In this episode, Katlyn Moss talks to Shannon Dowler, a Family Medicine physician about the recent increase in syphilis cases and what can be done to treat and prevent it.  They will discuss why syphilis often goes undiagnosed and untreated, along with the barriers that health systems, clinicians, and public health professionals are currently facing in their work to control syphilis and other infectious diseases. They also talk about the special implications for pregnant patients and their babies.  Dr. Dowler provides plenty of information and action items on treating syphilis as well as how it can be prevented.  

Resources 

Dr. Shannon Dowler, MD

Dr. Dowler’s You Tube Channel- Health Education Raps

CDC STI Treatment Guidelines -including downloadable app

NC DHHS Syphilis Resources for Providers

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Everything is connected in the digital age.  How can this benefit patients who need to receive care outside of their regular provider network due to an unforeseen circumstance? In this episode, Katlyn Moss talks to Kim Webster of the North Carolina Health Information Exchange Authority about NC Health Connex, which is a database that allows patient information to be accessed across systems statewide.  Katlyn and Kim will talk about how HIE works, what information is (and is not) shared, and how practices use the information.  They also will tell you the next steps if your practice would like to participate in the NC Health Connex program. You’ll learn how Health Information Exchange helps patients and clinical staff when an unexpected event causes someone to visit a provider outside of their usual location. Kim will also share the crucial role HIE plays in a maternal health study that is currently taking place at the University of North Carolina.

Resources

Email the HIEA [email protected] to find out if your organization participates and who manages access for your organization or search our website. 

Email the helpdesk to add access for staff [email protected]

Participation Agreements for N.C. HIEA 

Services offered by NC HealthConnex

Civitas Networks for Health

ACURE4Moms

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If you have ever used MAHEC’s FindMyCare WNC (aka ITACC) Map or Dashboard, you know what a great source of information it is to find care locations across the 18 westernmost counties.  In this episode, Katlyn Moss talks to the team from NC Maternal Mental Health MATTERS about their collaboration to add a mental health filter. They will discuss why it is important to include mental health resources, as well as how they were identified and categorized.    

Note:  This episode was recorded before the ITACC map and dashboard got a new name to FindMyCare WNC, which is why you will hear the name ITACC used throughout the recording.

Resources 

NC Maternal Mental Health MATTERS

NC Matters Phone Consultation Line:  (919)-681-2909

Optimizing Outcomes Conference

FindMyCare WNC (ITACC) Resource Map

FindMyCare WNC (ITACC) Dashboard 

Book:  Good Moms Have Scary Thoughts: A Healing Guide to the Secret Fears of New Mothers, 2019, Karen Kleiman (Author), Molly McIntyre (Illustrator)

Book:  Trauma Stewardship

An Everyday Guide to Caring for Self While Caring for Others, 2009, Laura van Dernoot Lipsky, Connie Burk (authors)

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In this episode, Katlyn Moss talks to guest speakers Aimee Feste, CNM and Kiran Sigmon, MD, who will dive into the challenges and treatment options surrounding perimenopause and menopause, offering practical advice for healthcare providers and women navigating these life stages. They also share some information on hormone testing limitations, the role of hormone therapy, non-hormonal treatments, and key resources available for healthcare providers and patients.

Resources  

The Menopause Society https://menopause.org/

 Books/Podcasts:

“The Menopause Manifesto” Dr. Jen Gunter 

“You are not broken” Podcast and book. Dr. Casperson board certified urologist

“Hit play not pause” Athlete perspective podcast

“Come as you are” Podcast and book as well as new book 

“Come Together” Emily Nagoski PhD sexual health researcher

Testosterone info: Article: ISWISH (International Society for the student of Women’s Sexual health) has a great website. https://www.isswsh.org/ They have article: “Clinical Practice Guideline for the Use of Systemic Testosterone for HSDD published”

https://www.auanet.org/guidelines-and-quality/guidelines/genitourinary-syndrome-of-menopause 

 https://www.auanet.org/about-us/media-center/press-center/american-urological-association-releases-new-guideline-on-genitourinary-syndrome-of-menopause

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In this episode, our guest speaker Leah Donatelli, LCMHCA, explores the profound impact of eating disorders on various aspects of a person’s life, particularly during pregnancy and the postpartum period. We discuss misconceptions, the importance of nourishment, and the need for an interdisciplinary approach to treatment. Our guest emphasizes the role of self-compassion in recovery and the importance of focusing on behaviors rather than weight.

Resources    

Carolina Resource Center for Eating Disorders 

Center for Body Trust 

Project Heal 

Trauma Stewardship Institute Map for Managing One’s Day and Tiny Survival Guide 

Kathryn Gantt, Licensed Dietician and Nutrition Coach, Beyond the Belly Nutrition

Anita Johnston, book Eating in the Light of the Moon, 

Screening Tools:

SCOFF Questionnaire 

Eating Attitudes Test (EAT-26)

Self Compassion Resources

Neuroscience of Self Compassion

A great starting place and Ted Talk on Self Compassion

Sources:

1. https://www.jaacap.org/article/S0890-8567(15)00076-3/abstract
2. https://pmc.ncbi.nlm.nih.gov/articles/PMC1892232/

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Substance Use Disorder can affect anyone at any time, even during pregnancy.. Our friends at Project CARA, Carriedelle Fusco, Nurse Practitioner, and Olivia Caron, Pharmacist Practitioner, sat down with Thomas Baker, a Davidson Impact Fellow at MAHEC, to dive into the ever-evolving field of addiction medicine, focusing on the complexities of opioid use disorder and emerging substances. They also reflect on how the landscape of addiction treatment has shifted over the decades, and  how addiction medicine providers adapt in real-time, learning from patient experiences, community groups, and local drug analysis labs.

Resources 

Project CARA

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Breastfeeding can be an important part of a baby’s health and development. But what about families who are affected by substance use disorder?  this episode, a partnership with Project CARA, Dr. Amy Marietta, MD, Family Medicine and Olivia Caron, Pharmacist Practitioner, and Georganna Cogburn IBCLC, will talk about how to support lactation and infant feeding in patients who use substances or are being treated for SUDs.  Using the Academy of Breastfeeding Medicine guidelines as a key resource, they will discuss the latest findings and what they mean in the real world of infant feeding. They will also dispel some of the common myths about SUDs and breastfeeding. This conversation will help you understand the risks and benefits of breastfeeding when working with families impacted by SUDs. They will also talk about a wide variety of  resources available for further reference and education.
Resources:
Academy of Breastfeeding Medicine
Drugs and Lactation Database (LactMed®)
American Academy of Pediatrics Breastfeeding Policies
ACOG Breastfeeding Program
“Eat, Sleep, Console” reduces hospital stay and need for medication among opioid-exposed infants
MomtoBaby
WIC North Carolina
WIC Nutrition and Health Education
La Leche League of North Carolina
Baby Cafe USA
Infant Risk Center
Breastfeeding in the Setting of Substance Use and Substance Use Disorder Updates 2024 Online Course
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Paid family leave is not only good for the health and the wellness of employees and their families, but it also benefits the employers who offer it.  Tina Sherman from the national maternal advocacy group MomsRising, explains why in this episode.  Learn about how more companies are realizing the positive impact this policy can have, and what is being done to help more workers have access to it when needed. You’ll also hear about the role MomsRising plays in helping turn paid family leave from a dream to a reality for employees across the US.

Resources

MomsRising

Why is Paid Family Leave Important to You? Survey

MomsRising across social media platforms:
Twitter/X:@TinaShermanNC
LinkedIn: TinaShermanNC
Threads: @TinaShermanNC
BlueSky: tinashermannc.bsky.social

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In this episode, our co-host Dr. Amy Santin interviews Family Medicine champions from around North Carolina. During this episode, they discuss the critical issue of improving maternal health outcomes across the state, particularly during the first postpartum year. Experts emphasize the importance of cross-disciplinary collaboration in reducing maternal mortality, focusing on the transition from intrapartum care to the first postpartum year and interconception care. They also explore how different healthcare professionals, such as family medicine and pediatrics, can work together to improve outcomes for mothers and newborns.

Note:  This episode was recorded before the ITACC map was renamed to FindMyCare WNC, which is why you will hear the name ITACC used by the speakers.  

Resources 

FindMyCare WNC Map (formerly called ITACC map)

“I Gave Birth”—An Initiative to Improve Postpartum Care

IMPLICIT Inter-conception Care Network

Centering Healthcare Institute

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If you enjoyed our episode on Centering Pregnancy, you will want to listen to this episode.  Our host Chama Woydak returns to interview Dr. MacNamara who shares insights into the Centering Parenting Program—a transformative approach to supporting new parents. We’ll explore how this group model of care fosters a supportive, educational, and inclusive environment for parents, helping them navigate the challenges of early parenthood.

Resources    

Centering Healthcare Institute

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