How we can create equity for all communities?

It begins with more inclusive conversations at a patient level

Adewole Adamson, MD, of the University of Texas, Austin, aims to create more equity in health care by gathering data from more diverse populations by using artificial intelligence (AI), a type of machine learning. Dr. Adamson’s work is funded by the American Cancer Society (ACS), an organization committed to advancing health equity through research priorities, programs and services for groups who have been marginalized.

Melanoma became a particular focus for Dr. Adamson after meeting Avery Smith, who lost his wife—a Black woman—to the deadly disease.

Avery Smith (left) and Adamson (sidenote)

This personal encounter, coupled with multiple conversations with Black dermatology patients, drove Dr. Adamson to a concerning discovery: as advanced as AI is at detecting possible skin cancers, it is heavily biased.

To understand this bias, it helps to first know how AI works in the early detection of skin cancer, which Dr. Adamson explains in his paper for the New England Journal of Medicine (paywall). The process uses computers that rely on sets of accumulated data to learn what healthy or unhealthy skin looks like and then create an algorithm to predict diagnoses based on those data sets.

This process, known as supervised learning, could lead to huge benefits in preventive care.

After all, early detection is key to better outcomes. The problem is that the data sets don’t include enough information about darker skin tones. As Adamson put it, “everything is viewed through a ‘white lens.’”

“If you don’t teach the algorithm with a diverse set of images, then that algorithm won’t work out in the public that is diverse,” writes Adamson in a study he co-wrote with Smith (according to a story in The Atlantic). “So there’s risk, then, for people with skin of color to fall through the cracks.”

Tragically, Smith’s wife was diagnosed with melanoma too late and paid the ultimate price for it. And she was not an anomaly—though the disease is more common for White patients, Black cancer patients are far more likely to be diagnosed at later stages, causing a notable disparity in survival rates between non-Hispanics whites (90%) and non-Hispanic blacks (66%).

As a computer scientist, Smith suspected this racial bias and reached out to Adamson, hoping a Black dermatologist would have more diverse data sets. Though Adamson didn’t have what Smith was initially looking for, this realization ignited a personal mission to investigate and reduce disparities.

Now, Adamson uses the knowledge gained through his years of research to help advance the fight for health equity. To him, that means not only gaining a wider array of data sets, but also having more conversations with patients to understand how socioeconomic status impacts the level and efficiency of care.

“At the end of the day, what matters most is how we help patients at the patient level,” Adamson told Upworthy. “And how can you do that without knowing exactly what barriers they face?”

"What matters most is how we help patients at the patient level."https://www.kellydavidsonstudio.com/

The American Cancer Society believes everyone deserves a fair and just opportunity to prevent, find, treat, and survive cancer—regardless of how much money they make, the color of their skin, their sexual orientation, gender identity, their disability status, or where they live. Inclusive tools and resources on the Health Equity section of their website can be found here. For more information about skin cancer, visit cancer.org/skincancer.

The tennis world bids farewell to one of its all-time greats.

Roger Federer is retiring after a 24-year career in competitive tennis.

Confession: I'm not a huge tennis fan. I don't actively dislike the sport, I just don't follow it. I know the names of a handful of famous tennis players and admire the skill of those at the elite level, but I've never gotten into it as a spectator sport.

But even those of us who don't follow tennis know the name Roger Federer. We may not know his exact record, but we know he's one of the best of the best in the world of tennis. He's also a notoriously decent guy. I recently wrote about a sweet surprise Federer orchestrated for an up-and-coming young tennis player who had asked him to keep playing until they could compete together. But like everyone else, I had no idea that the timing of that surprise match was so meaningful.

On September 15, Federer announced that the Laver Cup tournament next week will be his final competition. After a 24-year career in which he won a whopping 20 Grand Slam singles titles, the 41-year-old "Swiss Maestro" is retiring from competitive tennis.

Every athlete and every fan knows that day will come sooner or later, but it is always momentous nonetheless. And Federer, known for his grace both on and off the court, gave his fans a retirement announcement that exhibits the down-to-earth, genuinely-a-good-guy qualities Federer is known for.

Federer shared both a written and spoken version of his announcement on social media, which is thoughtful from an inclusivity standpoint. But beyond that, the way he thanks everyone in his letter—his wife and children, his parents and sister, his team and manager, his sponsors, and his fans—speaks to the man behind the famous name. It's just lovely.

"To my tennis family and beyond,

"Of all the gifts that tennis has given me over the years, the greatest, without a doubt, has been the people I’ve met along the way: my friends, my competitors, and most of all the fans who give the sport its life. Today, I want to share some news with all of you.

"As many of you know, the past three years have presented me with challenges in the form of injuries and surgeries. I’ve worked hard to return to full competitive form. But I also know my body’s capacities and limits, and its message to me lately has been clear. I am 41 years old. I have played more than 1500 matches over 24 years. Tennis has treated me more generously than I ever would have dreamt, and now I must recognize when it is time to end my competitive career.

"The Laver Cup next week in London will be my final ATP event. I will play more tennis in the future, of course, but just not in Grand Slams or on the tour."

"This is a bittersweet decision, because I will miss everything the tour has given me. But at the same time, there is so much to celebrate. I consider myself one of the most fortunate people on Earth. I was given a special talent to play tennis, and I did it at a level that I never imagined, for much longer than I ever thought possible. "I would like to especially thank my amazing wife Mirka, who has lived through every minute with me. She has warmed me up before finals, watched countless matches even while over 8-months pregnant, and has endured my goofy side on the road with my team for over 20 years. I also want to thank my four wonderful children for supporting me, always eager to explore new places and creating wonderful memories along the way. Seeing my family cheering me on from the stands is a feeling I will cherish forever."

"I would also like to thank and recognize my loving parents and my dear sister, without whom nothing would be possible. A big thank you to all my former coaches who always guided me in the right direction…you have been wonderful! And to Swiss Tennis, who believed in me as a young player and gave me an ideal start. "I really want to thank and acknowledge my amazing team, Ivan, Dani, Roland, and particularly Seve and Pierre, who have given me the best advice and have always been there for me. Also Tony, for creatively managing my business for over 17 years. You are all incredible and I have loved every minute with you. "I want to thank my loyal sponsors, who are really like partners to me; and the hard-working teams and tournaments on the ATP Tour, who consistently welcomed all of us with kindness and hospitality. "I would also like to thank my competitors on the court. I was lucky enough to play so many epic matches that I will never forget. We battled fairly, with passion and intensity, and I always tried my best to respect the history of the game. I feel extremely grateful. We pushed each other, and together we took tennis to new levels.

"Above all I must offer a special thank you to my unbelievable fans. You will never know how much strength and belief you have given me. The inspiring feeling of walking into full stadiums and arenas has been one of the huge thrills in my life. Without you, those successes would have felt lonely, rather than filled with joy and energy. "The last 24 years on tour have been an incredible adventure. While it sometimes feels like it went by in 24 hours, it has also been so deep and magical that it seems as if I’ve already lived a full lifetime. I have had the immense fortune to play in front of you in over 40 different countries. I have laughed and cried, felt joy and pain, and most of all I have felt incredibly alive. Through my travels, I have met many wonderful people who will remain friends for life, who consistently took time out of their busy schedules to come watch me play and cheer me on around the globe. Thank you.

"When my love of tennis started, I was a ball kid in my hometown of Basel. I used to watch the players with a sense of wonder. They were like giants to me and I began to dream. My dreams led me to work harder and I started to believe in myself. Some success brought me confidence and I was on my way to the most amazing journey that has led to this day. "So, I want to thank you all from the bottom of my heart, to everyone around the world who has helped make the dreams of a young Swiss ball kid come true. "Finally, to the game of tennis: I love you and will never leave you." —Roger Federer

Nobody who gets to the top gets there alone, and Federer seems to truly understand that. His gratitude for both his fans and his rivals, as well as everyone who supported him along the way, is so lovely to see. Here's to an amazing career, Roger Federer, and best of luck in whatever endeavors you pursue next.

Vicki Lawrence dropped a perfectly timed a-bomb.

"The Carol Burnett Show" had one of the funniest outtakes in TV history.

"The Carol Burnett Show" ran from 1967 to 1978 and has been touted as one of the best television series of all time. The cast and guest stars of the show included comedic greats such as Tim Conway, Betty White, Steve Martin, Vicki Lawrence, Dick Van Dyke, Lyle Waggoner, Harvey Korman and others who went on to have long, successful comedy careers.

One firm rule Carol Burnett had on her show was that the actors stay in character. She felt it was especially important not to break character during the "Family" scenes, in which the characters Ed and Eunice Higgins (a married couple) and Mama (Eunice's mother) would play host to various colorful characters in their home.

"I never wanted to stop and do a retake, because I like our show to be ‘live,’" she wrote in her memoir, as reported by Showbiz Cheat Sheet. "So when the ‘Family’ sketches came along, I was adamant that we never break up in those scenes, because Eunice, Ed, and Mama were, in an odd way, sacred to me. They were real people in real situations, some of which were as sad and pitiful as they were funny, and I didn’t want any of us to break the fourth wall and be out of character.”

It was a noble goal, and one that went right out the window—with Burnett leading the way—in a "Family" sketch during the show's final season that ended with the entire cast rolling with laughter.

In the scene, Eunice, Mama, Dan (an old friend of Ed's) and Mickey (Ed's employee at the hardware store) are playing "Password" and the word they're trying to get their partners to guess is "ridiculous." Eunice (played by Carol Burnett) gives Mickey (played by Tim Conway) the clue word "laughable," and after pondering for a bit, he says "elephant."

Eunice scolds him for his bizarre answer, then Conway launches into a wild ad-libbed story about a circus elephant that goes on and on and on.

Burnett is the first one to lose it. The cast barely keeps it together through the sketch.

But that was just one take. Between takes, the director gave the actors a note: The elephant story would be different in the next filming—and good luck.

The next elephant story was even wilder than the first, and Burnett and Dick Van Dyke couldn't stop themselves from laughing. Conway himself breaks a couple of times, and even Vicki Lawrence (playing Mama), who famously never broke character, had to hide her face for a moment.

Then, just when they finally got themselves composed and Burnett was able to deliver her line, "Go on, Mama," Lawrence delivered the most perfectly timed a-bomb and the whole cast exploded:

So delightful. And for an added bonus, watch Vicki Lawrence tell the story about how that scene came about: