Just Us: Before, Birth, and Beyond

In the latest Just Us: Before, Birth, and Beyond podcast, we dive into a critical topic: trust in healthcare.

Brandon Romstadt (WNC Health Network) and Dr. Bryan Hodge (MAHEC) talk about how patients and providers work together-especially during public health challenges like the recent measles concern in our region.

It's a meaningful conversation about connection, communication, and community care. 

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Join Katlyn Moss and Dr. Suzanne Dixon for this special episode created with patients in mind!  Sometimes it’s hard for patients to open up and discuss their health care needs and questions with their OB/GYN when it comes to symptoms such as irregular periods, painful periods and heavy bleeding. They will highlight some of the most common conditions and treatments throughout the phases of life, from the teenage years through menopause.  

 
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Music credit: "Carefree" Kevin MacLeod (incompetech.com)
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In this episode, our host Dr. Suzanne Dixon, talks to Dr. Bhaskari Burra, a MAHEC OB/GYN Fellow, about Sepsis. Sepsis is a leading cause of maternal morbidity and mortality, and in this episode our speakers will discuss how to recognize it, how to respond, the sources of infection and long-term effects.  They will also share some resources to help maintain best practices when working with patients with sepsis, and helping them to navigate their recovery.

Resources

SMFM Consult Series #47: Sepsis during pregnancy and the puerperium

California Maternal Quality Care Collaborative Sepsis Toolkit

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Music credit: "Carefree" Kevin MacLeod (incompetech.com)

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Join some of the Perinatal Nurse Outreach Coordinators from around North Carolina for this lively discussion of AWHONN’s Respectful Maternity Care initiative.  You’ll learn what Respectful Maternity Care is, what it means for patients and clinicians, and how it helps to improve health outcomes. They will talk about how this program is implemented, and provide resources for you to learn more about bringing this to your practice.

Resources

AWHONN Respectful Maternity Care toolkit

North Carolina Respectful Care hub

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Music credit: "Carefree" Kevin MacLeod (incompetech.com)
 Licensed under Creative Commons: By Attribution 4.0 License
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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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Music credit: "Carefree" Kevin MacLeod (incompetech.com)
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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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Music credit: "Carefree" Kevin MacLeod (incompetech.com)
 Licensed under Creative Commons: By Attribution 4.0 License
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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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Music credit: "Carefree" Kevin MacLeod (incompetech.com)
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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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Music credit: "Carefree" Kevin MacLeod (incompetech.com)
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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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Music credit: "Carefree" Kevin MacLeod (incompetech.com)
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