Lab 043: Understanding HIV Part II - podcast episode cover

Lab 043: Understanding HIV Part II

Dec 23, 202135 minSeason 4Ep. 7
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Episode description

We’re continuing our conversation on the HIV vaccine with Dr. Christine Daniels. There was just too much for one Lab! This week, we’re shifting the lens from the science to the people, and talking about HIV, and a potential vaccine, in a cultural and anthropological context… because science does not happen in a vacuum! You can find more Dope Labs, show notes, and cheat sheets at dopelabspodcast.com.

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Transcript

Speaker 1

I'm Tt and I'm Zachiah, and from Spotify. This is Dope Labs. Welcome to Dope Labs, a weekly podcast that mixes hardcore science, pop culture, and a healthy dose of friendship. This week, we're continuing our two part series on HIV. There's just so much to cover we couldn't fit it all into one episode. Yes, and last week we really dug deep into the science behind HIV and the history

of HIV vaccine development. We talked about the structure of HIV, remember the glaco proteins, and how it infects the body. We also talked about how an HIV vaccine could work and why developing an HIV vaccine is so difficult to achieve. So this week we're going to shift from the science to the people. Because we know science doesn't happen in a vacuum. Our goal is to take what we learned

in part one and overlay some cultural context. Sound good, Let's get into the recitation, all right, So what do we know. Let's unpack the thing that we always say, which is that science doesn't happen in a vacuum. There are factors that determine whether or not something is science worthy or research worthy, and you have to consider what's the climate, what's the political or social climate. Is it even seen as urgent? It also depends on if a certain demographic is affected by certain diseases.

Speaker 2

Right.

Speaker 1

Also beyond just who's affected, is there stigma around even working on these things?

Speaker 2

Is there any type of health risk?

Speaker 1

What's understood or not understood at the time where we're trying to make discovery, all right? And there's also scientific communication that is a branch off of the science. So it's when the science is being done, when the research and development is being done, how it's communicated to the population, if at all.

Speaker 2

Mm hmm.

Speaker 1

That's a very good point. So these are all really vague, and I think that takes us right into what we want to know. We want to know the specifics around this. Yeah, which communities are affected the most by HIV and has it changed over time? And how has that affected vaccine development?

Speaker 2

Who were the.

Speaker 1

Decision makers, what was the initial guidance that affected the scientific response to HIV diagnosis, prevention, public health interventions, treatments, medicine, and eventually vaccine development. And then a question that I have is if and when the vaccine does become available What is the strategy moving forward for the scientists and the people in the medical field that will be administering

these vaccines. We've already seen what happened with COVID. What's the game plan for the HIV vaccine.

Speaker 2

Let's jump into the dissection.

Speaker 1

You all know Christine doctor daniels by now. Christine recently finished her postdoc at Duke University, where she worked on developing and testing new or novel vaccine candidates. One of the reasons we really wanted to talk to Christine for this series is because of her unique background. She's not just focused on the biology of a vaccine. My background from undergrad is actually a medical anthropology. I'm always interested in how the cultural lens impacts the way people experience

and treat disease. If we really want to understand the story of the HIV vaccine from all angles, we need to understand not just the science but also the culture around HIV.

Speaker 3

So let's dive in.

Speaker 2

So we're going to start with a little bit of history.

Speaker 1

In part one, we talked about a couple of different vaccine trials that show various levels of success. There was the first large scale Phase three clinical trial of VAX zero zero four in nineteen ninety eight, but that ultimately failed. And then fast forward to two thousand and three. Read the RV one four to four trial was the first clinical trial with some proven efficacy, but it was only around about thirty percent, which isn't anywhere near enough to

get approval. But I mean, when you think about it, nineteen ninety eight, two thousand and three, isn't that twenty years after HIV was first discovered.

Speaker 4

If we think about historically HIV it's origin, people started realizing that they were infected around the seventies, but we didn't see a big push towards trying to develop treatments for it until late eighties early nineties.

Speaker 1

A's was first diagnosed in nineteen eighty one. The virus HIV was first isolated and confirmed to be the cause of AIDS in nineteen eighty three. So, yeah, nineteen eighty three to two thousand and three, that's a big gap. To do these numbers justice, we really have to paint the picture of what nineteen eighty one looked like. Yeah,

so just picture it. It's nineteen eighty one. The number one song from the year is Betty Davis Eyes by Kim Carnes, I don't know that song, but the number two song is Endless Love by Diana Ross and lyon On Richie which we know and Lady by Kenny Rodgers.

Speaker 3

And then with movies, the top movies.

Speaker 1

In nineteen eighty one were Indiana Jones, Raiders of the Lost Arc, one of Our Phaves, Superman two, so that is with Christopher Reeves, and then nine to five with The Woman We Love Dolly Parton our Hero. And you know, even when you think about what did the technology look like in Superman two, right, we didn't have all these advances in technology that make it hard for us to think back to what healthcare workers and doctors had in

the nineteen eighties. Just for some additional perspective, gloves were used to protect doctor's hands back in the day, so people were using gloves in surgery, but not in other places. So not if you were getting blood drawn, not if you had like a little outpatient procedure, No gloves just out here. And when people were using gloves, it was often thought to protect doctor's hands at the onset of

glove use. But then later on in the nineteen eighties, with aids becoming more prevalent, people started using gloves more, just as like universal precautions for healthcare workers everywhere. Glove didn't become required by OSHA, which sets your occupational safety standards, until nineteen ninety two, and that was to protect workers who came in contact with body fluids. So you can imagine people didn't know what was going on. That's less

than thirty years ago. Could you imagine a doctor coming towards you and being like, hey, let's take a look in that eyeball and touching your eye.

Speaker 2

No, just fingerprint to sclera. I don't think so.

Speaker 1

Thank God for everyone, No way. In nineteen eighty one, the population in the US who tested positive for HIV was estimated to be ninety three percent male and fifty six percent white. Sixty three percent of positive cases were transmitted via male to mail sexual contact, and twenty five

percent from intravenous drug use. During this time, the stigma and discrimination against those most effective, gay people and people who injected drugs was staggering, and so there wasn't a big political push to try to fund or direct research efforts towards addressing this problem because it wasn't affecting the

dominant population. In fact, many people in positions of power allowed their own personal beliefs to affect their actions and responses to the HIV crisis, not only politicians, but insurance companies, researchers, drug manufacturers, doctors, and support systems like folks, family and friends who believe that the specific behaviors associated with contracting HIV were inherently wrong, and because they thought they were inherently wrong, they then considered these groups undeserving of help

or of maximum effort to control the spread of HIV.

Speaker 4

It's a very controversial issue. A lot of our policy is influenced by religious beliefs. A lot of people use religion as an excuse to discriminate against certain people who have behaviors or lifestyles that they don't agree with. People are you know, I'm a Christian, so I can't support gay marriage or say anything, And that's not in the Bible. You're using the text and interpreting a certain way to

push a certain agenda. And so it's not religion that it is dictating that these groups should be ostracized.

Speaker 5

It's your interpretation of that.

Speaker 1

And your interpretation is subjective. That's a choice that people make, but also everyone doesn't subscribe to the same religious beliefs, So who's to say that one section of the population gets to make the decision for everyone else? And objectively, these are human beings. We all deserve access to healthcare, secure housing, you know, the basics. The media also failed

to cover the epidemic properly. During the first three years of the HIV epidemic, the New York Times only ran three stories on it, and none of them made the front page. And geography was also an issue that impeded widespread education, prevention, and treatment of HIV and AIDS. At the outset, most cases were being reported in New York and California, so lawmakers in other states were reluctant to use funds on HIV that could have been spent otherwise on roads, education or infrastructure.

Speaker 3

It sounds so much like COVID.

Speaker 1

This is that vacuum that don't exist, all these different things that affect how we digest the information and how we interact with all of these new things. I mean, we just went through media, geography, religious believe I mean, think about the outset of COVID, right, some people weren't covering it or they were saying, oh, this is only

in China, it doesn't matter for the United States. And then even when it was in the United States, when it was affecting New York and California, again, our most densely populated areas in other states weren't doing the things that they needed to do, like implementing mask mandates or ramping up testing, and here we are seeing the exact same thing because they want to spend those dollars elsewhere.

This is why it was so important for us to start out with the history of this virus, because you don't know where you're going if you don't know where you came from, and history often repeats itself, and so knowing the history helps us better prepare for things like this in the future. It should have helped us with COVID, but it didn't because we have chosen to stay blissfully unaware of some of these outside factors that are also playing a role.

Speaker 4

It took a lot of time for people to adopt that more inclusive mindset, and so that's stalled the focus on HIV vaccine development and treatment development, and so we didn't start to see that arise until people who didn't come from those stigmatized groups started to be infected at higher rates. Once we started seeing heterosexual white men or heterosexual women and other people that are part of the

dominant culture become affected, then it became a problem. Once we started seeing celebrities become affected and high profile people start dying, then it becomes a problem that the average person cares about. Today, approximately one point two million people have HIV. That's a little under half of one percent of the US population.

Speaker 1

And that percentage is disproportionately higher among marginalized groups, including sex workers, trans people, and people of color.

Speaker 2

But we also know that we have some blind spots.

Speaker 1

I think it's important to know and understand that statistics don't paint a full picture. Data is helpful to see overall trends, but most data is incomplete. Some of these statistics and the way that some of these numbers are put together, you have to take them all with a grain of salt. There are so many factors that go into how the data is collected. Do people feel comfortable with disclosing this information? Who are they asking, how are

they asking? Are the questions clear? And it gets even more complicated when you start to go down into marginalized communities, Black folks people who are living with disabilities, people in the LGBTQIA community, all of these populations, they've been excluded from so many of these conversations. It's been used to violate them in the past. Disclosing meant loss of jobs, Disclosing.

Speaker 3

Meant social stigma. It completely changes your life.

Speaker 1

That provides a lot more context t t about why we see sex workers or trans people or people of color with higher rates of HIV in these slices of the population because they have higher risks. These categories aren't biological and so when you see these things come together because of social influences, and these types of gaps can potentially lead to problems where people affected the most are

excluded or misrepresented in studies. Another thing that's changed a lot since nineteen eighty one is that there has been a lot more education and media coverage. Yes, movies and TV shows have evolved in terms of the stories that

they tell about people living with HIV. One that I've been really enjoying lately is It's a Sin on HBO Max, which tells the story of the early eighties and the identification of AIDS and that it leads to HIV from the perspective of a group of friends living in I think they're in London, and you see how they're like, oh, no, this is only issue if you sleep with American boys.

Speaker 3

Oh my goodness.

Speaker 1

And that was the framework and the mindset, which doesn't feel that different from this is only an issue if you traveled to China with COVID. Remember in the real world when Pedro Zamora, that was my first introduction to someone. He's not a fictional character that had HIV and they were showing him on television, and I felt like his story really impacted what people generally thought about folks with HIV and really humanized that population a lot.

Speaker 2

You know what.

Speaker 1

I remember that movie with Denzel Washington called Philadelphia.

Speaker 3

Yes, another really good one. I loved that movie.

Speaker 1

Well known celebrities, including Billy Porter and Jonathan van Ness have recently talked openly about their HIV diagnoses.

Speaker 4

Now, all of a sudden, there's all of these campaigns and committees and small organizations that are leading efforts to try to devote attention and funding and resources towards addressing this problem.

Speaker 5

But the problem wasn't new.

Speaker 4

The problem has been there, it just wasn't pushed to the forefront of attention, and so that's kind of what stalled the efforts. Let's take a break and when we come back, we'll keep talking about why it's taken so long to develop an HIV vaccine. We're back and we want to tell you about our lab for next week. Next week, we're celebrating the end of twenty twenty one

with our annual end of the year mixtape. We'll be talking about the biggest moments from twenty twenty one and doing a mini dissection on each of them.

Speaker 1

And in January, we're really excited about a four part series we're doing all about wellness, self care and how to brush up on your habits in the new year, and we want you to be a part of it. We want to know your new year's resolutions for twenty twenty two. Are you making a list or did you skip resolutions altogether?

Speaker 3

What are you focusing on? We want to hear from you.

Speaker 1

Call us at two zero two five six seven seven zero two eight and leave us a message. Okay, let's get back to the dissection. In the first part of the dissection discussed some of the social and behavioral context around who is predominantly affected by AHIV, and so now it all makes sense as to why it's been an

uphill battle to developing AHIV vaccine. So at the onset, you have people who feel like this isn't worth investing in, from our political leaders to big corporations, and we saw what it took for something that affected everybody for us to get things going just in twenty twenty.

Speaker 2

Imagine.

Speaker 1

Also, what we're talking about is nineteen eighties science. Okay, yeah, science with acid wash genes.

Speaker 2

Yes, Okay.

Speaker 1

I don't know how many advances you can make with acid wash gens and all that hairspray and all that hairspray. But you got to give these scientists credit. Okay, they continue to work on this and work on this. Just to give you some perspective. In the early stages, so like around nineteen eighty five, I think that's when they

first had the like official HIV diagnostic test. Okay, So we're talking about nineteen eighty one to nineteen eighty five with no standard test, right, these are people observing symptoms and trying to figure out what could possibly be going on in these different patients. That first test, the way it was designed, you could get a non reactive kind

of like negative test result. That negative window was eight to ten weeks after exposure, So you needed to wait at least ten weeks after exposure or potential exposure for you to be able to say confidently negative or positive. That's a long time.

Speaker 3

That is a very very long time.

Speaker 1

So fast forward, I mean, now that's not the case anymore, right, But so from nineteen eighty five to nineteen ninety one they got that down from eight to ten weeks to tests that only had a two to three week window. It's mind boggling to me that they were able to make that type of progress without the tools that we have available right now.

Speaker 3

All they had were traffer keepers. You can put in your lab notes in a Traffer keeper.

Speaker 1

And so what we also have to consider is what population or what group of the population was most affected by HIV and are these the same people who are making decisions about drugs, treatment policy, public health support? Are those the people making the decisions around HIV? And Christine says that representation in those spaces is absolutely crucial.

Speaker 4

When you think about from a research standpoint, the people that are in a position to decide the questions that research don't look like the populations that are affected. So if those people aren't in the room, they can't direct the questions, and so we see a lot more research funding or research done on things that impact the dominant culture, such as breast cancer, instead of things like sickle cell that affect predominantly African Americans or minorities. So we have

the funding issue, we also have the representation issue. If we're not in the room, we can't drive the conversation, we can't direct it.

Speaker 1

Doctor Daniel's identity is inastricably linked to her work. Diseases she chooses to research are the ones that most frequently impact people who share her identity.

Speaker 4

I personally don't think you can separate the two. Well, I can't because of my identity. I am a black woman, and so the way I approach research, the way I think about the questions that I'm researching, is always going to be influenced by my identity, and so the diseases I choose to research are typically diseases that more frequently

impact people with my identity or similar identities. Christine saw the disparities and how they can affect decisions that are made firsthand when COVID started and when the COVID pandemic first started, we were in these multi day symposiums working force, just trying to understand what was going on. So, what's infecting these people, how is it happening, how is it spreading, what do we do to contain it, how do we treat it, how is it working, and things like that,

and who do we prioritize. And in one of them, race only came up one time because a person asked about the prevalence amongst minority communities. The person said that because African Americans have higher rates of obesity and hypertension, that that's why it's more prevalent amongst us, and that's why we're dying because we have all these pre existing conditions, and that was it.

Speaker 1

If you're not acknowledging the context in which people are living when talking about pre existing conditions, you're not painting the full picture.

Speaker 3

You're not telling the whole story.

Speaker 1

Race is not a biological category, So we're talking about things like access to good healthcare, socioeconomic status, even things.

Speaker 3

Like your ability to social distance. Not everybody can do that.

Speaker 1

Your housing conditions or the type of job you have might make it impossible for you to do that. One thing Christine talked about that was really interesting was that disparities and representation can also lead to disparities in terms

of technology and access. I worry we're developing more and more high tech technologies because we can, but we won't be able to actually benefit the people who need it the most because now it's cost prohibitive, because so much money goes into developing them that now it won't be marketed at a price point that the people who needed it most, the people who was designed for, can benefit from it.

Speaker 4

Do you have to be in a hospital to get administered this? How feasible is it for someone to go and get competitive doses of something? I don't think that scientists think enough about who they're trying.

Speaker 1

To help, and that's something that we're seeing with COVID right. One of the things was that the vaccine had to be refrigerated. And which countries can afford to buy these therapies. That's important.

Speaker 3

That's such a good point.

Speaker 1

I mean, what's the point of a treatment if only the top one percent can afford the drug? We talked about prep in part one of the series and how it's an effective preventative drug for HIV, but.

Speaker 3

We didn't mention the cost. A thirty day supply of PREP costs one thousand, seven hundred and fifty eight dollars. That means annually it could add up to over twenty one thousand dollars.

Speaker 2

That is ridiculous.

Speaker 3

In July of this year, the federal government passed the law mandating insurers to cover PREP drugs one hundred percent, including clinic visits associated with PREP. That's a big deal.

Speaker 2

That's huge. Yeah, And the CDC just released new guidelines.

Speaker 1

Right and it added a recommendation to doctors to inform all sexually active adults and adolescents about PREP. I think that's going to go a long way in raising awareness and reducing stigma.

Speaker 5

Scientists care about the science.

Speaker 4

They want the coolest technology and the most high tech thing, But people from different identities think about them and think about how would this work, Like would my friend cousin's sister mother actually be able to use this?

Speaker 5

I think about this a lot in terms of cancer.

Speaker 4

I think about how much money will go into funding a drug that will extend the life of a cancer that already has a pretty fair prognosis, versus you know, studying one where people have less options.

Speaker 1

When we get into conversations about race relations or the experience of people of color in America. There are some people who, while you're in that conversation, they say, oh, I'm just playing Devil's advocate. And to that, I really like to quote Quinta Brunson, and I say, go play Devil's advocate. In hell, we're talking about somebody's ability to live, you know what I mean, Like, we're talking about life,

someone's life. We're talking about safety. We're talking about the safety of people's family, of their friends, their closest people, their loved ones, and everything like that. So for you, it might just be a mental exercise and you think, oh, I'm just strengthening this debate muscle that I have or whatever.

Speaker 3

But for some people, it's life or death.

Speaker 2

It really is.

Speaker 1

And I think if there's one thing we've learned, it is how important the introduction or rollout of any effective treatment is to whether or not it gets even considered by folks, right, whether folks are even willing to talk about it, think about taking it, let alone, take it as recommend it right. So I think that's something we've learned from COVID, and we got to figure out how is this going to work when an effective HIV vaccine does arrive. We've seen the pitfalls of a bumpy vaccine

rollout this past year with COVID. There's been a ton of misinformation around the vaccine, and you can hear more about that in Lab thirty seven called in Denial. We wanted to know from Christine what kinds of barriers she anticipates once an HIV vaccine does hit the market. HIV is an STD, so already you're going to have opposition because people don't like to think about sex or sexual transmit.

Speaker 5

Diseases and youth.

Speaker 4

And so in order for U to get widespread population, as what we've seen with COVID, we have to get children vaccinated too, And so I see opposition for parents not wanting their children to get something that's associated with sex because they think that that might encourage them to have sex, and that's not the case.

Speaker 2

Right.

Speaker 3

We saw this with the HPV vaccine.

Speaker 1

HPV is a very common and highly transmittable STD that's linked to many types of cancer, including ninety percent of cervical cancer. Doctors recommended getting the twudose vaccine and adolescence, but many parents were hesitant. And it's not just because it's an STD, it's also because of misinformation in general.

Speaker 4

The other opposition, again, I would say, is vaccine hesitancy broadly, not speaking about just African Americans or Hispanics or anyone population, but just people who don't think vaccines work. They base their belief in the ability of a vaccine to work on the flu vaccine, which doesn't reach the level of efficacy that we see with the COVID nineteen vaccine, and

that's for different reasons. I mean, there's multiple circulating strains and you taste faster things like that that affect its efficacy. But there's so many people that have this narrative of I got the vaccine for flu and I still got sick, or I never get the vaccine and I never get sick, And this.

Speaker 2

Is really interesting. You know.

Speaker 1

We talked about this in our vaccine episode of Protection Neck Lab four about one of my friends who's a virologist, yes, who told me he would not go to dinner with me until I had my flu vaccine. And we went right over to the right eight and I got a flu vaccine and then we walked back into town for dinner.

Speaker 2

And maybe we need you need like that. We all need York friends like Greg.

Speaker 3

Shout out to Greg.

Speaker 1

And it does feel like there have been a lot more people talking about flu shots this year.

Speaker 4

Yeah.

Speaker 1

I think people feel a lot more comfortable with getting a flu shot now that we've been in this pandemic and been away from people and masking and social distancing. I think that the folks that were not likely to get a flu vaccine are now a lot more likely to get it.

Speaker 4

You also have people from these very privileged backgrounds who had promoted this idea that they don't need to vaccinate their children because they don't know what's in it, because it'll leave autism. There's all of these false narratives and

myths and misconceptions about vaccines that also creates opposition. Another point Christine made is that when it comes to this anti vaxed narrative, we really need to pay attention to the cultural context, because some people are quick to be labeled as anti vacs, while others have the luxury of being labeled curious.

Speaker 2

And it's way more complicated than that.

Speaker 4

I just don't like the vaccine has a tensing narrative. I just think it's inherently problematic. It's an oversimplification of legitimate concerns that are based in history and evidence. I hate that that narrative is attributed to people who ask questions when they are for certain race or a particular group. When white people ask questions, it's, oh, you know, they

just want to be more informed. When black people ask questions like, oh, they're has and they apply it to all vaccines, and I just think it's really problem and it's not true.

Speaker 1

There's a lot of nuance there that's important to recognize, and when it comes to approaching those curious about vaccines, it's really important to meet people where they are and do so on a case by case basis.

Speaker 2

So how do we do that?

Speaker 1

What can scientists, doctors, and educators do to help more people understand what goes into the vaccine if.

Speaker 4

We want people to take the vaccine. As scientists, we need to do a better job of removing the veil between the public and the science. The public pays our salaries, they pay for the science. The tax payers fund this research, and so I feel that they are entitled to the information of what happens with those funds, and so as scientists, I think we don't do a good job of coming forward and saying what we're doing or what the story is.

As scientists, our job is to present data, to get data, explore questions, determine answers in an accurate and reproducible way. And so if we want that to be conveyed, then we as scientists have to be the people communicating that information in the way that we want it to be received. And that's true for HIV, but it's also going to be true for some other great developments we've seen.

Speaker 2

With the malaria vaccine, Yes, that is huge.

Speaker 1

Malaria is a disease that's transmitted through mosquitoes and it has been really devastating in a lot of different countries, and so a malario vaccine has now been approved.

Speaker 3

This is going to change the lives of so many people.

Speaker 1

And this is also going to be important not just for malaria globally, but also for the dingay vaccine den Vaccia, which was approved by the FDA in twenty nineteen and has some updates to its use in June twenty twenty one. I love that we separated this into two parts because it really helped us to be able to explore all of the contextual social aspects of the HIV vaccine and the history of HIV in this country.

Speaker 3

I learned so so much.

Speaker 2

And I think it's a great example.

Speaker 1

It would not be accurate, fair anything to tell this story that's only about glycoproteins and only about the latest platform for designing small nanoparticles.

Speaker 2

That's not the full story, you know.

Speaker 1

I think it's only right to say that the identity of the group's affected influence the response, influence how much funding gets put towards prevention and public health efforts. I love how Christine mentioned religion and how societal values at a specific time can influence the urgency that's considered when we see people dying, and we see that right now, I've seen a lot of conversation around whether or not it matters about who's going to the hospital if they're

not vaccinated. Hey, we want everybody to live, okay, And so I think it's.

Speaker 2

Just like a slippery slope.

Speaker 1

Like you said, you have to know your history or else you're bound to repeat it. And I know human evolution is not happening that fast.

Speaker 2

Okay.

Speaker 1

We are the same people in nineteen eighty as we are in twenty twenty.

Speaker 2

Yes, don't fool yourself, but I.

Speaker 1

Do love the increased awareness. You know, we're seeing more conversations, we're seeing more efforts. You know, you mentioned some of the things you see in TV celebrities using their platforms. We talked about movies, you know, I said Philadelphia, but I don't know if it still holds up. That was in the nineties, right, But there are some really great TV shows that are out right now that center around people who are living with HIV.

Speaker 2

Two shows, so there's pose.

Speaker 1

And then I think I mentioned earlier it's a sim which is a historical perspective taking us back to the eighties with the hairspray and the asset wash genes, but from the lens of a different country, and we really

get to see how geography plays a role. And then another great thing is that doctor Daniels gave us some book recommendations if you want to learn more, and we're going to have that in the show notes, So make sure you head over to dope lauspodcast dot com to look at those because I am definitely adding all of those books to my lists of books that I'm going to be reading. All Right, it's time for one thing, Zakiya,

what's your one thing? My one thing this week is ground Truths, which is a newsletter from doctor Eric Topole. He's a physician but does a lot of translational medicine and I am loving it. It's Eric Topole so E R I C T O P O L dot substack dot com, It's COVID Updates. I really like it because

it's straight off the press. He's a scientist, he's looking at some of the latest stuff from other scientists, and he's just telling it like it is, yes, pay attention to this or nope, we have to take this with a grain of salt, like is omicron ominous? You know, like it's just really breaking it down. There are charts and grabs.

Speaker 2

You know. I love that.

Speaker 1

Yes, my one thing this week is Masterclass. So I feel like everybody has seen an ad for master Class at some point with you know, some of their favorite directors or writers, and so I took the plunge and actually got a subscription to Masterclass. So it's kind of an app, but you can log in on your desktop and they have master classes for everything from you know, people who have been leading in their fields so on

wilderness survival. Filmmaking athlete Steph Curry has done a masterclass real Estate, graphic Design, Gardening, Barbecue and they're long because they separated into segments and it's really well put together and it's not just some random person who is interested in writing and doing television.

Speaker 3

They have Isa Ray doing a master class.

Speaker 2

Right, what's been your favorite one so far?

Speaker 3

Definitely the one with Ray.

Speaker 1

She's so funny and she gets insight into how she does a lot of things and like how things started in the way that she's able to develop a story and develop characters and how she minds in her real life for character plots and things like that.

Speaker 3

So it was really really good. Yeah, they got Samuel L.

Speaker 1

Jackson on there, they got Gordon Ramsay on there, Alicia Keys and another thing that I really love about masterclass, so you can go to masterclass dot com to check that out, is that you can give it as a gift. So if you have a friend that's really interested in gardening, or really interested in spices, or really interested in cocktails, like my friend, you can take that one masterclass and you can send it to them and it's such a

good gift. I did that for Jimmy, I sent him a barbecue one for I think it was his birthday last year, and it's so fun and it's such a great thoughtful gift. So masterclass dot com. Was that a gift for Jimmy or a gift for you? Because I know how you like barbecue?

Speaker 3

It was a gift for me because guess what I got ribs that weekend? Brush off the grill.

Speaker 2

That's it for Lab forty three. What did you think? Call us at two zero two five six seven seven zero two eight.

Speaker 1

And let us know and don't forget. There's so much more for you to dig into on our website. There'll be a cheat sheet for today's lab, additional links and resources in the show notes. Plus you can sign up for our newsletter check it out at Dope lasspodcast dot com. Special thanks to our amazing guest expert for this two part series, Doctor Christine Daniels. Dope Labs is a Spotify original production from Mega owned Media Group. Our producers are

Jenny ratlit Mask and Lydia Smith of WaveRunner Studios. Editing in sound design by Rob Smerciak, mixing by Hannes Brown. Original music composed and produced by Taka Yasuzawa and Alex.

Speaker 2

Suguer from Spotify.

Speaker 1

Our executive producer is Gina Delvak, and creative producers are Baron Farmer and Candace Manriquez Rinn. Special thanks to Shirley ramos yasmin of Fifi, camu Elolia, Till krat Key and Brian Marquis. Executive producers from Mega Own Media Group are Us T. T Show Dia and Zakiah Wattler. Do y'all remember that when Joe Big at like Apple and Starbucks and Bono was.

Speaker 2

I don't know, I'm like Bono was, I'm.

Speaker 3

Like, same thing. Isn't the same person? Who's Who's bon Jovi? I don't know.

Speaker 2

They're all red hot chili peppers.

Speaker 3

Come on, it's all Bruce Springsteen, you know.

Speaker 5

Mm hmm

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