced both as a child as a teenager as an undergraduate as a

teenager as an undergraduate as a

teenager as an undergraduate as a medical student as an OBGYN resident and

medical student as an OBGYN resident and

medical student as an OBGYN resident and even the things that happened to me when

even the things that happened to me when

even the things that happened to me when I was a professor I knew I wanted to be

I was a professor I knew I wanted to be

I was a professor I knew I wanted to be asked to be touched before I was touched

asked to be touched before I was touched

asked to be touched before I was touched I knew that it felt more respectful

I knew that it felt more respectful

I knew that it felt more respectful because when we’re not asked and someone

because when we’re not asked and someone

because when we’re not asked and someone just does something to us even if it’s

just does something to us even if it’s

just does something to us even if it’s in a medical situation it feels like

in a medical situation it feels like

in a medical situation it feels like another trauma another abuse and

another trauma another abuse and

another trauma another abuse and especially for those people especially

especially for those people especially

especially for those people especially women who’ve been hurt before

women who’ve been hurt before

women who’ve been hurt before it’s a pile-on of that feeling of

it’s a pile-on of that feeling of

it’s a pile-on of that feeling of disrespect over and over again the

disrespect over and over again the

disrespect over and over again the current health care model which I call

current health care model which I call

current health care model which I call status quo health care is based on

status quo health care is based on

status quo health care is based on paternalism daddy’s right the doctors

paternalism daddy’s right the doctors

paternalism daddy’s right the doctors right the more senior doctor is more

right the more senior doctor is more

right the more senior doctor is more right this paternalism pervades society

right this paternalism pervades society

right this paternalism pervades society and we don’t really think about it in

and we don’t really think about it in

and we don’t really think about it in health care but it’s there ask any woman

health care but it’s there ask any woman

health care but it’s there ask any woman who’s been cut off when she’s tried to

who’s been cut off when she’s tried to

who’s been cut off when she’s tried to ask questions who’s been made fun of for

ask questions who’s been made fun of for

ask questions who’s been made fun of for being a Google ologist by researching

being a Google ologist by researching

being a Google ologist by researching actual questions and topics before an

actual questions and topics before an

actual questions and topics before an appointment this system which I call

appointment this system which I call

appointment this system which I call status quo health care does not have to

status quo health care does not have to

status quo health care does not have to be the model of health care it’s not

be the model of health care it’s not

be the model of health care it’s not medicine itself that the problem is

medicine itself that the problem is

medicine itself that the problem is medicine actually is amazing we’re going

medicine actually is amazing we’re going

medicine actually is amazing we’re going forward in medicine we’re learning new

forward in medicine we’re learning new

forward in medicine we’re learning new things we’re learning more about people

things we’re learning more about people

things we’re learning more about people we’re learning more about nanoparticle

we’re learning more about nanoparticle

we’re learning more about nanoparticle we’re learning more about how to treat

we’re learning more about how to treat

we’re learning more about how to treat people with respect I created a new kind

people with respect I created a new kind

people with respect I created a new kind of model of healthcare and I call it

of model of healthcare and I call it

of model of healthcare and I call it woman safe health with safety in between

woman safe health with safety in between

woman safe health with safety in between woman and health it however applies to

woman and health it however applies to

woman and health it however applies to everyone women just happen to be on the

everyone women just happen to be on the

everyone women just happen to be on the lower end of power in society but it

lower end of power in society but it

lower end of power in society but it applies to everyone

applies to everyone

applies to everyone women girls trans and gender

women girls trans and gender

women girls trans and gender non-conforming people ice

when I was a professor I came in one day

when I was a professor I came in one day at a major teaching institution to take

at a major teaching institution to take

at a major teaching institution to take care of Sonia Sonia was in her 30s it

care of Sonia Sonia was in her 30s it

care of Sonia Sonia was in her 30s it wasn’t her first child she’d had all

wasn’t her first child she’d had all

wasn’t her first child she’d had all vaginal deliveries I came in with my

vaginal deliveries I came in with my

vaginal deliveries I came in with my three kids at home to spend time with

three kids at home to spend time with

three kids at home to spend time with her and to help her with her birth on my

her and to help her with her birth on my

her and to help her with her birth on my way out the door

way out the door

way out the door a more senior physician on faculty said

a more senior physician on faculty said

a more senior physician on faculty said to me you shouldn’t come in for

to me you shouldn’t come in for

to me you shouldn’t come in for deliveries on days you’re not really on

deliveries on days you’re not really on

deliveries on days you’re not really on call because you’re making the rest of

call because you’re making the rest of

call because you’re making the rest of us look bad you never asked me why why

us look bad you never asked me why why

us look bad you never asked me why why did I come in on my day off

did I come in on my day off

did I come in on my day off to take care of a woman who’d had plenty

to take care of a woman who’d had plenty

to take care of a woman who’d had plenty of normal births before he didn’t ask me

of normal births before he didn’t ask me

of normal births before he didn’t ask me because he didn’t want to know he was

because he didn’t want to know he was

because he didn’t want to know he was trained not to know and not to ask

on other occasions I’ve been the patient

on other occasions I’ve been the patient that’s the interesting thing we have to

that’s the interesting thing we have to

that’s the interesting thing we have to look at things from both sides I’m not

look at things from both sides I’m not

look at things from both sides I’m not just the physician I’m the patient I’m

just the physician I’m the patient I’m

just the physician I’m the patient I’m also a woman advocate a woman advocate

also a woman advocate a woman advocate

also a woman advocate a woman advocate is someone who supports other women

is someone who supports other women

is someone who supports other women really other people obtaining medical

really other people obtaining medical

really other people obtaining medical care and why is that important

care and why is that important

care and why is that important because when we come to medical care

because when we come to medical care

because when we come to medical care we’re in a vulnerable position we feel

we’re in a vulnerable position we feel

we’re in a vulnerable position we feel like we have less power because actually

like we have less power because actually

like we have less power because actually we do we’re relying on somebody else to

we do we’re relying on somebody else to

we do we’re relying on somebody else to tell us what’s wrong with us and we come

tell us what’s wrong with us and we come

tell us what’s wrong with us and we come with fear we come with nervousness we

with fear we come with nervousness we

with fear we come with nervousness we come with sometimes dread because we’re

come with sometimes dread because we’re

come with sometimes dread because we’re not sure if we’re going to be believed

not sure if we’re going to be believed

not sure if we’re going to be believed we don’t know if we’re going to be

we don’t know if we’re going to be

we don’t know if we’re going to be thought of is hysterical or over-the-top

woman safe health is a model that

woman safe health is a model that focuses on welcoming welcoming people to

focuses on welcoming welcoming people to

focuses on welcoming welcoming people to medical care it focuses on listening to

medical care it focuses on listening to

medical care it focuses on listening to the concerns of the client notice I said

the concerns of the client notice I said

the concerns of the client notice I said the client not the patient a client is

the client not the patient a client is

the client not the patient a client is the term we use for patient under woman

the term we use for patient under woman

the term we use for patient under woman safe health a client is someone who

safe health a client is someone who

safe health a client is someone who seeks a consultant someone in a

seeks a consultant someone in a

seeks a consultant someone in a non-hierarchical relationship and who

non-hierarchical relationship and who

non-hierarchical relationship and who wants not to be talked down to but be

wants not to be talked down to but be

wants not to be talked down to but be looked at across the aisle in the eyes

looked at across the aisle in the eyes

looked at across the aisle in the eyes and respected a patient is a person

and respected a patient is a person

and respected a patient is a person receiving health care a client is

receiving health care a client is

receiving health care a client is someone who has more power and even if

someone who has more power and even if

someone who has more power and even if they don’t know what their diagnosis is

they don’t know what their diagnosis is

they don’t know what their diagnosis is wants to be treated with respect another

wants to be treated with respect another

wants to be treated with respect another part of women’s safe health is belief

part of women’s safe health is belief

part of women’s safe health is belief believing the person in front of us we

believing the person in front of us we

believing the person in front of us we don’t have to believe that every piece

don’t have to believe that every piece

don’t have to believe that every piece of minutia they’re telling us is

of minutia they’re telling us is

of minutia they’re telling us is factually correct what we’re doing is

factually correct what we’re doing is

factually correct what we’re doing is believing their paradigm of living

believing their paradigm of living

believing their paradigm of living believing how they

believing how they

believing how they experience their symptoms how they are

experience their symptoms how they are

experience their symptoms how they are in families this paradigms very

in families this paradigms very

in families this paradigms very important to understand because many

important to understand because many

important to understand because many people look down especially physicians

people look down especially physicians

people look down especially physicians look down upon clients who can’t give an

look down upon clients who can’t give an

look down upon clients who can’t give an accurate history or history as I like to

accurate history or history as I like to

accurate history or history as I like to say the other thing we all want in

say the other thing we all want in

say the other thing we all want in health care is to have our know

health care is to have our know

health care is to have our know respected we don’t want to just do what

respected we don’t want to just do what

respected we don’t want to just do what the doctor says

the doctor says

the doctor says we have brain cells to even when we’re

we have brain cells to even when we’re

we have brain cells to even when we’re in the client role and we may not want a

in the client role and we may not want a

in the client role and we may not want a medication because maybe our mother was

medication because maybe our mother was

medication because maybe our mother was allergic to that medication or maybe I

allergic to that medication or maybe I

allergic to that medication or maybe I don’t want to go to that hospital

don’t want to go to that hospital

don’t want to go to that hospital because that’s where my grandmother died

because that’s where my grandmother died

because that’s where my grandmother died or on and on there are a whole bunch of

or on and on there are a whole bunch of

or on and on there are a whole bunch of reasons why when we’re in the client

reasons why when we’re in the client

reasons why when we’re in the client role we may want or not want something

role we may want or not want something

role we may want or not want something and so I will propose to you that the

and so I will propose to you that the

and so I will propose to you that the model of care must include a respect of

model of care must include a respect of

model of care must include a respect of no in society this is exactly what sets

no in society this is exactly what sets

no in society this is exactly what sets up violence is that the perpetrator does

up violence is that the perpetrator does

up violence is that the perpetrator does not respect the victim they don’t

not respect the victim they don’t

not respect the victim they don’t respect know it’s all about the

respect know it’s all about the

respect know it’s all about the perpetrator and their goals and what

perpetrator and their goals and what

perpetrator and their goals and what they want at the time when I was a

they want at the time when I was a

they want at the time when I was a client at a status quo health care

client at a status quo health care

client at a status quo health care institution one that I actually taught

institution one that I actually taught

institution one that I actually taught at I went in and I brought my husband

at I went in and I brought my husband

at I went in and I brought my husband with me we sat patiently waiting for the

with me we sat patiently waiting for the

with me we sat patiently waiting for the doctor and when she arrived she stood up

doctor and when she arrived she stood up

doctor and when she arrived she stood up put her papers on a podium it was really

put her papers on a podium it was really

put her papers on a podium it was really a supply cabinet with lots of other

a supply cabinet with lots of other

a supply cabinet with lots of other things inside and proceeded to ask

things inside and proceeded to ask

things inside and proceeded to ask questions I interrupted her I said this

questions I interrupted her I said this

questions I interrupted her I said this is my husband she proceeded

prefer to stand I’m asking you kindly

prefer to stand I’m asking you kindly could you please sit down it really kind

could you please sit down it really kind

could you please sit down it really kind of bothers me that you’re standing up

of bothers me that you’re standing up

of bothers me that you’re standing up and I’m sitting down how long have you

and I’m sitting down how long have you

and I’m sitting down how long have you had fire road problems I stood up I

had fire road problems I stood up I

had fire road problems I stood up I walked to the hurt supply cabinet I put

walked to the hurt supply cabinet I put

walked to the hurt supply cabinet I put my elbow on it just like she was and

my elbow on it just like she was and

my elbow on it just like she was and said 21 years why are you being so

said 21 years why are you being so

said 21 years why are you being so combative I preferred if you sat down

combative I preferred if you sat down

combative I preferred if you sat down but you didn’t so I decided to stand up

but you didn’t so I decided to stand up

but you didn’t so I decided to stand up how’s that combative when we’re faced

how’s that combative when we’re faced

how’s that combative when we’re faced with these situations which come out of

with these situations which come out of

with these situations which come out of the blue during a medical appointment

the blue during a medical appointment

the blue during a medical appointment none of us expect to go into a medical

none of us expect to go into a medical

none of us expect to go into a medical appointment and necessarily be

appointment and necessarily be

appointment and necessarily be disrespected instead we go no thinking

disrespected instead we go no thinking

disrespected instead we go no thinking we’re going to be treated well thinking

we’re going to be treated well thinking

we’re going to be treated well thinking that the doctor will listen to us and

that the doctor will listen to us and

that the doctor will listen to us and believe what we’re saying but when we

believe what we’re saying but when we

believe what we’re saying but when we have an encounter we always have to have

have an encounter we always have to have

have an encounter we always have to have our guard up it’s difficult to just

our guard up it’s difficult to just

our guard up it’s difficult to just relax at a medical appointment all of us

relax at a medical appointment all of us

relax at a medical appointment all of us go in thinking okay how many minutes do

go in thinking okay how many minutes do

go in thinking okay how many minutes do I have with the doctor am I going to

I have with the doctor am I going to

I have with the doctor am I going to have enough time to get through the

have enough time to get through the

have enough time to get through the three things that I really need to talk

three things that I really need to talk

three things that I really need to talk about today probably not because maybe

about today probably not because maybe

about today probably not because maybe it’s only been designated for you to

it’s only been designated for you to

it’s only been designated for you to have five minutes maybe only one topic

have five minutes maybe only one topic

have five minutes maybe only one topic are you allowed to discuss so when we go

are you allowed to discuss so when we go

are you allowed to discuss so when we go into a medical appointment we need to be

into a medical appointment we need to be

into a medical appointment we need to be armed with more information and really

armed with more information and really

armed with more information and really it’s not information but analysis so

it’s not information but analysis so

it’s not information but analysis so when we think about doctor surgeon who I

when we think about doctor surgeon who I

when we think about doctor surgeon who I saw in myself is the patient or the

saw in myself is the patient or the

saw in myself is the patient or the client we need to do a care analysis

client we need to do a care analysis

client we need to do a care analysis which is a power analysis of the

which is a power analysis of the

which is a power analysis of the situation

situation

situation was power being held over me as a

was power being held over me as a

was power being held over me as a patient versus handed to me and she knew

patient versus handed to me and she knew

patient versus handed to me and she knew I was a physician

I was a physician

I was a physician maybe I got treated worse because of

maybe I got treated worse because of

maybe I got treated worse because of that I don’t know so when I look back on

that I don’t know so when I look back on

that I don’t know so when I look back on what happened I think of four things the

what happened I think of four things the

what happened I think of four things the doctor surgeon did to me first she

doctor surgeon did to me first she

doctor surgeon did to me first she ignored my woman advocate a woman

ignored my woman advocate a woman

ignored my woman advocate a woman advocate again is someone who supports

advocate again is someone who supports

advocate again is someone who supports women really anyone going to medical

women really anyone going to medical

women really anyone going to medical appointments so she very consciously

appointments so she very consciously

appointments so she very consciously ignored the people in the room – she

ignored the people in the room – she

ignored the people in the room – she decided to stand up with no discussion

decided to stand up with no discussion

decided to stand up with no discussion about how that might affect me it

about how that might affect me it

about how that might affect me it probably didn’t even cross her mind it

probably didn’t even cross her mind it

probably didn’t even cross her mind it might affect me three when I asked her

might affect me three when I asked her

might affect me three when I asked her to sit down she chose not to she

to sit down she chose not to she

to sit down she chose not to she completely ignored my request she could

completely ignored my request she could

completely ignored my request she could have actually asked why or said well you

have actually asked why or said well you

have actually asked why or said well you know I’m really sorry but I have a back

know I’m really sorry but I have a back

know I’m really sorry but I have a back injury and I can’t sit down but she

injury and I can’t sit down but she

injury and I can’t sit down but she decided to ignore me in my request and

decided to ignore me in my request and

decided to ignore me in my request and for she then labeled me as combative for

for she then labeled me as combative for

for she then labeled me as combative for asking for what I wanted and to to try

asking for what I wanted and to to try

asking for what I wanted and to to try to be equalizing the power between us by

to be equalizing the power between us by

to be equalizing the power between us by standing up when these things happen and

standing up when these things happen and

standing up when these things happen and we really have the opportunity to step

we really have the opportunity to step

we really have the opportunity to step back and look at how power is being

back and look at how power is being

back and look at how power is being shared or not when we’re in that client

shared or not when we’re in that client

shared or not when we’re in that client role we have some choices and those

role we have some choices and those

role we have some choices and those choices are called empowerment acts

choices are called empowerment acts

choices are called empowerment acts empowerment acts are any kind of

empowerment acts are any kind of

empowerment acts are any kind of behaviors thought processes or actions

behaviors thought processes or actions

behaviors thought processes or actions we might take the increase our power or

we might take the increase our power or

we might take the increase our power or respect for ourselves during an

respect for ourselves during an

respect for ourselves during an encounter and we’re talking about

encounter and we’re talking about

encounter and we’re talking about medical encounters today but it can be

medical encounters today but it can be

medical encounters today but it can be in our life in other ways so there were

in our life in other ways so there were

in our life in other ways so there were six things that I did is that client is

six things that I did is that client is

six things that I did is that client is that patient that day that were

that patient that day that were

that patient that day that were empowerment acts the first thing which

empowerment acts the first thing which

empowerment acts the first thing which I’m going to encourage everyone to do is

I’m going to encourage everyone to do is

I’m going to encourage everyone to do is to bring an advocate a woman advocate

to bring an advocate a woman advocate

to bring an advocate a woman advocate with you a woman advocate will increase

with you a woman advocate will increase

with you a woman advocate will increase your power just by having another person

your power just by having another person

your power just by having another person in the room someone to witness

in the room someone to witness

in the room someone to witness the respect or disrespect that you may

the respect or disrespect that you may

the respect or disrespect that you may experience the second empowerment act is

experience the second empowerment act is

experience the second empowerment act is I didn’t let her not acknowledge my

I didn’t let her not acknowledge my

I didn’t let her not acknowledge my woman advocate I introduced him he still

woman advocate I introduced him he still

woman advocate I introduced him he still didn’t acknowledge him

didn’t acknowledge him

didn’t acknowledge him the third empowerment act was to ask for

the third empowerment act was to ask for

the third empowerment act was to ask for what I wanted not just to put up with

what I wanted not just to put up with

what I wanted not just to put up with poor treatment so I asked her to sit

poor treatment so I asked her to sit

poor treatment so I asked her to sit down I didn’t get what I asked but at

down I didn’t get what I asked but at

down I didn’t get what I asked but at least I asked and that made me feel good

least I asked and that made me feel good

least I asked and that made me feel good about me

about me

about me and what I needed the fifth thing was

and what I needed the fifth thing was

and what I needed the fifth thing was that I actually stood up I took another

that I actually stood up I took another

that I actually stood up I took another action and looked her in the eye I

action and looked her in the eye I

action and looked her in the eye I didn’t hide my eyes I looked directly at

didn’t hide my eyes I looked directly at

didn’t hide my eyes I looked directly at her and I think that was something she

her and I think that was something she

her and I think that was something she didn’t expect that’s for sure and

didn’t expect that’s for sure and

didn’t expect that’s for sure and finally I did not agree with what she

finally I did not agree with what she

finally I did not agree with what she called me which was combative that was

called me which was combative that was

called me which was combative that was not a question that was an oppressive

not a question that was an oppressive

not a question that was an oppressive statement used to silence me so when

statement used to silence me so when

statement used to silence me so when we’re in a situation in medical care we

we’re in a situation in medical care we

we’re in a situation in medical care we have some options maybe you have never

have some options maybe you have never

have some options maybe you have never thought about how you’ve been treated

thought about how you’ve been treated

thought about how you’ve been treated but my guess is everyone has been

but my guess is everyone has been

but my guess is everyone has been treated poorly sometimes and that’s how

treated poorly sometimes and that’s how

treated poorly sometimes and that’s how abuse works that’s how oppression works

abuse works that’s how oppression works

abuse works that’s how oppression works by alternating in the medical setting

by alternating in the medical setting

by alternating in the medical setting professionalism and this thinly

professionalism and this thinly

professionalism and this thinly disguised veil of disrespect and

disguised veil of disrespect and

disguised veil of disrespect and oppression what I call traumatic

oppression what I call traumatic

oppression what I call traumatic connection

that’s how abuse works and that’s how

that’s how abuse works and that’s how status quo healthcare works because

status quo healthcare works because

status quo healthcare works because we’re hooked we have to get kind of care

we’re hooked we have to get kind of care

we’re hooked we have to get kind of care somewhere and we’re willing to put up

somewhere and we’re willing to put up

somewhere and we’re willing to put up with disrespect to get a crumb of care

with disrespect to get a crumb of care

with disrespect to get a crumb of care because we’re afraid because we’re

because we’re afraid because we’re

because we’re afraid because we’re worried because we can’t write a

worried because we can’t write a

worried because we can’t write a prescription because we don’t know

prescription because we don’t know

prescription because we don’t know what’s going on with us we don’t have to

what’s going on with us we don’t have to

what’s going on with us we don’t have to tolerate this anymore there are other

tolerate this anymore there are other

tolerate this anymore there are other ways to receive health

ways to receive health

ways to receive health to be empowered through health care and

to be empowered through health care and

to be empowered through health care and there’s two parts of this one is us

there’s two parts of this one is us

there’s two parts of this one is us coming as clients or patients to health

coming as clients or patients to health

coming as clients or patients to health care and analyzing the power dynamics

care and analyzing the power dynamics

care and analyzing the power dynamics analyzing the empowerment acts I can do

analyzing the empowerment acts I can do

analyzing the empowerment acts I can do I could have walked out of the

I could have walked out of the

I could have walked out of the appointment with doctor surgeon I could

appointment with doctor surgeon I could

appointment with doctor surgeon I could have just walked out and said goodbye

have just walked out and said goodbye

have just walked out and said goodbye and we can do that that’s another

and we can do that that’s another

and we can do that that’s another empowerment act unfortunately where else

empowerment act unfortunately where else

empowerment act unfortunately where else are we going to go so we put up with

are we going to go so we put up with

are we going to go so we put up with things on the other hand health care

things on the other hand health care

things on the other hand health care providers physicians nurses etc can

providers physicians nurses etc can

providers physicians nurses etc can change the way they’re practicing they

change the way they’re practicing they

change the way they’re practicing they can slow down they can really listen

can slow down they can really listen

can slow down they can really listen they can believe and they can treat

they can believe and they can treat

they can believe and they can treat others with the respect that they would

others with the respect that they would

others with the respect that they would want to have when they are patients

want to have when they are patients

want to have when they are patients themselves so I want you to think about

themselves so I want you to think about

themselves so I want you to think about it very carefully what do we have to do

it very carefully what do we have to do

it very carefully what do we have to do to change the model of healthcare not

to change the model of healthcare not

to change the model of healthcare not just in this room but around the world

just in this room but around the world

just in this room but around the world and have empowerment respect an

and have empowerment respect an

and have empowerment respect an anti-oppression be at the heart of

anti-oppression be at the heart of

anti-oppression be at the heart of healthcare

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