1 00:00:02,800 --> 00:00:11,160 Speaker 1: This is Teddy Teapot with Teddy Mellencamp. Hi, guys, this 2 00:00:11,280 --> 00:00:14,040 Speaker 1: is Teddy Mellencamp and I am joined today by my 3 00:00:14,120 --> 00:00:17,560 Speaker 1: friends Tanya rad and Cheryl Burke. Thank you guys so 4 00:00:17,640 --> 00:00:21,400 Speaker 1: much for being here. It's been a wild year and 5 00:00:21,400 --> 00:00:24,600 Speaker 1: a half and we still have tons of questions regarding 6 00:00:24,640 --> 00:00:28,360 Speaker 1: mental health, general health, COVID, etcetera. So today we've lined 7 00:00:28,440 --> 00:00:33,320 Speaker 1: up an amazing panel from Providence healthcare experts to answer 8 00:00:33,400 --> 00:00:36,599 Speaker 1: all of our questions. So, ladies, thank you guys so 9 00:00:36,680 --> 00:00:39,520 Speaker 1: much for being here. How are y'all doing good? Thanks 10 00:00:39,560 --> 00:00:42,640 Speaker 1: for having us? Yeah? Good. I'm glad that we're doing 11 00:00:42,680 --> 00:00:45,280 Speaker 1: this because I think that, you know, especially for me, 12 00:00:45,320 --> 00:00:48,839 Speaker 1: I'm really open and vocal about being a woman and 13 00:00:48,880 --> 00:00:50,800 Speaker 1: all the health concerns that I do have. And I 14 00:00:50,840 --> 00:00:53,200 Speaker 1: feel like, you know, we get a lot of fear 15 00:00:53,320 --> 00:00:55,680 Speaker 1: because we don't know. So I feel like knowledge is 16 00:00:55,760 --> 00:00:59,720 Speaker 1: power and that's exactly what we want to do today. 17 00:00:59,760 --> 00:01:03,040 Speaker 1: So Providence caregivers, they really are different and they take 18 00:01:03,080 --> 00:01:06,080 Speaker 1: the time to see patients for who they are as 19 00:01:06,080 --> 00:01:09,679 Speaker 1: individuals by really getting to know them and partnering with 20 00:01:09,720 --> 00:01:11,840 Speaker 1: them to help them live the life that they deserve. 21 00:01:12,360 --> 00:01:15,760 Speaker 1: And so Today we're going to talk to three doctors 22 00:01:15,800 --> 00:01:20,960 Speaker 1: from Providence about some important women's health topics ranging everything 23 00:01:21,000 --> 00:01:23,560 Speaker 1: that you know Teddy Cheryl, you guys talk about, ranging 24 00:01:23,600 --> 00:01:28,960 Speaker 1: from mental wellness, annual health screenings, motherhood, healthy lifestyles. It's 25 00:01:29,080 --> 00:01:32,280 Speaker 1: a lot to cover. UM and Providence they have a 26 00:01:32,280 --> 00:01:34,920 Speaker 1: mission for serving the poor and vulnerable and they are 27 00:01:34,920 --> 00:01:39,200 Speaker 1: committed to ensuring equitable and affordable access to health services 28 00:01:39,240 --> 00:01:42,680 Speaker 1: for all people, which is very very important. And they 29 00:01:42,720 --> 00:01:46,160 Speaker 1: also invest billions of dollars to help build healthy communities 30 00:01:46,200 --> 00:01:49,720 Speaker 1: across the Western United States. So really really excited to 31 00:01:49,760 --> 00:01:52,960 Speaker 1: be partnering with them, and Providence caregivers pride themselves on 32 00:01:53,040 --> 00:01:58,559 Speaker 1: clinical excellence and compassionate relationships. So yeah, like I said, 33 00:01:58,600 --> 00:02:00,160 Speaker 1: we are going to be joined. I want to ring 34 00:02:00,280 --> 00:02:03,160 Speaker 1: and two of the doctors UM with us right now. 35 00:02:03,280 --> 00:02:06,480 Speaker 1: So we have Dctor Robin Henderson, she is the chief 36 00:02:06,520 --> 00:02:10,720 Speaker 1: Executive Behavioral Health at Providence. And then we have doctor 37 00:02:10,880 --> 00:02:15,440 Speaker 1: Wando An Yogu, she is the Chief Health Equity Officer Swedish. 38 00:02:15,680 --> 00:02:19,080 Speaker 1: Swedish is an affiliate of Providence serving patients in the 39 00:02:19,080 --> 00:02:22,360 Speaker 1: Greater Seattle area. Well, we're gonna start today talking about 40 00:02:22,480 --> 00:02:25,320 Speaker 1: mental health and COVID and then later on in this 41 00:02:25,360 --> 00:02:28,760 Speaker 1: podcast we will have another doctor, doctor Nashio on to 42 00:02:28,800 --> 00:02:33,160 Speaker 1: talk about women's general health. So welcome ladies. So we 43 00:02:33,240 --> 00:02:35,520 Speaker 1: want to kind of want to talk to you, um 44 00:02:35,520 --> 00:02:39,280 Speaker 1: a little bit open up about why Providence is unique 45 00:02:39,400 --> 00:02:42,480 Speaker 1: and and makes it special. I would start with what 46 00:02:42,560 --> 00:02:45,640 Speaker 1: our mission is really, which is health for good and 47 00:02:45,960 --> 00:02:48,480 Speaker 1: sort of grounds us in the way that we deliver 48 00:02:48,639 --> 00:02:51,440 Speaker 1: care everywhere. As you mentioned, and I appreciate you calling out, 49 00:02:51,760 --> 00:02:54,840 Speaker 1: we're proud of our clinical excellence, but we're also proud 50 00:02:54,880 --> 00:02:57,720 Speaker 1: of our compassion and reflecting the love of God and 51 00:02:57,800 --> 00:03:01,560 Speaker 1: the way that we careful people. We see people focused 52 00:03:01,560 --> 00:03:05,120 Speaker 1: on equity. We have a statement as an organization that 53 00:03:05,240 --> 00:03:09,480 Speaker 1: is invested in, you know, equatively delivering care to everyone, 54 00:03:10,000 --> 00:03:13,600 Speaker 1: particularly focusing on the poor and vulnerable. And people are 55 00:03:13,639 --> 00:03:17,080 Speaker 1: marginalized and don't receive the same level of care for 56 00:03:17,240 --> 00:03:20,400 Speaker 1: various reasons. A lot of them are historical and structural 57 00:03:21,320 --> 00:03:23,359 Speaker 1: barriers that have been put in place that then show 58 00:03:23,440 --> 00:03:25,919 Speaker 1: up in different people's ways of life. And so we 59 00:03:26,040 --> 00:03:29,160 Speaker 1: as an organization have really called out a specific focus 60 00:03:29,200 --> 00:03:32,000 Speaker 1: to be intentional about making sure that our care is 61 00:03:32,040 --> 00:03:34,760 Speaker 1: actively delivered to everyone who needs us. I would just 62 00:03:34,800 --> 00:03:37,240 Speaker 1: add in there that I think that Providence, in their 63 00:03:37,320 --> 00:03:40,200 Speaker 1: mission to serve the poor and the vulnerable, has embraced 64 00:03:40,280 --> 00:03:43,320 Speaker 1: those who have mental health challenges. I mean, let's face it, 65 00:03:43,840 --> 00:03:46,640 Speaker 1: everybody's got a mental health challenge at some point. When 66 00:03:47,520 --> 00:03:50,240 Speaker 1: of our population is dealing with mental illness at any 67 00:03:50,240 --> 00:03:52,640 Speaker 1: given time, it's going to touch every one of us. 68 00:03:53,160 --> 00:03:57,240 Speaker 1: And I'm so proud that Providence has chosen to really 69 00:03:57,280 --> 00:04:01,040 Speaker 1: embed mental health in every thing that they do, whether 70 00:04:01,080 --> 00:04:05,280 Speaker 1: it's primary care, specialty care, the qute care, hospitals, wherever 71 00:04:05,320 --> 00:04:08,280 Speaker 1: it is that we go, there's no wrong door for care. 72 00:04:09,120 --> 00:04:12,880 Speaker 1: And that really speaks to that commitment that mental health 73 00:04:13,040 --> 00:04:15,280 Speaker 1: is part of physical health and it's part of our 74 00:04:15,360 --> 00:04:18,600 Speaker 1: overall wellness. I couldn't agree more actually, because I mean, 75 00:04:18,640 --> 00:04:21,480 Speaker 1: without your mental health, what do you what do you have? Really? Right? 76 00:04:22,000 --> 00:04:23,720 Speaker 1: I think a lot of people have just not been 77 00:04:23,760 --> 00:04:26,360 Speaker 1: able to communicate it because there's been this stigma around 78 00:04:26,440 --> 00:04:29,279 Speaker 1: mental health in general. Um And I think this is 79 00:04:29,279 --> 00:04:32,240 Speaker 1: where we start, right We start with having these uncomfortable 80 00:04:32,240 --> 00:04:37,280 Speaker 1: conversations that hopefully will soon not be so uncomfortable. Exactly, 81 00:04:37,320 --> 00:04:39,760 Speaker 1: we have to normalize all of the help seeking behaviors 82 00:04:39,760 --> 00:04:42,360 Speaker 1: agaunt around getting help for mental health. We have to 83 00:04:42,400 --> 00:04:45,760 Speaker 1: make it perfectly normal and not embarrassing to talk about 84 00:04:46,000 --> 00:04:51,440 Speaker 1: the challenges we all face, especially as women, yes, especially now. 85 00:04:51,600 --> 00:04:53,480 Speaker 1: The other thing we do is make it easy, right 86 00:04:53,520 --> 00:04:56,160 Speaker 1: because if you've tried to access mental health in the 87 00:04:56,200 --> 00:04:58,400 Speaker 1: real world or the rest of the world, it's five 88 00:04:58,839 --> 00:05:03,159 Speaker 1: phone calls trying to about you and and embedding it 89 00:05:03,279 --> 00:05:05,800 Speaker 1: in all outdoors it really makes it easy. So you 90 00:05:05,880 --> 00:05:08,520 Speaker 1: come to see your primary care pediatric and you need 91 00:05:08,880 --> 00:05:11,120 Speaker 1: mental health, I have a partner that I can hand 92 00:05:11,160 --> 00:05:13,440 Speaker 1: you off to right there. So absolutely to go back 93 00:05:13,440 --> 00:05:16,559 Speaker 1: home and start navigating the system. So isn't the way 94 00:05:16,920 --> 00:05:19,440 Speaker 1: of our patients and families is really important to how 95 00:05:19,440 --> 00:05:22,920 Speaker 1: we deliver. We have providence. That's huge because I know 96 00:05:23,279 --> 00:05:26,520 Speaker 1: when I first started, you know, doing any sort of therapy, 97 00:05:26,520 --> 00:05:28,280 Speaker 1: it was a real struggle for me because part of 98 00:05:28,320 --> 00:05:33,320 Speaker 1: my anxiety is I despise filling out forms and it's 99 00:05:33,520 --> 00:05:37,320 Speaker 1: very bizarre, but I'll overthink it forever and it's cad 100 00:05:37,520 --> 00:05:38,920 Speaker 1: and I'm like, I don't want to have to fill 101 00:05:38,920 --> 00:05:40,240 Speaker 1: out that form and then I have to go to 102 00:05:40,279 --> 00:05:42,680 Speaker 1: this doctor and this doctor. So having it all in 103 00:05:42,760 --> 00:05:46,320 Speaker 1: one place that is such a game changer because a 104 00:05:46,320 --> 00:05:49,320 Speaker 1: lot of the time, what holds me back from taking 105 00:05:49,360 --> 00:05:52,840 Speaker 1: care of myself is like those little things that don't 106 00:05:52,880 --> 00:05:54,479 Speaker 1: seem like a big deal to a lot of people, 107 00:05:54,480 --> 00:05:57,600 Speaker 1: but it's really anxiety driven for me. I hear you, girl, 108 00:05:57,720 --> 00:05:59,800 Speaker 1: I mean that's the thing. It's like having to retell 109 00:05:59,839 --> 00:06:02,120 Speaker 1: you story. I've been with the same therapist for over 110 00:06:02,160 --> 00:06:06,120 Speaker 1: a decade. UM, I couldn't even imagine having to retell 111 00:06:06,279 --> 00:06:08,920 Speaker 1: it all. So it helps to have everybody all under 112 00:06:08,960 --> 00:06:11,080 Speaker 1: one roof. I think that's so that's so great that 113 00:06:11,120 --> 00:06:14,919 Speaker 1: you guys do that and provide that And do you 114 00:06:15,000 --> 00:06:17,000 Speaker 1: excuse me, do you feel like you guys have noticed 115 00:06:17,040 --> 00:06:21,560 Speaker 1: a difference with UM with COVID, because I honestly, I've 116 00:06:21,600 --> 00:06:25,000 Speaker 1: never I just started going to therapy within the last 117 00:06:25,240 --> 00:06:28,200 Speaker 1: eight months. UM. It wasn't something that I ever really 118 00:06:28,200 --> 00:06:30,280 Speaker 1: thought of. You know, I go to church and I 119 00:06:30,320 --> 00:06:33,080 Speaker 1: always just kind of use churches like therapy for me, 120 00:06:33,240 --> 00:06:37,320 Speaker 1: and UM it's had a totally different It's had such 121 00:06:37,320 --> 00:06:39,800 Speaker 1: a huge impact on my life. But it's something that 122 00:06:39,800 --> 00:06:42,040 Speaker 1: I never really considered until the pandemic. Do you feel 123 00:06:42,080 --> 00:06:44,360 Speaker 1: like that's been have you seen like an increase in 124 00:06:44,360 --> 00:06:49,160 Speaker 1: that incredibly the wait lists even when we're looking in 125 00:06:49,240 --> 00:06:51,520 Speaker 1: primary care. This is one of the frustrations that we 126 00:06:51,600 --> 00:06:54,120 Speaker 1: have is that more and more it's it's a blessing 127 00:06:54,120 --> 00:06:56,039 Speaker 1: and a curse. More and more people are aware that 128 00:06:56,080 --> 00:06:59,040 Speaker 1: their mental health issues were challenged, and more and more 129 00:06:59,040 --> 00:07:01,360 Speaker 1: people are seeking therapy than ever. And I think a 130 00:07:01,360 --> 00:07:04,520 Speaker 1: lot of that has to do with influencers like you. 131 00:07:04,560 --> 00:07:07,320 Speaker 1: All talking very openly about your own mental health issues 132 00:07:07,680 --> 00:07:10,640 Speaker 1: makes it safe for other people to talk about them. 133 00:07:10,680 --> 00:07:12,560 Speaker 1: And that's one of the big factors that I think 134 00:07:12,560 --> 00:07:18,239 Speaker 1: we've seen in the increase in people thinking mental health, uh, information, therapy, etcetera, etcetera. 135 00:07:18,240 --> 00:07:21,320 Speaker 1: But I think the other big factor is COVID face, 136 00:07:21,920 --> 00:07:24,760 Speaker 1: you know, created this challenge for all of us where 137 00:07:24,760 --> 00:07:27,720 Speaker 1: we had to start looking inward and you could only 138 00:07:27,760 --> 00:07:30,200 Speaker 1: really look at the people in your circle that were 139 00:07:30,240 --> 00:07:32,920 Speaker 1: immediately there, who are reflecting back to you. And after 140 00:07:32,960 --> 00:07:34,520 Speaker 1: a while we kind of all start to get a 141 00:07:34,560 --> 00:07:36,679 Speaker 1: little bit deep, but we all start to really start 142 00:07:36,680 --> 00:07:41,080 Speaker 1: to surface things and where does that go? And what 143 00:07:41,120 --> 00:07:44,160 Speaker 1: was really stunning to me was to see the incredible 144 00:07:44,280 --> 00:07:49,000 Speaker 1: rise of especially women, but men too facing body image issues. 145 00:07:49,480 --> 00:07:52,559 Speaker 1: We've seen a huge, huge influx of people with eating 146 00:07:52,560 --> 00:07:55,320 Speaker 1: disorders and body image issues presenting for therapy for the 147 00:07:55,360 --> 00:07:59,080 Speaker 1: first time, and and that's a lot in this COVID space. 148 00:07:59,600 --> 00:08:01,240 Speaker 1: I can tell only relate to that. I mean just 149 00:08:01,320 --> 00:08:03,520 Speaker 1: in the business and industry in general, and being a 150 00:08:03,560 --> 00:08:06,840 Speaker 1: competitive ballroom dancers since I was but twelve. I mean, 151 00:08:07,120 --> 00:08:10,320 Speaker 1: it's always been a body image type issue for me. 152 00:08:10,360 --> 00:08:12,680 Speaker 1: And I think it's something that you know, there is 153 00:08:12,720 --> 00:08:15,000 Speaker 1: no cure that other than your own mental health, right, 154 00:08:15,040 --> 00:08:16,800 Speaker 1: and being able to talk about it and share your 155 00:08:16,840 --> 00:08:19,960 Speaker 1: story and hopefully be able to relate to other people 156 00:08:20,000 --> 00:08:21,720 Speaker 1: so you don't feel like you're alone. And I think 157 00:08:21,760 --> 00:08:25,480 Speaker 1: that's very important as well. Yeah, I have done something 158 00:08:25,480 --> 00:08:30,040 Speaker 1: else to children. Yeah, the impact on children this past 159 00:08:30,120 --> 00:08:31,760 Speaker 1: year and a half is I think we're going to 160 00:08:31,800 --> 00:08:34,080 Speaker 1: be seeing it for a very long time. But really, 161 00:08:34,320 --> 00:08:38,640 Speaker 1: anxiety levels were so high they were because the world 162 00:08:38,679 --> 00:08:41,640 Speaker 1: just sort of shut down, right, and so they couldn't 163 00:08:41,679 --> 00:08:44,360 Speaker 1: go out. You know, as long as we're freaking out 164 00:08:44,400 --> 00:08:46,880 Speaker 1: about trying to homeschool four and five year olds, but 165 00:08:47,520 --> 00:08:51,400 Speaker 1: five year olds reads socialization for their development, right, The 166 00:08:51,520 --> 00:08:53,760 Speaker 1: teen year olds, the eighteen year olds who are at 167 00:08:53,760 --> 00:08:56,720 Speaker 1: the stange in their life where they're imagining their future, 168 00:08:56,760 --> 00:08:58,800 Speaker 1: where they're building out their future path and all of 169 00:08:58,840 --> 00:09:03,640 Speaker 1: a sudden, all the bold, a close and intent for children. 170 00:09:03,760 --> 00:09:08,040 Speaker 1: This past year, we saw massive between in in referrals 171 00:09:08,160 --> 00:09:11,320 Speaker 1: and asks for support around mental health for kids in 172 00:09:11,400 --> 00:09:14,200 Speaker 1: the hospital side, we saw a thirty three percent increase 173 00:09:14,280 --> 00:09:19,720 Speaker 1: from January Jane in children who are looking for admission 174 00:09:19,800 --> 00:09:23,920 Speaker 1: for depression for suicidal ideation. Really really rough here for 175 00:09:24,000 --> 00:09:27,319 Speaker 1: our kids who haven't been in to school, who you're 176 00:09:27,360 --> 00:09:29,760 Speaker 1: trying to keep them safe in this bubble. But part 177 00:09:29,800 --> 00:09:32,480 Speaker 1: of being a child is just the learning right, and 178 00:09:32,520 --> 00:09:35,480 Speaker 1: so for moms in particular, parents who are struggling to 179 00:09:35,520 --> 00:09:37,959 Speaker 1: figure out how do I make the best environment for 180 00:09:38,040 --> 00:09:40,240 Speaker 1: my child, how do I make the best decisions for them, 181 00:09:40,400 --> 00:09:42,160 Speaker 1: and how do I set them up for the future. 182 00:09:42,240 --> 00:09:44,560 Speaker 1: Where do I get support for them. That's been a 183 00:09:44,600 --> 00:09:47,680 Speaker 1: really big part of our focus in helping our patients 184 00:09:47,880 --> 00:09:52,560 Speaker 1: and families to navigate this past really unpresented, unprecedented, hopefully 185 00:09:52,600 --> 00:09:55,360 Speaker 1: once in a lifetime experience that we've had this past 186 00:09:55,400 --> 00:09:57,320 Speaker 1: year and half. Yeah, that makes a lot of sense. 187 00:09:57,360 --> 00:09:58,719 Speaker 1: I mean, I'm not a mother, but I can only 188 00:09:58,760 --> 00:10:01,360 Speaker 1: imagine after the and then also after having to take 189 00:10:01,400 --> 00:10:03,840 Speaker 1: care of your own mental health. It can be very overwhelming. 190 00:10:04,559 --> 00:10:08,679 Speaker 1: I'm sure, Teddy you. Yeah. I think the biggest thing 191 00:10:08,760 --> 00:10:11,160 Speaker 1: for me is what I wasn't doing at the beginning 192 00:10:11,240 --> 00:10:14,000 Speaker 1: was I wasn't sharing how I was feeling with my kids, 193 00:10:14,320 --> 00:10:15,920 Speaker 1: And then they thought I was like mad at them 194 00:10:15,960 --> 00:10:18,199 Speaker 1: if I was having like a high anxiety day or 195 00:10:18,240 --> 00:10:20,080 Speaker 1: if I was, like I have O c D as well, 196 00:10:20,120 --> 00:10:22,640 Speaker 1: so like I would be, you know, counting and doing 197 00:10:22,679 --> 00:10:25,600 Speaker 1: my thing, you know, like my lists, all of my things. 198 00:10:26,200 --> 00:10:30,000 Speaker 1: But now I started, you know, sharing with them how 199 00:10:30,000 --> 00:10:33,960 Speaker 1: I'm feeling and I'm doing, you know, then they realized, like, oh, 200 00:10:34,040 --> 00:10:36,320 Speaker 1: Mom's this is just about something that's going on with mom. 201 00:10:36,360 --> 00:10:38,640 Speaker 1: This has nothing to do with me. So being vulnerable 202 00:10:38,679 --> 00:10:41,200 Speaker 1: has really been a key. But like my question comes 203 00:10:41,200 --> 00:10:43,800 Speaker 1: like when it comes to first off, like do we 204 00:10:44,000 --> 00:10:46,880 Speaker 1: think that because I have anxiety and O c D, 205 00:10:47,080 --> 00:10:50,800 Speaker 1: my kids are more prone to have it as well? 206 00:10:50,840 --> 00:10:55,080 Speaker 1: Because my son has been struggling with anxiety and you know, 207 00:10:55,559 --> 00:10:58,080 Speaker 1: especially now that the pandemic came, even we were supposed 208 00:10:58,120 --> 00:11:00,960 Speaker 1: to go visit my family, and my son was like, 209 00:11:01,000 --> 00:11:04,120 Speaker 1: I cannot being on an airplane with people are young. 210 00:11:05,160 --> 00:11:08,440 Speaker 1: I absolutely cannot. Never we can't go, I'm not going 211 00:11:08,720 --> 00:11:12,080 Speaker 1: not interested in you know, like and he never had 212 00:11:12,120 --> 00:11:14,200 Speaker 1: these types of fears, and so now it's hard for 213 00:11:14,240 --> 00:11:17,800 Speaker 1: me to understand as a mom, like what's like normal 214 00:11:18,320 --> 00:11:22,040 Speaker 1: not normal? But what's regular fear versus his anxiety? And 215 00:11:22,080 --> 00:11:25,400 Speaker 1: how do I help him? You know? I think it's 216 00:11:25,440 --> 00:11:27,840 Speaker 1: that goes to the nature and nurture question of what 217 00:11:28,000 --> 00:11:30,360 Speaker 1: is it that I'm modeling for him that he's picking 218 00:11:30,440 --> 00:11:32,920 Speaker 1: up and what is it that's already embedded and ingrained 219 00:11:32,960 --> 00:11:35,440 Speaker 1: in his genes? And the reality is, when you're looking 220 00:11:35,480 --> 00:11:38,640 Speaker 1: at anxiety, there's a lot that can be picked up 221 00:11:38,679 --> 00:11:41,599 Speaker 1: from the environment around And that's why I love the 222 00:11:41,640 --> 00:11:43,920 Speaker 1: fact that you talk about being vulnerable and talking about 223 00:11:43,960 --> 00:11:47,200 Speaker 1: your own anxiety and talking about the things that are 224 00:11:47,280 --> 00:11:50,920 Speaker 1: you that are not of them, So that helps them 225 00:11:50,960 --> 00:11:55,760 Speaker 1: not model and imitate and create your behavior. Now that's said, 226 00:11:56,000 --> 00:11:58,160 Speaker 1: when you're talking about the fear of getting on an airplane, 227 00:11:58,800 --> 00:12:01,079 Speaker 1: turn on the television new is at any given point 228 00:12:01,480 --> 00:12:03,080 Speaker 1: and what are we going to talk about. We're gonna 229 00:12:03,120 --> 00:12:06,120 Speaker 1: talk about the transmission of COVID, We're gonna talk about 230 00:12:06,160 --> 00:12:08,280 Speaker 1: all of these hotspots. Where is it that we're going 231 00:12:08,360 --> 00:12:11,400 Speaker 1: our kids are listening to all of this, processing that 232 00:12:11,480 --> 00:12:14,480 Speaker 1: information through their filters and coming out with are you 233 00:12:14,559 --> 00:12:17,000 Speaker 1: kidding me? I do not want to get on that airplane? 234 00:12:18,679 --> 00:12:21,520 Speaker 1: So do them? Yeah. I don't blame them either. It's 235 00:12:21,520 --> 00:12:24,400 Speaker 1: a very much of a You're asking them to take 236 00:12:24,440 --> 00:12:27,480 Speaker 1: an abstract concept and make a concrete I mean it's like, hey, Mom, 237 00:12:27,559 --> 00:12:29,600 Speaker 1: last week you told me to wear a mask, and 238 00:12:29,679 --> 00:12:33,120 Speaker 1: this week suddenly I don't really do anymore. It's going 239 00:12:33,200 --> 00:12:36,040 Speaker 1: to ask that question the mind games, like even with camp, 240 00:12:36,120 --> 00:12:38,559 Speaker 1: like last week there's no mask. Now they need a mask. 241 00:12:39,040 --> 00:12:42,360 Speaker 1: Like in regards to those changes, how do you talk 242 00:12:42,440 --> 00:12:45,959 Speaker 1: them through it? But also what effect are the masks 243 00:12:46,080 --> 00:12:48,319 Speaker 1: doing on them? Not being able to show their emotions 244 00:12:48,320 --> 00:12:51,440 Speaker 1: to their friends, not being able to lunch together. You know, 245 00:12:51,480 --> 00:12:54,520 Speaker 1: they're separated by six ft and you know, I tried 246 00:12:54,600 --> 00:12:57,240 Speaker 1: keeping them home from camp for a week and they 247 00:12:57,280 --> 00:13:01,240 Speaker 1: were much more unhappy not being those things. And I'm like, 248 00:13:01,280 --> 00:13:03,280 Speaker 1: maybe they don't care about the mass, you know, but 249 00:13:03,800 --> 00:13:05,680 Speaker 1: what do you think it's actually doing? And how do 250 00:13:05,720 --> 00:13:08,000 Speaker 1: we help it so it doesn't you know, become a 251 00:13:08,040 --> 00:13:11,319 Speaker 1: recurring thing when this finally goes away. Well, I think 252 00:13:11,360 --> 00:13:13,920 Speaker 1: the first problem with how do we deal with the information. 253 00:13:15,240 --> 00:13:17,839 Speaker 1: This was this was the first time, and we were 254 00:13:17,920 --> 00:13:20,840 Speaker 1: learning as we went along, right, So it started out 255 00:13:20,960 --> 00:13:22,680 Speaker 1: we kind of knew this, and then we knew the 256 00:13:22,720 --> 00:13:26,000 Speaker 1: next thing. And so we've had to evolve our recommendations 257 00:13:26,000 --> 00:13:28,960 Speaker 1: and our practices as we've learned more about this virus. 258 00:13:29,040 --> 00:13:32,520 Speaker 1: And what we do know is that masking helps to 259 00:13:32,559 --> 00:13:35,560 Speaker 1: reduce transmission, right. And so one of the things that 260 00:13:35,600 --> 00:13:37,200 Speaker 1: came out this week of which has been a lot 261 00:13:37,240 --> 00:13:40,040 Speaker 1: of discussions, is that the American Academy of Pediatrics is 262 00:13:40,080 --> 00:13:43,319 Speaker 1: asking that children over to continue to be masked when 263 00:13:43,360 --> 00:13:46,200 Speaker 1: they go back to school in the poll. And part 264 00:13:46,240 --> 00:13:48,000 Speaker 1: of that is it's sort of part of a layered 265 00:13:48,040 --> 00:13:50,679 Speaker 1: approach to try to get kids back to as close 266 00:13:50,720 --> 00:13:54,360 Speaker 1: to normal as possible while trying to keep them safe. Right. So, 267 00:13:54,440 --> 00:13:57,120 Speaker 1: right now we don't have enough. We don't have vaccines 268 00:13:57,120 --> 00:13:59,880 Speaker 1: approved for the younger ages, right, So how do you 269 00:14:00,000 --> 00:14:02,320 Speaker 1: know who's been vaccinated and who's not, and all of 270 00:14:02,360 --> 00:14:05,800 Speaker 1: that is just unknowable, And so even those who are 271 00:14:05,840 --> 00:14:08,840 Speaker 1: vaccinated are not a hundred percent protected. For the most part, 272 00:14:08,840 --> 00:14:12,360 Speaker 1: they are, but they can still transmit maybe and children 273 00:14:12,440 --> 00:14:14,959 Speaker 1: who cannot be vaccinated, you have no way of verifying that, 274 00:14:15,080 --> 00:14:16,600 Speaker 1: so they are kind of a pic says, you know 275 00:14:16,640 --> 00:14:19,080 Speaker 1: what we've seen what this past year and a half 276 00:14:19,120 --> 00:14:21,360 Speaker 1: has done to children, Let's get them back to as 277 00:14:21,400 --> 00:14:24,960 Speaker 1: closed to normal as possible. And part of that is, 278 00:14:25,160 --> 00:14:28,200 Speaker 1: you know, keeping hand hiking, keeping distancing those things that 279 00:14:28,240 --> 00:14:31,720 Speaker 1: we absolutely know. So I'm a pedietriction. It's not is 280 00:14:31,800 --> 00:14:35,240 Speaker 1: kind of my my jam. And kids are not interacting 281 00:14:35,280 --> 00:14:39,120 Speaker 1: and really they're not sure it's not. So they're not 282 00:14:39,120 --> 00:14:42,520 Speaker 1: getting right. I thought you said it's not, and then 283 00:14:42,560 --> 00:14:51,320 Speaker 1: I was like, that's not that's hysterical. Do you find 284 00:14:51,360 --> 00:14:54,000 Speaker 1: that with the pandemic that kids have been starting to 285 00:14:54,080 --> 00:14:56,960 Speaker 1: develop I mean, I suffer from social anxiety, So do 286 00:14:57,080 --> 00:14:59,760 Speaker 1: you find that because they've been so sheltered the past 287 00:14:59,840 --> 00:15:01,880 Speaker 1: year and a half that maybe they are starting to 288 00:15:01,960 --> 00:15:06,640 Speaker 1: develop signs of social anxiety? I think they anxious just 289 00:15:06,720 --> 00:15:10,040 Speaker 1: like the rest of us, right to everybody and everything 290 00:15:10,080 --> 00:15:13,520 Speaker 1: that we deal with as adults, we can sort of process, 291 00:15:14,000 --> 00:15:17,040 Speaker 1: at least we could sort of process before. Honestly, I 292 00:15:17,080 --> 00:15:19,080 Speaker 1: have to confess that we've had to do a little 293 00:15:19,080 --> 00:15:22,880 Speaker 1: bit more just to process or and so for children 294 00:15:22,920 --> 00:15:25,440 Speaker 1: who all of this is a learning journey, they really 295 00:15:25,440 --> 00:15:28,440 Speaker 1: had to figure out you know to your point earlier, 296 00:15:28,600 --> 00:15:31,480 Speaker 1: is this mom? Is this me? Did I do something bad? 297 00:15:31,600 --> 00:15:33,480 Speaker 1: Is that why I can't have a plan date? Is 298 00:15:33,480 --> 00:15:36,400 Speaker 1: that why these friends can't come over? Is it something? 299 00:15:37,040 --> 00:15:40,360 Speaker 1: And really being able to have those conversations with your children, 300 00:15:40,400 --> 00:15:43,480 Speaker 1: but as with ourselves and with each other as grown 301 00:15:43,520 --> 00:15:46,120 Speaker 1: up has been the way to sort of navigate this 302 00:15:46,120 --> 00:15:50,880 Speaker 1: process because it's so new, so unknown, and so almost unknowable. 303 00:15:51,040 --> 00:15:54,000 Speaker 1: Right so right, kind of don't dwell too much on 304 00:15:54,040 --> 00:15:56,880 Speaker 1: whether they inherited it from me or whether it's their own, 305 00:15:56,960 --> 00:15:59,800 Speaker 1: because there's just so much we have to deal with 306 00:16:00,040 --> 00:16:01,800 Speaker 1: and we all have to get to the other side 307 00:16:01,840 --> 00:16:13,320 Speaker 1: of this thing as as together. Ye Hi, it's Ashley 308 00:16:13,320 --> 00:16:15,920 Speaker 1: like an Ettie and it's Benjamin Higgins And you guys 309 00:16:16,000 --> 00:16:17,840 Speaker 1: may know us from the Almost Same As podcast were 310 00:16:17,960 --> 00:16:22,800 Speaker 1: recap the Bachelor franchise, And wow, do we have a 311 00:16:22,840 --> 00:16:26,360 Speaker 1: Bachelorotte finale to recap for you this week And we've 312 00:16:26,400 --> 00:16:30,360 Speaker 1: got the one and only runner up, justin Glaze giving 313 00:16:30,440 --> 00:16:35,240 Speaker 1: us all the tea from what he thinks about Greg's 314 00:16:35,280 --> 00:16:41,240 Speaker 1: exit to Blake and Katie being together. Now, what a 315 00:16:41,320 --> 00:16:44,000 Speaker 1: dramatic episode. Well, hey, make sure you tune in listen 316 00:16:44,040 --> 00:16:46,520 Speaker 1: to our podcast almost famous right now, and I heard 317 00:16:46,560 --> 00:16:53,120 Speaker 1: radio app, Apple podcasts and everywhere you listen to podcast Dr. 318 00:16:53,160 --> 00:16:57,160 Speaker 1: This is probably more for Dr Nyoku because I kind 319 00:16:57,160 --> 00:16:59,760 Speaker 1: of want to know what's like the number one most 320 00:17:00,040 --> 00:17:03,000 Speaker 1: um and question that new moms are asking you right now, 321 00:17:03,400 --> 00:17:07,880 Speaker 1: and what's your advice to what they're asking everybody's top 322 00:17:07,880 --> 00:17:11,520 Speaker 1: of everybody's mind is COVID, right, and then grandma come 323 00:17:12,040 --> 00:17:15,440 Speaker 1: and stay right with? My parents? Are vaccinated or not vaccinated? 324 00:17:15,480 --> 00:17:17,520 Speaker 1: Can I go to a mom's group? Can I have 325 00:17:17,560 --> 00:17:20,440 Speaker 1: a doula? Right? So you know, can I get support? 326 00:17:20,480 --> 00:17:23,280 Speaker 1: Who can I have around my baby? That's really the 327 00:17:23,320 --> 00:17:25,880 Speaker 1: big concern and and for me that's been a really 328 00:17:25,880 --> 00:17:28,520 Speaker 1: heavy burden on my heart because for anyone who's ever 329 00:17:28,560 --> 00:17:32,960 Speaker 1: had a new baby, those first few months I just challenging. 330 00:17:32,960 --> 00:17:35,119 Speaker 1: Even if you've had five before, each child comes with 331 00:17:35,160 --> 00:17:36,960 Speaker 1: their own manual, which is not the same as the 332 00:17:37,000 --> 00:17:39,560 Speaker 1: last four children, And so they were trying to figure out, 333 00:17:39,640 --> 00:17:42,520 Speaker 1: how do you engage with this child? How are you 334 00:17:42,600 --> 00:17:45,840 Speaker 1: getting any rest sleep, how are you doing breastfeeding, how 335 00:17:45,840 --> 00:17:48,199 Speaker 1: are you doing formula feeling? How are you navigating this 336 00:17:48,400 --> 00:17:50,880 Speaker 1: new space? Not to mention, your homemones are all over place, 337 00:17:51,320 --> 00:17:54,440 Speaker 1: and what helped that for the most part, having support, 338 00:17:54,800 --> 00:17:58,360 Speaker 1: having you know, a mom and aunt, a sister, a doula, 339 00:17:59,119 --> 00:18:01,680 Speaker 1: you know, a neighborhood, church, some people who can come 340 00:18:01,720 --> 00:18:05,440 Speaker 1: around you and support you. In the in the world 341 00:18:05,480 --> 00:18:09,040 Speaker 1: of COVID, you don't have those supports as much. So 342 00:18:09,040 --> 00:18:12,960 Speaker 1: so new parents navigating the space by themselves. Right, And 343 00:18:12,960 --> 00:18:15,520 Speaker 1: and so I get calls and text from my patients 344 00:18:15,560 --> 00:18:18,159 Speaker 1: all the time, is this okay? And so what are 345 00:18:18,160 --> 00:18:20,440 Speaker 1: the big questions they ask about? Who they ask about? 346 00:18:20,440 --> 00:18:23,760 Speaker 1: Sleep about for the baby and for themselves? Right? Baby 347 00:18:23,840 --> 00:18:26,600 Speaker 1: is not sleeping, I'm not sleeping? What am I doing wrong? 348 00:18:26,720 --> 00:18:29,119 Speaker 1: Is there something I can do differently? Those are the 349 00:18:29,119 --> 00:18:32,719 Speaker 1: big issues, right, But but the fundamental behind it is 350 00:18:32,760 --> 00:18:35,440 Speaker 1: how do I get support? How do I get somebody 351 00:18:35,480 --> 00:18:38,119 Speaker 1: who can answer my questions and hold my hand in 352 00:18:38,200 --> 00:18:40,439 Speaker 1: this space? Um and and tell me what to do 353 00:18:40,480 --> 00:18:42,800 Speaker 1: with the older kid who's not only anxious but it's 354 00:18:42,800 --> 00:18:46,520 Speaker 1: also now jealous. Right of this? How do how do 355 00:18:46,560 --> 00:18:48,320 Speaker 1: I deal with it? So I can't put all of 356 00:18:48,320 --> 00:18:51,040 Speaker 1: those things into the same bucket of who's supporting you? 357 00:18:51,240 --> 00:18:53,480 Speaker 1: Who do you have in your corner, who's holding your 358 00:18:53,480 --> 00:18:56,320 Speaker 1: hands through this process? Because it's a really challenging process 359 00:18:56,359 --> 00:18:59,520 Speaker 1: and a good time, and it's particularly challenging today. And 360 00:18:59,560 --> 00:19:01,720 Speaker 1: how do you find support? Like what do you recommend 361 00:19:01,720 --> 00:19:05,000 Speaker 1: as far as other than your close knit circle? I 362 00:19:05,000 --> 00:19:08,520 Speaker 1: I and encourage people to have a close knit circle 363 00:19:08,600 --> 00:19:10,719 Speaker 1: to the extent they can. Like you know, in today's 364 00:19:10,720 --> 00:19:12,639 Speaker 1: well a lot of women are working far away from 365 00:19:12,640 --> 00:19:16,080 Speaker 1: where their parents live, right or where their friends. If 366 00:19:16,080 --> 00:19:18,399 Speaker 1: you're in Chicago and your mom is in Iowa, what 367 00:19:18,520 --> 00:19:20,520 Speaker 1: do you do? Right? So have you been there long 368 00:19:20,640 --> 00:19:22,879 Speaker 1: enough to develop a network and then you know that 369 00:19:22,920 --> 00:19:25,879 Speaker 1: your network is vaccinated and safe. Um. So one of 370 00:19:25,920 --> 00:19:28,040 Speaker 1: the things that we have a Swedish is a doula 371 00:19:28,119 --> 00:19:31,520 Speaker 1: program where people can engage a doula to support them 372 00:19:31,520 --> 00:19:33,800 Speaker 1: through the birth, but also we have post bottom doulas 373 00:19:33,840 --> 00:19:36,719 Speaker 1: who can help them after the baby's board. And you know, 374 00:19:36,880 --> 00:19:39,560 Speaker 1: if you if you're in a space where everybody is 375 00:19:39,600 --> 00:19:42,080 Speaker 1: vaccinated and you feel comfortable, they can come to your house. 376 00:19:42,080 --> 00:19:45,359 Speaker 1: But you can also access those services virtually, right, so 377 00:19:45,400 --> 00:19:48,040 Speaker 1: you can call up your doola virtually and and do 378 00:19:48,160 --> 00:19:53,520 Speaker 1: a television UM through our program and they're there PEPs 379 00:19:53,560 --> 00:19:57,359 Speaker 1: groups or NPS groups, you know, mommy groups in different communities, 380 00:19:57,400 --> 00:19:59,879 Speaker 1: which most of them have now become vitual. It's so 381 00:20:00,080 --> 00:20:03,240 Speaker 1: amazing how adaptive we've been able to be. Uh. We 382 00:20:03,359 --> 00:20:05,600 Speaker 1: learned that we can do the things that we had 383 00:20:05,640 --> 00:20:07,920 Speaker 1: to do in a different way. And so a lot 384 00:20:07,960 --> 00:20:10,600 Speaker 1: of resources are now virtual, and so in your community 385 00:20:10,640 --> 00:20:14,520 Speaker 1: you can find different resources that can can support you 386 00:20:14,560 --> 00:20:17,040 Speaker 1: in that time. Your pediatriction is a great resource who 387 00:20:17,119 --> 00:20:20,560 Speaker 1: can connect you to those spaces. In Providence, we really 388 00:20:21,280 --> 00:20:24,520 Speaker 1: do our best to keep the lines open for our families. 389 00:20:24,600 --> 00:20:27,399 Speaker 1: We have an app that you know, folks can check in. 390 00:20:27,520 --> 00:20:29,760 Speaker 1: They send me. I come to my office on Monday 391 00:20:29,800 --> 00:20:32,359 Speaker 1: morning and I have loads of pictures of good and 392 00:20:32,480 --> 00:20:37,240 Speaker 1: everybody wants to normal the other. But but the fundamental 393 00:20:37,320 --> 00:20:39,480 Speaker 1: issue is how do I wrap my hands around you 394 00:20:39,640 --> 00:20:42,560 Speaker 1: and support you in this time? I think right now, 395 00:20:42,680 --> 00:20:45,959 Speaker 1: like the mom guilt. Also, I've realized, like even just 396 00:20:46,000 --> 00:20:48,800 Speaker 1: looking at now and that their Instagram and everybody is 397 00:20:48,800 --> 00:20:51,840 Speaker 1: so vocal about their feelings about other people and the 398 00:20:51,880 --> 00:20:54,600 Speaker 1: things that they're doing. I've noticed that something I've realized. 399 00:20:54,640 --> 00:20:58,960 Speaker 1: I have a baby, and it's completely different than with 400 00:20:59,000 --> 00:21:01,679 Speaker 1: my older kids. We have four kids, because they used 401 00:21:01,720 --> 00:21:04,160 Speaker 1: to do everything with me, and now it's like if 402 00:21:04,280 --> 00:21:08,120 Speaker 1: I'm gonna go grab lunch, it's safer for her at home. 403 00:21:08,280 --> 00:21:10,399 Speaker 1: So what. But the other day my husband and I 404 00:21:10,440 --> 00:21:12,760 Speaker 1: were like talking about it, We're like, wow, I think 405 00:21:13,119 --> 00:21:15,240 Speaker 1: Dove's only gone out to eat with us this many 406 00:21:15,280 --> 00:21:17,520 Speaker 1: times because of this reason or whatever it may be. 407 00:21:17,600 --> 00:21:20,080 Speaker 1: But at the point is like we post something or 408 00:21:20,080 --> 00:21:23,679 Speaker 1: we share something, and people's first reaction is to like 409 00:21:23,920 --> 00:21:26,040 Speaker 1: come for you and tell you why you're a bad mom, 410 00:21:26,119 --> 00:21:28,520 Speaker 1: or why you're this, or why you should do things differently. 411 00:21:28,960 --> 00:21:31,720 Speaker 1: And I think you know, I have, you know, because 412 00:21:31,760 --> 00:21:33,600 Speaker 1: they've done it so many times. I at least have 413 00:21:33,680 --> 00:21:35,800 Speaker 1: that confidence of like, I know I'm a good mom. 414 00:21:36,320 --> 00:21:39,639 Speaker 1: But for first time mothers when the first time you 415 00:21:39,680 --> 00:21:42,280 Speaker 1: start and everybody gives you all the advice that you 416 00:21:42,320 --> 00:21:44,480 Speaker 1: don't need because you have like a mother pers instinct, 417 00:21:44,520 --> 00:21:46,800 Speaker 1: But like, what do you recommend for new moms that 418 00:21:46,880 --> 00:21:49,760 Speaker 1: have had a baby, like a pandemic baby, and they're 419 00:21:49,840 --> 00:21:53,560 Speaker 1: just feeling lost and they don't even have the confidence 420 00:21:53,600 --> 00:21:55,879 Speaker 1: to join that mommy group because I can tell you 421 00:21:55,920 --> 00:21:58,840 Speaker 1: I didn't with my first I walked in the first 422 00:21:58,840 --> 00:22:05,840 Speaker 1: one and I was like, I'm sorry to tell you 423 00:22:05,880 --> 00:22:08,639 Speaker 1: that mom guilt doesn't go away, right. It goes on 424 00:22:09,000 --> 00:22:11,560 Speaker 1: as long as you're a mom. So when you're a 425 00:22:11,600 --> 00:22:14,600 Speaker 1: new mom, when you first have teenagers, or when your 426 00:22:14,640 --> 00:22:17,120 Speaker 1: kids are ready to go to college, there's always somebody 427 00:22:17,160 --> 00:22:19,359 Speaker 1: out there who's ready to tell you you're doing it wrong, 428 00:22:19,920 --> 00:22:24,280 Speaker 1: and the antidote is to have that trusted relationship. I 429 00:22:24,280 --> 00:22:26,480 Speaker 1: would have those conversations with my mom's and I'm like, 430 00:22:26,520 --> 00:22:29,280 Speaker 1: you know, a mom group is great if it's supportive. 431 00:22:29,520 --> 00:22:31,919 Speaker 1: If you go in there and everybody is telling you 432 00:22:32,040 --> 00:22:34,919 Speaker 1: that their child just at six months read the valedictory 433 00:22:34,960 --> 00:22:42,960 Speaker 1: addressed at Albard, do not walk. You logically know that's 434 00:22:43,000 --> 00:22:45,440 Speaker 1: probably not true, but your heart doesn't know what to 435 00:22:45,480 --> 00:22:48,480 Speaker 1: do with that. Did I not read enough? Did I 436 00:22:48,640 --> 00:22:52,159 Speaker 1: not sign him up? But it's just so I always 437 00:22:52,160 --> 00:22:54,600 Speaker 1: tell people to ask yourself and listen to your gut. 438 00:22:54,960 --> 00:22:58,720 Speaker 1: Is this relationship supported. If it's not supportive, exit stage 439 00:22:58,800 --> 00:23:01,640 Speaker 1: left as quickly as you can and identify who that 440 00:23:01,720 --> 00:23:04,000 Speaker 1: is that can come alongside you, whether they you're best 441 00:23:04,000 --> 00:23:07,160 Speaker 1: friends from from childhood, whether it's your mom, your aunt, 442 00:23:07,240 --> 00:23:10,399 Speaker 1: your sister, your church group, people you can talk to. 443 00:23:10,600 --> 00:23:13,160 Speaker 1: You know, now all these apps are doing these bidirectional 444 00:23:13,240 --> 00:23:16,360 Speaker 1: things where you can just do FaceTime with with somebody 445 00:23:16,440 --> 00:23:18,960 Speaker 1: and say, hey, I'm feeling this way. You know, does 446 00:23:19,000 --> 00:23:22,080 Speaker 1: this is this normal? How can I cope with that? Um? 447 00:23:22,800 --> 00:23:26,000 Speaker 1: But the keys to find that that relationship that feels supported. 448 00:23:26,040 --> 00:23:27,800 Speaker 1: Don't feel you should be in a mom's group because 449 00:23:27,840 --> 00:23:29,800 Speaker 1: everybody is in a mom group, because if that mom 450 00:23:29,880 --> 00:23:33,040 Speaker 1: group is not supported, it's much more damaging, and then 451 00:23:33,080 --> 00:23:35,200 Speaker 1: you're not worry about both part of depression, which is 452 00:23:35,240 --> 00:23:38,760 Speaker 1: already at risk. UM. So I tell people to follow 453 00:23:38,800 --> 00:23:42,560 Speaker 1: their instinct and what feels supported, and those of people 454 00:23:42,600 --> 00:23:45,040 Speaker 1: are influencers and online all the time. I duffed my 455 00:23:45,080 --> 00:23:49,200 Speaker 1: hat to you because literally is like cowboy and there 456 00:23:51,119 --> 00:23:54,639 Speaker 1: cons of opinions about everybody's life, and I'm like, and 457 00:23:54,720 --> 00:23:57,880 Speaker 1: comparison is the devil, right, It's so hard not to compare, 458 00:23:59,560 --> 00:24:02,440 Speaker 1: you know. And that's true regardless of whether you're dealing 459 00:24:02,480 --> 00:24:05,359 Speaker 1: in the new mom zone or you're dealing in the 460 00:24:05,440 --> 00:24:08,040 Speaker 1: teenager zone or any of these zones. If there's people 461 00:24:08,080 --> 00:24:11,560 Speaker 1: around you who are not supporting you and celebrating you 462 00:24:11,760 --> 00:24:15,439 Speaker 1: and being that solid, supported, trusted network that you need, 463 00:24:15,880 --> 00:24:20,639 Speaker 1: you don't need them, you really exactly Yeah, And you know, 464 00:24:20,720 --> 00:24:23,440 Speaker 1: actually this is actually a good question. For you, Dr Henderson, 465 00:24:23,520 --> 00:24:25,280 Speaker 1: because I think that you know, a lot of people 466 00:24:25,320 --> 00:24:28,119 Speaker 1: want to prioritize their mental health. But I think sometimes 467 00:24:28,119 --> 00:24:31,920 Speaker 1: and I fall victim of this. Before the pandemic, I 468 00:24:31,960 --> 00:24:34,960 Speaker 1: was just on like a hamster wheel. I was just go, 469 00:24:34,960 --> 00:24:37,840 Speaker 1: go go, I'm single, I don't have kids, and well 470 00:24:37,920 --> 00:24:41,359 Speaker 1: yeah single technically, I guess, um, no children, and you 471 00:24:41,480 --> 00:24:44,879 Speaker 1: just as that you know what is it like, Um, 472 00:24:45,040 --> 00:24:48,080 Speaker 1: I'm not. You don't need to know my my dating life. 473 00:24:49,040 --> 00:24:52,679 Speaker 1: This isn't your therapy session. You didn't go there if 474 00:24:52,680 --> 00:24:57,720 Speaker 1: you want. I mean like single and the yea and 475 00:24:57,760 --> 00:25:00,479 Speaker 1: the like non married box of life. And it's like 476 00:25:01,359 --> 00:25:04,720 Speaker 1: everybody has their opinion of you know, what you're doing, 477 00:25:04,800 --> 00:25:06,480 Speaker 1: how you're doing it. But I was just kind of 478 00:25:06,680 --> 00:25:08,639 Speaker 1: it was like I was just on this career path 479 00:25:08,640 --> 00:25:11,640 Speaker 1: where I was just I would literally just come home 480 00:25:11,760 --> 00:25:15,200 Speaker 1: sleep and my my place was just like a giant closet. 481 00:25:15,560 --> 00:25:18,960 Speaker 1: I never prioritize that mental health until recently. So people 482 00:25:19,000 --> 00:25:21,560 Speaker 1: who are kind of just like going going, going and 483 00:25:21,600 --> 00:25:23,239 Speaker 1: say they don't have time to take care of their 484 00:25:23,240 --> 00:25:26,040 Speaker 1: mental health, what would you tell them, like why they 485 00:25:26,080 --> 00:25:28,520 Speaker 1: should make it a priority and exactly how much time 486 00:25:29,080 --> 00:25:30,840 Speaker 1: do you think you really need to dedicate to that. 487 00:25:32,080 --> 00:25:34,120 Speaker 1: You know, that's a really great question because self care 488 00:25:34,359 --> 00:25:37,480 Speaker 1: is something that we all neglect in ourselves. But it's 489 00:25:37,480 --> 00:25:39,560 Speaker 1: a really simple thing to do, and you can totally 490 00:25:39,600 --> 00:25:41,880 Speaker 1: wrap an entire guilt circle around this. I mean you can. 491 00:25:42,200 --> 00:25:44,040 Speaker 1: You can set yourself up to where it's like, I'm 492 00:25:44,080 --> 00:25:47,360 Speaker 1: not doing the perfect self care. Really, seriously, pick one thing, 493 00:25:48,320 --> 00:25:51,440 Speaker 1: one thing, whether it's I'm gonna meditate for fifteen minutes, 494 00:25:51,480 --> 00:25:54,280 Speaker 1: I'm gonna do the call map, I'm gonna journal, I'm 495 00:25:54,280 --> 00:25:56,960 Speaker 1: gonna take a walk, whatever piece of self care it 496 00:25:57,080 --> 00:25:59,080 Speaker 1: is for you. Pick one thing. Do it for two weeks, 497 00:25:59,320 --> 00:26:02,560 Speaker 1: two to three week. Just one thing, because when you 498 00:26:02,600 --> 00:26:04,520 Speaker 1: go out there, you try to pick the entire menu 499 00:26:04,560 --> 00:26:06,840 Speaker 1: of things of I'm gonna go to the yoga class 500 00:26:06,880 --> 00:26:09,840 Speaker 1: and I'm gonna eat healthy and i'm gonna, you know, 501 00:26:10,040 --> 00:26:13,320 Speaker 1: take turn off my bluetooth and all of my devices 502 00:26:13,400 --> 00:26:15,440 Speaker 1: before I go to bed, and da da da da. 503 00:26:15,640 --> 00:26:17,639 Speaker 1: You're gonna get overwhelmed and then you're gonna feel like 504 00:26:17,680 --> 00:26:22,680 Speaker 1: you failed. Yeah, pick one thing, get yourself an accountability buddy, 505 00:26:22,800 --> 00:26:24,600 Speaker 1: and say, you know, hey, this is what I'm going 506 00:26:24,640 --> 00:26:27,280 Speaker 1: to commit to. Fifteen minutes of meditation three times a week. 507 00:26:27,520 --> 00:26:29,560 Speaker 1: Will you join me or will you hold me accountable? 508 00:26:29,880 --> 00:26:32,639 Speaker 1: And just do that and start there? Do you find 509 00:26:32,640 --> 00:26:35,240 Speaker 1: that if I'm like, if you can't love yourself, how 510 00:26:35,280 --> 00:26:37,080 Speaker 1: can you love others? You know, you have to take 511 00:26:37,119 --> 00:26:40,920 Speaker 1: care of you first. You agree with that, saying absolutely, yeah, 512 00:26:41,160 --> 00:26:44,119 Speaker 1: that's a great advice. Thank you now, And it's the 513 00:26:44,240 --> 00:26:48,000 Speaker 1: airplane rule. Put your own air mask on first, might 514 00:26:48,040 --> 00:26:51,040 Speaker 1: go to self care during the pandemic. I'm not gonna 515 00:26:51,080 --> 00:26:54,760 Speaker 1: lie face masks. I think they're missing. You put a 516 00:26:54,800 --> 00:26:57,800 Speaker 1: face mask on, you can't actually put a phone up 517 00:26:57,840 --> 00:26:59,880 Speaker 1: to your ear, you can't do anything with a device. 518 00:27:00,200 --> 00:27:02,120 Speaker 1: You're kind of stuck there and you have to relax 519 00:27:02,400 --> 00:27:04,320 Speaker 1: and you've got all this gooey stuff on your face 520 00:27:04,480 --> 00:27:07,480 Speaker 1: or whatever whatever brings you joy in the face masks game, 521 00:27:07,600 --> 00:27:09,119 Speaker 1: and that works really well for me. And I've had 522 00:27:09,119 --> 00:27:12,080 Speaker 1: a lot of great conversations with people about what their 523 00:27:12,119 --> 00:27:14,720 Speaker 1: favorite face mask is. But the point is it's an 524 00:27:14,800 --> 00:27:18,199 Speaker 1: indulgence idea for me, and it's meantime. And what are 525 00:27:18,240 --> 00:27:21,479 Speaker 1: the most common mental health issues? You're saying an adults 526 00:27:21,560 --> 00:27:26,040 Speaker 1: right now, Anxiety and depression are not anxiety and depression 527 00:27:26,480 --> 00:27:30,000 Speaker 1: And sometimes they present together, sometimes they present apart. They 528 00:27:30,040 --> 00:27:33,679 Speaker 1: all have a variety of variants that go along with that. 529 00:27:33,880 --> 00:27:37,240 Speaker 1: Sometimes people just have the blues. Sometimes people get to 530 00:27:37,280 --> 00:27:40,520 Speaker 1: the point of being seriously depressed. Um. You know, earlier 531 00:27:40,920 --> 00:27:43,439 Speaker 1: we were talking about children and the presentation of children 532 00:27:43,440 --> 00:27:47,920 Speaker 1: to the e D who with suicidalitation. We've seen record 533 00:27:48,040 --> 00:27:52,040 Speaker 1: numbers of kids presenting with suicidal ideation, who have had 534 00:27:52,080 --> 00:27:56,119 Speaker 1: suicide attempts and things like that. Fortunately, people are getting 535 00:27:56,119 --> 00:27:59,360 Speaker 1: them to the emergency department, getting them to pediatrician's offices 536 00:27:59,560 --> 00:28:03,000 Speaker 1: and getting here, so we're not seeing a spike in completions. 537 00:28:03,600 --> 00:28:07,560 Speaker 1: But what we're seeing is a lot of people really 538 00:28:07,600 --> 00:28:09,920 Speaker 1: not knowing how to deal with that feeling of depression 539 00:28:09,920 --> 00:28:14,800 Speaker 1: and being overwhelmed. Yeah, and oh sorry, no, but it's 540 00:28:14,800 --> 00:28:17,000 Speaker 1: like the Sunday scary is like the Sunday scaries are 541 00:28:17,040 --> 00:28:20,720 Speaker 1: actually a thing, And I feel like, why is it 542 00:28:20,800 --> 00:28:23,720 Speaker 1: on Sundays that like people get this, do you know 543 00:28:23,720 --> 00:28:25,280 Speaker 1: what I mean? It's like this sense of just like 544 00:28:25,440 --> 00:28:33,040 Speaker 1: anxiety or whatever something mind Monday through Sunday. But mine 545 00:28:33,080 --> 00:28:36,000 Speaker 1: never takes a vacation. Yeah, no, never, I wish it 546 00:28:36,000 --> 00:28:38,880 Speaker 1: would just Sundays. Put it that way. We'll think about 547 00:28:38,920 --> 00:28:41,840 Speaker 1: all of the overwhelming stimulus we all get nowadays. You know, 548 00:28:42,320 --> 00:28:44,680 Speaker 1: we get the twenty four hour news cycle coming at 549 00:28:44,760 --> 00:28:47,280 Speaker 1: us with. I have yet to figure out why is 550 00:28:47,320 --> 00:28:51,840 Speaker 1: it that everything is breaking news? Right? That's anxiety provoking, 551 00:28:51,960 --> 00:28:55,600 Speaker 1: right every time you see breaking news up to the minute, YadA, YadA, YadA. 552 00:28:55,920 --> 00:28:59,160 Speaker 1: So that's overwhelming for for people to begin with to process. 553 00:28:59,640 --> 00:29:02,080 Speaker 1: Then to have social bits in your face all the time, 554 00:29:02,320 --> 00:29:04,320 Speaker 1: and whether you're dealing with fomo or all the other 555 00:29:04,320 --> 00:29:07,160 Speaker 1: types of things can deal within social You've got all 556 00:29:07,200 --> 00:29:10,480 Speaker 1: of those inputs, and we don't really give ourselves a 557 00:29:10,600 --> 00:29:12,880 Speaker 1: break from all of these inputs to just go, you 558 00:29:12,880 --> 00:29:16,640 Speaker 1: know what, I'm gonna have no inputs for a little bit. 559 00:29:16,680 --> 00:29:19,600 Speaker 1: I'm gonna go for a walk and just have my 560 00:29:19,920 --> 00:29:22,000 Speaker 1: you know, music or whatever it is that I have 561 00:29:23,240 --> 00:29:25,600 Speaker 1: that every day. I mean, I think that can cause 562 00:29:25,640 --> 00:29:27,960 Speaker 1: anxiety though too, because people are now left with their 563 00:29:27,960 --> 00:29:31,240 Speaker 1: own thoughts, right, and so it's like, maybe it could 564 00:29:31,240 --> 00:29:33,520 Speaker 1: be and maybe it's the pandemic that really triggered it. 565 00:29:33,600 --> 00:29:35,480 Speaker 1: But I think maybe it could have been because we're 566 00:29:35,520 --> 00:29:39,280 Speaker 1: so busy constantly right in general, that we tend I 567 00:29:39,280 --> 00:29:41,880 Speaker 1: can speak for myself, I tend to numb my feelings 568 00:29:41,880 --> 00:29:45,200 Speaker 1: and not gonna feel it and not feel my feelings 569 00:29:45,200 --> 00:29:49,360 Speaker 1: instead just be numb through productivity or whatever my choice 570 00:29:49,400 --> 00:29:53,040 Speaker 1: of you know, poison is I guess for that moment. 571 00:29:54,440 --> 00:29:57,000 Speaker 1: And are you guys seeing a difference between men and 572 00:29:57,040 --> 00:30:00,520 Speaker 1: women or ages or races or any of those types 573 00:30:00,560 --> 00:30:03,280 Speaker 1: of things. Like I know, for me, the pandemic hit hard, 574 00:30:03,280 --> 00:30:04,880 Speaker 1: but I had a lot of other things going on 575 00:30:04,920 --> 00:30:06,920 Speaker 1: in my life, like my daughter and neurosurgery. All these 576 00:30:06,960 --> 00:30:10,960 Speaker 1: things were happening. But honestly, it's like my husband hit 577 00:30:11,000 --> 00:30:13,320 Speaker 1: the ground running like nothing changed for him. He's like, 578 00:30:13,400 --> 00:30:15,640 Speaker 1: that's fine. I just moved my office from my office 579 00:30:15,680 --> 00:30:18,120 Speaker 1: into this room and now I'm great and I'm crushing it. 580 00:30:18,360 --> 00:30:21,520 Speaker 1: And like never once heard invent about it, like talk 581 00:30:21,600 --> 00:30:24,320 Speaker 1: about it seemed more anxious. But I was, honestly, like 582 00:30:24,400 --> 00:30:26,000 Speaker 1: to the point where I was like, that's when I 583 00:30:26,040 --> 00:30:28,959 Speaker 1: found the therapist, That's when I went on medication. Like 584 00:30:29,040 --> 00:30:32,280 Speaker 1: all of these things happen. So are you seeing a difference? 585 00:30:33,840 --> 00:30:38,120 Speaker 1: You know, mental health really knows no bounds. It gets everybody. 586 00:30:38,120 --> 00:30:42,080 Speaker 1: It's an equal opportunity, uh issue. I think what we 587 00:30:42,160 --> 00:30:47,080 Speaker 1: are seeing is higher rates of women with addiction issues 588 00:30:47,200 --> 00:30:50,280 Speaker 1: especially alcohol and things like that. We're seeing a lot 589 00:30:50,320 --> 00:30:53,000 Speaker 1: more people you speak of numbing, a lot more people 590 00:30:53,040 --> 00:30:55,800 Speaker 1: who are using substances in order to get to that 591 00:30:55,880 --> 00:30:58,880 Speaker 1: numbing phase and and to deal and cope with whatever 592 00:30:58,960 --> 00:31:02,040 Speaker 1: form of stressenings ida that they're feeling. But in terms 593 00:31:02,040 --> 00:31:05,000 Speaker 1: of seeing is it is it hitting at any given point, 594 00:31:05,560 --> 00:31:10,360 Speaker 1: we have seen an increase in people presenting, But I 595 00:31:10,400 --> 00:31:15,360 Speaker 1: think people presenting who are people of people of color um, 596 00:31:15,400 --> 00:31:20,120 Speaker 1: you know, whether it's Latin, x um, black, or Asian. 597 00:31:20,200 --> 00:31:22,680 Speaker 1: We're seeing more and more people presenting, But I think 598 00:31:22,720 --> 00:31:25,400 Speaker 1: that has more to do with education and acceptance as 599 00:31:25,400 --> 00:31:29,160 Speaker 1: opposed to that prevalence wasn't there to begin with, because 600 00:31:29,160 --> 00:31:31,840 Speaker 1: I think it was there, and it just culturally was 601 00:31:31,920 --> 00:31:34,600 Speaker 1: not something that that certain culture is engaged in help 602 00:31:34,640 --> 00:31:37,720 Speaker 1: seeking behaviors. Again, I put a lot of that back 603 00:31:37,800 --> 00:31:42,720 Speaker 1: to influencers and people who look like me coming forward 604 00:31:42,720 --> 00:31:45,560 Speaker 1: and saying I've got issues with mental health. I'm you know, 605 00:31:45,600 --> 00:31:47,600 Speaker 1: this is how I've struggled, this is how I'm coping. 606 00:31:47,760 --> 00:31:50,160 Speaker 1: I love it when football players come forward and talk 607 00:31:50,200 --> 00:31:55,080 Speaker 1: about their depression. I love that. That's amazing. So that's 608 00:31:55,120 --> 00:31:58,000 Speaker 1: the role that I think we have in this in 609 00:31:58,040 --> 00:32:00,560 Speaker 1: this space is to come forward and say I struggle 610 00:32:00,600 --> 00:32:02,560 Speaker 1: with mental health, here's what I do about it, here's 611 00:32:02,560 --> 00:32:05,240 Speaker 1: where I've done well, and here's where I'm feeling. And 612 00:32:06,040 --> 00:32:11,200 Speaker 1: you can too. Yeah. Absolutely, no one's alone. And if 613 00:32:11,240 --> 00:32:14,640 Speaker 1: you're if you are somebody who's maybe not struggling, but 614 00:32:14,800 --> 00:32:17,480 Speaker 1: you are wanting to be the best friend you can be, 615 00:32:17,720 --> 00:32:19,920 Speaker 1: or the best spouse or the best mother, what is 616 00:32:19,960 --> 00:32:23,120 Speaker 1: a way to kind of open that conversation with the 617 00:32:23,160 --> 00:32:25,880 Speaker 1: people around you so they feel comfortable sharing with you 618 00:32:26,280 --> 00:32:30,920 Speaker 1: without over you know, over stepping your boundaries in a 619 00:32:31,000 --> 00:32:34,760 Speaker 1: hundred percent starts with sitting down, making time for someone 620 00:32:34,760 --> 00:32:39,120 Speaker 1: and saying, hey, how are you and listening to the answer. 621 00:32:40,760 --> 00:32:45,120 Speaker 1: This isn't about being I'm fine, yea yeah. I think 622 00:32:45,160 --> 00:32:50,560 Speaker 1: the listening is the key. I think honoring people's humanity 623 00:32:51,080 --> 00:32:54,320 Speaker 1: and respecting them because I think what we learned in 624 00:32:54,400 --> 00:32:56,680 Speaker 1: this time is that a lot of us going into 625 00:32:56,680 --> 00:32:59,840 Speaker 1: conversations because we want to say, not necessarily because we 626 00:33:00,000 --> 00:33:03,800 Speaker 1: want to hear, and really key in this challenging time 627 00:33:03,840 --> 00:33:08,000 Speaker 1: to hear, just listen, especially if you're talking to kids. 628 00:33:08,440 --> 00:33:10,600 Speaker 1: You know, I have boys, and boys, you know, if 629 00:33:10,600 --> 00:33:12,600 Speaker 1: you have girls, you're real lucky because they come back 630 00:33:12,600 --> 00:33:16,640 Speaker 1: and that this person said that boys are like, how 631 00:33:16,680 --> 00:33:22,560 Speaker 1: are you doing? What did you do? Stuff? That is 632 00:33:22,640 --> 00:33:31,680 Speaker 1: my son exactly like my husband exactly weird. So you 633 00:33:30,040 --> 00:33:34,760 Speaker 1: don't those opportunities to listen, because all of a sudden 634 00:33:35,040 --> 00:33:37,240 Speaker 1: the tap will open and they're just one pop and 635 00:33:37,320 --> 00:33:40,080 Speaker 1: you have to be ready to just listen and and 636 00:33:40,080 --> 00:33:42,760 Speaker 1: and mirror back what you're hearing, because sometimes we hear 637 00:33:43,040 --> 00:33:45,960 Speaker 1: through our own filter. But if you listen to to 638 00:33:46,280 --> 00:33:49,160 Speaker 1: hear to, like I call it generous listening, then you 639 00:33:49,160 --> 00:33:51,480 Speaker 1: you say I'm hearing this from you, I'm not getting 640 00:33:51,520 --> 00:33:54,880 Speaker 1: that correctly, you know, so that person't feels seen and heard. 641 00:33:55,840 --> 00:33:59,160 Speaker 1: I want to think about different populations right the way 642 00:33:59,200 --> 00:34:04,880 Speaker 1: COVID has hit different populations. African Americans, Native Native America, 643 00:34:04,880 --> 00:34:08,920 Speaker 1: and Specific Islanders were three to six times more impacted 644 00:34:08,920 --> 00:34:12,719 Speaker 1: by this pandemic than than our white man populations. And 645 00:34:12,800 --> 00:34:15,960 Speaker 1: so there's a lot of grief that you were going 646 00:34:16,000 --> 00:34:18,560 Speaker 1: to we're having to manage. And these are populations that 647 00:34:18,600 --> 00:34:23,280 Speaker 1: were impacted not because they are biologically different, but because 648 00:34:23,400 --> 00:34:26,480 Speaker 1: the socio economic starts. So a lot of times they 649 00:34:26,480 --> 00:34:29,480 Speaker 1: are they are doing those frontline jobs which could not 650 00:34:29,840 --> 00:34:33,040 Speaker 1: work from here, right, which were engaging with people. They're 651 00:34:33,040 --> 00:34:34,560 Speaker 1: the bus drivers that you know, there are a lot 652 00:34:34,600 --> 00:34:37,239 Speaker 1: of people who are out there, and so for a 653 00:34:37,239 --> 00:34:41,239 Speaker 1: lot of our minority populations, they've been significantly impacted by 654 00:34:41,280 --> 00:34:45,040 Speaker 1: this pandemic personally in the family unit. And so there's 655 00:34:45,080 --> 00:34:47,719 Speaker 1: a lot of grief that we also have to deal with, right, 656 00:34:48,000 --> 00:34:50,960 Speaker 1: and and how to understand how do they go forward 657 00:34:51,000 --> 00:34:53,399 Speaker 1: from here? How do they protect who's left, and how 658 00:34:53,480 --> 00:34:56,720 Speaker 1: do they make different decisions for themselves and for their families. 659 00:34:56,760 --> 00:34:59,600 Speaker 1: How do they decide about the vaccine because those same 660 00:34:59,640 --> 00:35:03,880 Speaker 1: popular aations also have challenges about access to vaccine, challenges 661 00:35:03,880 --> 00:35:07,760 Speaker 1: about historical barriers to you know, to trusting the healthcare system, 662 00:35:08,080 --> 00:35:12,840 Speaker 1: so influences and getting um physicians and healthcare providers of 663 00:35:12,880 --> 00:35:15,319 Speaker 1: color to say, this is my journey, this is how 664 00:35:15,320 --> 00:35:17,719 Speaker 1: I thought about it. Right. But I'm not going to 665 00:35:17,760 --> 00:35:21,200 Speaker 1: call you cucku or crazy because you have because this 666 00:35:21,239 --> 00:35:25,319 Speaker 1: is why don't have questions. So I'm going to be 667 00:35:25,400 --> 00:35:28,600 Speaker 1: open to have the discussion and answer the questions that 668 00:35:28,719 --> 00:35:30,480 Speaker 1: you have so that I can get you to the 669 00:35:30,480 --> 00:35:33,839 Speaker 1: point where you see my perspective as a public health 670 00:35:33,880 --> 00:35:37,480 Speaker 1: practitioner about the importance of getting this vaccine for yourself 671 00:35:37,560 --> 00:35:40,520 Speaker 1: and for your family. And I also make the effort 672 00:35:40,600 --> 00:35:43,040 Speaker 1: as we did at Providence where we at Swedish we 673 00:35:43,120 --> 00:35:46,640 Speaker 1: launched a mobile vaccine initiative where we took the vaccine 674 00:35:46,680 --> 00:35:50,200 Speaker 1: to the communities right when yeah, we went there, so 675 00:35:50,239 --> 00:35:52,000 Speaker 1: that they didn't have to take the day off work 676 00:35:52,080 --> 00:35:54,920 Speaker 1: to come to the great an appointment. How do I 677 00:35:54,960 --> 00:35:57,520 Speaker 1: make it easy for you to make the decision that 678 00:35:57,600 --> 00:36:00,480 Speaker 1: I believe is the best one for you. So all 679 00:36:00,520 --> 00:36:02,919 Speaker 1: of those things, that stuff that we had to work 680 00:36:03,000 --> 00:36:05,759 Speaker 1: through and continue to work through UM to deliver high 681 00:36:05,800 --> 00:36:09,680 Speaker 1: quality egolical care to our communities. And so we could say, hey, 682 00:36:09,719 --> 00:36:12,359 Speaker 1: here's a new vaccine. This is the recipe we can 683 00:36:12,440 --> 00:36:16,200 Speaker 1: now used to get the new virus. New recipe to 684 00:36:16,200 --> 00:36:18,080 Speaker 1: get the vaccine. We could get to it faster than 685 00:36:18,120 --> 00:36:20,760 Speaker 1: we would have had the ability to do in previous 686 00:36:20,920 --> 00:36:24,440 Speaker 1: UM outbreaks, for which we are exceedingly thankful. But the 687 00:36:24,560 --> 00:36:28,600 Speaker 1: vaccines are never What they do get us to is 688 00:36:28,640 --> 00:36:32,200 Speaker 1: a pretty significant rate of coverage and reduction of transmission 689 00:36:32,480 --> 00:36:36,040 Speaker 1: and reduction in severe illness because COVID as a whole, 690 00:36:36,400 --> 00:36:39,399 Speaker 1: the majority of people who get COVID don't die, which 691 00:36:39,440 --> 00:36:41,080 Speaker 1: is the first problem. Right, So people are like, well 692 00:36:41,160 --> 00:36:43,160 Speaker 1: some people, it's just like a code. It's just like 693 00:36:43,200 --> 00:36:46,000 Speaker 1: a code for some people. But for big chunk of people, 694 00:36:46,080 --> 00:36:48,680 Speaker 1: they get very very sick and they do die. And 695 00:36:48,719 --> 00:36:51,920 Speaker 1: so having the vaccine reduces the likelihood that you're going 696 00:36:52,000 --> 00:36:54,000 Speaker 1: to get very sick, end up in hospital in I 697 00:36:54,160 --> 00:36:57,080 Speaker 1: see you, or dead. So people, you know, you see 698 00:36:57,080 --> 00:36:59,840 Speaker 1: the news talking about people who are vaccinated getting COVID. 699 00:37:00,239 --> 00:37:03,200 Speaker 1: That's true, but they don't have as severe illness as 700 00:37:03,239 --> 00:37:05,600 Speaker 1: those who are not vaccinated. So, but it's also a 701 00:37:05,640 --> 00:37:08,080 Speaker 1: domino effect, right, like, if you get it, it's like 702 00:37:08,200 --> 00:37:09,799 Speaker 1: it's just it can spread. I mean, you're doing it 703 00:37:09,880 --> 00:37:12,600 Speaker 1: not just for yourself, You're doing it to protect your community. 704 00:37:13,040 --> 00:37:17,640 Speaker 1: I'll tell you that that argument has not worked with people. So, well, yeah, 705 00:37:19,800 --> 00:37:27,360 Speaker 1: that's about protecting the communities. They're like, am I good? Right? Right? Right? 706 00:37:28,000 --> 00:37:30,040 Speaker 1: It is right for you, right, because if you make 707 00:37:30,080 --> 00:37:32,880 Speaker 1: that call, you're likely to make that call for your household. 708 00:37:33,160 --> 00:37:35,600 Speaker 1: And so the more that you can build the fence 709 00:37:35,719 --> 00:37:38,600 Speaker 1: that protects those you love, that the net of those 710 00:37:38,640 --> 00:37:41,320 Speaker 1: you love gets wider and wider and gets to encompass 711 00:37:41,440 --> 00:37:45,200 Speaker 1: the majority of our community. And so I will take 712 00:37:45,280 --> 00:37:48,239 Speaker 1: this opportunity to ask anybody who has not been vaccinated, 713 00:37:48,320 --> 00:37:52,640 Speaker 1: please get vaccinated. It makes the world of difference, it 714 00:37:52,760 --> 00:37:56,759 Speaker 1: really does. We at Providence, so the first COVID case 715 00:37:56,840 --> 00:37:59,960 Speaker 1: in the entire company healthcare system, on the very first case, 716 00:38:00,320 --> 00:38:02,839 Speaker 1: we stepped to it right away. We started doing all 717 00:38:02,880 --> 00:38:05,279 Speaker 1: the intervention. So we've been at the forefront of this 718 00:38:05,480 --> 00:38:08,279 Speaker 1: for the entire time, and I'm here to tell you, 719 00:38:08,320 --> 00:38:12,399 Speaker 1: having lived through this past year, whatever you can do 720 00:38:12,480 --> 00:38:15,120 Speaker 1: to get vaccinated. If you have questions, if you want 721 00:38:15,160 --> 00:38:16,960 Speaker 1: to know whether you know, you can take it with 722 00:38:17,440 --> 00:38:20,000 Speaker 1: just ask and we are here. We are willing to 723 00:38:20,080 --> 00:38:22,680 Speaker 1: discuss you here whatever you need to be at peace. 724 00:38:22,960 --> 00:38:26,000 Speaker 1: But anybody who has an opportunity, I am pleading you 725 00:38:26,080 --> 00:38:29,360 Speaker 1: through this platform, please get vaccinated so we could potentially 726 00:38:29,440 --> 00:38:31,640 Speaker 1: get to the other side of this thing. Thank you 727 00:38:32,080 --> 00:38:38,120 Speaker 1: so much people in the world like you guys. Okay, honestly, 728 00:38:38,160 --> 00:38:41,719 Speaker 1: thank you. Dr Robin Henderson, Dr or Wando and Yoku 729 00:38:41,960 --> 00:38:44,719 Speaker 1: from Providence. Thank you guys so much for being here 730 00:38:44,719 --> 00:38:46,799 Speaker 1: and chatting with us. We really really appreciate you taking 731 00:38:46,800 --> 00:38:57,759 Speaker 1: the time. All right, So we are going to get 732 00:38:57,800 --> 00:39:01,600 Speaker 1: into some general I have a lot of questions coming 733 00:39:01,680 --> 00:39:03,840 Speaker 1: up here, but before I bring her in, we have 734 00:39:04,120 --> 00:39:08,080 Speaker 1: doctor Angela Nascio. She is the medical director for Women's 735 00:39:08,120 --> 00:39:15,080 Speaker 1: Health Services at Providence. Doctor Nascio, are you there? Hi? Hi? 736 00:39:16,320 --> 00:39:18,960 Speaker 1: How are you? Thanks for having me? You are in it, 737 00:39:19,160 --> 00:39:22,960 Speaker 1: You are in her girl. Thanks for being here despite 738 00:39:23,000 --> 00:39:25,480 Speaker 1: your busy schedule. I'm sure. Yes, I actually have a 739 00:39:25,480 --> 00:39:29,120 Speaker 1: patient of labor right now. Who do you need us 740 00:39:29,120 --> 00:39:32,439 Speaker 1: to help deliver? Would you? We can, we can hold, 741 00:39:32,480 --> 00:39:36,919 Speaker 1: we hold a lot of Well, how has the saying 742 00:39:37,040 --> 00:39:38,880 Speaker 1: the birthing? I mean, obviously I'm the one without a 743 00:39:38,960 --> 00:39:41,759 Speaker 1: child here, like, how has the birthing? Yeah? How has 744 00:39:41,880 --> 00:39:45,560 Speaker 1: the process of actually giving birth been in the middle 745 00:39:45,600 --> 00:39:47,920 Speaker 1: of this pandemic because obviously, you know, people can't be 746 00:39:48,000 --> 00:39:50,200 Speaker 1: in there with you. Has that had a huge impact 747 00:39:50,239 --> 00:39:53,360 Speaker 1: on women? Well, you know, babies don't know we're in 748 00:39:53,360 --> 00:39:56,600 Speaker 1: a pandemic, so coming whether we want them to or not. 749 00:39:57,000 --> 00:40:00,280 Speaker 1: Um Our hospital policy when COVID first hit and didn't 750 00:40:00,280 --> 00:40:03,080 Speaker 1: know the transmission to babies or or how dangerous it 751 00:40:03,120 --> 00:40:06,560 Speaker 1: could be for babies, we really were very, very conservative. 752 00:40:06,760 --> 00:40:10,600 Speaker 1: Everybody got tested. If a mom tested positive, we're actually 753 00:40:10,640 --> 00:40:14,040 Speaker 1: separating the babies from the mothers, which was really heartbreaking. 754 00:40:14,080 --> 00:40:16,000 Speaker 1: You know, you just give birth and your baby gets 755 00:40:16,000 --> 00:40:18,439 Speaker 1: whisked away in an incubator before you have a chance 756 00:40:18,480 --> 00:40:21,840 Speaker 1: to see the baby. UM. So that was very hard obviously, 757 00:40:21,920 --> 00:40:26,280 Speaker 1: But as we started to know more about transmission and 758 00:40:26,520 --> 00:40:29,680 Speaker 1: the effects you know, viral load and pregnant mothers and babies, 759 00:40:29,880 --> 00:40:32,279 Speaker 1: and we realized that we didn't have to do that. 760 00:40:32,520 --> 00:40:35,799 Speaker 1: So now we're not separating mothers. We are still having 761 00:40:35,800 --> 00:40:38,799 Speaker 1: mothers where in ninety masks. Thankfully, as people more and 762 00:40:38,800 --> 00:40:43,080 Speaker 1: more people get vaccinated, we're seeing lower numbers UM and 763 00:40:43,520 --> 00:40:46,279 Speaker 1: it's been working out really well, thankfully. Thankfully, we have 764 00:40:46,360 --> 00:40:49,799 Speaker 1: not had a single case of a newborn transmission from 765 00:40:49,880 --> 00:40:53,000 Speaker 1: mother at any of our providence systems and and isn't 766 00:40:53,120 --> 00:40:57,520 Speaker 1: right now it's still one person only in the room. 767 00:40:57,600 --> 00:41:00,680 Speaker 1: We never kicked out the fall there's are the baby. 768 00:41:00,680 --> 00:41:03,279 Speaker 1: We do think that childbirth is a family experience, and 769 00:41:03,640 --> 00:41:06,920 Speaker 1: so whether we're never giving birth by themselves, even in 770 00:41:06,960 --> 00:41:10,279 Speaker 1: the sick of the pandemic UM. We have opened up 771 00:41:10,320 --> 00:41:12,799 Speaker 1: a little bit more now now the father. Now you 772 00:41:12,840 --> 00:41:16,120 Speaker 1: can have to visitors the father and additional support person, 773 00:41:16,440 --> 00:41:18,560 Speaker 1: and we also allow people to have a duel if 774 00:41:18,640 --> 00:41:21,080 Speaker 1: they choose to as well. Just an extra support person 775 00:41:21,200 --> 00:41:24,080 Speaker 1: for labor and delivery. And you know, I was I 776 00:41:24,120 --> 00:41:26,000 Speaker 1: wonder if you could clear this up because I have 777 00:41:26,040 --> 00:41:27,760 Speaker 1: a lot of a couple of friends that are trying 778 00:41:27,760 --> 00:41:29,799 Speaker 1: to get pregnant right now, and they're scared to get 779 00:41:29,840 --> 00:41:32,680 Speaker 1: the vaccine because I think it's going to impact their fertility. 780 00:41:32,719 --> 00:41:34,520 Speaker 1: Is there any truth to that or what can you 781 00:41:35,280 --> 00:41:38,920 Speaker 1: share on that. There's absolutely no truth to that. Study 782 00:41:38,960 --> 00:41:41,600 Speaker 1: after study after study has not shown a decrease in 783 00:41:41,640 --> 00:41:45,200 Speaker 1: fertility for women who have received the CODE vaccine. I 784 00:41:45,280 --> 00:41:47,279 Speaker 1: do see. You know, there was an article that said 785 00:41:47,320 --> 00:41:50,440 Speaker 1: that women were having some mentional irregularities after the vaccine. 786 00:41:50,480 --> 00:41:52,280 Speaker 1: I have seen that in a few of my patients, 787 00:41:52,560 --> 00:41:55,480 Speaker 1: and it probably is the body's response to it. What's 788 00:41:55,600 --> 00:41:58,399 Speaker 1: a big shock to the immusee system. We've never seen 789 00:41:58,400 --> 00:42:01,279 Speaker 1: this virus before. Um that usually settled in about a 790 00:42:01,280 --> 00:42:03,040 Speaker 1: month or two and people go back to normal and 791 00:42:03,120 --> 00:42:06,239 Speaker 1: long term fertility rates have absolutely not been impacted at all. 792 00:42:06,760 --> 00:42:09,719 Speaker 1: The same for freezing your eggs and um IVF and 793 00:42:09,960 --> 00:42:12,640 Speaker 1: all of that same, you don't need to worry. Yeah, 794 00:42:12,760 --> 00:42:15,720 Speaker 1: the infertility doctors are having people wait a month after 795 00:42:15,760 --> 00:42:18,600 Speaker 1: the vaccine before going forward with the egg freezing process 796 00:42:18,719 --> 00:42:21,719 Speaker 1: just out of an abundance of caution, UM, so that 797 00:42:21,719 --> 00:42:24,440 Speaker 1: it seems to be working out just fine. What if 798 00:42:24,440 --> 00:42:27,480 Speaker 1: you're pregnant. I've heard from a couple of people that 799 00:42:27,520 --> 00:42:29,600 Speaker 1: they're not supposed to do it until the second trimester. 800 00:42:29,680 --> 00:42:31,640 Speaker 1: Is their truth to that or what is the deal 801 00:42:31,800 --> 00:42:36,960 Speaker 1: with pregnancy and vaccination? They're ongoing studies. I think Maderna 802 00:42:37,080 --> 00:42:40,560 Speaker 1: just launched a big study of COVID and pregnant women. UM. 803 00:42:40,600 --> 00:42:43,800 Speaker 1: But so far the data that we have on Sizon 804 00:42:43,880 --> 00:42:46,920 Speaker 1: Maderna show that it's safe for pregnant women to receive 805 00:42:47,000 --> 00:42:49,600 Speaker 1: the vaccine. What's the biggest question that you get asked 806 00:42:49,680 --> 00:42:52,279 Speaker 1: from patients? It could also be non COVID related when 807 00:42:52,320 --> 00:42:55,800 Speaker 1: they come to you. UM. A lot of my patients 808 00:42:55,840 --> 00:42:59,200 Speaker 1: want to know, uh, what is their fertility? They want 809 00:42:59,200 --> 00:43:01,160 Speaker 1: to say, you know, they want to know should I 810 00:43:01,160 --> 00:43:03,920 Speaker 1: get pregnant? Now? How long do I have before it's 811 00:43:03,960 --> 00:43:06,879 Speaker 1: too late for me to get pregnant? I mean, I'm 812 00:43:06,920 --> 00:43:09,440 Speaker 1: thirty seven, right, so I'm I would love to have 813 00:43:09,480 --> 00:43:12,200 Speaker 1: a baby, UM, but right now with my lifestyle, it's 814 00:43:12,280 --> 00:43:14,680 Speaker 1: kind of impossible at the moment. But when is it 815 00:43:14,760 --> 00:43:18,160 Speaker 1: too late? I guess, well, that's that's that's the problem. 816 00:43:18,160 --> 00:43:21,320 Speaker 1: We don't have a test today. You have six months, 817 00:43:21,400 --> 00:43:24,120 Speaker 1: or you have twelve months, or you have three years. Um. 818 00:43:24,239 --> 00:43:27,560 Speaker 1: Egg quality does go down with age, starting a little 819 00:43:27,560 --> 00:43:29,480 Speaker 1: bit at thirty and certainly taking off a little bit 820 00:43:29,480 --> 00:43:33,080 Speaker 1: more at thirty five, and becoming rather difficult at forty 821 00:43:33,160 --> 00:43:36,160 Speaker 1: and um. So based on age, we'd tell you, if 822 00:43:36,160 --> 00:43:39,239 Speaker 1: you're committed to having a child that's biologically your own, 823 00:43:39,640 --> 00:43:42,720 Speaker 1: start taking steps to get ready. And would you recommend 824 00:43:42,760 --> 00:43:45,840 Speaker 1: freezing your eggs or is there a time limit with that? 825 00:43:46,080 --> 00:43:49,480 Speaker 1: Or freezing eggs is more successful than younger you are, 826 00:43:49,920 --> 00:43:54,400 Speaker 1: so as soon as it's relatively feasible financially to to 827 00:43:54,480 --> 00:43:56,879 Speaker 1: do so, it would be a good idea. Now, if 828 00:43:56,920 --> 00:44:00,520 Speaker 1: you're married, a better idea rather than freeze eggs is 829 00:44:00,560 --> 00:44:05,040 Speaker 1: to freeze embryos for two reasons. Number one, embryos, well, 830 00:44:05,040 --> 00:44:07,640 Speaker 1: you have to have a partner to have embryos. Um, right, 831 00:44:07,640 --> 00:44:09,719 Speaker 1: thank you really meant first for single women who don't 832 00:44:09,760 --> 00:44:12,759 Speaker 1: have a partner. Okay, so I am married, But so 833 00:44:13,040 --> 00:44:15,840 Speaker 1: embryos are good because they do survive the freezing and 834 00:44:15,920 --> 00:44:19,160 Speaker 1: thawing process a lot better than eggs do. So that's 835 00:44:19,160 --> 00:44:21,520 Speaker 1: the number one reason why I would recommend embryos for you. 836 00:44:21,840 --> 00:44:24,640 Speaker 1: But number two, we can actually do genetic tests on 837 00:44:24,680 --> 00:44:27,520 Speaker 1: those embryos before we freeze them to make sure that 838 00:44:27,560 --> 00:44:30,880 Speaker 1: we're only implanting healthy embryos at the proper time. You 839 00:44:30,920 --> 00:44:33,279 Speaker 1: can't do a genetic test on the eggs because it's 840 00:44:33,280 --> 00:44:35,880 Speaker 1: only one cell and you destroy the DNA when you 841 00:44:35,960 --> 00:44:38,399 Speaker 1: test it. But in the embryo, you wait till they're 842 00:44:38,400 --> 00:44:41,480 Speaker 1: about five or six cells big. You pluck out one 843 00:44:41,480 --> 00:44:43,719 Speaker 1: of those cells, you can test it for things like 844 00:44:43,760 --> 00:44:47,600 Speaker 1: down syndrome UM or other chromosome abnormalities, and only freeze 845 00:44:47,600 --> 00:44:50,560 Speaker 1: the eggs the embryos that are healthy. What are your 846 00:44:50,600 --> 00:44:54,960 Speaker 1: thoughts on breast implant illness. It's very popular on social 847 00:44:55,000 --> 00:44:58,799 Speaker 1: media right now, where everybody is talking about all the 848 00:44:58,840 --> 00:45:01,640 Speaker 1: harms on the side of facts that it's creating in women. 849 00:45:02,360 --> 00:45:04,520 Speaker 1: Do you believe in that? Is that? I mean I 850 00:45:05,360 --> 00:45:06,960 Speaker 1: read somebody else talk about it, and then all of 851 00:45:07,000 --> 00:45:09,920 Speaker 1: a sudden, I have all the symptoms. So I'm not 852 00:45:09,960 --> 00:45:12,440 Speaker 1: so familiar with that. Since I don't put in breast 853 00:45:12,440 --> 00:45:15,239 Speaker 1: implants or take them out um, that would probably be 854 00:45:15,280 --> 00:45:17,440 Speaker 1: a better question for breast surgeon. I haven't had a 855 00:45:17,480 --> 00:45:20,960 Speaker 1: lot of patients complain about breast implants illness to me 856 00:45:21,040 --> 00:45:23,080 Speaker 1: at all. I think it would depend on what's in 857 00:45:23,160 --> 00:45:26,080 Speaker 1: the implant. Staling should be very very simple and benign, 858 00:45:26,120 --> 00:45:29,560 Speaker 1: where silicone we know can cause some problems. I have 859 00:45:29,600 --> 00:45:33,880 Speaker 1: a question about birth control and getting pregnant and freezing 860 00:45:33,880 --> 00:45:37,200 Speaker 1: your embryos. What how do you feel about birth control 861 00:45:37,200 --> 00:45:41,840 Speaker 1: in general? If you need birth control, use birth controls. 862 00:45:42,360 --> 00:45:46,000 Speaker 1: There's no evidence to show that birth control hormonal birth control. 863 00:45:46,000 --> 00:45:50,240 Speaker 1: I'm assuming um hormonal birth control will will delay return 864 00:45:50,280 --> 00:45:52,680 Speaker 1: to fertility for more than about three months or so. 865 00:45:53,080 --> 00:45:55,080 Speaker 1: It doesn't stay in your system for years and years 866 00:45:55,120 --> 00:45:57,200 Speaker 1: and years. On that note, I have a lot of 867 00:45:57,239 --> 00:46:00,520 Speaker 1: patients who want to get pregnant in six to twelve months, 868 00:46:00,520 --> 00:46:02,920 Speaker 1: and they asked, should I stop the pill now? And 869 00:46:02,960 --> 00:46:05,000 Speaker 1: my answer is, if you're not ready to get pregnant now, 870 00:46:05,120 --> 00:46:07,680 Speaker 1: don't stop the pill now. Even if you've been taking 871 00:46:07,719 --> 00:46:10,000 Speaker 1: it since, like for twenty years. Let's say it doesn't 872 00:46:10,040 --> 00:46:13,359 Speaker 1: matter the longevity. It doesn't matter. System in about forty 873 00:46:13,400 --> 00:46:16,759 Speaker 1: eight hours sometimes overis a little bit of time to 874 00:46:16,800 --> 00:46:18,919 Speaker 1: wake up when they've been suppressed so along by birth 875 00:46:18,960 --> 00:46:23,400 Speaker 1: control pills. But three months at the longest. So I 876 00:46:23,520 --> 00:46:25,680 Speaker 1: used to suffer like I used to get chronic U 877 00:46:25,680 --> 00:46:28,200 Speaker 1: T I s all the time, and I would go 878 00:46:28,239 --> 00:46:30,200 Speaker 1: into my guy, no, she'd tests, you know, be like, 879 00:46:30,320 --> 00:46:32,680 Speaker 1: you have a U T I, here's a prescription and 880 00:46:32,680 --> 00:46:34,560 Speaker 1: and you'll be fine. And I got to a point 881 00:46:34,600 --> 00:46:36,920 Speaker 1: where I was just like, I'm overtaking this medication. So 882 00:46:36,960 --> 00:46:40,560 Speaker 1: I started exploring other options and I started I learned 883 00:46:40,560 --> 00:46:44,440 Speaker 1: about pelvic floor physical therapy, started doing that, and I 884 00:46:44,520 --> 00:46:47,000 Speaker 1: made some other changes in terms of like laundry detergent 885 00:46:47,320 --> 00:46:50,040 Speaker 1: and you know, things like that. And at night and day, 886 00:46:50,080 --> 00:46:51,680 Speaker 1: I haven't had a U T I knock on wood 887 00:46:51,719 --> 00:46:54,560 Speaker 1: and like eight months and I was getting them every 888 00:46:54,560 --> 00:46:58,680 Speaker 1: single month. And so when I started learning about this UM, 889 00:46:58,880 --> 00:47:01,440 Speaker 1: they started telling me that pelvic floor physical therapy is 890 00:47:01,480 --> 00:47:04,160 Speaker 1: good to do before you give birth to because it 891 00:47:04,280 --> 00:47:06,440 Speaker 1: just kind of it's like when you give birth, it's 892 00:47:06,480 --> 00:47:08,600 Speaker 1: like you're running a marathon. You wouldn't just go run 893 00:47:08,600 --> 00:47:10,759 Speaker 1: a marathon without training for it. Do you believe that 894 00:47:10,840 --> 00:47:14,160 Speaker 1: there's some is there some like validity to that? There's 895 00:47:14,239 --> 00:47:17,120 Speaker 1: some validity to that? You know you're right. Carrying a 896 00:47:17,160 --> 00:47:20,720 Speaker 1: pregnancy and delivering a baby is a very taxing event 897 00:47:20,840 --> 00:47:23,240 Speaker 1: in a woman's life, and the more we can prepare 898 00:47:23,280 --> 00:47:25,640 Speaker 1: for it, the better we are, especially as mothers are 899 00:47:25,640 --> 00:47:28,440 Speaker 1: waiting longer and longer to have children and their bodies 900 00:47:28,480 --> 00:47:30,480 Speaker 1: just aren't in the same shape as they were when 901 00:47:30,480 --> 00:47:34,080 Speaker 1: they're four years old. It is a good idea both 902 00:47:34,600 --> 00:47:38,760 Speaker 1: during and after pregnancy to use a physical therapist. Yeah, 903 00:47:39,120 --> 00:47:42,000 Speaker 1: I'm like laughing, maybe this is inappropriate. But as you 904 00:47:42,000 --> 00:47:44,320 Speaker 1: guys are talking about it, do you guys all immediately 905 00:47:44,360 --> 00:47:46,880 Speaker 1: start doing keegels or is that just a mom I 906 00:47:47,000 --> 00:47:50,680 Speaker 1: was actually Jane Fonda propped into my head for some reason. 907 00:47:50,800 --> 00:47:54,640 Speaker 1: Jane Fonda and her like hip thrust, no idea. Why 908 00:47:54,680 --> 00:48:00,239 Speaker 1: am I doing this? Very good? I'm like, yeah, now 909 00:48:00,239 --> 00:48:03,319 Speaker 1: that you say it, Okay. They've made it so much 910 00:48:03,360 --> 00:48:05,920 Speaker 1: easier for us too. They have the devices that you 911 00:48:05,960 --> 00:48:08,520 Speaker 1: can bluetooth to your phone, and they have little they 912 00:48:08,560 --> 00:48:11,239 Speaker 1: have games where you do your kegles and your bird 913 00:48:11,280 --> 00:48:13,280 Speaker 1: flies over the mountain and doesn't crash into the mountain 914 00:48:13,320 --> 00:48:19,000 Speaker 1: and it's it's a great angry birds with your cable. 915 00:48:19,400 --> 00:48:23,200 Speaker 1: Yeah exactly. And I know you talked about the HPV shot, 916 00:48:23,280 --> 00:48:27,240 Speaker 1: but what are early signs of cancer, like what should 917 00:48:27,320 --> 00:48:30,120 Speaker 1: individuals be looking out for and also how do we 918 00:48:30,160 --> 00:48:34,479 Speaker 1: talk to kids about the HPV shot. For my kids, 919 00:48:34,520 --> 00:48:37,640 Speaker 1: I just tell them, hey, you need to take the shot. Period. 920 00:48:39,239 --> 00:48:42,320 Speaker 1: I didn't really go into why, I'm mom, you're the 921 00:48:42,400 --> 00:48:46,920 Speaker 1: kid you're getting but yeah, it is a shot to 922 00:48:46,960 --> 00:48:49,759 Speaker 1: prevent cancer. At the end of the day, if if 923 00:48:49,800 --> 00:48:51,880 Speaker 1: you have the opportunity to do so, we really should. 924 00:48:52,480 --> 00:48:55,279 Speaker 1: UM signs of cancer really depends on the kind of 925 00:48:55,320 --> 00:48:59,640 Speaker 1: cancer that we're dealing with. UM. Cervical cancer, uterine cancer. 926 00:48:59,680 --> 00:49:03,560 Speaker 1: Will you usually have irregular bleeding signs? Those are pretty 927 00:49:03,600 --> 00:49:07,120 Speaker 1: easily detectable, especially if people getting regular paths, and therefore 928 00:49:07,160 --> 00:49:09,759 Speaker 1: they're very curable because we find them early. UM. The 929 00:49:09,760 --> 00:49:11,759 Speaker 1: more insidious types of cancer are going to be the 930 00:49:11,760 --> 00:49:15,040 Speaker 1: ovarian cancers because a lot of people don't have symptoms 931 00:49:15,120 --> 00:49:17,880 Speaker 1: until it's very, very late, and those symptoms are very 932 00:49:18,000 --> 00:49:22,719 Speaker 1: vague abdominal fullness, abdominal pain, lower back pain, which we've 933 00:49:22,760 --> 00:49:24,560 Speaker 1: all had at some point in our lives, and we 934 00:49:24,600 --> 00:49:28,120 Speaker 1: don't all have a varian cancer. Fortunately, that's the fairly 935 00:49:28,239 --> 00:49:31,200 Speaker 1: rare cancer. The risk lifetime risk of getting ovarian cancer 936 00:49:31,239 --> 00:49:34,120 Speaker 1: is less than two percent UM, and they're certainly working 937 00:49:34,120 --> 00:49:37,360 Speaker 1: on early detection tests. UM. Nothing has come to fruition 938 00:49:37,520 --> 00:49:40,719 Speaker 1: so far, and it's something that scares my patience a lot. 939 00:49:40,880 --> 00:49:44,040 Speaker 1: So bottom line is, if there's anything that seems concerning, 940 00:49:44,360 --> 00:49:47,600 Speaker 1: reach out to your provider, get checked out it Maybe nothing, 941 00:49:47,680 --> 00:49:49,879 Speaker 1: but what's the harm in checking it out? But that's 942 00:49:49,880 --> 00:49:52,320 Speaker 1: what scares me about that once every three years, perhaps 943 00:49:52,360 --> 00:49:54,839 Speaker 1: mere check up. But I guess if it's abnormal, right, 944 00:49:54,880 --> 00:49:59,600 Speaker 1: you would say something and we would just continue with yea. Yeah, 945 00:50:00,040 --> 00:50:02,759 Speaker 1: like an HPV test has really changed the game for 946 00:50:02,800 --> 00:50:06,480 Speaker 1: pep smokes. Meaning honestly, I am like the pet police 947 00:50:06,520 --> 00:50:10,520 Speaker 1: because so I know because I got HPV from my 948 00:50:10,640 --> 00:50:14,520 Speaker 1: very first sexual partner, and it was traumatizing because at 949 00:50:14,560 --> 00:50:16,200 Speaker 1: the time I was I don't know how old that was, 950 00:50:16,239 --> 00:50:19,080 Speaker 1: maybe nineteen or twenty, um, nobody was talking about it. 951 00:50:19,200 --> 00:50:21,680 Speaker 1: And so when my when my guy called and told me, 952 00:50:21,760 --> 00:50:23,960 Speaker 1: I thought, I really thought I was dying like I was. 953 00:50:24,040 --> 00:50:26,799 Speaker 1: It was like really really scary for me. And so 954 00:50:27,280 --> 00:50:29,799 Speaker 1: I like did all my research and you know, took 955 00:50:29,840 --> 00:50:32,040 Speaker 1: it super seriously. By the time I graduated from college, 956 00:50:32,080 --> 00:50:36,080 Speaker 1: almost all my story sisters had had it as well. Yeah, 957 00:50:37,680 --> 00:50:40,799 Speaker 1: but of course that's a lot. It's a lot more 958 00:50:40,880 --> 00:50:44,239 Speaker 1: common than you than you realize. It's like one in 959 00:50:44,280 --> 00:50:51,000 Speaker 1: three I think women. Yeah, actually about oh, how do 960 00:50:51,040 --> 00:50:53,800 Speaker 1: you know if you have like did you have any idea, Tanya, 961 00:50:53,920 --> 00:50:57,160 Speaker 1: or were you just went or something. No, I had 962 00:50:57,200 --> 00:50:59,520 Speaker 1: no feeling. I was just getting like my I started 963 00:50:59,680 --> 00:51:03,840 Speaker 1: going getting checked ups like paps, mirrors when I turned eighteen. 964 00:51:03,920 --> 00:51:05,520 Speaker 1: It was just something that my mom told me to do. 965 00:51:05,600 --> 00:51:08,520 Speaker 1: I wasn't sexually active and so and then I did 966 00:51:08,600 --> 00:51:10,839 Speaker 1: it right before I went away to college, and I 967 00:51:10,880 --> 00:51:16,320 Speaker 1: was expecting anything like it was so shocked. I felt dirty, 968 00:51:16,360 --> 00:51:19,799 Speaker 1: I felt embarrassed, I felt guilt, I felt like all 969 00:51:19,840 --> 00:51:23,239 Speaker 1: those things. And so I'm glad. I'm really happy that 970 00:51:23,320 --> 00:51:26,160 Speaker 1: we have these conversations and that we do open like 971 00:51:26,160 --> 00:51:27,879 Speaker 1: our opening the door of these because I think for 972 00:51:27,920 --> 00:51:31,160 Speaker 1: me at the time, I just felt really embarrssed alone 973 00:51:31,200 --> 00:51:34,520 Speaker 1: and embarrassed and like dirty, and it's so it's just 974 00:51:34,600 --> 00:51:37,560 Speaker 1: so common. And I also had it just f y I, 975 00:51:37,640 --> 00:51:39,799 Speaker 1: so you don't feel alone, Yeah, it was. It was 976 00:51:39,840 --> 00:51:42,640 Speaker 1: that it was that weird feeling like, um, I don't 977 00:51:42,640 --> 00:51:44,400 Speaker 1: know who to talk to you, right, because it's not 978 00:51:44,480 --> 00:51:48,600 Speaker 1: like now it's different. I think times have changed obviously, right, Yeah, 979 00:51:48,760 --> 00:51:53,600 Speaker 1: So thanks for sharing, but it's it's scary, and I think, um, 980 00:51:53,640 --> 00:51:56,480 Speaker 1: you know, just incur I know some friends of mine 981 00:51:56,480 --> 00:51:58,799 Speaker 1: that don't ever go to the guy know because they're 982 00:51:58,840 --> 00:52:00,640 Speaker 1: just scared or they don't want to know. And so 983 00:52:00,640 --> 00:52:03,200 Speaker 1: I think it's important to kind of open the door 984 00:52:03,239 --> 00:52:05,359 Speaker 1: and keep the conversation going and just like it's good 985 00:52:05,360 --> 00:52:11,719 Speaker 1: to check because and um, how often would you say, like, 986 00:52:12,000 --> 00:52:14,720 Speaker 1: for what are the signs? I guess for early cancer? 987 00:52:14,760 --> 00:52:16,680 Speaker 1: I mean you can't really feel it, you can't. You'd 988 00:52:16,719 --> 00:52:21,160 Speaker 1: have to go in for your checkup. Is that correct? Yeah? Yeah, okay? 989 00:52:21,440 --> 00:52:23,600 Speaker 1: And what should like what should they be looking out for? 990 00:52:23,719 --> 00:52:27,320 Speaker 1: Like it should it's not hereditary, is it? Some cancers 991 00:52:27,320 --> 00:52:30,000 Speaker 1: are hereditary. So if you have a family history of 992 00:52:30,160 --> 00:52:34,440 Speaker 1: uterine cancer, breast cancer, or varian cancer, bring it up 993 00:52:34,440 --> 00:52:37,000 Speaker 1: with your provider, because we can do a blood test 994 00:52:37,000 --> 00:52:38,719 Speaker 1: to see if you carry one of the genes that 995 00:52:38,719 --> 00:52:41,399 Speaker 1: would put you a high risk for these cancers. And 996 00:52:41,480 --> 00:52:45,759 Speaker 1: it's a simple blood test. The amazing thing is as 997 00:52:45,800 --> 00:52:49,360 Speaker 1: technology advances, we're coming up with new mutations that we find. 998 00:52:49,800 --> 00:52:52,040 Speaker 1: So even though you may have had the test done 999 00:52:52,239 --> 00:52:55,040 Speaker 1: ten years ago, there's a slew of different genes that 1000 00:52:55,080 --> 00:52:58,239 Speaker 1: have now been identified that can also increase your risk 1001 00:52:58,280 --> 00:53:00,719 Speaker 1: for cancer, and looking for those is important for someone 1002 00:53:00,840 --> 00:53:03,480 Speaker 1: the family history. But if someone has a strong family 1003 00:53:03,520 --> 00:53:06,760 Speaker 1: history of a baron cancer, we do more frequent pelvic ultrasounds. 1004 00:53:06,880 --> 00:53:09,160 Speaker 1: And someone has a family history of breast cancer, we 1005 00:53:09,200 --> 00:53:12,440 Speaker 1: do more frequent mammograms sometimes m r s or ultrasounds 1006 00:53:12,440 --> 00:53:15,279 Speaker 1: as well of the breast. Well. Dr co, we know 1007 00:53:15,360 --> 00:53:17,760 Speaker 1: that you are in the middle of delivering a baby, 1008 00:53:18,080 --> 00:53:20,960 Speaker 1: so we will let you go do that. Thank you 1009 00:53:21,040 --> 00:53:24,839 Speaker 1: so much for taking this answering app Thank you, Thank 1010 00:53:24,880 --> 00:53:28,960 Speaker 1: you all right, take care, bye bye bye. It doesn't 1011 00:53:28,960 --> 00:53:34,439 Speaker 1: have a name for the baby. Uh has been good 1012 00:53:34,440 --> 00:53:40,200 Speaker 1: for me, Cheryl. All three names are totally and then 1013 00:53:40,239 --> 00:53:44,839 Speaker 1: their last name. How awesome. We're those doctors special. Thank 1014 00:53:44,840 --> 00:53:47,279 Speaker 1: you to all the doctors over a province. You guys 1015 00:53:47,480 --> 00:53:49,320 Speaker 1: so much information. I didn't want that to end. I 1016 00:53:49,360 --> 00:53:51,680 Speaker 1: was about to be like, what last thing? When should 1017 00:53:51,680 --> 00:53:53,279 Speaker 1: I take my daughter? The guy I know for the 1018 00:53:53,320 --> 00:53:55,840 Speaker 1: first time missed all that. Then I put myself on 1019 00:53:55,920 --> 00:53:58,560 Speaker 1: the girl who's giving birth, and I was like, stop 1020 00:53:58,600 --> 00:54:02,040 Speaker 1: taking more time about of my actor's schedule. I know, honestly, 1021 00:54:02,080 --> 00:54:04,400 Speaker 1: like I could go. I'm that person though, like whenever 1022 00:54:04,440 --> 00:54:06,520 Speaker 1: I get my paps near my annual popsner. I asked 1023 00:54:06,560 --> 00:54:08,640 Speaker 1: my guya like a million questions, Like the minute she 1024 00:54:08,640 --> 00:54:11,960 Speaker 1: sits down, it's like until she's out the door. Well, 1025 00:54:12,000 --> 00:54:15,000 Speaker 1: I've been going to the same one since I was seventeen, 1026 00:54:15,160 --> 00:54:17,719 Speaker 1: and so whenever I see him, I'm like, crap. He's like, 1027 00:54:17,920 --> 00:54:20,200 Speaker 1: it's like a therapy session. He's what are you up to? 1028 00:54:20,280 --> 00:54:23,640 Speaker 1: What's you like? Like he knows everything about you. Mine 1029 00:54:23,640 --> 00:54:27,839 Speaker 1: just retired, So I need a good one and you recommend. Well, 1030 00:54:27,880 --> 00:54:30,480 Speaker 1: I'm sure I probably think I need a woman. You 1031 00:54:30,560 --> 00:54:36,800 Speaker 1: need a woman, Yeah, yeah, I have Dr dr. Yeah, 1032 00:54:37,440 --> 00:54:42,839 Speaker 1: you're gonna have to quick little trip. Yeah. Anyway, Well, 1033 00:54:42,840 --> 00:54:45,040 Speaker 1: thank you so much to Providence for letting us have 1034 00:54:45,040 --> 00:54:48,080 Speaker 1: this conversation. I think it's obviously really important. Knowledge is power, 1035 00:54:48,239 --> 00:54:51,359 Speaker 1: and as women were all in this together, So thank 1036 00:54:51,360 --> 00:54:55,239 Speaker 1: you Providence. Teddy Cheryl, I love you, guys, love you 1037 00:54:55,320 --> 00:54:59,480 Speaker 1: to thank you. Thank you here. I appreciate you. I'll 1038 00:54:59,480 --> 00:55:03,760 Speaker 1: see you se Teddy, I'll see you soon. Bye, guys, 1039 00:55:04,000 --> 00:55:08,640 Speaker 1: Bye bye bye. Thanks for listening. Subscribe to Teddy Teapot 1040 00:55:08,719 --> 00:55:11,759 Speaker 1: on I Heart Radio or wherever you listen to podcasts.