good morning, everyone! i’m Rachel Park, event coordinator with Asian Women for Health.

feel free to introduce yourself in the chat; thank you for joining!

Hi, Annie Chin-Louie, Project manager, Tufts Medical Center

welcome, Annie!

Hi! I'm Stefani Karr, Network of Care MA Project and Data Manager at the Massachusetts Association for Mental Health

welcome, Stefani!

Hi there, I’m Roxanne from Action for Boston Community Development and do Fuel Assistance outreach & policy work. Oh, and along with Marilyn Gardner, I’m the co-chair of this year’s conf.

Hi all, I'm Catherine Martin, Engagement Coordinator for the All of Us Research Program with the National Library of Medicine - UMass Medical School/Worc

Alex Pirie - Immigrant Services Unit, City of Somerville, COVID response team. Immigrant Service Providers Group/Health.

Good morning, I am Alice a Senior undergrad from Emmanuel College. I study Psychology and am interested in public health as well as Asian/Asian American mental health. Thank you for putting this on!

Hi everyone! So honored to be here with all of you today. I am the Director of Clinical/community Linkages at the Center for Health Impact out of Worcester Massachusetts. I'll be joining you today as the moderator of our panel as well as a breakout presenter.

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Lynette from Boston MA

Keenae (she/hers) from Massachusetts General Hospital. Working with the Engage Cancer and Mental Health Collaborative to ensure mental illness is never a barrier to cancer care. Looking forward to the conference today.

Lisa Brukilacchio, Manager, Health Improvement Team, Cambridge Health Alliance. Can only join early; hoping interns and young colleagues will be able to join later for this important annual gathering.

Hi everyone! I'm Geoffrey Liu, a psychiatrist at McLean hospital. I'm interested in how to provide high quality cross-cultural care in psychiatry

https://www.newyorker.com/books/page-turner/a-sociologist-examines-the-white-fragility-that-prevents-white-americans-from-confronting-racism

educated

Mother, maybe 2nd generation immigrant (no accent),

your setting

Asian, probably Chinese, immigrant? Child of immigrants. Educated speech.

I would assume you grew up here so were socialized as a western

That you may well be an immigrant and/or not share the same (white, New England/Protestant) cultural background as myself.

Because of accent - second generation

the room you are in, looks like you are in the city - so you have a job & established

You appear to present as female.

I would not bother to explain the medical terminology because it seems you speak English well

the assumption: compliant, agreeable, not going to talk back, make demands.

Instant

mildly uncomfortable but useful

instant, but then begin to worry about knowing this is wrong to assume, so then internal debate about how many questions to ask and how uncomfortable to both of this that this might be.

1 in 7 Asian Americans is undocumented

Thanks for sharing your story and being vulnerable/courageous at the same time!!

Echoing Chien-Chi - thank you.

Thanks for sharing your personal story!

yes

yes

we’re not supposed to admit race-based assumptions

Language even within English as home language - Boston accent and class bias

time

extra step, takes more time

My students for whom English is not their first language say that native English speakers presume they are stupid... and also speak loudly to them as if loudness=better chance of comprehension.

Time

This reminds me of the hysterectomies that were done in ICE facilities

hard to tall if communication is effective

Your zip code has impact on your health, not just your genetic code!

during work with interpreters around selfcare/stress reduction, the general feeling was that interp. necessary, but it took away time from the clinical visit and things might get left out.

agree with the importance of interpreters but have also encountered situations where the interpreter was not truly translating what the patient and/or physician were trying to communicate which has led to some clinically impactful rxns.

No Vietnamese medical card?

sorry, I meant that the time lost as interp. takes place is deducted from the increasingly controlled amount of time for visits - particularly now that charting often gets included in the visit.

Stereotyping of people with Japanese origins still persists left over from WW2 propaganda cartoons, etc.

Agree - we all have our own platform and can exert certain influence in our circle

Thank you for this fantastic presentation. Any chance the link to the MGH report could be shared in the chat?

Thank you so much!!

Thank you!

Thank you so much!

we’ll be emailing attendees with all of the conference resources!

Thank you for an amazing presentation!

Thank you!

Thanks!!!

thank you for a powerful keynote, Aswita!!

Thank you!

Thank you!

Thank you for this powerful presentation!!

Thank you everyone! I have to jump off for another meeting!

A wonderful way to kick off the conference. Informative and insightful. Thank you!!

Thank you! I learned a lot from your presentation and definitely interested in learning more!

Thanks for sharing your insights, story and resources!

a reminder to adjust your Zoom setting to ‘speaker view’ to get a full view of the panelists!

YES! Medication does not take into account weight for especially Asian/Asian Americans with smaller body size

thank you for sharing, Maria — i would imagine many folks with immigrant parents can relate!

It’s the Patients’ right to ask for interpretation services

Since I was a kid, I've been going my parents' doctor's appointments as an "interpreter" my parents prefer me over other interpreters sometimes don't understand them and they are worried about patient confidentiality.

this is an appalling story - family members, except in extreme situations, should never be asked to interpret. How frequent is this, do others have this experience?

It’s hard to secure interpretation services and often time it can be a long wait

Illegal, unethical, but sadly family members being pulled in to interpret is very prevalent, even today :(

For the vast majority of languages, connecting to a phone interpreters takes just a few seconds. But indeed for rare languages (languages of lesser diffusion) getting an interpreter can be a challenge

while I was translating English in Korean (and vice versa) for my mom and her doctor, I realized that most of doctors didn't look at my mom when they talked. they looked at me instead. but I was there as an interpreter/family member, not a patient. my mom is not an invisible person, you know :(

<3

RE: Frank's covid comments, study reported on MedPage yesterday about covid morbidity/mortality: “ The Hispanic race, followed by Asian... you don't hear a lot about Asian race... with a 71% increased risk of mortality, followed by Black patients.” The "you don't hear a lot about" is significant.

that’s so tough & upsetting, jeannie; appreciate you sharing <3

thank you for your insights & vulnerability, geoffrey!

The extra time! Readmission is more expensive, but the short range $ solution is encouraged by the system. The same is true for encounters where an interpreter is included - the clinical time should be expanded to accommodate this.

The daughter was on drugs and drank alcohol!

Lintette's story also brings up the issue of possible domestic violence (and other legal issues) and fears (legitimate) of involving ICE and USCIS.

Alex, 100, great point

when I was an early teen, I hurt my parents feeling by saying "you can't do anything without me" which is definitely not true.. but I was just sick of going everywhere as an interpreter (bank, stores, apartment leasing offices, doctors, etc) people also look down on immigrants with poor English skills even though those immigrants are not necessarily less educated/ intellectual..

karen — i experienced and adopted a similar mindset when living in seoul for a few years.

totally agree, Maria!

cultural humility, yes!!

Treat people how you would like to be treated - with respect and compassion

YES to empathy, curiosity and respect!

The recording of this session should be part of every first year medical school curriculum.

I did T-cell exercises with Dr. Fang on Zoom meeting since this February. My WBC went back to normal. My WBC wasn’t stabilized since I completed my chemo treatment last August.

Dr. Fang will demonstrate how the exercise work in a few minutes!

thank you ALL

Our tax lawyer friends' chest tightness was gone and internal organs were totally recovered doing T-cell exercises for 2 months. He had 17 broken-ribs and was treated at Lahey Burlington last year after a car hit his Harley motorcycle last year, A lady in Hong Kong had lung cancer. After she did the T-cell exercises with Dr. Fang on Zoom for two months, her lung fibrosis was undetected in x-ray. Dr. Fang and his circle Chinese herbal medicine doctors have been using T-cell exercises to treat Covid-19 patients and to prevent people from getting viruses by doing the T-cell exercises to boost up their immunity.

a reminder to enable ‘speaker view’ on Zoom to see a full view of Jonathan & the exercise!

https://www.sciencenews.org/article/coronavirus-covid-19-t-cells-patients-immune-system?fbclid=IwAR2xBIAXKoKpb2b1rPSZ8fU4u07kYvZu5YyOExB9_UCshIfapZ10e5-vXwI

thanks for sharing, Lynette!

Based on Dr. FFclinical experience in the past few months, I have streamlined these T-cell exercises and made some videos, which are suitable for coronavirus patients with different conditions. For those symptoms that are mild or absent, if they want to eliminate the virus, I recommend they do at least the simplified version of the T-cell exercises with only five movements: https://youtu.be/_DlngZUpxgM For patients who do the above five movements but are not getting the result you are looking for after five consecutive days, the next step is to do the full set of T cell exercise. This sequence of exercise has 15 movements which include increasing blood circulation and strengthening individual organs: https://www.youtube.com/playlist?list=PLkx4I00PjJnjGrDbiFFa3i6Q5yK150NZm For patients who can sit for a while, but their lungs are damaged by virus. There are three movements that can relieve lung symptoms and stimulate the thymus at the same time. The link is here: https://youtu.be/4CwkkbWj140 For extremel

In ScienceNews published on May 15th 2020, T cells may help COVID-19 patients — and people never exposed to the virus : https://www.sciencenews.org/article/coronavirus-covid-19-t-cells-patients-immune-system?fbclid=IwAR2xBIAXKoKpb2b1rPSZ8fU4u07kYvZu5YyOExB9_UCshIfapZ10e5-vXwI More reports or information about Mr. Gu and other Internal Organs Exercises please visit this website: http://guioe.com/ Other videos about COVID-19: http://www.inhandacupuncture.com/covid-19-treatment Jonathon Fang is a Chinese medicine practitioner, licensed as an acupuncturist and herbalist, and has been practicing medicine in Massachusetts for about 20 years. His professional background includes public health and toxicology. For more information about Jonathan, please go to: http://www.inhandacupuncture.com/practitoners

For those symptoms that are mild or absent, if they want to eliminate the virus, I recommend they do at least the simplified version of the T-cell exercises with only five movements: https://youtu.be/_DlngZUpxgM

For patients who do the above five movements but are not getting the result you are looking for after five consecutive days, the next step is to do the full set of T cell exercise. This sequence of exercise has 15 movements which include increasing blood circulation and strengthening individual organs: https://www.youtube.com/playlist?list=PLkx4I00PjJnjGrDbiFFa3i6Q5yK150NZm

Wow it

For patients who can sit for a while, but their lungs are damaged by virus. There are three movements that can relieve lung symptoms and stimulate the thymus at the same time. The link is here: https://youtu.be/4CwkkbWj140

For extremely weak patients who can only lie on their back, there is only one movement which can make the chest cavity open, so that the lungs have the opportunity to expand and contract. This is like massaging the lungs, the lungs will gradually return to normal and continue to provide respiration. https://youtu.be/0pPvOUc5tu8

Thank you, Lynette for the additional resources and explanation.

Fabulous!!

This was great! query: are the appropriate for a person with an auto-immune disease?

I learned a direct tapping over the thymus - do you recommend this?

http://www.inhandacupuncture.com/practitoners

Dr. Jonathan Fang’s website

Thank you so much Mr. Fang! I have shared your information with my communities in the SF Bay Area and Asian communities

thank you so very much, I appreciate you

Someone did the T-cell exercise on Zoom with Dr. Fang has breast cancer stage 4 and lung invasion. After she did the T-cell exercises with us for several months, her cancer marker number went down and they couldn't find the previous spot that they found in her x-ray.

definitely invigorating exercises!

perfect desk/ bad weather exercise for me. thank you!!

Would you post your contact info slide again?

Y4s, well worth incorporating. I’ll pass these on to my 84 year old Mom & auto-immune disease brother.

http://www.inhandacupuncture.com/practitoners

we’ll share all these resources post-event, so don’t worry if you’ve missed it!

Thank you SO much! Very helpful!

Thank you so much!!

Dr. Jonathan Fang’s website

Thank you

http://www.inhandacupuncture.com/practitoners

Dr. Jonathan Fang’s website

I can’t hear you

Can you clarify CLAS?

Thank you all

Kim will be sharing more info soon on the workshops! but here is the title of the CLAS workshop: CLAS – A Program Management Quality Improvement (PMQI) Tool to Advance Equitable Culturally and Responsive Care for Asian Women in Massachusetts

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CLAS: Culturally and Linguistically Appropriate Services

This is Carolyn Wong = I am interested in workshop 2, Communicating Across Boundaries

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Audrey Paek - 1 please

Jenny Yuan - 3 please

can't see the choices, so group 2, please.

Group 2, thanks!

3, please

3 please

AACS 3

Karen — you should be able to self-select your previous break out room

Hi all, I don’t see the breakout room next to share screen

hey everyone, let us know if you’re having any issues self-selecting your breakout room!