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

Pop Culture

Artist uses AI to create ultra realistic portraits of celebrities who left us too soon

What would certain icons look like if nothing had happened to them?

Mercury would be 76 today.

Some icons have truly left this world too early. It’s a tragedy when anyone doesn’t make it to see old age, but when it happens to a well-known public figure, it’s like a bit of their art and legacy dies with them. What might Freddie Mercury have created if he were granted the gift of long life? Bruce Lee? Princess Diana?

Their futures might be mere musings of our imagination, but thanks to a lot of creativity (and a little tech) we can now get a glimpse into what these celebrities might have looked like when they were older.

Alper Yesiltas, an Istanbul-based lawyer and photographer, created a photography series titled “As If Nothing Happened,” which features eerily realistic portraits of long gone celebrities in their golden years. To make the images as real looking as possible, Yesiltas incorporated various photo editing programs such as Adobe Lightroom and VSCO, as well as the AI photo-enhancing software Remini.

“The hardest part of the creative process for me is making the image feel ‘real’ to me,” Yesiltas wrote about his passion project. “The moment I like the most is when I think the image in front of me looks as if it was taken by a photographer.”

Yesiltas’ meticulousness paid off, because the results are uncanny.

Along with each photo, Yesiltas writes a bittersweet message “wishing” how things might have gone differently … as if nothing happened.
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All images provided by Adewole Adamson

It begins with more inclusive conversations at a patient level

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Adewole Adamson, MD, of the University of Texas, Austin, aims to create more equity in health care by gathering data from more diverse populations by using artificial intelligence (AI), a type of machine learning. Dr. Adamson’s work is funded by the American Cancer Society (ACS), an organization committed to advancing health equity through research priorities, programs and services for groups who have been marginalized.

Melanoma became a particular focus for Dr. Adamson after meeting Avery Smith, who lost his wife—a Black woman—to the deadly disease.

melanoma,  melanoma for dark skin Avery Smith (left) and Adamson (sidenote)

This personal encounter, coupled with multiple conversations with Black dermatology patients, drove Dr. Adamson to a concerning discovery: as advanced as AI is at detecting possible skin cancers, it is heavily biased.

To understand this bias, it helps to first know how AI works in the early detection of skin cancer, which Dr. Adamson explains in his paper for the New England Journal of Medicine (paywall). The process uses computers that rely on sets of accumulated data to learn what healthy or unhealthy skin looks like and then create an algorithm to predict diagnoses based on those data sets.

This process, known as supervised learning, could lead to huge benefits in preventive care.

After all, early detection is key to better outcomes. The problem is that the data sets don’t include enough information about darker skin tones. As Adamson put it, “everything is viewed through a ‘white lens.’”

“If you don’t teach the algorithm with a diverse set of images, then that algorithm won’t work out in the public that is diverse,” writes Adamson in a study he co-wrote with Smith (according to a story in The Atlantic). “So there’s risk, then, for people with skin of color to fall through the cracks.”

Tragically, Smith’s wife was diagnosed with melanoma too late and paid the ultimate price for it. And she was not an anomaly—though the disease is more common for White patients, Black cancer patients are far more likely to be diagnosed at later stages, causing a notable disparity in survival rates between non-Hispanics whites (90%) and non-Hispanic blacks (66%).

As a computer scientist, Smith suspected this racial bias and reached out to Adamson, hoping a Black dermatologist would have more diverse data sets. Though Adamson didn’t have what Smith was initially looking for, this realization ignited a personal mission to investigate and reduce disparities.

Now, Adamson uses the knowledge gained through his years of research to help advance the fight for health equity. To him, that means not only gaining a wider array of data sets, but also having more conversations with patients to understand how socioeconomic status impacts the level and efficiency of care.

“At the end of the day, what matters most is how we help patients at the patient level,” Adamson told Upworthy. “And how can you do that without knowing exactly what barriers they face?”

american cancer society, skin cacner treatment"What matters most is how we help patients at the patient level."https://www.kellydavidsonstudio.com/

The American Cancer Society believes everyone deserves a fair and just opportunity to prevent, find, treat, and survive cancer—regardless of how much money they make, the color of their skin, their sexual orientation, gender identity, their disability status, or where they live. Inclusive tools and resources on the Health Equity section of their website can be found here. For more information about skin cancer, visit cancer.org/skincancer.

The mesmerizing lost art of darning knit fabric.

For most of human history, people had to make their own clothing by hand, and sewing skills were subsequently passed down from generation to generation. Because clothing was so time-consuming and labor-intensive to make, people also had to know how to repair clothing items that got torn or damaged in some way.

The invention of sewing and knitting machines changed the way we acquire clothing, and the skills people used to possess have largely gone by the wayside. If we get a hole in a sock nowadays, we toss it and replace it. Most of us have no idea how to darn a sock or fix a hole in any knit fabric. It's far easier for us to replace than to repair.

But there are still some among us who do have the skills to repair clothing in a way that makes it look like the rip, tear or hole never happened, and to watch them do it is mesmerizing.

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Joy

Nurse turns inappropriate things men say in the delivery room into ‘inspirational’ art

"Can you move to the birthing ball so I can sleep in the bed?"

Holly the delivery nurse.

After working six years as a labor and delivery nurse Holly, 30, has heard a lot of inappropriate remarks made by men while their partners are in labor. “Sometimes the moms think it’s funny—and if they think it’s funny, then I’ll laugh with them,” Holly told TODAY Parents. “But if they get upset, I’ll try to be the buffer. I’ll change the subject.”

Some of the comments are so wrong that she did something creative with them by turning them into “inspirational” quotes and setting them to “A Thousand Miles” by Vanessa Carlton on TikTok.

“Some partners are hard to live up to!” she jokingly captioned the video.

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