Latest / Two Ts In A Pod with Teddi Mellencamp and Tamra Judge / Doctor Doctor

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Doctor Doctor · Two Ts In A Pod with Teddi Mellencamp and Tamra Judge

0:02
Speaker 1: This is Teddy Teapot with Teddy Mellencamp. Hi, guys, this
0:11
Speaker 1: is Teddy Mellencamp and I am joined today by my
0:14
Speaker 1: friends Tanya rad and Cheryl Burke. Thank you guys so
0:17
Speaker 1: much for being here. It's been a wild year and
0:21
Speaker 1: a half and we still have tons of questions regarding
0:24
Speaker 1: mental health, general health, COVID, etcetera. So today we've lined
0:28
Speaker 1: up an amazing panel from Providence healthcare experts to answer
0:33
Speaker 1: all of our questions. So, ladies, thank you guys so
0:36
Speaker 1: much for being here. How are y'all doing good? Thanks
0:39
Speaker 1: for having us? Yeah? Good. I'm glad that we're doing
0:42
Speaker 1: this because I think that, you know, especially for me,
0:45
Speaker 1: I'm really open and vocal about being a woman and
0:48
Speaker 1: all the health concerns that I do have. And I
0:50
Speaker 1: feel like, you know, we get a lot of fear
0:53
Speaker 1: because we don't know. So I feel like knowledge is
0:55
Speaker 1: power and that's exactly what we want to do today.
0:59
Speaker 1: So Providence caregivers, they really are different and they take
1:03
Speaker 1: the time to see patients for who they are as
1:06
Speaker 1: individuals by really getting to know them and partnering with
1:09
Speaker 1: them to help them live the life that they deserve.
1:12
Speaker 1: And so Today we're going to talk to three doctors
1:15
Speaker 1: from Providence about some important women's health topics ranging everything
1:21
Speaker 1: that you know Teddy Cheryl, you guys talk about, ranging
1:23
Speaker 1: from mental wellness, annual health screenings, motherhood, healthy lifestyles. It's
1:29
Speaker 1: a lot to cover. UM and Providence they have a
1:32
Speaker 1: mission for serving the poor and vulnerable and they are
1:34
Speaker 1: committed to ensuring equitable and affordable access to health services
1:39
Speaker 1: for all people, which is very very important. And they
1:42
Speaker 1: also invest billions of dollars to help build healthy communities
1:46
Speaker 1: across the Western United States. So really really excited to
1:49
Speaker 1: be partnering with them, and Providence caregivers pride themselves on
1:53
Speaker 1: clinical excellence and compassionate relationships. So yeah, like I said,
1:58
Speaker 1: we are going to be joined. I want to ring
2:00
Speaker 1: and two of the doctors UM with us right now.
2:03
Speaker 1: So we have Dctor Robin Henderson, she is the chief
2:06
Speaker 1: Executive Behavioral Health at Providence. And then we have doctor
2:10
Speaker 1: Wando An Yogu, she is the Chief Health Equity Officer Swedish.
2:15
Speaker 1: Swedish is an affiliate of Providence serving patients in the
2:19
Speaker 1: Greater Seattle area. Well, we're gonna start today talking about
2:22
Speaker 1: mental health and COVID and then later on in this
2:25
Speaker 1: podcast we will have another doctor, doctor Nashio on to
2:28
Speaker 1: talk about women's general health. So welcome ladies. So we
2:33
Speaker 1: want to kind of want to talk to you, um
2:35
Speaker 1: a little bit open up about why Providence is unique
2:39
Speaker 1: and and makes it special. I would start with what
2:42
Speaker 1: our mission is really, which is health for good and
2:45
Speaker 1: sort of grounds us in the way that we deliver
2:48
Speaker 1: care everywhere. As you mentioned, and I appreciate you calling out,
2:51
Speaker 1: we're proud of our clinical excellence, but we're also proud
2:54
Speaker 1: of our compassion and reflecting the love of God and
2:57
Speaker 1: the way that we careful people. We see people focused
3:01
Speaker 1: on equity. We have a statement as an organization that
3:05
Speaker 1: is invested in, you know, equatively delivering care to everyone,
3:10
Speaker 1: particularly focusing on the poor and vulnerable. And people are
3:13
Speaker 1: marginalized and don't receive the same level of care for
3:17
Speaker 1: various reasons. A lot of them are historical and structural
3:21
Speaker 1: barriers that have been put in place that then show
3:23
Speaker 1: up in different people's ways of life. And so we
3:26
Speaker 1: as an organization have really called out a specific focus
3:29
Speaker 1: to be intentional about making sure that our care is
3:32
Speaker 1: actively delivered to everyone who needs us. I would just
3:34
Speaker 1: add in there that I think that Providence, in their
3:37
Speaker 1: mission to serve the poor and the vulnerable, has embraced
3:40
Speaker 1: those who have mental health challenges. I mean, let's face it,
3:43
Speaker 1: everybody's got a mental health challenge at some point. When
3:47
Speaker 1: of our population is dealing with mental illness at any
3:50
Speaker 1: given time, it's going to touch every one of us.
3:53
Speaker 1: And I'm so proud that Providence has chosen to really
3:57
Speaker 1: embed mental health in every thing that they do, whether
4:01
Speaker 1: it's primary care, specialty care, the qute care, hospitals, wherever
4:05
Speaker 1: it is that we go, there's no wrong door for care.
4:09
Speaker 1: And that really speaks to that commitment that mental health
4:13
Speaker 1: is part of physical health and it's part of our
4:15
Speaker 1: overall wellness. I couldn't agree more actually, because I mean,
4:18
Speaker 1: without your mental health, what do you what do you have? Really? Right?
4:22
Speaker 1: I think a lot of people have just not been
4:23
Speaker 1: able to communicate it because there's been this stigma around
4:26
Speaker 1: mental health in general. Um And I think this is
4:29
Speaker 1: where we start, right We start with having these uncomfortable
4:32
Speaker 1: conversations that hopefully will soon not be so uncomfortable. Exactly,
4:37
Speaker 1: we have to normalize all of the help seeking behaviors
4:39
Speaker 1: agaunt around getting help for mental health. We have to
4:42
Speaker 1: make it perfectly normal and not embarrassing to talk about
4:46
Speaker 1: the challenges we all face, especially as women, yes, especially now.
4:51
Speaker 1: The other thing we do is make it easy, right
4:53
Speaker 1: because if you've tried to access mental health in the
4:56
Speaker 1: real world or the rest of the world, it's five
4:58
Speaker 1: phone calls trying to about you and and embedding it
5:03
Speaker 1: in all outdoors it really makes it easy. So you
5:05
Speaker 1: come to see your primary care pediatric and you need
5:08
Speaker 1: mental health, I have a partner that I can hand
5:11
Speaker 1: you off to right there. So absolutely to go back
5:13
Speaker 1: home and start navigating the system. So isn't the way
5:16
Speaker 1: of our patients and families is really important to how
5:19
Speaker 1: we deliver. We have providence. That's huge because I know
5:23
Speaker 1: when I first started, you know, doing any sort of therapy,
5:26
Speaker 1: it was a real struggle for me because part of
5:28
Speaker 1: my anxiety is I despise filling out forms and it's
5:33
Speaker 1: very bizarre, but I'll overthink it forever and it's cad
5:37
Speaker 1: and I'm like, I don't want to have to fill
5:38
Speaker 1: out that form and then I have to go to
5:40
Speaker 1: this doctor and this doctor. So having it all in
5:42
Speaker 1: one place that is such a game changer because a
5:46
Speaker 1: lot of the time, what holds me back from taking
5:49
Speaker 1: care of myself is like those little things that don't
5:52
Speaker 1: seem like a big deal to a lot of people,
5:54
Speaker 1: but it's really anxiety driven for me. I hear you, girl,
5:57
Speaker 1: I mean that's the thing. It's like having to retell
5:59
Speaker 1: you story. I've been with the same therapist for over
6:02
Speaker 1: a decade. UM, I couldn't even imagine having to retell
6:06
Speaker 1: it all. So it helps to have everybody all under
6:08
Speaker 1: one roof. I think that's so that's so great that
6:11
Speaker 1: you guys do that and provide that And do you
6:15
Speaker 1: excuse me, do you feel like you guys have noticed
6:17
Speaker 1: a difference with UM with COVID, because I honestly, I've
6:21
Speaker 1: never I just started going to therapy within the last
6:25
Speaker 1: eight months. UM. It wasn't something that I ever really
6:28
Speaker 1: thought of. You know, I go to church and I
6:30
Speaker 1: always just kind of use churches like therapy for me,
6:33
Speaker 1: and UM it's had a totally different It's had such
6:37
Speaker 1: a huge impact on my life. But it's something that
6:39
Speaker 1: I never really considered until the pandemic. Do you feel
6:42
Speaker 1: like that's been have you seen like an increase in
6:44
Speaker 1: that incredibly the wait lists even when we're looking in
6:49
Speaker 1: primary care. This is one of the frustrations that we
6:51
Speaker 1: have is that more and more it's it's a blessing
6:54
Speaker 1: and a curse. More and more people are aware that
6:56
Speaker 1: their mental health issues were challenged, and more and more
6:59
Speaker 1: people are seeking therapy than ever. And I think a
7:01
Speaker 1: lot of that has to do with influencers like you.
7:04
Speaker 1: All talking very openly about your own mental health issues
7:07
Speaker 1: makes it safe for other people to talk about them.
7:10
Speaker 1: And that's one of the big factors that I think
7:12
Speaker 1: we've seen in the increase in people thinking mental health, uh, information, therapy, etcetera, etcetera.
7:18
Speaker 1: But I think the other big factor is COVID face,
7:21
Speaker 1: you know, created this challenge for all of us where
7:24
Speaker 1: we had to start looking inward and you could only
7:27
Speaker 1: really look at the people in your circle that were
7:30
Speaker 1: immediately there, who are reflecting back to you. And after
7:32
Speaker 1: a while we kind of all start to get a
7:34
Speaker 1: little bit deep, but we all start to really start
7:36
Speaker 1: to surface things and where does that go? And what
7:41
Speaker 1: was really stunning to me was to see the incredible
7:44
Speaker 1: rise of especially women, but men too facing body image issues.
7:49
Speaker 1: We've seen a huge, huge influx of people with eating
7:52
Speaker 1: disorders and body image issues presenting for therapy for the
7:55
Speaker 1: first time, and and that's a lot in this COVID space.
7:59
Speaker 1: I can tell only relate to that. I mean just
8:01
Speaker 1: in the business and industry in general, and being a
8:03
Speaker 1: competitive ballroom dancers since I was but twelve. I mean,
8:07
Speaker 1: it's always been a body image type issue for me.
8:10
Speaker 1: And I think it's something that you know, there is
8:12
Speaker 1: no cure that other than your own mental health, right,
8:15
Speaker 1: and being able to talk about it and share your
8:16
Speaker 1: story and hopefully be able to relate to other people
8:20
Speaker 1: so you don't feel like you're alone. And I think
8:21
Speaker 1: that's very important as well. Yeah, I have done something
8:25
Speaker 1: else to children. Yeah, the impact on children this past
8:30
Speaker 1: year and a half is I think we're going to
8:31
Speaker 1: be seeing it for a very long time. But really,
8:34
Speaker 1: anxiety levels were so high they were because the world
8:38
Speaker 1: just sort of shut down, right, and so they couldn't
8:41
Speaker 1: go out. You know, as long as we're freaking out
8:44
Speaker 1: about trying to homeschool four and five year olds, but
8:47
Speaker 1: five year olds reads socialization for their development, right, The
8:51
Speaker 1: teen year olds, the eighteen year olds who are at
8:53
Speaker 1: the stange in their life where they're imagining their future,
8:56
Speaker 1: where they're building out their future path and all of
8:58
Speaker 1: a sudden, all the bold, a close and intent for children.
9:03
Speaker 1: This past year, we saw massive between in in referrals
9:08
Speaker 1: and asks for support around mental health for kids in
9:11
Speaker 1: the hospital side, we saw a thirty three percent increase
9:14
Speaker 1: from January Jane in children who are looking for admission
9:19
Speaker 1: for depression for suicidal ideation. Really really rough here for
9:24
Speaker 1: our kids who haven't been in to school, who you're
9:27
Speaker 1: trying to keep them safe in this bubble. But part
9:29
Speaker 1: of being a child is just the learning right, and
9:32
Speaker 1: so for moms in particular, parents who are struggling to
9:35
Speaker 1: figure out how do I make the best environment for
9:38
Speaker 1: my child, how do I make the best decisions for them,
9:40
Speaker 1: and how do I set them up for the future.
9:42
Speaker 1: Where do I get support for them. That's been a
9:44
Speaker 1: really big part of our focus in helping our patients
9:47
Speaker 1: and families to navigate this past really unpresented, unprecedented, hopefully
9:52
Speaker 1: once in a lifetime experience that we've had this past
9:55
Speaker 1: year and half. Yeah, that makes a lot of sense.
9:57
Speaker 1: I mean, I'm not a mother, but I can only
9:58
Speaker 1: imagine after the and then also after having to take
10:01
Speaker 1: care of your own mental health. It can be very overwhelming.
10:04
Speaker 1: I'm sure, Teddy you. Yeah. I think the biggest thing
10:08
Speaker 1: for me is what I wasn't doing at the beginning
10:11
Speaker 1: was I wasn't sharing how I was feeling with my kids,
10:14
Speaker 1: And then they thought I was like mad at them
10:15
Speaker 1: if I was having like a high anxiety day or
10:18
Speaker 1: if I was, like I have O c D as well,
10:20
Speaker 1: so like I would be, you know, counting and doing
10:22
Speaker 1: my thing, you know, like my lists, all of my things.
10:26
Speaker 1: But now I started, you know, sharing with them how
10:30
Speaker 1: I'm feeling and I'm doing, you know, then they realized, like, oh,
10:34
Speaker 1: Mom's this is just about something that's going on with mom.
10:36
Speaker 1: This has nothing to do with me. So being vulnerable
10:38
Speaker 1: has really been a key. But like my question comes
10:41
Speaker 1: like when it comes to first off, like do we
10:44
Speaker 1: think that because I have anxiety and O c D,
10:47
Speaker 1: my kids are more prone to have it as well?
10:50
Speaker 1: Because my son has been struggling with anxiety and you know,
10:55
Speaker 1: especially now that the pandemic came, even we were supposed
10:58
Speaker 1: to go visit my family, and my son was like,
11:01
Speaker 1: I cannot being on an airplane with people are young.
11:05
Speaker 1: I absolutely cannot. Never we can't go, I'm not going
11:08
Speaker 1: not interested in you know, like and he never had
11:12
Speaker 1: these types of fears, and so now it's hard for
11:14
Speaker 1: me to understand as a mom, like what's like normal
11:18
Speaker 1: not normal? But what's regular fear versus his anxiety? And
11:22
Speaker 1: how do I help him? You know? I think it's
11:25
Speaker 1: that goes to the nature and nurture question of what
11:28
Speaker 1: is it that I'm modeling for him that he's picking
11:30
Speaker 1: up and what is it that's already embedded and ingrained
11:32
Speaker 1: in his genes? And the reality is, when you're looking
11:35
Speaker 1: at anxiety, there's a lot that can be picked up
11:38
Speaker 1: from the environment around And that's why I love the
11:41
Speaker 1: fact that you talk about being vulnerable and talking about
11:43
Speaker 1: your own anxiety and talking about the things that are
11:47
Speaker 1: you that are not of them, So that helps them
11:50
Speaker 1: not model and imitate and create your behavior. Now that's said,
11:56
Speaker 1: when you're talking about the fear of getting on an airplane,
11:58
Speaker 1: turn on the television new is at any given point
12:01
Speaker 1: and what are we going to talk about. We're gonna
12:03
Speaker 1: talk about the transmission of COVID, We're gonna talk about
12:06
Speaker 1: all of these hotspots. Where is it that we're going
12:08
Speaker 1: our kids are listening to all of this, processing that
12:11
Speaker 1: information through their filters and coming out with are you
12:14
Speaker 1: kidding me? I do not want to get on that airplane?
12:18
Speaker 1: So do them? Yeah. I don't blame them either. It's
12:21
Speaker 1: a very much of a You're asking them to take
12:24
Speaker 1: an abstract concept and make a concrete I mean it's like, hey, Mom,
12:27
Speaker 1: last week you told me to wear a mask, and
12:29
Speaker 1: this week suddenly I don't really do anymore. It's going
12:33
Speaker 1: to ask that question the mind games, like even with camp,
12:36
Speaker 1: like last week there's no mask. Now they need a mask.
12:39
Speaker 1: Like in regards to those changes, how do you talk
12:42
Speaker 1: them through it? But also what effect are the masks
12:46
Speaker 1: doing on them? Not being able to show their emotions
12:48
Speaker 1: to their friends, not being able to lunch together. You know,
12:51
Speaker 1: they're separated by six ft and you know, I tried
12:54
Speaker 1: keeping them home from camp for a week and they
12:57
Speaker 1: were much more unhappy not being those things. And I'm like,
13:01
Speaker 1: maybe they don't care about the mass, you know, but
13:03
Speaker 1: what do you think it's actually doing? And how do
13:05
Speaker 1: we help it so it doesn't you know, become a
13:08
Speaker 1: recurring thing when this finally goes away. Well, I think
13:11
Speaker 1: the first problem with how do we deal with the information.
13:15
Speaker 1: This was this was the first time, and we were
13:17
Speaker 1: learning as we went along, right, So it started out
13:20
Speaker 1: we kind of knew this, and then we knew the
13:22
Speaker 1: next thing. And so we've had to evolve our recommendations
13:26
Speaker 1: and our practices as we've learned more about this virus.
13:29
Speaker 1: And what we do know is that masking helps to
13:32
Speaker 1: reduce transmission, right. And so one of the things that
13:35
Speaker 1: came out this week of which has been a lot
13:37
Speaker 1: of discussions, is that the American Academy of Pediatrics is
13:40
Speaker 1: asking that children over to continue to be masked when
13:43
Speaker 1: they go back to school in the poll. And part
13:46
Speaker 1: of that is it's sort of part of a layered
13:48
Speaker 1: approach to try to get kids back to as close
13:50
Speaker 1: to normal as possible while trying to keep them safe. Right. So,
13:54
Speaker 1: right now we don't have enough. We don't have vaccines
13:57
Speaker 1: approved for the younger ages, right, So how do you
14:00
Speaker 1: know who's been vaccinated and who's not, and all of
14:02
Speaker 1: that is just unknowable, And so even those who are
14:05
Speaker 1: vaccinated are not a hundred percent protected. For the most part,
14:08
Speaker 1: they are, but they can still transmit maybe and children
14:12
Speaker 1: who cannot be vaccinated, you have no way of verifying that,
14:15
Speaker 1: so they are kind of a pic says, you know
14:16
Speaker 1: what we've seen what this past year and a half
14:19
Speaker 1: has done to children, Let's get them back to as
14:21
Speaker 1: closed to normal as possible. And part of that is,
14:25
Speaker 1: you know, keeping hand hiking, keeping distancing those things that
14:28
Speaker 1: we absolutely know. So I'm a pedietriction. It's not is
14:31
Speaker 1: kind of my my jam. And kids are not interacting
14:35
Speaker 1: and really they're not sure it's not. So they're not
14:39
Speaker 1: getting right. I thought you said it's not, and then
14:42
Speaker 1: I was like, that's not that's hysterical. Do you find
14:51
Speaker 1: that with the pandemic that kids have been starting to
14:54
Speaker 1: develop I mean, I suffer from social anxiety, So do
14:57
Speaker 1: you find that because they've been so sheltered the past
14:59
Speaker 1: year and a half that maybe they are starting to
15:01
Speaker 1: develop signs of social anxiety? I think they anxious just
15:06
Speaker 1: like the rest of us, right to everybody and everything
15:10
Speaker 1: that we deal with as adults, we can sort of process,
15:14
Speaker 1: at least we could sort of process before. Honestly, I
15:17
Speaker 1: have to confess that we've had to do a little
15:19
Speaker 1: bit more just to process or and so for children
15:22
Speaker 1: who all of this is a learning journey, they really
15:25
Speaker 1: had to figure out you know to your point earlier,
15:28
Speaker 1: is this mom? Is this me? Did I do something bad?
15:31
Speaker 1: Is that why I can't have a plan date? Is
15:33
Speaker 1: that why these friends can't come over? Is it something?
15:37
Speaker 1: And really being able to have those conversations with your children,
15:40
Speaker 1: but as with ourselves and with each other as grown
15:43
Speaker 1: up has been the way to sort of navigate this
15:46
Speaker 1: process because it's so new, so unknown, and so almost unknowable.
15:51
Speaker 1: Right so right, kind of don't dwell too much on
15:54
Speaker 1: whether they inherited it from me or whether it's their own,
15:56
Speaker 1: because there's just so much we have to deal with
16:00
Speaker 1: and we all have to get to the other side
16:01
Speaker 1: of this thing as as together. Ye Hi, it's Ashley
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16:53
Speaker 1: This is probably more for Dr Nyoku because I kind
16:57
Speaker 1: of want to know what's like the number one most
17:00
Speaker 1: um and question that new moms are asking you right now,
17:03
Speaker 1: and what's your advice to what they're asking everybody's top
17:07
Speaker 1: of everybody's mind is COVID, right, and then grandma come
17:12
Speaker 1: and stay right with? My parents? Are vaccinated or not vaccinated?
17:15
Speaker 1: Can I go to a mom's group? Can I have
17:17
Speaker 1: a doula? Right? So you know, can I get support?
17:20
Speaker 1: Who can I have around my baby? That's really the
17:23
Speaker 1: big concern and and for me that's been a really
17:25
Speaker 1: heavy burden on my heart because for anyone who's ever
17:28
Speaker 1: had a new baby, those first few months I just challenging.
17:32
Speaker 1: Even if you've had five before, each child comes with
17:35
Speaker 1: their own manual, which is not the same as the
17:37
Speaker 1: last four children, And so they were trying to figure out,
17:39
Speaker 1: how do you engage with this child? How are you
17:42
Speaker 1: getting any rest sleep, how are you doing breastfeeding, how
17:45
Speaker 1: are you doing formula feeling? How are you navigating this
17:48
Speaker 1: new space? Not to mention, your homemones are all over place,
17:51
Speaker 1: and what helped that for the most part, having support,
17:54
Speaker 1: having you know, a mom and aunt, a sister, a doula,
17:59
Speaker 1: you know, a neighborhood, church, some people who can come
18:01
Speaker 1: around you and support you. In the in the world
18:05
Speaker 1: of COVID, you don't have those supports as much. So
18:09
Speaker 1: so new parents navigating the space by themselves. Right, And
18:12
Speaker 1: and so I get calls and text from my patients
18:15
Speaker 1: all the time, is this okay? And so what are
18:18
Speaker 1: the big questions they ask about? Who they ask about?
18:20
Speaker 1: Sleep about for the baby and for themselves? Right? Baby
18:23
Speaker 1: is not sleeping, I'm not sleeping? What am I doing wrong?
18:26
Speaker 1: Is there something I can do differently? Those are the
18:29
Speaker 1: big issues, right, But but the fundamental behind it is
18:32
Speaker 1: how do I get support? How do I get somebody
18:35
Speaker 1: who can answer my questions and hold my hand in
18:38
Speaker 1: this space? Um and and tell me what to do
18:40
Speaker 1: with the older kid who's not only anxious but it's
18:42
Speaker 1: also now jealous. Right of this? How do how do
18:46
Speaker 1: I deal with it? So I can't put all of
18:48
Speaker 1: those things into the same bucket of who's supporting you?
18:51
Speaker 1: Who do you have in your corner, who's holding your
18:53
Speaker 1: hands through this process? Because it's a really challenging process
18:56
Speaker 1: and a good time, and it's particularly challenging today. And
18:59
Speaker 1: how do you find support? Like what do you recommend
19:01
Speaker 1: as far as other than your close knit circle? I
19:05
Speaker 1: I and encourage people to have a close knit circle
19:08
Speaker 1: to the extent they can. Like you know, in today's
19:10
Speaker 1: well a lot of women are working far away from
19:12
Speaker 1: where their parents live, right or where their friends. If
19:16
Speaker 1: you're in Chicago and your mom is in Iowa, what
19:18
Speaker 1: do you do? Right? So have you been there long
19:20
Speaker 1: enough to develop a network and then you know that
19:22
Speaker 1: your network is vaccinated and safe. Um. So one of
19:25
Speaker 1: the things that we have a Swedish is a doula
19:28
Speaker 1: program where people can engage a doula to support them
19:31
Speaker 1: through the birth, but also we have post bottom doulas
19:33
Speaker 1: who can help them after the baby's board. And you know,
19:36
Speaker 1: if you if you're in a space where everybody is
19:39
Speaker 1: vaccinated and you feel comfortable, they can come to your house.
19:42
Speaker 1: But you can also access those services virtually, right, so
19:45
Speaker 1: you can call up your doola virtually and and do
19:48
Speaker 1: a television UM through our program and they're there PEPs
19:53
Speaker 1: groups or NPS groups, you know, mommy groups in different communities,
19:57
Speaker 1: which most of them have now become vitual. It's so
20:00
Speaker 1: amazing how adaptive we've been able to be. Uh. We
20:03
Speaker 1: learned that we can do the things that we had
20:05
Speaker 1: to do in a different way. And so a lot
20:07
Speaker 1: of resources are now virtual, and so in your community
20:10
Speaker 1: you can find different resources that can can support you
20:14
Speaker 1: in that time. Your pediatriction is a great resource who
20:17
Speaker 1: can connect you to those spaces. In Providence, we really
20:21
Speaker 1: do our best to keep the lines open for our families.
20:24
Speaker 1: We have an app that you know, folks can check in.
20:27
Speaker 1: They send me. I come to my office on Monday
20:29
Speaker 1: morning and I have loads of pictures of good and
20:32
Speaker 1: everybody wants to normal the other. But but the fundamental
20:37
Speaker 1: issue is how do I wrap my hands around you
20:39
Speaker 1: and support you in this time? I think right now,
20:42
Speaker 1: like the mom guilt. Also, I've realized, like even just
20:46
Speaker 1: looking at now and that their Instagram and everybody is
20:48
Speaker 1: so vocal about their feelings about other people and the
20:51
Speaker 1: things that they're doing. I've noticed that something I've realized.
20:54
Speaker 1: I have a baby, and it's completely different than with
20:59
Speaker 1: my older kids. We have four kids, because they used
21:01
Speaker 1: to do everything with me, and now it's like if
21:04
Speaker 1: I'm gonna go grab lunch, it's safer for her at home.
21:08
Speaker 1: So what. But the other day my husband and I
21:10
Speaker 1: were like talking about it, We're like, wow, I think
21:13
Speaker 1: Dove's only gone out to eat with us this many
21:15
Speaker 1: times because of this reason or whatever it may be.
21:17
Speaker 1: But at the point is like we post something or
21:20
Speaker 1: we share something, and people's first reaction is to like
21:23
Speaker 1: come for you and tell you why you're a bad mom,
21:26
Speaker 1: or why you're this, or why you should do things differently.
21:28
Speaker 1: And I think you know, I have, you know, because
21:31
Speaker 1: they've done it so many times. I at least have
21:33
Speaker 1: that confidence of like, I know I'm a good mom.
21:36
Speaker 1: But for first time mothers when the first time you
21:39
Speaker 1: start and everybody gives you all the advice that you
21:42
Speaker 1: don't need because you have like a mother pers instinct,
21:44
Speaker 1: But like, what do you recommend for new moms that
21:46
Speaker 1: have had a baby, like a pandemic baby, and they're
21:49
Speaker 1: just feeling lost and they don't even have the confidence
21:53
Speaker 1: to join that mommy group because I can tell you
21:55
Speaker 1: I didn't with my first I walked in the first
21:58
Speaker 1: one and I was like, I'm sorry to tell you
22:05
Speaker 1: that mom guilt doesn't go away, right. It goes on
22:09
Speaker 1: as long as you're a mom. So when you're a
22:11
Speaker 1: new mom, when you first have teenagers, or when your
22:14
Speaker 1: kids are ready to go to college, there's always somebody
22:17
Speaker 1: out there who's ready to tell you you're doing it wrong,
22:19
Speaker 1: and the antidote is to have that trusted relationship. I
22:24
Speaker 1: would have those conversations with my mom's and I'm like,
22:26
Speaker 1: you know, a mom group is great if it's supportive.
22:29
Speaker 1: If you go in there and everybody is telling you
22:32
Speaker 1: that their child just at six months read the valedictory
22:34
Speaker 1: addressed at Albard, do not walk. You logically know that's
22:43
Speaker 1: probably not true, but your heart doesn't know what to
22:45
Speaker 1: do with that. Did I not read enough? Did I
22:48
Speaker 1: not sign him up? But it's just so I always
22:52
Speaker 1: tell people to ask yourself and listen to your gut.
22:54
Speaker 1: Is this relationship supported. If it's not supportive, exit stage
22:58
Speaker 1: left as quickly as you can and identify who that
23:01
Speaker 1: is that can come alongside you, whether they you're best
23:04
Speaker 1: friends from from childhood, whether it's your mom, your aunt,
23:07
Speaker 1: your sister, your church group, people you can talk to.
23:10
Speaker 1: You know, now all these apps are doing these bidirectional
23:13
Speaker 1: things where you can just do FaceTime with with somebody
23:16
Speaker 1: and say, hey, I'm feeling this way. You know, does
23:19
Speaker 1: this is this normal? How can I cope with that? Um?
23:22
Speaker 1: But the keys to find that that relationship that feels supported.
23:26
Speaker 1: Don't feel you should be in a mom's group because
23:27
Speaker 1: everybody is in a mom group, because if that mom
23:29
Speaker 1: group is not supported, it's much more damaging, and then
23:33
Speaker 1: you're not worry about both part of depression, which is
23:35
Speaker 1: already at risk. UM. So I tell people to follow
23:38
Speaker 1: their instinct and what feels supported, and those of people
23:42
Speaker 1: are influencers and online all the time. I duffed my
23:45
Speaker 1: hat to you because literally is like cowboy and there
23:51
Speaker 1: cons of opinions about everybody's life, and I'm like, and
23:54
Speaker 1: comparison is the devil, right, It's so hard not to compare,
23:59
Speaker 1: you know. And that's true regardless of whether you're dealing
24:02
Speaker 1: in the new mom zone or you're dealing in the
24:05
Speaker 1: teenager zone or any of these zones. If there's people
24:08
Speaker 1: around you who are not supporting you and celebrating you
24:11
Speaker 1: and being that solid, supported, trusted network that you need,
24:15
Speaker 1: you don't need them, you really exactly Yeah, And you know,
24:20
Speaker 1: actually this is actually a good question. For you, Dr Henderson,
24:23
Speaker 1: because I think that you know, a lot of people
24:25
Speaker 1: want to prioritize their mental health. But I think sometimes
24:28
Speaker 1: and I fall victim of this. Before the pandemic, I
24:31
Speaker 1: was just on like a hamster wheel. I was just go,
24:34
Speaker 1: go go, I'm single, I don't have kids, and well
24:37
Speaker 1: yeah single technically, I guess, um, no children, and you
24:41
Speaker 1: just as that you know what is it like, Um,
24:45
Speaker 1: I'm not. You don't need to know my my dating life.
24:49
Speaker 1: This isn't your therapy session. You didn't go there if
24:52
Speaker 1: you want. I mean like single and the yea and
24:57
Speaker 1: the like non married box of life. And it's like
25:01
Speaker 1: everybody has their opinion of you know, what you're doing,
25:04
Speaker 1: how you're doing it. But I was just kind of
25:06
Speaker 1: it was like I was just on this career path
25:08
Speaker 1: where I was just I would literally just come home
25:11
Speaker 1: sleep and my my place was just like a giant closet.
25:15
Speaker 1: I never prioritize that mental health until recently. So people
25:19
Speaker 1: who are kind of just like going going, going and
25:21
Speaker 1: say they don't have time to take care of their
25:23
Speaker 1: mental health, what would you tell them, like why they
25:26
Speaker 1: should make it a priority and exactly how much time
25:29
Speaker 1: do you think you really need to dedicate to that.
25:32
Speaker 1: You know, that's a really great question because self care
25:34
Speaker 1: is something that we all neglect in ourselves. But it's
25:37
Speaker 1: a really simple thing to do, and you can totally
25:39
Speaker 1: wrap an entire guilt circle around this. I mean you can.
25:42
Speaker 1: You can set yourself up to where it's like, I'm
25:44
Speaker 1: not doing the perfect self care. Really, seriously, pick one thing,
25:48
Speaker 1: one thing, whether it's I'm gonna meditate for fifteen minutes,
25:51
Speaker 1: I'm gonna do the call map, I'm gonna journal, I'm
25:54
Speaker 1: gonna take a walk, whatever piece of self care it
25:57
Speaker 1: is for you. Pick one thing. Do it for two weeks,
25:59
Speaker 1: two to three week. Just one thing, because when you
26:02
Speaker 1: go out there, you try to pick the entire menu
26:04
Speaker 1: of things of I'm gonna go to the yoga class
26:06
Speaker 1: and I'm gonna eat healthy and i'm gonna, you know,
26:10
Speaker 1: take turn off my bluetooth and all of my devices
26:13
Speaker 1: before I go to bed, and da da da da.
26:15
Speaker 1: You're gonna get overwhelmed and then you're gonna feel like
26:17
Speaker 1: you failed. Yeah, pick one thing, get yourself an accountability buddy,
26:22
Speaker 1: and say, you know, hey, this is what I'm going
26:24
Speaker 1: to commit to. Fifteen minutes of meditation three times a week.
26:27
Speaker 1: Will you join me or will you hold me accountable?
26:29
Speaker 1: And just do that and start there? Do you find
26:32
Speaker 1: that if I'm like, if you can't love yourself, how
26:35
Speaker 1: can you love others? You know, you have to take
26:37
Speaker 1: care of you first. You agree with that, saying absolutely, yeah,
26:41
Speaker 1: that's a great advice. Thank you now, And it's the
26:44
Speaker 1: airplane rule. Put your own air mask on first, might
26:48
Speaker 1: go to self care during the pandemic. I'm not gonna
26:51
Speaker 1: lie face masks. I think they're missing. You put a
26:54
Speaker 1: face mask on, you can't actually put a phone up
26:57
Speaker 1: to your ear, you can't do anything with a device.
27:00
Speaker 1: You're kind of stuck there and you have to relax
27:02
Speaker 1: and you've got all this gooey stuff on your face
27:04
Speaker 1: or whatever whatever brings you joy in the face masks game,
27:07
Speaker 1: and that works really well for me. And I've had
27:09
Speaker 1: a lot of great conversations with people about what their
27:12
Speaker 1: favorite face mask is. But the point is it's an
27:14
Speaker 1: indulgence idea for me, and it's meantime. And what are
27:18
Speaker 1: the most common mental health issues? You're saying an adults
27:21
Speaker 1: right now, Anxiety and depression are not anxiety and depression
27:26
Speaker 1: And sometimes they present together, sometimes they present apart. They
27:30
Speaker 1: all have a variety of variants that go along with that.
27:33
Speaker 1: Sometimes people just have the blues. Sometimes people get to
27:37
Speaker 1: the point of being seriously depressed. Um. You know, earlier
27:40
Speaker 1: we were talking about children and the presentation of children
27:43
Speaker 1: to the e D who with suicidalitation. We've seen record
27:48
Speaker 1: numbers of kids presenting with suicidal ideation, who have had
27:52
Speaker 1: suicide attempts and things like that. Fortunately, people are getting
27:56
Speaker 1: them to the emergency department, getting them to pediatrician's offices
27:59
Speaker 1: and getting here, so we're not seeing a spike in completions.
28:03
Speaker 1: But what we're seeing is a lot of people really
28:07
Speaker 1: not knowing how to deal with that feeling of depression
28:09
Speaker 1: and being overwhelmed. Yeah, and oh sorry, no, but it's
28:14
Speaker 1: like the Sunday scary is like the Sunday scaries are
28:17
Speaker 1: actually a thing, And I feel like, why is it
28:20
Speaker 1: on Sundays that like people get this, do you know
28:23
Speaker 1: what I mean? It's like this sense of just like
28:25
Speaker 1: anxiety or whatever something mind Monday through Sunday. But mine
28:33
Speaker 1: never takes a vacation. Yeah, no, never, I wish it
28:36
Speaker 1: would just Sundays. Put it that way. We'll think about
28:38
Speaker 1: all of the overwhelming stimulus we all get nowadays. You know,
28:42
Speaker 1: we get the twenty four hour news cycle coming at
28:44
Speaker 1: us with. I have yet to figure out why is
28:47
Speaker 1: it that everything is breaking news? Right? That's anxiety provoking,
28:51
Speaker 1: right every time you see breaking news up to the minute, YadA, YadA, YadA.
28:55
Speaker 1: So that's overwhelming for for people to begin with to process.
28:59
Speaker 1: Then to have social bits in your face all the time,
29:02
Speaker 1: and whether you're dealing with fomo or all the other
29:04
Speaker 1: types of things can deal within social You've got all
29:07
Speaker 1: of those inputs, and we don't really give ourselves a
29:10
Speaker 1: break from all of these inputs to just go, you
29:12
Speaker 1: know what, I'm gonna have no inputs for a little bit.
29:16
Speaker 1: I'm gonna go for a walk and just have my
29:19
Speaker 1: you know, music or whatever it is that I have
29:23
Speaker 1: that every day. I mean, I think that can cause
29:25
Speaker 1: anxiety though too, because people are now left with their
29:27
Speaker 1: own thoughts, right, and so it's like, maybe it could
29:31
Speaker 1: be and maybe it's the pandemic that really triggered it.
29:33
Speaker 1: But I think maybe it could have been because we're
29:35
Speaker 1: so busy constantly right in general, that we tend I
29:39
Speaker 1: can speak for myself, I tend to numb my feelings
29:41
Speaker 1: and not gonna feel it and not feel my feelings
29:45
Speaker 1: instead just be numb through productivity or whatever my choice
29:49
Speaker 1: of you know, poison is I guess for that moment.
29:54
Speaker 1: And are you guys seeing a difference between men and
29:57
Speaker 1: women or ages or races or any of those types
30:00
Speaker 1: of things. Like I know, for me, the pandemic hit hard,
30:03
Speaker 1: but I had a lot of other things going on
30:04
Speaker 1: in my life, like my daughter and neurosurgery. All these
30:06
Speaker 1: things were happening. But honestly, it's like my husband hit
30:11
Speaker 1: the ground running like nothing changed for him. He's like,
30:13
Speaker 1: that's fine. I just moved my office from my office
30:15
Speaker 1: into this room and now I'm great and I'm crushing it.
30:18
Speaker 1: And like never once heard invent about it, like talk
30:21
Speaker 1: about it seemed more anxious. But I was, honestly, like
30:24
Speaker 1: to the point where I was like, that's when I
30:26
Speaker 1: found the therapist, That's when I went on medication. Like
30:29
Speaker 1: all of these things happen. So are you seeing a difference?
30:33
Speaker 1: You know, mental health really knows no bounds. It gets everybody.
30:38
Speaker 1: It's an equal opportunity, uh issue. I think what we
30:42
Speaker 1: are seeing is higher rates of women with addiction issues
30:47
Speaker 1: especially alcohol and things like that. We're seeing a lot
30:50
Speaker 1: more people you speak of numbing, a lot more people
30:53
Speaker 1: who are using substances in order to get to that
30:55
Speaker 1: numbing phase and and to deal and cope with whatever
30:58
Speaker 1: form of stressenings ida that they're feeling. But in terms
31:02
Speaker 1: of seeing is it is it hitting at any given point,
31:05
Speaker 1: we have seen an increase in people presenting, But I
31:10
Speaker 1: think people presenting who are people of people of color um,
31:15
Speaker 1: you know, whether it's Latin, x um, black, or Asian.
31:20
Speaker 1: We're seeing more and more people presenting, But I think
31:22
Speaker 1: that has more to do with education and acceptance as
31:25
Speaker 1: opposed to that prevalence wasn't there to begin with, because
31:29
Speaker 1: I think it was there, and it just culturally was
31:31
Speaker 1: not something that that certain culture is engaged in help
31:34
Speaker 1: seeking behaviors. Again, I put a lot of that back
31:37
Speaker 1: to influencers and people who look like me coming forward
31:42
Speaker 1: and saying I've got issues with mental health. I'm you know,
31:45
Speaker 1: this is how I've struggled, this is how I'm coping.
31:47
Speaker 1: I love it when football players come forward and talk
31:50
Speaker 1: about their depression. I love that. That's amazing. So that's
31:55
Speaker 1: the role that I think we have in this in
31:58
Speaker 1: this space is to come forward and say I struggle
32:00
Speaker 1: with mental health, here's what I do about it, here's
32:02
Speaker 1: where I've done well, and here's where I'm feeling. And
32:06
Speaker 1: you can too. Yeah. Absolutely, no one's alone. And if
32:11
Speaker 1: you're if you are somebody who's maybe not struggling, but
32:14
Speaker 1: you are wanting to be the best friend you can be,
32:17
Speaker 1: or the best spouse or the best mother, what is
32:19
Speaker 1: a way to kind of open that conversation with the
32:23
Speaker 1: people around you so they feel comfortable sharing with you
32:26
Speaker 1: without over you know, over stepping your boundaries in a
32:31
Speaker 1: hundred percent starts with sitting down, making time for someone
32:34
Speaker 1: and saying, hey, how are you and listening to the answer.
32:40
Speaker 1: This isn't about being I'm fine, yea yeah. I think
32:45
Speaker 1: the listening is the key. I think honoring people's humanity
32:51
Speaker 1: and respecting them because I think what we learned in
32:54
Speaker 1: this time is that a lot of us going into
32:56
Speaker 1: conversations because we want to say, not necessarily because we
33:00
Speaker 1: want to hear, and really key in this challenging time
33:03
Speaker 1: to hear, just listen, especially if you're talking to kids.
33:08
Speaker 1: You know, I have boys, and boys, you know, if
33:10
Speaker 1: you have girls, you're real lucky because they come back
33:12
Speaker 1: and that this person said that boys are like, how
33:16
Speaker 1: are you doing? What did you do? Stuff? That is
33:22
Speaker 1: my son exactly like my husband exactly weird. So you
33:30
Speaker 1: don't those opportunities to listen, because all of a sudden
33:35
Speaker 1: the tap will open and they're just one pop and
33:37
Speaker 1: you have to be ready to just listen and and
33:40
Speaker 1: and mirror back what you're hearing, because sometimes we hear
33:43
Speaker 1: through our own filter. But if you listen to to
33:46
Speaker 1: hear to, like I call it generous listening, then you
33:49
Speaker 1: you say I'm hearing this from you, I'm not getting
33:51
Speaker 1: that correctly, you know, so that person't feels seen and heard.
33:55
Speaker 1: I want to think about different populations right the way
33:59
Speaker 1: COVID has hit different populations. African Americans, Native Native America,
34:04
Speaker 1: and Specific Islanders were three to six times more impacted
34:08
Speaker 1: by this pandemic than than our white man populations. And
34:12
Speaker 1: so there's a lot of grief that you were going
34:16
Speaker 1: to we're having to manage. And these are populations that
34:18
Speaker 1: were impacted not because they are biologically different, but because
34:23
Speaker 1: the socio economic starts. So a lot of times they
34:26
Speaker 1: are they are doing those frontline jobs which could not
34:29
Speaker 1: work from here, right, which were engaging with people. They're
34:33
Speaker 1: the bus drivers that you know, there are a lot
34:34
Speaker 1: of people who are out there, and so for a
34:37
Speaker 1: lot of our minority populations, they've been significantly impacted by
34:41
Speaker 1: this pandemic personally in the family unit. And so there's
34:45
Speaker 1: a lot of grief that we also have to deal with, right,
34:48
Speaker 1: and and how to understand how do they go forward
34:51
Speaker 1: from here? How do they protect who's left, and how
34:53
Speaker 1: do they make different decisions for themselves and for their families.
34:56
Speaker 1: How do they decide about the vaccine because those same
34:59
Speaker 1: popular aations also have challenges about access to vaccine, challenges
35:03
Speaker 1: about historical barriers to you know, to trusting the healthcare system,
35:08
Speaker 1: so influences and getting um physicians and healthcare providers of
35:12
Speaker 1: color to say, this is my journey, this is how
35:15
Speaker 1: I thought about it. Right. But I'm not going to
35:17
Speaker 1: call you cucku or crazy because you have because this
35:21
Speaker 1: is why don't have questions. So I'm going to be
35:25
Speaker 1: open to have the discussion and answer the questions that
35:28
Speaker 1: you have so that I can get you to the
35:30
Speaker 1: point where you see my perspective as a public health
35:33
Speaker 1: practitioner about the importance of getting this vaccine for yourself
35:37
Speaker 1: and for your family. And I also make the effort
35:40
Speaker 1: as we did at Providence where we at Swedish we
35:43
Speaker 1: launched a mobile vaccine initiative where we took the vaccine
35:46
Speaker 1: to the communities right when yeah, we went there, so
35:50
Speaker 1: that they didn't have to take the day off work
35:52
Speaker 1: to come to the great an appointment. How do I
35:54
Speaker 1: make it easy for you to make the decision that
35:57
Speaker 1: I believe is the best one for you. So all
36:00
Speaker 1: of those things, that stuff that we had to work
36:03
Speaker 1: through and continue to work through UM to deliver high
36:05
Speaker 1: quality egolical care to our communities. And so we could say, hey,
36:09
Speaker 1: here's a new vaccine. This is the recipe we can
36:12
Speaker 1: now used to get the new virus. New recipe to
36:16
Speaker 1: get the vaccine. We could get to it faster than
36:18
Speaker 1: we would have had the ability to do in previous
36:20
Speaker 1: UM outbreaks, for which we are exceedingly thankful. But the
36:24
Speaker 1: vaccines are never What they do get us to is
36:28
Speaker 1: a pretty significant rate of coverage and reduction of transmission
36:32
Speaker 1: and reduction in severe illness because COVID as a whole,
36:36
Speaker 1: the majority of people who get COVID don't die, which
36:39
Speaker 1: is the first problem. Right, So people are like, well
36:41
Speaker 1: some people, it's just like a code. It's just like
36:43
Speaker 1: a code for some people. But for big chunk of people,
36:46
Speaker 1: they get very very sick and they do die. And
36:48
Speaker 1: so having the vaccine reduces the likelihood that you're going
36:52
Speaker 1: to get very sick, end up in hospital in I
36:54
Speaker 1: see you, or dead. So people, you know, you see
36:57
Speaker 1: the news talking about people who are vaccinated getting COVID.
37:00
Speaker 1: That's true, but they don't have as severe illness as
37:03
Speaker 1: those who are not vaccinated. So, but it's also a
37:05
Speaker 1: domino effect, right, like, if you get it, it's like
37:08
Speaker 1: it's just it can spread. I mean, you're doing it
37:09
Speaker 1: not just for yourself, You're doing it to protect your community.
37:13
Speaker 1: I'll tell you that that argument has not worked with people. So, well, yeah,
37:19
Speaker 1: that's about protecting the communities. They're like, am I good? Right? Right? Right?
37:28
Speaker 1: It is right for you, right, because if you make
37:30
Speaker 1: that call, you're likely to make that call for your household.
37:33
Speaker 1: And so the more that you can build the fence
37:35
Speaker 1: that protects those you love, that the net of those
37:38
Speaker 1: you love gets wider and wider and gets to encompass
37:41
Speaker 1: the majority of our community. And so I will take
37:45
Speaker 1: this opportunity to ask anybody who has not been vaccinated,
37:48
Speaker 1: please get vaccinated. It makes the world of difference, it
37:52
Speaker 1: really does. We at Providence, so the first COVID case
37:56
Speaker 1: in the entire company healthcare system, on the very first case,
38:00
Speaker 1: we stepped to it right away. We started doing all
38:02
Speaker 1: the intervention. So we've been at the forefront of this
38:05
Speaker 1: for the entire time, and I'm here to tell you,
38:08
Speaker 1: having lived through this past year, whatever you can do
38:12
Speaker 1: to get vaccinated. If you have questions, if you want
38:15
Speaker 1: to know whether you know, you can take it with
38:17
Speaker 1: just ask and we are here. We are willing to
38:20
Speaker 1: discuss you here whatever you need to be at peace.
38:22
Speaker 1: But anybody who has an opportunity, I am pleading you
38:26
Speaker 1: through this platform, please get vaccinated so we could potentially
38:29
Speaker 1: get to the other side of this thing. Thank you
38:32
Speaker 1: so much people in the world like you guys. Okay, honestly,
38:38
Speaker 1: thank you. Dr Robin Henderson, Dr or Wando and Yoku
38:41
Speaker 1: from Providence. Thank you guys so much for being here
38:44
Speaker 1: and chatting with us. We really really appreciate you taking
38:46
Speaker 1: the time. All right, So we are going to get
38:57
Speaker 1: into some general I have a lot of questions coming
39:01
Speaker 1: up here, but before I bring her in, we have
39:04
Speaker 1: doctor Angela Nascio. She is the medical director for Women's
39:08
Speaker 1: Health Services at Providence. Doctor Nascio, are you there? Hi? Hi?
39:16
Speaker 1: How are you? Thanks for having me? You are in it,
39:19
Speaker 1: You are in her girl. Thanks for being here despite
39:23
Speaker 1: your busy schedule. I'm sure. Yes, I actually have a
39:25
Speaker 1: patient of labor right now. Who do you need us
39:29
Speaker 1: to help deliver? Would you? We can, we can hold,
39:32
Speaker 1: we hold a lot of Well, how has the saying
39:37
Speaker 1: the birthing? I mean, obviously I'm the one without a
39:38
Speaker 1: child here, like, how has the birthing? Yeah? How has
39:41
Speaker 1: the process of actually giving birth been in the middle
39:45
Speaker 1: of this pandemic because obviously, you know, people can't be
39:48
Speaker 1: in there with you. Has that had a huge impact
39:50
Speaker 1: on women? Well, you know, babies don't know we're in
39:53
Speaker 1: a pandemic, so coming whether we want them to or not.
39:57
Speaker 1: Um Our hospital policy when COVID first hit and didn't
40:00
Speaker 1: know the transmission to babies or or how dangerous it
40:03
Speaker 1: could be for babies, we really were very, very conservative.
40:06
Speaker 1: Everybody got tested. If a mom tested positive, we're actually
40:10
Speaker 1: separating the babies from the mothers, which was really heartbreaking.
40:14
Speaker 1: You know, you just give birth and your baby gets
40:16
Speaker 1: whisked away in an incubator before you have a chance
40:18
Speaker 1: to see the baby. UM. So that was very hard obviously,
40:21
Speaker 1: But as we started to know more about transmission and
40:26
Speaker 1: the effects you know, viral load and pregnant mothers and babies,
40:29
Speaker 1: and we realized that we didn't have to do that.
40:32
Speaker 1: So now we're not separating mothers. We are still having
40:35
Speaker 1: mothers where in ninety masks. Thankfully, as people more and
40:38
Speaker 1: more people get vaccinated, we're seeing lower numbers UM and
40:43
Speaker 1: it's been working out really well, thankfully. Thankfully, we have
40:46
Speaker 1: not had a single case of a newborn transmission from
40:49
Speaker 1: mother at any of our providence systems and and isn't
40:53
Speaker 1: right now it's still one person only in the room.
40:57
Speaker 1: We never kicked out the fall there's are the baby.
41:00
Speaker 1: We do think that childbirth is a family experience, and
41:03
Speaker 1: so whether we're never giving birth by themselves, even in
41:06
Speaker 1: the sick of the pandemic UM. We have opened up
41:10
Speaker 1: a little bit more now now the father. Now you
41:12
Speaker 1: can have to visitors the father and additional support person,
41:16
Speaker 1: and we also allow people to have a duel if
41:18
Speaker 1: they choose to as well. Just an extra support person
41:21
Speaker 1: for labor and delivery. And you know, I was I
41:24
Speaker 1: wonder if you could clear this up because I have
41:26
Speaker 1: a lot of a couple of friends that are trying
41:27
Speaker 1: to get pregnant right now, and they're scared to get
41:29
Speaker 1: the vaccine because I think it's going to impact their fertility.
41:32
Speaker 1: Is there any truth to that or what can you
41:35
Speaker 1: share on that. There's absolutely no truth to that. Study
41:38
Speaker 1: after study after study has not shown a decrease in
41:41
Speaker 1: fertility for women who have received the CODE vaccine. I
41:45
Speaker 1: do see. You know, there was an article that said
41:47
Speaker 1: that women were having some mentional irregularities after the vaccine.
41:50
Speaker 1: I have seen that in a few of my patients,
41:52
Speaker 1: and it probably is the body's response to it. What's
41:55
Speaker 1: a big shock to the immusee system. We've never seen
41:58
Speaker 1: this virus before. Um that usually settled in about a
42:01
Speaker 1: month or two and people go back to normal and
42:03
Speaker 1: long term fertility rates have absolutely not been impacted at all.
42:06
Speaker 1: The same for freezing your eggs and um IVF and
42:09
Speaker 1: all of that same, you don't need to worry. Yeah,
42:12
Speaker 1: the infertility doctors are having people wait a month after
42:15
Speaker 1: the vaccine before going forward with the egg freezing process
42:18
Speaker 1: just out of an abundance of caution, UM, so that
42:21
Speaker 1: it seems to be working out just fine. What if
42:24
Speaker 1: you're pregnant. I've heard from a couple of people that
42:27
Speaker 1: they're not supposed to do it until the second trimester.
42:29
Speaker 1: Is their truth to that or what is the deal
42:31
Speaker 1: with pregnancy and vaccination? They're ongoing studies. I think Maderna
42:37
Speaker 1: just launched a big study of COVID and pregnant women. UM.
42:40
Speaker 1: But so far the data that we have on Sizon
42:43
Speaker 1: Maderna show that it's safe for pregnant women to receive
42:47
Speaker 1: the vaccine. What's the biggest question that you get asked
42:49
Speaker 1: from patients? It could also be non COVID related when
42:52
Speaker 1: they come to you. UM. A lot of my patients
42:55
Speaker 1: want to know, uh, what is their fertility? They want
42:59
Speaker 1: to say, you know, they want to know should I
43:01
Speaker 1: get pregnant? Now? How long do I have before it's
43:03
Speaker 1: too late for me to get pregnant? I mean, I'm
43:06
Speaker 1: thirty seven, right, so I'm I would love to have
43:09
Speaker 1: a baby, UM, but right now with my lifestyle, it's
43:12
Speaker 1: kind of impossible at the moment. But when is it
43:14
Speaker 1: too late? I guess, well, that's that's that's the problem.
43:18
Speaker 1: We don't have a test today. You have six months,
43:21
Speaker 1: or you have twelve months, or you have three years. Um.
43:24
Speaker 1: Egg quality does go down with age, starting a little
43:27
Speaker 1: bit at thirty and certainly taking off a little bit
43:29
Speaker 1: more at thirty five, and becoming rather difficult at forty
43:33
Speaker 1: and um. So based on age, we'd tell you, if
43:36
Speaker 1: you're committed to having a child that's biologically your own,
43:39
Speaker 1: start taking steps to get ready. And would you recommend
43:42
Speaker 1: freezing your eggs or is there a time limit with that?
43:46
Speaker 1: Or freezing eggs is more successful than younger you are,
43:49
Speaker 1: so as soon as it's relatively feasible financially to to
43:54
Speaker 1: do so, it would be a good idea. Now, if
43:56
Speaker 1: you're married, a better idea rather than freeze eggs is
44:00
Speaker 1: to freeze embryos for two reasons. Number one, embryos, well,
44:05
Speaker 1: you have to have a partner to have embryos. Um, right,
44:07
Speaker 1: thank you really meant first for single women who don't
44:09
Speaker 1: have a partner. Okay, so I am married, But so
44:13
Speaker 1: embryos are good because they do survive the freezing and
44:15
Speaker 1: thawing process a lot better than eggs do. So that's
44:19
Speaker 1: the number one reason why I would recommend embryos for you.
44:21
Speaker 1: But number two, we can actually do genetic tests on
44:24
Speaker 1: those embryos before we freeze them to make sure that
44:27
Speaker 1: we're only implanting healthy embryos at the proper time. You
44:30
Speaker 1: can't do a genetic test on the eggs because it's
44:33
Speaker 1: only one cell and you destroy the DNA when you
44:35
Speaker 1: test it. But in the embryo, you wait till they're
44:38
Speaker 1: about five or six cells big. You pluck out one
44:41
Speaker 1: of those cells, you can test it for things like
44:43
Speaker 1: down syndrome UM or other chromosome abnormalities, and only freeze
44:47
Speaker 1: the eggs the embryos that are healthy. What are your
44:50
Speaker 1: thoughts on breast implant illness. It's very popular on social
44:55
Speaker 1: media right now, where everybody is talking about all the
44:58
Speaker 1: harms on the side of facts that it's creating in women.
45:02
Speaker 1: Do you believe in that? Is that? I mean I
45:05
Speaker 1: read somebody else talk about it, and then all of
45:07
Speaker 1: a sudden, I have all the symptoms. So I'm not
45:09
Speaker 1: so familiar with that. Since I don't put in breast
45:12
Speaker 1: implants or take them out um, that would probably be
45:15
Speaker 1: a better question for breast surgeon. I haven't had a
45:17
Speaker 1: lot of patients complain about breast implants illness to me
45:21
Speaker 1: at all. I think it would depend on what's in
45:23
Speaker 1: the implant. Staling should be very very simple and benign,
45:26
Speaker 1: where silicone we know can cause some problems. I have
45:29
Speaker 1: a question about birth control and getting pregnant and freezing
45:33
Speaker 1: your embryos. What how do you feel about birth control
45:37
Speaker 1: in general? If you need birth control, use birth controls.
45:42
Speaker 1: There's no evidence to show that birth control hormonal birth control.
45:46
Speaker 1: I'm assuming um hormonal birth control will will delay return
45:50
Speaker 1: to fertility for more than about three months or so.
45:53
Speaker 1: It doesn't stay in your system for years and years
45:55
Speaker 1: and years. On that note, I have a lot of
45:57
Speaker 1: patients who want to get pregnant in six to twelve months,
46:00
Speaker 1: and they asked, should I stop the pill now? And
46:02
Speaker 1: my answer is, if you're not ready to get pregnant now,
46:05
Speaker 1: don't stop the pill now. Even if you've been taking
46:07
Speaker 1: it since, like for twenty years. Let's say it doesn't
46:10
Speaker 1: matter the longevity. It doesn't matter. System in about forty
46:13
Speaker 1: eight hours sometimes overis a little bit of time to
46:16
Speaker 1: wake up when they've been suppressed so along by birth
46:18
Speaker 1: control pills. But three months at the longest. So I
46:23
Speaker 1: used to suffer like I used to get chronic U
46:25
Speaker 1: T I s all the time, and I would go
46:28
Speaker 1: into my guy, no, she'd tests, you know, be like,
46:30
Speaker 1: you have a U T I, here's a prescription and
46:32
Speaker 1: and you'll be fine. And I got to a point
46:34
Speaker 1: where I was just like, I'm overtaking this medication. So
46:36
Speaker 1: I started exploring other options and I started I learned
46:40
Speaker 1: about pelvic floor physical therapy, started doing that, and I
46:44
Speaker 1: made some other changes in terms of like laundry detergent
46:47
Speaker 1: and you know, things like that. And at night and day,
46:50
Speaker 1: I haven't had a U T I knock on wood
46:51
Speaker 1: and like eight months and I was getting them every
46:54
Speaker 1: single month. And so when I started learning about this UM,
46:58
Speaker 1: they started telling me that pelvic floor physical therapy is
47:01
Speaker 1: good to do before you give birth to because it
47:04
Speaker 1: just kind of it's like when you give birth, it's
47:06
Speaker 1: like you're running a marathon. You wouldn't just go run
47:08
Speaker 1: a marathon without training for it. Do you believe that
47:10
Speaker 1: there's some is there some like validity to that? There's
47:14
Speaker 1: some validity to that? You know you're right. Carrying a
47:17
Speaker 1: pregnancy and delivering a baby is a very taxing event
47:20
Speaker 1: in a woman's life, and the more we can prepare
47:23
Speaker 1: for it, the better we are, especially as mothers are
47:25
Speaker 1: waiting longer and longer to have children and their bodies
47:28
Speaker 1: just aren't in the same shape as they were when
47:30
Speaker 1: they're four years old. It is a good idea both
47:34
Speaker 1: during and after pregnancy to use a physical therapist. Yeah,
47:39
Speaker 1: I'm like laughing, maybe this is inappropriate. But as you
47:42
Speaker 1: guys are talking about it, do you guys all immediately
47:44
Speaker 1: start doing keegels or is that just a mom I
47:47
Speaker 1: was actually Jane Fonda propped into my head for some reason.
47:50
Speaker 1: Jane Fonda and her like hip thrust, no idea. Why
47:54
Speaker 1: am I doing this? Very good? I'm like, yeah, now
48:00
Speaker 1: that you say it, Okay. They've made it so much
48:03
Speaker 1: easier for us too. They have the devices that you
48:05
Speaker 1: can bluetooth to your phone, and they have little they
48:08
Speaker 1: have games where you do your kegles and your bird
48:11
Speaker 1: flies over the mountain and doesn't crash into the mountain
48:13
Speaker 1: and it's it's a great angry birds with your cable.
48:19
Speaker 1: Yeah exactly. And I know you talked about the HPV shot,
48:23
Speaker 1: but what are early signs of cancer, like what should
48:27
Speaker 1: individuals be looking out for and also how do we
48:30
Speaker 1: talk to kids about the HPV shot. For my kids,
48:34
Speaker 1: I just tell them, hey, you need to take the shot. Period.
48:39
Speaker 1: I didn't really go into why, I'm mom, you're the
48:42
Speaker 1: kid you're getting but yeah, it is a shot to
48:46
Speaker 1: prevent cancer. At the end of the day, if if
48:49
Speaker 1: you have the opportunity to do so, we really should.
48:52
Speaker 1: UM signs of cancer really depends on the kind of
48:55
Speaker 1: cancer that we're dealing with. UM. Cervical cancer, uterine cancer.
48:59
Speaker 1: Will you usually have irregular bleeding signs? Those are pretty
49:03
Speaker 1: easily detectable, especially if people getting regular paths, and therefore
49:07
Speaker 1: they're very curable because we find them early. UM. The
49:09
Speaker 1: more insidious types of cancer are going to be the
49:11
Speaker 1: ovarian cancers because a lot of people don't have symptoms
49:15
Speaker 1: until it's very, very late, and those symptoms are very
49:18
Speaker 1: vague abdominal fullness, abdominal pain, lower back pain, which we've
49:22
Speaker 1: all had at some point in our lives, and we
49:24
Speaker 1: don't all have a varian cancer. Fortunately, that's the fairly
49:28
Speaker 1: rare cancer. The risk lifetime risk of getting ovarian cancer
49:31
Speaker 1: is less than two percent UM, and they're certainly working
49:34
Speaker 1: on early detection tests. UM. Nothing has come to fruition
49:37
Speaker 1: so far, and it's something that scares my patience a lot.
49:40
Speaker 1: So bottom line is, if there's anything that seems concerning,
49:44
Speaker 1: reach out to your provider, get checked out it Maybe nothing,
49:47
Speaker 1: but what's the harm in checking it out? But that's
49:49
Speaker 1: what scares me about that once every three years, perhaps
49:52
Speaker 1: mere check up. But I guess if it's abnormal, right,
49:54
Speaker 1: you would say something and we would just continue with yea. Yeah,
50:00
Speaker 1: like an HPV test has really changed the game for
50:02
Speaker 1: pep smokes. Meaning honestly, I am like the pet police
50:06
Speaker 1: because so I know because I got HPV from my
50:10
Speaker 1: very first sexual partner, and it was traumatizing because at
50:14
Speaker 1: the time I was I don't know how old that was,
50:16
Speaker 1: maybe nineteen or twenty, um, nobody was talking about it.
50:19
Speaker 1: And so when my when my guy called and told me,
50:21
Speaker 1: I thought, I really thought I was dying like I was.
50:24
Speaker 1: It was like really really scary for me. And so
50:27
Speaker 1: I like did all my research and you know, took
50:29
Speaker 1: it super seriously. By the time I graduated from college,
50:32
Speaker 1: almost all my story sisters had had it as well. Yeah,
50:37
Speaker 1: but of course that's a lot. It's a lot more
50:40
Speaker 1: common than you than you realize. It's like one in
50:44
Speaker 1: three I think women. Yeah, actually about oh, how do
50:51
Speaker 1: you know if you have like did you have any idea, Tanya,
50:53
Speaker 1: or were you just went or something. No, I had
50:57
Speaker 1: no feeling. I was just getting like my I started
50:59
Speaker 1: going getting checked ups like paps, mirrors when I turned eighteen.
51:03
Speaker 1: It was just something that my mom told me to do.
51:05
Speaker 1: I wasn't sexually active and so and then I did
51:08
Speaker 1: it right before I went away to college, and I
51:10
Speaker 1: was expecting anything like it was so shocked. I felt dirty,
51:16
Speaker 1: I felt embarrassed, I felt guilt, I felt like all
51:19
Speaker 1: those things. And so I'm glad. I'm really happy that
51:23
Speaker 1: we have these conversations and that we do open like
51:26
Speaker 1: our opening the door of these because I think for
51:27
Speaker 1: me at the time, I just felt really embarrssed alone
51:31
Speaker 1: and embarrassed and like dirty, and it's so it's just
51:34
Speaker 1: so common. And I also had it just f y I,
51:37
Speaker 1: so you don't feel alone, Yeah, it was. It was
51:39
Speaker 1: that it was that weird feeling like, um, I don't
51:42
Speaker 1: know who to talk to you, right, because it's not
51:44
Speaker 1: like now it's different. I think times have changed obviously, right, Yeah,
51:48
Speaker 1: So thanks for sharing, but it's it's scary, and I think, um,
51:53
Speaker 1: you know, just incur I know some friends of mine
51:56
Speaker 1: that don't ever go to the guy know because they're
51:58
Speaker 1: just scared or they don't want to know. And so
52:00
Speaker 1: I think it's important to kind of open the door
52:03
Speaker 1: and keep the conversation going and just like it's good
52:05
Speaker 1: to check because and um, how often would you say, like,
52:12
Speaker 1: for what are the signs? I guess for early cancer?
52:14
Speaker 1: I mean you can't really feel it, you can't. You'd
52:16
Speaker 1: have to go in for your checkup. Is that correct? Yeah? Yeah, okay?
52:21
Speaker 1: And what should like what should they be looking out for?
52:23
Speaker 1: Like it should it's not hereditary, is it? Some cancers
52:27
Speaker 1: are hereditary. So if you have a family history of
52:30
Speaker 1: uterine cancer, breast cancer, or varian cancer, bring it up
52:34
Speaker 1: with your provider, because we can do a blood test
52:37
Speaker 1: to see if you carry one of the genes that
52:38
Speaker 1: would put you a high risk for these cancers. And
52:41
Speaker 1: it's a simple blood test. The amazing thing is as
52:45
Speaker 1: technology advances, we're coming up with new mutations that we find.
52:49
Speaker 1: So even though you may have had the test done
52:52
Speaker 1: ten years ago, there's a slew of different genes that
52:55
Speaker 1: have now been identified that can also increase your risk
52:58
Speaker 1: for cancer, and looking for those is important for someone
53:00
Speaker 1: the family history. But if someone has a strong family
53:03
Speaker 1: history of a baron cancer, we do more frequent pelvic ultrasounds.
53:06
Speaker 1: And someone has a family history of breast cancer, we
53:09
Speaker 1: do more frequent mammograms sometimes m r s or ultrasounds
53:12
Speaker 1: as well of the breast. Well. Dr co, we know
53:15
Speaker 1: that you are in the middle of delivering a baby,
53:18
Speaker 1: so we will let you go do that. Thank you
53:21
Speaker 1: so much for taking this answering app Thank you, Thank
53:24
Speaker 1: you all right, take care, bye bye bye. It doesn't
53:28
Speaker 1: have a name for the baby. Uh has been good
53:34
Speaker 1: for me, Cheryl. All three names are totally and then
53:40
Speaker 1: their last name. How awesome. We're those doctors special. Thank
53:44
Speaker 1: you to all the doctors over a province. You guys
53:47
Speaker 1: so much information. I didn't want that to end. I
53:49
Speaker 1: was about to be like, what last thing? When should
53:51
Speaker 1: I take my daughter? The guy I know for the
53:53
Speaker 1: first time missed all that. Then I put myself on
53:55
Speaker 1: the girl who's giving birth, and I was like, stop
53:58
Speaker 1: taking more time about of my actor's schedule. I know, honestly,
54:02
Speaker 1: like I could go. I'm that person though, like whenever
54:04
Speaker 1: I get my paps near my annual popsner. I asked
54:06
Speaker 1: my guya like a million questions, Like the minute she
54:08
Speaker 1: sits down, it's like until she's out the door. Well,
54:12
Speaker 1: I've been going to the same one since I was seventeen,
54:15
Speaker 1: and so whenever I see him, I'm like, crap. He's like,
54:17
Speaker 1: it's like a therapy session. He's what are you up to?
54:20
Speaker 1: What's you like? Like he knows everything about you. Mine
54:23
Speaker 1: just retired, So I need a good one and you recommend. Well,
54:27
Speaker 1: I'm sure I probably think I need a woman. You
54:30
Speaker 1: need a woman, Yeah, yeah, I have Dr dr. Yeah,
54:37
Speaker 1: you're gonna have to quick little trip. Yeah. Anyway, Well,
54:42
Speaker 1: thank you so much to Providence for letting us have
54:45
Speaker 1: this conversation. I think it's obviously really important. Knowledge is power,
54:48
Speaker 1: and as women were all in this together, So thank
54:51
Speaker 1: you Providence. Teddy Cheryl, I love you, guys, love you
54:55
Speaker 1: to thank you. Thank you here. I appreciate you. I'll
54:59
Speaker 1: see you se Teddy, I'll see you soon. Bye, guys,
55:04
Speaker 1: Bye bye bye. Thanks for listening. Subscribe to Teddy Teapot
55:08
Speaker 1: on I Heart Radio or wherever you listen to podcasts.