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Heroes

Kindness and courage drive this nurse to serve those who are often forgotten

Kindness and courage drive this nurse to serve those who are often forgotten
Courtesy of CeraVe
True

It takes a special type of person to become a nurse. The job requires a combination of energy, empathy, clear mind, oftentimes a strong stomach, and a cheerful attitude. And while people typically think of nursing in a clinical setting, some nurses are driven to work with the people that feel forgotten by society.


Michelle Santizo is a street medicine nurse working in Los Angeles, California. For her, the field of street medicine requires providing lifesaving health services in unpredictable and sometimes uncomfortable environments, but is where she is most passionate about her work.

Nurse Santizo credits her parents for teaching her resilience, a necessary trait when providing care in places like tents, under bridges, in alleys, vehicles, at libraries, on the side of the freeway or even at a bus stop.

“Every corner of Los Angeles needs our services,” said Nurse Santizo. “It can be in a pristine, abandoned, trashed, or graffiti-filled neighborhood.”

Michelle | Heroes Behind the Masks presented by CeraVewww.youtube.com

Santizo prepares for the workday by loading her backpack with supplies before heading to a section of downtown L.A. known as “skid row” to care for her clients, who are typically people experiencing homelessness and living on the fringes of society without regular access to healthcare. As the child of immigrant parents, she experienced firsthand a lack of healthcare and basic necessities. Her mother fled from El Salvador as a young woman, arriving in the United States alone and without shelter.

“My mother told me that the only people that acknowledged her while sleeping outside on a bench [were the people going in and out of] the church that was across the street,” said Nurse Santizo. She said her mother instilled in her that there are many reasons why people are homeless and that each individual has their own story. “[She] taught me to never judge someone’s struggle … my mother’s inspiring upbringing taught me if you have the time to help the broken or disadvantaged, then take a moment to acknowledge or help in some positive way.”

Michelle and her mother on a beachCourtesy of Michelle Santizo

Growing up, Nurse Santizo watched her parents struggle to earn a living wage to keep up with the family’s needs. “My father worked nearly seven days of the week and my mother worked as much as she could in jobs like babysitting, cleaning homes or caregiving. Feeding our family was my parent’s main concern…healthcare and all the other important aspects of life became secondary or non-existent. My parents could barely make enough income to buy fresh fruit or vegetables,” she said.

The Santizo familyCourtesy of Michelle Santizo

That upbringing is what drove her to pursue a career in medicine, with the goal of giving back to underserved communities. “[Access to] medicine should not be determined based on your socioeconomic status. It should be a right for someone to seek healthcare when it is needed and important, especially for children and adolescents who will be the future of our generation,” said Nurse Santizo. She credits her lack of access to healthcare as a child for empowering her to keep pushing for change.

When the opportunity to practice street nursing arose, Santizo knew instinctively that it was the right fit. Every workday she has meaningful interactions, but one experience in particular had a lasting impression on her. She encountered a middle-aged man who had lost his job during the pandemic and was forced to live on the streets. Nurse Santizo approached, and he asked if she wouldn’t mind examining his feet. As she gently inspected the condition of his skin, she explained that he needed a thorough cleaning and a special ointment and offered to wash his feet and patch them up.

Courtesy of CeraVe

“This kind man stared right into my eyes and nearly cried, as he shared ‘no one has ever cared for me like this ever since I’ve been forced to live on the streets, nor has anyone ever acknowledged my existence,’” recalled Nurse Santizo. “I remember squatting on the side of the street while cars were driving by … my only mission was to devote that moment in time to servicing a person who needed my attention and love. As you can tell, I love what I do, and I could scrub feet for days when servicing the most vulnerable populations.”

According to the most recent report, approximately 580,466 people were experiencing homelessness in America in January 2020. Most were individuals (70%) and the rest were people living in families with children. The full effect of the pandemic on the homeless populations across the country have yet to become clear, and hard data will not be fully known until late 2022 or early 2023.

“Bringing medicine to people who are not able to seek medical assistance due to their inabilities whether it be homelessness, chronic illness, or mental health has always been my true calling … to serve the broken, the sick, the vulnerable and the ones who really need a second chance at life,” said Nurse Santizo, a reminder that no one knows what another human is battling.

To recognize the healthcare professionals that are so often giving to others before themselves, CeraVe seeks to spotlight those that go beyond the call of duty for their patients and communities. The brand is honoring nurses such as Santizo in the second iteration of a docuseries titled Heroes Behind the Masks Chapter 2: A Walk In Our Shoes.

Follow along in the coming days for more stories of heroism, kindness and love.

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Three women, three MS journeys: How multiple sclerosis looks different for everyone

Gina, Nathalie and Helga share their reactions to being diagnosed with MS and how they stay informed and positive in the face of ever-changing symptoms.

Courtesy of Sanofi

Helga, Nathalie and Gina all have MS, and their experiences show how differently the disease can manifest.

True

It’s been 155 years since neurologist Jean-Martin Charcot gave the first lecture on a mysterious progressive illness he called “multiple sclerosis.” Since then, we’ve learned a lot. We know MS causes the immune system to attack healthy tissue, including damaging the brain and spinal cord. Resulting symptoms can be debilitating and include fatigue, blurred vision, memory problems and weakness. Huge advancements in our understanding of MS and its underlying causes, as well as treatment advances, have been made in the past few decades, but MS remains a complex and unpredictable reality for the 2.8 million+ people diagnosed around the world.

Ironically, the only real constant for people living with MS is change. There’s no set pattern or standard progression of the disease, so each person’s experience is unique. Some people with MS have mild symptoms that worsen slowly but sometimes improve, while others can have severe symptoms that drastically alter their daily lives.

All people with MS share some things in common, however, such as the need to stay informed on the ever-evolving research, find various lines of support and try to remain hopeful as they continue living with the disease.

To better understand what navigating life with MS really looks like, three women shared their MS stories with us. Their journeys demonstrate how MS can look different for different people and interestingly, how the language used to talk about the disease can greatly impact how people understand their realities.

woman with horse, woman riding horseGina loves riding her horse, Benita.Courtesy of Sanofi

Gina—Hamburg, Germany (diagnosed with relapsing multiple sclerosis in 2017)

When her youngest son was 4 months old, Gina started having problems with her eye. She’d soon learn she was experiencing optic neuritis—her first symptom of MS.

“Immediately after the diagnosis, I looked up facts on MS because I didn’t know anything about it,” Gina says. “And as soon as I knew what could really happen with this disease, I actually got scared.”

As her family’s primary income provider, she worried about how MS would impact her ability to work as a writer and editor. Her family was afraid she was going to end up in a wheelchair. However, for now, Gina’s MS is managed well enough that she still works full-time and is able to be active.

“When I tell somebody that I have MS, they often don't believe me the first time because I don't fulfill any stereotypes,” she says.

Overwhelmed by negative perspectives on living with MS, Gina sought support in the online MS community, which she found to be much more positive.

“I think it’s important to use as many positive words as you can when talking about MS.” It’s important to be realistic while also conveying hope, she says. “MS is an insidious disease that can cause many bad symptoms…that can be frightening, and you can't gloss over it, either.”

To give back to the online community that helped her so much, Gina started a blog to share her story and help others trying to learn about their diagnosis.

Though she deals with fatigue and cognitive dysfunction sometimes, Gina stays active swimming, biking, riding horses and playing with her sons, who are now 11 and 6.

Cognitive dysfunction is common in MS, with over half of people affected. It can impact memory, attention, planning, and word-finding. As with many aspects of MS, some people experience mild changes, while others face more challenges.

Gina says that while there’s still a lot of education about MS needed, she feels positive about the future of MS because there’s so much research being done.

woman in wheelchair holding medal, woman rowingNathalie is an award-winning rower with multiple international titles.Courtesy of Sanofi

Nathalie — Pennes Mirabeau, France (diagnosed with relapsing-remitting multiple sclerosis in 2002)

Nathalie was a teenager and a competitive athlete when she noticed her first symptoms of MS, but it would take four years of “limbo” before she was diagnosed.

“Ultimately, the diagnosis was more of a relief, than a shock,” she says. “Because when you have signs and you don’t know why, it’s worse than knowing, in the end, what you have.”

However, learning more about the disease—and the realities of disease progression—scared her.

“That glimpse of the future was direct and traumatic,” she says. Her neurologist explained that the disease evolves differently for everyone, and her situation might end up being serious or very mild. So, she decided to stop comparing herself to others with MS.

She said to herself, “We’ll see what happens, and you’ll manage it bit by bit.”

By 2005, Nathalie’s MS had progressed to the point of needing a wheelchair. However, that has not dampened her competitive spirit.

Nathalie began her international rowing career in 2009 and has won multiple world titles, including two Paralympic medals—silver in London and bronze in Tokyo. Now, at 42, she still trains 11 times a week. Fatigue can be a problem, and sometimes hard workouts leave her with muscle stiffness and shaking, but she credits her ongoing sports career for helping her feel in tune with her body’s signals.

“Over the years, I’ve learned to listen to my body, letting my body guide when I need to stop and take breaks,” she says.

Nathalie explains that she used to only look backwards because of the initial shock of her diagnosis. In time, she stopped thinking about what she couldn’t do anymore and focused on her future. She now lives in the following mindset: “Even when doors close, don’t miss out on those that open.” Instead of focusing on what she can’t do, she focuses on the opportunities she still has. Right now, this includes her training for the 2024 Paralympic Games in Paris, where she will compete for another rowing medal.

“I only go forward,” she says. “Well, I try, anyway…It’s easy to say, it’s not always easy to do. But that’s what I try to do.”

woman exiting water after swimming, woman with great daneHelga's Great Dane has become a helpful and beloved companion.Courtesy of Sanofi

Helga—Johannesburg, South Africa (diagnosed with relapsing multiple sclerosis in 2010)

When Helga first started having balance issues and numbness in her feet, she chalked it up to her training as a runner. But when the numbness moved to her face, she knew something was wrong. She never guessed it was MS.

“When I was diagnosed, I felt completely overwhelmed and clueless,” Helga says. “I felt that I had nowhere near enough information. I did not know anything about the disease…I had no idea that it was going to be a process of continually monitoring and adjusting your lifestyle.”

In the beginning, Helga’s symptoms developed slowly, and she didn’t appear ill to others. She was even able to run for a few years after her diagnosis, but she couldn’t do marathons anymore, and she began to fall frequently due to balance issues and right-foot dragging. Then her cognition issues became more problematic, especially in her job as a trainer in a printing company.

“My executive function, decision-making and short-term memory were affected to the point that I was eventually medically unfit for work,” she says. She stopped working in 2017.

However, she didn’t stop living life. Even though she could no longer run, she continued to swim competitively. She got a Great Dane puppy and trained him as a service dog to help her walk. She also serves as vice chair of the patient support organization Multiple Sclerosis South Africa, and she advises others who have been diagnosed to join a patient advocacy group as soon as possible to get reliable information and meet others with MS.

Helga says she is “hopeful” about the future of MS. “I must say that I am so grateful that we have all the new medications available, because my life would not be the same if it wasn't for that,” she adds.

Part of how she manages her MS is by looking at the positives.

“If I could tell the world one thing about MS, it would be that MS is an incurable disease of the nervous system, but it's also the greatest teacher of valuing your health, family, friends, and managing change in your life,” she says. “My life is diversified in a way that I never, ever thought it would, and MS has been honestly the greatest teacher.”

Each MS journey is unique – with each person impacted experiencing different struggles, successes, and feelings as they manage this unpredictable disease. But the common thread is clear – there is a critical need for information, support, and hope. We are proud to participate in World MS Day and share these incredible stories of living life while living with MS. To learn more about MS, go to https://www.sanofi.com/why-words-really-matter-when-it-comes-to-multiple-sclerosis.

MAT-GLB-2301642-v1.0-05/2023

This article was sponsored by Sanofi. Participants were compensated when applicable.

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