Golf discussed on Tech Nation

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Takes to store that zero or one it takes some one hundred thousand add ups yep do the math in digital storage as in golf hello score is a very good thing at the same time while technology is getting tinier Youmans are still just about the same size if I gave you a USB drive that was one one hundred thousandth of the ones we have now well you get the point so yes size matters in fact our size also matters so when that day comes when a one in a zero can be stored in something even smaller than an atom given how big we are we might not care but actually I think we will hi more again this is five minutes five minutes is produced at the studios of KQED FM in San Francisco five minutes is a production of technician media I'm Paul land court from San Francisco I'm more again and this is technician today on technician Heinz award winner Dr Nadine Burke Harris with her book the deepest well healing the long term effects of childhood adversity then on technician health chief correspondent Dr Daniel Kraft talks about our microbiomes how they can change and why they matter the science is clear on this it has determined that adversity is a social determinant for poor long term health outcomes it's true of humans it's true of frogs Dr Nadine Burke Harris yes yes that's absolutely right now I'm some of the foundation for this work for from my understanding of it really came for from research that I did when I was in college and I worked in and amphibian endocrinology lab we're looking at hormones and frogs and at we were actually looking at the effect of stress hormones on the growth and development of titles in what was fascinating for me and it was you know this research that I that I thought back on when I was you know for further out of my medical practice and thinking about how stress affects development and health with that for for these tadpoles what we found was that the peace that was critical with the timing of when they were exposed to the stress hormones if if these frogs were exposed to stress hormones right at the time that they were turning into adult and frogs then it was actually adapted these stress hormones actually helped that metamorphosis happen faster and it helped these frogs kind of get out of the stressful situation which in this case might be a crowded pond right and actually develop into adult toad faster which was great but for the younger capitals the ones that were not close to metamorphosis what we found was that that the same last dose of stress hormones was actually an inhibited their growth affected their ability to regulate he essentially the tadpole equivalent of blood pressure and you know and regulation and ultimately actually increase their risk of death and it was really fascinating to see that the same hormones rain which for frogs whereas corticosteroids and in humans it's essentially cortisol the same hormones had a very different a fact depending on when and development they were exposed we're gonna go from tadpoles and frogs to humans and thank you for answering the next question was a heather Hechtia stress the frog yeah yell at it what do you do you know but that you answered that crowded ponds are we were one of the one of the ways to do that but I wanted to to put people in Scituate have listeners all over the world I think they all know San Francisco many of actually visited San Francisco but of those who visit in all likelihood they didn't go to that area known as Bayview hunters point described efforts so big deal hunters point is a neighborhood of families it has they highest rate of homeownership in San Francisco it's got the highest number of kids of any neighborhood in San Francisco it's been historically an African American predominantly community although a lot of these demographics are changing now but it's also a really challenging neighborhood it's a place where you know of all of the neighborhoods in the city for most of them heart disease is the leading cause of death right and for a few it's HIV aids but in in Bayview hunters point still the leading cause of early mortality is violence so this is a place where you know there are some shootings that happen on the street there are drug deals that happen sometimes in front of kindergartners on their way to school and if you having had the opportunity to spend a fair amount of time in Bayview it's this amazing combination between some of the most beautiful and some of the most challenging things in our cities which we have these families we have these you know incredibly cohesive you know you know large families where you you know have lots of these relationships but also a lot of poverty a lot of adversity a lot of violence and and family struggle now see PMC most people say Gee that's in Pacific heights really nice place let visitors have been there right up the hill from the marina you went there is a fairly newly minted pediatrician if you will I have in you serve yourself through there was a difference between the health status of children in Pacific heights in the marina and the children of Bayview hunters point that actually even going out to be the water supply yeah so when I first finished my residency at Stanford and I came to work at California Pacific Medical Center you know my interest in my passion was always to serve vulnerable communities and I was this crazy ambitious you know young doctor and the television and that is really funny my out my boss went away on vacation mmhm about a week after I had started work and I had been having conversations with folks in the community and I had this crazy idea we were going to open a clinic in Bayview hunters point so I spent the time that my boss was a way you know reading all the research and pulling it together and and had coming up with the beginnings of a business plan for what would ultimately become the Bayview child health center and what was really not was that when my boss you know came back from his vacation and solid I was up to he really helped me and together we pulled together this business plan and pitched it to doctor Martin Brotman who with the CEO of C. P. M. C. at the time and instead of telling me that I was insane he he actually got behind the idea which was really amazing and he was really I'm interested in demonstrating C. PMCs commitment to the community and eighteen months later the baby child health center opened its doors I think what was so impressive for me and you can actually hear it and how I can ask that question is you didn't have to go out there to figure out there was a problem there'd been a two thousand four assessment of public health by zip code and there it was right in the report that's right there was something called at the community health assessment that was put together by the hospital council of northern California and that is a report that documents the health status of individuals in each neighborhood in San Francisco by zip code and what was fascinating as as I was reading the report right next to nine four one two three which is the marina district you turn the page and the next page is nine four one two four which is Bayview hunters point and when you look at the difference in the health status between kids who are born in in the marina versus Bayview hunters point and you see dramatic increases in the risk of things like asthma and pneumonia and diabetes and you know for me looking at that thinking to my I was thinking to myself how is it possible that families who are living in the same city right San Francisco one of the most well resource cities in the world has such different outcomes on the basis of zip code well one of the disconcerting aspects here is that you point out it it was thought that providing more healthcare access economically challenged communities which socio economically challenged communities would solve the problem and you say it doesn't yeah well what I found was that you know when we opened the clinic we did a great job of providing really high quality care putting into place all of the latest protocols in and doing all of the things that I had had learned when I did my masters of public health as part of this public health playbook so it's all of the the best practices in terms of clinical practice and for serving vulnerable communities and you know our kids were getting we were able to increase the immunization rate we were able to reduce that asthma hospitalization rate but when I looked at you know the biggest drivers behind disease and risk of death we really weren't moving the needle and that was something that was incredibly frustrating to me and my interest was in in in getting to the bottom of that understanding if we could get new tools to be able to move the needle you're listening to technician I'm more again and my guest today is Dr Nadine Burke Harris she's an M. D. with a masters in public health from Harvard she did a residency at Stanford it is now the founder and CEO of the center for youth wellness in San Francisco in twenty sixteen she received the Heinz award for her impact on the human condition her Ted talk how childhood trauma affects health across the life time has been viewed well it's closing in about four million times over three million she's here today with the deepest well healing the long term effects of childhood adversity well let's tell people why you name this the deepest well the name the deepest well refers to the public health parable that I tell in the book where you know it was that easy the late eighteen hundreds there was the cholera epidemic in in London and a doctor and epidemiologist Dr Johnson now so not game of thrones Johnson okay and the other jobs that Dr Jon snow was investigating this cholera epidemic and you know at the time people thought that disease was spread by by file errors right and so they were doing their best to combat that as you know the source of the problem but when that doctor snow went around and actually interviewed and and track to the household where they the cholera outbreak had affected what he determined was that all of these folks what they had in common was that they all drank from the same water source which was a water pump with a pump handle right like a manually operated pump panel member this is before germs exactly and or we knew better exactly yeah and so when he convinced public health officials to remove the handle from that well the cholera outbreak subsided and the reference here in terms of the title of the book is really around the importance of getting to the source if we don't understand really what the underlying problem is with the underlying source of the problem is then it's going to be much more difficult for us to treat effectively well that brings us to childhood toxic stress define that for us what kind of adversity it's problematic I'm the groundbreaking research about this work was really done by the CDC and Kaiser Permanente Hey and they did a study called adverse childhood experiences study we looked at ten categories of childhood adversity those include physical emotional and sexual abuse physical and emotional neglect or growing up in a household where apparently as mentally ill or a substance dependent or incarcerated or where there was parental separation or divorce or domestic violence and.

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