Latest / Stuff Mom Never Told You / Monday Mini: Women and Telehealth
Transcript
- 0:05Speaker 1: Hey, this is Annie and Samantha. Welcome to stuff. I
- 0:07Speaker 1: never told your protection have I heard you?
- 0:18Speaker 2: And you know what, We've been talking a lot about
- 0:21Speaker 2: our medical needs. Uh, and boy did that hit us
- 0:24Speaker 2: like a ton of bricks. From last week. I feel
- 0:26Speaker 2: like we were like coming into a point where we understood, yes,
- 0:30Speaker 2: it's time to see a doctor, and it's like, yeah,
- 0:31Speaker 2: it's too late. Yeah. Yeah.
- 0:35Speaker 1: We read a loud proclamation on Bridget when Bridget was
- 0:38Speaker 1: on the show We're.
- 0:40Speaker 2: Going to the doctor.
- 0:41Speaker 1: Then it was like, yes, you are right.
- 0:45Speaker 2: So currently my arm is going tingling and numb as
- 0:48Speaker 2: I write all of this good news. Not only have
- 0:52Speaker 2: I gotten some medical attention, yes, but I'll be going
- 0:55Speaker 2: to get even more specific help like a specialist, I guess.
- 0:58Speaker 2: But it did make me wonder has the healthcare system
- 1:02Speaker 2: specifically changed? Has it gotten better? So my recent experience,
- 1:06Speaker 2: I actually did do a virtual appointment because it was
- 1:09Speaker 2: the fastest I could do, even though I'm in the
- 1:12Speaker 2: system for one of our major medical systems here there's
- 1:14Speaker 2: only like three because they're slowly all coming together and
- 1:17Speaker 2: converging into one anyway. But with that, and it was
- 1:21Speaker 2: in an interesting experience because again it's over the computer,
- 1:25Speaker 2: so you can't get a physical examination, and she's asking
- 1:29Speaker 2: a lot of questions. And I did get a doctor
- 1:32Speaker 2: that was like about an hour and thirty minutes away,
- 1:34Speaker 2: an hour maybe two hours from me, So it was
- 1:37Speaker 2: one of those like she is with the system, but
- 1:39Speaker 2: she may be very far away, which is kind of
- 1:41Speaker 2: why things like this work, because all the doctors close
- 1:44Speaker 2: to me were over booked or overscheduled. So it was interesting.
- 1:49Speaker 2: She did a great job. She was trying to help
- 1:51Speaker 2: me navigate the system because she was new to the
- 1:54Speaker 2: system as well, which is always interesting to tell. But
- 1:57Speaker 2: she was not new to being a doctor obviously, but
- 2:00Speaker 2: I was just like, oh my god, this is weird
- 2:03Speaker 2: because she's essentially as great she as she is. And
- 2:06Speaker 2: she was able to give me medication so I could
- 2:07Speaker 2: actually sleep through the night, which was part of the problem.
- 2:10Speaker 2: But like she was googling that's specialists for me, Like
- 2:15Speaker 2: I'm like, ma'am, And she was so sweet. She was
- 2:20Speaker 2: calling out to her like assistants and nurses and be
- 2:23Speaker 2: like call these people, all right, google these people. It
- 2:27Speaker 2: was an interesting thing because also I feel like she
- 2:29Speaker 2: may not have been very familiar with the virtual health
- 2:33Speaker 2: system or any that like being online on FaceTime or anything.
- 2:39Speaker 2: Maybe I'm wrong because they never muted me at any point,
- 2:42Speaker 2: not even when they first started the appointment. I could
- 2:44Speaker 2: hear them all bustling around to get to this call.
- 2:48Speaker 2: They never said anything mean. Yeah, like I didn't catch
- 2:51Speaker 2: any of that. But the funny part is like that
- 2:53Speaker 2: they would put me either they would turn the video
- 2:55Speaker 2: off without realizing I could still hear everything. And I
- 3:01Speaker 2: did have kind of a similar experience with when I
- 3:03Speaker 2: had COVID, but I was kind of delusional and had
- 3:06Speaker 2: a fever of one hundred and four at that point,
- 3:07Speaker 2: and I was like, I don't care, just give me
- 3:09Speaker 2: my TAXLOVID, which I think she felt the same way honestly.
- 3:15Speaker 2: But yeah, oh, with all of that, I think it's
- 3:18Speaker 2: interesting because in overall, with this type of care, and
- 3:22Speaker 2: we've talked a lot about with your friend Marissa, our
- 3:24Speaker 2: friend Marissa, who is in the nursing field in the hospitals,
- 3:28Speaker 2: and she has talked about her experiences and how close
- 3:30Speaker 2: to people that she's gotten even though she's never met
- 3:32Speaker 2: them personally. Is all been online, which is very again fascinating,
- 3:37Speaker 2: But with all of that, it has actually improved women's
- 3:41Speaker 2: health to a degree of course. So from doctor Caare
- 3:45Speaker 2: two four to seven dot com, it says telehealth is
- 3:48Speaker 2: enabling women to assert control over their health by offering
- 3:50Speaker 2: convenient access to health care services, broader access to specialists,
- 3:54Speaker 2: better management of chronic conditions, improved prenatal and postnatal care,
- 3:58Speaker 2: and invaluable mental health health support. By harnessing telehealth technologies,
- 4:03Speaker 2: women can prioritize their health and well being, paving the
- 4:05Speaker 2: way for healthier lives and enhanced overall quality of life.
- 4:09Speaker 2: So yes, they list off several of the better benefits
- 4:14Speaker 2: of this again, like managing chronic conditions and even enhanced
- 4:18Speaker 2: prenatal and post natal care. So about postnatal care and
- 4:21Speaker 2: prenatal care, it says telehealth plays a crucial role in
- 4:24Speaker 2: supporting women during pregnancy and postpartum, offering convenient access to
- 4:29Speaker 2: prenatal and post natal care services. Through telehealth platforms, pregnant
- 4:33Speaker 2: women can attend virtual prenatal visits, receive personalized guidance on
- 4:37Speaker 2: nutrition and exercise, and connect with blactation consultants and postpartum
- 4:40Speaker 2: support groups from home. This ensures that women receive comprehensive
- 4:44Speaker 2: care throughout their pregnancy journey. Leading to healthier outcomes for
- 4:47Speaker 2: both mother and baby. So again, we kind of talked
- 4:51Speaker 2: about this already in our post natal prenatal care postpartum
- 4:55Speaker 2: care for women in general or for people who can
- 4:58Speaker 2: get pregnant. This one talks about all of the benefits,
- 5:02Speaker 2: but we did talk about the fact that it also
- 5:04Speaker 2: kind of can isolate women. They felt like this experience
- 5:07Speaker 2: took away a little bit of what they were their expectations, right, right,
- 5:12Speaker 2: And I will say, for the longest time, we've been
- 5:15Speaker 2: using virtual counseling services, which again does feel more accessible.
- 5:19Speaker 2: I did feel way more comfortable because I am a
- 5:21Speaker 2: pro when it comes to being on the counseling and
- 5:25Speaker 2: like patient I've been taking. Oh god, it's been twenty
- 5:30Speaker 2: five years of therapy. Yeah, hey, sometimes you know you
- 5:36Speaker 2: got to do it. But the difference between going in
- 5:39Speaker 2: weekly finding a care provider that I had to travel
- 5:42Speaker 2: twenty to thirty minutes away and that's without traffic, versus
- 5:46Speaker 2: being able to sit on my couch have my dog
- 5:49Speaker 2: next to me while I'm talking to someone. It's actually amazing.
- 5:52Speaker 1: Right, Yeah, it's really nice. And for people who for
- 5:57Speaker 1: whatever reason can't dry I don't want to drive it's
- 6:01Speaker 1: really nice, and it's usually like you can find an
- 6:05Speaker 1: Internet connection somewhere. But I do think that it's also
- 6:12Speaker 1: one of those things where I do see instances where
- 6:14Speaker 1: it would be better to see someone in person, and
- 6:16Speaker 1: then other instances where it's better to for some people
- 6:21Speaker 1: preferable to do it virtually.
- 6:24Speaker 2: Right like today, I'm gonna have to go in to
- 6:26Speaker 2: see a specialist that are going to probably have to
- 6:28Speaker 2: take X rays and like at least feel things, which
- 6:31Speaker 2: makes me uncomfortable anyway, but I know that's the better
- 6:34Speaker 2: way because essentially my camera vider was like, I can't
- 6:38Speaker 2: really do too much, and from what I understand, I
- 6:40Speaker 2: don't know if it's just the state of Georgia or
- 6:41Speaker 2: federally that they can't prescribe strong control substances. Not that
- 6:45Speaker 2: that's what I wanted, that's not necessarily, but you know,
- 6:47Speaker 2: like stuff like that that is really in need. Had
- 6:49Speaker 2: my current medications, which included I be profn and I'm like, yeah,
- 6:53Speaker 2: I've been taking that. Has that not been working, I
- 6:56Speaker 2: would have been in trouble, Like it would have been
- 6:58Speaker 2: a whole other conversation. And again in that same article,
- 7:01Speaker 2: it does talk about the overall empowering for women. They
- 7:04Speaker 2: say it empowers women in several critical ways, overcoming financial hurdles.
- 7:09Speaker 2: Telehealth often proves to be more cost effective than traditional
- 7:12Speaker 2: in person appointments due to reduced over expenses and potentially
- 7:16Speaker 2: lower fees. This affordability factor makes high quality healthcare more
- 7:20Speaker 2: attainable for women with limited financial means, ensuring equitable access
- 7:23Speaker 2: to essential health services. So I did see that there
- 7:26Speaker 2: are a lot of research papers. Of course this is
- 7:28Speaker 2: a mini so we're not doing the whole big thing,
- 7:32Speaker 2: but there are several research papers talking about how it
- 7:34Speaker 2: is cost efficient and does help people who may not
- 7:37Speaker 2: be insured be able to get care because we know
- 7:39Speaker 2: visits to urgent care emergency rooms that's really costly, right, Yeah,
- 7:49Speaker 2: And then it goes on to saying it also empowers
- 7:51Speaker 2: rural communities by linking women in remote or underserved areas
- 7:55Speaker 2: with specialized healthcare professionals. Telehealth bridges the geographical gap in
- 7:58Speaker 2: healthcare access, ensuring that everyone, regardless of location, has equal
- 8:03Speaker 2: opportunities to thrive. And again this is where we talked
- 8:05Speaker 2: to a friend of the show, Marissa, and she was
- 8:08Speaker 2: talking about specialists that were out of Texas and they
- 8:10Speaker 2: were able to practice in Georgia because of telehealth advancements.
- 8:14Speaker 2: I know for my family, they were able to get
- 8:18Speaker 2: care from my parents through emergency services that weren't necessarily
- 8:23Speaker 2: we have to wait till the doctor comes in and
- 8:24Speaker 2: you know, two days from now or any of that.
- 8:26Speaker 2: They were able to access and find somebody that could
- 8:29Speaker 2: read specific charts. Of course, it's not always the case
- 8:31Speaker 2: because you're not an emergency, they still might wait, but
- 8:35Speaker 2: it does have access to more specialists than if you
- 8:38Speaker 2: could had to be in like Gilmore County, Georgia, where
- 8:41Speaker 2: they're just an emergency room and you have to be
- 8:43Speaker 2: sent somewhere else.
- 8:44Speaker 1: Anyway, Yeah, it's a real real mess that whole like
- 8:49Speaker 1: getting to the hospital when you're in rural areas.
- 8:51Speaker 2: Sometimes when I was young and had broken my leg
- 8:55Speaker 2: three places below the knee, I was in so much pain.
- 8:58Speaker 2: They just bubbled it up and told them that I
- 8:59Speaker 2: had to go forty five minutes away.
- 9:01Speaker 1: Yeah, that was crying in the back of the car,
- 9:05Speaker 1: which is not great if you're having a real emergence.
- 9:09Speaker 2: They literally put down the backseat, put a pillow in,
- 9:11Speaker 2: and then like like took like a hole gurney. It
- 9:15Speaker 2: just pushed me in the back of the blazers on
- 9:18Speaker 2: my hands zoned. Oh school memories. Oh that's why I
- 9:22Speaker 2: don't go skating roller skating anyway. But of course there
- 9:25Speaker 2: are downfalls and according to a published article in the
- 9:27Speaker 2: National Library of Medicine, they say, quote, despite its advantages,
- 9:31Speaker 2: the implementation of telemedicine is fraught with challenges. Data security,
- 9:34Speaker 2: patient privacy, and regulatory compliance are paramount concerns to ensure
- 9:38Speaker 2: telemedicine services sustainability. And additionally, the variability in telemedicine practices
- 9:43Speaker 2: and senators across different regions pose a challenge for widespread adoption.
- 9:47Speaker 2: There is a pressing need to standardize guidelines and best
- 9:50Speaker 2: practices to optimize telemedicine delivery and ensure high quality care. Again,
- 9:55Speaker 2: this is more of like the professional aspect of like
- 9:59Speaker 2: they see the downfalls of these and this could be
- 10:01Speaker 2: a problem. And I could see that because even in
- 10:05Speaker 2: the hospitals in the same state, if they're in different systems,
- 10:08Speaker 2: they don't share information, which makes sense to a certain degree,
- 10:12Speaker 2: but also makes it really inefficient in other ways, because
- 10:16Speaker 2: of guidelines, because of standards, practices, because of privacy settings,
- 10:19Speaker 2: Like in itself is a whole thing. Not every system
- 10:23Speaker 2: uses the same system, not every hospital uses the same tests,
- 10:27Speaker 2: or they use whatever they're being sponsored by and whoever
- 10:30Speaker 2: sells them the best deals. So that does cause a
- 10:33Speaker 2: lot of problems in itself. Again, the privacy data, that's
- 10:38Speaker 2: a huge concern. If everything is online, you get hacked,
- 10:41Speaker 2: people are watching. Yeah, you know.
- 10:55Speaker 1: Well, I have to say I did recently go to
- 10:57Speaker 1: the emergency room and it was chaos, but in a
- 11:03Speaker 1: you know, they kept telling me. Everyone kept telling me,
- 11:05Speaker 1: which by the way, I must have met like fifteen
- 11:07Speaker 1: people and they all told me like we have a
- 11:10Speaker 1: new system.
- 11:11Speaker 2: And I was like, oh boy, it.
- 11:15Speaker 1: Was fine and it worked out, but I was really
- 11:17Speaker 1: out of it, and I can't remember if I told anybody.
- 11:20Speaker 1: But when I got home, I had all these text
- 11:23Speaker 1: messages from them. I had all these emails from them,
- 11:27Speaker 1: and I'm like, where when did I give you my phone?
- 11:32Speaker 1: Was it?
- 11:33Speaker 2: Oh? I mean I might have had to. You had
- 11:37Speaker 2: to have because when you signed the floor at the beginning,
- 11:40Speaker 2: they usually have all that. There were no forms.
- 11:43Speaker 1: It was very fast.
- 11:45Speaker 2: It it had like specific concerns or like yeah, get
- 11:47Speaker 2: her back here now. So yeah, I could see that
- 11:50Speaker 2: and yeah, there's that so much too. My stuff is
- 11:53Speaker 2: already in that system, and some of it is wrong.
- 11:55Speaker 2: So you knew what I don't know. Again, Like when
- 11:57Speaker 2: it comes to the medical professionals, they see a lot
- 11:59Speaker 2: of barriers. As we talked about the policies, restrictions and
- 12:03Speaker 2: guidelines and communications, the requirements for certain people versus other people.
- 12:08Speaker 2: E prescriptions apparently a thing. All these things are very
- 12:12Speaker 2: very concerning, But it is interesting that there's also been
- 12:16Speaker 2: a lot of focus on using technology and telehealth for
- 12:18Speaker 2: specific women's issues like menopause and perimenopause. I've seen several
- 12:23Speaker 2: things that jump out at me. It may just be
- 12:25Speaker 2: my algorithm though. From an article's title Telemedicine and Women's Health,
- 12:28Speaker 2: they say specific to women are femtech diagnostic tools, products
- 12:33Speaker 2: and service, wearables, and software that use technology to address
- 12:36Speaker 2: women's health issues including minstrel health, reproductive health, sexual health,
- 12:40Speaker 2: maternal health, and menopause. Several femtech startups are specifically focused
- 12:44Speaker 2: on menopause. These groups aim to deliver perimenopause and menopause
- 12:48Speaker 2: consultations provide better communications between motivated menopause doctors and patients
- 12:54Speaker 2: share evidence based menopause information via their websites, webinars, and
- 12:57Speaker 2: social media channels. Work medicare for rebase for telehealth services,
- 13:02Speaker 2: increase themIn apulse awareness, educate and empower women and train
- 13:05Speaker 2: healthcare professionals. Now, there are several conversations that we've had
- 13:09Speaker 2: about what's called fintech, which we really haven't like dug
- 13:13Speaker 2: deep into that specific term, but we have talked about
- 13:17Speaker 2: being wary of that and how great it could be.
- 13:22Speaker 2: But because of the overall concerns of privacy data all
- 13:26Speaker 2: of that, we are not wanted to be like, yes,
- 13:30Speaker 2: you should use this.
- 13:32Speaker 1: Yeah. We get a lot of what we call cold
- 13:35Speaker 1: call emails from companies like this, and there are some
- 13:41Speaker 1: of them where I'm like, yeah, this sounds great, but
- 13:43Speaker 1: we just can't recommend anything.
- 13:44Speaker 2: Like that, right. And that's so sad to me because
- 13:47Speaker 2: there's so many great ideas that have been corrupted by
- 13:52Speaker 2: overall capitalism and or fascism. I couldn't say like that,
- 13:58Speaker 2: I guess, but it really on it, but that you
- 14:01Speaker 2: really don't want to use that.
- 14:03Speaker 1: Uh.
- 14:03Speaker 2: And again it also kind of comes into like, is
- 14:05Speaker 2: this like the pink tax thing? Is this like they're
- 14:08Speaker 2: using this to profit off of something that we are
- 14:10Speaker 2: suffering from instead of actually helping us. So there's a
- 14:13Speaker 2: lot of questions to this. And from another article openloophealth
- 14:18Speaker 2: dot Com, they write, telemedicine is uniquely suited for menopause
- 14:21Speaker 2: services like hormone replacement therapy. Given the nature of care,
- 14:24Speaker 2: something as inconvenient as a video or a telephone visit
- 14:27Speaker 2: has been proven to be effective. Authors of once they
- 14:30Speaker 2: reported high levels of patient satisfaction, noting that patients even
- 14:33Speaker 2: preferred this modality. So I really understand this again when
- 14:37Speaker 2: it comes to like they talked about sexual health for women,
- 14:40Speaker 2: they talk about hair loss for women, they talk about perimenopause, menopause,
- 14:43Speaker 2: and how this is way more convenient than coming in
- 14:46Speaker 2: and having to like deal with all of the procedures
- 14:50Speaker 2: just to talk about I need help with HRT, I
- 14:52Speaker 2: need these things. These are things I'm concerned by. But again,
- 14:54Speaker 2: it really is not effective when it comes to like
- 14:57Speaker 2: having to do tests, having to run your cholestero all,
- 15:00Speaker 2: having to run your blood work. So it doesn't always work,
- 15:03Speaker 2: but overall, try to get a consultation, which is I
- 15:06Speaker 2: feel like the initial step, which is what my virtual
- 15:09Speaker 2: telehealth was, was like I just need to get in here
- 15:12Speaker 2: to tell me what I need to do for today
- 15:14Speaker 2: and then who I need to go see essentially, and
- 15:17Speaker 2: if you can give me a referral.
- 15:18Speaker 1: Yeah, And sometimes that's that's all you need. And sometimes
- 15:22Speaker 1: that's why it's great to I try not to use
- 15:25Speaker 1: this too often, but have a friend like Marissa Nursing.
- 15:29Speaker 2: I used to once I'm waiting, I'm holding in my card.
- 15:32Speaker 1: I'm trying to hold it too, because you don't want
- 15:34Speaker 1: to be that person. But it is nice because one
- 15:36Speaker 1: time she told me, like, just skip all of that
- 15:38Speaker 1: and go to your ian and whatever that one and
- 15:42Speaker 1: I was through, yeah, and it was nice because I
- 15:44Speaker 1: was like, Okay, thank you.
- 15:48Speaker 2: But again, a lot of systems, you have to have
- 15:49Speaker 2: a referral process. You can't go to a specialism unless
- 15:53Speaker 2: you go through the primary and they tell you who
- 15:55Speaker 2: to go to and they set up those appointments for you.
- 15:57Speaker 2: Like there's so many things. Because even with my Mamograham,
- 16:00Speaker 2: I went and got my physical with my gout in
- 16:02Speaker 2: college and she's like, I scheduled your appointment, like they
- 16:04Speaker 2: did it for me, and they got me in very quickly,
- 16:07Speaker 2: as opposed to like if I did it and it's
- 16:08Speaker 2: six months out, which is part of the problem as well. Yeah,
- 16:12Speaker 2: so there you go kind of a yes kind of
- 16:16Speaker 2: answer to has it improved, but also be wary conversations.
- 16:23Speaker 2: And again this also talks about the fact that people
- 16:25Speaker 2: who are lacking technology at home, whether they're able to
- 16:29Speaker 2: access whether they have a computer. You know, usually people
- 16:31Speaker 2: have phones, but you know, that can be a whole
- 16:34Speaker 2: other problem. Holding For me this week when I did
- 16:36Speaker 2: the virtual meeting, being at a laptop was painful, but
- 16:40Speaker 2: being in a car was also painful, and holding up
- 16:42Speaker 2: a phone would have been even more painful. So there's
- 16:44Speaker 2: so many like yes, but.
- 16:46Speaker 1: Yeah, I'm glad it exists as an option, and I
- 16:50Speaker 1: think we should be educated about it and the risk
- 16:54Speaker 1: about it. But I do like that it is an option.
- 16:58Speaker 1: Like during COVID, I remember you would just go on
- 17:01Speaker 1: and they would try to be like, yes, it's COVID,
- 17:03Speaker 1: No it's not COVID. Like it was so fast they're like, okay, cool,
- 17:09Speaker 1: So I shouldn't come in.
- 17:11Speaker 2: Right, like these are the symptoms. Don't come in right, yes,
- 17:16Speaker 2: and we have no medicine for you. Take this instead.
- 17:19Speaker 2: It was a long time coming, like three years, and
- 17:22Speaker 2: even after that, it's like still not great, it does
- 17:25Speaker 2: cut it down, but it doesn't necessarily stop it. Yeah.
- 17:30Speaker 1: Yeah, but yeah, that was that was a wild time.
- 17:34Speaker 1: And now now I was looking at my own follow
- 17:37Speaker 1: up appointment, and now that it'll say like whether the
- 17:41Speaker 1: doctor takes virtual appointments or whether they don't, which I
- 17:43Speaker 1: thought was interesting.
- 17:45Speaker 2: So yeah, like I said, there's a big divide when
- 17:48Speaker 2: it comes to the professional's opinions on this.
- 17:52Speaker 1: Yes, which is fair. I mean that I can see
- 17:54Speaker 1: why you would be like, I actually want to see
- 17:56Speaker 1: the person in person, because sometimes you can really pick
- 17:59Speaker 1: up on things when you see someone in person. But anyway,
- 18:06Speaker 1: we're both going to the doctor wanting to doctors people.
- 18:10Speaker 2: It's happening our bodies.
- 18:12Speaker 1: Finally, we're like, yep.
- 18:14Speaker 2: If you don't, you're gonna regret it. Got it.
- 18:18Speaker 1: So listeners, please let us know if you have any
- 18:21Speaker 1: thoughts about this. I know some of you have written
- 18:23Speaker 1: in about your experiences in the healthcare industry, so yeah,
- 18:29Speaker 1: just write to us and let us know. You can
- 18:30Speaker 1: email us at Hello at Stuff onever told You dot com.
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- 18:44Speaker 1: Christina or executive producer My and your contributor Joey. Thank
- 18:47Speaker 1: you and thanks to you for listening stuff Will Never
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