WEBVTT 00:00.400 --> 00:02.500 align:left position:32.5% line:89% size:57.5% (upbeat music) 00:02.500 --> 00:04.766 align:left position:20% line:83% size:70% - [Tseganesh] Looking at me, you see how I appear 00:04.766 --> 00:06.833 align:left position:20% line:89% size:70% when I enter any space. 00:06.833 --> 00:09.500 align:left position:22.5% line:83% size:67.5% A youngish Black woman with a big smile 00:09.500 --> 00:11.100 align:left position:20% line:89% size:70% and a strong handshake. 00:11.100 --> 00:13.966 align:left position:25% line:83% size:65% What you don't see is the manifestation 00:13.966 --> 00:16.033 align:left position:22.5% line:89% size:67.5% of my inner white man. 00:16.033 --> 00:17.266 align:left position:27.5% line:89% size:62.5% Yes, you heard me. 00:17.266 --> 00:19.833 align:left position:17.5% line:89% size:72.5% I have an inner white man. 00:19.833 --> 00:22.500 align:left position:25% line:83% size:65% Joe became a part of my life the first time 00:22.500 --> 00:24.766 align:left position:22.5% line:83% size:67.5% I put on a white coat in medical school. 00:24.766 --> 00:27.066 align:left position:22.5% line:83% size:67.5% I had him knock first before we entered 00:27.066 --> 00:29.333 align:left position:22.5% line:83% size:67.5% the exam room, and had him sit next to me 00:29.333 --> 00:31.466 align:left position:15% line:89% size:75% as I took a patient history. 00:31.466 --> 00:34.066 align:left position:22.5% line:83% size:67.5% I channel him often when I have to explain 00:34.066 --> 00:36.033 align:left position:22.5% line:89% size:67.5% no, I'm not the nurse. 00:36.033 --> 00:39.533 align:left position:22.5% line:83% size:67.5% Or yes, I have done this procedure before, 00:39.533 --> 00:42.933 align:left position:22.5% line:83% size:67.5% and no, of course I don't mind if you talk 00:42.933 --> 00:45.600 align:left position:12.5% line:89% size:77.5% to another doctor about this. 00:45.600 --> 00:48.966 align:left position:20% line:83% size:70% Medicine is the space designed to make me feel 00:48.966 --> 00:53.200 align:left position:12.5% line:5% size:77.5% alone, uninvited, and constantly second guessing. 00:54.566 --> 00:57.500 align:left position:12.5% line:5% size:77.5% Joe is expert at protecting me from the questions 00:57.500 --> 00:59.100 align:left position:17.5% line:89% size:72.5% about my right to be here. 00:59.100 --> 01:01.866 align:left position:22.5% line:83% size:67.5% Joe can pull up a seat at any of the tables 01:01.866 --> 01:05.400 align:left position:22.5% line:83% size:67.5% and be made to feel welcome, even wanted. 01:05.400 --> 01:09.966 align:left position:27.5% line:77% size:62.5% Listen, Joe is not an internalization of systemic sexism 01:09.966 --> 01:12.766 align:left position:20% line:83% size:70% and racism that tells me my worth is only based 01:12.766 --> 01:16.300 align:left position:20% line:83% size:70% on a scale of whiteness, nor is he a demonization 01:16.300 --> 01:18.133 align:left position:15% line:89% size:75% of the white male narrative. 01:18.133 --> 01:20.766 align:left position:10% line:89% size:80% I know every story is different. 01:20.766 --> 01:24.000 align:left position:22.5% line:83% size:67.5% But my Joe, he serves a dual purpose. 01:24.000 --> 01:26.833 align:left position:25% line:83% size:65% He reminds me of the systems that I live, 01:26.833 --> 01:30.366 align:left position:22.5% line:83% size:67.5% and I work in, and he is a powerful tool 01:30.366 --> 01:33.300 align:left position:20% line:83% size:70% that I can use to thrive in those environments. 01:33.300 --> 01:37.000 align:left position:12.5% line:83% size:77.5% For example, Joe and I looked in the mirror this morning. 01:37.000 --> 01:40.533 align:left position:12.5% line:83% size:77.5% We made sure that this dress didn't show too much cleavage 01:40.533 --> 01:43.100 align:left position:22.5% line:83% size:67.5% and that it didn't hug my hips too tightly, 01:43.100 --> 01:45.666 align:left position:22.5% line:83% size:67.5% because I want to be judged on the content 01:45.666 --> 01:48.333 align:left position:22.5% line:83% size:67.5% of my words, and not the shape of my body. 01:49.566 --> 01:52.166 align:left position:22.5% line:83% size:67.5% Joe also reminds me to push back my shoulders 01:52.166 --> 01:55.600 align:left position:20% line:83% size:70% and stand assured that my words are important, 01:55.600 --> 01:58.133 align:left position:12.5% line:89% size:77.5% and my voice is worth hearing. 01:58.133 --> 02:01.200 align:left position:22.5% line:83% size:67.5% My inner white man, my Joe, is my shorthand. 02:02.466 --> 02:04.266 align:left position:20% line:89% size:70% Joe is also my systole. 02:05.700 --> 02:08.366 align:left position:17.5% line:83% size:72.5% Systole is the powerful part of the cardiac cycle. 02:08.366 --> 02:10.433 align:left position:22.5% line:83% size:67.5% Systole is this life-giving force 02:10.433 --> 02:12.433 align:left position:27.5% line:83% size:62.5% that drives oxygen out of the heart 02:12.433 --> 02:15.100 align:left position:25% line:83% size:65% and pushes it throughout the body. 02:15.100 --> 02:16.366 align:left position:30% line:89% size:60% Systole is loud. 02:18.200 --> 02:23.166 align:left position:15% line:83% size:75% And it often drowns out that brief silence of diastole. 02:23.166 --> 02:25.300 align:left position:10% line:89% size:80% When I am in spaces of diastole, 02:25.300 --> 02:27.800 align:left position:12.5% line:89% size:77.5% I notice that my body relaxes. 02:27.800 --> 02:30.433 align:left position:10% line:89% size:80% I breathe more fully and deeply, 02:30.433 --> 02:33.833 align:left position:15% line:83% size:75% and I feel myself expand to my fullest expression. 02:33.833 --> 02:37.266 align:left position:17.5% line:89% size:72.5% My heart is full, so full, 02:37.266 --> 02:40.033 align:left position:25% line:83% size:65% that I can no longer accommodate Joe. 02:40.033 --> 02:42.266 align:left position:22.5% line:83% size:67.5% I have expanded beyond the spaces 02:42.266 --> 02:44.100 align:left position:17.5% line:89% size:72.5% that require his presence. 02:45.333 --> 02:47.900 align:left position:12.5% line:5% size:77.5% Spaces of diastole are sacred. 02:47.900 --> 02:50.266 align:left position:12.5% line:5% size:77.5% And I have come to understand that they are formed 02:50.266 --> 02:54.700 align:left position:10% line:83% size:80% through intention and labor, and are not happy coincidences. 02:55.833 --> 02:58.833 align:left position:22.5% line:5% size:67.5% My spaces of diastole include my clinic. 02:58.833 --> 03:02.100 align:left position:15% line:83% size:75% I walk in, I am greeted by nurses and fellow physicians 03:02.100 --> 03:04.633 align:left position:27.5% line:83% size:62.5% that reflect my lived experiences. 03:04.633 --> 03:07.533 align:left position:17.5% line:5% size:72.5% My patients are a tapestry of new and old Americans, 03:07.533 --> 03:09.666 align:left position:10% line:5% size:80% woven together in a neighborhood 03:09.666 --> 03:12.566 align:left position:25% line:83% size:65% that is full of history and promise. 03:12.566 --> 03:16.966 align:left position:20% line:77% size:70% I work in a space where my voice, my story, they are enough. 03:16.966 --> 03:18.800 align:left position:22.5% line:5% size:67.5% I work in diastole. 03:20.833 --> 03:25.666 align:left position:15% line:83% size:75% Advocacy is systole, a powerful forward movement 03:25.666 --> 03:29.000 align:left position:15% line:83% size:75% that seeks to make change on behalf of others. 03:29.000 --> 03:34.000 align:left position:12.5% line:83% size:77.5% In advocacy, just as in life, systole requires diastole. 03:35.133 --> 03:38.666 align:left position:22.5% line:83% size:67.5% If we want the energy, the perseverance, 03:38.666 --> 03:41.300 align:left position:15% line:89% size:75% and power to seek change, 03:41.300 --> 03:43.400 align:left position:12.5% line:89% size:77.5% we need spaces of diastole, 03:44.533 --> 03:46.800 align:left position:27.5% line:83% size:62.5% where we can relax and be filled, 03:46.800 --> 03:50.400 align:left position:15% line:83% size:75% where we can heal, where we can thrive and perform 03:50.400 --> 03:51.833 align:left position:22.5% line:89% size:67.5% at our highest levels. 03:52.933 --> 03:56.300 align:left position:20% line:83% size:70% We need to become advocates for diastole.