﻿WEBVTT

1
00:00:00.170 --> 00:00:01.890
<v ->My name is Jibreel Oliver,</v>

2
00:00:01.890 --> 00:00:03.990
and I'm a clinical research coordinator

3
00:00:03.990 --> 00:00:06.500
at the Children's National Health System.

4
00:00:06.500 --> 00:00:08.280 line:15% 
So the mission statement of the coordinator

5
00:00:08.280 --> 00:00:10.130 line:15% 
is to make sure that every family

6
00:00:10.130 --> 00:00:12.800 line:15% 
that comes into the specific clinic I work in,

7
00:00:12.800 --> 00:00:15.410 line:15% 
which is the IMPACT DC Asthma Clinic,

8
00:00:15.410 --> 00:00:19.220 line:15% 
gets every need that they have met.

9
00:00:19.220 --> 00:00:21.000
So, if they need medication,

10
00:00:21.000 --> 00:00:23.460 line:15% 
I make sure that they get that as soon as possible.

11
00:00:23.460 --> 00:00:25.250 line:15% 
If they're having issues with their insurance,

12
00:00:25.250 --> 00:00:27.460 line:15% 
then we make sure that we can handle that accordingly

13
00:00:27.460 --> 00:00:29.580 line:15% 
with their case managers or talk directly

14
00:00:29.580 --> 00:00:31.350 line:15% 
to the insurance company.

15
00:00:31.350 --> 00:00:33.642
We also make sure that clinic runs smoothly.

16
00:00:33.642 --> 00:00:36.240
So making sure that all the asthma educators

17
00:00:36.240 --> 00:00:37.560
know where they have to be

18
00:00:37.560 --> 00:00:39.740
and when they have to speak to the clinicians.

19
00:00:39.740 --> 00:00:42.570
So we teach families about what may have caused their child

20
00:00:42.570 --> 00:00:44.320
to become sick in the first place.

21
00:00:44.320 --> 00:00:45.956
We know that they have asthma.

22
00:00:45.956 --> 00:00:48.350 line:15% 
But we just have to figure what triggers their asthma

23
00:00:48.350 --> 00:00:50.660 line:15% 
so let's says there are some things in their house

24
00:00:50.660 --> 00:00:52.480 line:15% 
like mold or mice.

25
00:00:52.480 --> 00:00:55.730 line:15% 
Those two things trigger asthma very strongly.

26
00:00:55.730 --> 00:00:58.240
So trying to figure out ways to get rid of those things

27
00:00:58.240 --> 00:01:01.030
or mitigate the risks of those triggers.

28
00:01:01.030 --> 00:01:03.400
Mondays are usually my administrative day.

29
00:01:03.400 --> 00:01:05.300
So I do a lot of my follow up calls

30
00:01:05.300 --> 00:01:06.500
with my families on Mondays.

31
00:01:06.500 --> 00:01:07.950
I call them about two weeks

32
00:01:07.950 --> 00:01:10.120
after their asthma clinic appointment

33
00:01:10.120 --> 00:01:11.630
and see how they're doing,

34
00:01:11.630 --> 00:01:13.440
if they received their medication,

35
00:01:13.440 --> 00:01:15.160
whether they understand what the medication

36
00:01:15.160 --> 00:01:18.090
is supposed to be doing and when they should take it.

37
00:01:18.090 --> 00:01:20.470
And then Tuesday through Friday I'm in clinic.

38
00:01:20.470 --> 00:01:22.590
So I'm either managing clinic flow

39
00:01:22.590 --> 00:01:26.000
or I'm working as an asthma educator to meet with families.

40
00:01:26.000 --> 00:01:29.360
Typically, I'll see about four or five families in a shift.

41
00:01:29.360 --> 00:01:31.713 line:15% 
Our appointments are about 90 minutes.

42
00:01:32.935 --> 00:01:35.150 line:15% 
And a lot of what I do is just figure out

43
00:01:35.150 --> 00:01:36.940 line:15% 
what is the biggest barrier to care

44
00:01:36.940 --> 00:01:38.340 line:15% 
for these children and their parents.

45
00:01:38.340 --> 00:01:40.460 line:15% 
And then try to get those risks out of the way.

46
00:01:40.460 --> 00:01:43.450
Right now, we're working on a grant

47
00:01:43.450 --> 00:01:46.380
to try to figure out what the community would like

48
00:01:46.380 --> 00:01:50.260
when it comes to resources,

49
00:01:50.260 --> 00:01:52.250
specifically for their children.

50
00:01:52.250 --> 00:01:55.160
We're holding focus groups to figure out exactly

51
00:01:55.160 --> 00:01:56.730
what are the biggest barriers to care

52
00:01:56.730 --> 00:01:58.513
for parents with asthma.

53
00:01:59.660 --> 00:02:01.870
In general, our clinic has a research branch

54
00:02:01.870 --> 00:02:03.450
that I'm not heavily involved with

55
00:02:03.450 --> 00:02:04.400
but we're trying to figure out

56
00:02:04.400 --> 00:02:07.130
what the root cause of asthma could be.

57
00:02:07.130 --> 00:02:08.800
We have genetic components.

58
00:02:08.800 --> 00:02:10.580
We have environmental components.

59
00:02:10.580 --> 00:02:12.770
And then we have epigenetic components

60
00:02:12.770 --> 00:02:15.660 line:15% 
which is things that, like stress.

61
00:02:15.660 --> 00:02:17.780 line:15% 
If you are very stressed,

62
00:02:17.780 --> 00:02:21.490 line:15% 
could that trigger asthma or asthmatic symptoms, so.

63
00:02:21.490 --> 00:02:22.970 line:15% 
It's very interesting.

64
00:02:22.970 --> 00:02:25.250 line:15% 
But right now, I'm running logistical support

65
00:02:25.250 --> 00:02:26.370
for the focus groups

66
00:02:26.370 --> 00:02:28.603
and transcribing all of the information.

