Share Your Rx: Recent Episodes
Hannah Cutts
Quick scripts for interacting with sexual/reproductive and perinatal patients respectfully and inclusively.
You're referring tons of folks to pelvic floor physical therapy too, right? Especially when they come in for urinary incontinence or pelvic pain? But we should probably be referring patients WAY more often! And we should certainly be doing some better basic assessment for pelvic floor health during our typical visits.
Are you feeling anxious about how you might do this in your 8 minute visits? Then this episode is for you! Listen to the wisdom of 3 PFPT experts and tell me you don't want to immediately start incorporating their clinical pearls into your practice...
Kathy Kates, FNP and Melissa Hines, DPT - Co-owners of Wellest Integrative Health, Institute for Pelvic Health AND Woman NP Please . Check them out on social media, too!
Kate Uttech, PT, DPT, WCS, CAPP-OB, PCES - Owner of New Journey Physical Therapy
Cozean Scale for Pelvic Dysfunction Assessment Tool.
Got a script to share? Message me! shareyourrx@gmail.com. Rate and review and share this show with your friends!
Intrauterine Devices! Love 'em? Hate 'em? Counseling about IUDs is a huge part of what we do in sexual and reproductive healthcare! Some of us even find ourselves quoting statistics and reviewing FAQs about IUDs at parties. Or is that just me?
We hear today from:
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Sarah Shealy (she/her) MSN, CNM, IBCLC; https://www.sarahshealy.com/
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Sara Culver (she/her), CNM/WHNP; https://www.whamidwives.com/sara
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Nora Becker (she/her), MD, PhD; https://ihpi.umich.edu/our-experts/beckernv
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Brianna Gloe, APRN, CPNP; https://www.pediatricsurgical.com/brianna-gloe-aprn-cnp/
This episode is organized into sections. You can jump to these [approximate] times if you're looking for a quick example of how to talk about something specific:
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Context for and history of IUDs (minute 6)
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Basics of IUDs, different types, common side effects (minute 9:30)
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Benefits and Risks (minute 13:30)
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What to expect during an insertion/removal procedure (minute 20)
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How to talk to a patient during an insertion (minute 23)
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Follow up and post-insertion care (minute 30)
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Personal experience story! (minute 33)
Do you have something to add? A correction or a question? A topic we should definitely cover? Please email me! shareyourrx@gmail.com.
And we'd LOVE if you rated and reviewed this podcast. It helps other people find us! So... share Share Your Rx.
Strap on your listening ears, buddies - this episode has suggestions and advice from sexual and reproductive health professionals who work specifically with adolescents. How do you handle your visits with teens? Do you ever falter when you ask questions about gender, sexuality and sexual activity? Do you ever fumble when figuring out how to ask a parent to leave the room? Do you ever rush through your adolescent patients' sexual history because they seem uncomfortable? This episode is for all of us who do!
We have 5 amazing contributors:
- Emily (she/her) - Sexual/Reproductive Health Counselor at a School Based Health Center
- Julianne - Family Nurse Practitioner at a School Based Health Center
PATCH (Providers and Teens Communicating about Health) Program Participants
- Channice (she/they)
- Grace (she/her)
- Hannah (she/her, they/them)
PATCH is a program where youth are trained to lead educational workshops for health care providers on health topics important to them. The PATCH Mission: To improve adolescent health and wellbeing alongside and in true partnership with youth. Read more here: https://www.wipatch.org/about
Got a question, comment, addition or correction?? A topic you want to share your script for? Please be in touch!
A quickie! About self-swabbing y'all! Forgive my random thoughts and comments on bike safety...
The evidence for why self swabbing is as effective at detecting infection as a provider swab:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3948498/
https://www.frontiersin.org/articles/10.3389/fbioe.2022.1008761/full
https://www.bmj.com/content/345/bmj.e8107
PLEASE - send me your comments/thoughts/questions/better scripts! You can respond right in the spotify show link via the poll or you can send me a message!
Share this with your friends/colleagues so we can all learn together. :)
Here's a doozy! This episode has been lonnnnnng in the making. And is deservedly, longer than some of the previous episodes. Induction talks are unavoidable, and tricky to do in a concise, empowering, informative, anti-bias way. So here are 6 people that offered to share their scripting around preparing for, deciding when to, how to avoid, and what to expect with induction of labor. If your hackles get raised up while listening to this episode and you think - WHAT, how could Hannah not include a script about XYZ - consider messaging me with your own script around induction! We can do a Part 2. Click this link to get started.
FOR NOW, enjoy listening to these geniusy SRH magicians (in order of appearance):
- Simone Bonde, RN, CNM
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Erika, RN, certified birth doula https://starsabovebirth.com/
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Zoe Gutterman, RN, CNM, MPH
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Rose Watson-Ormand, CNM/WHNP, MPH
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Christine Sheets, certified birth doula and CBE https://birthwithchristine.com/
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Robin Ross, certified birth doula and CBE https://blissfulbirthsandbabies.com/
Raise your hand if you are a sexual/reproductive health care provider in a Catholic setting... or someone who is upset about the 5 decade rollback on reproductive health care after the overturn of Roe... this episode is for you!
[If you're in a rush for a script on this topic today, skip to approximately minute 9.]
As we all wrap our brains and hearts (and genitals) around the Supreme Court's decision to overturn Roe v Wade, this is great scripting for all of us, who may no longer be able to provide the healthcare we believe is appropriate, thanks to restrictions enforced by a "higher power". Listen to learn more about how one midwife counsels patients who seek reproductive care in a facility with a long history of preventing people from easily accessing contraception or patient-directed care.
Huge thanks to CNM Katherine for sharing her scripta, wisdom and expertise!
Got a comment? A question? A script to share? A podcast idea? Email me at cuttshannah@gmail.com, or send me a voice message through the Anchor website. I want to hear from you!
Yes! We have our PrEpisode! If you feel woogly about your skills in counseling on who can take PrEP, how it's prescribed, what tests you need to do before initiating treatment/for follow up care, side effects, adherence, or general risk of HIV exposure, this episode is for you!
Today we hear from 3 super amazing SRH advocates who all work in Chicago, and who you will probably want to take out for some sort of beverage after listening to the compassionate and comprehensive way they each counsel patients.
Big thank you to Ellen, Aiden, and Krista!
Got a comment? A question? A script to share? A podcast idea? Email me at cuttshannah@gmail.com, or send me a voice message through the Anchor website. I want to hear from you!
Upcoming episode on: taking a sexual hx for adolescents
*C'mon y'all - I know you have opinions about how to do this well... and horror stories about how not to do it!
January is cervical cancer awareness month... but I bet you do a lot of pap smears all year round. Even though this is a HUGE part of what we do in the clinic each day, many patients aren't clear on what a pap smear is, why we do it, how often it's needed, and what an abnormal results means. This episode includes a thorough but quick script to help explain these commonly confused points to patients... without giving them a reason to feel scared or stigmatized.
Today we hear a script from:
Sabrina - CNM/WHNP in Iowa (soon to be Minnesota!)
Do you have a script to share? A question or edit or addition or comment? Send me a message! You can leave me a voicemail through the anchor website here, or email me at cuttshannah@gmail.com. I'd love to hear from you.
Share your Rx with us! Message on the anchor app or on social media. Or fill out this quick form.
Upcoming episode on PREP/PEP counseling!
But first... a quick note on the intention of this podcast. Hoping it can serve as a tool to DIVERSIFY and INCLUDE, not whitewash the narratives around sexual and reproductive health topics. Seeking scripts from Black, Indigenous, Practitioners of Color, Trans, Nonbinary, Queer Practitioners, Practitioners who speak languages besides English! You! We want to hear from YOU.
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This one is a quick but hopefully useful episode, no matter what specific area you work in. As a provider, what do you spend most of your administrative time (hahahahaha, as if we had administrative time) doing? Making calls to tell people test results, right? STIs, paps, mammos, ultrasounds, etc... these findings have huge implications for folks social, romantic, personal lives - so HOW do you communicate about it? Or (more likely), if you are an RN or a doula or educator - how do you pick up the pieces when the provider inevitably fuqks this conversation up? Listen here for some examples of how to counsel patients.
On this episode, we hear from:
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Marisa, a CNM/WHNP in NYC
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Me (hannah) - sorry you're stuck with me
Do you have a script or technique that has worked well? About this or any other sexual/reproductive health topic? Click here to contribute!OR leave us a message using this anchor website here.
Welp, Texas has gone and barfed hypocrisy all over itself... won't allow for mask mandates, but when it comes to controlling folks' reproductive choices - yeehaw. We of course, will not stand idly by as we witness this scary rollback of our rights. Instead, we can arm ourselves with scripts related to abortion care! This episode includes examples for how to counsel a person about Medication Abortion - what to expect, instructions for taking these medications, how to process this medical care, and more.
This episode includes scripts from 4 amazing SRH superheroes:
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Jasmine - a WHNP in California
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Mallory - a CNM in the Chicago area
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Emily - a full spectrum doula in the Chicago area
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processing handout from Emily shared here.
Do you have a script or technique that has worked well? About this or any other sexual/reproductive health topic? Click here to contribute! OR leave us a message using this anchor website here.
Resources:
EXHALE - https://exhaleprovoice.org/ (talk and text line for people seeking or supporting someone through an abortion)
ALL OPTIONS - https://www.all-options.org/ (toll free talk-line available, as well as other information)
Jumping into our first episode with a hawt topic: covid vaccination. How are you talking to patients about this? What ways do you phrase your recommendations, keeping informed consent and bodily autonomy and a hx of medical racism in mind? While upholding science and evidence? What is working?
4 providers - who work with populations that currently have low vaccination rates - share their techniques here.
Zoe - CNM/MPH in Washington, DC
Larisa - CNM/WHNP in Brooklyn, NY
Leah - CNM/WHNP in New Haven, CT
Liz - a physical therapist in Michigan
Do you have a script or technique that has worked well? About this or any other sexual/reproductive health topic? Message me - cuttshannah@gmail.com or fill out this short form: https://forms.gle/MZhP2AEBqNfr1qCaA
**Calling nursing and medical students! New graduates and providers! Experienced health and birth professionals that care about being better!
Do you wish that you had examples of ways to speak to patients/clients that are more inclusive, collaborative and empowering? A script that expands on classroom training or journal articles? Are you busy and overloaded with work already? Share Your Rx is a podcast that offers a variety of justice-oriented scripts for aspiring/new providers to sample - quickly.**
Clickhere to learn how you can share your own scripts as well!!