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Southern Appalachia often provides a folksy backstory to our national mythology—a tale of coal miners, moonshining, bluegrass, and ballads. But Appalachia is a real place that figures fundamentally in this country's heritage and destiny.
Its rugged mountains are rich in natural resources while its remote communities are home to some of the nation's most fiercely proud people and most persistent poverty. This region has endowed American culture—and the University of Virginia—with a wealth of gifts and innovations but itself faces staggering difficulties. Embracing Appalachia is challenging, especially now, as the coal industry disappears and crises of poor health, environmental degradation, and poverty deepen.
This Medical Center Hour with West Virginia coalfields native David Gordon probes our particular connections to Appalachia and how the enduring tragedy of this place is a “canary in the coalmine” for the rest of our nation.
Is "healthy Appalachia" possible? What will it take? What must we do?
Co-presented with the Center for Global Health, Institute for the Humanities and Global Cultures (Global South Initiative), Department of Public Health Sciences, and Healthy Appalachia Institute
A diverse population of caregivers working in clients' homes constitutes a vital link in our health care “system,” their services filling a gap between institutional care and what families are able to manage on their own. Who are these caregivers, what is their work, and what does their work mean—to them, to the clients and families they serve, to our larger society? Prompted by the recent documentary film, CARE, by Deirdre Fishel, which profiles five caregivers and their elderly clients, this Medical Center Hour inquires into the nature and lived experience of home-based caregiving for elders. What role will such home care play as our society ages and people seek to stay at home with complex, care-intensive medical conditions? How can we better value and compensate care workers and better support families who need their services? What about the sustainability of the home health caregiving economy and its workforce?
A John F. Anderson Memorial Lecture
Co-presented with the Department of Chaplaincy Services, UVA Health System
Thirty-five years after the discovery of AIDS, the story of this disease and the momentous scientific, medical, political, and social changes it occasioned is rich and complicated, even sensational. In 1981, Dr. Michael Gottlieb, a young UCLA immunologist, saw--and published a New England Journal of Medicine article about--a cluster of five cases of immune dysfunction and unusual opportunistic infections in gay men. Not long after, as personal physician to Hollywood actor and AIDS patient Rock Hudson, Dr. Gottlieb became the medical face of this terrifying epidemic.
In this Medical Grand Rounds/Medical Center Hour, Dr. Bruce Hillman, a medical school classmate of Michael Gottlieb, probes the war of egos, money, academic power, and Hollywood clout that advanced AIDS research in its first decade even as it compromised the medical scientist who discovered the disease. Dr. Hillman draws on interviews with Dr. Gottlieb and others to chronicle one of the most important and contentious medical discoveries of our time.
Medical Grand Rounds/History of the Health Sciences Lecture
Co-presented with the Department of Medicine and the History of the Health Sciences Lecture Series of Historical Collections, Claude Moore Health Sciences Library
Where you live in a particular U.S. city determines your predicted life expectancy. Neighborhood is destiny, in a way. For example, in New Orleans, there is a twenty-five-year difference in life expectancy from one parish to another only three miles away. This pattern of great gaps in health status, even over short distances, repeats itself in New York, Chicago, the Bay Area, and many other American cities, with harsh consequences.
In 2005, Tulsa, Oklahoma was one of the first cities to recognize such dramatic neighborhood variations in life expectancy, with a fourteen-year difference in life expectancy between north Tulsa and midtown—and to take action. In this presentation, Dr. Gerard Clancy describes specific initiatives and lessons learned on the ten-year journey, from 2005 to 2015, to reverse these health disparities and improve the health of the people in north Tulsa. The successes of the past decade have inspired a new ten-year initiative in Tulsa focused on mental health system improvements.
Co-presented with the Brodie Medical Education Award Committee, the Academy of Distinguished Educators, and the Department of Medicine
What happens when an extroverted six-year-old dog and her introverted human partner enter the local public nursing home as a therapy dog team? This was the question writer Sue Halpern (nervously) asked herself when she and her dog Pransky began their work at the Helen Porter Nursing and Rehabilitation Center in Middlebury VT. In this Medical Center Hour, Halpern revisits the remarkable experiences she and Pransky had over six years with the nursing home residents, experiences that continued even after Pransky's health declined. She also speaks to the increasingly recognized value of introducing therapy animals into medical settings and the significant physical and emotional benefits that follow—for patients, staff, and therapy teams.
A John F. Anderson Memorial Lecture
Amid the current opioid epidemic in the U.S., discourse around addicts and addiction can be overwhelmingly negative, pessimistic, and hopeless, reinforcing negative stereotypes. Even in health care, negativity about addiction prevails, making it more challenging for clinicians and organizations to respond with appropriate care, services, and resources. The toll of addiction is staggering. But while statistical and fiscal analyses of the national epidemic can also overwhelm and add to the negativity, might we gain a different view of addiction by accessing the particular experience of it, as it affects individuals and also their families? To know better what is at stake and how to foster recovery, this Medical Center Hour turns to poets Kate Daniels and Owen Lewis for their response to addiction when it strikes close to heart and home. How can writing serve to access the lived experience of addiction—in this case, addiction inside the family circle—and how might writing aid in recovery, for everyone involved?
Whistle Words is a multimedia project helping women reclaim their sense of self after a life-changing cancer diagnosis--with the simple aid of a pen. Charlottesville-based Whistle Words offers writing workshops for women in and after cancer treatment. Being part of this project as an adjunct or follow-up to treatment can make a real difference in participants' outlook and healing, as demonstrated by women's writings in the recently published anthology, Truth: Voices of Women Changed by Cancer. In this Medical Center Hour, Whistle Words' co-founder Charlotte Matthews and UVA nurse/breast cancer survivor/workshop participant Susan Goins-Eplee introduce Whistle Words and explore the healing power of writing.
A John F. Anderson Memorial Lecture
Oral history interview with Dan Sullivan, class of 1970. Sullivan discusses the events surrounding the UVA student strike in May 1970 against the Vietnam War, and his participation in the events as a legal marshal.
Balogun, Arafat Yinka, Cantarella, Claudia, Cole, Montina, Fort, Ann, Lewis Lee, Tonya, Lewis, Shireen, Cleary Lofton, Deborah, Preston, Tracy
Summary:
Oral history interview with Virginia Law Women members and leadership from 1986 to 1992, including Arafat Yinka Balogun ’89, Claudia Cantarella ’91, Montina Cole ’91, Ann Fort ’91, Tonya Lewis Lee ’91, Shireen Lewis ’89, Deborah Cleary Lofton ’92, and Tracy Preston ’91. The group discusses student activism, the curriculum, and building community at the Law School.
Oral history interview of Bobby Vassar and James Ghee, both class of 1972, took place on May 14, 2022, at the Law School during Reunion Weekend. Vassar and Ghee discussed their experiences as African American students at the Law School in the early 1970s, including reminiscences of professors and courses, as well as their experiences in the wider University and Charlottesville communities.
