July 21, 2023 • 26 mins
Gun violence has tragically become the leading cause of death amongst children in the United States. We explore this alarming reality with our esteemed guest, Dr. Chethan Sathya, Director of Northwell Health Center for Gun Violence Prevention. Together, we unravel the proactive steps the healthcare sector is taking to protect our most vulnerable, using tools such as judgement free screenings and surveys. Through learning how best to talk about a topic often deemed "taboo," healthcare workers are playing an active role in advocating for gun violence prevention and creating safer environments for patients.
Further reading:
Stop filling our Trauma Centers with your thoughts and prayers. (#ThisIsOurLane)
How Doctors Suffer from America's Gun Violence Problem (Time)
Gun Violence and Its Impact on Healthcare (Penn Medicine)
"I’m tired of telling parents their child died of a bullet wound. I’m tired of saying “we tried everything during surgery, but we couldn’t save your baby.'” (Dr. Chethan Sathya)
Doctors and hospitals can help prevent gun deaths. Here’s how. (AAMC)
For more information on Brady, follow us on social media @Bradybuzz or visit our website at bradyunited.org.
Full transcripts and bibliographies of this episode are available at bradyunited.org/podcast.
National Suicide Prevention Lifeline: 1-800-273-8255.
In a crisis? Text HOME to 741741 to connect with a Crisis Counselor 24/7.
Music provided by: David “Drumcrazie” Curby
Special thanks to Hogan Lovells for their long-standing legal support
℗&©2019 Red, Blue, and Brady
Mark as Played
Transcript
Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:08):
This is the legal disclaimer, where I tell you
that the views, thoughts andopinions shared on this podcast
belong solely to our guests andhosts and not necessarily Brady
or Brady's affiliates.
Please note this podcastcontains discussions of violence
that some people may finddisturbing.
It's okay, we find itdisturbing.
Hey everybody, and welcome backto another episode of Red Bloom
(00:46):
, brady I'm one of your hosts,jj, and I'm flying solo today,
minus, of course, my phenomenalguest, dr Chase and Satha of
Northwell Health Systems.
Dr Satha is being so kind tosit down with me to talk about
not just how doctors andhealthcare workers can be
impacting patients' healthoutcomes by fighting for gun
violence prevention, but alsohow healthcare systems
(01:07):
themselves, through the use ofthings like screenings and
surveys, can be providing better, safer services to their
patients.
Speaker 2 (01:18):
My name is Chase and Sathya.
I'm a pediatric surgeon, I amthe trauma director at our level
one trauma children's hospitalhere in New York and I'm also
the director for our NorthwellHealth Center for Gun Violence
Prevention.
Speaker 1 (01:29):
Just a few things you know yeah yeah, yeah, but I'm
wondering if you can tell folk alittle bit about how you came
to study gun violence, you know,especially coming from like
this pediatric trauma surgeonbackground.
Speaker 2 (01:40):
Yeah, of course you know.
I think, listen, it was nevermy plan to be involved in gun
violence prevention.
To, you know, be a researcherin the space, to be a public
health advocate in the space.
It really happened,unfortunately, very naturally,
right?
You know, I started training asa pediatric surgeon and trauma
surgeon in Chicago.
(02:01):
Prior to that I had done most ofmy training in Canada.
I had treated many, manypatients with gunshot injuries.
You know there are a lot of guninjuries that happened in
Toronto as well, and so I wasused to that.
But when I got to Chicago itwas the first time that I
actually had to treat infantsand kids with bullet wounds and
that really, really stuck withme.
You know that was not the last.
I treated kids with bulletwounds on my first week as a
(02:22):
fellow trainee in Chicago.
That happened week after week.
That continues to happen herein New York.
So you know, I would say thatwhen you experience something
like that and you see the traumathat these parents are going
through and what these kids haveto go through from a largely
preventable disease, how can younot make it one of your life's
missions.
Speaker 1 (02:40):
And then, how did the transition to you coming to
Northwell Health happen?
And for folks who areunfamiliar with what that is and
are like, what is that you know?
Speaker 2 (02:47):
Yeah, yeah.
So Northwell is the largesthealth system in all of New York
state.
It's also the largest employer,with about 100,000 employees.
We have around 18 hospitals,and I came here as my you know
to really for my first job as apediatric surgeon after I
finished my training atNorthwestern in Chicago, and you
know it was a great job, greatgroup.
I came here for the clinicalwork.
(03:08):
I did not imagine that when Iwould start, our CEO of the
health system would take a bigstance on gun violence and make
gun violence an institutionalpriority for us at the same
level as cancer prevention,heart disease prevention.
I hadn't seen that before andso it was very much a you know,
right place, right time.
Our passions aligned.
That's what led to the centerbeing developed.
(03:28):
I'm very thankful for theopportunity that he and others
have given many folks on ourteam to kind of lead in this
area, and that's really how ithappened.
So it was definitely notsomething I planned on.
Speaker 1 (03:38):
It's so interesting to me because of this work I
talked to so many people whohave gotten pulled into doing
gun violence prevention work,either through their own you
know survivorship or throughjust kind of existing in the US
right.
They came in with a very clearcut they wanted to do research,
they wanted to be a socialworker, they wanted to be a
surgeon, and then suddenly kindof gun violence came and
announced itself to them as anarea of interest.
Speaker 2 (03:59):
Yeah, yeah, I mean, it's not surprising, right,
firearms being the leading causeof death among our children in
this country.
It's something that's the topof mind for many Americans.
We've seen that this is anissue that can affect you in any
community and we really allhave to come together to
transcend the polarization thatwe've seen happen right now.
You know, most Americans wantsafer communities.
(04:21):
They don't want mass shootings.
They are for responsible gunownership and safety, and I
think we have to remember thatin most of our conversations,
because this has been becomesuch a political, polarized
issue and really it's just apublic health issue.
Speaker 1 (04:33):
And isn't it a shame that, like public health itself,
has become a polarized healthissue, especially over the last
two, three years?
However long this pandemic hasbeen happening, who knows.
Speaker 2 (04:41):
I know COVID-19 laid that bear for sure.
Speaker 1 (04:44):
I think too, if we can, just to really drive home
for our listening audience.
One of the things you justmentioned there is that gun
violence is the leading cause ofdeath amongst children and I
wonder, can you unpack that alittle bit, because that's a
newer transition.
It used to be cancer, it usedto be car accidents, now it's
gun violence.
Yeah.
Speaker 2 (05:01):
Yeah, you know, I would say that for anyone that's
been following public healthtrends and stats, it's not at
all surprising.
You know, we have had robustpublic health approaches to
things like motor vehicle safety, tobacco cessation, drowning
avoidance and, as a result,those have gone down for the
most part, year after year, ascauses of death for kids.
We have not had a public healthapproach to something like gun
(05:22):
violence and, as a result, notat all surprising that it has
become the leading cause ofdeath among kids.
We saw that in 2019 and 2020,it became the leading cause of
death.
2021, the data shows that it'seven more of a leading cause of
death among kids and it's onlygetting worse.
So this is not just a nicelittle thing during the pandemic
.
This continues to happen,continues to get worse and it's
something that we all kind ofneed to keep in our minds.
Speaker 1 (05:43):
Well, and then, to that end, northwell Health, I
think, is doing something reallykind of revolutionary here on
the aim of trying to preventchildhood and then I would say
probably adult injury, beforesomeone might, you know, have to
come into your operating room,right, stopping it before it
becomes an issue.
And so I wonder if we can talka little bit about this, this
screening process that Northwellhas been using.
You know what is it?
(06:04):
How did this happen?
How did this develop?
Speaker 2 (06:06):
Yes, definitely.
So, you know, I think it'sworth taking a step back for a
second.
And when we talk about the wordgun violence, right, many of us
are referring to firearmrelated injury and death across
the country, and this could befirearm related suicide,
unintentional injury orintentional injury, which
includes homicides, violentassaults and mass shootings,
which make up a sliver, ofcourse, what we call gun
(06:29):
violence in this country.
I think it's important toreally talk about the nuances in
that term, because often whathappens is we lump the term gun
violence together and thatnaturally creates a polarization
because, you know, you willhave gun owners saying why am I
responsible for inner cityfirearm violence, you know, and
vice versa.
So I think that nuanceddiscussion is really important
(06:49):
and I bring that up becausethat's important even for the
screening I'm going to talkabout.
So traditionally in healthcarewe've been very reactive to
gunshots.
You know, when someone comes inwith a gunshot wound, I fix it
up, I send them out.
We then move to a state whereyou know, okay, we're not just
going to send you out, let'sgive you some resources to help
you maybe change behavior,whether it be safe storage or
(07:09):
use violence interventionresources to be able to prevent
an injury from happening again.
Well, we're trying to do withour research here is to take
that a step even beyond andprevent these injuries before it
happens, as you mentioned.
So we ask every single patientwho comes into our hospital, in
our emergency departments rightnow, questions around firearm
injury risk.
So we actually ask questionsaround firearm access with the
purpose of offering safe storagecounseling.
(07:32):
So if you screen positive forfirearm access, we ensure that
you safely saw your weapons andif not, that's okay.
We provide education and ifpatients don't want to hear that
, that's okay.
It's traditionally been a verynice conversation actually.
And we also screen for what wecall firearm violence risk,
which is a very different thing,and we offer violence
intervention resources if youscreen positive for that.
So we're doing a trial aroundthat.
(07:53):
It's the first universalscreening effort.
The purpose there is tonormalize how we talk about guns
in the healthcare setting.
We do think it's in our lane.
We think that it's something weshould be talking about,
screening for no different thanwe screen for behavioral health
issues or substance use.
We need to start screening forgun injury risk and so far we've
done 18,000 screens.
Speaker 1 (08:11):
As a result, and so was this kind of an internal
desire, though, as members ofthe healthcare system, you were
like we need this.
Or is this something where evenpatients were saying, you know,
I wish someone had talked to meabout this ahead of time.
How did this initially evendevelop?
Speaker 2 (08:23):
Yeah, you know it's really come through leadership
in the system.
But the development here isthat one of my close
collaborators runs our substanceuse program and the way that
healthcare helped tode-stigmatize and depolarize a
topic like substance use is theyuniversally screened everybody.
Rather than targeted screeningof people who you think might be
at risk and might introduce allkinds of bias, you screen
(08:44):
everyone and that has reallycreated an institutional support
and normalization of talkingabout substance use across
healthcare.
Nationally we are taking thesame approach with guns.
That's where the inspirationfor it came.
My co-investigator on the studyis the addiction services head
for our system and that's whatwe're hoping to do.
Speaker 1 (09:01):
There's so many things I feel like when I go
into a doctor's office that Ihave like those automatic
questions for everything fromyou know, do I feel safe in my
interpersonal relationships tolike smoking questions?
And I've never felt verytargeted because I know that
that's kind of the boiler boilerplate right, that they ask
everybody.
Speaker 2 (09:17):
Exactly, exactly.
We have signage everywheresaying we ask everyone Firearm
safety is a healthcare issue,you know.
So patients now at our systemdo expect it.
It has gotten to the point thatit is kind of part of our
identity and the patientssometimes ask why did I not get
screened?
You know if we happen to missit.
So it is cool.
I think it's part of theparadigm shift that we're hoping
can be made on this topic.
Speaker 1 (09:38):
And so, as you've mentioned, obviously this is
still very new, but youcertainly, you all have
certainly done a lot of surveysbecause, again, so many people
pass through the healthcaresystem, right, like it is one of
the things that it's very hardto kind of completely opt out of
right.
And so what are some of theresponses these questions have
resulted in?
(09:58):
Like, maybe, if we could startwith the negative, I know one of
the things that I hear from alot of folks is, or you know,
play devil's advocate.
I don't want to say anythingabout firearms, because they're
just going to put me on aregistry, they're just going to
take my guns away, you know, onthat negative end.
So I wonder, like, what aresome of the negative things
you've heard and what are someof the positives from this
initial survey option?
Speaker 2 (10:17):
I'll talk about the positives, as you mentioned in a
second, but overwhelmingly it'sbeen positive, right?
Please really care about thesafety of their loved ones, and
so they're generally veryappreciative of the education
that we offer the negativeresponses.
So, as you mentioned, it'sreally important to note that,
though we're in New York, weserve Long Island, the five
boroughs and all of Westchester,and we have a high rate of gun
(10:39):
ownership here, right, the restof New York is not like
Manhattan.
Speaker 1 (10:42):
People don't think of New Yorkers as going like out
to go hunting, but that actuallyis a thing that a lot of people
do.
Speaker 2 (10:50):
Huge thing here?
Yes, absolutely.
So we're definitely serving avery diverse population,
particularly from the firearmsafety angle as well.
And then the violenceintervention angle.
Right, we do have significantsocioeconomic disparities
through the five boroughs,queens, which we largely serve.
So we really see the wholegamut when it comes to screening
of both firearm access andviolence risk.
(11:12):
Now, some of the negatives, Iwould say, on both sides.
So with respect to the firearmaccess piece, of course, yeah,
you do have families that saywhy are you asking?
This is not your lane,something you should be asking
about.
But for the most part, you know, remember, we really frame this
under an education umbrella anda safety umbrella for kids,
elderly people in the household,those who might be at risk of
(11:34):
suicide.
And when you frame it in thatway, even if someone is
resistant, it's kind of anopportunity for them to tell you
about, let's say maybe, thatthe good firearm safety
practices that they do do.
So there's a way to turn thatconversation around and to
really put it under the guise ofsafety that traditionally we
haven't really had.
I can't think of hardly anysituations where there's really
been confrontation because thesequestions.
(11:55):
And then on the violence piece,you know, families often are
scared.
They're worried aboutretaliation.
They're very much looking forresources like violence
interrupter organizations, sothat's a generally very well
received conversation there.
Speaker 1 (12:08):
Yeah, to take a step back to kind of you know some of
the vulnerable groups that youmentioned that might be kind of
identified within a survey likethat.
I mean I think we've gottenbetter about messaging in the US
to understand that folks incrisis who may be experiencing
suicidality, what that could belike for them.
But you specifically mentionedas well then children in the
elderly and I wonder if youcould highlight, like what kind
(12:29):
of risks might be identified inthat firearm questionnaire for
those two groups you know, likethe youngest and the oldest
amongst us.
Speaker 2 (12:38):
Yeah, I mean, I think that's where the firearm safety
piece really comes in, say,storage.
You know that Brady does such awonderful job with with respect
to end family fire.
The key is that if you have aunlocked, loaded weapon in the
household right, there's noquestion.
The evidence shows that yourrisk of suicide homicide in the
(13:00):
household goes up, whether thatbe an unintentional shooting,
where a kid accidentally shootsomebody, whether that be a
suicide among a family memberright, this could be an elderly
person who accidentallydischarges that weapon or is
having depression, right, andmight have a behavioral event as
a result of that.
Or in many cases, even massshootings.
Right, there are circumstanceswhere a number of mass shooters
(13:20):
get their weapons from parentswho have not locked up their
weapons safely.
So I think the risks havereally been shown to be elevated
, not to mention domesticviolence or intimate partner
violence.
We know that this.
You know firearms are asignificant cause of homicide in
this country, and so when youreally frame it there, I think a
lot of families are surprisedby those stats.
(13:40):
But they can be simplymitigated just by safely storing
the weapon, you know, locked,unloaded and separate from
ammunition.
Speaker 1 (13:50):
So, as part of that screening, are resources for
things on safe storage?
Is that something that folksare then linked up with after,
or is it more of a just kind ofidentified to them?
Hey, you should try to figuresome stuff out.
Speaker 2 (14:01):
Oh, absolutely no.
Resources are critical to theintervention.
So if you screen positive forthe firearm access piece, you
get a gun lock, you geteducational brochures, you get
actual firearm safety counselingat the time of your visit in
the hospital and then you getpaired up with firearm safety
courses and so on, if you wantin the community.
And then, on the violenceintervention piece, same thing
(14:22):
motivational interviewing.
We have credible messengers inthe hospital that work as part
of our violence interventionprogram that actually meet these
patients, help de-escalate,help interview and help case
manage and partner with them inthe community when they leave.
So really there's a lot ofinterventions and resources that
are actually given within thehealthcare setting before that
patient needs to hospital.
Speaker 1 (14:40):
That's huge.
That's so many.
That's amazing.
I wonder, can you break downsome of those resources?
So it's sort of so.
Let's say that I test positivethrough a screen.
Speaker 3 (14:49):
Yeah.
Speaker 1 (14:51):
What comes next?
What's kind of the watershedthat follows?
Speaker 2 (14:55):
Yeah.
So let's say I'm seeing you inthe hospital and you say, yes,
you do have access to a firearm.
People then go through the fiveL's of firearm safety, talking
about things like cable locks,for example, and we'll actually
hand you a cable lock, show youhow to use it.
If you're interested.
We'll start, of course, bytelling you about the risks of
having the firearm loaded andunlocked in your household.
(15:16):
This is not about taking gunsaway, not about gun ownership.
This is simply about safestorage.
So we have that conversationand then we also provide local,
community firearm safety coursesif you're interested, because
we can't forget that millions ofAmericans that bought guns,
particularly during the COVID-19pandemic, are not learned
owners.
They're not really veryeducated gun owners.
So there's a lot of teachingthat can be done there.
(15:38):
And then let's say you screenpositive for the violence
intervention piece.
That's where, right then andthere you meet a credible
messenger who could talk youthrough things you might be
struggling with in the communityand what resources in the
violence intervention realm,through community-based
organizations, can we offer youwhen you leave the hospital.
Speaker 1 (15:55):
What sort of training do healthcare professionals get
before they go in and startasking all these questions,
because I'm presuming that noteveryone who is giving a
screening, or everyone who is.
Every healthcare provider who'smeeting with a patient is a gun
owner or is comfortable sayingthat this is a trigger lock, and
this is what I to discussfirearms openly.
(16:15):
So what sort of training orresources are given on the
healthcare end to prep folks forthis?
Speaker 2 (16:20):
Huge.
I mean.
This took 60 months of trainingand education and it's still an
ongoing thing.
We can't remember that mostpeople in healthcare are not
trained to have theseconversations.
We're not taught that gunviolence is a healthcare issue.
We don't know how to have theconversation.
So the education is absolutelycritical.
And we also have to rememberthat healthcare workers, people
in hospitals, are no differentthan the community, so the same
(16:41):
biases and the same notions aregonna exist, and so through
education is where you getbuy-in and you get team effort
and then championship, and sothe education is absolutely
critical.
It's an ongoing effort andthere's no way you can do it
without a very robusteducational curriculum Teaching
healthcare workers how to dothis.
Speaker 1 (17:01):
Yeah, it seems like this is such a careful and
dedicated rollout and I'm justI'm kind of I keep coming back
to you.
Know why do you feel that gunviolence, then, is a healthcare
issue, that this is somethingthat should be being taken on by
more medical systems or otherproviders, like outside of
Northwell too?
Speaker 2 (17:22):
Yes, I mean one of our biggest national pushes
health system and one of ourfocuses, given that our CEO has
been so outspoken on this issueand really he was one of the
first large health system CEOsto be so outspoken and you'd be
surprised, but there's reallythere was a reluctance among
many healthcare leaders to notonly speak out on this but to
really prioritize it, and thatcan be anything from you know,
(17:42):
we've heard a combination ofthings.
Like you know, there are manycompeting priorities.
Of course, hospitals and healthsystems have a lot of other
things they need to worry about,but then you also have a subset
of hospitals that are concernedabout what their board is gonna
say, what is their you knowpatient population gonna say,
and they're concerned it's not atopic that they wanna touch.
So our big effort of the lastthree years has really been
(18:04):
bringing health systems together.
You know we've launched apublic awareness campaign on the
idea of parent-to-parent askingabout safe storage.
That's been uptaken by athousand different hospitals
across the country.
We have a new CEO council,healthcare CEO council on gun
violence prevention and 55 ofthe largest health system CEOs
have signed on and they'reideating right now on making one
(18:25):
of the most substantialcommitments to GVP from the
healthcare industry in history.
So I think you know there's alot that's changed over the last
two, three years very exciting,but also very needed, and
healthcare has to come togetheron this.
You know, we can't not makethis a healthcare issue, because
it really is, and that's theway that we're gonna transcend
the politics of this and figureout solutions, just like we did
(18:47):
for other issues like car safetyand substances.
Speaker 1 (18:51):
I think it's so interesting because while we've
been talking, I think twice nowyou've kind of mentioned that
like this is our lane, kind oftying it.
I think back to that campaignthat was started by doctors
saying that, like, no gunviolence is our lane.
Gun violence is something thatwe need to be engaged with,
because we're seeing thepatients after they get shot,
but we're also like dealing withtheir family members after as
well, like we're dealing with acommunity that's dealing with
(19:12):
all the secondary health issuesand mental health issues that
follow.
So I think it's reallyphenomenal that Northwell has
taken the lead on this, but Iwould love to see this become
like the norm we're gonna figurethis out.
It's just default.
No one knows where it started,because everyone does it.
Speaker 2 (19:27):
Oh, absolutely, absolutely.
And there's so many hospitalsthat have done incredible work
in this area.
You know, I think it's aboutand they've been.
You know, frankly, there's anumber of hospitals that have
been doing incredible work inthis area for over a decade.
It's about getting everyone theinstitutional support they need
.
You know, getting your C-suiteat your hospitals to actually
truly believe in this, versusjust the surgeons or nurses or
(19:49):
frontline workers that reallycare about this, which is where
that this is our lane movementstarted right.
So it's about getting everyonein the hospital involved,
leadership included, and, yeah,it needs to be the norm.
It definitely does.
Speaker 1 (20:03):
So this is kind of a I mean, I know Northwell is
really instrumental in this andit's kind of a mouthful but in
the gun violence preventionlearning, collaborative for
health systems and hospitals,like so many things in gun
violence prevention it's a long,long name.
But I'm wondering if you couldshare kind of where you think
this collaborative effort isgoing to go in the future.
You know kind of what are someof your hopes for it.
Speaker 2 (20:26):
Yeah, so the learning collaborative is our grassroots
collaborative has 600 hospitalsfrom 38 states.
That's a best practiceimplementation collaborative.
I'll give you an example.
You know, in our screening, oranyone's screening we've known
that safe storage counselingfrom physicians to patients can
change behavior and save lives.
We know that balanceintervention probably can save
(20:49):
lives right, but when it comesto safety counseling and talking
to our patients about guninjury risk, we haven't done it
over the last 10 years.
But that evidence has alwayskind of been there, nothing new.
Only eight to 10% of anyclinical team members across the
country ever talked to theirpatients about gun injury risk.
So we're really looking tochange that, and I think you
(21:09):
know the more we can think aboutshifting that view from an
implementation lens, the betteroff we're gonna be.
So that's really where thecollaborative came from, because
, though we have thesestrategies, there's all these
barriers that we face asclinicians to getting programs
off the ground in the hospitalsetting, whether it be balance
intervention or firearm safetyor whatever and so that's how
(21:30):
the collaborative started.
We finished the first 12 months,which were very focused on
education.
As a result of that, 40% ofthose hospitals started new
programs actually according tothe surveys that we did and the
second phase is ongoing nowwhere it's gonna be more about
sharing those best practices.
So let's say you're at hospitalA in whatever state, and you
wanna start a program.
What are lessons learned fromeither a program you already
(21:51):
started or what are lessonslearned from other people that
you can take to get that programoff the ground?
You know, how do you getinstitutional support?
How do you deal with thebarriers when it comes to
workflow?
We have a lot of otherquestions to ask and deal with
their patients, and so it's thatkind of discussion very much
from a frontline, grass rootkind of best practice
implementation lens, and I dothink it's very much kind of
(22:12):
becoming the place where peopleare gonna go for that?
Speaker 1 (22:15):
Why do you think that that is just gonna be kind of
the default where people go into?
Speaker 2 (22:20):
Well, I think right now, one of the reasons that
we've started it and we'rerelatively new to this space is
we needed to learn from otherpeople.
There are other hospitals, likeI said, who have been doing
this for years.
So where do you go to reallyreach out and create that
network so you can learn fromother hospitals and say, okay,
this is what I should be doing?
That kind of forum didn't exist.
That's why the collaborativestarted and that's where we're
(22:44):
hoping to continue to see it go.
It's really a collectivenetwork, more than anything,
that showcases other programsacross the country so that we
can all learn.
You know, like even for us inNorthwell, we're starting to
build out our violenceintervention strategy.
We're taking lessons learnedfrom the collaborative and what
others told us and them showingtheir programs to really build
ours.
Speaker 1 (23:05):
It's so great.
So if folks are listening tothis who are kind of like not
working within the system or notworking with a hospital, that's
kind of aligned with thismission.
Already you know what can theybe doing to try to sign on, to
try to get their workplaceengaged.
Or what can folks like me whohave and for good reason no ties
to medicine whatsoever?
(23:25):
What can we be doing to helpright the folks who struggled
through Biochem and undergrad?
What can we be doing to assist,despite being apart from this?
Speaker 2 (23:35):
Yeah, you know, I think it really starts by
helping to reframe thediscussion.
It's going to take a village.
It takes all of us.
Healthcare is a small piece ofthis, so even if you're not in
healthcare, arguably your voicecould be even more impactful
than what I'm talking about.
How do you reframe theconversation around the dinner
table with their local lawmakers, with their community, your
(23:56):
faith-based organizations, yourschools?
That's where it's critical, andif you can think of ways to do
that and start doing that, andthen think about local hospitals
that you can bring into the mix, I mean, I think that's a
win-win.
You know we'd love for anyone toreach out to us.
I can provide my email contactfind us If you're interested in
learning more about thehealthcare collaboration piece.
(24:17):
I do think there's interestingcollaborations, too, between
organizations like Brady and thehealthcare industry, where we
have synergistic missions.
You guys are viewing this as apublic health issue.
We do too.
It's going to take everybody.
So I think those conversationsare important.
I think the frontier for publichealth, too, that is
fascinating, is we need morepolicy research.
You know, policy is notpolitical.
(24:37):
We need more policy research Alot of academics are shy about
that, but we need that and wealso need to start thinking
about gun industryresponsibility as part of the
public health mitigationapproach.
I mean, industry responsibilityis what changed motor vehicle
safety and tobacco cessation,you know.
So how do we get the same withrespect to the gun industry?
Because I do think it's acombination of accountability
(25:00):
from people, but also theindustry.
Speaker 1 (25:03):
Well, and then do you want to plug?
Where can folks find NorthwellHealth, specifically?
Or where can they find yourTwitter?
Do you have a TikTok?
Where can the folks listen andfind you?
Speaker 2 (25:12):
Yeah, of course I'm on Twitter at Dr Chatevon Sathya
.
If you Google Northwell HealthCenter for Gun Violence
Prevention, you'll see ourwebsite for their contacts.
Get more information there andwe look forward to working with
anyone who's interested.
Speaker 1 (25:25):
Well, thanks so much, dr.
I really appreciate it hey wantto share with the podcast.
Listeners can now get in touchwith us here at RedBlue and
Brady via phone or text message.
Simply call or text us at480-744-3452 with your thoughts.
Questions concerns ideas, catpictures, whatever.
Speaker 3 (25:45):
Thanks for listening.
As always, brady's lifesavingwork in Congress, the courts and
communities across the countryis made possible thanks to you.
For more information on Bradyor how to get involved in the
fight against gun violence,please like and subscribe to the
podcast.
Get in touch with us atbradyunitedorg or on social at
BradyBuzz.
Be brave and remember.
(26:06):
Take action, not size.
This is the legal disclaimer, where I tell you
that the views, thoughts andopinions shared on this podcast
belong solely to our guests andhosts and not necessarily Brady
or Brady's affiliates.
Please note this podcastcontains discussions of violence
that some people may finddisturbing.
It's okay, we find itdisturbing.
Hey everybody, and welcome backto another episode of Red Bloom
(00:46):
, brady I'm one of your hosts,jj, and I'm flying solo today,
minus, of course, my phenomenalguest, dr Chase and Satha of
Northwell Health Systems.
Dr Satha is being so kind tosit down with me to talk about
not just how doctors andhealthcare workers can be
impacting patients' healthoutcomes by fighting for gun
violence prevention, but alsohow healthcare systems
(01:07):
themselves, through the use ofthings like screenings and
surveys, can be providing better, safer services to their
patients.
Speaker 2 (01:18):
My name is Chase and Sathya.
I'm a pediatric surgeon, I amthe trauma director at our level
one trauma children's hospitalhere in New York and I'm also
the director for our NorthwellHealth Center for Gun Violence
Prevention.
Speaker 1 (01:29):
Just a few things you know yeah yeah, yeah, but I'm
wondering if you can tell folk alittle bit about how you came
to study gun violence, you know,especially coming from like
this pediatric trauma surgeonbackground.
Speaker 2 (01:40):
Yeah, of course you know.
I think, listen, it was nevermy plan to be involved in gun
violence prevention.
To, you know, be a researcherin the space, to be a public
health advocate in the space.
It really happened,unfortunately, very naturally,
right?
You know, I started training asa pediatric surgeon and trauma
surgeon in Chicago.
(02:01):
Prior to that I had done most ofmy training in Canada.
I had treated many, manypatients with gunshot injuries.
You know there are a lot of guninjuries that happened in
Toronto as well, and so I wasused to that.
But when I got to Chicago itwas the first time that I
actually had to treat infantsand kids with bullet wounds and
that really, really stuck withme.
You know that was not the last.
I treated kids with bulletwounds on my first week as a
(02:22):
fellow trainee in Chicago.
That happened week after week.
That continues to happen herein New York.
So you know, I would say thatwhen you experience something
like that and you see the traumathat these parents are going
through and what these kids haveto go through from a largely
preventable disease, how can younot make it one of your life's
missions.
Speaker 1 (02:40):
And then, how did the transition to you coming to
Northwell Health happen?
And for folks who areunfamiliar with what that is and
are like, what is that you know?
Speaker 2 (02:47):
Yeah, yeah.
So Northwell is the largesthealth system in all of New York
state.
It's also the largest employer,with about 100,000 employees.
We have around 18 hospitals,and I came here as my you know
to really for my first job as apediatric surgeon after I
finished my training atNorthwestern in Chicago, and you
know it was a great job, greatgroup.
I came here for the clinicalwork.
(03:08):
I did not imagine that when Iwould start, our CEO of the
health system would take a bigstance on gun violence and make
gun violence an institutionalpriority for us at the same
level as cancer prevention,heart disease prevention.
I hadn't seen that before andso it was very much a you know,
right place, right time.
Our passions aligned.
That's what led to the centerbeing developed.
(03:28):
I'm very thankful for theopportunity that he and others
have given many folks on ourteam to kind of lead in this
area, and that's really how ithappened.
So it was definitely notsomething I planned on.
Speaker 1 (03:38):
It's so interesting to me because of this work I
talked to so many people whohave gotten pulled into doing
gun violence prevention work,either through their own you
know survivorship or throughjust kind of existing in the US
right.
They came in with a very clearcut they wanted to do research,
they wanted to be a socialworker, they wanted to be a
surgeon, and then suddenly kindof gun violence came and
announced itself to them as anarea of interest.
Speaker 2 (03:59):
Yeah, yeah, I mean, it's not surprising, right,
firearms being the leading causeof death among our children in
this country.
It's something that's the topof mind for many Americans.
We've seen that this is anissue that can affect you in any
community and we really allhave to come together to
transcend the polarization thatwe've seen happen right now.
You know, most Americans wantsafer communities.
(04:21):
They don't want mass shootings.
They are for responsible gunownership and safety, and I
think we have to remember thatin most of our conversations,
because this has been becomesuch a political, polarized
issue and really it's just apublic health issue.
Speaker 1 (04:33):
And isn't it a shame that, like public health itself,
has become a polarized healthissue, especially over the last
two, three years?
However long this pandemic hasbeen happening, who knows.
Speaker 2 (04:41):
I know COVID-19 laid that bear for sure.
Speaker 1 (04:44):
I think too, if we can, just to really drive home
for our listening audience.
One of the things you justmentioned there is that gun
violence is the leading cause ofdeath amongst children and I
wonder, can you unpack that alittle bit, because that's a
newer transition.
It used to be cancer, it usedto be car accidents, now it's
gun violence.
Yeah.
Speaker 2 (05:01):
Yeah, you know, I would say that for anyone that's
been following public healthtrends and stats, it's not at
all surprising.
You know, we have had robustpublic health approaches to
things like motor vehicle safety, tobacco cessation, drowning
avoidance and, as a result,those have gone down for the
most part, year after year, ascauses of death for kids.
We have not had a public healthapproach to something like gun
(05:22):
violence and, as a result, notat all surprising that it has
become the leading cause ofdeath among kids.
We saw that in 2019 and 2020,it became the leading cause of
death.
2021, the data shows that it'seven more of a leading cause of
death among kids and it's onlygetting worse.
So this is not just a nicelittle thing during the pandemic
.
This continues to happen,continues to get worse and it's
something that we all kind ofneed to keep in our minds.
Speaker 1 (05:43):
Well, and then, to that end, northwell Health, I
think, is doing something reallykind of revolutionary here on
the aim of trying to preventchildhood and then I would say
probably adult injury, beforesomeone might, you know, have to
come into your operating room,right, stopping it before it
becomes an issue.
And so I wonder if we can talka little bit about this, this
screening process that Northwellhas been using.
You know what is it?
(06:04):
How did this happen?
How did this develop?
Speaker 2 (06:06):
Yes, definitely.
So, you know, I think it'sworth taking a step back for a
second.
And when we talk about the wordgun violence, right, many of us
are referring to firearmrelated injury and death across
the country, and this could befirearm related suicide,
unintentional injury orintentional injury, which
includes homicides, violentassaults and mass shootings,
which make up a sliver, ofcourse, what we call gun
(06:29):
violence in this country.
I think it's important toreally talk about the nuances in
that term, because often whathappens is we lump the term gun
violence together and thatnaturally creates a polarization
because, you know, you willhave gun owners saying why am I
responsible for inner cityfirearm violence, you know, and
vice versa.
So I think that nuanceddiscussion is really important
(06:49):
and I bring that up becausethat's important even for the
screening I'm going to talkabout.
So traditionally in healthcarewe've been very reactive to
gunshots.
You know, when someone comes inwith a gunshot wound, I fix it
up, I send them out.
We then move to a state whereyou know, okay, we're not just
going to send you out, let'sgive you some resources to help
you maybe change behavior,whether it be safe storage or
(07:09):
use violence interventionresources to be able to prevent
an injury from happening again.
Well, we're trying to do withour research here is to take
that a step even beyond andprevent these injuries before it
happens, as you mentioned.
So we ask every single patientwho comes into our hospital, in
our emergency departments rightnow, questions around firearm
injury risk.
So we actually ask questionsaround firearm access with the
purpose of offering safe storagecounseling.
(07:32):
So if you screen positive forfirearm access, we ensure that
you safely saw your weapons andif not, that's okay.
We provide education and ifpatients don't want to hear that
, that's okay.
It's traditionally been a verynice conversation actually.
And we also screen for what wecall firearm violence risk,
which is a very different thing,and we offer violence
intervention resources if youscreen positive for that.
So we're doing a trial aroundthat.
(07:53):
It's the first universalscreening effort.
The purpose there is tonormalize how we talk about guns
in the healthcare setting.
We do think it's in our lane.
We think that it's something weshould be talking about,
screening for no different thanwe screen for behavioral health
issues or substance use.
We need to start screening forgun injury risk and so far we've
done 18,000 screens.
Speaker 1 (08:11):
As a result, and so was this kind of an internal
desire, though, as members ofthe healthcare system, you were
like we need this.
Or is this something where evenpatients were saying, you know,
I wish someone had talked to meabout this ahead of time.
How did this initially evendevelop?
Speaker 2 (08:23):
Yeah, you know it's really come through leadership
in the system.
But the development here isthat one of my close
collaborators runs our substanceuse program and the way that
healthcare helped tode-stigmatize and depolarize a
topic like substance use is theyuniversally screened everybody.
Rather than targeted screeningof people who you think might be
at risk and might introduce allkinds of bias, you screen
(08:44):
everyone and that has reallycreated an institutional support
and normalization of talkingabout substance use across
healthcare.
Nationally we are taking thesame approach with guns.
That's where the inspirationfor it came.
My co-investigator on the studyis the addiction services head
for our system and that's whatwe're hoping to do.
Speaker 1 (09:01):
There's so many things I feel like when I go
into a doctor's office that Ihave like those automatic
questions for everything fromyou know, do I feel safe in my
interpersonal relationships tolike smoking questions?
And I've never felt verytargeted because I know that
that's kind of the boiler boilerplate right, that they ask
everybody.
Speaker 2 (09:17):
Exactly, exactly.
We have signage everywheresaying we ask everyone Firearm
safety is a healthcare issue,you know.
So patients now at our systemdo expect it.
It has gotten to the point thatit is kind of part of our
identity and the patientssometimes ask why did I not get
screened?
You know if we happen to missit.
So it is cool.
I think it's part of theparadigm shift that we're hoping
can be made on this topic.
Speaker 1 (09:38):
And so, as you've mentioned, obviously this is
still very new, but youcertainly, you all have
certainly done a lot of surveysbecause, again, so many people
pass through the healthcaresystem, right, like it is one of
the things that it's very hardto kind of completely opt out of
right.
And so what are some of theresponses these questions have
resulted in?
(09:58):
Like, maybe, if we could startwith the negative, I know one of
the things that I hear from alot of folks is, or you know,
play devil's advocate.
I don't want to say anythingabout firearms, because they're
just going to put me on aregistry, they're just going to
take my guns away, you know, onthat negative end.
So I wonder, like, what aresome of the negative things
you've heard and what are someof the positives from this
initial survey option?
Speaker 2 (10:17):
I'll talk about the positives, as you mentioned in a
second, but overwhelmingly it'sbeen positive, right?
Please really care about thesafety of their loved ones, and
so they're generally veryappreciative of the education
that we offer the negativeresponses.
So, as you mentioned, it'sreally important to note that,
though we're in New York, weserve Long Island, the five
boroughs and all of Westchester,and we have a high rate of gun
(10:39):
ownership here, right, the restof New York is not like
Manhattan.
Speaker 1 (10:42):
People don't think of New Yorkers as going like out
to go hunting, but that actuallyis a thing that a lot of people
do.
Speaker 2 (10:50):
Huge thing here?
Yes, absolutely.
So we're definitely serving avery diverse population,
particularly from the firearmsafety angle as well.
And then the violenceintervention angle.
Right, we do have significantsocioeconomic disparities
through the five boroughs,queens, which we largely serve.
So we really see the wholegamut when it comes to screening
of both firearm access andviolence risk.
(11:12):
Now, some of the negatives, Iwould say, on both sides.
So with respect to the firearmaccess piece, of course, yeah,
you do have families that saywhy are you asking?
This is not your lane,something you should be asking
about.
But for the most part, you know, remember, we really frame this
under an education umbrella anda safety umbrella for kids,
elderly people in the household,those who might be at risk of
(11:34):
suicide.
And when you frame it in thatway, even if someone is
resistant, it's kind of anopportunity for them to tell you
about, let's say maybe, thatthe good firearm safety
practices that they do do.
So there's a way to turn thatconversation around and to
really put it under the guise ofsafety that traditionally we
haven't really had.
I can't think of hardly anysituations where there's really
been confrontation because thesequestions.
(11:55):
And then on the violence piece,you know, families often are
scared.
They're worried aboutretaliation.
They're very much looking forresources like violence
interrupter organizations, sothat's a generally very well
received conversation there.
Speaker 1 (12:08):
Yeah, to take a step back to kind of you know some of
the vulnerable groups that youmentioned that might be kind of
identified within a survey likethat.
I mean I think we've gottenbetter about messaging in the US
to understand that folks incrisis who may be experiencing
suicidality, what that could belike for them.
But you specifically mentionedas well then children in the
elderly and I wonder if youcould highlight, like what kind
(12:29):
of risks might be identified inthat firearm questionnaire for
those two groups you know, likethe youngest and the oldest
amongst us.
Speaker 2 (12:38):
Yeah, I mean, I think that's where the firearm safety
piece really comes in, say,storage.
You know that Brady does such awonderful job with with respect
to end family fire.
The key is that if you have aunlocked, loaded weapon in the
household right, there's noquestion.
The evidence shows that yourrisk of suicide homicide in the
(13:00):
household goes up, whether thatbe an unintentional shooting,
where a kid accidentally shootsomebody, whether that be a
suicide among a family memberright, this could be an elderly
person who accidentallydischarges that weapon or is
having depression, right, andmight have a behavioral event as
a result of that.
Or in many cases, even massshootings.
Right, there are circumstanceswhere a number of mass shooters
(13:20):
get their weapons from parentswho have not locked up their
weapons safely.
So I think the risks havereally been shown to be elevated
, not to mention domesticviolence or intimate partner
violence.
We know that this.
You know firearms are asignificant cause of homicide in
this country, and so when youreally frame it there, I think a
lot of families are surprisedby those stats.
(13:40):
But they can be simplymitigated just by safely storing
the weapon, you know, locked,unloaded and separate from
ammunition.
Speaker 1 (13:50):
So, as part of that screening, are resources for
things on safe storage?
Is that something that folksare then linked up with after,
or is it more of a just kind ofidentified to them?
Hey, you should try to figuresome stuff out.
Speaker 2 (14:01):
Oh, absolutely no.
Resources are critical to theintervention.
So if you screen positive forthe firearm access piece, you
get a gun lock, you geteducational brochures, you get
actual firearm safety counselingat the time of your visit in
the hospital and then you getpaired up with firearm safety
courses and so on, if you wantin the community.
And then, on the violenceintervention piece, same thing
(14:22):
motivational interviewing.
We have credible messengers inthe hospital that work as part
of our violence interventionprogram that actually meet these
patients, help de-escalate,help interview and help case
manage and partner with them inthe community when they leave.
So really there's a lot ofinterventions and resources that
are actually given within thehealthcare setting before that
patient needs to hospital.
Speaker 1 (14:40):
That's huge.
That's so many.
That's amazing.
I wonder, can you break downsome of those resources?
So it's sort of so.
Let's say that I test positivethrough a screen.
Speaker 3 (14:49):
Yeah.
Speaker 1 (14:51):
What comes next?
What's kind of the watershedthat follows?
Speaker 2 (14:55):
Yeah.
So let's say I'm seeing you inthe hospital and you say, yes,
you do have access to a firearm.
People then go through the fiveL's of firearm safety, talking
about things like cable locks,for example, and we'll actually
hand you a cable lock, show youhow to use it.
If you're interested.
We'll start, of course, bytelling you about the risks of
having the firearm loaded andunlocked in your household.
(15:16):
This is not about taking gunsaway, not about gun ownership.
This is simply about safestorage.
So we have that conversationand then we also provide local,
community firearm safety coursesif you're interested, because
we can't forget that millions ofAmericans that bought guns,
particularly during the COVID-19pandemic, are not learned
owners.
They're not really veryeducated gun owners.
So there's a lot of teachingthat can be done there.
(15:38):
And then let's say you screenpositive for the violence
intervention piece.
That's where, right then andthere you meet a credible
messenger who could talk youthrough things you might be
struggling with in the communityand what resources in the
violence intervention realm,through community-based
organizations, can we offer youwhen you leave the hospital.
Speaker 1 (15:55):
What sort of training do healthcare professionals get
before they go in and startasking all these questions,
because I'm presuming that noteveryone who is giving a
screening, or everyone who is.
Every healthcare provider who'smeeting with a patient is a gun
owner or is comfortable sayingthat this is a trigger lock, and
this is what I to discussfirearms openly.
(16:15):
So what sort of training orresources are given on the
healthcare end to prep folks forthis?
Speaker 2 (16:20):
Huge.
I mean.
This took 60 months of trainingand education and it's still an
ongoing thing.
We can't remember that mostpeople in healthcare are not
trained to have theseconversations.
We're not taught that gunviolence is a healthcare issue.
We don't know how to have theconversation.
So the education is absolutelycritical.
And we also have to rememberthat healthcare workers, people
in hospitals, are no differentthan the community, so the same
(16:41):
biases and the same notions aregonna exist, and so through
education is where you getbuy-in and you get team effort
and then championship, and sothe education is absolutely
critical.
It's an ongoing effort andthere's no way you can do it
without a very robusteducational curriculum Teaching
healthcare workers how to dothis.
Speaker 1 (17:01):
Yeah, it seems like this is such a careful and
dedicated rollout and I'm justI'm kind of I keep coming back
to you.
Know why do you feel that gunviolence, then, is a healthcare
issue, that this is somethingthat should be being taken on by
more medical systems or otherproviders, like outside of
Northwell too?
Speaker 2 (17:22):
Yes, I mean one of our biggest national pushes
health system and one of ourfocuses, given that our CEO has
been so outspoken on this issueand really he was one of the
first large health system CEOsto be so outspoken and you'd be
surprised, but there's reallythere was a reluctance among
many healthcare leaders to notonly speak out on this but to
really prioritize it, and thatcan be anything from you know,
(17:42):
we've heard a combination ofthings.
Like you know, there are manycompeting priorities.
Of course, hospitals and healthsystems have a lot of other
things they need to worry about,but then you also have a subset
of hospitals that are concernedabout what their board is gonna
say, what is their you knowpatient population gonna say,
and they're concerned it's not atopic that they wanna touch.
So our big effort of the lastthree years has really been
(18:04):
bringing health systems together.
You know we've launched apublic awareness campaign on the
idea of parent-to-parent askingabout safe storage.
That's been uptaken by athousand different hospitals
across the country.
We have a new CEO council,healthcare CEO council on gun
violence prevention and 55 ofthe largest health system CEOs
have signed on and they'reideating right now on making one
(18:25):
of the most substantialcommitments to GVP from the
healthcare industry in history.
So I think you know there's alot that's changed over the last
two, three years very exciting,but also very needed, and
healthcare has to come togetheron this.
You know, we can't not makethis a healthcare issue, because
it really is, and that's theway that we're gonna transcend
the politics of this and figureout solutions, just like we did
(18:47):
for other issues like car safetyand substances.
Speaker 1 (18:51):
I think it's so interesting because while we've
been talking, I think twice nowyou've kind of mentioned that
like this is our lane, kind oftying it.
I think back to that campaignthat was started by doctors
saying that, like, no gunviolence is our lane.
Gun violence is something thatwe need to be engaged with,
because we're seeing thepatients after they get shot,
but we're also like dealing withtheir family members after as
well, like we're dealing with acommunity that's dealing with
(19:12):
all the secondary health issuesand mental health issues that
follow.
So I think it's reallyphenomenal that Northwell has
taken the lead on this, but Iwould love to see this become
like the norm we're gonna figurethis out.
It's just default.
No one knows where it started,because everyone does it.
Speaker 2 (19:27):
Oh, absolutely, absolutely.
And there's so many hospitalsthat have done incredible work
in this area.
You know, I think it's aboutand they've been.
You know, frankly, there's anumber of hospitals that have
been doing incredible work inthis area for over a decade.
It's about getting everyone theinstitutional support they need
.
You know, getting your C-suiteat your hospitals to actually
truly believe in this, versusjust the surgeons or nurses or
(19:49):
frontline workers that reallycare about this, which is where
that this is our lane movementstarted right.
So it's about getting everyonein the hospital involved,
leadership included, and, yeah,it needs to be the norm.
It definitely does.
Speaker 1 (20:03):
So this is kind of a I mean, I know Northwell is
really instrumental in this andit's kind of a mouthful but in
the gun violence preventionlearning, collaborative for
health systems and hospitals,like so many things in gun
violence prevention it's a long,long name.
But I'm wondering if you couldshare kind of where you think
this collaborative effort isgoing to go in the future.
You know kind of what are someof your hopes for it.
Speaker 2 (20:26):
Yeah, so the learning collaborative is our grassroots
collaborative has 600 hospitalsfrom 38 states.
That's a best practiceimplementation collaborative.
I'll give you an example.
You know, in our screening, oranyone's screening we've known
that safe storage counselingfrom physicians to patients can
change behavior and save lives.
We know that balanceintervention probably can save
(20:49):
lives right, but when it comesto safety counseling and talking
to our patients about guninjury risk, we haven't done it
over the last 10 years.
But that evidence has alwayskind of been there, nothing new.
Only eight to 10% of anyclinical team members across the
country ever talked to theirpatients about gun injury risk.
So we're really looking tochange that, and I think you
(21:09):
know the more we can think aboutshifting that view from an
implementation lens, the betteroff we're gonna be.
So that's really where thecollaborative came from, because
, though we have thesestrategies, there's all these
barriers that we face asclinicians to getting programs
off the ground in the hospitalsetting, whether it be balance
intervention or firearm safetyor whatever and so that's how
(21:30):
the collaborative started.
We finished the first 12 months,which were very focused on
education.
As a result of that, 40% ofthose hospitals started new
programs actually according tothe surveys that we did and the
second phase is ongoing nowwhere it's gonna be more about
sharing those best practices.
So let's say you're at hospitalA in whatever state, and you
wanna start a program.
What are lessons learned fromeither a program you already
(21:51):
started or what are lessonslearned from other people that
you can take to get that programoff the ground?
You know, how do you getinstitutional support?
How do you deal with thebarriers when it comes to
workflow?
We have a lot of otherquestions to ask and deal with
their patients, and so it's thatkind of discussion very much
from a frontline, grass rootkind of best practice
implementation lens, and I dothink it's very much kind of
(22:12):
becoming the place where peopleare gonna go for that?
Speaker 1 (22:15):
Why do you think that that is just gonna be kind of
the default where people go into?
Speaker 2 (22:20):
Well, I think right now, one of the reasons that
we've started it and we'rerelatively new to this space is
we needed to learn from otherpeople.
There are other hospitals, likeI said, who have been doing
this for years.
So where do you go to reallyreach out and create that
network so you can learn fromother hospitals and say, okay,
this is what I should be doing?
That kind of forum didn't exist.
That's why the collaborativestarted and that's where we're
(22:44):
hoping to continue to see it go.
It's really a collectivenetwork, more than anything,
that showcases other programsacross the country so that we
can all learn.
You know, like even for us inNorthwell, we're starting to
build out our violenceintervention strategy.
We're taking lessons learnedfrom the collaborative and what
others told us and them showingtheir programs to really build
ours.
Speaker 1 (23:05):
It's so great.
So if folks are listening tothis who are kind of like not
working within the system or notworking with a hospital, that's
kind of aligned with thismission.
Already you know what can theybe doing to try to sign on, to
try to get their workplaceengaged.
Or what can folks like me whohave and for good reason no ties
to medicine whatsoever?
(23:25):
What can we be doing to helpright the folks who struggled
through Biochem and undergrad?
What can we be doing to assist,despite being apart from this?
Speaker 2 (23:35):
Yeah, you know, I think it really starts by
helping to reframe thediscussion.
It's going to take a village.
It takes all of us.
Healthcare is a small piece ofthis, so even if you're not in
healthcare, arguably your voicecould be even more impactful
than what I'm talking about.
How do you reframe theconversation around the dinner
table with their local lawmakers, with their community, your
(23:56):
faith-based organizations, yourschools?
That's where it's critical, andif you can think of ways to do
that and start doing that, andthen think about local hospitals
that you can bring into the mix, I mean, I think that's a
win-win.
You know we'd love for anyone toreach out to us.
I can provide my email contactfind us If you're interested in
learning more about thehealthcare collaboration piece.
(24:17):
I do think there's interestingcollaborations, too, between
organizations like Brady and thehealthcare industry, where we
have synergistic missions.
You guys are viewing this as apublic health issue.
We do too.
It's going to take everybody.
So I think those conversationsare important.
I think the frontier for publichealth, too, that is
fascinating, is we need morepolicy research.
You know, policy is notpolitical.
(24:37):
We need more policy research Alot of academics are shy about
that, but we need that and wealso need to start thinking
about gun industryresponsibility as part of the
public health mitigationapproach.
I mean, industry responsibilityis what changed motor vehicle
safety and tobacco cessation,you know.
So how do we get the same withrespect to the gun industry?
Because I do think it's acombination of accountability
(25:00):
from people, but also theindustry.
Speaker 1 (25:03):
Well, and then do you want to plug?
Where can folks find NorthwellHealth, specifically?
Or where can they find yourTwitter?
Do you have a TikTok?
Where can the folks listen andfind you?
Speaker 2 (25:12):
Yeah, of course I'm on Twitter at Dr Chatevon Sathya
.
If you Google Northwell HealthCenter for Gun Violence
Prevention, you'll see ourwebsite for their contacts.
Get more information there andwe look forward to working with
anyone who's interested.
Speaker 1 (25:25):
Well, thanks so much, dr.
I really appreciate it hey wantto share with the podcast.
Listeners can now get in touchwith us here at RedBlue and
Brady via phone or text message.
Simply call or text us at480-744-3452 with your thoughts.
Questions concerns ideas, catpictures, whatever.
Speaker 3 (25:45):
Thanks for listening.
As always, brady's lifesavingwork in Congress, the courts and
communities across the countryis made possible thanks to you.
For more information on Bradyor how to get involved in the
fight against gun violence,please like and subscribe to the
podcast.
Get in touch with us atbradyunitedorg or on social at
BradyBuzz.
Be brave and remember.
(26:06):
Take action, not size.
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