How Trust in Medicine and Science is Built I Sciencing Out
ftLFaJGzTqw • 2021-05-28
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Kind: captions Language: en if you're a jasmine in the movie aladdin would you trust this guy is it safe sure do you trust me what do you trust me trust can be a delicate matter including when it relates to science medicine and writing magic carpets it has to be built gained and kept but that's not an impossible task let's meet two women who have worked really hard to build trust with other people and have made major changes in their own communities in the process the first is lady mary worldly montague she managed to convince people living in england in the 1700s to inject themselves with a scap yep to inoculate against smallpox the second woman is a scientist and tv producer and among her million accomplishments is that she's best friends with elephants meet elephant whisperer paula kahumbu okay let's dive right into lady mary's story time machine take us to 1716 constantinople otherwise known as modern-day istanbul in turkey [Music] in 1716 lady mary her husband england's ambassador to the ottoman empire and her son moved to constantinople probably to enjoy amazing baklava in budak and the company of brilliant turkish ladies who had surprisingly flawless skin not ravaged by smallpox unlike its name smallpox is no small matter it's a bunch of rashes and sores and blisters all over your skin it's accompanied with fever and it could be pretty deadly like it killed about 3 out of every 10 people who got it and for those who didn't die they were left with horrible scars and some were even blinded luckily it's not a thing we have to deal with anymore because vaccination yay but hey no spoilers at some point mary found herself in the middle of smallpox parties [Music] basically parties where someone from the community takes a wound scab that is dried smallpox blisters caps from someone sick with a mild case of smallpox makes a cut on healthy people including kids and then adds some of the scap into it then they just wait to recover from a mild case of smallpox the idea is that hopefully the kids are less likely to get it again and this whole process is called inoculation note please don't try this at home especially with covet infecting yourself or others would covet intentionally is extremely dangerous now mary was not only fascinated by this technique but she also noticed that smallpox was far less extreme in the ottoman empire than it was back in england this was especially important to mary because some years before she had lost her brother to smallpox and not long after that mary herself had become ill with smallpox which left her with visible scars on her face eradicating smallpox for mary was personal before leaving for england mary ran to the british embassy surgeon and asked him to inoculate her babe under the observation of a wise turkish lady who knew how this whole inoculation thing works and thus the babe was inoculated that's how the brit said child babe when mary went back to england she said hey everyone i found a way to protect our children thanks to the brilliant turkish ladies just take this cap and inject it into your babes and people and some other doctors were like um you no thank you which kind of made sense cause why would they trust a rando saying please inject grossness into your children so mary had to go to her super popular high society friend caroline princess of wales the future queen of great britain the vogue magazine cover of her time if you will and mary said listen terry um can you maybe infect your babes with the scab in the name of science and let everyone know about it please and princess caroline said girl mary my muffin sis honey anything for you but i'm kind of a science nerd so i think we need to arrange for some science trials to make sure this thing you say actually works so caroline got the royal surgeon to run some trials he inoculated a few prisoners with the premise of earning their freedom and then he ran some more trials on orphaned children and had doctors watch them to make sure the inoculation was safe okay pause honest chat i was supposed to talk here about medical ethics did the prisoners know what to expect after the inoculation how about the orphaned children what if the inoculation would have gone wrong i started looking into medical experimentations especially those done on children orphaned children black indigenous latinx and other people of color medical experimentations done by the nazis on jewish and other people during the holocaust and horrible things happening to ethnic and religious communities or just for seeming different it's a horrible place to go to but hey that's also the history of science yes today u.s hospitals and researchers have rules in place to make sure that medical procedures are as safe as possible and yes when there are experiments that involve any risks people are supposed to be fully informed about those risks but we also have to remember the harmful things that the science community has done those things don't just vanish and we still see different versions of them happening today we have to remember the past and understand why different communities might find certain practices dishonest and uncaring and then work really hard to try to rebuild that trust by demonstrating real integrity and transparency okay back to the smallpox story after princess caroline felt safe inoculating her babes more royalty followed in her footsteps and more people were like um if cool kid caroline inoculates her own base we will do it too you see now that the royalty was inoculating their babes the public felt more comfortable trusting the practice of scab injection of those who got inoculated against smallpox only about two percent died compared to about 30 percent who died after contracting smallpox naturally what mary did was immensely important she brought back the knowledge of turkish practices back to england but education and access to information on their own are not necessarily enough to change behavior without a trusted source like caroline much of england would have suffered the same fate as mary or worse yet her brother well if there is one thing we have learned from aladdin is that you could still lie and get the girl okay no obviously trust is very important if you lie to people then you have to work really hard to rebuild that trust and sometimes you have to do some really extraordinary things so we have to get people to trust us we have to be honest and tell them what our real intentions are and that brings me to science communication superstar elephant expert paula kahumbu i am from kenya i run a conservation organization called wildlife direct and we produce a television series called wildlife warriors to help educate inspire and just bring the wonder of nature into the homes of people all across kenya and in fact africa we'll get back to the trust story in a second but first let's learn about an unlikely friendship that inspired paula to protect the forest and its inhabitants after finishing my phd at princeton i continued teaching undergraduate courses and i would take these students all over the country ambaselli being one of my favorite places you have the backdrop of this majestic mountain mount kilimanjaro and these elephants that are kind of tame they're really calm and relaxed and they're everywhere and you can get quite close to them and one day while i was with my students we were watching the mountain just enjoying this afternoon and this monumental elephant came into the scene he was an elephant i'd never seen before just magnificent huge tusks right down to the ground and i took photographs of him and went to the elephant research center and they told me oh that's tim later paul and her team managed to put a radio collar on them so that they could know where he was going you see tim was really into going to neighboring villages and steal food from the farms so by having the radio collar the researchers would know if it was going near any of those villages and could help dissuade him i could always find him and he'd often be standing underneath acacia trees and if i called his name he would often you know walk up to my car and just stand there towering over me and just looking at me you know he had this like sense of full awareness of who i was he was he was unbelievable tim would just fall asleep around paul you know chill just fetch the ball and do back flips ah yep no no no fetching involved paul was dark okay tim and his entire family of elephants fell asleep in front of me and my crew eight elephants lying down snoring for an hour in front of us could it be that the elephants recognized paula's good intentions and trusted her maybe tim died of natural causes in 2020 but his memory lives on in the hearts and minds of those who loved him but i wanted kenyans and people around the world to know this magnificent elephant called tim and perhaps his story about being this naughty elephant who wanders across the landscape interacts with people you know he's relatable in 2013 wildlife direct launched hands off our elephants a conservation campaign aimed at ending the poaching crisis in kenya since then elephant and rhino poaching in kenya has dropped by 80 and 90 respectively that's awesome but there's something deeper going on we have separated ourselves from nature we see ourselves differently but when we reconnect and develop that trust we can experience something that is truly unimaginable magical inexplicable something that is worth more than any amount of money you could possibly pay paula gained tim's trust by truly caring for him and there's a lot of ways we can show people that we care for them we do that all the time with our friends by being there when they need us by being honest with them and show them what's really in our hearts and by listening to their long long long stories as a communicator building trust is at the heart of every interaction every day so when paula approached the maasai people for an episode of her program wildlife warriors she knew she needed their trust the messiah are a kenyan tribe who've been protecting nature and as a result the elephants but you know no one really likes to let a rando in their house and then spill their guts in front of them you need to really trust them but paula is anything but a rando she's like the opposite of a rando she's more like a ran don't down near the masai mara just to the east is a mountain range called the loiter hills these hills are cloaked in this beautiful rainforest and the people who live in that area call themselves the loiter maasai and they have a very very strong and ancient tradition and culture of defending forests they have spiritual elders called the libon they're not very old but they just have this sense of calm you can't actually tell how old they are they smile a lot they're very relaxed and they wear traditional clothes they seem to like look right through you it's a very very strange and amazing experience it never occurred to me how important it was that people really felt my intentions i always thought you know you know it's on my cv you know here are my credentials so when i went to see them i was trying to explain to them you know i've come to make this film and they just looked at me and they said we know we've already accepted you we already know that you've come here with good intentions they could see it in my eyes in my body language they could hear it in my voice they could see it in the way i interacted with other people it was very important trust is really important that it's backed up by integrity and that what we say is what we're thinking what we're doing they're all aligned and that people know that if i say something it's what i'm going to do what i'm doing is what i promised i would do paula has credibility she's the expert she shows care by listening to other people and she shares her worthy intentions with them she also shows integrity by telling people what is important to her and she behaves accordingly she builds trust and with the messiah's trust paula got to learn a lot about how they protect the forest and encourage their community to do so too how they are only allowed to collect what they need from the forest because if the forest goes we all go science is valuable it offers solutions treatments improvements but none of those scientific advancements mean anything if the public the communities don't trust them building trust like mary caroline and paula isn't just pizzazz and it isn't just showing everyone you're smart it's doing the hard work to show people that you're trustworthy and for science to mean anything for it to have true impact the people who do science and the people who communicate science need to be worthy of people's [Music] trust
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