AMERICAN DIAGNOSIS with Dr. Céline Gounder

Latest Episodes:

S4E2 / Decolonizing the Diet / Reagan Wytsalucy, Roy Talker, Martin Reinhardt Feb 01, 2022

Show notes

Reagan Wytsalucy was looking for a lost orchard. Martin Reinhardt wanted to know more about and better understand the taste of Indigenous foods before European colonization in North America. They followed different paths, but their goals were similar: to reclaim their food traditions to improve the health and vitality of their communities.

Native foodways of hunting, fishing, gathering, and farming have been under threat since the arrival of Europeans. Colonization, forced relocations, and, later, highly processed foods fundamentally reshaped the diet of many Indigenous people. The effects of those changes have rippled through generations. Now, Indigenous people are twice as likely to have diabetes as white Americans, according to a 2017 CDC report.

In this episode, we’ll hear how the history of a scorched-earth campaign, and other disruptive policies, altered the landscape of Indigenous foodways and, in return, Indigenous bodies. History and food experts like Wytsalucy and Reinhardt are nurturing Native food traditions.

One result: The Southwest peach has become a symbol of resilience.

“So it's almost just a way of saying, you know, we're still here as a people. Despite everything that's occurred, we are still here,” said Wytsalucy.

Click here for a transcript of the episode.

Voices from the Episode:

Reagan Wytsalucy, Extension Assistant Professor at Agriculture & Natural Resources, Utah State University
Roy Talker, Wytsalucy’s father who served as a Navajo translator and assisted with foodways research
Martin Reinhardt, Professor of Native American Studies at Northern Michigan University — on Facebook

Season 4 of “American Diagnosis” is a co-production of KHN and Just Human Productions.

Our Editorial Advisory Board includes Jourdan Bennett-Begaye, Alastair Bitsóí, and Bryan Pollard.

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S4E1 / It's Up to You / Sophina Calderon, Ernestine Chaco, Jill Jim Jan 18, 2022

Show notes

Travel to the forests outside the Grand Canyon to follow Dr. Sophina Calderon and other Navajo Nation leaders as covid-19 tests the Diné people.

Roughly 30% of the homes on the Navajo Nation rely on wood-burning stoves for heat. Many of those households haul wood from nearby forests. That’s what Calderon was doing when she realized the pandemic’s reach wouldn’t stop at the hospital — it was going to create a heating crisis too.

This episode explores root causes behind why some citizens of the Navajo Nation lack access to electricity and other infrastructure, and how so-called social determinants of health made the Diné so vulnerable to the first surges of the pandemic.

Click here for a transcript of the episode.

Voices from the episode:

Dr. Sophina Calderón — @calderonsophina
Jill Jim, Ph.D. — LinkedIn
Dr. Ernestine Chaco — @Ernestine_Chaco

Episode 1 includes audio of pine siskin birds recorded in Coconino, Arizona, courtesy of contributor Parker Davis via the Macaulay Library at the Cornell Lab of Ornithology (ML153777441).

Season 4 of “American Diagnosis” is a co-production of KHN and Just Human Productions.

Our Editorial Advisory Board includes Jourdan Bennett-Begaye, Alastair Bitsóí, and Bryan Pollard.

Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Trailer: American Diagnosis Season 4 — Rezilience Dec 20, 2021

Show notes

In the years leading up to the pandemic, Dr. Celine Gounder, the host of the American Diagnosis and EPIDEMIC podcasts, had the opportunity to care for patients part-time at several Indian Health Service facilities around the United States. Working on the “rez,” one theme came up over and over: resilience.

In this latest season of American Diagnosis, we’re going to share stories of Indigenous people who are taking action to protect the health and wellbeing of their communities in the face of incredible odds and we’ll ask hard questions about why they are confronting so many challenges to their health.

Listen to new episodes of American Diagnosis Season 4: Rezilience starting Jan. 18, 2022. Subscribe to American Diagnosis wherever you get you podcasts.

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BONUS / A Black Man in Science Part II / David Satcher, Harold Varmus, and Kafui Dzirasa Feb 09, 2021

Show notes

"Science is harmed when scientists don't take into account the bias that comes along with inherently being a human." -Kafui Dzirasa

As a result of centuries of discrimination, and lack of access to education and opportunity, African Americans comprise only 5% of active physicians in the United States today. Former-Surgeon General David Satcher, who was also the first African American to lead the CDC, has been working to improve health equity in the United States since his days as a medical student in the 1960s. In this bonus episode of AMERICAN DIAGNOSIS, we’re going to hear about efforts to improve health equity in America from leaders like Dr. Satcher, former-NIH director Harold Varmus, and Kafui Dzirasa. We’ll see how they are seizing this critical moment for racial justice to improve health outcomes and professional opportunities for people of color in the sciences.

This podcast was created by Just Human Productions. We're powered and distributed by Simplecast. We're supported, in part, by listeners like you.

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BONUS / My Toxic Reality: The Fight for Environmental Justice / Ralph Nader and Hilton Kelley Jan 12, 2021

Show notes

"Nobody really wants to leave their community and I don't blame them because it's our culture and we shouldn't have to move just to have clean air to breathe. That should be God-given right to drink clean water, to breathe clean air.” -Hilton Kelley

During the modern environmental movement of the late 60’s and early 70’s, landmark legislation was passed in the U.S. to ensure cleaner, safer air and water across the nation. But in recent years it’s been difficult for environmental policies to get through Congress. That leaves activists having to turn their energy away from Washington and instead focus on grassroot movements to create local change.

In this bonus episode, we will hear from Ralph Nader, a consumer activist and former presidential candidate, and Hilton Kelley, who is fighting to clean up his hometown of Port Arthur, Texas by empowering the community to demand cleaner air.

This podcast was created by Just Human Productions. We're powered and distributed by Simplecast. We're supported, in part, by listeners like you.

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BONUS / Sinking Shores, Rising Rents / Cheryl Holder, Jesse Keenan, and Nicole Crooks Dec 08, 2020

Show notes

"As we enter into a time of climate change, one of the things we're realizing is these communities that have been systematically oppressed are now the spaces people with money want to be in because all around us is sinking" - Nicole Crooks

In this bonus episode of AMERICAN DIAGNOSIS, we’re going to look at how climate change is impacting the health of people… and their communities in South Florida. We'll hear from a physician working to change the way her colleagues think about how climate impacts health, and we’ll talk to two people working to make sure that residents can keep their homes when developers start looking to higher ground as sea levels rise.

This podcast was created by Just Human Productions. We're powered and distributed by Simplecast. We're supported, in part, by listeners like you.

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BONUS / Giving Birth While Black / Asha Ivey-Stephenson, Wanda Irving, and Abiodun Okon Nov 24, 2020

Show notes

"This can't continue to go on and if I have to be the one to take up the mantle, then I'll do that because that's what my daughter would have done." -Wanda Irving

The United States is the richest country in the world with some of the most advanced medical treatments available anywhere. But you’d never know it if you knew how many mothers die in — and after — childbirth here. The U.S. has one of the highest maternal mortality rates in the industrialized world and the rate is staggeringly high for women of color, especially Black women. In this special bonus episode about maternal mortality we’re going to hear firsthand how this trend is affecting Black mothers and learn about one possible solution to this deadly disparity.

This podcast was created by Just Human Productions. We're powered and distributed by Simplecast. We're supported, in part, by listeners like you.

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BONUS / The Battle for the Affordable Care Act / Jonathan Gruber and Nicholas Bagley Nov 10, 2020

Show notes

"We used to be a nation where people were one bad gene or one bad traffic accident away from bankruptcy. That's not true anymore." -Jonathan Gruber

It's been 10 years since President Barack Obama signed the Affordable Care Act into law. Some of its most popular provisions included protections for people with pre-existing conditions, allowing children to stay on their family’s health insurance until they turn 26, and expanding prescription drug coverage for Medicare recipients. But the law remains controversial. On Nov. 10, 2020, the Supreme Court will hear oral arguments in the latest constitutional challenge to the law. In this bonus episode of American Diagnosis, we look back at the surprising origins of the Affordable Care Act, see why it’s become so controversial, and what the latest legal challenge to the ACA would mean for the millions of Americans who depend on the law for their health insurance.

This podcast was created by Just Human Productions. We're powered and distributed by Simplecast. We're supported, in part, by listeners like you.

Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

BONUS / A Black Man in Science: The Pursuit of Truth / Kafui Dzirasa Jun 23, 2020

Show notes

Transcript

“Despite all of those other cues, my white coat, my scrubs, you know, somebody just looked out the window and saw danger. And even the officers who came to talk to me couldn't override their biases that said danger. And this is not a unique experience at all. I have friends, particularly black men who have trained at some of the best institutions in the country, that not only have these experiences with police, they have these experience with campus police as they're walking around, like going into research labs with their ID badges on. It is like this is a shared experience.”
-Kafui Dzirasa, M.D., Ph.D.

Today on "Epidemic," we will be hearing a bonus episode from our sister podcast, "American Diagnosis" about some of the issues around race and racism in medicine. In this episode, Dr. Celine Gounder speaks with Dr. Kafui Dzirasa, a psychiatrist and NIH-funded brain researcher at Duke University, about his journey climbing to the heights of biomedical research in the United States as a first-generation immigrant and a black man. We’ll hear how the legacy of slavery continues in science and medicine, Kaf’s advice on finding mentors, and how he’s handling the pandemic as a scientist and an African American.

This podcast was created by Just Human Productions. We're powered and distributed by Simplecast. We're supported, in part, by listeners like you.

#BlackLivesMatter #BLM #BlackInTheIvory

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introducing EPIDEMIC — a new podcast with Dr. Celine Gounder and Ron Klain Feb 28, 2020

Show notes

EPIDEMIC is a new, weekly podcast on the coronavirus (SARS-CoV-2 / COVID-19). Hear from some of the world’s leading infectious disease and public health experts. We’ll help you understand the latest science, the bigger context, and bring you diverse angles—from history and anthropology to politics and economics—depth and texture you won’t get elsewhere.

Hosted by Dr. Celine Gounder, an infectious disease specialist and epidemiologist who has worked on tuberculosis and HIV in sub-Saharan Africa, and was an Ebola worker during the West African epidemic. And co-hosted by Ron Klain, the U.S. Ebola czar from 2014 to 2015.

As we transition from regional epidemics to a full-on pandemic, we’re likely to see coronavirus spread here in the U.S. There are things we can do to prepare, to care for ourselves, our families, and our communities.

Tweet your questions to @celinegounder and @ronaldklain. We’ll answer a couple on the show each week.

#SARS-CoV-2 #COVID19 #coronavirus

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