double take season two

The new england journal of medicine
film production & story development

The New England Journal of Medicine (NEJM) Double Take series is a partnership between Youtube and NEJM to harness the power of video stories to bring trusted health information to medical audiences and non-medical audiences.

NEJM brought us on as their main external partner on the project. We created video stories about five topics for season one and five more for season two Type 2 Diabetes, Firearm Storage and Safety, Medical Treatment of Opioid Use Disorder, Alzheimer’s Disease, and Depression. For each topic we created 2-4 video stories. 

We worked closely with the NEJM editors to identify key learning points in each topic. We also took them through our story design process to ground the topics in the context of patient experiences, systems and structures, and other important aspects to create videos that offered a deeper understanding of each topic. A critical part of that process was having conversations with many people who have different perspectives and experiences, which greatly influenced the ultimate direction of each video story. 

Female doctor wearing face mask looks at patient.
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Type 2 Diabetes — Controlling the Epidemic

Roughly 1 in 10 people in the United States are living with type 2 diabetes—and nearly 1 in 3 are living with pre-diabetes, many unaware that they have it. 

We wanted to help viewers understand this epidemic, not only through the perspective of researchers and academic experts but from the viewpoint of patients and their communities. 

For this topic, NEJM wanted to create a mini series with four separate videos each covering a different section of information. Episode two (After the Diagnosis, Making a Plan and Addressing Social Determinants of Health) is featured here. You can also watch episode one (Understanding and Preventing Type 2 Diabetes), episode three (Fostering Patient Engagement and Lifestyle Modifications), and episode four (Understanding Old and New Therapies for Diabetes) here.

In our pre-interviews we spoke with over a dozen different community groups, advocacy organizations, and federally-qualified health clinics to better understand some of the root causes and social determinants of health that influence diabetes in vulnerable populations. 

Understanding the prevention and education efforts working in these contexts informed our story design and ultimately the individuals we selected for formal interviews. 

These firsthand experiences and insights provided critical context and depth to the issue. Rather than simply saying “diabetes treatment should be grounded in lifestyle modification,” the series shows how physicians can partner with patients to improve their nutrition and increase physical activity. 

This requires an understanding not only of the pathophysiology of the disease, but of the systems and structures that create and perpetuate harm. 

La Clínica Del Pueblo, a community health center serving the Latinx community in Washington D.C., models how to deliver care in a way that acknowledges and overcomes some of these societal barriers. 

 “Health educators ask a number of screening questions to find out things I would never know about,” La Clínica’s Dr. Kolko explains in episode 2. “Together, we can learn what the patient can actually use right at this moment, then together work step by step towards health.”

our client

The New England Journal of Medicine

our role

Story Design
Film Production
Editing

Our team

Story Contributors:
E. Dale Abel
Suyanna Linhales Barker
Jessica Giffin
Joshua Kolko
Dinora Lopez
Mirna Mejia
Monica Peek
Jane Reusch
Amy Sagendorf
Ed "Tank" Thomas, Sr.

Directors and Producers: Catherine Orr
Elena Rue

Assistant Producer:
Andie Rea

Cinematographers:
Andrew Hida
Chan Smith
Ellie Walton
Brynmore Williams

Audio Engineer:
Mike Westbrook

Editors:
Catherine Orr
Elena Rue

Assistant Editor:
Andie Rea

Motion Graphics Artist:
Victoria Blair

Colorist:
Patrice Bowman

Nurse wearing face mask discusses trends with patient while pointing at a computer monitor.
Man shaves head in a barbershop.
Man leading exercise class claps overhead.
Two women walk together, arm in arm.
Dr. Sandra McKay demonstrates storage of hand gun in an automated lock box.
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Addressing Firearm Safety

Safely storing firearms reduces injuries and saves lives. And yet, it is not commonly discussed in healthcare settings. 

As one of the physicians we interviewed put it: “You need to know how to have the conversation. Because if you’re not comfortable having the conversation, then will you? And if you’re not going to have the conversation then you’re missing an opportunity to promote safety, and that is 100% what this is about.” 

NEJM wanted to spread this life-saving message to healthcare professionals, educating and encouraging them to speak with gun owners about keeping firearms locked and secured when not in use. 

We spoke with leading medical experts about key clinical opportunities for these conversations, focusing on specific tips and examples as well as showing various gun safety and storage devices. 

In our story design process for every topic, we ask about assumptions, harmful narratives, and stereotypes that exist and should be challenged. Through our conversations with the story advisors, it became evident that one video was not sufficient to discuss the root causes and underlying issues behind an issue related to gun safety—community violence. 

In collaboration with the story design team and with the leadership of Dr. Selwyn O. Rogers, we developed a concept for a second, conversation-based video. This video would center voices of formerly injured patients, medical professionals and violence recovery specialists to discuss how trauma impacts people and communities, and explore ways clinicians can be involved in advancing structural justice. 

Rather than speak with individuals about traumatic experiences in isolation, this “conversation-based” approach was done as a group interview, providing space for individuals to hear from others. Trained psychologists who had existing, established relationships with the participants conducted the interviews. 

Interviewees shared that discussing this topic as a group and voicing their experiences as interconnected was empowering and healing. 

The video displays the struggles and solidarity of these individuals alongside the critical gaps within the healthcare system. The conversation inspires physicians to support solutions and interventions that not only reduce firearm injuries but to participate in broader healing through systemic change. 

our client

The New England Journal of Medicine

our role

Story Design
Film Production
Editing

Our team

Story Contributors:
Ruth Abaya
Emmy Betz
Carl Kincaid
Sandra McKay
Joe Shahoud
Tahmir Lomax Suters
Kendra Van de Water
Rayquan Williams
Lynquell Biggs
Franklin Cosey-Gay
Sonya Mathies Dinizulu
Divontae Harper
Jazmin King
Athena Mitchell
Memory Pines
Selwyn O. Rogers
Bradley Stolbach

Directors and Producers:
Catherine Orr
Elena Rue

Assistant Producer:
Andie Rea

Cinematographers:
Allie Bronson
Katie Harkins
Gabriella Megni
Artina Michelle
Andie Rea
Bex Rodriguez
Brynmore Williams
BlackBox Media
Chan Smith
Mireille ("M") Lamourt
C'airra Cortez

Sound Operator:
Nicholas Fanelli

Editors:
Catherine Orr
Elena Rue

Assistant Editor:
Andie Rea

Motion Graphics Artist:
Andie Rea

Colorist:
Patrice Bowman

Drs. Selwyn Rogers, Sonya Mathies Dinizulu, and Franklin Cosey-Gay sit at a table and discuss trauma-informed care.
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Dr. Nathaniel Chin looks at family photos.
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Alzheimer’s Disease – Putting new advancements into context

After decades of dead-ends and few breakthroughs, many Alzheimer’s disease researchers are optimistic about recent advances in their fight against the devastating condition. New anti-amyloid medications approved for early stages of the disease have been effective in slowing memory loss. 

While these advances hold promise for future treatments and possibly even a cure, their current clinical application remains largely out of reach for most patients. 

This topic pushed us to explore the tension between the hope of the latest research and the existing tools and practical strategies for day-to-day Alzheimer’s disease management. 

We achieved this balance by speaking with research experts as well as physicians, patients, and their carepartners. 

Our pre-interviews led us to Dr. Nathanial Chin, a geriatrician specializing in memory loss. He hosts a fantastic podcast (Dementia Matters) that gives guidance and context to dementia care. He is also the son of primary care physician who had early-onset Alzheimer’s disease. 

In this video, Dr. Chin’s personal journey provided a narrative structure while his professional insights educate viewers with guidance on early detection and screening.

The video informs viewers of the latest research, while showing physicians pragmatic ways to accurately diagnose and manage Alzheimer’s disease. A second video (Managing Stages of Dementia) outlines the stages of Alzheimer’s and patients and care partners learn practical tips from others living with the disease. 

our client

The New England Journal of Medicine

our role

Story Design
Film Production
Editing

Our team

Story Contributor:
Nathaniel A. Chin
Debra Dinsmore
Tony Gonzalez
Betsy Groves
Stephanie Houston
Dan Johnson
DeLois Johnson
Julia Napolitano
Stephen Salloway
Rob Sutherland
Lori Weiss

Directors and Producers:
Elena Rue
Catherine Orr

Assistant Producer:
Andie Rea

Cinematographer:
Brian Henderson
Erik Ljung
Chan Smith

Editors:
Elena Rue
Catherine Orr

Assistant Editor:
Andie Rea

Motion Graphics Artists:
Andie Rea
Victoria Blair


Colorist:
Patrice Bowman

Dr. Stephen Salloway evaluates an Alzheimer's patient by having them touch their pointer finger and thumb.
Certified Dementia Practitioner, Karen Wheelock, speaks with person living with Alzheimer's.
Alzheimer's patient completes written dementia screening with pen.
Dr. Nathaniel Chin evaluates dementia patient.
Physician shakes hand of patient.
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Opioid Use Disorder – Finding Recovery & Staying Safe

Each day, hundreds of people die of a drug overdose. Their deaths are largely avoidable, but the stigma associated with drug use continues to limit the access to meaningful care people with opioid use disorder receive. 

With the invaluable guidance of our topic expert, Dr. Scott Hadland, we created two videos for this topic. The one featured above was geared toward patients and families. The emphasis was on sharing critical information about medical treatment for opioid use disorder (including debunking myths), and sharing practical guidance for staying safe while using drugs.

The second version (Treating Opioid Use Disorder in General Practice) was designed to educate primary care providers on how to provide better care – including practical explanations of the three main medications for opioid use disorder, and the critical component of trust-building and harm reduction. 

Through our pre-interviews, we learned the most effective and life-saving work in this field is focused on peer-to-peer awareness building and spreading factual, non-stigmatizing information about overdose prevention. 

Our story design and discovery phase led us to Jennifer Foreman, a nurse practitioner working in a rural county in North Carolina. She has firsthand experience with addiction through her son, Dylan’s, recovery journey. Dylan and Dr. Foreman speak about finding treatment for Dylan and his decision to take medication for opioid use disorder.

We included other doctors describing the available medications and their mechanisms—but these descriptions are enriched by the direct accounts of Dylan and Dr. Foreman. 

One of the narrative pitfalls our story advisors cautioned us against was presenting recovery as a linear, straight-shot journey. To address this reality, we included practical guidance for when someone is unable to access or is not ready for treatment. 

The guidance from Dr. LJ Punch led this section of the video. Dr. Punch is a trauma surgeon and the executive director of  The T, a holistic harm-reduction program. Harm-reduction was developed by drug users and their communities. The principles have now been widely adopted by researchers and the conventional medical community as life-saving tools. 

Bringing all of these voices together empowers viewers in similar circumstances to see a way forward. As Jennifer puts it in the video, “Recovery can happen. A beautiful life is waiting on the other side. Just don’t give up.”

our client

The New England Journal of Medicine

our role

Story Design
Film Production
Editing

Our team

Story Contributor:
Sarah Bagley
Je'Mal Barnes
Barbara "Bobbie" Blunt
Jennifer Foreman
Dylan Glover
Scott Hadland
Sandra Mayen
Raina McMahan
LJ Punch

Directors and Producers:
Elena Rue
Catherine Orr

Assistant Producer:
Andie Rea

Cinematographer:
Brian Henderson
Ted Richardson
Chan Smith
Brynmore Williams

Production Assistants:
Mireilee "M" Lamourt
Peter Tran

Editors:
Elena Rue
Catherine Orr

Assistant Editor:
Andie Rea

Motion Graphics Artists:
Victoria Blair
Andie Rea


Colorist:
Patrice Bowman

Doctor speaks with young male patient sitting on exam table.
Two team members of the T sit outside at outreach location in St. Louis.
Close up view of hands as woman sits on exam table.
Dr. Jennifer Foreman smiles at son.
Man has electrodes placed on side of head to receive electroconvulsive therapy
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Treating Depression

Depression rates among U.S. adults have reached a new high. Stigma, limited mental health services, and growing health care costs have all strained the system leaving many individuals unable to access the care they need. 

Despite its growing prevalence, primary care providers can address many cases of depression through screening and offering available treatments and therapies. 

For this topic, NEJM wanted to create a mini series with four separate videos each covering a different section of information. Episode three (Advanced Treatments for Treatment-Resistant Depression) is featured above. You can also watch episode one (Understanding, Identifying, and Diagnosing), episode two (Treatment Options and Managing Depression in Primary Care), and episode four (Screening and Treating Depression in Adolescents).

Much of our research for this topic included reviewing studies published by NEJM on the various available treatments. We wanted viewers to understand their mechanisms and effectiveness, without sounding like a medical textbook.

To do this, we looked for ways to convey the facts in a clear and concise manner—but we also sought out individuals with personal experiences with depression to deepen viewers’ understanding and empathy. Dr. Shannon Scott-Vernaglia is a pediatrician who treats depression in her practice, but also lived with depression early in her career. Her personal experiences create emotional engagement, adding richness and memorability to the viewing experience. 

Visuals are a powerful tool for conveying information efficiently and memorably, enhancing viewers ability to comprehend and retain a message. As video storytellers, we think critically about the way information will be presented through sound, text or image. 

To discuss advanced treatments, we relied on archival footage and motion graphics to show our evolving understanding of depression as a chemical imbalance of the monoaminergic system. Historic footage also shows the ways treatments like electroconvulsive therapy and psilocybin have evolved over time. Motion graphics illustrate the ways these treatments work in the brain to adapt neurons. These visuals help clarify abstract concepts and provide a quick way to transmit complicated information. 

our client

The New England Journal of Medicine

our role

Story Design
Film Production
Editing

Our team

Story Contributors:
William Allen
Eleanor Anderson
Lilly Rain Charles
Christine M. Crawford
Mario Cristancho
Simone Duguid
Elise Fallucco
Sina Nikayin
Ella Palmer
Gerard Sanacora
Shannon Scott-Vernaglia
Emma Solano
Joseph Teel

Directors and Producers:
Elena Rue
Catherine Orr

Assistant Producer:
Andie Rea

Cinematographers:
Austin Burke
Vanessa Carr
Gabriella Megni
Artina Michelle Nimpson
Brynmore Williams

Editors:
Catherine Orr
Elena Rue

Assistant Editor:
Andie Rea

Motion Graphics Artists:
Victoria Blair
Andie Rea

Woman sits waiting in clinic waiting room.
Dr. Shannon Scott-Vernaglia walks, looking happy, outside in Boston, Massachusetts.
Dr. Sina Nikayin sits and discusses treatment options with depression patient.
Patient's head is measured for placement of transcranial magnetic stimulation procedure