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Steve Lacy dropped a new album called "Gemini Rights" and I have really been into it lately.

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I love Faye Webster and I can listen to her at anytime and in any mood. She makes alternative/indie music. Her music is very slow paced and almost jazzy in my opinion.

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For too long Racism has been a system of oppression preventing certain people from accessing necessary resources

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Seminal events during the pandemic - such as the protests over the death of George Floyd at the hands of Minneapolis police in 2020 and the disproportionate impact of COVID-19 on communities of color - have brought the issues of systemic racism and injustice to the forefront of the public's consciousness.

For some health care providers, the moment also has presented an opportunity to leverage the national conversation into new efforts to examine how existing policies and practices in medicine may be perpetuating racial health inequities.

"We're at a pivotal time," says Dr. Nichola Davis, chief population health officer for NYC Health + Hospitals, New York City's public hospital and health care system. "People's ears are open and they are willing to hear and have these courageous conversations that they maybe weren't able to have in 2019."

At issue are clinical algorithms that factor in race when assessing a patient's risk for a host of health conditions, ranging from death in connection with heart surgery to urinary tract infections in children. Critics of such calculations contend they may result in patients of color receiving less access to and poorer quality of care than their white counterparts, fueling long-standing racial health disparities.

"Race was never necessary or needed" in these algorithms, says Dr. Milda Saunders, an ethicist and health equity researcher and associate professor of medicine at the University of Chicago. "I think a lot of times when we're measuring race we're measuring racism, both structural and interpersonal racism."

Race-based adjustments within algorithms that help make clinical assessments have been around for decades. But while there is widespread acceptance within the scientific and medical communities that the concept of race is not based on biology and is instead a social construct, race correction continues to influence patient diagnoses and treatments.

And despite growing acknowledgment of the potential harms caused by race correction in medicine, so ingrained are these calculations in clinical assessments that the effort to overhaul them is often complicated with questions over what factors can be an adequate replacement.

"These are conversations that have been happening among certain subsets of people for years," Davis says. "This isn't new work for some people."

There has been notable movement of late, however: Last May, for example, NYC Health+Hospitals announced its removal of a patient's race from calculations used to assess kidney function - part of the launch of the health system's broader " Medical Eracism" initiative.

Race was first introduced in the late 1990s to calculate estimated glomerular filtration rate, or eGFR, which is commonly used by clinicians to measure the kidneys' ability to filter waste from the blood. A higher eGFR score normally suggests better kidney function.

Black patients, though, are typically assigned a race adjustment that raises their eGFR by approximately 16% or more than non-Black patients, depending on the equation used. The adjustment is tied to past findings showing higher levels of the waste product creatinine among Black people.

"Explanations that have been given for this finding include the notion that Black people release more creatinine into their blood at baseline, in part because they are reportedly more muscular," a 2020 article in The New England Journal of Medicine states. "Analyses have cast doubt on this claim, but the 'race-corrected' eGFR remains the standard."

Davis says this adjustment can negatively impact the quality of health care Black patients receive, causing delays in receiving medical interventions such as referrals to a nephrologist or dialysis. One such potential consequence was outlined in a November piece published by STAT, in which Glenda V. Roberts - a woman with kidney disease who identified as Black - wrote of how the equation delayed her evaluation for a kidney transplant.

"Unfortunately, when you look at the clinical algorithms, what many of them do is they may downplay the severity of some illnesses when you do that race correction," Davis says.

"The big change is that more institutions like the hospital system, hospital leadership and administrators are more on board with efforts toward equity than they were in prior years," says Dr. Monica Maalouf, associate program director of internal medicine for Loyola Medicine, a health system based in the Chicago area.

Maalouf says Loyola is in the process of determining how to remove race as a variable within the health system's eGFR calculations. That process has involved talks with physicians and laboratory coordinators and directors, as well as working with information technology specialists on how to remove the racial designation from the risk score's automated reporting system.

National Kidney Foundation President Dr. Paul Palevsky says the new equation marks an important step toward efforts to achieve equity in health care by providing a more accurate, race-free approach to assessing kidney function.

"It was the most common equation used in medicine that incorporated race that was reported to be used in clinical care," Palevsky says, estimating a race-inclusive equation for kidney function is used approximately 240 million times a year.

But while the change in the eGFR calculation signifies a substantial step forward, eliminating race correction in calculations for other health conditions has been more challenging, despite increased recognition about the potential harms and health disparities that can come from their continued use.

"The field has realized that when we are using race as a factor in our clinical assessments that we're actually not using a precise measure like we would do for measuring sex, or age, or other things that we use to make our clinical decisions," says Saunders, with the University of Chicago. "But we want to find the best answer, so that may involve sort of reexamining the questions and not just saying, 'Let's just drop race,' but asking what was race measuring, and then substituting that measure."

Saunders says University of Chicago Medicine recently removed race in calculating eGFR in patients, opting to adopt the algorithm endorsed by the National Kidney Foundation. She notes there also has been a broader push among clinicians in recent years to consider the impact of social drivers like income, access to food, housing status and access to transportation on patients of color when making clinical assessments.

Much of the recent attention toward removing race in clinical assessments began with the 2020 article published in the The New England Journal of Medicine, which listed about a dozen tools that included race in assessing clinical areas such as patients' lung function, risk of in-hospital death from heart failure and survival from cardiac surgery. Such tools hold the potential for harmful consequences, the article noted, and could lead to issues such as nonwhite patients not getting health care interventions as early as white patients.

"Many of these race-adjusted algorithms guide decisions in ways that may direct more attention or resources to white patients than to members of racial and ethnic minorities," wrote the authors, from Massachusetts General Hospital, Harvard Medical School and NYU Langone Health. "If doctors and clinical educators rigorously analyze algorithms that include race correction, they can judge, with fresh eyes, whether the use of race or ethnicity is appropriate."

Last May, a study published by the American Journal of Obstetrics and Gynecology introduced an updated model that does not factor in patient race for use in estimating the chance of a successful vaginal birth for women who previously had a cesarean section. By lowering the estimated chance of success for women of color, a previous version of the VBAC calculator - a tool singled out in the NEJM piece - could push them toward a C-section, which is a major surgical procedure many maternal health experts believe is performed too often.

At the same time, adjusting for race in some cases may raise the question of whether doing so is useful if it results in minority groups potentially receiving more consideration.

For example, race adjustment within an atherosclerotic cardiovascular disease risk estimator - which estimates the risk of having an event like a stroke and helps clinicians determine when to start patients on cholesterol-lowering medication - can put patients who identify as Black at higher risk than white patients. Having race correction within the tool could make it more likely clinicians will intervene earlier for Black patients.

"Using race in these clinical algorithms hasn't been all bad," says Dr. Malika Fair, senior director of equity and social accountability for the Association of American Medical Colleges. "Their intent when they were being used sometimes was to identify health inequities."

Fair says unilaterally removing race from every algorithm is a feasible approach, but fails to answer whether doing so would make things better or worse for patients. "We have to take the time to figure that out so that we don't end up inadvertently creating more racial health inequities when we remove race from the equation," Fair says.

Notably, a study published last year in The Lancet Oncology found that removing race from an eGFR equation could undercut cancer treatment in Black patients.

Dr. Megan Mahoney, chief of staff for Stanford Health Care and a clinical professor of medicine at Stanford University, says professional medical societies can play a huge part in providing and promoting guidance on alternatives that clinicians can use to assess disease risk without factoring race. Yet much of the action taken thus far aimed at eliminating race-based clinical assessment has been led by individual hospitals and health systems, which have made policy decisions after deliberation and consideration from their own experts.

Mahoney says medical societies can streamline the decision process for hospitals by serving as a trusted arbiter to review the evidence and provide guidance that most will accept.

"A particular health care system can do it, it's just that it's going to be harder to get buy-in from those who are actually implementing the change - the physicians on the front line - without the professional societies backing them," Mahoney says.

Mahoney agrees it's important to identify the root causes of health disparities for patients of color that have led to differences in risk outcomes. But she fears leaving race-based algorithms in place could reinforce concepts that tie race to biology, and could have long-term social and clinical ramifications.

"Even if there are going to be downstream changes that might put African Americans at a disadvantage, the perpetuation of race as a biological factor both in medical education and in medicine in general, the risk of that far outweighs that minor benefit some racial groups might be getting from the current state," Mahoney says. "We are really putting our medical students and a whole generation of trainees at a disadvantage when the concept of biological race is reinforced in their training."

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Seminal events during the pandemic - such as the protests over the death of George Floyd at the hands of Minneapolis police in 2020 and the disproportionate impact of COVID-19 on communities of color - have brought the issues of systemic racism and injustice to the forefront of the public's consciousness.

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Favorite book for this week: On Earth We're Briefly Gorgeous by Ocean Vuong

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Favorite book for this week: On Earth We're Briefly Gorgeous by Ocean Vuong

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I read this book recently and it becomes my favorite one for this week. It was written and released by Ocean Vuong who is one of Vietnamese-American poet. This novel focuses about how hard it was to him and his mom when they were in the US first time as immigrants. It also shows Vietnamese traditions, foods, daily communications, loves,...

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I finally watched the entire series this past month and am obsessed. If you haven't watched yet, I definitely recommend. I'm excited for House of the Dragon to come out in August.

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Trouble is brewing in Westeros. For the inhabitants of this world, control of the Iron Throne holds the lure of great power. But in a land where seasons can last a lifetime, winter is coming...and beyond the Great Wall that protects them, a forgotten evil has returned. HBO presents this epic series based on the book series A Song of Ice and Fire by George R.R. Martin.

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Game of Thrones | Official Website for the HBO Series | HBO.com

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The official website for Games of Thrones on HBO, featuring interviews, behind the scenes exclusives, and more.

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I have really been enjoying rewatching this show on Netflix and can't wait to start the new season!

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This is a series on Netflix about various non-fiction phenomena in the world and all the imformation they were able to find on them. 

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This series was one that was referred to me by a friend that has recently peaked my interest. I have only watched the first three episodes which are strange creatures, strange structures, and evil places. I have had nightmares about some of them, but because I feel they have done such a good job with conveying the information and making these stories believable to an extent. They talk about theories with the pyramids and other places like the Suicide Forest that I have only heard surface level things about. So, I found it more interesting to dig deeper into these topics. I also love that this was narrated by William Shatner since his voice could not be more perfect for the role.

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First image from NASA's James Webb Space Telescope 

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First image from NASA's James Webb Space Telescope 

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Hello class! This is a test image from NASA's Webb Telescope that was taken in order to see how well the telescope was able to point in one direction. Although it was merely a test, the results stunned everyone and is now classified as one of the deepest images of the universe ever taken. They are going to release a set of pictures on July 12th and I cannot wait for it!

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Countdown to the Webb Telescope's First Images

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Webb's Fine Guidance Sensor Provides a Serendipitous Preview

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I just finished reading this book yesterday. It is about an ER doctor, Kit, who believes her sister died in terrorist attack only to find out that her sister is still alive and living a lie. Kit goes back to the past where she used to spend time with her sister on a beach while on a mission to uncover the terrible truth about their estrangement. I also have a sister and love the beach, so I found this book to be very thrilling and enjoyable.

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The Biggest Little FarmPG2018 ‧ Documentary ‧ 1h 31m

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This is a documentary I recently watched about the life of John Chester and his wife Molly as they acquire and establish themselves on Apricot Lane Farms in Moorpark, California. Very moving, I recommend watching ;)

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This book was great. It was about found family and magical powers. My favorite character was the antichrist surprisingly.

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I saw this movie recently and it's a little strange but it pulled me right in. It's trippy and totally worth the watch. It's a movie from a the Cannes film festival from the 70's.

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This is a video I watched for another class, but it ended up grabbing my attention by providing me information on a topic I've only pondered. Darwins theory of evolution, you know, where we date back to fish... This video was interesting to me as it brought up many good points on how species evolve to adapt.

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I recently just made these peanut butter cookies and it only took three ingredients. I defiantly recommend!

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Peanut Butter

Sugar

Ingredients

Measure

In a mixing bowl, combine peanut butter, sugar, and egg.

Scoop

Scoop 1 Tablespoon cookie dough onto parchment paper lined cookie sheet.

Flatten

Using the tines of a fork, flatten cookie dough with criss cross. Bake and cool.

No Chill Dough

3 Ingredients

Easy to Prepare

Why this Recipe Works

Easy as... 1, 2, 3

Peanut Butter Cookies

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It doesn’t get any easier than these 3 ingredient Peanut Butter Cookies. Whip up a batch of delicious homemade peanut butter cookies that are naturally flour-free and dairy-free!

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I read this book couple months ago, and it changed our life style completely to keep and give the best life a dog could ask for. Really recommend it for dog owners, you learn a lot.

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Rodney Habib (Author), Karen Shaw Becker (Author)

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The Forever Dog: Surprising New Science to Help Your Canine Companion Live Younger, Healthier, and Longer

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The Forever Dog: Surprising New Science to Help Your Canine Companion Live Younger, Healthier, and Longer [Habib, Rodney, Becker, Karen Shaw] on Amazon.com. *FREE* shipping on qualifying offers. The Forever Dog: Surprising New Science to Help Your Canine Companion Live Younger, Healthier, and Longer

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This is my favorite TV series. It's a good show for young adults who like drama or mysteries.

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From the first episode I was hooked. This became my new guilty pleasure and it sometimes hurts waiting for the next episode every week. I have never read the books, and I don't want to start now in fear that I'll spoil it for myself. Here are some reasons why you should watch Pretty Little Liars.

Great Cast! - The casting was really done well. Although Spencer does look a bit older than the rest of the girls, it still is great. They all have great chemistry with each other on screen, it really makes it believable. I believe every single one of these girls its crazy, and I am like on the edge of my seat wondering who is "A".

Great Story! - At the end of each episode i get mad! Its like damn gotta wait another week for another one. Its so addicting. It really is, just watch it.

Secret Life is a mess, This is A lot BETTER!!! This should be on Mondays instead of Tuesdays!

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Pretty Little Liars (TV Series 2010-2017) - IMDb

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Pretty Little Liars: Created by I. Marlene King. With Troian Bellisario, Ashley Benson, Lucy Hale, Shay Mitchell. Four friends band together against an anonymous foe who threatens to reveal their darkest secrets, while also investigating the disappearance of their best friend.

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Jurassic World: Dominion is finally out! Yay! My Family and I are huge Jurassic park movie fans and enjoyed every bit of the movie. I was filled with action and a lot of the actors in the previous movies were in it which made it even better! the story line was great! overall we really enjoyed it

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An adult animation/claymation TV show that talks about our real-word problems covered by comic relief. 

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I was introduced to this show by a really good friend of mine, and although I'm not one for adult animation, I found this show to be bingeworthy. The animation style is 10/10, and the way the show switches from animation to claymation is like nothing I've seen before. Both my friend and I struggle with mental illness, and I feel like this show really caters to that demographic. I found myself rethinking a lot, but also finding relief in a lot of the jokes. I would reccomend this show to anyone who needs a good laugh, or is simply just bored. The first season is so short, but it has such a rich plot :).

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Thor: Love And Thunder Release date July 8, 2022!!!

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Thor: Love And Thunder Release date July 8, 2022!!!

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Thor has always been my favorite Marvel character and I can't wait to watch this new movie! In this movie, Thor embarks on a journey unlike anything he's ever faced -- a quest for inner peace. However, his retirement gets interrupted by Gorr the God Butcher, a galactic killer who seeks the extinction of the gods.

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Human Sexuality is so much more in depth than what we've learned in sex education. I recently started this series about the amazing Dr. Masters and Virginia Johnson who studied sex and its physiological responses, in the lab with real subjects both as single participants and couples. Before watching this series, I watched "Kinsey", which was another pioneer of sexology, who conducted thousands of surveys and interviews about people's sexual history. I highly recommend watching that first then this series. Sexuality feels like its always been this "quiet" topic that most feel can't take about and I believe its extremely important to know the biology, evolutionary, social/cultural, and psychology surrounding sexuality.

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Masters of Sex (TV Series 2013–2016) ⭐ 7.9 | Drama, Romance

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I have been reading recently and I finished the book The Song of Achilles by Madeline Miller. It was by far one of the best books I have ever read and I enjoyed it so much. Madeline Miller takes the story of Achilles and makes it something you wouldn’t expect but are happy it exists. As I finished, I then made a playlist for it on Spotify and liked the song l, Achilles Come Down by Gang of Youths. They held greek metaphors and references and I’ve always had an interest in Ancient World history so I was thrilled. Below is my playlist linked!

https://open.spotify.com/playlist/4kp787ab3eFrCOtBeIpmvm?si=90Il8GP9T2CPL8tfMRq7Ew

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Amazon.com: The Song of Achilles: A Novel: 9780062060624: Miller, Madeline: Books

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I watched this video about the "Stairway to Heaven" in the Austrian alps recently and I found it interesting and absolutely terrifying. I am going to the alps this summer and stumbled upon it while doing research.

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Climbing 700 m Above The Abyss: Stairway To Heaven In Austria | Axel On The Edge

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Hi, I’ve recently gotten into reading books and this is one of my favorites so far. I enjoyed reading when I was younger and decided to get back into it. 

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Creating an ecosystem of learning post-covid in NYC

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Creating an ecosystem of learning post-covid in NYC

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Loved this idea!

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The New York Public Library Is Giving Away Half-a-Million Free Books This Summer

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Some fun facts about my all time favorite movie: The Departed

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Some fun facts about my all time favorite movie: The Departed

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I thought I would share a link to an article that talks about a great film called The Departed. If you haven't seen it I recommend.

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Martin Scorsese has been a beloved filmmaker since the '70s. All he was missing for many years was that Oscar. Would it ever arrive? Or would he end up like Alfred Hitchcock, never recognized with a Best Director award? Then, the day came, thanks to a twisty crime drama adaptation called The Departed. It was packed with stars, but Scorsese is always one of the stars of his movies. These are 20 facts about the Oscar-winning film.

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20 facts you might not know about 'The Departed'

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It was packed with stars, but Scorsese is always one of the stars of his movies. These are 20 facts about the Oscar-winning film.

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Last weekend, 96 of my family members gathered for a reunion. It was so much fun seeing everybody! My mom is one of eight children, so I have lots of aunts, uncles and cousins. There is 24 grandchildren in my family (I'm #23 out of the 24), and now there is 27 great-grandkids! Our family continues to grow as my cousins/siblings get married and have children. I'm super lucky to be apart of such an awesome family... and somehow we all still get along and like hanging out together! ;)

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I'm so happy that Disney made a Hocus Pocus 2. I grew up with this iconic movie and I can't wait to watch it! I'm curious to see how the storyline will continue.

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I just finished reading this book and I absolutely loved it. It was a book that made me question everything and this was the first book I ever enjoyed to the point where I couldn't put it down. I definitely recommend.

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Participating in psychedelic ceremonies with shamans fr…

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my cousin made me watch season 3 of stranger things and now I'm patiently waiting for season 4 volume 2. I became obsessed wit it.

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Stranger Things: Conheça Maya Hawke, intérprete da queridinha Robin

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Filha de dois astros de Hollywood, a jovem já se tornou uma das atrizes mais promissoras do momento.

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I chose this article because I love learning about music history and the women that have contributed. Joan Jett joined the Runaways at age 16! So young! And so talented.

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NEW MUSIC | NEW ARTISTS | LIVE EXPERIENCES

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Recently I watched a show called The Summer I Turned Pretty, which is an adaptation of a book series that I read a few years ago. I really enjoyed the show and would even say the show is better than the book (which is very rare). It was super nostalgic to watch and I definitely recommend the book and show!

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I recently just finished Bio 112: Evolution and Adaptation, and this concept astounded me that sperm cells belonging to the same organism will group together inside of the uterus. It's a 2 minute listen if you'd like to learn more about the study :)

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In deer mice, multiple males will often mate with one female, sometimes within minutes of each other. To increase their chances of reaching the egg, each male’s sperm will cluster together with their own kind, allowing them to swim faster than those that go it alone.

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Hello! I read this book a few weeks ago and I really enjoyed it. Super captivating and I really like Jon Krakauer's writing.

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An Article I Read Reviewing a Video  Game I've Been Playing

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An Article I Read Reviewing a Video  Game I've Been Playing

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Recently I have been playing Psychonauts 2 and I felt that this review encapsulates the experience I 've had thus far when playing the game.

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Something about me is that I love to read. I love spending time outside whether its in my backyard, at the beach, etc... reading novels! This is currently the book I am reading, "The Art of Racing in the Rain" written by Garth Stein. This is a book that I have very much enjoyed recently and love reading in my free time. I highly recommend this novel, and recommend the movie as well! It takes me some time to really find a book I enjoy and am interested in, so please reach out if you have any book recommendations for me! - Heather Marschall

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Recently I watched this Disney movie called Turning Red which is about a young girl who is torn between trying to please her parents while also trying to live a regular teenage life. With the help of her friends she is able to truly be herself. This coming of age movie focuses on Asian culture and the stereotypes of parents forcing their children to be good, obedient, and smart kids that follow their cultures beliefs.

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Turning Red - Cast - Nobody Like U (a cappella) (From Disney and Pixar's Turning Red)

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I just finished watching the inside job on Netflix. The show is a  workplace comedy  set in a world where many conspiracy theories are real. It is centered on an American shadow government organization Cognito, Inc., which attempts to control the world and keep the conspiracies secret. Inside job is really funny and worth watching.

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My mom sent me this video and it makes me laugh. My dog loves water but cannot figure out actually swimming and not just standing in it. This video is her funny and pathetic attempt to get the ball out of the water without actually swimming.

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I just finished watching this series on Netflix and really enjoyed it! I would highly recommend this satirical telenovela.

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An article about some forgotten history. Very interesting and important read.

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Centuries before we had American Sign Language, Native sign languages, broadly known as "Hand Talk," were thriving across North America. Hand Talk would be influential in the formation of American Sign Language, but it has largely been written out of history.

One of these Hand Talk variations, Plains Indian Sign Language, was used so widely across the Great Plains that it became a lingua franca - a universal language used by both d/Deaf and hearing people to communicate among tribes that didn't share a common spoken language. At one point, tens of thousands of Indigenous people used Plains Indian Sign Language, or PISL, for everything from trade to hunting, conflict, storytelling, and rituals.

But by the late 1800s, the federal government began to implement a policy that would change the course of Indigenous history forever: a boarding school program designed to forcibly assimilate Indigenous children into white American culture - a dark history that we're still learning more about to this day.

Because of a forced "English-only" policy, the boarding school era is one of the main reasons the country lost so many Native signers - along with the eventual dominance of ASL in schools for the d/Deaf.

Today, there are just a handful of fluent PISL signers left in the US. In the piece above, we hear from two of these signers, Melanie McKay-Cody and Lanny Real Bird, who have dedicated their lives to studying and revitalizing the language. They show us PISL in action and help us explore how this ancient language holds centuries of Indigenous history.

This video is part of our award-winning series, Missing Chapter, now in its third season. You can watch more Missing Chapter episodes in this playlist.

You can find the entire library of Vox's videos on our YouTube channel.

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Plains Indian Sign Language is one of the oldest surviving languages in North America.

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Something that I enjoyed online the past week was watching the final episode of the Kenobi series on Disney+. The final episode was exciting and thrilling to see Kenobi and Vader face off again. One of the peak moments in Star Wars.

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Obi-Wan vs Darth Vader - Full Final Fight - Episode 6

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Most recently, after watching The Batman, I've found myself falling into a DCU hole, but specifically for Batman/Batfamily related media. This week I started watching Young Justice on HBOMAX and its been very fun!

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Hi everyone! I really love dogs and have a very special affection for golden retrievers. Growing up my family had a golden named Emmy and she was very goofy, much like this puppy.

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View this post on Instagram

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