Subtitles section Play video Print subtitles [music rises and falls for next minute and throughout] [Father Michael Della Penna] So I'm sitting here listening to you, and, uh, you're so, uh, typically diversified Canadians. So beautiful, such a richness I see when I'm, uh, speaking to you. And I wanted to kinda fit that into the context of what y- we're welcoming you into. You know, and then even when I see you, the professional, the amazing talents you have, you know, and you are our most, uh, you know, uh, I wanna say, sophisticated, or most advancedly trained group that'll come in here at Valley. You know, we have other groups that come as college students and this beautiful mission experience, and you offer us something we can't h- get. You know, like that kinda training and that kinda capacity. These kids come from broken homes. Um, there's a lot of abuse, you know, sexual and, uh, physical. So we always feel like, um, the only love they get is from us. You know, like... they're like hungry for love. You know, they wanna be loved, and we feel like if we can give 'em that, you know, that, then we can build on that. [Frankie Burg-Feret] It's our first day here, we got in last night, and, uh, what we've decided to do, we're here at the clinic, um, which is on the Valley of the Angels grounds here. And, uh, we decided that this afternoon, we're going to test all the children at the school for their hemoglobin. Hemoglobin's important because, uh, there's a really high percentage of children here in Guatemala that are malnourished. The students are awesome. They have organized all the medications today. The paramedic students are going to be putting together our bags 'cause we're gonna be doing a clinic tomorrow. So they're organizing all that. And there's a lot of details, 'cause we need all our diagnostic tools, we need all our medications, and then we've got our translators here so that we can talk to the, the children, and they know what we're saying. Um, so lots of details, but they're all working together. [Father Michael] And this has been, uh, such a beautiful gift for us, uh, through Frankie and Humber College. You're offering something we've never had, which is like a triage. You come in at the beginning of the year, and that gives us the opportunity to identify all of the problems that need, you know, immediate attention. [Ruth Lue] You know, you wish you could do more for them, um, but at the same time, I know that we have limited resources and we have limited capacity. So rather than focus on what I can't do, I'm really excited about what I can do, and I'm really motivated to do it as best as I can for all of them. [Cameron Woodman] Being a paramedic, you don't get, um, especially as a paramedic student, you don't get as much exposure to pediatrics as you, as you normally would if you were a regular medic. So when you're first learning it, I thought this would be a good experience for that. Paramedics, you deal more acute care. It'll be good to work with nurses and see how they do their, sort of, assessments and seeing more, uh, primary care and taking your scope a little further than what I would normally do. After we're done the hemoglobin tests today, tomorrow we have, uh, we're going to a Guatemalan dump, and we're setting up a clinic there for the day. I think it'll be a wealth of experience both professionally and, uh, personally, just being in another country, being involved in something like this, being a member of such an a- awesome team. Yeah, I just think there's an enumerable amount of things that I'll take out of this. [woman 1] Yeah, so if our income is 15 dollars a month.... [woman 2] How much does Dad make? [woman 1] 10.38 a week. [woman 2] 10.38 a week? [woman 1] Mm hmm. You're going to work. [man] Jose's is going to work. [woman 1] Yeah. [all laughing] So now with that, with Jose going to work, now we have to spend twelve dollars a week for the bare minimum. [woman 2] How much do we need for the loan? [woman 3] It doesn't say. Like, let's say Grandma was sick, we didn't have any money, and she needed the 2.50, we'd probably take the loan to pay for the medicine. [woman 4] I think it should be a last, last resort. [woman 2] That is- Yeah, like, ten percent on a loan? [woman 3] But your grandma, like, I'm just saying, if your grandmother's really sick, you just need five dollars. [woman 1] If Grandma needs five dollars, and we have an extra 3.10, I think we can lose those extra two dollars and maybe.... [woman 4] Like the milk or something. [woman 2] What if we save it up over two weeks and grandma goes next week? [woman 5] No, 'cause we don't need 21 cups of milk. [woman 2] 21 f- for the week, though. [woman 5] So Carlos is the very last hope. I'm gonna be the only one going to school. [woman 4] How old is he? [woman 1] Ten. [woman 2] I think it's psychologically hard, uh, for kids, especially if they're in school, to have to come out of school. And then you, you know, everywhere you hear, oh, like, you know, through education, this is where, you know, this s- helps to break that poverty. And then you've gotta come out of school to help the family make money and things like that. And then for the mom, or I guess the parents, to know that they can't provide for their family. [woman] The article really made me think about some of my own experiences, speaking of being here, that I have, like, on my ride-outs when I'm on the ambulance. And it made me think of one particular call where, um, we were called to, like, an Orthodox Jewish man's home. He was having chest pain, and, like, I wanted to assess him and I was trying to go in there and assess him, and he didn't want to be touched by me, he didn't want to have any interaction with me. And at first, my first response was, like, "No. I'm trying to help you. Like, you need to let me do the things that I need to do." Um, and then I got, like, defensive. And I was like, "Oh, like, this is stupid." And I got kind of worked up about it. But then reflecting back on it, especially after reading this article, I'm like, like I wasn't, I had the best of intentions, but from how he perceived it, like, it was probably a horrible situation for him. Like, he didn't wanna be touched by me, um, for his own religious beliefs, which is something that he's grown up with, and he's been living with his whole life. And I think, now looking back, like, I made that an unpleasant experience for him when I, I really just wanted to help him. Um, and so I think it's the same. It'll be the same when we go there. Even if we have the best of intentions, like, it can be misconstrued. [woman 1] All people who are involved in planning this really did a good job about showing us a lot of the cultural side of it. We're not just going there to do assessments all day. That's not it. So I think we are getting a lot of exposure to the culture. And I don't think any of us really are arrogant, or.... [woman 2] Sometimes you might not think it comes across that way. But like, like, as a minority, like, some people will say, like, "Oh, I went to Jamaica," and they just tell you about some random experience, and they think that, like.... [woman 1] That's your life. [woman 2] Yeah, like... I, like, associate with that. You know, at school, we always learned about, um, cultural sensitivity, but we never learn cultural humility. [woman 3] Yep, that's true. [woman 2] And I think cultural sensitivity, it's like you're coming from up here. It's like, "My culture's superior, and I'm trying to be sensitive to you." Whereas cultural humility, it's like I'm coming down here, now. Like, I'm coming below because I understand that I don't know everything about you, I don't understand all of the nuances, and, you know, the particulars about your culture, and I'm very open to learn, and I'm very open to be taught by you. But you'll never truly know, and you won't. We're coming there and doing all of these assessments, and, you know, giving medications. But at the end of the day, like, I want for them to say, like, aside from that, like, I had a good experience. [Frankie] Right now, we're on our way to the Guatemala City dump. It's the largest dump in Central America. There's about 3,000 families that work in the Guatemala City dump. And they don't have access to healthcare. And we had the good fortune, I did, through, I um did, and Father Michael to meet a fellow named Juan-Carlos Molina, and he started this school for kids that, of these families. [Juan-Carlos Molina] When we identify the 450 kids who are at risk in this zone three, we will have 100 percent of the kids who are damaged by heart and we take out all of the trash that you have in the mind as what people say or the parents say, "I wish you weren't born." "I wish you were every day on the trashcan." And they really do, do mean that, and the, and the kid gathers that, and, and brings it inside of his heart. When you take all of that, and the kid sees who he really is, you, you fall in love with yourself. We want them to fall in love with themselves, s- so then they can have a purpose in life. [Frankie] There are kids here that are abused, um, physically, sexually, and, uh, so it's hard for us to really imagine what it must be like. So we've got our Humber students. They're doing an amazing job. [Ioana Golubovici] We are assessing them, uh, the doctor's seeing them, we're giving them medications, teaching them how to take those medications, how to change their dressings for their wounds. And yeah, anybody can learn the skills of how to assess a child, how to take vitals, how to give medications, but nothing, nothing can prepare you for coming here and, and seeing, seeing how these people live, an- and just how much life they have. [Jenna Ritch] Back home, you rarely ever see kids dealing with stuff like this, you know? We deal with sick kids, but usually it's not, it's not such chronic conditions. It's more acute stuff. Um, so it's really hard to see them 'cause they shouldn't, they shouldn't have to deal with infections and UTIs at this age. Like, they just should be having fun, and living life, and enjoying life. They shouldn't have any worries in the world. Um, so it's just hard to, to see this already, that they're suffering through so much. So anything we can do for them, like, we'll do. Like, I'm happ- I would wish we could spend all day here, and see all the kids. [Frankie] So what experiences today did you find most challenging? [Marni Priffer] You can give 'em, you know, 20 Tylenol, but that's not gonna keep them going until they get seen by a doctor, if they even go see a, a doctor for the problems that they were having. So I found that, um, frustrating. And not knowing whether or not they would even use the medication that we're giving them. [Ruth] We look at a lot of their backgrounds their father, their mothers, and then you think, okay, so we've taken care, not, and not even thoroughly, of like one small aspect. But what about, like, the larger picture? Like, what about, like, all of the other psychosocial, spiritual aspects of it. And there are so many other things that we can't touch on, and I think that was, like, the biggest piece for me. Like, what can we.... Like, we're not even going there. You know? And there's so much about them. And, you know, Juan, Juan-Carlos was saying that, you know, you have to heal the heart to heal, like, everything else. And I was, like, wow, we didn't even, we didn't even really get there. I know, like, part of it is, like, you're showing them that you care. And that touches a lot, some of it. But, like, when we leave, there's, they gotta go back to that. [Ioana] I, um, I feel very small after my experience today. I feel like the world is just such a much bigger place than I imagined before. And also, as much of a culture shock it was to come here, I think it's gonna be even worse going home, and seeing how I'm going to live with all my newfound knowledge and, and experiences. [Lyndsay Piper] I find it hard to imagine not having anybody. Um, whether you don't have any siblings or any, any family member, um, and that, how lucky these kids were to have somebody like Juan-Carlos step up a- and take that role. [Priscilla Jaro] Like, last night, while I was playing with, uh, the girls, I realized that they, what they spoke to me about was Justin Bieber, One Direction, and the, uh, pop culture. And so I realized, like, children are children, like, to me, as you said, and that we're all interconnected in some ways. [Cameron] Just interacting with them this morning and hearing their stories and that sort of thing made me truly understand the fact that I will never understand where they're coming from. And it's not possible to understand where they're coming from. Um, I can relate to them maybe some small ways on a just basic human level, but their experiences are something I'm not gonna be able to ever comprehend. [Nicholas Feugas] I was incredibly humbled just at the, the strength that these kids have. I mean, [clears throat] Juan, Juan-Carlos said something about how he could never survive in the conditions that these kids live in. And I don't think any.... I know I couldn't. And so to think about how strong these kids actually are that they could survive and come up through this and get to the point that they're at now, it's incredible. So that's, that's extremely humbling for me. [Father Michael] They put up the toothbrush to the child, and they said, "Do you know what this is? Do you use this?" And he was like, "No." And that's just, like, shocking. You have one of the most advanced, uh, you know, medical health systems, and then there's a child, doesn't even know what a toothbrush is. You know? It's so, like, um, it's just non-existent. And, uh, that's the contrast. You know, you're talking, like, they don't have anything, nothing. [Cameron] For us to go to the doctor, it's no big deal. We know the drill. But for them, they're, like, afraid. They have no idea what's going on. They've, like, this look of fear and this nervousness, and it's kinda an extra boundary to get over, and also a bit of a weight on you to make sure that the experience is not a terrible one, so the next time, if they ever do get the opportunity to go see a doctor, or interact with a medical person, th- they're not gonna be afraid as the result with interacting with us. So I always feel bad if we we're, like, doing a hemoglobin test and then they're, like, relating to that, like, their first experience with a medical professional is, like, pain or fear or something. So it's kinda a boundary to get over that fear, but also to kinda make it sure it's not difficult for the next time they go see a doctor. I just found it kinda interesting the difference between how us, it's no big deal, but for them, it's a huge unknown. [Ruth] You talk about a global community. You know? If we all participated as global citizens, and all did what we ought to do, and all take accountability for it, I think these little projects are a start of something even greater. Then other organizations and other people say, hey, like, if they can do that, if they're doing this, let's mobilize too, and let's do other things together. And so you'll have more, like.... There's a lot of groups coming here, but maybe they'll start, you know, thinking more creatively, not just for Guatemala, but worldwide. So I think this is also exciting, and it's also good news at the same time. Like, we can't look at how much little we're doing. Like, what Frankie said, if we, if we don't do it, then who's going to do it, right? [Lyndsay] Right now, we're in, uh, Mano Amiga doing a clinic, um, for some of the poorer people in this community. Today, I'm doing the health teaching. So we're the last step of the process. Um, so once they've seen a doctor, the doctor's kinda made any diagnosis that they've made, and any medications that they need, they come to us for the health teaching. Uh, we dispense the medications, we describe to them, and their parents, how to take it properly, why they're taking it. [Marni] As a parent, uh, I see the par- some of the parents with the children when they come in. And, you know, it doesn't matter where they're from, th- you can see that they, they love their children just like I love my children. Um, but seeing kids that are so, uh, in need is heart wrenching. [man] What's the main challenge for you being here? [Lyndsay] The la- language barrier, for sure. Especially kids, they talk so fast, and they don't understand that we don't speak the language. So, you know, I'll try to say something and then they think that I know how to speak Spanish, and they'll just start speaking full sentences and asking every question, and I have no idea what they're saying, so. Why did I get picked to come on this trip? Um, in my letter of intent, it mostly just said about the experience that I would have working with a vulnerable population, giving back to a community, um, taking the skills that I've learned as a student and being able to apply them in more of a rural setting. I mean, right now, we're working out of a classroom on school children's desks, you know? And I think I'm very adaptable to work in those environments, and, um, give them everything that we've had in our training, give our time. [bell ringing] [Nicholas] Yeah, so we went to visit a family in, uh, uh, San José, uh, Pinula. And it was, uh, the, you know, poorest family that I've, I've ever seen. The, the conditions they were living in, I've never experienced or seen that in person. And it was, actually, although they said it was improved from what it was like last year, it's far worse than I actually expected. There was about nine people living in, I don't know, it was... it was a, a corrugated sheet metal shack, essentially. They had, you know, cement, sort of, walls, and a, like, an open fire where they're cooking tortillas inside. So all that smoke was just coming into the little house. I don't know. It's hard to, it's hard to put into words. Like, seeing that in person is ju- I found it, sort of, actually, you know, complete paradigm shift. [Marni] There's no door on the front door. You basically just walk into an entranceway into their house. So anybody could go in, anybody could, could go out. So, you thi- you think about, you know, 16 month old, how curious they are, how, um, you know, they like to explore. You start wandering, they go up a little step, and they're out on the street. While we were talking, there was a big gust of wind, and the whole roof kinda went up about a foot and then came crashing back down a couple of times. You know, imagine how much protection they actually have from any of the, uh, elements. [Nicholas] There were young kids and, uh, you know, 16 month old kids there. Even just considering, you know, what we could do, to me sorta seemed a little bit like patchwork. But I guess, it's all you can do. You know, give some antibiotics, and vitamins, uh, and that was pretty much it, and some toothpaste and toothbrushes. It's just, it's such a huge problem. A- and it really, I guess, brought home the whole, the social determinants of health, and, and the number of factors that are, you know, against these people, like, the number of things they've had to deal with. It was quite shocking for me, to be honest. So.... [sighs] You know, you need a lot more resources and infrastructure to... to do something about this. And there, there is, uh, one of the, uh, girls, um, I believe Father Michael an- and the charity are, um, uh, helping her to, to go to school. And so she's studying to be an accountant, which is great 'cause she had a young, a 16 month old. So hopefully, you know, that, I mean, that factor of education is, is a major determinant of health. And hopefully she can help to get those people, uh, into a better situation. [Father Michael] If they could only, uh, sacrifice that time to educate themselves and, uh, invest in that, then, like, I always say, they'll be working probably less and making more. But often they, they, uh, you know, that attraction to make an income now, you know, like, that's why they pull their kids out of our schools often, because they can feel like they can generate some kinda income, and then that's more important than the idea of, hey, you know, just wait a little bit, and then you'll finish the school, and you can get a better job, and break that cycle of poverty. [Frankie] I just wanted to, uh, remind you of our pre-departure meeting. And you had that little sim experience, and I think that a lot of you decided to pull her out of school and get her to work. So when, when push came to shove, we were making those decisions as well. [Lyndsay] Going to the fire house and ambulance station was, um, a huge privilege. I was very excited. They welcomed us into their home, basically. Um, and they were so proud to show us everything that they had. They had the PowerPoint, they, everybody was there in uniform, um, they're very proud to, to show us everything that they did and how they run things. Um, and then when they started talking about the landslide, um, you could see some of them were a little hesitant to tell their stories. [Cameron] Hearing their motivations for why they're paramedics and why they do the job – it's the adrenaline, to be able to help people, to be the one first on the scene, to be able to make the biggest difference or get things going. Like, it's all the same reasons why we do it back home, too. And then the fact that, on top of that, that they volunteer their time, they don't get paid to do that, and they work with such minimal equipment, and yet, they have the same skill set and everything we do. Like, the same rigorous education, they go to one, two, three years of school to do the same things we kinda do, but they don't have the equipment to fully practice their entire scope. It's just unbelievable. And just being able to talk to them, be with them, and keep in contact with them now, it's an amazing experience. And then, you know, going down the fire pole and going on the fire truck was kinda cool, too. [laughter] [screams and laughter] [man] Wow, that must have hurt! [indistinct chatter] [Harpreet Deol] The baby was not eating anything. She was just having, like, little bit mother's milk, and little bit water. But she was really sick, so Frankie, she took the, that baby right away to the, uh, Dr. Connie. And she, when she saw her, she checked her, she physically examined her, and she can't hear anything on her chest because it was from being, like, one and a half year. So, she said there's no hope for her. Like, she's really sick. And there's so many things going on. Like, she's already having four kids at home, and she can't leave them alone back at home so that she can go to hospital. First thing, if you're in Canada, the baby won't be this worse. Like, if you got that worse, you gonna go to general hospital ICU, and you don't have to worry about your health, you don't have to worry about your money. You know there's gonna be doctor and nurses around you to help. It's really hard. It's, it's really hard. And it's really hard to tell them that their baby's dying, and you can't do anything about it. It's hard. [indistinct chatter] [Frankie] Maybe a first time for many of you to, uh, see a child that young, um, and that sick, never having had healthcare, and really impossible to receive the type of healthcare that we would have in Canada, of course, or the United States. So maybe you'd like to share, uh, what you, how you saw the situation? [Dasom Kim] You have to be really flexible, because if... if this were to happen in Canada, like, you're gonna send the k- kids to the hospital, bigger hospital, and then to the, like, ICU. This wasn't a situation for her. So, like, she has to think about her other children who will be left in home. [Father Michael] There's a, a limit to the medicine. You know, we did everything we could humanly speaking, or medicine, you know, what our resources, whatever, then we had to give it to God's hands. And that's what we're doing, giving it to God's hands. And I think that's a good learning, our humility of, um, you know, the science and the faith, and, you know, we do what we can, and then we have to give over to something greater than ourselves. I- it was just very powerful on so many levels, emotionally, spiritually, uh, professionally, I think, for you. [Cameron] Well, I feel like we all have the same goals in mind – it's the patient. We all communicate in similar ways. It's just some of us communicate with them a little longer than others. And our treatments may be a little different, we have different tools in the box, but we all use our tools to reach the same goal in the end. And that's to help the patient. It's all about the patient. Some cases, not all, there are times where you see cease resuscitation, and then your patient becomes the family. So, and in situations like that, we are there a lot longer. So we're talking to the family, and then we give t- we are very blunt and tell them that your family member has died. And then you have to be there for them in whatever capacity you can be. Um, they try and teach us in school how to go about it. But, I mean, until you actually do it, there's no real way to really know how to do it. [Frankie] So I know that there's this common thread throughout what we were talking about, and that's cultural humility. And it was a concept that, maybe, some of you, before this trip, hadn't heard about before. You'd talked about cultural sensitivity, cultural competence in class. Um, there's, you know, best practice guidelines on it. But, um, the, the concept of humility, um, hasn't really been presented in class. So I'd like you to share a little bit about how you feel now about that concept and perhaps, maybe, what you've learned about it, um, and maybe give some examples. [Ioana] I think, for me, the moment that cultural humility kind of clicked was when we saw Melinda, and, uh, just seeing how well we came together as a group to care for her. And, and just seeing everybody, like, everybody that was in the room at that... at that moment, I'm pretty sure that every single person came from, like, a different background, different religion, different, like, age, different, just we couldn't have been any more different, but yet at that moment, we couldn't have been any more closer. And I think that was the moment when I really, kind of, realized what cultural humility is, and, and what we were doing to take care of that for her and for her mom. I think it's changed the way that I'm practicing def- well, for sure it's definitely changed the way that I'm practicing. [Harpreet] This, I can tell, yeah. That was a frame of cultural humility. We respected it, we really, because that time, we brought a client, client centre care. We were all focused on the, their needs. Because if you think the same scenario here, we will think, "Oh, that's not gonna work." We should provide something, emergency help. Do this, do that. So that we can help a life. But I think we're... everybody tried to understand what's going on, and we tried to help that lady on her level, in... in her cultural way. Because at the end, she was satisfied that she'd got what she'd wanted. [Lyndsay] I think we got to do some reading on the articles, and, and, kinda, get, like, a textbook definition of cultural humility, and sensitivity, and all that. Um, but I think what we learned, what I learned from this trip is just awareness of how we treat people, um, in Guatemala and on my ride-out experiences here. Just being aware that there's so many different types of people out there. Um, whether it be because of religion, or cultural beliefs, or language barriers, just any kind of barrier to your patient communication, we don't always, um, think about every aspect of things. So I think it's just being aware of what the patient wants from their care and their understanding of, of the care that we're giving. Um, I think it's just being careful about what we're doing and what we're saying, um, in our own practice here. [Priscilla] You think, we're in Canada, because we're in this box, this is the way we live. And because in Guatemala, they're in this box, this is the way they live. And I think cultural humility is about taking away those borders and uniting together but also respecting that each person is different while together. If that can [laughs] make sense. [Jenna] I think I went into this trip maybe being a little bit cocky about cultural humility. Like, I think I've travelled lots. I was like, "I'll be fine with this." Like, I'll just be, you know, extra sensitive. And, um, [everyone laughs] it was, it was even more challenging than I, than I thought it would be. There was times where I think something I did was, like, misperceived by someone else. It's something that I think I'll, sort of, keep in mind, like, as to what you guys were saying, back here, um, in my practice, like, as a paramedic here, that I don't even think of it as, like, a cultural thing anymore. It's just, like, in everything – it's, like, just humility, like, just person to person, like, to everyone. Um, so it's like everyone that I assess on the ambulance now, I, sorta, keep in the back of my mind, like, "How is what I'm doing making this person feel?" Like, "How could, how could they be misperceiving this?" Or, "How could they be perceiving this differently? And it's something that I keep in my mind now. [Ruth] Um, we went to, uh, so many different places, and we saw so many little snippets of, um, Guatemalan culture. And I remember, like, just thinking at the back of my mind, like, when you go one place, you've gotta, like, think about, like, "This isn't it." You're gonna go somewhere and see something else, and another aspect, and another layer. And it's just so multidimensional and multilayered. And then, every single place that we went, no two groups and no two people were exactly the same. Um, but I remember thinking, you know, in order to really get this cultural humility thing down, you've gotta be just committed to lifelong learning and, um, lifelong reflection. [music shifts to traditional Central American] [music fades]
A2 US woman humility cultural frankie juan kinda Cultural Humility: A Humber College Documentary 130 9 EZ Wang posted on 2017/06/15 More Share Save Report Video vocabulary