1 00:00:11,920 --> 00:00:14,720 Speaker 1: Good morning, peeps, and welcome to okay F Daily with 2 00:00:14,840 --> 00:00:20,279 Speaker 1: Meet your Girl Danielle Moody recording from the Brooklyn Bunker, Folks, 3 00:00:20,360 --> 00:00:24,640 Speaker 1: I want to start off today with talking about once 4 00:00:24,680 --> 00:00:29,760 Speaker 1: again the importance of mental health and recognizing how the 5 00:00:29,920 --> 00:00:33,880 Speaker 1: past several weeks several years have been weighing on all 6 00:00:33,920 --> 00:00:35,960 Speaker 1: of us and what it is that we are doing 7 00:00:36,120 --> 00:00:39,120 Speaker 1: or not doing to show up fully in our skin. 8 00:00:39,479 --> 00:00:41,960 Speaker 1: And what I will say is that the past several 9 00:00:42,000 --> 00:00:46,040 Speaker 1: weeks have been incredibly difficult for me. If you've been 10 00:00:46,080 --> 00:00:49,040 Speaker 1: listening to the show for a considerable amount of time, 11 00:00:49,400 --> 00:00:54,960 Speaker 1: you know that I will go through I don't know, 12 00:00:55,160 --> 00:00:58,680 Speaker 1: waves of emotion, mostly surrounded by rage, but a lot 13 00:00:58,720 --> 00:01:02,600 Speaker 1: of times what will follow the bouts of rage is exhaustion. 14 00:01:03,480 --> 00:01:07,800 Speaker 1: And what I find myself exhausted, I find myself falling 15 00:01:08,000 --> 00:01:11,160 Speaker 1: outside of routines that I put in place in order 16 00:01:11,200 --> 00:01:16,440 Speaker 1: to really ground myself. What I'm realizing, however, is how 17 00:01:16,480 --> 00:01:19,199 Speaker 1: easy it is right as many of us who anybody 18 00:01:19,240 --> 00:01:21,959 Speaker 1: who's ever tried to diet, anybody who's ever tried to 19 00:01:22,959 --> 00:01:26,119 Speaker 1: break bad habits or start new ones, is that when 20 00:01:26,160 --> 00:01:29,440 Speaker 1: things become overwhelming, it is really easy to fall back 21 00:01:29,520 --> 00:01:34,480 Speaker 1: into old patterns, and I am trying to disrupt my 22 00:01:34,560 --> 00:01:37,120 Speaker 1: old patterns that have had me once again, put on 23 00:01:37,319 --> 00:01:41,800 Speaker 1: weight once again, start not sleeping well, using really bad 24 00:01:41,840 --> 00:01:45,560 Speaker 1: habits as a way to deal with the stress of 25 00:01:45,600 --> 00:01:49,080 Speaker 1: this current moment, and how to navigate all of that, 26 00:01:49,200 --> 00:01:53,440 Speaker 1: all of those things. And you know, the first thing 27 00:01:53,480 --> 00:01:55,480 Speaker 1: that I will say is that if you find yourself 28 00:01:55,640 --> 00:01:59,400 Speaker 1: like me in these moments of great overwhelm where you are, 29 00:02:00,280 --> 00:02:05,200 Speaker 1: you know, habits that you thought that you broke are 30 00:02:05,320 --> 00:02:09,680 Speaker 1: presenting themselves again, because we are creatures of habit. The 31 00:02:09,720 --> 00:02:12,800 Speaker 1: first thing to do is to give yourself grace, which 32 00:02:12,880 --> 00:02:16,760 Speaker 1: is what I have decided to do. My first step 33 00:02:16,880 --> 00:02:19,640 Speaker 1: is to give myself grace. I am not beating myself 34 00:02:19,720 --> 00:02:24,239 Speaker 1: up anymore because frankly, you know, the world beats people 35 00:02:24,240 --> 00:02:27,040 Speaker 1: that look like me, love like me, exist like me 36 00:02:27,280 --> 00:02:29,560 Speaker 1: up enough on a daily basis. I do not need 37 00:02:29,600 --> 00:02:34,960 Speaker 1: to add to those feelings. So I start off by 38 00:02:34,960 --> 00:02:41,240 Speaker 1: giving myself grace. The next thing is to recognize how 39 00:02:41,280 --> 00:02:44,840 Speaker 1: am I feeling these days. I had the executive producer 40 00:02:45,120 --> 00:02:49,680 Speaker 1: over Woke f and over DCP shows reached out to 41 00:02:49,720 --> 00:02:55,440 Speaker 1: me and said, how are you feeling like? Honestly, like 42 00:02:55,440 --> 00:02:58,639 Speaker 1: when nothing else, just like, how are you feeling? How 43 00:02:58,639 --> 00:03:02,360 Speaker 1: are you doing? And what I will say is that 44 00:03:02,880 --> 00:03:08,400 Speaker 1: I haven't been feeling great. I have moments of great 45 00:03:08,480 --> 00:03:11,080 Speaker 1: times and joy and all of these things, but they 46 00:03:11,120 --> 00:03:14,800 Speaker 1: are moments, and I find that they are fleeting. So 47 00:03:14,840 --> 00:03:16,680 Speaker 1: I started to think about, well, what were the things 48 00:03:16,720 --> 00:03:19,119 Speaker 1: that I was doing that I had committed to do 49 00:03:19,320 --> 00:03:22,120 Speaker 1: over the last two years, new habits that I had 50 00:03:22,160 --> 00:03:26,360 Speaker 1: developed because, frankly, the world shutting down provided the time 51 00:03:26,400 --> 00:03:28,560 Speaker 1: to be able to do that. But now that things 52 00:03:28,560 --> 00:03:31,480 Speaker 1: have opened back up, and it seems that our country 53 00:03:31,560 --> 00:03:36,040 Speaker 1: has becoming increasingly by the day, more and more unstable, 54 00:03:37,880 --> 00:03:41,520 Speaker 1: I'm finding myself ending each day with a cocktail, ending 55 00:03:41,560 --> 00:03:44,000 Speaker 1: each day recognizing that I had sat in front of 56 00:03:44,000 --> 00:03:47,680 Speaker 1: the television or on Twitter, in front of my computer 57 00:03:47,800 --> 00:03:51,080 Speaker 1: for hours, hunched over, no longer going from my walks, 58 00:03:51,080 --> 00:03:54,360 Speaker 1: no longer taking the breaks that I needed in order 59 00:03:54,400 --> 00:03:58,480 Speaker 1: to prevent my own breakdown. I found myself working fifteen 60 00:03:58,520 --> 00:04:02,160 Speaker 1: hour days again, never turning my phone off, waking up 61 00:04:02,160 --> 00:04:04,520 Speaker 1: in the morning, and getting back on Twitter as soon 62 00:04:04,600 --> 00:04:07,640 Speaker 1: as I opened my eyes. All of these things were 63 00:04:07,680 --> 00:04:11,600 Speaker 1: habits that I had become really conscious of and very 64 00:04:11,640 --> 00:04:15,920 Speaker 1: intentional about breaking and then over the past you know, 65 00:04:16,520 --> 00:04:21,320 Speaker 1: six months, I would say six seven, six months plus, 66 00:04:21,720 --> 00:04:24,080 Speaker 1: all of those habits have started to creep back in. 67 00:04:24,279 --> 00:04:26,600 Speaker 1: And what has happened as a result of it. I 68 00:04:26,640 --> 00:04:33,120 Speaker 1: find myself incredibly exhausted, on edge. My anxiety has been 69 00:04:33,160 --> 00:04:37,239 Speaker 1: through the roof, not sleeping as well, and eating poorly 70 00:04:37,480 --> 00:04:42,039 Speaker 1: and drinking too much. All of those are a result 71 00:04:42,240 --> 00:04:49,440 Speaker 1: of allowing the stress, the frustrations, the anger to begin 72 00:04:49,520 --> 00:04:53,480 Speaker 1: to consume me from the inside out all over again. 73 00:04:55,240 --> 00:04:57,039 Speaker 1: Why am I bringing this up to all of you 74 00:04:57,200 --> 00:05:00,200 Speaker 1: and airing out my own personal business because I know 75 00:05:01,000 --> 00:05:05,200 Speaker 1: that if I have allowed myself to fall behind in 76 00:05:05,279 --> 00:05:09,480 Speaker 1: my self care, if I have not put myself back 77 00:05:09,480 --> 00:05:13,320 Speaker 1: on my agenda, because I am so preoccupied with how 78 00:05:13,920 --> 00:05:18,440 Speaker 1: the GOP GQP is beating down this country, with how 79 00:05:18,480 --> 00:05:21,720 Speaker 1: black people are being hunted, with how queer people have 80 00:05:21,800 --> 00:05:26,280 Speaker 1: no safe place to go where you know, every headline 81 00:05:26,360 --> 00:05:29,520 Speaker 1: is about another fucking shooting, whether it's a mass shooting 82 00:05:29,720 --> 00:05:35,400 Speaker 1: or an individual and then you know the abortion fight. 83 00:05:35,480 --> 00:05:38,640 Speaker 1: I mean, it's just it doesn't stop. It is worse 84 00:05:38,680 --> 00:05:42,880 Speaker 1: than drinking from a firehost. It is worse than feeling 85 00:05:42,920 --> 00:05:46,359 Speaker 1: like you are drowning. It is all of those things combined. 86 00:05:48,279 --> 00:05:52,000 Speaker 1: The reality is that it's not going to stop friends, 87 00:05:52,200 --> 00:05:55,360 Speaker 1: It's actually just going to get worse. And I say 88 00:05:55,400 --> 00:05:57,480 Speaker 1: that not as a way to just say well, fuck 89 00:05:57,520 --> 00:06:01,720 Speaker 1: at all you know and give up, but that now, 90 00:06:01,839 --> 00:06:04,160 Speaker 1: more than ever, as I say this to you all, 91 00:06:04,200 --> 00:06:08,359 Speaker 1: I say it to myself out loud. The world is 92 00:06:08,400 --> 00:06:12,599 Speaker 1: becoming increasingly unstable, which means that we need to figure 93 00:06:12,640 --> 00:06:17,440 Speaker 1: out the positive and healthy ways to stabilize ourselves, to 94 00:06:17,720 --> 00:06:22,360 Speaker 1: ground ourselves so that we can deal with this storm 95 00:06:22,880 --> 00:06:27,480 Speaker 1: that this country has become. The more unstable things feel, 96 00:06:27,640 --> 00:06:29,960 Speaker 1: the more that we need to double down, the more 97 00:06:30,000 --> 00:06:31,920 Speaker 1: that we need to look at our calendars each and 98 00:06:32,000 --> 00:06:34,159 Speaker 1: every day. What is the time that I have put 99 00:06:34,160 --> 00:06:37,360 Speaker 1: aside for exercise. What is the time that I've put 100 00:06:37,400 --> 00:06:39,680 Speaker 1: aside for meditation? What is the time that I've put 101 00:06:39,720 --> 00:06:43,680 Speaker 1: aside to connecting with friends and family that is outside 102 00:06:43,920 --> 00:06:47,159 Speaker 1: of work. What is the time that I'm putting aside 103 00:06:47,920 --> 00:06:51,400 Speaker 1: to say that I'm done with electronics for the day, 104 00:06:51,480 --> 00:06:53,880 Speaker 1: I'm done with the television for the day, I'm done 105 00:06:53,920 --> 00:06:56,880 Speaker 1: with all of those things. What is my end time? 106 00:06:57,400 --> 00:06:59,120 Speaker 1: Because you see, the thing is is that if we're 107 00:06:59,160 --> 00:07:02,240 Speaker 1: not instituting our own end times. There will never be 108 00:07:02,839 --> 00:07:07,320 Speaker 1: a shut off, right because, as I said to the 109 00:07:07,320 --> 00:07:12,960 Speaker 1: executive producer of this show, is that nothing ever stops. 110 00:07:13,720 --> 00:07:16,360 Speaker 1: It's not going to stop. And so if I don't 111 00:07:16,400 --> 00:07:19,560 Speaker 1: pull myself out of Twitter, if I don't pull myself 112 00:07:19,600 --> 00:07:24,360 Speaker 1: out of the cable news cycle, I'm always going to 113 00:07:24,400 --> 00:07:26,640 Speaker 1: be anticipating that I'm going to miss something, and the 114 00:07:26,720 --> 00:07:30,080 Speaker 1: reality is, yeah, I'm going to miss something because there's 115 00:07:30,160 --> 00:07:33,160 Speaker 1: just so much. There's too much to cover, there's too 116 00:07:33,240 --> 00:07:36,240 Speaker 1: much going on, and it doesn't ever stop. So I 117 00:07:36,400 --> 00:07:40,200 Speaker 1: have to purposefully stop, to give my self permission to 118 00:07:40,400 --> 00:07:43,680 Speaker 1: take pauses and to take breaks, to take calls out 119 00:07:43,680 --> 00:07:47,560 Speaker 1: on walks when I can, to institute back in healthy eating, 120 00:07:47,640 --> 00:07:50,960 Speaker 1: healthy regiments. Not because I'm trying to get somebody's quote 121 00:07:51,040 --> 00:07:54,440 Speaker 1: unquote summer body, but because I don't want to lose 122 00:07:54,560 --> 00:07:59,680 Speaker 1: myself at a time when these people are trying to 123 00:07:59,760 --> 00:08:02,360 Speaker 1: make me afraid to exist in my own body and 124 00:08:02,440 --> 00:08:06,880 Speaker 1: skin and community. Again, I can't let them win. And 125 00:08:07,000 --> 00:08:10,600 Speaker 1: you see, whenever I'm not sleeping, whenever I'm eating shitty, 126 00:08:10,640 --> 00:08:13,600 Speaker 1: whenever I'm drinking too much, I am letting them win. 127 00:08:14,400 --> 00:08:18,040 Speaker 1: And that's the thing that I need to remind myself 128 00:08:18,360 --> 00:08:25,400 Speaker 1: so that I make my self care intentional, because caring 129 00:08:25,480 --> 00:08:27,920 Speaker 1: for myself is really about caring for you all, caring 130 00:08:27,920 --> 00:08:32,080 Speaker 1: for the community, caring for our country because I can't 131 00:08:32,240 --> 00:08:35,160 Speaker 1: give it the energy that it needs when I feel 132 00:08:35,200 --> 00:08:40,640 Speaker 1: so depleted. And so again, friends, the first point is 133 00:08:40,679 --> 00:08:45,400 Speaker 1: to give ourselves grace and understand that healing is not linear, 134 00:08:46,200 --> 00:08:51,640 Speaker 1: that it vacillates, and you know, sometimes we take steps 135 00:08:51,679 --> 00:08:55,280 Speaker 1: back in order to recognize how we continue to move forward. 136 00:08:56,640 --> 00:08:58,480 Speaker 1: So I offered that to all of you because you 137 00:08:58,520 --> 00:09:01,760 Speaker 1: know that yesterday's show didn't not go up because at 138 00:09:01,760 --> 00:09:04,439 Speaker 1: the end of last week I was exhausted. I did 139 00:09:04,480 --> 00:09:08,520 Speaker 1: not do Woke Wednesday because frankly, I have had burst 140 00:09:08,559 --> 00:09:11,840 Speaker 1: into tears multiple times with regard to the Buffalo shooting 141 00:09:11,840 --> 00:09:16,559 Speaker 1: and just in general, everything feels so fucking heavy and 142 00:09:16,600 --> 00:09:18,920 Speaker 1: there are times when I need to give myself a 143 00:09:19,000 --> 00:09:22,240 Speaker 1: break and say I just can't do it, and that 144 00:09:22,360 --> 00:09:27,200 Speaker 1: be okay. So you know I want us and I 145 00:09:27,240 --> 00:09:29,120 Speaker 1: will try, and I hope that you all will hold 146 00:09:29,160 --> 00:09:33,439 Speaker 1: me accountable to being more mindful and intentional about how 147 00:09:33,520 --> 00:09:36,400 Speaker 1: I am taking care of myself so that I can 148 00:09:36,520 --> 00:09:40,360 Speaker 1: deliver you guys, the best content that you need at 149 00:09:40,360 --> 00:09:43,360 Speaker 1: this time so that you can feel connected and involved 150 00:09:43,440 --> 00:09:50,599 Speaker 1: and engaged. So let's redouble our efforts in being in 151 00:09:50,679 --> 00:09:55,720 Speaker 1: community and healthy community and healthy communion with ourselves and 152 00:09:55,840 --> 00:10:02,320 Speaker 1: one another. Coming up next, friends, a conversation with Elizabeth Finley. 153 00:10:02,360 --> 00:10:05,720 Speaker 1: And Elizabeth Finley is the director of Communications for the 154 00:10:05,840 --> 00:10:11,679 Speaker 1: National Coalition of STD Directors. And what we are going 155 00:10:11,720 --> 00:10:16,559 Speaker 1: to talk about is how the impending reversal of Robi 156 00:10:16,640 --> 00:10:22,920 Speaker 1: Wade is going to erode and threaten to disrupt and 157 00:10:23,120 --> 00:10:29,080 Speaker 1: undermine all of what it means to have a healthy 158 00:10:29,240 --> 00:10:34,640 Speaker 1: reproductive systems. What does it mean when all of the 159 00:10:34,679 --> 00:10:40,760 Speaker 1: smaller facilities that provide regular screening STD screening testing, all 160 00:10:40,760 --> 00:10:44,080 Speaker 1: of these things are shut down because they're too closely 161 00:10:44,120 --> 00:10:47,480 Speaker 1: associated with abortion, and now people are too afraid to 162 00:10:47,520 --> 00:10:49,920 Speaker 1: go and receive the type of care that they need. Well, 163 00:10:50,520 --> 00:10:54,000 Speaker 1: as Elizabeth will tell us, we have an STD crisis 164 00:10:54,040 --> 00:10:56,800 Speaker 1: on the hand on our hands to add to everything else, 165 00:10:57,480 --> 00:11:01,120 Speaker 1: and how that came about, at how things had deterred 166 00:11:01,520 --> 00:11:04,920 Speaker 1: at the beginning of COVID and then those numbers of 167 00:11:05,000 --> 00:11:09,000 Speaker 1: gonorrhea and chlamydia and all of these things skyrocketed, and 168 00:11:09,040 --> 00:11:12,319 Speaker 1: what we can do about that moving forward and what 169 00:11:12,360 --> 00:11:16,440 Speaker 1: we need to be paying attention to during this incredible, 170 00:11:16,840 --> 00:11:19,920 Speaker 1: incredibly crazy fucking time that we are living in. But 171 00:11:19,960 --> 00:11:23,080 Speaker 1: I think that this is a really important conversation because 172 00:11:23,080 --> 00:11:26,120 Speaker 1: Elizabeth opened my mind to so many things that I 173 00:11:26,200 --> 00:11:30,319 Speaker 1: did not think about that are connected to the overturning 174 00:11:30,320 --> 00:11:33,760 Speaker 1: of Rob Wade, and of course what the GQP couldn't 175 00:11:33,760 --> 00:11:36,760 Speaker 1: give a fuck to think about, but that Democrats are 176 00:11:36,800 --> 00:11:40,560 Speaker 1: not using as they build up some type of campaign 177 00:11:40,800 --> 00:11:45,199 Speaker 1: let's hope to fight back against the Republicans come midterms. 178 00:11:46,200 --> 00:11:51,400 Speaker 1: So coming up now, my conversation with Elizabeth Finlay. Hey, 179 00:11:51,440 --> 00:11:55,120 Speaker 1: I'm David. Plots of Slights Political Gadfest. As another election 180 00:11:55,400 --> 00:11:58,880 Speaker 1: season accelerates, it can be tricky to sort through all 181 00:11:59,000 --> 00:12:01,800 Speaker 1: the noise and the news. Each week on the gap Fest, 182 00:12:01,960 --> 00:12:05,240 Speaker 1: John Dickerson, Emily Bathalona and I decipher the headlines, break 183 00:12:05,280 --> 00:12:08,520 Speaker 1: down the races, and tell you what issues really matter. 184 00:12:08,880 --> 00:12:12,400 Speaker 1: We do not always agree, We definitely do not always agree, 185 00:12:12,559 --> 00:12:15,600 Speaker 1: but we always deliver thoughtful debate and we always have 186 00:12:15,640 --> 00:12:19,559 Speaker 1: a good time. So subscribe to Slates Political Gapfest new 187 00:12:19,600 --> 00:12:28,240 Speaker 1: episodes every Thursday. Indisputable with Doctor Rashid Ricci is one 188 00:12:28,280 --> 00:12:31,280 Speaker 1: of the latest shows on the TYT network and also 189 00:12:31,559 --> 00:12:34,839 Speaker 1: the fastest growing news show in America. On his show, 190 00:12:35,000 --> 00:12:38,960 Speaker 1: Doctor Ricci plays no games regarding policy, delivering a heavy 191 00:12:38,960 --> 00:12:42,280 Speaker 1: dose of fact based truth and penetrating analysis on all 192 00:12:42,360 --> 00:12:47,000 Speaker 1: the top news stories focusing on racism, criminal and social justice, politics, 193 00:12:47,080 --> 00:12:51,400 Speaker 1: police brutality, karents, and much more. Listeners can also expect 194 00:12:51,440 --> 00:12:56,280 Speaker 1: interviews with fascinating guests, political leaders, commentators, and even fiery 195 00:12:56,360 --> 00:13:00,000 Speaker 1: debates with conservatives on a wide range of policy topics. 196 00:12:59,800 --> 00:13:03,560 Speaker 1: In the Bullpen. It is an indisputable fact that you 197 00:13:03,600 --> 00:13:07,280 Speaker 1: will love this show. Listen to Indisputable with Doctor Rashad 198 00:13:07,400 --> 00:13:11,439 Speaker 1: Ricci on Apple Podcasts, Spotify, or wherever you get your podcasts. 199 00:13:11,720 --> 00:13:14,160 Speaker 1: If you like what you hear, be sure to subscribe 200 00:13:14,360 --> 00:13:25,240 Speaker 1: so you never miss a new episode. Folks, I am 201 00:13:25,400 --> 00:13:28,360 Speaker 1: very happy to welcome to okay F for the very 202 00:13:28,400 --> 00:13:33,440 Speaker 1: first time, Elizabeth Finley, who is the director of Communications 203 00:13:33,480 --> 00:13:41,640 Speaker 1: for the National Coalition of STDs. Elizabeth, there is an alarming, 204 00:13:42,200 --> 00:13:46,600 Speaker 1: alarming trend that has been happening that we don't hear 205 00:13:46,640 --> 00:13:50,880 Speaker 1: about on the news. I've seen a couple of articles 206 00:13:51,679 --> 00:13:55,280 Speaker 1: about the rise and STDs and the rise and STIs 207 00:13:55,360 --> 00:13:58,840 Speaker 1: and the fact that there are cases of syphilis that 208 00:13:58,880 --> 00:14:01,160 Speaker 1: are being reported, and I could have sworn that we 209 00:14:01,200 --> 00:14:05,800 Speaker 1: eradicated syphilis in this country and that has been making 210 00:14:06,000 --> 00:14:10,960 Speaker 1: a comeback. All of this kind of had a catastrophic 211 00:14:11,480 --> 00:14:16,720 Speaker 1: intertwining or explosion during the pandemic, when in fact I 212 00:14:16,720 --> 00:14:19,760 Speaker 1: thought that we were all locked at home. So what 213 00:14:19,960 --> 00:14:24,720 Speaker 1: has can you tell us when this trend, this surge began, 214 00:14:25,560 --> 00:14:28,520 Speaker 1: and how we got to the moment that we're in 215 00:14:28,640 --> 00:14:32,720 Speaker 1: and why folks need to be paying attention. Sure, so 216 00:14:32,760 --> 00:14:35,840 Speaker 1: we've seen a rise in some of the most common 217 00:14:36,000 --> 00:14:41,880 Speaker 1: sexually transmitted infections over about the last twenty years we've 218 00:14:41,920 --> 00:14:48,160 Speaker 1: seen so those are things like gonorrhea, chlamydia, syphilis. The 219 00:14:48,160 --> 00:14:52,160 Speaker 1: one that's really alarming to folks is congenital syphilis, so 220 00:14:52,320 --> 00:14:56,960 Speaker 1: syphilis in babies when the mother has syphilis and it's 221 00:14:56,960 --> 00:15:00,480 Speaker 1: not treated in pregnancy and so the baby's born with syphilis. 222 00:15:00,560 --> 00:15:05,400 Speaker 1: That's a public health issue that had been completely eradicated 223 00:15:05,560 --> 00:15:09,480 Speaker 1: ten years ago and in the past five years has 224 00:15:09,600 --> 00:15:13,000 Speaker 1: grown by more than two hundred and thirty percent. So 225 00:15:13,040 --> 00:15:17,680 Speaker 1: those rates are skyrocketing they were before the pandemic, and 226 00:15:17,720 --> 00:15:20,520 Speaker 1: we just got the latest data from the CDC about 227 00:15:20,560 --> 00:15:23,480 Speaker 1: a month ago, and it showed that those rates continued 228 00:15:23,520 --> 00:15:28,080 Speaker 1: to climb in the pandemic. Oh my god, a two 229 00:15:28,160 --> 00:15:32,960 Speaker 1: hundred and thirty some odd increase in cases in women. 230 00:15:33,720 --> 00:15:36,480 Speaker 1: And what I read and so you clarify for me, 231 00:15:36,880 --> 00:15:44,480 Speaker 1: is that oftentimes, particularly around syphilis, you don't necessarily have symptoms, right, 232 00:15:44,600 --> 00:15:48,600 Speaker 1: so you may not then know that you have contracted this. 233 00:15:49,040 --> 00:15:53,160 Speaker 1: Now you're pregnant, you have a baby, and now recognize 234 00:15:53,200 --> 00:15:57,600 Speaker 1: that this has happened. Why are we seeing this surge? 235 00:15:57,720 --> 00:16:01,800 Speaker 1: And has something happened with our screening, you know, with 236 00:16:01,880 --> 00:16:05,640 Speaker 1: regular O, B, G, Y N check ins and particularly 237 00:16:05,640 --> 00:16:11,800 Speaker 1: for women, why we are seeing this rise? Right? So 238 00:16:12,000 --> 00:16:16,840 Speaker 1: you're absolutely right that the screening that happens during obstetric 239 00:16:16,880 --> 00:16:20,520 Speaker 1: care during pregnancy is the way that we catch this. 240 00:16:21,360 --> 00:16:23,400 Speaker 1: And what the folks I work would say is anytime 241 00:16:23,440 --> 00:16:26,320 Speaker 1: you see a clime in adult syphilis, you see this 242 00:16:26,400 --> 00:16:31,680 Speaker 1: clime in congenital syphilis. And what really happened during the 243 00:16:31,720 --> 00:16:36,040 Speaker 1: pandemic is women women were doing more telehealth, They weren't 244 00:16:36,040 --> 00:16:40,320 Speaker 1: going in quite as frequently for in person care. You know, 245 00:16:40,760 --> 00:16:44,920 Speaker 1: states screen for congenital syphilis or syphilis, and pregnant women 246 00:16:45,040 --> 00:16:49,000 Speaker 1: in the first trimester, and some states screen in the 247 00:16:49,000 --> 00:16:52,760 Speaker 1: third trimester, and so if women missed those first trimester 248 00:16:53,120 --> 00:16:56,840 Speaker 1: appointments in the pandemic or just did a telehealth appointment instead, 249 00:16:57,320 --> 00:17:02,000 Speaker 1: they weren't getting those screenings and same deal in the 250 00:17:02,000 --> 00:17:06,320 Speaker 1: third trimester. I think we also see with syphilis, especially 251 00:17:06,520 --> 00:17:11,639 Speaker 1: it intersects with some other health and political issues. So 252 00:17:12,200 --> 00:17:16,120 Speaker 1: syphilis spreads really easily among people who use drugs, and 253 00:17:16,200 --> 00:17:20,080 Speaker 1: we see in places where drug use, especially in pregnancy, 254 00:17:20,200 --> 00:17:24,520 Speaker 1: is heavily criminalized. You know, if if you're afraid that 255 00:17:24,800 --> 00:17:29,640 Speaker 1: you're going to be incarcerated or arrested or have your 256 00:17:29,760 --> 00:17:32,879 Speaker 1: baby taken away, like that's a pretty good reason not 257 00:17:32,920 --> 00:17:35,720 Speaker 1: to go seek obstetric care, and so then you don't 258 00:17:35,760 --> 00:17:39,120 Speaker 1: get screened and you don't get treated. We also saw 259 00:17:39,359 --> 00:17:44,639 Speaker 1: big rises in syphilis among you know, women who are 260 00:17:44,640 --> 00:17:48,800 Speaker 1: categorized as Hispanic in the government data. And we know 261 00:17:48,960 --> 00:17:53,000 Speaker 1: from from lots and lots of places in sexual healthcare 262 00:17:53,000 --> 00:17:56,800 Speaker 1: and reproductive healthcare that if you're afraid of talking about 263 00:17:56,800 --> 00:18:02,120 Speaker 1: your documentation status in healthcare or you know, you're less 264 00:18:02,160 --> 00:18:05,240 Speaker 1: likely to go in and so so it's just this 265 00:18:05,359 --> 00:18:11,040 Speaker 1: sort of massive convergence of issues. The lack of access 266 00:18:11,040 --> 00:18:15,359 Speaker 1: to care in general, which we've seen clime for years, 267 00:18:16,000 --> 00:18:19,600 Speaker 1: and especially during the pandemic. The intersection, especially with the 268 00:18:19,600 --> 00:18:25,160 Speaker 1: opioid epidemic, issues around population and immigration, all of these 269 00:18:25,160 --> 00:18:29,159 Speaker 1: things kind of come together, and public health really thinks 270 00:18:29,280 --> 00:18:32,919 Speaker 1: of congenital syphilis as this bellweather issue, right Like, in 271 00:18:32,960 --> 00:18:38,320 Speaker 1: an ideal situation, we're testing for sexually transmitted infections regularly 272 00:18:38,359 --> 00:18:42,520 Speaker 1: and maybe it gets caught that way. And separately, folks 273 00:18:42,560 --> 00:18:46,359 Speaker 1: who work on maternal health need to get people in 274 00:18:46,560 --> 00:18:51,719 Speaker 1: for those prenatal visits, you know. So folks in public 275 00:18:51,760 --> 00:18:55,239 Speaker 1: health are thinking about this congenital syphilis issue as just 276 00:18:55,280 --> 00:19:00,359 Speaker 1: a real collapse, right because it means that our sexually 277 00:19:00,359 --> 00:19:04,199 Speaker 1: transmitted infection screening protocols are falling apart. It means that 278 00:19:04,840 --> 00:19:10,000 Speaker 1: prenatal care is falling apart, and those were both heavily 279 00:19:10,040 --> 00:19:15,520 Speaker 1: exacerbated by the pandemic. What does this look like, this 280 00:19:15,640 --> 00:19:18,240 Speaker 1: trend that we are seeing that is happening in the 281 00:19:18,240 --> 00:19:25,560 Speaker 1: wrong direction. How does the overturning, rescinding, erasing of Roe v. 282 00:19:25,720 --> 00:19:32,440 Speaker 1: Wade play into this rise in STDs and STIs what 283 00:19:33,000 --> 00:19:37,399 Speaker 1: happens next? Can you paint that picture for us? Right? So, 284 00:19:38,119 --> 00:19:41,639 Speaker 1: we're interested in talking about this issue because obviously the 285 00:19:41,680 --> 00:19:45,640 Speaker 1: most immediate concern is access to abortion and abortion care, 286 00:19:46,560 --> 00:19:50,119 Speaker 1: and we don't want to minimize that at all. But 287 00:19:50,280 --> 00:19:53,040 Speaker 1: we think as people are talking about this, they're missing 288 00:19:53,119 --> 00:19:56,560 Speaker 1: how this is going to cascade into other areas of healthcare. 289 00:19:57,080 --> 00:20:02,520 Speaker 1: And when we think about how people get tested and 290 00:20:02,600 --> 00:20:06,160 Speaker 1: treated for sexually transmitted infections and really like that that's 291 00:20:06,200 --> 00:20:09,080 Speaker 1: the core of prevention. People like really quickly think, oh, 292 00:20:09,119 --> 00:20:11,479 Speaker 1: you wear a condom and you don't get a sexually 293 00:20:11,480 --> 00:20:15,520 Speaker 1: transmitted infection. But really the most important part of this 294 00:20:15,600 --> 00:20:20,359 Speaker 1: puzzle is testing and treatment. And when we think about 295 00:20:20,400 --> 00:20:25,680 Speaker 1: what testing and treatment looks like, access is a huge 296 00:20:25,720 --> 00:20:29,280 Speaker 1: issue and stigma is a huge issue. And so with 297 00:20:29,320 --> 00:20:32,439 Speaker 1: the fall of Row, we worry about the number of 298 00:20:32,480 --> 00:20:35,960 Speaker 1: clinics they're going to be available. The folks who provide 299 00:20:36,000 --> 00:20:40,600 Speaker 1: sexual and reproductive healthcare are so important in the work 300 00:20:40,680 --> 00:20:45,000 Speaker 1: to address sexually transmitted infections. They're comfortable talking about sex. 301 00:20:45,240 --> 00:20:48,040 Speaker 1: You're going into a clinic knowing that that's what you're 302 00:20:48,040 --> 00:20:50,560 Speaker 1: going to talk about. We still see a lot of 303 00:20:50,720 --> 00:20:55,080 Speaker 1: hesitancy from primary care providers. You know, if you're just 304 00:20:55,160 --> 00:20:59,000 Speaker 1: going in for your annual physical you know, how comfortable 305 00:20:59,119 --> 00:21:01,840 Speaker 1: is that person talking about sex? How comfortable are you 306 00:21:01,920 --> 00:21:05,280 Speaker 1: talking about sex with that person? And so these sexual 307 00:21:05,320 --> 00:21:11,200 Speaker 1: healthcare providers that also provide family planning services, abortion services, 308 00:21:11,359 --> 00:21:14,720 Speaker 1: they're just a really important piece of our puzzle. And 309 00:21:14,800 --> 00:21:19,000 Speaker 1: so we worry about what happens when those providers go away, 310 00:21:19,920 --> 00:21:24,800 Speaker 1: both as centers where people can get healthcare and also 311 00:21:24,960 --> 00:21:28,800 Speaker 1: just as advocates in their community. Is safe spaces in 312 00:21:28,840 --> 00:21:32,000 Speaker 1: their community where folks know that they can go, you know, 313 00:21:32,040 --> 00:21:35,360 Speaker 1: And then there's this stigma piece, right, There's always been 314 00:21:35,440 --> 00:21:39,159 Speaker 1: stigma around sexual health. We know that it exists. We 315 00:21:39,800 --> 00:21:43,000 Speaker 1: work with our members and our networks to try to 316 00:21:43,040 --> 00:21:46,399 Speaker 1: reduce that stigma. But in this time when they are 317 00:21:46,440 --> 00:21:50,840 Speaker 1: all of these forces talking about criminalizing and reproductive healthcare, 318 00:21:51,400 --> 00:21:55,000 Speaker 1: you know, and just more broader in a cultural sense, 319 00:21:55,840 --> 00:21:59,440 Speaker 1: the attacks on transfolks that don't say gay bill. It's 320 00:21:59,480 --> 00:22:03,480 Speaker 1: just this moment of cultural contraption. And what does that 321 00:22:03,600 --> 00:22:08,000 Speaker 1: do in terms of allowing people to go get the 322 00:22:08,040 --> 00:22:11,240 Speaker 1: sexual and reproductive healthcare they need? And are we entering 323 00:22:11,280 --> 00:22:15,280 Speaker 1: this sort of darker period where people can't do that 324 00:22:15,400 --> 00:22:20,240 Speaker 1: safely or even worse, are we going to see more 325 00:22:20,400 --> 00:22:26,399 Speaker 1: of these court precedents fall that allow people to have privacy, 326 00:22:26,480 --> 00:22:30,040 Speaker 1: which is really the bedrock of all sexual and reproductive healthcare. 327 00:22:31,160 --> 00:22:34,119 Speaker 1: You know, I'm thinking and follow me for a minute 328 00:22:34,480 --> 00:22:37,359 Speaker 1: while you're speaking, and I'm thinking to myself, we have 329 00:22:37,440 --> 00:22:42,160 Speaker 1: states right now that have criminalized abortion, criminalized abortion care, 330 00:22:42,480 --> 00:22:46,200 Speaker 1: have put together, like Texas and other copycat red states, 331 00:22:46,520 --> 00:22:51,960 Speaker 1: vigilante laws that are in place to prosecute women and 332 00:22:52,080 --> 00:22:55,640 Speaker 1: any people with uteruses and anyone that seeks to aid them. 333 00:22:56,200 --> 00:23:04,280 Speaker 1: I'm wondering, if congenial syphilis is on the rise, is 334 00:23:04,320 --> 00:23:08,719 Speaker 1: this something that could then become potentially a criminal issue 335 00:23:09,320 --> 00:23:14,320 Speaker 1: on you know, on those that oppose abortion care, Like, 336 00:23:14,359 --> 00:23:17,719 Speaker 1: are we looking at other ways in which people with 337 00:23:17,840 --> 00:23:21,600 Speaker 1: uterus is and who are having children can be prosecuted? 338 00:23:22,119 --> 00:23:25,600 Speaker 1: And it all comes back to lack of education, lack 339 00:23:25,640 --> 00:23:30,119 Speaker 1: of care, lack of services, all of these. But then 340 00:23:30,520 --> 00:23:35,000 Speaker 1: but then the bad outcomes then become the problem of 341 00:23:35,040 --> 00:23:41,440 Speaker 1: that of that pregnant person. Absolutely, absolutely, we already see 342 00:23:42,080 --> 00:23:46,480 Speaker 1: states where where people are criminalized for drug use in pregnancy. 343 00:23:46,560 --> 00:23:48,640 Speaker 1: That's part of why they don't seek care and don't 344 00:23:48,640 --> 00:23:52,320 Speaker 1: get treatment for that syphilis. Um, it's a it's a 345 00:23:52,359 --> 00:23:54,719 Speaker 1: big problem. We need folks to feel safe when they 346 00:23:54,760 --> 00:23:58,040 Speaker 1: go get healthcare, and when we listen to legal analysts 347 00:23:58,040 --> 00:24:03,960 Speaker 1: talk about what's next, you know, what laws do folks challenge. 348 00:24:04,040 --> 00:24:07,080 Speaker 1: We have come to take for granted that we get 349 00:24:07,119 --> 00:24:13,400 Speaker 1: to make decisions about our own bodies beyond abortion, right 350 00:24:13,520 --> 00:24:15,840 Speaker 1: like how do we protect ourselves from pregnancy? How do 351 00:24:15,880 --> 00:24:19,639 Speaker 1: we protect ourselves from HIV? With things like prep, how 352 00:24:19,640 --> 00:24:25,480 Speaker 1: do we protect ourselves from sexually transmitted infections? And beyond that? 353 00:24:26,080 --> 00:24:28,919 Speaker 1: You know, one of the cases that legal analysts talk 354 00:24:28,960 --> 00:24:32,399 Speaker 1: about is lawrence, So what kinds of sex are we 355 00:24:32,440 --> 00:24:35,560 Speaker 1: allowed to have? Who are we allowed to have sex with? 356 00:24:36,040 --> 00:24:39,080 Speaker 1: You know, if you can't go into your doctor and 357 00:24:39,240 --> 00:24:43,320 Speaker 1: talk in your sexual health screening about what it is 358 00:24:43,359 --> 00:24:46,280 Speaker 1: you're doing and with whom and what kind of care 359 00:24:46,400 --> 00:24:50,679 Speaker 1: you need, then then providers have no way of protecting 360 00:24:50,720 --> 00:24:54,600 Speaker 1: you from a pregnancy that you don't want, HIV that 361 00:24:54,680 --> 00:24:57,840 Speaker 1: you don't want, a sexually transmitted infection that you don't want. 362 00:24:59,040 --> 00:25:03,119 Speaker 1: I mean, I just think of about how terrifying of 363 00:25:03,280 --> 00:25:06,240 Speaker 1: a climate that we are creating right now, that we 364 00:25:06,280 --> 00:25:10,080 Speaker 1: are allowing to happen and not really thinking about the 365 00:25:10,119 --> 00:25:13,439 Speaker 1: cascading effects. Like you said with regard to what it 366 00:25:13,480 --> 00:25:17,879 Speaker 1: looks like when people are not able to comfortably and 367 00:25:18,040 --> 00:25:23,720 Speaker 1: openly speak about what has happened, whether that be a miscarriage, 368 00:25:23,760 --> 00:25:27,280 Speaker 1: whether that be an infection, to be able to get 369 00:25:27,320 --> 00:25:30,840 Speaker 1: to the core of the needs that they have. If 370 00:25:30,840 --> 00:25:33,480 Speaker 1: you feel like then the provider that you're speaking to, 371 00:25:34,119 --> 00:25:36,280 Speaker 1: by virtue of your state law, can pick up the 372 00:25:36,280 --> 00:25:39,600 Speaker 1: phone and call the authorities like what I mean, can 373 00:25:39,640 --> 00:25:44,720 Speaker 1: you talk about, like how do we battle stigma in 374 00:25:44,880 --> 00:25:52,920 Speaker 1: a climate that has become increasingly hostile to everyone gets 375 00:25:53,080 --> 00:25:56,359 Speaker 1: it gets really hard. I think one wonderful thing that 376 00:25:56,480 --> 00:26:00,560 Speaker 1: reproductive health and rights organizations are doing right now is 377 00:26:00,600 --> 00:26:04,040 Speaker 1: just reminding people the reality that abortion is still available. 378 00:26:04,920 --> 00:26:09,520 Speaker 1: You know, we are talking about some real, real potential 379 00:26:09,760 --> 00:26:13,120 Speaker 1: for a dystopian future, and we're not there quite yet, 380 00:26:13,720 --> 00:26:16,200 Speaker 1: you know. So it is important for folks to understand 381 00:26:16,240 --> 00:26:18,080 Speaker 1: the care that they can get right now and that 382 00:26:18,240 --> 00:26:20,159 Speaker 1: and some of that varies by who you are and 383 00:26:20,200 --> 00:26:23,920 Speaker 1: by state, um, but I think it's important for people 384 00:26:23,920 --> 00:26:27,119 Speaker 1: to know that we're not quite there yet, and we 385 00:26:27,160 --> 00:26:31,680 Speaker 1: need to push back on what this looks like. One 386 00:26:31,720 --> 00:26:35,920 Speaker 1: thing that's really interesting when we look at the data 387 00:26:36,000 --> 00:26:40,159 Speaker 1: on sexually transmitted infections is that more than half of 388 00:26:40,200 --> 00:26:44,480 Speaker 1: sexually transmitted infections right now are in young people, and 389 00:26:45,000 --> 00:26:49,720 Speaker 1: so those are people who already have a higher level 390 00:26:49,840 --> 00:26:55,080 Speaker 1: of fear around privacy. And before coming to NCSD, I 391 00:26:55,119 --> 00:26:58,560 Speaker 1: worked on young people's sexual health, and so what we 392 00:26:58,680 --> 00:27:01,879 Speaker 1: saw over and Regan is young people who were afraid 393 00:27:01,920 --> 00:27:07,760 Speaker 1: to seek care because they didn't understand the privacy protections 394 00:27:07,760 --> 00:27:10,000 Speaker 1: that already exist in the same way an adult might, 395 00:27:10,440 --> 00:27:12,320 Speaker 1: you know, like maybe they've heard of hip hop, but 396 00:27:13,280 --> 00:27:16,560 Speaker 1: they look at a clinic, especially for people who live 397 00:27:16,800 --> 00:27:21,360 Speaker 1: in smaller towns, in rural areas, they're like, all right, 398 00:27:21,760 --> 00:27:25,399 Speaker 1: this person at the front desk checking me into my appointment, 399 00:27:25,440 --> 00:27:28,320 Speaker 1: goes to church with my grandma, or like as a 400 00:27:28,359 --> 00:27:32,280 Speaker 1: person that my mom sees the supermarket, you know, like 401 00:27:32,560 --> 00:27:36,119 Speaker 1: are they going to go tell that I'm here or 402 00:27:36,160 --> 00:27:39,200 Speaker 1: what I'm here for? So this gives us a window 403 00:27:39,280 --> 00:27:43,040 Speaker 1: to see what it looks like when people aren't sure 404 00:27:43,640 --> 00:27:47,520 Speaker 1: that they can get safe and private healthcare. And we 405 00:27:47,640 --> 00:27:51,520 Speaker 1: see that in these rates of sexually transmitted infections in 406 00:27:51,640 --> 00:27:55,040 Speaker 1: young people that are far higher than they are in adults. 407 00:27:56,160 --> 00:28:00,560 Speaker 1: Can you provide some just a picture of where are 408 00:28:00,600 --> 00:28:04,719 Speaker 1: you seeing the rise? Are there particular states, particular regions 409 00:28:05,240 --> 00:28:09,680 Speaker 1: where we should be paying attention and using them, using 410 00:28:09,680 --> 00:28:13,760 Speaker 1: those particular areas and states as like a testing ground 411 00:28:13,880 --> 00:28:17,000 Speaker 1: for what we need to do in preparation for this 412 00:28:17,160 --> 00:28:21,000 Speaker 1: dystopian future. But how you can help people right now? 413 00:28:21,520 --> 00:28:24,920 Speaker 1: Is it just read states? Is it low income states? 414 00:28:25,359 --> 00:28:27,760 Speaker 1: What does it What does it look like in terms 415 00:28:27,760 --> 00:28:31,840 Speaker 1: of where we're seeing these surges? You know, it really 416 00:28:31,920 --> 00:28:34,920 Speaker 1: does vary, and this is a nationwide problem, and it 417 00:28:35,320 --> 00:28:41,160 Speaker 1: frankly varies by infection, you know. So so some of 418 00:28:41,200 --> 00:28:43,680 Speaker 1: the states we see that have higher syphilis rates are 419 00:28:43,720 --> 00:28:48,360 Speaker 1: not necessarily the same states that um that we see 420 00:28:48,360 --> 00:28:52,440 Speaker 1: have the higher Gunner rearrates for example. Uh, you know, 421 00:28:52,520 --> 00:28:54,920 Speaker 1: so what this means for us is that we need 422 00:28:55,000 --> 00:28:59,960 Speaker 1: a better nationwide network for dealing with this. The nation 423 00:29:00,320 --> 00:29:03,880 Speaker 1: has a federally funded family planning program, but there's not 424 00:29:03,880 --> 00:29:08,200 Speaker 1: an equivalent for sexually transmitted infections. We're really relying on 425 00:29:08,640 --> 00:29:13,800 Speaker 1: those family planning clinics or um or primary care providers 426 00:29:13,880 --> 00:29:16,120 Speaker 1: to step up and do that testing. And we really 427 00:29:16,160 --> 00:29:20,200 Speaker 1: do have this need for a national response and a 428 00:29:20,320 --> 00:29:24,120 Speaker 1: national network of clinics. You know, for us working at 429 00:29:24,120 --> 00:29:27,160 Speaker 1: the national level, it's not as cut and dry as 430 00:29:27,240 --> 00:29:32,720 Speaker 1: something like maternal mortality. You know where we look at 431 00:29:32,760 --> 00:29:36,480 Speaker 1: the South and we see like, these are the parts 432 00:29:36,560 --> 00:29:40,600 Speaker 1: of the country. These are the states where women and 433 00:29:40,800 --> 00:29:44,720 Speaker 1: especially women of color, are dying at much higher rates 434 00:29:44,720 --> 00:29:48,960 Speaker 1: from pregnancy related causes. And so when those states automatically 435 00:29:49,160 --> 00:29:53,280 Speaker 1: ban abortion, that's going to get much worse. It's it's 436 00:29:53,320 --> 00:29:57,440 Speaker 1: not as clear picture with STDs, and so what you're 437 00:29:57,440 --> 00:30:02,600 Speaker 1: going to see happen is is those gaps between how 438 00:30:02,640 --> 00:30:07,720 Speaker 1: healthy people are in states where abortion is banned is 439 00:30:07,720 --> 00:30:12,440 Speaker 1: going to get worse and and they're going to in 440 00:30:12,480 --> 00:30:14,960 Speaker 1: some cases maybe have to go seek care in other 441 00:30:15,040 --> 00:30:19,880 Speaker 1: states or just just for go care altogether. One thing 442 00:30:19,880 --> 00:30:23,000 Speaker 1: that we know about sexually transmitted infections is a lot 443 00:30:23,040 --> 00:30:25,560 Speaker 1: of them are asymptomatic. And so part of the reason 444 00:30:25,640 --> 00:30:30,040 Speaker 1: you saw the big rise during the pandemic is you know, 445 00:30:30,480 --> 00:30:34,240 Speaker 1: people were going to get care if they had symptoms 446 00:30:34,280 --> 00:30:37,800 Speaker 1: of a sexually transmitted infection, but they weren't going in 447 00:30:37,880 --> 00:30:41,760 Speaker 1: for like the routine visit where somebody's going to say, like, okay, 448 00:30:41,800 --> 00:30:44,680 Speaker 1: while you're here, will do a chlamydius screening. Like that's 449 00:30:45,000 --> 00:30:48,520 Speaker 1: that's where we really missed a lot of cases. And 450 00:30:48,600 --> 00:30:53,520 Speaker 1: so like if nobody's screening you for that asymptomatic infection 451 00:30:54,160 --> 00:30:57,840 Speaker 1: in your red state where your clinic has closed, Like, 452 00:30:57,920 --> 00:31:00,360 Speaker 1: it's just not going to get caught, right, and it's 453 00:31:00,360 --> 00:31:03,320 Speaker 1: not going to get treated. And we know that for 454 00:31:03,400 --> 00:31:06,240 Speaker 1: some of these sexually transmitted infections, one of the long 455 00:31:06,360 --> 00:31:12,120 Speaker 1: term impacts is a higher rate of ectopic pregnancies, you know, 456 00:31:12,240 --> 00:31:15,320 Speaker 1: So it becomes it's going to become this cycle, right, 457 00:31:15,720 --> 00:31:19,200 Speaker 1: Women in some states won't get treated for their sexually 458 00:31:19,200 --> 00:31:22,360 Speaker 1: transmitted infections because they're not going to get tested, and 459 00:31:22,400 --> 00:31:26,000 Speaker 1: then they're going to have health challenges in the long term, 460 00:31:26,200 --> 00:31:30,320 Speaker 1: including pregnancy complications, and then they can't get treated for those. 461 00:31:31,880 --> 00:31:36,840 Speaker 1: Last question for you, Elizabeth, is this, when we are 462 00:31:36,880 --> 00:31:40,680 Speaker 1: all as patients going in, whether it is for an 463 00:31:40,680 --> 00:31:46,040 Speaker 1: obg I end check up or our regular physicals, should 464 00:31:46,080 --> 00:31:50,080 Speaker 1: we be asking and how do we ask for this 465 00:31:50,160 --> 00:31:54,720 Speaker 1: type of screening that I'm assuming is covered under many 466 00:31:54,760 --> 00:31:57,880 Speaker 1: people's insurances, but I'm sure that depends on what kind 467 00:31:57,880 --> 00:32:00,240 Speaker 1: of insurance and what state you live in, on the 468 00:32:00,320 --> 00:32:03,560 Speaker 1: all of those things. But how should we as patients 469 00:32:03,640 --> 00:32:08,880 Speaker 1: be advocating for ourselves in our care right now? Yeah? Absolutely, 470 00:32:09,040 --> 00:32:14,520 Speaker 1: ask for those tests from from your provider. Ideally what 471 00:32:14,560 --> 00:32:19,120 Speaker 1: would happen is your provider would ask about about what 472 00:32:19,240 --> 00:32:22,360 Speaker 1: you need and what you're doing and what kind of 473 00:32:22,400 --> 00:32:26,720 Speaker 1: sex u you know, sexual health needs, sexual health practices 474 00:32:26,800 --> 00:32:29,920 Speaker 1: you have, and then offer up screening based on that. 475 00:32:30,240 --> 00:32:32,800 Speaker 1: It is okay to say and I want to be 476 00:32:32,840 --> 00:32:36,840 Speaker 1: screened for STIs, you know, just like ask upfront and 477 00:32:37,040 --> 00:32:40,120 Speaker 1: they will most likely like run the tests while you're there. 478 00:32:41,320 --> 00:32:44,520 Speaker 1: And that's a great thing to do every year or 479 00:32:44,600 --> 00:32:49,000 Speaker 1: more frequently if you're sexually active and have different sex partners. 480 00:32:50,080 --> 00:32:53,240 Speaker 1: That's just a good a good health practice. So definitely 481 00:32:53,400 --> 00:32:58,000 Speaker 1: ask for those tests and ideally your provider will will 482 00:32:58,000 --> 00:33:02,160 Speaker 1: bring it up for you do. Elizabeth, thank you so 483 00:33:02,280 --> 00:33:05,280 Speaker 1: much for the work that you are doing for coming 484 00:33:05,280 --> 00:33:08,320 Speaker 1: on Woke app and essentially raising the alarm on an 485 00:33:08,360 --> 00:33:11,000 Speaker 1: issue that we have not talked about on the show 486 00:33:11,040 --> 00:33:15,520 Speaker 1: before and is inextricably tied to the conversations that we 487 00:33:15,520 --> 00:33:18,280 Speaker 1: are having on the attacks against abortion and repro health 488 00:33:18,320 --> 00:33:22,280 Speaker 1: in general. So we appreciate you and your time. Thank 489 00:33:22,280 --> 00:33:25,160 Speaker 1: you so much. Get a behind the scenes look at 490 00:33:25,160 --> 00:33:28,560 Speaker 1: Comedy Central's The Daily Show. Beyond the Scenes, an original 491 00:33:28,600 --> 00:33:31,280 Speaker 1: podcast from the Daily Show with Trevor Noah. Every week, 492 00:33:31,320 --> 00:33:33,960 Speaker 1: host Roy Wood Junior goes deeper with the notable guests 493 00:33:33,960 --> 00:33:36,880 Speaker 1: and experts from the Emmy Award winning series. Together, they 494 00:33:37,000 --> 00:33:40,080 Speaker 1: use comedy to tackle current topics from gentrification to gun 495 00:33:40,160 --> 00:33:42,240 Speaker 1: laws and take a closer look at how and why 496 00:33:42,280 --> 00:33:44,800 Speaker 1: these topics matter. Listen to Beyond the Scenes from The 497 00:33:44,880 --> 00:33:47,760 Speaker 1: Daily Show with Trevor Noah on the iHeartRadio app, Apple 498 00:33:47,800 --> 00:33:52,240 Speaker 1: Podcast or wherever you get your podcast, New episodes every Tuesday. 499 00:33:58,280 --> 00:34:00,600 Speaker 1: That is it for Me today, Dear friends, on this 500 00:34:00,760 --> 00:34:03,640 Speaker 1: Woke a f as always, Power to the people and 501 00:34:03,720 --> 00:34:07,040 Speaker 1: to all the people. Power, get woke and stay woke 502 00:34:07,120 --> 00:34:14,760 Speaker 1: as fun. Get a behind the scenes look at Comedy 503 00:34:14,800 --> 00:34:17,800 Speaker 1: Central's The Daily Show on Beyond the Scenes, an original 504 00:34:17,840 --> 00:34:20,520 Speaker 1: podcast from The Daily Show with Trevor Noah. Every week, 505 00:34:20,560 --> 00:34:23,200 Speaker 1: host Roy Wood Junior goes deeper with the notable guests 506 00:34:23,200 --> 00:34:26,120 Speaker 1: and experts from the Emmy Award winning series. Together, they 507 00:34:26,239 --> 00:34:29,319 Speaker 1: use comedy to tackle current topics from gentrification to gun 508 00:34:29,400 --> 00:34:31,479 Speaker 1: laws and take a closer look at how and why 509 00:34:31,520 --> 00:34:34,040 Speaker 1: these topics matter. Listen to Beyond the Scenes from the 510 00:34:34,120 --> 00:34:37,000 Speaker 1: Daily Show with Trevor Noah on the iHeartRadio app, Apple 511 00:34:37,040 --> 00:34:42,880 Speaker 1: Podcast or wherever you get your podcast, new episodes every Tuesday.