1 00:00:00,000 --> 00:00:01,280 2 00:00:01,280 --> 00:00:05,100 I think, I want to make the point to you that-- 3 00:00:05,100 --> 00:00:07,980 think about the power of words. 4 00:00:07,980 --> 00:00:12,120 Sometimes words can have unintended consequences. 5 00:00:12,120 --> 00:00:13,230 They may be good. 6 00:00:13,230 --> 00:00:14,970 They may not be good. 7 00:00:14,970 --> 00:00:17,400 But I want to talk about some words today. 8 00:00:17,400 --> 00:00:19,980 An example of something that happened 9 00:00:19,980 --> 00:00:25,110 when I was a first year medical student here years ago that 10 00:00:25,110 --> 00:00:29,100 at the time seemed to be disparaging and insulting 11 00:00:29,100 --> 00:00:34,260 that I perhaps ended up having very positive effects 12 00:00:34,260 --> 00:00:35,749 on my life. 13 00:00:35,749 --> 00:00:37,290 So I want to tell you about something 14 00:00:37,290 --> 00:00:41,370 that happened when I was a first year medical student here 15 00:00:41,370 --> 00:00:45,780 in this campus back in 1963. 16 00:00:45,780 --> 00:00:48,210 And, by the way, I just noticed on the program 17 00:00:48,210 --> 00:00:50,370 that it says I was the first woman. 18 00:00:50,370 --> 00:00:54,030 I was not the first woman to finish medical school here. 19 00:00:54,030 --> 00:00:56,070 I was actually the second woman of color 20 00:00:56,070 --> 00:00:59,190 to finish medical school here, because there 21 00:00:59,190 --> 00:01:03,090 were some wonderful brave women who preceded me in the school. 22 00:01:03,090 --> 00:01:06,300 So I don't want to take credit for what they did. 23 00:01:06,300 --> 00:01:11,340 But I was in a class where I was the only person of color. 24 00:01:11,340 --> 00:01:14,730 And I had no other women in my class. 25 00:01:14,730 --> 00:01:17,580 And I was trying to find my way and adapt. 26 00:01:17,580 --> 00:01:21,530 And think will I make it through this all-male setting, 27 00:01:21,530 --> 00:01:25,440 especially after having gone to an all women's college? 28 00:01:25,440 --> 00:01:29,770 When one of my classmates came up to me in anatomy lab. 29 00:01:29,770 --> 00:01:35,050 And he said to me, Vivian, you have no business being here. 30 00:01:35,050 --> 00:01:38,780 You're just taking the place some man should have. 31 00:01:38,780 --> 00:01:39,670 I looked at him. 32 00:01:39,670 --> 00:01:43,200 And he said, I read ahead in my anatomy book. 33 00:01:43,200 --> 00:01:48,230 And I saw that women have smaller brains than men. 34 00:01:48,230 --> 00:01:51,190 So you'll never make it through medical school, 35 00:01:51,190 --> 00:01:55,390 because you don't have a brain big enough to let you do that. 36 00:01:55,390 --> 00:02:00,340 Well, I did graduate in 1967. 37 00:02:00,340 --> 00:02:02,302 And it was a great day. 38 00:02:02,302 --> 00:02:04,510 But [? we ?] [? remind ?] [? us of ?] that classmate. 39 00:02:04,510 --> 00:02:06,818 He flunked out the second year. 40 00:02:06,818 --> 00:02:09,782 [APPLAUSE, CHEERING] 41 00:02:09,782 --> 00:02:14,730 42 00:02:14,730 --> 00:02:20,090 In spite of my smaller brain I made it through. 43 00:02:20,090 --> 00:02:24,600 But let me jump ahead just thinking about that to 1991. 44 00:02:24,600 --> 00:02:28,770 I actually had been a practicing academic pathologist enjoying 45 00:02:28,770 --> 00:02:32,430 being a pathologist when I was invited to come to the National 46 00:02:32,430 --> 00:02:36,870 Institutes of Health to start up this new office, one 47 00:02:36,870 --> 00:02:38,590 that had not existed before. 48 00:02:38,590 --> 00:02:42,690 And that is the Office of Research on Women's Health 49 00:02:42,690 --> 00:02:47,340 to study those conditions that affect women and men 50 00:02:47,340 --> 00:02:51,570 beyond the reproductive system that previously had primarily 51 00:02:51,570 --> 00:02:55,830 been studied in men, with the presumption that if it worked 52 00:02:55,830 --> 00:02:58,440 in men it would work in women too. 53 00:02:58,440 --> 00:03:01,500 So that was the purpose of starting this new office, 54 00:03:01,500 --> 00:03:05,850 to ensure the inclusion of women in clinical studies. 55 00:03:05,850 --> 00:03:09,750 And along with that, we also focused in this office 56 00:03:09,750 --> 00:03:14,100 on promoting careers for women in science. 57 00:03:14,100 --> 00:03:16,890 So I was involved in many discussions 58 00:03:16,890 --> 00:03:19,680 about women in research careers and women 59 00:03:19,680 --> 00:03:21,930 in biomedical careers. 60 00:03:21,930 --> 00:03:25,230 And then let me jump ahead a few years later. 61 00:03:25,230 --> 00:03:30,980 And I don't know how many of you remember, but in about 2005, 62 00:03:30,980 --> 00:03:35,270 the president of a very prestigious university 63 00:03:35,270 --> 00:03:39,410 in the northeast made a comment at a conference 64 00:03:39,410 --> 00:03:43,550 on women in science and math, that perhaps the reason 65 00:03:43,550 --> 00:03:47,690 that women did not excel in math and science 66 00:03:47,690 --> 00:03:52,680 was because they lack the innate ability to do so. 67 00:03:52,680 --> 00:03:55,560 Well, he later said that he only made those comments 68 00:03:55,560 --> 00:03:58,940 to stimulate discussion. 69 00:03:58,940 --> 00:04:03,240 And I must say he did stimulate discussion. 70 00:04:03,240 --> 00:04:05,310 I even was at a conference in Europe 71 00:04:05,310 --> 00:04:08,160 and I was asked about this guy's comments 72 00:04:08,160 --> 00:04:13,070 about women not having the innate ability. 73 00:04:13,070 --> 00:04:15,590 There was a lot of attention and a lot of discussion 74 00:04:15,590 --> 00:04:16,560 following his comments. 75 00:04:16,560 --> 00:04:19,019 And, actually, he did cause a lot of discussion, 76 00:04:19,019 --> 00:04:20,660 a lot of wonderful reports. 77 00:04:20,660 --> 00:04:25,520 And we were seeing articles in scientific journals about women 78 00:04:25,520 --> 00:04:28,970 and why perhaps women were having difficulty. 79 00:04:28,970 --> 00:04:31,070 I could give you a whole speech on why I really 80 00:04:31,070 --> 00:04:33,170 think what was behind-- nothing to do 81 00:04:33,170 --> 00:04:35,600 with our lack of innate ability, but that's not 82 00:04:35,600 --> 00:04:37,030 what I was asked to do today. 83 00:04:37,030 --> 00:04:40,650 84 00:04:40,650 --> 00:04:49,640 But thinking of that and even not just scientific journals, 85 00:04:49,640 --> 00:04:53,780 but even Time Magazine had a cover about women 86 00:04:53,780 --> 00:04:55,220 and their smaller brains. 87 00:04:55,220 --> 00:04:58,160 And US News and World Report had an article. 88 00:04:58,160 --> 00:05:00,290 Everybody was looking for something to explain. 89 00:05:00,290 --> 00:05:05,160 And of course, looked at the morphology of the brain. 90 00:05:05,160 --> 00:05:08,130 And actually with all that discussion 91 00:05:08,130 --> 00:05:12,100 I think I had forgotten about that guy's comment to me. 92 00:05:12,100 --> 00:05:14,460 And all of a sudden, there was all this attention 93 00:05:14,460 --> 00:05:16,110 to women's brains. 94 00:05:16,110 --> 00:05:17,970 Do they function differently? 95 00:05:17,970 --> 00:05:20,450 What about differences in the makeup of the gray matter 96 00:05:20,450 --> 00:05:22,300 and the white matter. 97 00:05:22,300 --> 00:05:24,210 But all of them came to the conclusion 98 00:05:24,210 --> 00:05:28,230 that the size of the brain had nothing to do 99 00:05:28,230 --> 00:05:30,664 with intellectual ability. 100 00:05:30,664 --> 00:05:32,330 And I thought about it and thought, gee, 101 00:05:32,330 --> 00:05:34,430 all of this in 2005. 102 00:05:34,430 --> 00:05:40,430 I've known this since the 60s, because I'm a living example. 103 00:05:40,430 --> 00:05:43,070 I've proved that the size of my brain 104 00:05:43,070 --> 00:05:46,830 didn't keep me from going forward. 105 00:05:46,830 --> 00:05:48,110 And so I thought about it. 106 00:05:48,110 --> 00:05:49,730 And actually I had to laugh. 107 00:05:49,730 --> 00:05:52,130 You know, it wasn't funny when he said that 108 00:05:52,130 --> 00:05:56,420 to me in September of 1963. 109 00:05:56,420 --> 00:05:59,540 But I thought about it, and then I thought isn't this something. 110 00:05:59,540 --> 00:06:03,830 I started in this field of women's health research, which 111 00:06:03,830 --> 00:06:06,680 actually over the past 25 years has now 112 00:06:06,680 --> 00:06:10,070 evolved into what we call the Science of Sex 113 00:06:10,070 --> 00:06:11,780 and Gender in Human Health. 114 00:06:11,780 --> 00:06:14,150 And it's a whole new blossoming field 115 00:06:14,150 --> 00:06:16,690 that you hear so much about, thank goodness. 116 00:06:16,690 --> 00:06:18,830 And to the men in the audience, because it's 117 00:06:18,830 --> 00:06:20,370 studying sex and gender. 118 00:06:20,370 --> 00:06:22,100 Is not limited just to women. 119 00:06:22,100 --> 00:06:25,910 It does benefit men, because you can study sex and gender 120 00:06:25,910 --> 00:06:27,680 differences without including men. 121 00:06:27,680 --> 00:06:32,300 So men have benefited from our work in that area. 122 00:06:32,300 --> 00:06:35,390 But just think, I've spent now in the last 25 123 00:06:35,390 --> 00:06:38,310 years of my career-- 124 00:06:38,310 --> 00:06:43,340 I'm focusing on learning about normal differences between men 125 00:06:43,340 --> 00:06:44,590 and women. 126 00:06:44,590 --> 00:06:48,290 One of their differences is how we react to interventions 127 00:06:48,290 --> 00:06:51,050 about how our diseases present. 128 00:06:51,050 --> 00:06:55,850 And I wonder, thinking back, maybe that guy really 129 00:06:55,850 --> 00:07:00,710 got me started on thinking about sex and gender differences 130 00:07:00,710 --> 00:07:04,280 by his comment many years ago. 131 00:07:04,280 --> 00:07:07,550 Because, when I think about it, that was something 132 00:07:07,550 --> 00:07:11,120 that I learned back in that fall, a first year 133 00:07:11,120 --> 00:07:15,350 medical school that there are morphological differences, 134 00:07:15,350 --> 00:07:17,810 but it's not always significant in terms 135 00:07:17,810 --> 00:07:23,900 of how that causes us to behave or what our abilities may be. 136 00:07:23,900 --> 00:07:25,340 So I've thought about it. 137 00:07:25,340 --> 00:07:28,790 And thinking I wish I knew where that guy was. 138 00:07:28,790 --> 00:07:30,840 I really don't know where he went. 139 00:07:30,840 --> 00:07:33,111 And my classmates don't-- 140 00:07:33,111 --> 00:07:35,360 they really claim they don't remember him saying that, 141 00:07:35,360 --> 00:07:38,630 but I'll never forget him saying it. 142 00:07:38,630 --> 00:07:40,610 But I'd really like to find him. 143 00:07:40,610 --> 00:07:45,080 And thank him for getting me started 144 00:07:45,080 --> 00:07:49,940 on what has been a wonderful second career for me. 145 00:07:49,940 --> 00:07:54,590 And hoping that he has learned that his naive and ignorant 146 00:07:54,590 --> 00:08:01,020 comment was wrong and that he's learned the difference today. 147 00:08:01,020 --> 00:08:04,017 And I would thank him, but I'd have to stick it 148 00:08:04,017 --> 00:08:04,850 to him a little bit. 149 00:08:04,850 --> 00:08:08,860 150 00:08:08,860 --> 00:08:11,500 The point of my story, it may not 151 00:08:11,500 --> 00:08:14,890 be as deep and as passionate as some of those 152 00:08:14,890 --> 00:08:17,650 that we've heard already that really touched me. 153 00:08:17,650 --> 00:08:20,620 Your accounts and your stories have just been wonderful. 154 00:08:20,620 --> 00:08:23,980 But when I was asked to present, for some reason, 155 00:08:23,980 --> 00:08:26,890 thinking about UVA building bridges 156 00:08:26,890 --> 00:08:29,440 and that one experience back then. 157 00:08:29,440 --> 00:08:33,320 And how it may or may not have affected my life and my career. 158 00:08:33,320 --> 00:08:36,669 And I'd like to think has affected biomedical science, 159 00:08:36,669 --> 00:08:40,419 because we have seen a change in the construct of what 160 00:08:40,419 --> 00:08:44,710 is required in the design of biomedical research. 161 00:08:44,710 --> 00:08:50,660 But I wanted to make the point that words can matter. 162 00:08:50,660 --> 00:08:53,110 Some of you have heard me tell stories 163 00:08:53,110 --> 00:08:57,010 about some other instances when I was first year here, 164 00:08:57,010 --> 00:08:59,410 when some wonderful things happened because 165 00:08:59,410 --> 00:09:01,780 of very kind words that were said 166 00:09:01,780 --> 00:09:06,010 to me by fellow classmates that made it possible 167 00:09:06,010 --> 00:09:09,100 for me to survive and to feel comfortable here. 168 00:09:09,100 --> 00:09:12,790 But this was an example that was a little bit different. 169 00:09:12,790 --> 00:09:15,610 But looking back, maybe it really did 170 00:09:15,610 --> 00:09:18,010 have a positive effect. 171 00:09:18,010 --> 00:09:21,490 And unfortunately, or fortunately, I've 172 00:09:21,490 --> 00:09:24,190 always been a little bit stubborn. 173 00:09:24,190 --> 00:09:29,860 So his disparaging comments only caused me to persevere 174 00:09:29,860 --> 00:09:31,790 and to get through. 175 00:09:31,790 --> 00:09:36,280 And so here I am now, over 50 years in the field of medicine 176 00:09:36,280 --> 00:09:40,130 in spite of my smaller brain. 177 00:09:40,130 --> 00:09:43,860 And I think about the only thing I have really flunked 178 00:09:43,860 --> 00:09:45,540 has been retirement. 179 00:09:45,540 --> 00:09:47,390 Thank you. 180 00:09:47,390 --> 00:09:47,928