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height=\"427\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Erica Sheppard McMath has seen the devastating effects of Type 2 diabetes first hand (Jeremy Raff/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>The diabetes epidemic is not abstract to Erica Sheppard McMath. As a girl, she watched her uncle deteriorate each time she saw him at family events. His eyes yellowed before he went blind. Then, his foot was amputated. Finally, he died from diabetes-related complications.\u003c/p>\n\u003cp>“It’s like seeing someone literally fall apart limb by limb because of what they’re putting in their mouth,” said McMath.\u003c/p>\n\u003cp>Growing up, diabetes was everywhere. In just a few years, one aunt was blind at 32, another was on dialysis, and a 9-year-old cousin started insulin treatment.\u003cbr>\n\u003c!--more-->\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/198906613\" params=\"color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" iframe=\"true\" /]\u003c/p>\n\u003cp>Her own health suffered as her home life descended into chaos. A fight with her mother’s boyfriend, who was an alcoholic, landed her in foster care at age 15.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“I was dealing with the pain of living in a group home, with the pain of sexual abuse,” she says. “I dealt with my pain through food because that was the only thing that could calm me down.”\u003c/p>\n\u003cp>She gained a lot of weight, increasing her risk for developing diabetes. She knew that her source of comfort was the same thing that was killing her family members.\u003c/p>\n\u003cp>That tension became the subject of her slam poem \"Death Recipe,\" which she performed on \u003ca href=\"http://www.hbo.com/russell-simmons-presents-brave-new-voices/cast-and-crew/team-bay-area/article/untitled-by-erica-mcmath-sheppard.html#/\" target=\"_blank\">HBO's Brave New Voices in 2010.\u003c/a>\u003c/p>\n\u003cp>In it, she criticizes herself, her community, and above all, the unequal society McMath says contributed to her family's health crises. The poem begins, “We eat like we still slaves/ cause back in the days we got what whites didn’t want.”\u003c/p>\n\u003cp>She says that \"things like chitlins or pig's feet -- in slavery times you ate whatever was available to you.\"\u003c/p>\n\u003cp>McMath sees a connection to today. \"If you don’t have enough money to consider other options, your focus is just staying alive. It is a poor man’s appetite, and it’s absolutely killing us.”\u003c/p>\n\u003cp>\u003cstrong>Prescription for Diabetes: A History Lesson\u003c/strong>\u003c/p>\n\u003cp>“You cannot find a McDonald's in San Francisco, except for in communities of color,” says Zea Malawa, a pediatrician in San Francisco’s Bayview neighborhood, where \u003ca title=\"http://www.sfhip.org/index.php?module=htmlpages&func=display&pid=57\" href=\"http://www.sfhip.org/index.php?module=htmlpages&func=display&pid=57\" target=\"_blank\">life expectancy is 14 years less\u003c/a> than in a nearby affluent neighborhood.\u003c/p>\n\u003cp>She says fast food and sodas “are like the modern iteration of pig’s feet -- the garbage falling down on disenfranchised communities.”\u003c/p>\n\u003cp>This perspective, says Malawa, is an important part of her medical practice.\u003c/p>\n\u003cp>“One thing I often talk about with families around cooking is (that) this food comes from a time when we spent 10-hour days in the field in the South,\" she says. \"That makes sense when you’re burning incredible calories, but now, we’re sedentary.”\u003c/p>\n\u003cp>Malawa says she re-frames nutrition advice this way because too often in the doctor's office, “people feel patronized, like our culture is negated or wrong -- like you’re saying their grandmother did it all wrong.”\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"It’s important to ask, how is structural racism playing into this?\"\u003c/aside>\n\u003cp>Grandmothers weren't all wrong for expressing their culture and their love through food, says Malawa, even though an excess of those foods can contribute to obesity and diabetes.\u003c/p>\n\u003cp>Instead, she says, “it’s important to ask, how is structural racism playing into this? How is this is an all-of-us problem?”\u003c/p>\n\u003cp>Malawa says this conversation helps parents feel empowered instead of marginalized, which opens the door to healthier eating for both parents and kids.\u003c/p>\n\u003cp>\u003cstrong>Food Industry To Blame\u003c/strong>\u003c/p>\n\u003cp>McMath says that her uncle who ultimately died of diabetes complications did drink soda, but adds that, \"a factory made that soda and sold it at a very affordable price.\"\u003c/p>\n\u003cp>UCSF endocrinologist Robert Lustig puts it in more stark terms. He compares the added sugar in processed foods to alcohol and tobacco -- an addictive, disease-causing substance that needs to be regulated. \"The food industry cannot be given carte blanche. They're allowed to make money, but they're not allowed to make money by making people sick,\" \u003ca href=\"http://www.theguardian.com/lifeandstyle/2014/aug/24/robert-lustig-sugar-poison\" target=\"_blank\">Lustig told The Guardian.\u003c/a>\u003c/p>\n\u003cp>Advocates say food and soda companies aggressively market sugary drinks and unhealthy food to children of color. For example, black children and teens saw more than twice as many ads for sugary drinks and energy drinks on TV compared with white children and teens in 2013, \u003ca href=\"http://www.sugarydrinkfacts.org/resources/SugaryDrinkFACTS_Report.pdf\" target=\"_blank\">according to Yale’s Rudd Center for Food Policy and Obesity.\u003c/a>\u003c/p>\n\u003cp>\"I call it food addiction,\" said McMath, \"it's an everyday struggle.\"\u003c/p>\n\u003cp>\u003cstrong>Obligated to Do Something\u003c/strong>\u003c/p>\n\u003cp>McMath handles stress differently now and eats more fresh food. She's lost 85 pounds. She's a sociology major, and will graduate from San Francisco State University in a few months.\u003c/p>\n\u003cp>Her life is a lot better than when she wrote the poem, but she’s dismayed to see her family’s health problems reflected in the elementary school students she works with.\u003c/p>\n\u003cp>“I was eating a regular salad with tomatoes and onions, and a 7-year-old boy asked me, ‘What’s that?’ Students who have never seen an eggplant or fresh tomato turn into adults who barely know what those vegetables look like,” she says.\u003c/p>\n\u003cp>She wants to turn that frustration into action now that she’s graduating. She says that her \"goal is to focus on food and justice, to bridge this gap between the wealthy and the unwealthy.\"\u003c/p>\n\u003cp>“We’re living in this epidemic of death,\" she says. \"Death from food, homicide, mental death, incarceration. My people are passing away at numbers that are crazy, and I feel obligated to do something about it.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Watch McMath perform her poem \"Death Recipe\" in this video:\u003cbr>\n[youtube http://www.youtube.com/watch?v=Xe69WNbNS0g&w=560&h=315]\u003c/p>\n\n","blocks":[],"excerpt":"In poetry and at the doctor's office, linking diabetes to racial oppression to improve health.","status":"publish","parent":0,"modified":1430780123,"stats":{"hasAudio":false,"hasVideo":true,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":34,"wordCount":1037},"headData":{"title":"Treating Type 2 Diabetes With A Dose Of History | KQED","description":"In poetry and at the doctor's office, linking diabetes to racial oppression to improve health.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Treating Type 2 Diabetes With A Dose Of History","datePublished":"2015-04-03T15:54:58.000Z","dateModified":"2015-05-04T22:55:23.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"24794 http://blogs.kqed.org/stateofhealth/?p=24794","disqusUrl":"https://ww2.kqed.org/stateofhealth/2015/04/03/treating-type-2-diabetes-with-a-dose-of-history/","disqusTitle":"Treating Type 2 Diabetes With A Dose Of History","path":"/stateofhealth/24794/treating-type-2-diabetes-with-a-dose-of-history","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_24795\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/03/Erica-McMath-Photo.jpg\">\u003cimg class=\"size-large wp-image-24795\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/03/Erica-McMath-Photo-640x427.jpg\" alt=\"San Francisco poet Erica McMath has seen the devastating effects of type-2 diabetes first hand (Jeremy Raff/KQED)\" width=\"640\" height=\"427\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Erica Sheppard McMath has seen the devastating effects of Type 2 diabetes first hand (Jeremy Raff/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>The diabetes epidemic is not abstract to Erica Sheppard McMath. As a girl, she watched her uncle deteriorate each time she saw him at family events. His eyes yellowed before he went blind. Then, his foot was amputated. Finally, he died from diabetes-related complications.\u003c/p>\n\u003cp>“It’s like seeing someone literally fall apart limb by limb because of what they’re putting in their mouth,” said McMath.\u003c/p>\n\u003cp>Growing up, diabetes was everywhere. In just a few years, one aunt was blind at 32, another was on dialysis, and a 9-year-old cousin started insulin treatment.\u003cbr>\n\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='100%' height='166'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=https://api.soundcloud.com/tracks/198906613&visual=true&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false'\n title='https://api.soundcloud.com/tracks/198906613'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Her own health suffered as her home life descended into chaos. A fight with her mother’s boyfriend, who was an alcoholic, landed her in foster care at age 15.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“I was dealing with the pain of living in a group home, with the pain of sexual abuse,” she says. “I dealt with my pain through food because that was the only thing that could calm me down.”\u003c/p>\n\u003cp>She gained a lot of weight, increasing her risk for developing diabetes. She knew that her source of comfort was the same thing that was killing her family members.\u003c/p>\n\u003cp>That tension became the subject of her slam poem \"Death Recipe,\" which she performed on \u003ca href=\"http://www.hbo.com/russell-simmons-presents-brave-new-voices/cast-and-crew/team-bay-area/article/untitled-by-erica-mcmath-sheppard.html#/\" target=\"_blank\">HBO's Brave New Voices in 2010.\u003c/a>\u003c/p>\n\u003cp>In it, she criticizes herself, her community, and above all, the unequal society McMath says contributed to her family's health crises. The poem begins, “We eat like we still slaves/ cause back in the days we got what whites didn’t want.”\u003c/p>\n\u003cp>She says that \"things like chitlins or pig's feet -- in slavery times you ate whatever was available to you.\"\u003c/p>\n\u003cp>McMath sees a connection to today. \"If you don’t have enough money to consider other options, your focus is just staying alive. It is a poor man’s appetite, and it’s absolutely killing us.”\u003c/p>\n\u003cp>\u003cstrong>Prescription for Diabetes: A History Lesson\u003c/strong>\u003c/p>\n\u003cp>“You cannot find a McDonald's in San Francisco, except for in communities of color,” says Zea Malawa, a pediatrician in San Francisco’s Bayview neighborhood, where \u003ca title=\"http://www.sfhip.org/index.php?module=htmlpages&func=display&pid=57\" href=\"http://www.sfhip.org/index.php?module=htmlpages&func=display&pid=57\" target=\"_blank\">life expectancy is 14 years less\u003c/a> than in a nearby affluent neighborhood.\u003c/p>\n\u003cp>She says fast food and sodas “are like the modern iteration of pig’s feet -- the garbage falling down on disenfranchised communities.”\u003c/p>\n\u003cp>This perspective, says Malawa, is an important part of her medical practice.\u003c/p>\n\u003cp>“One thing I often talk about with families around cooking is (that) this food comes from a time when we spent 10-hour days in the field in the South,\" she says. \"That makes sense when you’re burning incredible calories, but now, we’re sedentary.”\u003c/p>\n\u003cp>Malawa says she re-frames nutrition advice this way because too often in the doctor's office, “people feel patronized, like our culture is negated or wrong -- like you’re saying their grandmother did it all wrong.”\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"It’s important to ask, how is structural racism playing into this?\"\u003c/aside>\n\u003cp>Grandmothers weren't all wrong for expressing their culture and their love through food, says Malawa, even though an excess of those foods can contribute to obesity and diabetes.\u003c/p>\n\u003cp>Instead, she says, “it’s important to ask, how is structural racism playing into this? How is this is an all-of-us problem?”\u003c/p>\n\u003cp>Malawa says this conversation helps parents feel empowered instead of marginalized, which opens the door to healthier eating for both parents and kids.\u003c/p>\n\u003cp>\u003cstrong>Food Industry To Blame\u003c/strong>\u003c/p>\n\u003cp>McMath says that her uncle who ultimately died of diabetes complications did drink soda, but adds that, \"a factory made that soda and sold it at a very affordable price.\"\u003c/p>\n\u003cp>UCSF endocrinologist Robert Lustig puts it in more stark terms. He compares the added sugar in processed foods to alcohol and tobacco -- an addictive, disease-causing substance that needs to be regulated. \"The food industry cannot be given carte blanche. They're allowed to make money, but they're not allowed to make money by making people sick,\" \u003ca href=\"http://www.theguardian.com/lifeandstyle/2014/aug/24/robert-lustig-sugar-poison\" target=\"_blank\">Lustig told The Guardian.\u003c/a>\u003c/p>\n\u003cp>Advocates say food and soda companies aggressively market sugary drinks and unhealthy food to children of color. For example, black children and teens saw more than twice as many ads for sugary drinks and energy drinks on TV compared with white children and teens in 2013, \u003ca href=\"http://www.sugarydrinkfacts.org/resources/SugaryDrinkFACTS_Report.pdf\" target=\"_blank\">according to Yale’s Rudd Center for Food Policy and Obesity.\u003c/a>\u003c/p>\n\u003cp>\"I call it food addiction,\" said McMath, \"it's an everyday struggle.\"\u003c/p>\n\u003cp>\u003cstrong>Obligated to Do Something\u003c/strong>\u003c/p>\n\u003cp>McMath handles stress differently now and eats more fresh food. She's lost 85 pounds. She's a sociology major, and will graduate from San Francisco State University in a few months.\u003c/p>\n\u003cp>Her life is a lot better than when she wrote the poem, but she’s dismayed to see her family’s health problems reflected in the elementary school students she works with.\u003c/p>\n\u003cp>“I was eating a regular salad with tomatoes and onions, and a 7-year-old boy asked me, ‘What’s that?’ Students who have never seen an eggplant or fresh tomato turn into adults who barely know what those vegetables look like,” she says.\u003c/p>\n\u003cp>She wants to turn that frustration into action now that she’s graduating. She says that her \"goal is to focus on food and justice, to bridge this gap between the wealthy and the unwealthy.\"\u003c/p>\n\u003cp>“We’re living in this epidemic of death,\" she says. \"Death from food, homicide, mental death, incarceration. My people are passing away at numbers that are crazy, and I feel obligated to do something about it.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Watch McMath perform her poem \"Death Recipe\" in this video:\u003cbr>\n\u003c/p>\u003cp>\u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutube'>\n \u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutubeInside'>\n \u003ciframe\n loading='lazy'\n class='utils-parseShortcode-shortcodes-__youtubeShortcode__youtubePlayer'\n type='text/html'\n src='//www.youtube.com/embed/Xe69WNbNS0g'\n title='//www.youtube.com/embed/Xe69WNbNS0g'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/24794/treating-type-2-diabetes-with-a-dose-of-history","authors":["230"],"series":["stateofhealth_2363"],"categories":["stateofhealth_11"],"tags":["stateofhealth_248","stateofhealth_2373"],"featImg":"stateofhealth_24795","label":"stateofhealth_2363"},"stateofhealth_19967":{"type":"posts","id":"stateofhealth_19967","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"19967","score":null,"sort":[1404920111000]},"guestAuthors":[],"slug":"school-nursing-in-small-town-california-its-not-what-you-think","title":"School Nursing in Small-Town California: Much More Than You Think","publishDate":1404920111,"format":"aside","headTitle":"Vital Signs | State of Health | KQED News","labelTerm":{"term":2363,"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_19968\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/IMG_0172-e1404333661648.jpg\">\u003cimg class=\"wp-image-19968 size-large\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/IMG_0172-640x480.jpg\" alt=\"IMG_0172\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Bernice Arnett, school nurse for the Newman-Crows Landing Unified School District, is in charge of student health at the district's seven public schools. (Ryder Diaz/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cem>Editor's Note: School nursing is more than Band-Aids and ice packs. Nurses help students with complex medical conditions and tough home lives. Bernice Arnett is a nurse for seven schools in Newman-Crows Landing Unified School District -- two Central Valley towns just south of Modesto. This month, our ongoing health series called \u003cstrong>\u003ca href=\"http://ww2.kqed.org/stateofhealth/series/vital-signs/\">Vital Signs\u003c/a> \u003c/strong>focuses on prevention. Arnett talks about how she's working to keep students and families in her community healthy.\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>By Bernice Arnett\u003c/strong>\u003c/p>\n\u003cp>There have been days where I have visited all seven sites in one day. But I was doing reactive nursing rather than proactive nursing. There were times that I'd have to actually triage in my head what I should go do first.\u003c/p>\n\u003cp>You treat the whole student. Sometimes you treat the whole family. And a lot of times, families are desperate. They don't know where to turn.\u003c!--more-->\u003c/p>\n\u003cp>They're overwhelmed and sometimes it's as simple as making a phone call and getting three bags of groceries for them for the weekend. It's almost like they see the light of day again.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Many of our children come from single parent homes. Some come from domestic violence, and some of these little people come to school worried about their parents.\u003c/p>\n\u003cp>I had a little boy that just could not sit in class. It was just day in and day out he was in my office, crying. He had a stomach ache. It was this and that, and I thought, 'Something does not feel right.'\u003c/p>\n\u003cp>Well, the parents had separated. Dad had made a threatening remark to the mom and the child had heard it. And so every day she made him come to school. And everyday he was in school sick -- physically ill at the thought that Mom may be injured.\u003c/p>\n\u003cp>I contacted Mom and had to give her directions on how to file a restraining order. It took some doing to finally to get this little person to understand that he could come to school and learn again.\u003c/p>\n\u003cp>Sometimes it might not be under the \"nursing category,\" but if it needs to be done, you do it.\u003c/p>\n\u003cp>\u003cem>This story was reported by Ryder Diaz.\u003c/em>\u003c/p>\n\u003cp>\u003ciframe width=\"100%\" height=\"166\" scrolling=\"no\" frameborder=\"no\" src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/157979872&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\">\u003c/iframe>\u003c/p>\n\u003cp>\u003ca style=\"font-weight: bold;color: #114999\" href=\"http://ww2.kqed.org/stateofhealth/series/vital-signs/\" target=\"_blank\">Share your own story about health in your community on the radio.\u003c/a>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n","blocks":[],"excerpt":"\"And everyday he was in school sick -- physically ill at the thought that Mom may be injured.\"","status":"publish","parent":0,"modified":1404940230,"stats":{"hasAudio":true,"hasVideo":false,"hasChartOrMap":true,"iframeSrcs":["https://w.soundcloud.com/player/"],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":15,"wordCount":414},"headData":{"title":"School Nursing in Small-Town California: Much More Than You Think | KQED","description":""And everyday he was in school sick -- physically ill at the thought that Mom may be injured."","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"School Nursing in Small-Town California: Much More Than You Think","datePublished":"2014-07-09T15:35:11.000Z","dateModified":"2014-07-09T21:10:30.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"19967 http://blogs.kqed.org/stateofhealth/?p=19967","disqusUrl":"https://ww2.kqed.org/stateofhealth/2014/07/09/school-nursing-in-small-town-california-its-not-what-you-think/","disqusTitle":"School Nursing in Small-Town California: Much More Than You Think","path":"/stateofhealth/19967/school-nursing-in-small-town-california-its-not-what-you-think","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_19968\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/IMG_0172-e1404333661648.jpg\">\u003cimg class=\"wp-image-19968 size-large\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/IMG_0172-640x480.jpg\" alt=\"IMG_0172\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Bernice Arnett, school nurse for the Newman-Crows Landing Unified School District, is in charge of student health at the district's seven public schools. (Ryder Diaz/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cem>Editor's Note: School nursing is more than Band-Aids and ice packs. Nurses help students with complex medical conditions and tough home lives. Bernice Arnett is a nurse for seven schools in Newman-Crows Landing Unified School District -- two Central Valley towns just south of Modesto. This month, our ongoing health series called \u003cstrong>\u003ca href=\"http://ww2.kqed.org/stateofhealth/series/vital-signs/\">Vital Signs\u003c/a> \u003c/strong>focuses on prevention. Arnett talks about how she's working to keep students and families in her community healthy.\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>By Bernice Arnett\u003c/strong>\u003c/p>\n\u003cp>There have been days where I have visited all seven sites in one day. But I was doing reactive nursing rather than proactive nursing. There were times that I'd have to actually triage in my head what I should go do first.\u003c/p>\n\u003cp>You treat the whole student. Sometimes you treat the whole family. And a lot of times, families are desperate. They don't know where to turn.\u003c!--more-->\u003c/p>\n\u003cp>They're overwhelmed and sometimes it's as simple as making a phone call and getting three bags of groceries for them for the weekend. It's almost like they see the light of day again.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Many of our children come from single parent homes. Some come from domestic violence, and some of these little people come to school worried about their parents.\u003c/p>\n\u003cp>I had a little boy that just could not sit in class. It was just day in and day out he was in my office, crying. He had a stomach ache. It was this and that, and I thought, 'Something does not feel right.'\u003c/p>\n\u003cp>Well, the parents had separated. Dad had made a threatening remark to the mom and the child had heard it. And so every day she made him come to school. And everyday he was in school sick -- physically ill at the thought that Mom may be injured.\u003c/p>\n\u003cp>I contacted Mom and had to give her directions on how to file a restraining order. It took some doing to finally to get this little person to understand that he could come to school and learn again.\u003c/p>\n\u003cp>Sometimes it might not be under the \"nursing category,\" but if it needs to be done, you do it.\u003c/p>\n\u003cp>\u003cem>This story was reported by Ryder Diaz.\u003c/em>\u003c/p>\n\u003cp>\u003ciframe width=\"100%\" height=\"166\" scrolling=\"no\" frameborder=\"no\" src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/157979872&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\">\u003c/iframe>\u003c/p>\n\u003cp>\u003ca style=\"font-weight: bold;color: #114999\" href=\"http://ww2.kqed.org/stateofhealth/series/vital-signs/\" target=\"_blank\">Share your own story about health in your community on the radio.\u003c/a>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/19967/school-nursing-in-small-town-california-its-not-what-you-think","authors":["1462"],"series":["stateofhealth_2363"],"categories":["stateofhealth_11"],"tags":["stateofhealth_96","stateofhealth_2373"],"featImg":"stateofhealth_19968","label":"stateofhealth_2363"},"stateofhealth_19873":{"type":"posts","id":"stateofhealth_19873","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"19873","score":null,"sort":[1404485427000]},"guestAuthors":[],"slug":"fresno-community-garden-is-sanctuary-for-hmong-refugee","title":"Fresno Community Garden is Sanctuary for Hmong Refugee","publishDate":1404485427,"format":"aside","headTitle":"Vital Signs | State of Health | KQED News","labelTerm":{"term":2363,"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_19874\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/06/smile-in-crops-e1404169943328.jpg\">\u003cimg class=\"wp-image-19874 size-large\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/06/smile-in-crops-640x480.jpg\" alt=\"smile in crops\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Cha Deng Vang, 68, tends to the community garden at Fresno Interdenominational Refugee Ministries. Working in the garden helps Vang, a refugee from Laos, relieve anxiety and get exercise. (Annabelle Beecher/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cem>Editor's Note: Refugees face unique challenges building lives in the United States. Cha Deng Vang fled Laos in 1987 after fighting as soldier in the US-backed forces. As part of our ongoing health series, \u003ca href=\"blogs.kqed.org/stateofhealth/series/vital-signs/\">\u003cstrong>Vital Signs\u003c/strong>\u003c/a>, we hear from 68-year-old Vang who has found that a community garden for Hmong refugees at\u003ca href=\"http://www.firminc.org/\"> Fresno Interdenominational Refugee Ministries\u003c/a> has helped him build community and relieve stress. Chong Vang and Sam Chang helped to translate his story.\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>By Cha Deng Vang\u003c/strong>\u003c/p>\n\u003cp>On this side we are growing Hmong pumpkin. They're very round and very big compared to the American version.\u003c/p>\n\u003cp>Growing up my parents taught me how to garden and farm. As soon as I turned 18, I became a soldier, and that was basically my entire life.\u003c/p>\n\u003cp>When I first came to America, I had no education. I couldn't find a job which equals no money to help my family. So with no financial support, it was a lot of stress on the entire family. And on top of that we also had a lot of illness in the family, which also caused a lot of stress on me as well.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>When I come to the community garden and I start doing hard labor, like digging and fixing things, it makes me sweat and it releases my stress because it cools my body down at the same time.\u003c/p>\n\u003cp>When I have anxiety, I come here and it relaxes me. It also helps with my health. Due to a lot of the injuries I've had as a soldier, this helps me with exercise. So, it's basically what helps me get through the day.\u003c/p>\n\u003caside class=\"pullquote alignleft\">Since 1975, roughly 200,000 Hmong refugees have left Laos -- 90 percent of them have resettled in the US.\u003c/aside>\n\u003cp>The majority of the people that utilize this community garden are older like me and are using Social Security Income. So, the garden also provides fresh produce for my family.\u003c/p>\n\u003cp>In Laos, everything was very green and lush. And coming here during the summer, everything turns yellow.\u003c/p>\n\u003cp>When I come here to the community garden and I see all the corn and all the beans and everything's so green, it just helps relieve all of that stress and it helps clear my mind. So, I absolutely love it here.\u003c/p>\n\u003cp>\u003cem>This story was reported by Sasha Khokha.\u003c/em>\u003c/p>\n\u003cp>\u003ca style=\"font-weight: bold;color: #114999\" href=\"http://ww2.kqed.org/stateofhealth/series/vital-signs/\" target=\"_blank\">Share your own story about health in your community on the radio.\u003c/a>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ciframe width=\"100%\" height=\"166\" scrolling=\"no\" frameborder=\"no\" src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/157314143&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\">\u003c/iframe>\u003c/p>\n\n","blocks":[],"excerpt":"\"When I first came to America, I had no education. I couldn't find a job. So with no financial support, it was a lot of stress on the entire family.\"","status":"publish","parent":0,"modified":1404499343,"stats":{"hasAudio":true,"hasVideo":false,"hasChartOrMap":true,"iframeSrcs":["https://w.soundcloud.com/player/"],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":15,"wordCount":446},"headData":{"title":"Fresno Community Garden is Sanctuary for Hmong Refugee | KQED","description":""When I first came to America, I had no education. I couldn't find a job. So with no financial support, it was a lot of stress on the entire family."","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Fresno Community Garden is Sanctuary for Hmong Refugee","datePublished":"2014-07-04T14:50:27.000Z","dateModified":"2014-07-04T18:42:23.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"19873 http://blogs.kqed.org/stateofhealth/?p=19873","disqusUrl":"https://ww2.kqed.org/stateofhealth/2014/07/04/fresno-community-garden-is-sanctuary-for-hmong-refugee/","disqusTitle":"Fresno Community Garden is Sanctuary for Hmong Refugee","path":"/stateofhealth/19873/fresno-community-garden-is-sanctuary-for-hmong-refugee","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_19874\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/06/smile-in-crops-e1404169943328.jpg\">\u003cimg class=\"wp-image-19874 size-large\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/06/smile-in-crops-640x480.jpg\" alt=\"smile in crops\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Cha Deng Vang, 68, tends to the community garden at Fresno Interdenominational Refugee Ministries. Working in the garden helps Vang, a refugee from Laos, relieve anxiety and get exercise. (Annabelle Beecher/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cem>Editor's Note: Refugees face unique challenges building lives in the United States. Cha Deng Vang fled Laos in 1987 after fighting as soldier in the US-backed forces. As part of our ongoing health series, \u003ca href=\"blogs.kqed.org/stateofhealth/series/vital-signs/\">\u003cstrong>Vital Signs\u003c/strong>\u003c/a>, we hear from 68-year-old Vang who has found that a community garden for Hmong refugees at\u003ca href=\"http://www.firminc.org/\"> Fresno Interdenominational Refugee Ministries\u003c/a> has helped him build community and relieve stress. Chong Vang and Sam Chang helped to translate his story.\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>By Cha Deng Vang\u003c/strong>\u003c/p>\n\u003cp>On this side we are growing Hmong pumpkin. They're very round and very big compared to the American version.\u003c/p>\n\u003cp>Growing up my parents taught me how to garden and farm. As soon as I turned 18, I became a soldier, and that was basically my entire life.\u003c/p>\n\u003cp>When I first came to America, I had no education. I couldn't find a job which equals no money to help my family. So with no financial support, it was a lot of stress on the entire family. And on top of that we also had a lot of illness in the family, which also caused a lot of stress on me as well.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>When I come to the community garden and I start doing hard labor, like digging and fixing things, it makes me sweat and it releases my stress because it cools my body down at the same time.\u003c/p>\n\u003cp>When I have anxiety, I come here and it relaxes me. It also helps with my health. Due to a lot of the injuries I've had as a soldier, this helps me with exercise. So, it's basically what helps me get through the day.\u003c/p>\n\u003caside class=\"pullquote alignleft\">Since 1975, roughly 200,000 Hmong refugees have left Laos -- 90 percent of them have resettled in the US.\u003c/aside>\n\u003cp>The majority of the people that utilize this community garden are older like me and are using Social Security Income. So, the garden also provides fresh produce for my family.\u003c/p>\n\u003cp>In Laos, everything was very green and lush. And coming here during the summer, everything turns yellow.\u003c/p>\n\u003cp>When I come here to the community garden and I see all the corn and all the beans and everything's so green, it just helps relieve all of that stress and it helps clear my mind. So, I absolutely love it here.\u003c/p>\n\u003cp>\u003cem>This story was reported by Sasha Khokha.\u003c/em>\u003c/p>\n\u003cp>\u003ca style=\"font-weight: bold;color: #114999\" href=\"http://ww2.kqed.org/stateofhealth/series/vital-signs/\" target=\"_blank\">Share your own story about health in your community on the radio.\u003c/a>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ciframe width=\"100%\" height=\"166\" scrolling=\"no\" frameborder=\"no\" src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/157314143&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\">\u003c/iframe>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/19873/fresno-community-garden-is-sanctuary-for-hmong-refugee","authors":["1462"],"series":["stateofhealth_2363"],"categories":["stateofhealth_11"],"tags":["stateofhealth_68","stateofhealth_2373"],"featImg":"stateofhealth_19874","label":"stateofhealth_2363"},"stateofhealth_19575":{"type":"posts","id":"stateofhealth_19575","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"19575","score":null,"sort":[1403621453000]},"guestAuthors":[],"slug":"clues-to-dementia-often-missed-in-vulnerable-older-adults","title":"Clues to Dementia Often Missed in Vulnerable Older Adults","publishDate":1403621453,"format":"aside","headTitle":"Vital Signs | State of Health | KQED News","labelTerm":{"term":2363,"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_19576\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/06/IMG_0224-e1403051350292.jpg\">\u003cimg class=\"wp-image-19576 size-large\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/06/IMG_0224-640x480.jpg\" alt=\"IMG_0224\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Dr. Anna Chodos, a UCSF geriatrician, has worked with many seniors who lived in dangerous situations due to lack of awareness and early screening for dementia. (Ryder Diaz/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cem>Editor's Note: As Californians live longer, the number of dementia, a disease that destroys not only memory but also critical-thinking skills will grow. As part of our ongoing series on health, called \u003ca href=\"blogs.kqed.org/stateofhealth/series/vital-signs/\">\u003cstrong>Vital Signs\u003c/strong>\u003c/a>, we hear from Anna Chodos, a physician specializing in geriatrics. She says that social services can often keep people with dementia safe in their homes, but many older adults aren't getting the diagnosis they need. \u003c/em>\u003c/p>\n\u003cp>\u003cstrong>By Anna Chodos\u003c/strong>\u003c/p>\n\u003cp>To diagnosis [dementia] early is to give people a chance to be a part of planning for the future in a very meaningful way. And that's exactly what I'm \u003cem>not\u003c/em> seeing. I'm seeing people stuck in situations where they now don't have the ability to engage with you in complicated decision making and they’re not making safe decisions for themselves.\u003c/p>\n\u003cp>Dementia can affect your ability to remember to pay bills. It affects your ability to comply with your medical plan.\u003c!--more-->\u003cspan>You know, just the other day, I heard of a woman who received multiple notices that she hadn't paid her rent. And at the end of the week, on a Friday evening, she was in the offices of one of her local senior centers, without a clue of what else to do saying, 'I think I was just evicted. They won't let me back into my home.' And she was effectively homeless after not really understanding what had happened.\u003c/span>\u003c/p>\n\u003cp>I tend to see [these patients] when it's a crisis. And everybody finally notices it when it's a crisis--a safety issue like a fall or a broken arm or an eviction. But prior to that, in a lot of ways, everybody was doing their job. And yet this person was very vulnerable.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The landlord wasn't really doing anything wrong providing that person with notices that they didn't pay rent. And their friends weren't doing anything wrong by letting them live the life they seemed to want to lead. And the doctor wasn't doing anything wrong by treating their medical conditions. But where is the real safety net when someone is slowly declining at home and they end up in these very precarious situations?\u003c/p>\n\u003cp>I do think that this is an all-eyes, all-ears-open kind of thing. Do we feel like we could have people in the community understand signs -- warning signs -- and alert appropriate people in city services and in city agencies?\u003c/p>\n\u003cp>What is keeping me up at night thinking about these vulnerable adults: it's worrying that and knowing that there are some people who we're not catching in time.\u003c/p>\n\u003cp>\u003cem style=\"font-weight: inherit\">That story was reported by Ryder Diaz.\u003c/em>\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/155822191&color=ff5500&auto_play=false&hide_related=false&show_artwork=true&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" frameborder=\"no\" scrolling=\"no\">\u003c/iframe>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ca style=\"font-weight: bold;color: #114999\" href=\"http://ww2.kqed.org/stateofhealth/series/vital-signs/\" target=\"_blank\">Share your own story about health in your community on the radio.\u003c/a>\u003c/p>\n\n","blocks":[],"excerpt":"A doctor who specializes in geriatrics shares her experience in seeing people not getting the care they need until there's a crisis.","status":"publish","parent":0,"modified":1404169664,"stats":{"hasAudio":true,"hasVideo":false,"hasChartOrMap":true,"iframeSrcs":["https://w.soundcloud.com/player/"],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":13,"wordCount":495},"headData":{"title":"Clues to Dementia Often Missed in Vulnerable Older Adults | KQED","description":"A doctor who specializes in geriatrics shares her experience in seeing people not getting the care they need until there's a crisis.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Clues to Dementia Often Missed in Vulnerable Older Adults","datePublished":"2014-06-24T14:50:53.000Z","dateModified":"2014-06-30T23:07:44.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"19575 http://blogs.kqed.org/stateofhealth/?p=19575","disqusUrl":"https://ww2.kqed.org/stateofhealth/2014/06/24/clues-to-dementia-often-missed-in-vulnerable-older-adults/","disqusTitle":"Clues to Dementia Often Missed in Vulnerable Older Adults","path":"/stateofhealth/19575/clues-to-dementia-often-missed-in-vulnerable-older-adults","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_19576\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/06/IMG_0224-e1403051350292.jpg\">\u003cimg class=\"wp-image-19576 size-large\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/06/IMG_0224-640x480.jpg\" alt=\"IMG_0224\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Dr. Anna Chodos, a UCSF geriatrician, has worked with many seniors who lived in dangerous situations due to lack of awareness and early screening for dementia. (Ryder Diaz/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cem>Editor's Note: As Californians live longer, the number of dementia, a disease that destroys not only memory but also critical-thinking skills will grow. As part of our ongoing series on health, called \u003ca href=\"blogs.kqed.org/stateofhealth/series/vital-signs/\">\u003cstrong>Vital Signs\u003c/strong>\u003c/a>, we hear from Anna Chodos, a physician specializing in geriatrics. She says that social services can often keep people with dementia safe in their homes, but many older adults aren't getting the diagnosis they need. \u003c/em>\u003c/p>\n\u003cp>\u003cstrong>By Anna Chodos\u003c/strong>\u003c/p>\n\u003cp>To diagnosis [dementia] early is to give people a chance to be a part of planning for the future in a very meaningful way. And that's exactly what I'm \u003cem>not\u003c/em> seeing. I'm seeing people stuck in situations where they now don't have the ability to engage with you in complicated decision making and they’re not making safe decisions for themselves.\u003c/p>\n\u003cp>Dementia can affect your ability to remember to pay bills. It affects your ability to comply with your medical plan.\u003c!--more-->\u003cspan>You know, just the other day, I heard of a woman who received multiple notices that she hadn't paid her rent. And at the end of the week, on a Friday evening, she was in the offices of one of her local senior centers, without a clue of what else to do saying, 'I think I was just evicted. They won't let me back into my home.' And she was effectively homeless after not really understanding what had happened.\u003c/span>\u003c/p>\n\u003cp>I tend to see [these patients] when it's a crisis. And everybody finally notices it when it's a crisis--a safety issue like a fall or a broken arm or an eviction. But prior to that, in a lot of ways, everybody was doing their job. And yet this person was very vulnerable.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The landlord wasn't really doing anything wrong providing that person with notices that they didn't pay rent. And their friends weren't doing anything wrong by letting them live the life they seemed to want to lead. And the doctor wasn't doing anything wrong by treating their medical conditions. But where is the real safety net when someone is slowly declining at home and they end up in these very precarious situations?\u003c/p>\n\u003cp>I do think that this is an all-eyes, all-ears-open kind of thing. Do we feel like we could have people in the community understand signs -- warning signs -- and alert appropriate people in city services and in city agencies?\u003c/p>\n\u003cp>What is keeping me up at night thinking about these vulnerable adults: it's worrying that and knowing that there are some people who we're not catching in time.\u003c/p>\n\u003cp>\u003cem style=\"font-weight: inherit\">That story was reported by Ryder Diaz.\u003c/em>\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/155822191&color=ff5500&auto_play=false&hide_related=false&show_artwork=true&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" frameborder=\"no\" scrolling=\"no\">\u003c/iframe>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ca style=\"font-weight: bold;color: #114999\" href=\"http://ww2.kqed.org/stateofhealth/series/vital-signs/\" target=\"_blank\">Share your own story about health in your community on the radio.\u003c/a>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/19575/clues-to-dementia-often-missed-in-vulnerable-older-adults","authors":["1462"],"series":["stateofhealth_2363"],"categories":["stateofhealth_11"],"tags":["stateofhealth_186","stateofhealth_265","stateofhealth_591","stateofhealth_2373"],"featImg":"stateofhealth_19576","label":"stateofhealth_2363"},"stateofhealth_19352":{"type":"posts","id":"stateofhealth_19352","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"19352","score":null,"sort":[1402322220000]},"guestAuthors":[],"slug":"gaining-respectful-health-care-a-struggle-for-transgender-elders","title":"Gaining Respectful Health Care, a Struggle for Transgender Elders","publishDate":1402322220,"format":"aside","headTitle":"Vital Signs | State of Health | KQED News","labelTerm":{"term":2363,"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_19353\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/06/IMG_0237-e1401829134108.jpg\">\u003cimg class=\"wp-image-19353 size-large\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/06/IMG_0237-640x480.jpg\" alt=\"IMG_0237\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Pamela Howland, 76, moved back to San Francisco in part because of the discrimination she faced in Arizona hospitals because she is transgender. (Ryder Diaz/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cem>Editor's Note: In the coming years, California's senior population is expected to grow more than twice as fast as the total population. As part of our occasional series on health called\u003ca href=\"http://ww2.kqed.org/stateofhealth/series/vital-signs/\" target=\"_blank\"> \u003cstrong>Vital Signs\u003c/strong>\u003c/a>, we're spending the month focusing on older adults. Today we meet 76-year-old Pamela Howland. When she retired, Howland decided she could finally live as a woman after spending her entire life as a man. But being a transgender senior has come with many challenges, including discrimination, even in health care settings.. \u003c/em>\u003c/p>\n\u003cp>\u003cstrong>By Pamela Howland\u003c/strong>\u003c/p>\n\u003cp>I had decided that the years I had left, I wanted to live the way I wanted to live. It was a shame that I had to make the change because it would have been so much easier to continue living as a male rather than encounter the difficulties of living as a transgender female that doesn't pass as female.\u003c!--more-->\u003c/p>\n\u003cp>I had been in Arizona about two years, when I had a [abdominal] surgery and the surgery damaged a very key nerve in controlling my gastrointestinal system.\u003c/p>\n\u003cp>I spent on and off three months in the hospital, and I had some very, very terrible treatment both by nurses and doctors.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>They didn't approve of me taking estrogen, so they weren't going to go out of their way or do anything to help me take that estrogen. I said, I have to take it and not only that, if I don't take it I'm going to go through withdrawal.\u003cstrong> \u003c/strong>They just assume say, 'Let \u003cem>him\u003c/em> suffer.'\u003c/p>\n\u003cp>That's another thing that comes up continually. 'Sir.' I'm called \"sir\" rather than \"ma'am.\"\u003c/p>\n\u003cp>You're trapped. And not only that, you're very vulnerable because you're in the hospital for a reason: you're sick.\u003c/p>\n\u003cp>As I get older, there are going to be other reasons why I'm hospitalized. It happens to everyone.\u003c/p>\n\u003cp>The only way I could be confident about the medical system was to come back to San Francisco. So, I left a home that I had planned on living in the rest of my life -- and an area I planned on living the rest of my life -- purely for medical support.\u003c/p>\n\u003cp>I think the absolutely most important thing for anyone is to have an advocate, someone who can help you through whatever medical crisis or medical difficultly you're having. If you're not being heard, if they're not paying attention to you, your advocate can do something for you because you're not in a condition where you can do anything about it.\u003c/p>\n\u003cp>\u003cem>That story was reported by Ryder Diaz.\u003c/em>\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/153569312&color=ff5500&auto_play=false&hide_related=false&show_artwork=true&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" frameborder=\"no\" scrolling=\"no\">\u003c/iframe>\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/stateofhealth/series/vital-signs/\" target=\"_blank\">Share your own story about health in your community on the radio.\u003c/a>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n","blocks":[],"excerpt":"After she retired, Pamela Howland decided she could finally live as a woman, after spending her entire life as a man. But she was distressed by the treatment she received from both nurses and doctors during a long hospital stay.","status":"publish","parent":0,"modified":1402343832,"stats":{"hasAudio":true,"hasVideo":false,"hasChartOrMap":true,"iframeSrcs":["https://w.soundcloud.com/player/"],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":16,"wordCount":489},"headData":{"title":"Gaining Respectful Health Care, a Struggle for Transgender Elders | KQED","description":"After she retired, Pamela Howland decided she could finally live as a woman, after spending her entire life as a man. But she was distressed by the treatment she received from both nurses and doctors during a long hospital stay.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Gaining Respectful Health Care, a Struggle for Transgender Elders","datePublished":"2014-06-09T13:57:00.000Z","dateModified":"2014-06-09T19:57:12.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"19352 http://blogs.kqed.org/stateofhealth/?p=19352","disqusUrl":"https://ww2.kqed.org/stateofhealth/2014/06/09/gaining-respectful-health-care-a-struggle-for-transgender-elders/","disqusTitle":"Gaining Respectful Health Care, a Struggle for Transgender Elders","path":"/stateofhealth/19352/gaining-respectful-health-care-a-struggle-for-transgender-elders","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_19353\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/06/IMG_0237-e1401829134108.jpg\">\u003cimg class=\"wp-image-19353 size-large\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/06/IMG_0237-640x480.jpg\" alt=\"IMG_0237\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Pamela Howland, 76, moved back to San Francisco in part because of the discrimination she faced in Arizona hospitals because she is transgender. (Ryder Diaz/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cem>Editor's Note: In the coming years, California's senior population is expected to grow more than twice as fast as the total population. As part of our occasional series on health called\u003ca href=\"http://ww2.kqed.org/stateofhealth/series/vital-signs/\" target=\"_blank\"> \u003cstrong>Vital Signs\u003c/strong>\u003c/a>, we're spending the month focusing on older adults. Today we meet 76-year-old Pamela Howland. When she retired, Howland decided she could finally live as a woman after spending her entire life as a man. But being a transgender senior has come with many challenges, including discrimination, even in health care settings.. \u003c/em>\u003c/p>\n\u003cp>\u003cstrong>By Pamela Howland\u003c/strong>\u003c/p>\n\u003cp>I had decided that the years I had left, I wanted to live the way I wanted to live. It was a shame that I had to make the change because it would have been so much easier to continue living as a male rather than encounter the difficulties of living as a transgender female that doesn't pass as female.\u003c!--more-->\u003c/p>\n\u003cp>I had been in Arizona about two years, when I had a [abdominal] surgery and the surgery damaged a very key nerve in controlling my gastrointestinal system.\u003c/p>\n\u003cp>I spent on and off three months in the hospital, and I had some very, very terrible treatment both by nurses and doctors.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>They didn't approve of me taking estrogen, so they weren't going to go out of their way or do anything to help me take that estrogen. I said, I have to take it and not only that, if I don't take it I'm going to go through withdrawal.\u003cstrong> \u003c/strong>They just assume say, 'Let \u003cem>him\u003c/em> suffer.'\u003c/p>\n\u003cp>That's another thing that comes up continually. 'Sir.' I'm called \"sir\" rather than \"ma'am.\"\u003c/p>\n\u003cp>You're trapped. And not only that, you're very vulnerable because you're in the hospital for a reason: you're sick.\u003c/p>\n\u003cp>As I get older, there are going to be other reasons why I'm hospitalized. It happens to everyone.\u003c/p>\n\u003cp>The only way I could be confident about the medical system was to come back to San Francisco. So, I left a home that I had planned on living in the rest of my life -- and an area I planned on living the rest of my life -- purely for medical support.\u003c/p>\n\u003cp>I think the absolutely most important thing for anyone is to have an advocate, someone who can help you through whatever medical crisis or medical difficultly you're having. If you're not being heard, if they're not paying attention to you, your advocate can do something for you because you're not in a condition where you can do anything about it.\u003c/p>\n\u003cp>\u003cem>That story was reported by Ryder Diaz.\u003c/em>\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/153569312&color=ff5500&auto_play=false&hide_related=false&show_artwork=true&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" frameborder=\"no\" scrolling=\"no\">\u003c/iframe>\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/stateofhealth/series/vital-signs/\" target=\"_blank\">Share your own story about health in your community on the radio.\u003c/a>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/19352/gaining-respectful-health-care-a-struggle-for-transgender-elders","authors":["1462"],"series":["stateofhealth_2363"],"categories":["stateofhealth_11"],"tags":["stateofhealth_121","stateofhealth_783","stateofhealth_2373"],"featImg":"stateofhealth_19353","label":"stateofhealth_2363"},"stateofhealth_19042":{"type":"posts","id":"stateofhealth_19042","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"19042","score":null,"sort":[1399479025000]},"guestAuthors":[],"slug":"in-oakland-finding-a-safe-place-for-kids-to-play","title":"In Oakland, Finding a Safe Place for Kids to Play","publishDate":1399479025,"format":"aside","headTitle":"Vital Signs | State of Health | KQED News","labelTerm":{"term":2363,"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_19043\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/05/IMG_0259-e1399412365349.jpg\">\u003cimg class=\"wp-image-19043 size-large\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/05/IMG_0259-640x480.jpg\" alt=\"IMG_0259\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The fear of street violence in her East Oakland community prevents Maria Peña (left) from taking her children to neighborhood parks and from allowing them to play in front of their home. A supervised playgroup provides that opportunity. (Ryder Diaz/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cem>Editor's Note: When it's too dangerous for children to play outside, what can parents do? Thirty-five-year-old Maria Peña recalls her own childhood in East Oakland as one spent playing happily on the streets with neighborhood children. Today, her community’s high crime rate makes the street a hazardous place for her two kids. As part of our ongoing health series \u003ca href=\"http://ww2.kqed.org/stateofhealth/series/vital-signs/\">Vital Signs\u003c/a>, Peña describes how an East Oakland playgroup called \u003ca href=\"http://lotusbloomfamily.org/\" target=\"_blank\">Room to Bloom\u003c/a> gives her four-year-old daughter a safe space to be a kid.\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>By Maria Peña\u003c/strong>\u003c/p>\n\u003cp>We were going to leave to a baseball game and something held us back from leaving. It was a drive-by in broad daylight.\u003c/p>\n\u003cp>My daughter is 4-years-old, and she's like, \"Why are they shooting? Why are these people doing this?\"\u003c!--more-->\u003c/p>\n\u003cp>Sadly we can't come to the parks here in Oakland. And that's because they're full of kids hanging out and either selling drugs or doing drugs or drinking. I'm afraid that someone's going to drive by and do a drive-by (shooting) at the park.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>So now instead of them playing out in the yard, we have to play in the back or find a game to do inside. Or go to another park.\u003c/p>\n\u003cp>I was looking for a place like this for Samantha to socialize. Because she's been with adults -- and before she goes to kindergarten -- I need her to socialize with kids her age.\u003c/p>\n\u003cp>Honestly, I thought (Room to Bloom was going to be) something negative. I was like, \"(It's) by Castlemont? No, it's not good. It's East Oakland. It's going to be more crime. We're going to have people out here selling drugs or doing god-knows-what.\"\u003c/p>\n\u003cp>But I said, \"You know what, I'm going to give it a try.\"\u003c/p>\n\u003cp>I was amazed. They get to socialize; they get to do artwork. They do story time. Today we had drums, and she gets to play outside which is the best part. There's not many other options like this.\u003c/p>\n\u003cp>This (street violence) is a reality. This is where we live. It exists but this is not going to shape you up. Just because you hear this or see this, this is not who we are.\u003c/p>\n\u003cp>I took a chance to come here, and it was the best choice I've made. And I feel that's healthy because I wasn't stuck at home afraid.\u003c/p>\n\u003cp>\u003cem>This story was reported by Ryder Diaz.\u003c/em>\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/148377841&color=ff5500&auto_play=false&hide_related=false&show_artwork=true\" width=\"100%\" height=\"166\" frameborder=\"no\" scrolling=\"no\">\u003c/iframe>\u003c/p>\n\u003cp> \u003c/p>\n\u003cp>\u003ca style=\"font-weight: bold;color: #114999\" href=\"http://ww2.kqed.org/stateofhealth/series/vital-signs/\">Share your own story about health in your community on the radio.\u003c/a>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"9duGucNZWAxIpbOdUXpy8XosOT4PTF9x\"]\u003c/p>\n\n","blocks":[],"excerpt":"East Oakland mom was thrilled to find nonprofit group providing supervised, outdoor play space.","status":"publish","parent":0,"modified":1399482888,"stats":{"hasAudio":true,"hasVideo":false,"hasChartOrMap":true,"iframeSrcs":["https://w.soundcloud.com/player/"],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":18,"wordCount":501},"headData":{"title":"In Oakland, Finding a Safe Place for Kids to Play | KQED","description":"East Oakland mom was thrilled to find nonprofit group providing supervised, outdoor play space.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"In Oakland, Finding a Safe Place for Kids to Play","datePublished":"2014-05-07T16:10:25.000Z","dateModified":"2014-05-07T17:14:48.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"19042 http://blogs.kqed.org/stateofhealth/?p=19042","disqusUrl":"https://ww2.kqed.org/stateofhealth/2014/05/07/in-oakland-finding-a-safe-place-for-kids-to-play/","disqusTitle":"In Oakland, Finding a Safe Place for Kids to Play","path":"/stateofhealth/19042/in-oakland-finding-a-safe-place-for-kids-to-play","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_19043\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/05/IMG_0259-e1399412365349.jpg\">\u003cimg class=\"wp-image-19043 size-large\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/05/IMG_0259-640x480.jpg\" alt=\"IMG_0259\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The fear of street violence in her East Oakland community prevents Maria Peña (left) from taking her children to neighborhood parks and from allowing them to play in front of their home. A supervised playgroup provides that opportunity. (Ryder Diaz/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cem>Editor's Note: When it's too dangerous for children to play outside, what can parents do? Thirty-five-year-old Maria Peña recalls her own childhood in East Oakland as one spent playing happily on the streets with neighborhood children. Today, her community’s high crime rate makes the street a hazardous place for her two kids. As part of our ongoing health series \u003ca href=\"http://ww2.kqed.org/stateofhealth/series/vital-signs/\">Vital Signs\u003c/a>, Peña describes how an East Oakland playgroup called \u003ca href=\"http://lotusbloomfamily.org/\" target=\"_blank\">Room to Bloom\u003c/a> gives her four-year-old daughter a safe space to be a kid.\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>By Maria Peña\u003c/strong>\u003c/p>\n\u003cp>We were going to leave to a baseball game and something held us back from leaving. It was a drive-by in broad daylight.\u003c/p>\n\u003cp>My daughter is 4-years-old, and she's like, \"Why are they shooting? Why are these people doing this?\"\u003c!--more-->\u003c/p>\n\u003cp>Sadly we can't come to the parks here in Oakland. And that's because they're full of kids hanging out and either selling drugs or doing drugs or drinking. I'm afraid that someone's going to drive by and do a drive-by (shooting) at the park.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>So now instead of them playing out in the yard, we have to play in the back or find a game to do inside. Or go to another park.\u003c/p>\n\u003cp>I was looking for a place like this for Samantha to socialize. Because she's been with adults -- and before she goes to kindergarten -- I need her to socialize with kids her age.\u003c/p>\n\u003cp>Honestly, I thought (Room to Bloom was going to be) something negative. I was like, \"(It's) by Castlemont? No, it's not good. It's East Oakland. It's going to be more crime. We're going to have people out here selling drugs or doing god-knows-what.\"\u003c/p>\n\u003cp>But I said, \"You know what, I'm going to give it a try.\"\u003c/p>\n\u003cp>I was amazed. They get to socialize; they get to do artwork. They do story time. Today we had drums, and she gets to play outside which is the best part. There's not many other options like this.\u003c/p>\n\u003cp>This (street violence) is a reality. This is where we live. It exists but this is not going to shape you up. Just because you hear this or see this, this is not who we are.\u003c/p>\n\u003cp>I took a chance to come here, and it was the best choice I've made. And I feel that's healthy because I wasn't stuck at home afraid.\u003c/p>\n\u003cp>\u003cem>This story was reported by Ryder Diaz.\u003c/em>\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/148377841&color=ff5500&auto_play=false&hide_related=false&show_artwork=true\" width=\"100%\" height=\"166\" frameborder=\"no\" scrolling=\"no\">\u003c/iframe>\u003c/p>\n\u003cp> \u003c/p>\n\u003cp>\u003ca style=\"font-weight: bold;color: #114999\" href=\"http://ww2.kqed.org/stateofhealth/series/vital-signs/\">Share your own story about health in your community on the radio.\u003c/a>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"9duGucNZWAxIpbOdUXpy8XosOT4PTF9x\"]\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/19042/in-oakland-finding-a-safe-place-for-kids-to-play","authors":["1462"],"series":["stateofhealth_2363"],"categories":["stateofhealth_11"],"tags":["stateofhealth_96","stateofhealth_180","stateofhealth_2373"],"featImg":"stateofhealth_19043","label":"stateofhealth_2363"},"stateofhealth_18993":{"type":"posts","id":"stateofhealth_18993","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"18993","score":null,"sort":[1399038300000]},"guestAuthors":[],"slug":"turn-off-your-truck-central-valley-teens-campaign-to-cut-emissions","title":"Turn Off Your Truck: Central Valley Teens Campaign to Cut Emissions","publishDate":1399038300,"format":"aside","headTitle":"Vital Signs | State of Health | KQED News","labelTerm":{"term":2363,"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_18994\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/05/RS10094_Theresa-tells-a-trucker-about-how-to-pollute-less-hpf.jpg\">\u003cimg class=\"size-full wp-image-18994\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/05/RS10094_Theresa-tells-a-trucker-about-how-to-pollute-less-hpf.jpg\" alt=\"Theresa Moreno, 15, talks to a trucker about strategies to reduce pollution. (Alice Daniel/KQED)\" width=\"640\" height=\"480\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2014/05/RS10094_Theresa-tells-a-trucker-about-how-to-pollute-less-hpf.jpg 640w, https://ww2.kqed.org/app/uploads/sites/27/2014/05/RS10094_Theresa-tells-a-trucker-about-how-to-pollute-less-hpf-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2014/05/RS10094_Theresa-tells-a-trucker-about-how-to-pollute-less-hpf-320x240.jpg 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Theresa Moreno, 15, talks to a trucker about strategies to reduce pollution. (Alice Daniel/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cem>At the intersection of I-5 and Highway 41 lies Kettleman City, a frequent stop for big-rig truckers. But drivers often leave their trucks idling while they have a meal, and residents worry about the resulting air pollution. As part of our first-person health series \"\u003ca href=\"http://ww2.kqed.org/stateofhealth/series/vital-signs/\" target=\"_blank\">Vital Signs\u003c/a>,\" we hear from two people: Theresa Moreno and Maricela Mares-a la Torre, a community organizer with Greenaction. She trains young people to talk to truckers about air pollution. Mares-a la Torre begins:\u003c/em>\u003c/p>\n\u003cp>What we find is that a lot of the truckers that are stopped up here at the junction, they're going into the restaurants, they're hanging out, checking their email, eating their lunch, and they're letting their trucks idle because supposedly, they don't want the air conditioning to turn off. But that's against the law.\u003c/p>\n\u003cp>We've trained our youth to go out and talk to truckers about idling and diesel emission safety. We try to go out in pairs just because it makes you a little braver if you're with somebody, and truckers can be, you know, a little bit gruff.\u003c!--more-->\u003c/p>\n\u003cp>\u003ci>Mares-a la Torre watches as 15-year-old Theresa Moreno approaches a truck driver, near his rig.\u003c/i>\u003c/p>\n\u003cp>\"Hi. My name is Theresa Moreno. I'm here handing this flyer on behalf of Greenaction. I want to talk to about the safety as a trucker. As you know, the diesel is harmful, you're aware of California idling laws. But did you know that you can get help to upgrade your truck? There's more information on this flyer.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"Okay, thank you. Thank you for the information,\" the driver replies.\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/147559202&color=ff5500&auto_play=false&hide_related=false&show_artwork=true\" width=\"100%\" height=\"166\" frameborder=\"no\" scrolling=\"no\">\u003c/iframe>\u003c/p>\n\u003cp>\u003cem>Moreno explains why she got involved:\u003c/em>\u003c/p>\n\u003cp>Well, I have asthma. Which many of us in the town have asthma. I know when I was smaller, I couldn't be outside for an hour cause the next day I would wake up sick.\u003c/p>\n\u003cp>Why can't they just turn off their truck? Whenever we go to a store, we turn off our truck or our car and we go inside the store. It's cool right? And we go back in our car, of course it's hot. I mean, we rough it out. You have to put down the windows. You're good.\u003c/p>\n\u003cp>It feels pretty good to go up to a trucker. You feel like you're making a change. To help change the world little by little by little. Make it a better place to live.\u003c/p>\n\u003cp>\u003cem>Mares-a la Torre tells Moreno she did a good job.\u003c/em>\u003c/p>\n\u003cp>\"You got the information in their hands,\" she tells Moreno, \"and that's what's important.\"\u003c/p>\n\u003cp>\u003cem>This story was reported by Alice Daniel.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/stateofhealth/series/vital-signs/\"> Share your own story about health in your community on the radio.\u003c/a>\u003c/p>\n\n","blocks":[],"excerpt":"Kettleman City teens educate truckers about air pollution from idling trucks. ","status":"publish","parent":0,"modified":1399398224,"stats":{"hasAudio":true,"hasVideo":false,"hasChartOrMap":true,"iframeSrcs":["https://w.soundcloud.com/player/"],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":16,"wordCount":483},"headData":{"title":"Turn Off Your Truck: Central Valley Teens Campaign to Cut Emissions | KQED","description":"Kettleman City teens educate truckers about air pollution from idling trucks. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Turn Off Your Truck: Central Valley Teens Campaign to Cut Emissions","datePublished":"2014-05-02T13:45:00.000Z","dateModified":"2014-05-06T17:43:44.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"18993 http://blogs.kqed.org/stateofhealth/?p=18993","disqusUrl":"https://ww2.kqed.org/stateofhealth/2014/05/02/turn-off-your-truck-central-valley-teens-campaign-to-cut-emissions/","disqusTitle":"Turn Off Your Truck: Central Valley Teens Campaign to Cut Emissions","path":"/stateofhealth/18993/turn-off-your-truck-central-valley-teens-campaign-to-cut-emissions","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_18994\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/05/RS10094_Theresa-tells-a-trucker-about-how-to-pollute-less-hpf.jpg\">\u003cimg class=\"size-full wp-image-18994\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/05/RS10094_Theresa-tells-a-trucker-about-how-to-pollute-less-hpf.jpg\" alt=\"Theresa Moreno, 15, talks to a trucker about strategies to reduce pollution. (Alice Daniel/KQED)\" width=\"640\" height=\"480\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2014/05/RS10094_Theresa-tells-a-trucker-about-how-to-pollute-less-hpf.jpg 640w, https://ww2.kqed.org/app/uploads/sites/27/2014/05/RS10094_Theresa-tells-a-trucker-about-how-to-pollute-less-hpf-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2014/05/RS10094_Theresa-tells-a-trucker-about-how-to-pollute-less-hpf-320x240.jpg 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Theresa Moreno, 15, talks to a trucker about strategies to reduce pollution. (Alice Daniel/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cem>At the intersection of I-5 and Highway 41 lies Kettleman City, a frequent stop for big-rig truckers. But drivers often leave their trucks idling while they have a meal, and residents worry about the resulting air pollution. As part of our first-person health series \"\u003ca href=\"http://ww2.kqed.org/stateofhealth/series/vital-signs/\" target=\"_blank\">Vital Signs\u003c/a>,\" we hear from two people: Theresa Moreno and Maricela Mares-a la Torre, a community organizer with Greenaction. She trains young people to talk to truckers about air pollution. Mares-a la Torre begins:\u003c/em>\u003c/p>\n\u003cp>What we find is that a lot of the truckers that are stopped up here at the junction, they're going into the restaurants, they're hanging out, checking their email, eating their lunch, and they're letting their trucks idle because supposedly, they don't want the air conditioning to turn off. But that's against the law.\u003c/p>\n\u003cp>We've trained our youth to go out and talk to truckers about idling and diesel emission safety. We try to go out in pairs just because it makes you a little braver if you're with somebody, and truckers can be, you know, a little bit gruff.\u003c!--more-->\u003c/p>\n\u003cp>\u003ci>Mares-a la Torre watches as 15-year-old Theresa Moreno approaches a truck driver, near his rig.\u003c/i>\u003c/p>\n\u003cp>\"Hi. My name is Theresa Moreno. I'm here handing this flyer on behalf of Greenaction. I want to talk to about the safety as a trucker. As you know, the diesel is harmful, you're aware of California idling laws. But did you know that you can get help to upgrade your truck? There's more information on this flyer.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"Okay, thank you. Thank you for the information,\" the driver replies.\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/147559202&color=ff5500&auto_play=false&hide_related=false&show_artwork=true\" width=\"100%\" height=\"166\" frameborder=\"no\" scrolling=\"no\">\u003c/iframe>\u003c/p>\n\u003cp>\u003cem>Moreno explains why she got involved:\u003c/em>\u003c/p>\n\u003cp>Well, I have asthma. Which many of us in the town have asthma. I know when I was smaller, I couldn't be outside for an hour cause the next day I would wake up sick.\u003c/p>\n\u003cp>Why can't they just turn off their truck? Whenever we go to a store, we turn off our truck or our car and we go inside the store. It's cool right? And we go back in our car, of course it's hot. I mean, we rough it out. You have to put down the windows. You're good.\u003c/p>\n\u003cp>It feels pretty good to go up to a trucker. You feel like you're making a change. To help change the world little by little by little. Make it a better place to live.\u003c/p>\n\u003cp>\u003cem>Mares-a la Torre tells Moreno she did a good job.\u003c/em>\u003c/p>\n\u003cp>\"You got the information in their hands,\" she tells Moreno, \"and that's what's important.\"\u003c/p>\n\u003cp>\u003cem>This story was reported by Alice Daniel.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/stateofhealth/series/vital-signs/\"> Share your own story about health in your community on the radio.\u003c/a>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/18993/turn-off-your-truck-central-valley-teens-campaign-to-cut-emissions","authors":["8344"],"series":["stateofhealth_2363"],"categories":["stateofhealth_11"],"tags":["stateofhealth_21","stateofhealth_2373"],"featImg":"stateofhealth_18994","label":"stateofhealth_2363"},"stateofhealth_18586":{"type":"posts","id":"stateofhealth_18586","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"18586","score":null,"sort":[1397151445000]},"guestAuthors":[],"slug":"how-the-stigma-of-hiv-can-linger-and-keep-people-from-care","title":"How The Stigma of HIV Can Linger and Keep People from Care","publishDate":1397151445,"format":"aside","headTitle":"Vital Signs | State of Health | KQED News","labelTerm":{"term":2363,"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_18588\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/04/IMG_0142-e1396906812482.jpg\">\u003cimg class=\"size-large wp-image-18588\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/04/IMG_0142-640x480.jpg\" alt=\"IMG_0142\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Lenworth Poyser (left) works with a colleague at Children's Hospital Los Angeles. Poyser is a health educator for a project focused on reaching young, gay men of color who are HIV-positive. (Susan Valot/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cem>Editor's Note: Lack of health insurance isn't the only barrier to getting medical care. The stigma and fear around HIV can keep people from seeking help. As part of our ongoing health series \u003ca href=\"http://ww2.kqed.org/stateofhealth/series/vital-signs/\" target=\"_blank\">Vital Signs\u003c/a>, we hear from Lenworth Poyser. He was homeless and living with HIV. Now, Poyser helps young HIV-positive men support each other through a group at Children’s Hospital Los Angeles. \u003c/em>\u003c/p>\n\u003cp>\u003cstrong>By Lenworth Poyser\u003c/strong>\u003c/p>\n\u003cp>When I first came out, when I was still in Texas, I left my mother’s house. At the time I was 18. What she was basically saying is: You can be in this house, just don't be gay in this house. And I couldn't do it. So, I threw my clothes into a trash bag and got out.\u003c/p>\n\u003cp>My sister had invited me to move out to L.A., move out to L.A. And, when HIV hit, I was like, \"Oh, life is too short.\" So, I decided to just do it.\u003c!--more-->\u003c/p>\n\u003caside class=\"pullquote alignleft\">In 2010, young black men who had sex with men made up 55 percent of all new HIV infections for young gay and bisexual men, according to the Centers for Disease Control and Prevention.\n\u003cp>While roughly 10 percent of youth are LGBT, anywhere from 20 to 40 percent of homeless youth are LGBT, according to the United States Interagency Council on Homelessness.\u003c/p>\u003c/aside>\n\u003cp>I do want to sing. And I also knew there were lots of opportunities for people who are positive out here, versus in Texas. But after about 3 months, I still could not find a job. I was kind of just sleeping with friends and stuff like that. Like house hopping.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>I started care when I got into the transitional living program at the L.A. Gay and Lesbian Center -- a program for youth, 24 and under, who are homeless. I remember that was one of the first (times) I took my medication. My HIV medication.\u003c/p>\n\u003cp>It's sad that we're thirty-plus years into this disease and like the shame and the stigma is almost -- it's gone away some -- but it's still there, and it's still affecting positive people. So, that's why I want to speak out about it because I know that there are still young people out there, not taking medication for whatever reason, not telling their families, and not telling their partners. And it's fueled by their own fear.[contextly_auto_sidebar id=\"kJIk6LtKJlagzxZbZsec3UJpkXvBitAY\"]\u003c/p>\n\u003cp>I'm a health educator for Children's Hospital Los Angeles. A lot of our guys are here in care, and some of them have been on the streets or are on the streets still. It's tough on the guys to come because, purely for the fact of walking in the room is: 'I'm in an HIV-positive room and who's going to see me?' You know, literally going to the group alone is stepping out on faith.\u003c/p>\n\u003cp>But when they have those friendships, when they have a sense of community -- whether that be their actual family, their blood family, or a family that they make here in L.A. -- it seems to help a ton.\u003c/p>\n\u003cp>\u003cem>Susan Valot reported this story\u003c/em>.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Listen to Poyser tell his story on The California Report:\u003c/strong>\u003cbr>\n\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/144036516&color=ff5500&auto_play=false&hide_related=false&show_artwork=true\" frameborder=\"no\" scrolling=\"no\" width=\"100%\" height=\"166\">\u003c/iframe>\u003c/p>\n\n","blocks":[],"excerpt":"An HIV-positive man recounts his own moving story and describes how he now helps others.","status":"publish","parent":0,"modified":1397679868,"stats":{"hasAudio":true,"hasVideo":false,"hasChartOrMap":true,"iframeSrcs":["https://w.soundcloud.com/player/"],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":14,"wordCount":599},"headData":{"title":"How The Stigma of HIV Can Linger and Keep People from Care | KQED","description":"An HIV-positive man recounts his own moving story and describes how he now helps others.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"How The Stigma of HIV Can Linger and Keep People from Care","datePublished":"2014-04-10T17:37:25.000Z","dateModified":"2014-04-16T20:24:28.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"18586 http://blogs.kqed.org/stateofhealth/?p=18586","disqusUrl":"https://ww2.kqed.org/stateofhealth/2014/04/10/how-the-stigma-of-hiv-can-linger-and-keep-people-from-care/","disqusTitle":"How The Stigma of HIV Can Linger and Keep People from Care","path":"/stateofhealth/18586/how-the-stigma-of-hiv-can-linger-and-keep-people-from-care","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_18588\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/04/IMG_0142-e1396906812482.jpg\">\u003cimg class=\"size-large wp-image-18588\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/04/IMG_0142-640x480.jpg\" alt=\"IMG_0142\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Lenworth Poyser (left) works with a colleague at Children's Hospital Los Angeles. Poyser is a health educator for a project focused on reaching young, gay men of color who are HIV-positive. (Susan Valot/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cem>Editor's Note: Lack of health insurance isn't the only barrier to getting medical care. The stigma and fear around HIV can keep people from seeking help. As part of our ongoing health series \u003ca href=\"http://ww2.kqed.org/stateofhealth/series/vital-signs/\" target=\"_blank\">Vital Signs\u003c/a>, we hear from Lenworth Poyser. He was homeless and living with HIV. Now, Poyser helps young HIV-positive men support each other through a group at Children’s Hospital Los Angeles. \u003c/em>\u003c/p>\n\u003cp>\u003cstrong>By Lenworth Poyser\u003c/strong>\u003c/p>\n\u003cp>When I first came out, when I was still in Texas, I left my mother’s house. At the time I was 18. What she was basically saying is: You can be in this house, just don't be gay in this house. And I couldn't do it. So, I threw my clothes into a trash bag and got out.\u003c/p>\n\u003cp>My sister had invited me to move out to L.A., move out to L.A. And, when HIV hit, I was like, \"Oh, life is too short.\" So, I decided to just do it.\u003c!--more-->\u003c/p>\n\u003caside class=\"pullquote alignleft\">In 2010, young black men who had sex with men made up 55 percent of all new HIV infections for young gay and bisexual men, according to the Centers for Disease Control and Prevention.\n\u003cp>While roughly 10 percent of youth are LGBT, anywhere from 20 to 40 percent of homeless youth are LGBT, according to the United States Interagency Council on Homelessness.\u003c/p>\u003c/aside>\n\u003cp>I do want to sing. And I also knew there were lots of opportunities for people who are positive out here, versus in Texas. But after about 3 months, I still could not find a job. I was kind of just sleeping with friends and stuff like that. Like house hopping.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>I started care when I got into the transitional living program at the L.A. Gay and Lesbian Center -- a program for youth, 24 and under, who are homeless. I remember that was one of the first (times) I took my medication. My HIV medication.\u003c/p>\n\u003cp>It's sad that we're thirty-plus years into this disease and like the shame and the stigma is almost -- it's gone away some -- but it's still there, and it's still affecting positive people. So, that's why I want to speak out about it because I know that there are still young people out there, not taking medication for whatever reason, not telling their families, and not telling their partners. And it's fueled by their own fear.[contextly_auto_sidebar id=\"kJIk6LtKJlagzxZbZsec3UJpkXvBitAY\"]\u003c/p>\n\u003cp>I'm a health educator for Children's Hospital Los Angeles. A lot of our guys are here in care, and some of them have been on the streets or are on the streets still. It's tough on the guys to come because, purely for the fact of walking in the room is: 'I'm in an HIV-positive room and who's going to see me?' You know, literally going to the group alone is stepping out on faith.\u003c/p>\n\u003cp>But when they have those friendships, when they have a sense of community -- whether that be their actual family, their blood family, or a family that they make here in L.A. -- it seems to help a ton.\u003c/p>\n\u003cp>\u003cem>Susan Valot reported this story\u003c/em>.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Listen to Poyser tell his story on The California Report:\u003c/strong>\u003cbr>\n\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/144036516&color=ff5500&auto_play=false&hide_related=false&show_artwork=true\" frameborder=\"no\" scrolling=\"no\" width=\"100%\" height=\"166\">\u003c/iframe>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/18586/how-the-stigma-of-hiv-can-linger-and-keep-people-from-care","authors":["1462"],"series":["stateofhealth_2363"],"categories":["stateofhealth_11"],"tags":["stateofhealth_64","stateofhealth_719","stateofhealth_2373"],"featImg":"stateofhealth_18588","label":"stateofhealth_2363"},"stateofhealth_18063":{"type":"posts","id":"stateofhealth_18063","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"18063","score":null,"sort":[1395320442000]},"guestAuthors":[],"slug":"death-in-a-california-prison","title":"Working with the Dying in California Prisons","publishDate":1395320442,"format":"aside","headTitle":"Vital Signs | State of Health | KQED News","labelTerm":{"term":2363,"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_18064\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/IMG_1692-e1394582025449.jpg\">\u003cimg class=\"size-large wp-image-18064\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/IMG_1692-640x359.jpg\" alt=\"IMG_1692\" width=\"640\" height=\"359\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Reverend Lorie Adoff has trained over 130 inmate-volunteers to sit with and support dying prisoners at California Men's Colony, a minimum- and medium-security prison in San Luis Obispo. After training inmates for eleven years, Adoff retired in 2013. (Ryder Diaz/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cem>Editor's Note: Many people hope to die surrounded by friends and family. But for prison inmates death can be unusually isolating. As part of our ongoing health series called \u003ca href=\"http://ww2.kqed.org/stateofhealth/series/vital-signs/\">Vital Signs\u003c/a>, we hear from retired hospice chaplain Lorie Adoff. More than a decade ago, she helped launch a project called Supportive Care Services at the California Men’s Colony -- a prison in San Luis Obispo. The program trained inmates serving life sentences to sit with other men dying behind bars. \u003c/em>\u003c/p>\n\u003cp>\u003cstrong>By Lorie Adoff\u003c/strong>\u003c/p>\n\u003cp>First of all imagine, it's very, very stark. There is nothing pretty about a hospital in prison. Nothing.\u003c/p>\n\u003caside class=\"pullquote alignleft\">But I have discovered, working with the dying in prison, there is transformation. \u003c/aside>\n\u003cp>They have the opportunity to have family come and visit them on a limited basis. A lot of times because they've been there so long though, they don't have anybody who it matters whether or not they die in prison. They've been in prison for 30 years or 40 years and who cares? So, dying alone is a very, very real situation in prison.\u003c/p>\n\u003cp>Before Supportive Care Services, there really wasn't anything in place to be with the dying inmates. Patients who were dying in the hospital would be put in a room. A nurse would check on him periodically, until he died.\u003c!--more-->\u003c/p>\n\u003caside class=\"pullquote alignleft\">Inmates are involved in prison hospice programs at the California Men’s Colony, in San Luis Obispo and the California Medical Facility, in Vacaville.\n\u003cp>In California's prisons, the number of inmates over 50 years old grew from 4 percent in 1990 to 21 percent in 2013.\u003c/p>\u003c/aside>\n\u003cp>All the men I had work [as hospice volunteers] in the program were lifers. That is they had committed a murder or were accessories to it, and they were given a life sentence.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The men are sitting vigil with them. They hold their hand. They talk to them -- whether or not the person can respond.\u003c/p>\n\u003cp>And what happens is those human qualities are given a safe space. They can be more caring and more compassionate and more sensitive.\u003c/p>\n\u003cp>You know, before I started working at the prison I used to think, well, we die the way we lived. But I have discovered, working with the dying in prison to say we die as we lived is not true. There is transformation. There \u003cem>really \u003c/em>are really deepchanges that happen.\u003c/p>\n\u003cp>I remember one of the psychiatrists said to me, \"The last four weeks of my patient's life has been the best that he has ever known.\" And I said, \"Why?\" And he said, \"Because he had friends who weren't trying to get something from him.\" And those were the hospice volunteers. And they made sure he didn't die alone.\u003c/p>\n\u003cp>\u003cstrong>Listen to Adoff's story:\u003c/strong>\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/140530576&color=ff5500&auto_play=false&hide_related=false&show_artwork=true\" width=\"100%\" height=\"166\" frameborder=\"no\" scrolling=\"no\">\u003c/iframe>\u003c/p>\n\u003cp>\u003cstrong>HEAR FROM A FORMER VOLUNTEER\u003c/strong>\u003c/p>\n\u003cp>\u003cem>Roger Brown sat at the bedside of 34 dying men at the California Men's Colony in San Luis Obispo. After serving nearly 35 years of a life sentence, Brown is now on parole. He talks about how the Supportive Care Services program changed him.\u003c/em>\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/139568377&color=ff5500&auto_play=false&hide_related=false&show_artwork=true\" width=\"100%\" height=\"166\" frameborder=\"no\" scrolling=\"no\">\u003c/iframe>\u003c/p>\n\u003cp>\u003cem>Ryder Diaz was the reporter for this story.\u003c/em>\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/stateofhealth/series/vital-signs/\">Listen to more Vital Signs stories here or share your own.\u003c/a>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"WiXK6EZFUUl8ghv9G2vsobcDgYIXlb9q\"]\u003c/p>\n\n","blocks":[],"excerpt":null,"status":"publish","parent":0,"modified":1398723577,"stats":{"hasAudio":true,"hasVideo":false,"hasChartOrMap":true,"iframeSrcs":["https://w.soundcloud.com/player/"],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":21,"wordCount":587},"headData":{"title":"Working with the Dying in California Prisons | KQED","description":"Editor's Note: Many people hope to die surrounded by friends and family. But for prison inmates death can be unusually isolating. As part of our ongoing health series called Vital Signs, we hear from retired hospice chaplain Lorie Adoff. More than a decade ago, she helped launch a project called Supportive Care Services at the","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Working with the Dying in California Prisons","datePublished":"2014-03-20T13:00:42.000Z","dateModified":"2014-04-28T22:19:37.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"18063 http://blogs.kqed.org/stateofhealth/?p=18063","disqusUrl":"https://ww2.kqed.org/stateofhealth/2014/03/20/death-in-a-california-prison/","disqusTitle":"Working with the Dying in California Prisons","path":"/stateofhealth/18063/death-in-a-california-prison","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_18064\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/IMG_1692-e1394582025449.jpg\">\u003cimg class=\"size-large wp-image-18064\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/IMG_1692-640x359.jpg\" alt=\"IMG_1692\" width=\"640\" height=\"359\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Reverend Lorie Adoff has trained over 130 inmate-volunteers to sit with and support dying prisoners at California Men's Colony, a minimum- and medium-security prison in San Luis Obispo. After training inmates for eleven years, Adoff retired in 2013. (Ryder Diaz/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cem>Editor's Note: Many people hope to die surrounded by friends and family. But for prison inmates death can be unusually isolating. As part of our ongoing health series called \u003ca href=\"http://ww2.kqed.org/stateofhealth/series/vital-signs/\">Vital Signs\u003c/a>, we hear from retired hospice chaplain Lorie Adoff. More than a decade ago, she helped launch a project called Supportive Care Services at the California Men’s Colony -- a prison in San Luis Obispo. The program trained inmates serving life sentences to sit with other men dying behind bars. \u003c/em>\u003c/p>\n\u003cp>\u003cstrong>By Lorie Adoff\u003c/strong>\u003c/p>\n\u003cp>First of all imagine, it's very, very stark. There is nothing pretty about a hospital in prison. Nothing.\u003c/p>\n\u003caside class=\"pullquote alignleft\">But I have discovered, working with the dying in prison, there is transformation. \u003c/aside>\n\u003cp>They have the opportunity to have family come and visit them on a limited basis. A lot of times because they've been there so long though, they don't have anybody who it matters whether or not they die in prison. They've been in prison for 30 years or 40 years and who cares? So, dying alone is a very, very real situation in prison.\u003c/p>\n\u003cp>Before Supportive Care Services, there really wasn't anything in place to be with the dying inmates. Patients who were dying in the hospital would be put in a room. A nurse would check on him periodically, until he died.\u003c!--more-->\u003c/p>\n\u003caside class=\"pullquote alignleft\">Inmates are involved in prison hospice programs at the California Men’s Colony, in San Luis Obispo and the California Medical Facility, in Vacaville.\n\u003cp>In California's prisons, the number of inmates over 50 years old grew from 4 percent in 1990 to 21 percent in 2013.\u003c/p>\u003c/aside>\n\u003cp>All the men I had work [as hospice volunteers] in the program were lifers. That is they had committed a murder or were accessories to it, and they were given a life sentence.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The men are sitting vigil with them. They hold their hand. They talk to them -- whether or not the person can respond.\u003c/p>\n\u003cp>And what happens is those human qualities are given a safe space. They can be more caring and more compassionate and more sensitive.\u003c/p>\n\u003cp>You know, before I started working at the prison I used to think, well, we die the way we lived. But I have discovered, working with the dying in prison to say we die as we lived is not true. There is transformation. There \u003cem>really \u003c/em>are really deepchanges that happen.\u003c/p>\n\u003cp>I remember one of the psychiatrists said to me, \"The last four weeks of my patient's life has been the best that he has ever known.\" And I said, \"Why?\" And he said, \"Because he had friends who weren't trying to get something from him.\" And those were the hospice volunteers. And they made sure he didn't die alone.\u003c/p>\n\u003cp>\u003cstrong>Listen to Adoff's story:\u003c/strong>\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/140530576&color=ff5500&auto_play=false&hide_related=false&show_artwork=true\" width=\"100%\" height=\"166\" frameborder=\"no\" scrolling=\"no\">\u003c/iframe>\u003c/p>\n\u003cp>\u003cstrong>HEAR FROM A FORMER VOLUNTEER\u003c/strong>\u003c/p>\n\u003cp>\u003cem>Roger Brown sat at the bedside of 34 dying men at the California Men's Colony in San Luis Obispo. After serving nearly 35 years of a life sentence, Brown is now on parole. He talks about how the Supportive Care Services program changed him.\u003c/em>\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/139568377&color=ff5500&auto_play=false&hide_related=false&show_artwork=true\" width=\"100%\" height=\"166\" frameborder=\"no\" scrolling=\"no\">\u003c/iframe>\u003c/p>\n\u003cp>\u003cem>Ryder Diaz was the reporter for this story.\u003c/em>\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/stateofhealth/series/vital-signs/\">Listen to more Vital Signs stories here or share your own.\u003c/a>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"WiXK6EZFUUl8ghv9G2vsobcDgYIXlb9q\"]\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/18063/death-in-a-california-prison","authors":["1462"],"series":["stateofhealth_2363"],"categories":["stateofhealth_11"],"tags":["stateofhealth_19","stateofhealth_599","stateofhealth_2373"],"featImg":"stateofhealth_18064","label":"stateofhealth_2363"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? 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