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Starbucks Upstanders Season 2

When Dr. Hansel Tookes stood before his conservative Florida legislature, he knew he had an uphill battle ahead of him.

But there were too many lives at stake not to try.

His voice was clear and unwavering when he asked the legislature to consider a bill that would allow him to provide drug users with clean needles.


At that time in Florida, it was illegal to do so — and as a result, Miami led the nation in new HIV and hepatitis C infections.

All photos provided by Starbucks.

Tookes knew the use of dirty needles was a pervasive problem. Some drug users were picking them up directly off the ground, desperate for relief but unable to access clean needles to prevent further harm to themselves.

This accelerated the spread of disease in the community.

“The simple epiphany that Florida needed syringe exchange came when I was a third-year medical student,” he explains.

Clean needles can make all the difference: In fact, Tookes says, the evidence behind needle exchanges as a prevention tool is strong — as strong as the evidence that smoking cessation prevents cancer.

“We have this tool that we were withholding from this vulnerable population,” he says.But harm reduction isn’t always the first line of defense when it comes to public health, especially for those who believe in a more punitive approach to substance abuse.

Tookes knew that the idea of providing drug users with needles would be a tough sell, but he was determined.

When he reached out to Tim Stapleton, head of the Florida Medical Association, Stapleton was skeptical at first. “I thought that [he would] become discouraged,” he shares. “[But] he wasn’t going to let anything stop him.”

Thus began Tookes’ journey as an advocate and his seven-and-a-half hour drives to Tallahassee, working the capital and building momentum to change the law — and change the lives of drug users in Florida.

It took several years of advocacy work, but astonishingly, the bill did pass, with an overwhelming majority of the legislature backing him.

“Every time he hit a wall, he just figured out how to get over that wall,” Stapleton explained.

And Tookes’ persistence paid off.

On Dec. 1, 2016 — fittingly, World AIDS Day — the first needle exchange program in the state of Florida opened.

“We serve 250 people regularly,” Tookes explains, “And we do an intake where we offer anonymous HIV and hepatitis C testing.”

The exchange also began offering the overdose-reversing drug Naloxone (Narcan) in April — a decision that has already prevented numerous tragedies.

In just the first month, 16 lives were saved.

“So many people are dying,” Tookes says. “We had a responsibility to do something about that.”

The impact was undeniable. One center visitor, struggling with addiction, shared his own story of when he saw someone in the midst of an overdose.

“I had my Narcan, and I sprayed him. Within a minute or so, he started breathing normal,” he explained. “We don’t want to die. None of us do.”

Without the exchange offering access to Narcan, though, these completely preventable deaths would become repeated tragedies.

With unintentional drug overdose a leading cause of preventable death in the United States, creating access to Narcan can have a huge impact on local communities.

“Everybody’s life is valuable,” Tookes says. “Everyone’s.”

And it was that conviction that helped Tookes see this cause through, as a medical student with a desire to make a difference and now as an advocate saving lives and preventing the spread of dangerous diseases.

Check out his incredible story below:

He saw an HIV epidemic in Miami and decided to stand up and take action.

Posted by Upworthy on Wednesday, October 25, 2017

While Tookes began his journey in public health facing resistance and skepticism, his persistence — and his commitment to those most vulnerable in his community — has truly made a difference.

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.

via Dion Merrick / Facebook

This article originally appeared on 02.09.21


At 1:30 am on Monday morning an AMBER Alert went out in southern Louisiana about a missing 10-year-old girl from New Iberia. It was believed she had been kidnapped and driven away in a 2012 silver Nissan Altima.

A few hours later at 7 am, Dion Merrick and Brandon Antoine, sanitation workers for Pelican Waste, were on their daily route when they noticed a vehicle that fit the description in the alert.

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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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