My Day with Street Medicine Detroit Helping Homeless People


– Hey everybody. Latisha just called me– – (laughs) What did I call you? – Oh, you can’t remember?
– Stewie? – Stewie? – Stewie! No, it was Tom Cruise. – Oh yeah, Tom Cruise grandpa. – Tom Cruise grandpa. – Yes, she did. – But, y’all might wanna date him on 777-9311 hotline. – Yeah, yeah, yeah, yeah, yeah. Tom Cruise’s grandpa. Then I was Tom Cruise’s great-grandpa. – I don’t remember that. – Yeah, you did that, yeah. – Yes, she did. – Well, he looks good to
be a great-great-great– – Oh my god.
– Alotta greats and I don’t mean there’s
great Tiger stadium. – You two made my day today so thank you. – Yeah, see he pushes
his belly up on my arm, so I can’t (laughs) (Charmingly playful, folksy melody) ♫ I saw her here just last night ♫ It was so good til the morning light ♫ Now she’s no where to be found ♫ Have you seen her – Hi everybody. I’m gonna really work
hard at vlogging more. There’s a lot of challenges for me. I’m an old-school broadcaster so the YouTube format which is, as far as I
can see it, anything goes and what we would consider mistakes in old-school broadcasting are actually creative. So some of that I have to get over. The other issue is I’m out on the streets, I’m handing out socks, I’m meeting people. Sometimes they’re very
challenging locations. I don’t always have permissions. So, it’s something that
I’ve got to grow into. I also really don’t have format yet, which is kind of what I am doing now is I’m trying to establish a format. Last week, the Michigan
Coalition Against Homelessness invited me to speak. And when we were talking
about me traveling to Michigan they said, “you know what, why don’t you just fly into
Detroit and rent a car?” That got me thinking, and next thing you know I’m
traveling around Michigan. This vlog is going to be in two parts. The first day, this episode, is the day I spent with
Street Medicine Detroit. What a wonderful day. Hey everybody, I am here at– Where is this place? – NSO Tumaini Center. – And I’m here with Dean and we’re gonna go out
on the streets today. Explain your backpacks
that you have over here. – Well, the backpacks are
divided into medications, treatments, and diagnostics. This has all the things we need
to do testing or draw blood. We take a lot of medication with us. We give everybody we see a
month’s supply of medicine. And this is for wound care, dressing changes, splints,
and things like that. – So, tell me about
homelessness in Detroit. What type of clients do
you see on a given day? – Homelessness in Detroit
is a particular problem. We have about 16,000 homeless in Detroit by the last point-in-time count. Also, they tend to be
more medically fragile than the rest of the country. We did the Homeless Death
Prevention Study in 2010. Nationally, 42% of the homeless people who responded to that survey met the criteria for vulnerable. In Detroit it was 51%, so Detroit is particularly hard. Another thing on that
survey was that we had much lower numbers of elderly. So that implies that homelessness is particularly fatal to elderly people in Detroit compared to the rest of the country. We’re going out with Wayne
State medical students to a shelter that specializes
in women and children. It’s called COTS. And we’re gonna hopefully
see some patients there and bring healthcare to them. – We’re gonna have fun. Cool. – So, the students have arrived. – The students have arrived. – I have a T-shirt for you. – [Mark] You do? Hey everybody. – Hi, I’m Fareshtay. I’m a first year medical student. – I’m Alex. Yeah, I’m a second year medical student. – I’m Adam, I’m one of
the street leaders today. And I’m a rising second year student. – I’m Samantha and I’m a
graduating fourth year student. – I’m Amanda, I’m the other
street leader for today and I’m gonna be a second year next– – I’m Dennis and I’m a rising second year. – [Mark] And I don’t
think I caught your name. – Ashley. I’m a nurse
practitioner student at Oakland U. – [Mark] Awesome. (vibrant, energized music) Thank you. – All the street leaders are
on the street medicine board. So, my job is I’m on the technology side. So I work with the image
and inventory system. (vibrant music with active drums) – So while the medical students were seeing women at the homeless shelter I decided to go for a little walk and I just met this homeless man flying a sign on the corner. Gave him some Hanes
socks and he says to me, Oh my gosh. You know, I love when homeless people share nuggets of wisdom like that. It really helps to put
perspective on life. (active, energetic music) Then we came back to the
neighborhood services organization, where all the medical
students just kind of did an update of the day. What went well and what went bad. After that, a few of the students just saw a few of the homeless people that stay at the day center. – Antihistamines, Lidocaine for injections, glucose test strips, cough syrup. All good stuff. – Dean was talking about Narcan kits and I said, “you know, gosh,
neighborhoods I travel in I probably should have one.” To save a life. So Dean’s giving me a
kit and then training me. So what do we do here? – You put the needle on the syringe, flip the top, draw up the
Narcan in the syringe, and then inject it in the muscle, deltoid muscle right there. – [Mark] Okay. – I usually reserve this for
people who are not breathing or breathing very shallowly. If someone has used and
they’re just kind of drowsy, but they’re breathing on their own, I wouldn’t give them Narcan. I’d just observe them. (velvety, smooth jazz with heavy drums) – We’re driving around Detroit looking for people who are
experiencing homelessness to see if we can get them healthcare, get them enrolled in services. The unsheltered homeless or rough sleepers tend to be more resistant to services. Typically are sicker. Rather than letting some condition fester until it’s eventually
treated in the emergency room we can find them and treat them on sight. It improves the outcomes
and saves money downstream. (velvety, smooth jazz with heavy drums) – Just visiting a homeless
woman that was under a bridge. She’s been there far too long. Glad the Street Medicine Team
visits her and checks on her, but we’ve gotta get her into housing. You know, Dean says housing is a punchline and other services connect
to housing in some way. There’s just not enough housing. We need more housing to get
these people off the streets. You can walk and talk, right? – Oh, alright so I used to work for Boston Healthcare for the Homeless over at Barbara McGuinness’s house. – Doctor Jim O’Connell. – Yep. And that’s honestly
how almost I got this gig. – So how long you been doing this? – We’ve been doing this gig since October. – [Mark] So why is it
important for you guys– med students, right? Why is it important for you
guys to be out on the streets? – I think it’s because a lot
of our patient population that we’ll be seeing at Detroit Receiving a lot of those patients
are living on the streets. There’s a stigma attached to
living outside on the streets. It’s important for us as
physicians to understand that and really not let that
stigma get in the way of us providing quality care to
a lot of these patients. – But you said that I was
Tom Cruise’s grandfather. – He’s Tom Cruise’s great-great-grandpa. – Oh now its great-great-grandpa! Oh my gosh, so tell me how
long have you been out here? – For like three years. – That’s way too long. – Yeah. Take it from me
its not good for a woman. – No. Homelessness is horrible. – Yeah. Take it from Tom Cruise’s grandpa. – Great-grandpa. – Sweet home, Alabama. – (laughs) – Now say something. – You look like Bruce Lee’s brother. – I do look like Bruce Lee’s brother. I should take a bow. – Yeah, we saw this lovely couple they were living right here on this lawn. And one of them was having a little bit
of respiratory problems. So we were able to provide
some Albuterol for them, that’s like an inhaler. She also mentioned that
she had a heart murmur but we think that was called
a Patent Foramen Ovale and that can kind of mix up oxygenated and deoxygenated blood but we
weren’t able to hear anything and it seems like she’s alright. – I just had a wonderful experience . This couple has been living out here and they are definitely in love. And it’s just really great
that the medicine team, Street Medicine Team can
come out and check on them. I hope you enjoyed part one of Invisible People Tours Michigan in 2017. This vlogging stuff is new
to me and how I figure it is you’ve just gotta jump in, you’ve gotta just start making it happen and you’ll learn and grow. If you guys have any suggestions please leave ’em in the comments. Please subscribe. Please like this video. Please watch a bunch of
Invisible People videos and share them with all your network. Really need to grow this channel. If you love what we’re
doing, support on Patreon. Next episode, we got to
Traverse City, way up north. It was really, really amazing. Stay tuned. (steady, upbeat music)

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