Podcast - Cocoa Pods Series: A feature of the BCFND Foundation Maternal Mortality Reduction Academy We discuss all issues relating to maternal mortality and severe morbidity, especially with an emphasis on minority women, ways for all involved in care to work together collaboratively and mitigate and or eliminate risks and much more on women’s health.
Danger doesn't always announce itself with bruises or broken bones. Sometimes it lurks beneath the surface, wrapped in excuses, disguised as sleep, masquerading as concern.
During this powerful episode, we uncover the reality of psychological abuse that happens within the supposed safety of intimate partnerships. We explore three particularly devastating forms: abuse disguised as sleep disorders, where partners deliberately cause harm and then claim they were dreaming; delusional jealousy (clinically known as Othello's syndrome), where irrational accusations of infidelity become tools for control; and identity invalidation, a systematic erasure of a person's history, accomplishments, and sense of self.
These patterns often go unrecognized because they don't fit conventional understandings of domestic violence. A husband who presses on his wife's eyeballs in the night and claims he was fighting monsters in his dreams isn't just having a parasomnia episode—he's creating a perfect cover for deliberate harm. A partner who becomes fixated on implausible affairs with pastors or distant acquaintances isn't merely insecure—they're establishing grounds for surveillance and isolation. And when someone rewrites your childhood memories or diminishes your professional identity because you've paused your career to raise children, they're not being critical—they're systematically dismantling your sense of self.
We also address the complex question of why women stay, especially in situations where material comfort masks emotional devastation. "Leaving isn't always safe, and sometimes the prison has chandeliers." The contrast between a mansion and a shelter, between marble floors and survival mode, creates painful dilemmas that outsiders rarely understand.
If you recognize these patterns in your relationship or in someone you love, please reach out to the National Domestic Violence Hotline at 1-800-799-7233. Remember: you are not crazy, you are not alone, and your life—your real, beautiful, whole life—is not up for debate. Stay safe, stay sane, and stay supported.
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In this episode of CocoaPods, Dr. Bola Sogade hosts Dr. Julia Interrante from the University of Minnesota to discuss the alarming rise in maternal mortality in the U.S., particularly in rural communities. They examine the consequences of inadequate maternal healthcare access, the role of data in shaping policy, and how technology, such as telemedicine, can support rural healthcare providers. Dr. Interrante highlights the ongoing closure of birth centers and hospitals offering obstetric services, emphasizing that funding and policy changes are essential to prevent further losses. The conversation underscores the need for a systemic shift in healthcare financing and advocacy efforts to ensure safe childbirth for all women, regardless of location or socioeconomic status.Dr. Julia Interrante is a mentee of Dr.Katy Backes Kozhimannil,a Distinguished McKnight University Professor and Co-Director of the University of Minnesota Rural Health Research Center.
Maternal Health & Advocacy:
Rural & Telemedicine Solutions:
Policy & Systemic Change:
General Engagement & Awareness:
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Can Rural Hospitals Survive the Storm of Obstetric Care Closures?
Our latest episode features Dr. Julia Interante, who has collaborated extensively with Dr. Katy Backes Kozhimannil, Distinguished McKnight University Professor and Co-Director of the University of Minnesota Rural Health Research Center.
With Dr. Julia Interante from the University of Minnesota, we uncover the alarming disparities in maternity care access between rural and urban hospitals. Dr. Interante sheds light on the sharp decline in obstetric services from 2010 to 2022and the significant financial challenges rural hospitals face due to low birth volumes. This episode provides valuable insights into the ripple effects of these closures on maternal and infant health, emphasizing the urgent need for policy-driven interventions to bridge the gap.
Join us as we explore the complex landscape of rural maternity care, particularly within BIPOC communities, and discuss actionable policy measures to reverse these concerning trends. Discover innovative solutions such as telemedicine, remote monitoring, and learn how mission-driven recruitment and preconception care can sustain essential services.
We also discuss the importance of balancing patient demographics and offering diverse birthing options to attract and retain rural mothers. Don't miss this comprehensive discussion on improving maternal health outcomes in America’s heartland, as Dr. Interante shares strategies poised to transform rural healthcare by 2025.#MaternalHealth #WomensHealth #MaternityCare #HealthyMoms #MaternalWellness #PregnancyCare #BirthEquity #HealthcareAccess #HealthForAll #BridgingHealthGaps #HealthEquity #AccessToCare #ImprovingHealthcare #NonUrbanHealth #CommunityHealth #HealthcareForAll #HealthInEveryCommunity #SmallTownHealth #LocalHealthMatters #HealthcareEverywhere #MaternalHealthPolicy #HealthAdvocacy #HealthcareReform #SupportMoms #HealthPolicyMatters #HealthcareInnovation #CollaborativeCare #PublicHealthSolutions #HealthcareInnovation
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Unlock the secrets to empowering your elderly loved ones and fostering a nurturing environment of inclusion and respect. Join us as we explore the transformative power of decision-making freedom and active participation in family activities for older adults. By valuing their input and encouraging social engagement, we create a vibrant community that celebrates the enduring contributions of our elders. Listen to the valuable insights from Dr. Ogugua Osiyogu from Abuja, Nigeria, as we discuss how families can support their older members in maintaining a sense of autonomy and relevance.
Discover the incredible potential of lifelong learning and how it can reshape the aging experience. From senior centers to university courses, we reveal opportunities that keep the elderly engaged and fulfilled. We delve into the science of healthy aging, discussing the profound impact of a plant-based diet, probiotics, and stress management on well-being. Together, we explore the fascinating world of cellular regeneration, autophagy, and senolytics, offering practical insights to promote vitality and longevity.
Experience the joy and therapeutic power of music and dance, as we share personal stories illustrating their profound impact on older patients with dementia. Learn how simple lifestyle adjustments, like intermittent fasting and hydration, can lead to a long and healthy life. We also highlight the significance of social connections and self-contentment in achieving happiness and well-being. With practical tips and inspiring anecdotes, this episode is your guide to building a life that honors the wisdom and vitality of our elders.
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Explore the keys to aging gracefully with Dr. Ogugua Osi-Ogbu, a distinguished expert in aging from Abuja, Nigeria. Immerse yourself in the essentials of longevity, as Dr. Ogugua Osi-Ogbu unveils the impact of a plant-based diet, restorative sleep, and meaningful social connections on our physical and mental well-being. This episode serves as your comprehensive guide to maintaining vitality, emphasizing the critical role of regular health checks in early detection and prevention. Discover how engaging in physical social connectivity over digital reliance can enhance life quality, and delve into the promising realm of senolytics, which targets aging cells to potentially rejuvenate cell function.
Older adults often face unique mental health challenges, and Dr. Ogugua Osi-Ogbu sheds light on fostering a supportive environment to combat anxiety and depression. The discussion emphasizes the importance of maintaining a sense of purpose, especially during life's transitions, and highlights the significant role of social support and prayer. As we navigate these topics, listeners will gain invaluable insights into managing chronic conditions and enhancing overall quality of life. This episode is a treasure trove of strategies for cultivating a fulfilled life, even as the years add up.
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Can a single vote shape the future of a nation? We explore this compelling question as we dive into the diverse perspectives surrounding the 2024 US presidential elections. Our episode features voices from opposite ends of the political spectrum, with one participant passionately backing Donald Trump for his economic policies and perceived divine appointment, while another advocates for Kamala Harris, emphasizing the need for leadership that sets a positive example and tackles economic issues head-on. These contrasting views offer vivid insights into the fervor and rationale behind voter choices.
We also navigate the complex terrain of reproductive rights and healthcare, where Kamala Harris and Donald Trump stand on opposing sides. A critical discussion unfolds around the candidates' positions on abortion access and compassionate healthcare, highlighting the nuanced impact of their stances on women's health and reproductive rights. We even touch on Trump's controversial claim of being the "father of IVF," probing the broader implications for women's autonomy and family planning. A unique perspective comes from a participant who questions the electoral process, adding depth to the conversation around political engagement.
The conversation wouldn't be complete without emphasizing the power of the vote in the upcoming election. We stress the importance of informed decision-making, urging listeners to look beyond partisan lines and consider the broader implications of their electoral choices. Whether grappling with support for Trump's economic policies or Harris's progressive initiatives, the episode underscores the necessity of civic engagement and the transformative potential lying in each ballot cast. Join us as we unravel the complexities of the 2024 election, encouraging every listener to make their voice count.
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Unearth the complexities of women's healthcare policies in the 2024 election with Dr. Bola Sogade. Discover the contrasting approaches of Kamala Harris and Donald Trump, where market-driven strategies clash with the expansion of federal measures. Learn about the implications of these policies on reproductive rights, healthcare affordability, and access, and how these stances could shape the future landscape of women's healthcare.
Explore the nuanced reasons behind women's choices regarding abortion and contraception through a compassionate lens. Delve into the candidates' differing policies, from Trump's allowance for employers to deny contraceptive coverage on religious grounds to Harris's push for broader contraception access. Examine how these stances affect real women, especially in terms of maternal health disparities and access to essential family planning resources.
Finally, assess the critical role of federal versus state control in healthcare and the impact on health disparities. Through Dr. Sugade's expert lens, understand the significance of federal oversight in ensuring equitable care, particularly in maternal and emergency healthcare scenarios. With the election on the horizon, arm yourself with the knowledge needed to evaluate which candidate's vision aligns with your values on women's health and autonomy.
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Can the idyllic life on a small Greek island hold the key to a longer, healthier life? Discover the hidden secrets of Icaria, where residents enjoy exceptional longevity and vibrant health. Together with Dr. Ogugua Osi-Ogu from Abuja, Nigeria, we explore the unique climate, rich history, and fascinating cultural practices that contribute to the well-being of the Icarian people. Dr. Osi-Ogu shares her invaluable insights into the world of geriatrics, including the strides being made in Nigeria with initiatives like the National Senior Citizen Center and new national policies aimed at improving the quality of life for the elderly.
Ageism is a formidable barrier that older individuals face daily, impacting their ability to live fully and contribute to society. In this episode, we tackle the pervasive issue of age-based discrimination, highlighting the importance of changing societal mindsets. Drawing from personal experiences on television and radio, we discuss the necessity of advocacy and awareness to ensure that older individuals are recognized and valued. Join us for an enlightening conversation on how we can fight ageism and build a more inclusive world for our aging population.
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Can reducing screen time before bed really enhance your sleep quality? Learn from Dr. Jessica Patella as she shares transformative lifestyle tips that promote better mental and physical well-being for women in maternal health. From the secrets of improved sleep hygiene through melatonin production to the importance of setting healthy boundaries with digital devices, this episode is packed with practical advice. Dr. Patella and Dr. Bola Sugade also discuss how engaging in outdoor exercise and connecting with nature can significantly reduce stress, fostering a sense of community and spiritual well-being, especially for new mothers.
Celebrate the miracle of motherhood with us as Dr. Patella highlights the extraordinary capabilities of the female body. We delve into the profound blessings women bring to the world, emphasizing the role of natural health in this awe-inspiring journey. Dr. Sugade’s commitment to her profession shines through, and we express our gratitude for the deep insights shared in this heartfelt discussion. Tune in for an enlightening conversation that will leave you inspired and appreciative of the incredible impact of maternal health and naturopathic medicine.
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Unlock the secrets to a healthier, more fulfilling life with our latest episode, where we promise you'll walk away with actionable insights on improving your sleep, managing stress, and embracing the great outdoors. We're joined by the brilliant Dr. Jessica Patella, who shares her expertise on the incredible capabilities of the female body, especially in the transformative experience of childbirth. Our discussion starts with practical tips for better sleep hygiene, like cutting down on screen time before bed and enjoying the tranquility of a good book. We then explore the profound benefits of outdoor exercise and setting boundaries to manage stress, while also touching on spiritual practices that foster a sense of community and mental well-being.
Dr. Patella's enlightening perspective on natural health and the miracle of life offers a deep appreciation for the wonders of the female body. Her insights are not only inspiring but also educational, emphasizing the importance of recognizing and valuing these natural capabilities. We also explore how community support can extend one's lifespan and improve mental health. Tune in for an episode filled with expert advice, heartfelt gratitude, and a celebration of life's miraculous moments. Don't miss out on this enriching conversation that promises to leave you feeling empowered and uplifted.
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Transform your health by tuning into our enlightening discussion with Dr. Jessica Patella, a leading naturopathic physician, as we uncover the simple yet profound benefits of naturopathic medicine. Discover how swapping sugary drinks for water can revolutionize your cellular health and learn about the integration of evidence-based practices within naturopathy, especially in maternal health. Dr. Patella highlights the importance of harmonious collaboration between naturopathic and conventional medical practitioners, emphasizing mutual respect and the enhancement of patient care through shared expertise. We also dissect the practicalities of naturopathic care, from treatment durations and costs to the often daunting hurdles of insurance coverage, advocating for a deeper understanding and education among healthcare providers.
Dive into the complexities of menopause management with homeopathic remedies tailored to individual needs, and uncover the power of diet and lifestyle changes in alleviating symptoms like mood swings and hot flashes. Explore the efficacy of botanical medicines such as black cohosh and African yam, and understand the long-term benefits they offer. Our conversation sheds light on the struggles faced by underserved women in maintaining a healthy lifestyle, offering tangible solutions like indoor walking and community gardens. We also stress the importance of holistic health practices, including stress management and adequate sleep hygiene, to achieve optimal health outcomes. This episode is a must-listen for anyone interested in bridging the gap between different healthcare approaches for comprehensive, integrative wellness.
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Discover the transformative power of naturopathic medicine in maternal health with our special guest, Dr. Jessica Patella. Learn the secrets behind managing morning sickness naturally with ginger and peppermint, and find out how Ipecac can be an effective remedy for persistent nausea. Dr. Patella shares how pulsatilla can help reposition a malpositioned baby and introduces various homeopathic remedies tailored to different labor stages. Plus, hear her heartfelt personal stories about home births, offering real-life insights into these natural approaches.
Shift your focus to labor and postpartum healing as we delve into the benefits of hydrotherapy and hands-on techniques like massage for pain management. Explore the advantages of birthing tubs and effective homeopathic remedies such as KALI carbonicum for back labor and Arnica for post-delivery relief. We emphasize the essential support women need after childbirth and how a collaborative approach between naturopathic and conventional doctors ensures comprehensive care. Tune in to understand how this integrative method offers a holistic path to maternal well-being.
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Unlock the secrets of naturopathic medicine with Dr. Jessica Patella, whose expertise in homeopathy and exercise physiology shines a light on alternative approaches to health and wellness. Embark on a journey from her formative years at Florida State University to a pivotal meeting with a homeopathic doctor that forever changed her career path. This episode peels back the layers of naturopathic educational rigor, paralleling traditional medical training while fostering a profound connection with natural healing practices. We delve into the world of 'like cures like,' a fundamental homeopathic principle, and discuss the crucial steps naturopathic doctors take to become licensed, ensuring that patients receive care from qualified professionals prepared to treat a variety of conditions with holistic precision.
Step into the healing gardens of naturopathy, where nutrition, botanical medicine, and homeopathy converge to craft a preventive lifestyle brimming with vitality. Dr. Patella shares how expectant mothers can find solace in homeopathic remedies for the myriad nuances of pregnancy, easing everything from nausea to labor pains with gentle, natural solutions. Then, stir your curiosity as we explore the ginger root's dual life as a kitchen staple and a potent botanical remedy. By simply steeping slices of this fiery root, discover how you can create a therapeutic elixir that calms your stomach and invigorates your senses. Join us on CocoaPods podcast for an enlightening session that promises to enrich your understanding of how naturopathic medicine seamlessly integrates into daily life, fostering health through the bounty of nature's apothecary.
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As my best friend Charles and I sat down to unravel the intricate web of generational curses, we found ourselves immersed in a conversation that is often left unspoken among men. Our heart-to-heart reveals the transformative power of camaraderie and mentorship as vital tools to help men rise above deep-seated challenges. We're uncovering the raw truths behind personal struggles, and the journey to mental, emotional, and financial wellness. Acknowledging the profound influence of gun violence on families, we stress the importance of community support systems and proactive engagement to guide the younger generation away from paths of destruction.
Join us for a riveting discussion with our guests, Charles and Lillian, as they share their personal narrative of reinventing their love story. Their candid revelations shed light on the pivotal role of gratitude and remembrance of joyful moments in nurturing a thriving partnership. This episode isn't just about finding the right words or actions to rekindle a dwindling flame; it's a testament to the resilience and dedication required to transform relationships into sources of happiness and mutual growth. We are more than just narrators; we are advocates for change, striving to pave hopeful and fulfilling paths for the generations that come after us.
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When Charles sat down with us, his voice carried the weight of a journey through heartache and healing; he spoke of the struggle to break free from the chains of generational curses and the redemptive power of open, honest family dialogue. His narrative unfolds through missed connections with father figures and a tumultuous road through marriage difficulties, divorce, and the hard-won path to reconciliation. Charles's story is more than a personal testament; it's a beacon for anyone fighting to forge a different path, underpinned by the discovery of spiritual solace and the courage to confront the past head-on.
This episode takes us into the intimate corners of marriage counseling and the art of communication, where Charles and I unearth the transformative effect of professional guidance and the unexpected wisdom found in couples counseling each other. He shares how the support of family and friends, alongside regular relationship check-ins, became a lifeline in his marriage. If you've ever wondered about the ripple effects of parental conflict or how financial unity and shared interests can reinforce a partnership, let Charles's experiences offer insights and hope for creating a lasting, loving bond.
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Can a marriage withstand the turbulent waters of infidelity and the weight of generational curses? This is the profound question that Charles, alongside his wife Lillian's previous insights, attempts to answer in a heart-to-heart with Dr. Bola Sogade. Witness the raw unraveling of Charles' journey through love, betrayal, and the challenging road to redemption. Hear how a year of soul-searching and confronting his mistakes led to a poignant transformation and a recommitment to his marriage and family. It's a story of self-reflection, the importance of communication, and the relentless pursuit of breaking the chains of the past for the sake of future generations.
In a narrative that seamlessly weaves personal struggle with the universal quest for balance, we explore the delicate dance between being a provider and being present. Charles gives us a window into his relationship with his father, drawing parallels and contrasts to his own approach to fatherhood and work-life harmony. This episode doesn't just share a tale of a man's efforts to rebuild trust; it delves into the complexities of father-son dynamics and the conscious decisions we make to shape a family legacy that deviates from the paths our parents walked. Join us for a powerful exploration of healing, growth, and the enduring strength of love.
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When the bonds of matrimony are tested by the specter of infidelity, is forgiveness truly possible? Journey with us and our brave guest Lillian (a pseudonym) as she lays bare the soul-stirring odyssey of betrayal, forgiveness, and healing in the sacred covenant of marriage. Lillian's deeply personal account shines a light on the grueling yet transformative process of overcoming the silent ties that bind—those enigmatic soul ties that often make moving forward seem insurmountable. Her candid narrative, punctuated by the resilient joy of mending what was once broken, offers a testament to the power of positive affirmation and the seismic shifts that mindful self-reflection and intentional discourse can create within a relationship.
But this episode doesn't just linger on the challenges of one couple's journey; it encompasses the piercing clarity that comes from my own confrontation with betrayal and the subsequent path to inner peace. A poignant discussion on the significance of spiritual counsel in battling generational curses within marriage further enriches our dialogue. We uncover how the consistent shoring up of one's spouse through prayer and faith-centric counseling can reshape a narrative marred by pain, ushering in a renewed commitment symbolized by the simple act of wearing a wedding ring once more. Let this episode serve as a beacon for any soul navigating the stormy seas of marital strife, offering hope that the human spirit's capacity for love and healing knows no bounds.
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When love morphs into a battlefield, where do we turn for reinforcements? Our latest conversation with Lillian plunges into the heart of marital strife, offering a lifeline of communication strategies and the healing balm of apologies. With empathy and wisdom, this episode peels back the curtain on the intimate dance of knowing your partner's inner storms—from the thunder of anger to the quiet despair of loss. As we uncover the significance of regular check-ins and date nights, Lillian's heartfelt narrative reminds us that reaching out for counseling is an act of bravery, a beacon for those navigating the rocky terrains of togetherness.
Darkness often tries to sneak into the sacred spaces between two people, but we stand vigilant, armed with prayer and forgiveness. Hear the gripping accounts of women who have faced the shadows in their homes and relationships, waging war against more than just the tangible. Our discussion with Lillian reveals the crucial role of identifying these spiritual adversaries and the strength found in accountability and perseverance. Through the power of prayer, she shares how forgiveness began to transform not only her situation but her heart, offering a testament to the tenacity required to reclaim love from the grasp of darkness.
Navigating the intricate web of soul ties and therapy can be as complex as the human heart itself. In this episode, we distinguish the bonds that tie souls together and compare them with the mystical connections of twin flames. Addressing the cultural hesitations toward therapy, especially within the Black community, we discuss how faith can amplify the counseling process, guiding us toward healthier relationships. As Lillian shares her wisdom, she becomes a beacon of hope, encouraging us all to harness the power of partnership and faith on this journey towards relationship fulfillment.
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When the vows of 'till death do us part' warp into a tale of betrayal and heartbreak, the journey to reclaiming one's joy can be arduous and transformative. Lillian's story, veiled under a pseudonym, is a gripping narrative that not only uncovers the raw pain of infidelity but also the empowering ascent towards healing. From the deceptive tranquility of her early marriage to the tumultuous discovery of her husband's unfaithfulness, Lillian's account is a profound exploration of love, loss, and the often-overlooked courage it takes to start afresh.
This episode is a mosaic of emotions, with each piece reflecting a different shade of Lillian's experience—from the daunting task of piecing together clues of betrayal to the gut-wrenching acceptance of her ten-year marriage's end. The poignant tales of motherhood in the midst of chaos, and the quest for spiritual clarity, paint a vivid picture of the resilience embedded deep within the human spirit. We walk with Lillian through the corridors of counseling sessions, family advice, and the quiet introspection that leads to life-changing decisions, ultimately embarking on a path that promises a future unshackled from the past.
In the sanctity of confessions and spiritual awakenings, our conversation with Lillian takes an inspiring turn as she speaks of finding solace in prayer, learning to let go of bitterness, and the pivotal role of faith in her healing process. Her journey is not just one of recovery but also of rebirth—discovering the essence of a true partnership and the strength to build a harmonious relationship. Lillian's narrative is a beacon of hope, a testament to the indomitable will to find happiness and love again, and a compelling portrayal of the power of prayer and forgiveness in the face of life's most profound challenges.
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Uncover the often invisible threads that weave through the tapestry of human relationships, particularly those entangled with the grandiose God complex. I'm Dr. Bola Sogade, and through a potent mix of professional insight and raw, real-life experiences, we examine the profound impact of narcissism in our lives. We navigate the treacherous waters of self-importance and control as seen in those who, consumed by a God complex, place themselves on a pedestal of omnipotence, often to the detriment of their interpersonal connections. Prepare to confront the manipulative behaviors and entitlement that spring from this extreme superiority, and consider how it hinders personal growth and happiness.
Join me as we share the heartfelt journey of Lillian and Charles, a couple whose pseudonyms guard their privacy as they bravely open up about their struggle against the tidal waves of narcissism in their relationship. Their candid story serves as a beacon of hope and a source of strategies for those caught in similar storms. Listen to their unfiltered challenges and victories, and perhaps see a reflection of your own relationships. This is more than just a conversation; it's an opportunity to understand, to learn, and to transform the way we perceive and deal with the pervasive influence of narcissism.
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Have you ever wondered if the seeds of our adult personality traits are sown before we even take our first breath? Join me, Dr. Bola Sogade, on a deep exploration of narcissism, starting from the womb's whispers to the loud complexities of adulthood. We journey through the compelling research of RA Waterland and KB Michels and digest the profound psychoanalytic insights of Lynda Share , to understand how prenatal stress may etch lasting marks on our psychological makeup. Through Sarah's poignant tale of her husband David, we glimpse the emotional cost of high expectations and distant parenting, and its potential role in crafting a narcissist's armor.
As we navigate the entangled web of narcissism and childhood trauma, we uncover the long-reaching shadows cast by overly critical parents—shadows that can mold a child into an adulthood fraught with an insatiable hunger for control, power, and admiration. I discuss the intricate dance of coping mechanisms—from compliance to rebellion—and the subsequent chase for validation that defines a narcissist's existence. We dissect their fury when faced with unmet expectations and the struggle with accountability that often lies at the heart of their interpersonal conflicts. Together, we'll unpack these layers, setting the stage for the next episode's dive into the narcissist's sense of self and the God complex, promising a continued unraveling of this intricate psychological tapestry.
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Ever wondered why some individuals seem to thrive on admiration and struggle with empathy? Together with renowned psychologists and childhood development experts, I, Dr. Paula Segade, unravel the intricate origins of narcissistic behavior and how it weaves its way into the fabric of relationships. We're peeling back layers of childhood experiences, from the dizzying highs of excessive praise to the profound lows of emotional neglect, and revealing how these early influences can sculpt adults with an insatiable hunger for validation or an inflated sense of self-worth. As we navigate these formative waters, we also uncover the often-overlooked impact of mixed signals from caregivers, the mimicry of narcissistic traits in young observers, and the adoption of these characteristics as armor against trauma.
Strap in for a psychological expedition as we chart the treacherous course of the narcissistic abuse cycle, beginning with the honeymoon phase of admiration and descending into the turbulent seas of manipulation and emotional turmoil. You'll gain strategic insights into the psychological warfare employed by narcissists, such as the disorienting fog of gaslighting. The conversation doesn't end there; our panel of experts shine a light on the path to recovery and support for those caught in the crossfire of narcissistic relationships. We dissect the varying levels of self-awareness in narcissists—from the cunningly manipulative to those blinded by their own victimhood—and offer beacons of hope with resources designed to guide survivors toward calmer shores.
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Discover the silent struggles and hidden pain behind the smile of someone trapped in the shadows of narcissistic abuse. As your guide, Dr. Bola Sogade, I shed light on the often-misunderstood journey of individuals entangled with narcissistic partners. We take an intimate look at the hallmarks of narcissism and the profound effects they have on relationships. You'll find a beacon of understanding as we discuss the manipulation tactics used by narcissists that can leave partners feeling isolated and unappreciated. I equip you with the tools necessary for coping with such a partner, emphasizing the value of trusting your instincts, setting firm boundaries, and embracing self-care. Our conversation is a testament to your strength and resilience, offering a path to prioritize your well-being and find the respectful, empathetic connection you deserve.
In the healing landscape of narcissistic abuse, you're not navigating the darkness alone. I introduce you to communities where solidarity and support are the cornerstones, like the Narcissistic Abuse Survivors Incorporation and the Narcissistic Abuse Support Group for Women. We discuss the transformative power of support groups, including the 'Life After the Narcissist' meetings, and the structured path to recovery offered by the MyNara app. You'll gain insight into the importance of these sanctuaries for those seeking solidarity in their healing journey. This episode isn't just a conversation; it's a lifeline for anyone ready to step out of the narcissistic shadow and into a future illuminated by self-empowerment and healing.
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As I listened to the heart-wrenching accounts of Ada and Tara, I couldn't help but recognize the shadows of manipulation and emotional turmoil that narcissistic abuse casts over a relationship. Their journey from confusion and self-doubt to empowerment and independence is a testament to the resiliency of the human spirit. Ada, against the backdrop of Lagos' societal expectations, and Tara, entangled in a web of gaslighting, share their awakening to the reality of their situations. Through their eyes, we explore the essential steps of seeking support and reclaiming self-worth, serving as a beacon of hope for those silently struggling.
This episode peels back the curtain on the complexities of narcissism in relationships, revealing how it distorts the bond between partners. We delve into the psyche of the narcissist, whose insatiable need for validation and superiority undermines the genuine connection and mutual respect foundational to any relationship. By understanding the signs and the psychology behind narcissistic behavior, we empower our listeners to recognize these traits in their own lives. It's not just a discussion; it's an invitation to a community of support, a guide for recentering oneself in the aftermath of emotional abuse, and a message that you're not alone on the path to healing.
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As I sat across from Dr. Marwa Farooqui her words struck a chord, echoing the sentiment of countless women whose voices are often unheard in the vast expanse of medical research. This episode isn't just a discussion; it's a revelation of the leaps we've made in advocating for women's health in the fields of hematology and oncology. Contemplate the transformation that female leadership and representation bring to the medical community—how it shapes the way we approach women's health issues, and the rippling effect it has on global healthcare practices. This heartfelt conversation traverses the importance of grassroots movements, the strides we're taking to close the gaps in clinical trials, and the empowerment of women to stand as staunch advocates for their own health, especially in the face of socioeconomic and political challenges.
Peel back the curtains on my life as a female physician, where the art of balancing the roles of healer, educator, researcher, and mother is a daily performance. Amidst the laughter and culinary escapades that add flavor to family life, the narrative turns tender as I reveal how personal loss has galvanized my dedication to providing compassionate care. It's an intimate cross-section of the trials and triumphs that shape us, underscoring the message that in the pursuit of growth, every small step is a victory. As we wrap up our time with Dr. Farooqui , we celebrate the power of these conversations to spark change, not just within the walls of hospitals, but in the lives we touch every day. Join us for a journey that promises to leave you both enlightened and inspired.
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Unlock the mysteries of iron and its pivotal role in our health, as Dr. Marwa Farooqui from the University of Illinois Hospital and Health Sciences System takes us through the latest in iron supplementation and blood disorder care. Grapple with the complexities of iron absorption in those with chronic conditions and peripartum individuals, and learn how certain dietary choices can enhance or impede iron uptake. Dr. Farooqui illuminates the re-emergence of iron dextran in IV treatments, the progress in oral iron therapy, and introduces us to ferric maltol—a game-changer with minimal side effects. Through her lens, we navigate the delicate balance of iron in the body and confront the risks associated with iron overload in specific diseases.
Transition with us from the cellular level to the comprehensive well-being of patients battling blood cancers. Dr. Farooqui underscores the crucial role of open dialogue, the undeniable impact of lifestyle choices on disease management and prevention, and the importance of family in patient advocacy. Together, we peer into the future of hematology, pondering the innovations on the horizon and the promise they hold. This episode is not just a conversation; it's a journey through the transformative landscape of survivorship care, offering empowering knowledge for anyone touched by these conditions.
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Unlock the mysteries behind the weariness that plagues so many women with the guidance of Dr. Marwah Farooqui, our featured hematologist oncologist, as she explains the widespread issue of iron deficiency anemia in women. The narrative of Aramide (Pronounced "Arame Day",) a mother facing exhaustion post-childbirth, becomes our case study through which Dr. Farooqui elucidates the causes – from blood loss to dietary gaps. This episode does more than just shed light on symptoms; it addresses the silent battle against fibroid-related bleeding that disproportionately affects African American women and spotlights the critical need for comprehensive diagnostic vigilance to uncover hidden dangers like gastrointestinal malignancies.
Step into the world of medical breakthroughs with us as we navigate the evolving landscape of treatments for iron deficiency anemia. We discuss the promising horizon of one-time dose IV iron therapies and contrast their benefits with the barriers to access, such as insurance and socioeconomic factors. Even as we embrace innovation, we recognize the reality that traditional methods like iron dextran remain the backbone of treatment for those with limited resources. Join us to understand how personal circumstances dictate the course of action in managing this common yet often overlooked condition, and how advancements in treatment could revolutionize the care for those who need it most. With Dr. Farooqui 's expertise, this episode is a vital resource for anyone invested in enhancing women's health.
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Embark on a journey through the heart of women's health as I, Dr. Bola Sogade, weave together a tapestry of medical marvels and human triumphs. With the close of a remarkable year, we reflect on topics as diverse as genetics and the impact of sickle cell disease on motherhood, to the cultural fusion found in Nigerian cuisine and the global challenge of heart health. Our discussions are not just clinical; they're personal, filled with stories of resilience and the promise of research that can change lives. We tackle the quiet menace of fatty liver disease, the complexities of teenage pregnancy, and reveal how the search for ikigai can lead to holistic fulfillment. As our guests share their expertise and experiences, we open doors to empathy, understanding, and empowerment for anyone seeking knowledge on this multifaceted health odyssey.
As the year wanes, the warmth of gratitude fills our studio. I extend my heartfelt thanks to the voices that echoed through our episodes, from Melbourne's vibrant avenues to the heart of Nigerian culinary heritage, for shaping a narrative that's as diverse as it is enlightening. With each guest's invaluable insight, and every listener's relentless support, we've sculpted a platform that champions women's health advocacy and education. Looking to the horizon, I, alongside our spirited podcast community, am reinvigorated for a future brimming with exploration, empowerment, and the unwavering commitment to share knowledge that can light the path to a healthier, more equitable world. Join us as we step into another year of discovery and dialogue, where every story shared is another step towards unity and wellness.
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Navigating the sensitive journey of teen pregnancy and abortion decision-making requires care, understanding, and an abundance of resources. This episode promises to light the path with empathy and expert guidance, as we're joined by Dr. Elise Berland to explore how healthcare providers can create a supportive environment for adolescents facing these challenging decisions. We discuss the critical role of effective communication between teens and parents, and the responsibility of healthcare professionals to ensure they provide unbiased care, recognizing the importance of addressing their own biases. Dr. Berland, with her profound insights, reinforces the necessity for professionals to refer patients to appropriate services when necessary, maintaining adherence to medical guidelines.
Providing adolescents with accurate information and resources is a beacon of hope during uncertain times. We share a treasure trove of supportive websites and hotlines that provide young patients with safe, legal abortion options, highlighting the risks tied to unauthorized procedures. The role of open communication is underscored as we stress the importance of seeking professional help and the difference it can make in the lives of teenagers and their families. As we wrap up, heartfelt appreciation is expressed for the collaborative efforts of healthcare professionals like Dr. Berland and Dr. Bola Sogade, dedicated to enhancing maternal health and supporting adolescents through some of life's toughest moments.
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Embark on a journey of understanding and empathy with Dr. Bola Sogade and Dr. Elise Berlan as we explore the intricacies of pregnancy stigma and its profound impact on the lives of young expectant individuals in our latest episode. Discover how the intersection of education, vocational pursuits, and motherhood can be navigated despite the curveballs life throws. We delve into the heightened health risks faced by pregnant teens, especially for those with chronic conditions, and unabashedly address the insidious effects of stigma that can lead to dire outcomes like homelessness. Our conversation is a heartfelt call to action for healthcare professionals to rise to the occasion, providing the much-needed support for informed reproductive choices and a more compassionate approach to a situation often met with prejudice.
As we traverse the delicate topic of teenage abortion, the candid insights from our guest Dr. Berlan provide solace and clarity. Breaking down the barriers of misinformation, we confront myths head-on, reassuring our listeners that abortion does not jeopardize future fertility or increase cancer risks—quite the opposite. We emphasize the critical importance of access to abortion, illustrating how it can pave the way for more favorable emotional, financial, and educational outcomes. Our discussion is a testament to the power of informed decision-making and the strength of young individuals facing these profound life decisions. Join us for a compelling episode that offers not only knowledge but also a deeper appreciation for the courage and resilience of young people during one of the most challenging periods of their lives.
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Discover the unspoken journeys of womanhood as we unravel the complexities of women's health and relationships. From the silent battles with pelvic pain to the profound transformations during pregnancy, we promise an episode that speaks to the resilience and diversity of the female experience. Our heartfelt conversations shed light on the real-life stories of teens grappling with dating violence and couples striving for growth in therapy. As we celebrate our 100th episode, join us in appreciating the remarkable physical changes women embrace in pregnancy, and dive into the empowering narratives of market women in Lagos and the impact of Nollywood on societal perceptions.
In a rich tapestry of cultural traditions, we navigate through the art of baby carrying and the reverence of the wrapper in various societies, including the Yoruba people. The concept of lotus birth, where the umbilical cord remains uncut, opens a window into the myriad of childbirth practices that shape our understanding of parenting. This episode invites listeners to reflect on the confidence required to care for a newborn, the intricate disparities in birth experiences across continents, and the heartening stories of strength in the face of systemic inequalities. With our distinguished guests, this episode is a promise of enlightenment on the enduring spirit of women and the profound influence of cultural heritage on the sacred journey of childbirth and early parenting.
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Unlock the secrets behind the transformative trends in reproductive health care for pregnant teens, with the guidance of Dr. Elise Berlan, our esteemed guest in adolescent health. As we navigate the post-Dobs landscape and celebrate the decline in teenage pregnancy rates, Dr. Berlan unveils the catalysts driving these changes, from shifting teen behaviors to the rise in effective contraceptive methods. She provides a treasure trove of expert advice on how health professionals can offer empathetic, non-judgmental counseling, opening the door to informed choices for young people facing unexpected pregnancies. This episode promises to leave you with a profound understanding of the modern support systems shaping the futures of pregnant adolescents.
Face the realities pregnant teenagers confront when they choose to parent, and the intricate web of clinical risks and educational disruptions they may encounter. With Dr. Berlan's expert perspective, we examine the hurdles such young parents must overcome, shining a light on the crucial support needed to pursue their educational and vocational dreams. The discussion goes beyond the medical considerations, addressing the societal and personal impacts of adolescent pregnancy. By the end of our conversation, you'll grasp the complexities these young individuals face and the essential role supportive environments play in nurturing the aspirations of pregnant teens, ensuring a brighter tomorrow for them and their families.
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Embark on an enlightening journey with Dr. Bola Sogade as she unpacks the intricate world of women's health, from the vitality of reproductive years to the wisdom of menopause. Discover how to navigate the complexities of conditions like polycystic ovaries, endometriosis, and fibroids, and why early fertility assistance and regular health screenings are pivotal for lifelong well-being. Dr. Sogade also sheds light on the significance of bone health, staying up-to-date with vaccinations, and the weighty matter of maintaining a healthy lifestyle to support overall health. Moreover, we uncover the transformative impact of minimally invasive robotic surgery and how it's revolutionizing recovery for women, setting the stage for a brighter, healthier future.
With gratitude, we reflect on the empowering insights shared by Dr. Sogade, acknowledging the strides in women's health that enable an enriched understanding and improved care. This episode is a treasure trove of knowledge, delving into how menopausal changes can influence mental health, relationships, and the risk of certain health conditions. It's a call to embrace the golden years with vigor and how advancements like safe medications and modern technologies can support this chapter of life. We wrap up with a heartfelt appreciation for Dr. Sogade's contribution and the shared wisdom that will undoubtedly resonate with listeners and their loved ones, heralding a message of positivity and empowerment for aging with grace.
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Strap in to explore the world of women's health like never before as the women in Melbourne Australia recently did;with our esteemed guest, Dr. Bola Sogade. Known for her advocacy in women's wellness, Dr. Sogade helps us understand how to become fierce and fearless in our personal wellness journey. We go deep to uncover the disparities in healthcare access, importance of work-life balance, and strategies to reduce gender-based violence. From your local communities to the global scene, we look at issues like child marriage in developing countries and ponder on the necessary societal changes.
The conversation doesn't stop there. We journey together through the various stages of a woman's health and wellness life cycle. Ever wondered how to deal with mental health issues like depression or postpartum depression? Curious about managing chronic conditions, nutritional concerns or the importance of preventive measures? Dr. Sogade shares her invaluable wisdom on these and a myriad of other health issues - menstrual problems, eating disorders and more. Get ready for an enlightening chat that will make you see your health and wellness through a whole new lens. It's not just a podcast episode, it's a road map to lead a healthier and happier life.
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Ever wondered how your life experiences could lend a helping hand to others who might be walking the same path? We have a special guest, Charlene, a mom and now a grandmother, who took the brave plunge into teenage motherhood. She's here to share her insight into the trials and triumphs, breaking down stereotypes that often surround young mothers. Listen in as we shed light on the profound role community organizations, programs, and Lion's club partnerships play in assisting these young mothers.
This episode is not just about teen motherhood, it's about resilience, perseverance, and triumph against odds. Charlene's personal journey puts into perspective the importance of a solid support system and evolving parent-child relationships. We also venture into the realm of mental health, underscoring the need for youngsters to understand and accept imperfections. We promise you an emotional roller coaster ride that will equip you with a newfound understanding of teen motherhood and the victories that lie within their journeys.
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What does it mean to be a mom at a tender age of just 16? How does this choice shape the trajectory of a girl's life, her dreams, and ambitions? Join us as we get up close and personal with Charlene, a mother and grandmother, who generously shares her unique perspectives on teenage motherhood through the moving story of her own daughter. From the challenging trials faced by her daughter to the remarkable strength, independence, and responsibility she displayed as a young mom, Charlene paints a vivid picture that is both enlightening and inspirational.
This episode doesn't stop at unraveling the complexities of teenage motherhood, but also explores the broader societal role in supporting these young mothers and their families. We delve into Charlene's belief in the power of prayer, the unwavering strength of family bonds, and her firsthand experience with community outreach. We learn about Charlene's relentless pursuit of resources for her daughter without any financial strings attached and the potential of partnerships between religious organizations and other groups in providing much-needed support. Tune in for an empathetic and enlightening exploration of teenage motherhood, the challenging choices it involves, and the profound impact of community support.
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Ever found yourself in a situation you never expected? Ever had to navigate uncharted waters and become the sturdy rock in a storm? Join us this week on Cocoa Pods, as we sit down with the resilient Charlene, who shares her powerful journey of guiding her teenage daughter through an unexpected pregnancy. Charlene opens her heart to us about the emotional roller coaster her family found themselves on and the challenges they faced from father -of -unborn baby issues to societal judgment.
Charlene beautifully illustrates the importance of providing a supportive and understanding environment in times of crisis. She unpacks the crucial role of open communication, the need to acknowledge each child's unique needs, and how to create a home that invites honesty and vulnerability. From dealing with personal anger to focusing on a future full of possibilities, Charlene provides an insightful and compassionate perspective on parenting a pregnant teenager. Whether you are a parent or simply someone who wants to understand more about teenage pregnancies, this episode is an empathetic exploration that promises to connect with your heart, inspire, and enlighten.
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What if your teenager came home one day and told you they were expecting a baby? How would you react? How would it change your family dynamics? Join us as our guest, Charlene, bravely shares her personal story of her family's journey through teenage pregnancy. With raw honesty and open-heartedness, she recounts the rollercoaster of emotions, from the moment she found out about her daughter's pregnancy, the interventions they tried, to the supportive role they played in their daughter's life during this challenging time.
In this candid conversation, Charlene lays bare the trials, tribulations, and triumphs of parenting a pregnant teenager. Hear how she and her husband navigated the shifting currents of their family dynamics, ensuring their daughter's health and education were prioritized, and love remained at the forefront despite initial disappointments. Delve into the complexities of teenage pregnancies, the profound effect it can have on families, and the significant role of the baby's father. Through Charlene's narrative, you'll gain insight into the resilience, courage, and adaptability necessary to navigate such unexpected life changes. Don't miss this enlightening conversation about a topic often shrouded in mystery and judgment.
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Get ready for an enlightening conversation on gastrointestinal bleeding, as Dr. Bola Sogade and Dr. Sesi Dosumu Ogunbi help you unravel this complex medical condition. Promising a wealth of knowledge, we take you through the intricate details of diagnosing and treating both upper and lower GI bleeding. We'll highlight the importance of a thorough medical history and physical examination, and discuss various diagnostic tests from stool studies to imaging.
We're thrilled to have Dr. Ogunbi, who brings a unique perspective on how pregnancy and childbirth can influence lower GI bleeding and how it can be managed. Moving up the GI tract, let's talk potential irritants, symptoms, causes, and treatments of upper GI bleeding. Dr. Ogunbi will also delve into how liver problems can increase the risk of upper GI bleeding. Expect to uncover the mysteries of gastro-osophageal reflux disease (GERD) - its symptoms, causes, and treatments.
But it's not all about the medical terms and conditions. We're also going to deep dive into a conversation about life purpose and the Japanese concept of Ikigai. Both Dr. Ogunbi and I believe that having a clear purpose can be the ultimate source of motivation, especially in trying times. We're going to explore the ways to discover your own Ikigai and how it can give your life a newfound meaning. Join us on Cocoa Pods Podcast, where we aim to increase awareness about health issues that affect women before, during, and after pregnancy.
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Are you ready to demystify the world of diets and understand their hidden dangers? Join us as Dr. Sesi Dosunmu Ogunbi peels back the layers on the pitfalls of popular diets, emphasizing the value of healthy eating and a balanced diet. We don't stop at avoiding certain foods, but also tackle the significant issue of fatty liver disease, its causes, diagnosis, and how the food we consume plays an essential role in prevention.
The conversation takes a deeper turn as we discuss the signs and symptoms of lower GI bleeding, a potential result of several conditions, including hemorrhoids, polyps, and cancer. Dr. Ogunbi provides a comprehensive walkthrough of diagnosing and treating fatty liver disease. This episode focuses on equipping you with critical knowledge that could be a game-changer for your health. Don't miss out on this eye-opening discussion!
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Ever thought about how your dietary choices impact your overall health? Join us in a captivating conversation with Dr. Sesi Dosunmu-Ogunbi, a seasoned pediatric gastroenterologist, as we debunk myths and misconceptions surrounding fad diets. We delve deep into the appealing yet potentially harmful world of restrictive eating plans such as the FAD diet, exploring their impact on our relationship with food and the risk of developing eating disorders. Dr. Sesi brings to light the significant truth about diets - there's no one-size-fits-all solution to eating healthily.
In an age dominated by social media, we've all seen the proliferation of extreme dieting trends. But what do these trends mean for our teenagers? We delve into this in the second half of our conversation, discussing the risks associated with extreme dieting and the potential for nutrient deficiencies. Dr. Sesi emphasizes the critical role a balanced diet plays during adolescence and how it can shape an individual's health in their later years. Whether you're a parent or a teenager, this episode is a must-listen as it provides valuable knowledge to make informed decisions about your dietary choices. Tune in and let's start the conversation about healthy eating.
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Ever questioned the safety of those glamorous fad diets and protein powders? Tune in to our latest episode where we unravel the grim consequences of over-consumption of these popular products. Take Shayo's story, a fitness devotee whose life took a drastic turn due to excessive protein intake and dehydration - a tale that serves as a chilling wake-up call for all. Adding gravity to our discourse, Professor Byron Austin from Harvard University shares his expert views on the danger supplements pose, especially those sold for weight loss, muscle building, and energy. Learn about the FDA's stern warnings and a startling study that links these supplements with a three-fold increase in severe medical events.
But that's not all, we're also shedding light on a silent killer - chronic inflammation. This persistent enemy often lurks undetected, contributing to major health problems including cardiovascular disease, cancer, and type 2 diabetes. Hear our deep dive into the significance of a diet rich in healthful nutrients, particularly for our youth. To offer further insights, we're joined by Dr. O, a pediatric gastroenterology specialist. She will share her knowledge about the potency of a healthful diet in combating inflammation. Join us for this enlightening conversation in our upcoming cocoa Pods Podcast episodes.It's time to prioritize our health, and make informed choices.
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Picture this: a world where black women are no longer at the bottom of the list when it comes to heart transplants. Our special guest, Dr. Khadijah Breathett, a transplant specialist, gives us the scoop on how to bring this dream to life. She paints a vivid picture of the journey, from locating the right cardiologist and heart failure transplant cardiologist to understanding the necessary treatments and support systems. We also dive into a phenomenon that's as fascinating as it is heartbreaking - broken heart syndrome. And as if that weren't enough, Dr. Khadijah Breathett wraps up with eloquent appreciation for the invaluable resources provided by the Birth Center Foundation.
But the wisdom doesn't end there. Dr. Khadijah Breathett also unravels the significance of finding the right healthcare provider and the critical role patients play in their own health care. She teaches us the tricks of the trade - location locating a healthcare provider that aligns with your individual needs, and how to take the wheel in navigating your health journey. She impresses upon us the importance of finding a healthcare professional who truly listens and provides quality care. And to top it all off, she presents a compelling call to action - a challenge to empower ourselves to seek help and to carve out our own health care journey. This episode serves as a masterclass in heart failure, recovery, and the paramount role of the healthcare provider in the process.
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Get ready to traverse the complex world of heart transplantation and its impact on pregnancy outcomes with our guest, Dr. Khadijah Breathett, a seasoned cardiologist and heart transplant specialist. We'll unravel the workings of the National Transplantation Pregnancy Registry and the challenge of organ scarcity that makes heart transplants all the more difficult to obtain. Hear firsthand from Dr. Breathett, about her inspiring journey, day-to-day experiences, and the pearls of wisdom she has for the upcoming generation of cardiologists.
We also take a hard look at the stark disparities in access to advanced therapies, and how bias can tilt the scales in healthcare. Discover how social support and group dynamics can sway a patient's chances of receiving advanced therapies. Be prepared to be intrigued by the groundbreaking prospects of growing new heart sections using stem cells and the potential realms of xenotransplantation. Together, we'll navigate this intricate maze, in search of the optimal treatment for each individual that promises a healthier, longer, and brighter future.
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Discover the inspiring journey of heart health with our esteemed guest, Dr. Khadijah Breathett, a leading authority in heart health, especially as it interacts with pregnancy. Prepare to be enlightened as we explore the alarming issue of postpartum cardiomyopathy, and stress on the indispensable role of regular prenatal and post-pregnancy visits for timely detection. Get motivated by the awe-inspiring narrative of a woman who beat all odds and had a successful pregnancy and vaginal delivery after a heart transplant. The conversation underscores the significance of pre-conceptional counseling when planning a pregnancy.
Our discourse continues into the intricate world of heart transplants and its role in dealing with heart failure. We unravel the necessity of personalized risk assessment and foolproof contraception for women of childbearing age, particularly for heart transplant recipients. Learn from Dr. Breathett as we probe into the myriad considerations for heart transplant recipients planning a pregnancy, shedding light on risk factors, medication implications, and the crucial need for a supportive healthcare team. Unearth how ejection fraction is computed, its role in diagnosing heart failure, and above all, gain a profound understanding of the complex interplay of heart health and pregnancy. The podcast, filled with expert advice, is sure to leave you with a much richer grasp of the subject matter.
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Imagine if you could unlock the secrets to understanding heart failure risks and treatments from a renowned expert? We promise you'll gain insights you never knew you needed as we sit down with Dr. Khadijah Breathett, an accomplished Associate Professor of Medicine and Advanced Heart Failure Transplant Cardiologist. In our enlightening conversation, we unpack the complexities of heart failure, particularly in women. We discuss the role of the New York Heart Association (NYHA) Functional Classification in assessing heart failure's severity. We also shed light on the range of treatments available, the limitations of the donor pool for heart transplants, and the life-extending possibilities offered by ventricular assist devices.
Are you aware of the challenges posed by postpartum cardiomyopathy and the significance of self-advocacy in healthcare? Dr. Breathett guides us through these realities, emphasizing the need for patients to assertively seek the right treatment. Our conversation takes a sobering turn as we consider the possible repercussions of not receiving advanced therapies, such as heart transplants or ventricular assist devices. We discuss the benefits of a multidisciplinary caregiving team and, importantly, the impact of racial disparities in healthcare. Listen as we take a hard look at how these disparities affect the experiences and outcomes for people of color, especially black women during and after childbirth. We conclude with Dr. Breathett sharing her thoughts on ongoing initiatives to rectify these imbalances and improve patient outcomes.
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Could you distinguish between a heart attack and heart failure? Or perhaps you're wondering about the potential risks of pregnancy for women with heart conditions? Join the conversation as we welcome heart transplant expert, Dr. Khadijah Breathett, tenured Professor of Medicine at the Krannert Cardiovascular Research Center,Indiana University School of Medicine. Not only does she shed light on the nuanced journey of heart failure, from initial symptoms to advanced stages, but also passionately discusses the alarming disparities in access to life-saving treatments. Furthermore, she reinforces the empowering role of self-advocacy in healthcare, suggesting practical lifestyle modifications to reduce heart attack risks.
Switching gears to a topic that often flies under the radar - maternal mobility and mortality reduction, we're excited to introduce Dr. Khadijah Breathett. The far-reaching impact of this field on pregnant women and their families is astounding, and Dr. Khadijah Breathett guides us through her challenges and triumphs in this crucial arena. Her dedication shines through as she speaks about mentoring future cardiologists and scientists, and her love for the beach offers a refreshing glimpse into her personal life. Stay tuned for this enlightening chat promising expert insights, compelling anecdotes, and a strong rallying cry for equitable care.
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Are you ready to unravel the mysteries of sickle cell disease and its treatments? Join us as we unravel this complex world with Professor Lewis Hsu MD, PhD, and Chief Medical Officer of the Sickle Cell Disease Association of America. Together, we traverse through the intricate process of bone marrow, stem cell, and peripheral blood stem cell transplants, their success rates, and the nuances of finding the right donor. As we delve into this journey, Professor Hsu enlightens us with his comprehensive knowledge about the life expectancy of sickle cell patients in different countries, highlighting the challenges they encounter.
Taking a culinary detour, we dish out some interesting tidbits about the unique spiciness of Nigerian cuisine. Stay tuned as we also spotlight the commendable efforts of CVS drugstores in raising global awareness about sickle cell disease. Through broadcasting public service announcements in their stores, CVS is playing a key role in educating the public about this disease. So, gear up for a compelling conversation that not only deepens your understanding of sickle cell disease treatments but also dishes out delightful chatter about Nigerian food. Tune in, learn, and enjoy!
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Brace yourselves as we delve into the intricate world of sickle cell disease, with insights from the brilliant Professor Lewis L Hsu, MD, a specialist in pediatric hematology oncology at the University of Illinois at Chicago. Guiding us on his journey from chemical engineering to the medical field, he casts light on his groundbreaking work on developing mouse models to study sickle cell disease. Unfolding the remarkable progress made over the last couple of decades, he opens up on the challenges involved in making these new medications accessible to patients.
Hold onto your seats as we traverse the often unspoken realm of managing sickle cell disease during pregnancy. The vital role of prenatal care and pain management strategies are underscored, including the use of fentanyl for short-term pain relief in special cases. We also offer a sneak peek into our next episode on bone marrow and stem cell transplants, a promising frontier in the quest to conquer sickle cell disease. You don't want to miss Professor Hsu's insightful views on the role of community health workers in cultivating trust and facilitating access within communities. Tune in, and let us take you on this fascinating exploration of the labyrinth that is sickle cell disease research and management.
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Ever wondered about the untold intricacies of sickle cell disease? Prepare to unfurl the mysteries as we venture into enlightening conversations with Professor HSu, the esteemed chief medical director of the Sickle Cell Association of America. Navigate through the maze of various treatments, medicines, and their roles in organ protection for those battling with this disease. We also brush up on the emerging advancements in the field, like bone marrow transplants and gene therapy, and their availability, shedding light on their growing prevalence even in Nigeria and other parts of Africa.
Next stop on our learning journey is the awe-inspiring world of Professor Hsu a dedicated pediatric hematology oncologist. Marvel at his groundbreaking work focusing on fetal cells and pre-implantation genetic diagnosis, a game-changer in sickle cell disease research. Hear him share candid insights from his journey, his leadership experience, and his relentless pursuit for a universal cure. The episode wraps up with a poignant comparison between the experiences of individuals living with sickle cell disease in 21st century America versus those in resource-limited settings. So, gear up for a deep dive into the world of sickle cell disease, it's treatments, and the dedicated professionals striving to alleviate the pain and suffering caused by it.
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Prepare to be captivated as we have an enlightening exchange with Professor Hsu, the Chief Medical Officer of the Sickle Cell Disease Association of America. Brace yourself to attain a deeper understanding of the heightened risks during pregnancy for individuals grappling with sickle cell disease. We probe into the significant strain pregnancy imposes on organs such as the lungs and kidneys, and the potential necessity to cease specific medications throughout this period. Furthermore, we unmask the critical part structural racism plays in influencing pregnancy outcomes for those with sickle cell disease.
In our exploration of sickle cell disease, Professor Hsu eloquently describes the disparities between normal red blood cells and sickle cells and the challenges these differences can trigger. She accentuates the need to equip adolescents with sickle cell disease for their transition into adulthood, given the potential amplification of risks connected to typical adolescent behavior. We wrap up this thought-provoking episode by discussing the sickle cell genotype, how randomness influences the likelihood of a child inheriting the disease, and why gaining an understanding of one's genotype is paramount. Buckle up to uncover the complexities of this condition and its interaction with factors like pregnancy, age, and genetics.
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NeoNatal Cocoa Pods 8
Ever wondered about the mystery and controversy surrounding Lotus Birth? We've got you covered in this revealing episode . We dive headfirst into the whirlpool of this intriguing birth practice, unpacking the potential benefits and the serious risks involved. Get ready to learn about the possible gentle transition for the baby, potential nourishment benefits from the placenta, and the reduced belly button injury risks. But we don't shy away from the hard truths either - discussing the associated risks like potential infections, cord avulsion, and hepatitis in the baby. And we also delve into why most healthcare providers hesitate to perform this procedure, giving you a comprehensive overview of the subject.
But we don't stop there. The conversation takes another dramatic twist as we unravel the significance of cord pulsation post-birth and the potential hazards of not clamping and cutting the cord. Discover the vital function the cord plays in pumping blood and oxygen into the baby and the ongoing debate around when cord clamping should occur. In our rich reservoir of knowledge, here we provide an enlightening perspective on what can happen if the cord isn't clamped and cut. If you're expecting or just curious about birth practices, this is one episode you can't afford to miss!
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Are you ready to be the best parent possible to your precious newborn? Join us as we sit down with Dr. Ekuase Sanusi, a pediatrician with over three decades of experience, who shares invaluable insights on how to care for your little one. From the importance of adding your baby to your insurance policy to the benefits of skin-to-skin contact, Dr. Sanusi's guidance will give you the confidence you need as you embark on your parenting journey.
In this information-packed episode, we also explore the resources available to Nigerian parents, such as government hospitals, private clinics, and university hospitals. Knowing where to turn for specialized and trustworthy care is crucial in ensuring your beloved baby's health and development. You won't want to miss out on the wealth of knowledge Dr. Ekuase Sanusi brings to the table; tune in now and start nurturing your newborn like a pro!
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What if we told you that women with sickle cell disease face astonishingly high risks during pregnancy, and that race, bias, and access disparities play a huge role in their maternal health? Join us as we uncover these alarming statistics with the help of our esteemed guest, Professor Lewis L HSu, MD, PhD, Professor at the University of Illinois at Chicago, and the Chief Medical Officer of the Sickle Cell Disease Association of America. We'll discuss the urgent need for improved transition practices for adolescents and young adults with sickle cell disease, and the crucial role of community health workers in spreading vital information.
Not only will we investigate the impacts of sickle cell disease on maternal health, but we'll also delve into the significance of genetic diagnosis and raising awareness for this debilitating condition. Discover the intricacies of pre-implantation genetic diagnosis, the annual Global Sickle Cell Awareness Day, and the spicy world of Nigerian cuisine. Learn from Professor Sue's expertise as we navigate the challenges faced by healthcare providers in keeping up with advancements in sickle cell disease treatment, and explore how trust and information can improve the lives of those living with this genetic condition. Don't miss this insightful conversation that could help change the future of maternal health outcomes for individuals with sickle cell disease.
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Discover the ancient Yoruba tradition of baby wearing with our special guest, pediatrician Dr. Ekuase Sanusi, as we explore its rich cultural history and benefits for both parent and child. Did you know that this secure and comfortable method of carrying babies has evolved over time and can be found in various forms across the world, including the kimono silk of Asia, sirens of India, and the Kanga from East Africa? Join us as we discuss Dr. Sanusi's personal experiences with baby wearing in Nigeria and the numerous advantages it provides for families.
As parents, it's vital to be prepared for emergencies, and our conversation with Dr. Sanusi emphasizes the importance of knowing how to perform CPR. We also delve into the often-overlooked process of obtaining a birth certificate for newborns, exploring the challenges some families faced in the past and the significant implications of having this crucial document for a child's future.
One key aspect of ensuring a baby's well-being is scheduling their first pediatrician appointment within the first two weeks of life. Dr. Sanusi sheds light on the potential risks associated with the neonatal period and the need for timely visits, especially if there are specific issues such as jaundice or dehydration that the baby might be facing. Learn about the typical follow-up schedule and the importance of adhering to it in order to give your baby the best start in life. Don't miss this informative and engaging conversation with Dr. Ekuase Sanusi.
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Ever wondered about umbilical cord clamping and its impact on your baby's health? Join us as we chat with Dr. Ekuase Sanusi, who sheds light on the benefits of umbilical cord milking and when it should be performed. We also explore the potential advantages of umbilical cord blood banking despite its current high costs.
Selecting the right pediatrician for your little one is no easy task. Discover what factors to consider in your search, from personality and accessibility to hospital privileges. We discuss the ideal time to start looking for a pediatrician and the importance of attending a prenatal visit, as well as how the choice may differ between urban and rural areas.
Car seat safety is critical for your baby's well-being. Learn about the invaluable information and support provided during prenatal visits, and how nurses at the hospital play a vital role in educating new parents about car seat safety. Dr. Sanusi shares her expertise on car seat safety regulations in both the US and Nigeria, emphasizing the need to research and follow the laws specific to your baby and car seat. Don't miss this informative and essential episode for new parents!
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What if there was a simple and natural way to provide numerous health benefits for your newborn? Join us on this enlightening episode of our neonatal Cocoa pods Podcast as we, along with... actually our host this time, Dr. Bola Sogade, a women's health specialist and the founder of the Birth Center for Natural Deliveries Foundation, uncover the fascinating history, science, and practice of delayed umbilical cord clamping after birth in a series of episodes.
We delve into the multitude of benefits that delayed clamping provides for both premature and mature newborns, such as increased hemoglobin levels and iron stores, decreased risk of intra-ventricular hemorrhage and necrotizing enterocolitis, and the transfer of essential proteins, immunoglobulins, and stem cells. We introduce further topics of discussion on this topic in ensuing podcast series: the process and technique behind delayed clamping, the concept of umbilical cord milking, and what this practice means for umbilical cord blood collection for banking; and we do not leave out what happens in cases of twins or triplets. Don't miss this incredible conversation as we reveal the power of delayed umbilical cord clamping for your newborn's health and well-being.
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Pediatrician Dr. Ekuase Sanusi on breastfeeding:
Is it safe for mothers to breastfeed their infant if they have consumed alcohol?Not drinking alcohol is the safest option for breastfeeding mothers. Generally, moderate alcohol consumption by a breastfeeding mother (up to 1 standard drink per day) is not known to be harmful to the infant, especially if the mother waits at least 2 hours after a single drink before nursing. However, exposure to alcohol above moderate levels through breast milk could be damaging to an infant’s development, growth, and sleep patterns. Alcohol consumption above moderate levels may also impair a mother’s judgment and ability to safely care for her child.Drinking alcoholic beverages is not an indication to stop breastfeeding; however, consuming more than one drink per day is not recommended.
Can alcohol be found in breast milk?
Yes. Alcohol levels are usually highest in breast milk 30-60 minutes after an alcoholic beverage is consumed, and can be generally detected in breast milk for about 2-3 hours per drink after it is consumed. However, the length of time alcohol can be detected in breast milk will increase the more alcohol a mother consumes. For example, alcohol from 1 drink can be detected in breast milk for about 2-3 hours, alcohol from 2 drinks can be detected for about 4-5 hours, and alcohol from 3 drinks can be detected for about 6-8 hours, and so on. However, blood alcohol levels and the length of time alcohol can be detected in breast milk after drinking will depend on a number of factors, including the amount of alcohol consumed, how fast the alcohol is consumed, whether it is consumed with food, how much a mother weighs, and how fast alcohol is broken down in a mother’s body.
What effect does alcohol have on a breastfeeding infant?Moderate alcohol consumption by a breastfeeding mother (up to 1 standard drink per day) is not known to be harmful to the infant, especially if the mother waits at least 2 hours before nursing. However, higher levels of alcohol consumption can interfere with the milk ejection reflex (letdown) while maternal alcohol levels are high. Over time, excessive alcohol consumption could lead to shortened breastfeeding duration due to decreased milk production. Excessive alcohol consumption while breastfeeding could also affect the infant’s sleep patterns and early development.
Alcohol and Caregivers:Caring for an infant while intoxicated is not safe.
Can expressing/pumping breast milk after consuming alcohol reduce the alcohol in the mother’s milk?
No. The alcohol level in breast milk is essentially the same as the alcohol level in a mother’s bloodstream. Expressing or pumping milk after drinking alcohol, and then discarding it (“pumping and dumping”), does NOT reduce the amount of alcohol present in the mother’s milk more quickly. A mother may choose to express or pump milk after consuming alcohol to ease her physical discomfort or adhere to her milk expression schedule. If a mother decides to express or pump milk within two hours (per drink) of consuming alcohol, the mother may choose to discard the expressed milk. If a mother has consumed more than a moderate amount of alcohol, she may choose to wait 2 hours (per drink) to breastfeed her child, or feed her infant with milk that had been previously expressed when she had not been drinking, to reduce her infant’s exposure to alcohol. Breast milk continues to contain alcohol as long as alcohol is still in the mother’s bloodstream.
Source: Division of Nutrition, Physical Activity, and Obesity, National Center for Chronic Disease Prevention and Health Promotion
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We continue our discussions with pediatrician Dr Ekuase Sanusi, a specialist on children
Breast milk vs formula? Which is really better?
At what age for your baby/ child does breast stop being best?
Now the baby is breastfeeding and we can ascertain this well through say a latch score.
There are certain conditions where a newborn’s risk of low blood sugar -hypoglycemia increases. What are those conditions? How and when are they tested for?Is there a difference in testing in low risk or low resources’ delivery settings? If there's a concern, does that mean the baby will get formula supplementation, and how does all of this impact initial breastfeeding?
What happens when your baby cannot breastfeed, say breast abscess?or tongue tie or your baby develops thrush?
Can I drink alcohol while breastfeeding?
If you want to have an occasional alcoholic drink, wait at least 2 hours after a single drink before you breastfeed. The alcohol will leave your milk as it leaves your bloodstream—there is no need to express and discard your milk. Drinking more than two drinks per day on a regular basis may be harmful to your baby and may cause drowsiness, weakness, and abnormal weight gain.
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Dr Ekuase Sanusi discusses "neonatal Cocoa Pods" 1.Intro-Sleep: Baby is finally here. Q:How can mum get a good night's sleep without compromising the baby ( such as baby’s feeding ) to help her feel more rested.Is there a thing such as postpartum insomnia?
What sleep patterns are normal for babies in the first few days of life?2.Intro-Feeding:Q:How do I know my baby is getting enough breast milk?What is the best way to pump?Breast milk vs formula? Which is really better? At what age for your baby/ child does breast stop being best? Now the baby is breastfeeding and we can ascertain this well through say a latch score.There are certain conditions where a newborn’s risk of low blood sugar -hypoglycemia increases. What are those conditions? How and when are they tested for?Is there a difference in testing in low risk or low resources’ delivery settings? If there's a concern, does that mean the baby will get formula supplementation, and how does all of this impact initial breastfeeding? What happens when your baby cannot breastfeed, say breast abscess?or tongue tie or your baby develops thrush?Can I drink alcohol while breastfeeding?
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The Yakama Indian Reservation (spelled Yakima until 1994) is a Native American reservation in Washington state of the federally recognized tribe known as the Confederated Tribes and Bands of the Yakama Nation.The tribe is made up of Klikitat, Palus, Wallawalla, Wanapam, Wenatchi, Wishram, and Yakama peoples.
Toppenish is a city in Yakima County, Washington. As of the 2020 census, the city population was 8,854 It is located within the Yakama Indian Reservation, established in 1855.
Toppenish calls itself the city of Murals, as it has more than 75 murals adorning its buildings. The first, "Clearing the Land", was painted in 1989, and the city hosts horse-drawn tours and annual art events. All historically accurately depict scenes of the region from 1840 to 1940
According to the United States Census Bureau, the reservation covers 2,185.94 square miles and the population in 2000 was 31,799. It lies primarily in Yakima and the northern edge of Klickitat counties. The largest city on the reservation is Toppenish.
About 80% of the Yakama reservation's land is held in trust by the federal government for the benefit of the tribe and tribal members.The remaining 20% of the reservation's land is privately owned. Some 410,000 acres of the reservation are shrub-steppe rangeland; as of 2014, about 15,000 wild horses roamed these lands—an unsustainable population, many times what the land can support.
History
The reservation was created in 1855 by a treaty signed by Washington Territory Gov. Isaac Stevens and representatives of the Yakama tribe. Several Native leaders believed that those representatives did not have the authority to cede communal land and had not properly gained consensus from the full council or tribe. A dispute over the treaty conditions led to the Yakima War (1855–1858), which the Yakama and allied tribes waged against the United States.In 1994, the Yakima Tribal Council unanimously voted to change the spelling of the tribe's name from Yakima to Yakama, matching the spelling of the 1855 treaty.The pronunciation remained the same.
So “Something's got to change': Experts sound alarm on dangers of US maternity care shortage One-third of U.S. counties are maternity care deserts, according to a report.By Faith Abubey, Patty See , Victoria Moll-Ramirez, and Allie Weintraub April 17, 2023 Early on in her pregnancy, Tori Wapsheli made plans to deliver her second child in the same hospital where she had her first — Astria Toppenish Hospital on the Yakama Indian Reservation in Washington State. But with just three months left in her pregnancy, the hospital suddenly shut down its Family Maternity Center, leaving Wapsheli and others in the community scrambling. In a news release, the hospital cited higher costs, reduction of Medicaid reimbursement from 150% to 100%, inability to recruit enough staff and a 50% decrease in deliveries as the reason for the closure."Just being so far out here, Toppenish was the place that would have worked easier," Ciera Wheeler, who was more than 7 ½ months along when the pregnancy ward closed, told ABC News.
Patients in active labor who come to Astria Toppenish when there's no time to stabilize and transfer them before delivery will now have their babies delivered in the emergency room and then, after being stabilized, transferred by ambulance to another hospital, the release said.
For Wheeler, the closest hospital with a maternity ward was now 45 minutes away, she said.
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Prof Hedy Lee deconstructing items of maternity care structural racism
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Don't miss another episode of Cocoa Pods podcast on all podcast streaming platforms.
We talk about a lot of women's health issues both locally here in the United States and globally. We talk about why particular groups of women have a more difficult healthcare journey compared with others.Women come on the show and share their own real life, unedited experiences with the hope of helping another woman out there. Cynthia, Dr Michael G. Knight,Dr Jean Elwing and Dr Raul Vangala share respectively about a delay in diagnosis of a serious health condition, a need for all to be listened to and with action about their health condition, the period where risks lie the most after delivery of a baby in women that have other health conditions and the placenta, yes the placenta holding hope for cancer treatment for all.
So listen to Cocoa Pods public education podcast, a feature of the Birth Center for Natural Deliveries Foundation hosted by women's healthcare specialist, Dr Bola Sogade, a doubly residency- trained and board certified obstetrician, gynecologist and family physician.
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Professor Sina Oladokun consultant obstetrician and gynecologist fro Ibadan Nigeria
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As we close out this year we bring a message of hope from the Birth Center Foundation,Hope For Pregnant Women, their families and all who know and love a woman.
All over the world, there are several professionals, like us at the Birth Center Foundation, that are looking critically at maternity care problems and with strong leadership, are providing solutions, one woman, one baby, one family unit at a time.
We are improving on the reasons women are becoming very sick also known as maternal morbidity and/ or dying also known as maternal mortality, starting here from the state of Georgia in the United states.
So far this year at the Birth Center Foundation, we have worked on three core pillars
So as we draw to the end of yet another amazing amazing year, we are grateful to God for the women we have helped, the lives we have touched and for your hearts of mercy and love of all of you, our sponsors and our listeners.
Again this is your host Dr Bola Sogade ,saying a big thank you on behalf of our Board at the Birth Center Foundation
Please be sure to visit our website at https://www.birthcenterfoundation.com, visit our blog and see our efforts.
Thank you for your time and we wish you a happy and prosperous new year
Dr Knight Timestamps (00:13) Dr. Michael G Knight (01:27) Why are minority women dying? (05:35) lifestyle interventions alone for obesity? (11:10) Obesity medications (15:25) Safety of obesity medications (17:45) Education in weight management (19:45) Lack of insurance coverage A champion for health equity, Dr. Michael G Knight joins Dr. Bola Sogade for part 2 of this series. Dr. Knight is board certified in internal medicine and obesity medicine. He has served on many boards and committees and currently is the founder and president of the Renewing Health Foundation. In the last episode Dr. Sogade describes other titles he possesses such as associate chief quality and population health officer, head of healthcare delivery transformation, medical director of community primary care at GW Medical Faculty Associates, and assistant professor of medicine at George Washington School of Medicine and Health Sciences. In this episode these two doctors discuss health inequity in obesity and minority pregnant women. Why are minority women dying during pregnancy? Maternal mortality is health inequity. Dr. Knight explains the root causes of health inequity. The way people receive care, and the way people have access to healthy foods, communities, and environments affect maternal mortality. Obesity and the challenges to receive care for this illness are also discussed in this episode. For a long time, obesity has not been viewed as a chronic illness. Now it is known that lifestyle interventions alone are not enough for all people. There are medical interventions for obesity, but the FDA has been historically slow to adopt the use of obesity medications. Is there a stigma associated with obesity medications? In many cases, these medications are not covered by insurances. At other times, healthcare providers are not prescribing medical treatment due to lack of education surrounding obesity and weight management. Although 45% of adults in the US are candidates for medical treatment of obesity, only 1-2% receive obesity medications. Is it an issue with insurance companies due to the cost of treatment? Dr. Knight explains that the health care industry spends billions of dollars for obesity related health issues. Unfortunately, health care is focused on sick care instead of preventative care. Obesity intervention won’t approve until education is increased. Stay tuned for next week's episode to learn more!
Dr Michael G Knight Timestamps: (00:20) Dr. Michael G Knight (01:10) Healthcare delivery transformation (03:35) More about Dr. Michael G Knight (04:38) “Don't go to the hospital” (07:00) Patient safety (08:35) Patient safety emerging from designed systems (11:17) Proactive risk assessment (13:50) The domains of patient safety (16:40) Pointing fingers (20:00) Examples of issues occurring in patient safety
Dr. Michael G Knight, associate chief quality and population health officer, head of healthcare delivery transformation, medical director of community primary care at GW Medical Faculty Associates, and assistant professor of medicine at George Washington School of Medicine and Health Sciences joins Dr. Bola Sogade on this episode of Cocoa Pods. In part 1 of this series, the topics of healthcare delivery transformation and “near misses” are discussed. With new technologies, such as telehealth, drones, robotic surgery, 3d printing, and more, there are new possibilities for delivering healthcare. Dr. Michael G Knight explains his role as head of healthcare delivery transformation. He explains that we don’t live in a society where everyone has the same opportunity to care, so to transform healthcare we have to think about innovative ways of delivering health to all patients. An important part of delivering care is patient safety. Patient-based science ensures that there are checkpoints to prevent error. Dr. Knight uses the term swiss cheese model to explain how policies are layered to create barriers that prevent errors from reaching patients. In patient safety models, there are several domains. These domains include the patient, healthcare professional, and therapeutic system. These domains work together; therefore, methods and policies are in place among all to ensure patient safety. As a patient safety practitioner, the goal is to prevent the adverse effect from ever reaching the patient. This is a proactive risk assessment. Dr. Sogade asks what happens when something does go wrong. Dr. Knight uses “just culture” - looking at the underlying issue and holding people accountable when necessary. He discusses the importance of solving the underlying issue if applicable in order to prevent recurring problems. Stay tuned for part 2 with Dr. Bola Sogade and Dr. Michael G Knight!
CDC 's Executive Director, Dr Larry Sperling for the Million Heart project Timestamps: (00:40) One of America’s top doctors (02:45) Live to the beat campaign (05:50) Start small live big campaign (06:17) Release the pressure campaign (06:50) Rural communities and health education (08:55) How can birth centers benefit from the CDC (11:58) Million Hearts (12:35) Health promotion and disease prevention is a marathon
CDC’s Million Hearts executive director, Dr. Larry Sperling, joins Dr. Bola Sogade again for this episode. The two doctors continue their discussion surrounding the Centers for Disease Control and Prevention’s campaign, Million Hearts. This campaign provides strategies and resources for both health professionals and patients to prevent one million cardiovascular events in five years. Other campaigns such as Live to the Beat, Start Small Live Big and Release the Pressure are discussed. One in five Americans live in a rural community. Because of this, it is important that projects such as Million Hearts can reach individuals in rural areas as well. Dr. Sperling explains that Million Hearts is not only about the partnership between public health and clinical care but also with partners at the community level. Local communities can also get involved with health education and promotion. Dr. Sogade explains how free-standing birth centers accredited by the commission for the accreditation of birth centers are a high-value option for maternal care and can also complement hospital care. These birth centers are capable of meeting the triple vision of health care by improving the experience of care, improving the health of the population, and reducing the per capita cost of care. How can birth centers benefit from the CDC? The CDC is available to all no matter the distance through its website, phone, email, and live agents. Dr. Sperling discusses the various divisions in the CDC, such as the division of reproductive health, and how they are useful to different groups of people. Not only is Dr. Larry Sperling a profound doctor, but he is also a marathon runner. He gives a comparison between his personal training and health promotion and disease prevention. The two are both marathons, not a sprint. Health promotion and disease prevention require awareness, preparation, resilience, and a team approach. Thank you Dr. Larry Sperling for joining Cocoa Pods and sharing the mission of Million Hearts with all of us.
CDC 's Executive Director, Dr Larry Sperling for the Million Heart project Timestamps: (00:40) Welcome Dr. Larry Sperling (02:15) Pregnancy related heart problems (03:22) The need for Million Hearts (04:50) More about Dr. Sperling (05:40) Strategies to improve access to care (11:10) Dr. Sperling’s training (12:22) Addressing maternal morbidity
CDC’s executive director, Dr. Larry Sperling, joins Dr. Bola Sogade for this episode of Cocoa Pods. Dr. Sperling is a world-renowned cardiologist with more than 20 years of experience. He gives listeners insight into the previously mentioned Million Hearts initiative. Why is there a need for the Million Hearts initiative? This national initiative extends cardiovascular disease prevention into the community. It is co-led by the Center for Disease Control and Prevention and the Center for Medicare and Medicaid Services. Through several hundred partners, Million Hearts has proven strategies to prevent 1 million strokes and cardiac events in five years. 700 women die in a year from pregnancy-related heart problems. Some of these deaths are due to a lack of access to high-quality maternal health services in rural communities. The Million Hearts project has actionable steps to improve access to care for women and people in rural areas. Dr. Sogade and Dr. Sperling discuss some of these actionable steps. One of these strategies includes the use of self monitoring blood pressure. Not only is it important for individuals to be aware of their blood pressure, but it also allows doctors to work collaboratively with the patient. Dr. Larry Sperling explains the importance of knowing the risks and being aware of hypertensive disorders. Focusing on prevention is a key step to improving cardiovascular health for all!
Timestamps: (01:25) Questions for the listeners out there Dr. Bola Sogade’s intro (02:20) Million Hearts program (03:30) Pregnancy-related heart problems (04:22) The vision of the program (07:14) What can we do to improve heart health? (10:00) Risk factors experienced disproportionately (12:40) Advance health equity (15:18) Cardio rehab (16:00) For more information
Dr. Bola Sogade- Obgyn, family physician, minimally invasive robotic gynecologist surgeon, women’s health specialist, and advocate for prevention and minimally invasive interventions speaks to listeners about the Million Hearts program and more! Out of the approximately 330 million people in the United States, a little less than a million people die of cardiovascular disease a year. The Million Hearts program aims to prevent 1 million heart attacks and strokes within 5 years. This program was created by the Center for Disease Control and Prevention. The focus is to implement a small set of priorities and targets to improve cardiovascular health for all. The goals of Million Hearts will not only advance science but also health equity. Dr. Sogade explains the importance of health equity in today’s episode. In upcoming episodes, Dr. Sogade will discuss ways to empower people to take the steps to lower the risks of cardiovascular diseases. Because stressors and disadvantages affect some groups of people more than others, it is necessary to take some factors into consideration. Dr. Sogade raises these questions which will be further discussed: How can people with little means pay for medication and at home blood pressure monitoring? How can people exercise safely in their environment? How can they get access to health services? These are all imperative questions. Million Hearts aims to advance health equity through policies and practices that provide fair access to resources and opportunities to enable cardiovascular health for all. For more information, the CDC provides 24/7 access to live agents, and the Million Hearts program provides evidence-based strategies and resources for both health professionals and patients. The Birth Center For Natural Deliveries Foundation is happy to join with the CDC Foundation and Million Hearts initiative to share this information!
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Welcome back to Cocoa Pods, the podcast for the Birth Center For Natural Deliveries Foundation. This podcast focuses on women’s health with an emphasis on maternal morbidity and maternal mortality. Host, Dr. Bola Sogade gives an overview of the past series, No Periods Yet Not Pregnant. In the past three episodes Dr. Ashwini Gore, an endocrinologist practicing in Macon, Ga, joined the podcast to discuss an array of health issues associated with endocrinology. The series began with a history of endocrine conditions and an explanation of endocrinology, the field of medicine that deals with endocrine glands and hormones. The first episode speaks about the most common endocrine disorder in young women, polycystic ovarian syndrome or PCOS. This led to the conversation about the relationship between the endocrine system and the female reproductive system. The two doctors also discussed endocrine disorders in pregnant women and the effects they can have on both mother and child if not controlled. The thyroid gland serves important purposes, and pregnant women need 50% more thyroid hormone. The conditions of an over and under-active thyroid gland were discussed in this series. We also learned that 346 million people worldwide have diabetes. This is a growing health issue. By 2023, it is expected that diabetes will be the 7th leading cause of death. Dr. Sogade and Dr. Gore discuss the risks associated with diabetes specifically in pregnant women and their children. They also speak of health behaviors that increase and decrease the risks of prediabetes and diabetes. The condition of metabolic inflexibility is an important topic and thoroughly explained in the past episode. Nonhsipanic black women who were fed a high-fat diet failed to shift metabolism to increase fat oxidation or decrease carbohydrate metabolism despite increases in insulin levels. This condition may contribute to a higher risk of obesity and insulin resistance. Doctor Bola Sogade and Doctor Ashwini Gore discussed these and other prevalent health issues in women’s health and gave insight into ways we can improve health outcomes for women. Thank you Dr. Gore for joining Coco Pods and sharing your expertise!
Dr Ashwini Gore : Timestamps: (00:25) History of endocrinology (03:00) Simple definition of diabetes (05:10) Prediabetes (10:05) Risks factors (14:00) Maternal life conditions affecting child (17:17) Epigenetics
Endicronologist, Ashwini Gore is here for part three of this series. This episode focuses on the most common endocrine problem in pregnant women, diabetes. Dr. Bola Sogade gives a brief history of endocrinology and the profound impact discoveries associated with endocrinology have made on modern medicine. In 1916, what is now known as the endocrine society was founded. In 1921, two doctors discovered insulin when they reversed diabetes in dogs. Since then, the field of endocrinology, especially diabetes, has grown tremendously. Dr. Gore simply explains diabetes as a disease of too much sugar in the blood. For a healthy person, the body should regulate sugar between a level of 70 to 90 at any given time. If sugar level is 126 or higher before eating in the morning or ever goes over 200, your doctor should be contacted. There are different ways to diagnose diabetes. One is using A1C which measures how much sugar is attached to red blood cells. Dr. Gore also explains prediabetes or insulin resistance. Insulin should transfer sugar to be used as energy by different organs of the body. If the organs aren't using the sugar as energy, the sugar is being stored as fat. Inefficient insulin may cause hormone imbalances and many other issues. Because of the health issues associated with diabetes, it is important to know the risk factors. Lifestyle factors are the biggest reason for insulin resistance and diabetes. Dr. Gore and Dr. Sogade discuss ways women can mitigate the risks. This includes exercise and not smoking. Dr. Gore notes that she sees more young people with type two diabetes, and there are several reasons for this. Conditions in a mother’s life can affect her offspring. Stress, low education, poor health care, and an unsafe environment for the mother are some examples that may lead to a baby’s low birth weight. A low birth weight is related to high cortisol, and high cortisol exposure can contribute to a baby with insulin resistance. With more than three hundred and forty six million people affected world, diabetes is a concerning pandemic. Listen to the full episode to learn more!
Timestamps: (00:13) Discovery of sex hormones (01:27) Endocrine system and female reproduction system (04:40) Getting pregnant with pcos (06:28) Counseling couples with pcos (08:44) Endocrine disorders during pregnancy (13:55) Preexisting thyroid problems (16:42) Autoimmune thyroid disease (19:24) Symptoms of hyperthyroidism
Dr. Ashwini Gore joins Dr. Bola Sogade for part two of No Periods Yet Not Pregnant. This episode includes the discovery of sex hormones, conceiving with PCOS, and endocrine disorders. The two doctors discuss the smooth coordination between two complex systems, the endocrine system, and the female reproductive system. The endocrine system includes the hypothalamus and pituitary gland which are the central control for hormones in the body. The reproductive system’s main goal is to produce offspring. This is more complex than it appears. Many women with PCOS struggle to get pregnant. It is important for a woman to have a regular menstrual cycle to maintain normal estrogen levels and androgen levels. Although it is possible to get pregnant with pcos, it may be more difficult. Clomiphene citrate is a drug used in the management of inadequate cycles with respect to fertility management. This medication increases FSH which increases follicle stimulation and growth. Dr. Gore explains how she counsels women with pcos when trying to become pregnant. The two doctors also discuss endocrine disorders during pregnancy. The most common is gestational diabetes. Thyroid issues can also be a prevalent issue in women. Pregnant women need 50% more thyroid hormones during pregnancy. Because of this, it is important to have healthy thyroid hormone levels before pregnancy. There are many risks associated with an under or overactive thyroid during pregnancy, such as fetal growth issues, preeclampsia, and miscarriage. Diagnosing a thyroid disorder may be difficult during pregnancy because symptoms can seem like normal pregnancy systems. Because of this, it is important to monitor thyroid hormone levels throughout pregnancy.
Dr Ashwini Gore Timestamps (00:22) Dr. Ashwini Gore (03:47) Brief history of endocrinology (06:38) Common endocrine disorder in women (09:45) Polycystic ovarian syndrome (16:35) Treating PCOS (20:40) Lifestyle modifications (22:35) Medications for treatment
Mother, wife, Indian classical dancer, and specialist in endocrinology, Dr. Ashwini Gore joins Dr. Bola Sogade for this series, no periods yet not pregnant. This series will discuss endocrine issues, especially related to pregnant women, and ways in which risks can be identified and mitigated. To begin, a brief history of endocrinology is discussed. Dr. Ashwini Gore explains common endocrine disorders. Polycystic ovary syndrome, commonly known as PCOS, is the most common endocrine disorder in adolescent and childbearing-aged females. A key feature of PCOS is irregular period cycles, meaning a woman has eight or fewer periods in a year. Other features include hyperandrogenism and polycystic ovaries. There are four different phenotypes of polycystic ovary syndrome. This means that PCOS can be displayed differently in women. Dr. Ashwini Gore gives a detailed explanation of these phenotypes. She also explains the treatment. PCOS can largely be managed by lifestyle modifications. Some of these modifications include healthy eating and increased exercise. There are a variety of medications that are used for treatment as well. It is important that a woman's primary doctor be educated in recognizing PCOS and that the gynecologist and endocrinologist work together to provide the best treatment plan.
Chef Patria cookspeaks Timestamps: (01:20) Why is diet important during pregnancy (07:35) Why its best to cook your own food (12:00) Myplate.gov (14:30) Healthy eating plan (15:30) Food preparation and safety (22:00) Shopping for food
A chef for over thirty years and a current CTAE culinary instructor, Chef Patria Cunningham Barrett, joins Dr. Sogade. The big question is “do I need to prepare and cook food differently when pregnant?”. Chef Patria answers this question in detail and gives insightful advice. First, she replaces the word “diet” with "healthy eating plan." She explains what a healthy eating plan is and its importance. Today’s episode also includes how to best shop for food, resources for healthy eating, and food safety. Stay tuned for part 2 next week with Chef Patria!
Chef Patria Cunningham
Do I need to prepare and cook food differently when I’m pregnant?
Dr Tiffany Powell-Wiley’s obesity talk Part 3: Obesity
Timestamps (01:15) Challenge of obesity in society (06:44) Managing stigmas (10:25) Causes of obesity (13:15) Changes in energy storage (16:07) Prevalence of Chronic conditions (18:25) Pharmacological drugs to lose weight? (20:12) Laws to combat obesity? (21:43) Future of the obesity epidemic (23:13) Obesity and covid (25:37) Are we committed to improving obesity? (29:07) Affordability of treatment (32:20) Closing remarks
Dr. Tiffany Powell-Wiley is here again to continue the discussion of obesity and its many accompanying factors. Today, Dr. Bola Sogade and Dr. Tiffany Powell-Wiley highlight the stigma surrounding obesity. This stigma creates additional challenges for obese individuals in our society. Dr. Powell-Wiley emphasizes the need for stigma education for health professionals in order to improve health outcomes. In this episode, the two doctors also discuss treatment and intervention for obesity. With new possibilities for treatment, Dr. Powell-Wiley sees hope in improving the obesity epidemic. By acknowledging the complexity of obesity and addressing it in various ways, we can help make healthy choices the easy choices.
The Fattening Room-Intro w/Dr Tiffany Powell-Wiley Timestamps (00:45) Dr. Powell-Wiley’s biographic (03:30) Research goals (05:28) Dr. Powell-Wiley’s work (11:40) Women-specific changes (13:50) Defining obesity (14:13) Challenges with obesity (16:50) Mechanisms of obesity (18:26) Prevalence of chronic diseases (21:06) Obesity and covid (22:12) Public health officials' resolutions
In this episode, Dr. Bola Sogade gives an introduction to Dr. Tiffany Powell-Wiley and an in-depth overview of the upcoming series. Dr. Tiffany Powell-Wiley graduated summa cum laude from the University of Michigan in Ann Arbor and from Duke University School of Medicine.She completed her master’s degree in public health with a concentration in epidemiology at the University of North Carolina at Chapel Hill. Her research focuses on the social determinants of obesity and obesity-related cardiovascular risk factors that contribute to ethnic and racial disparities. The goals of this research are further explained in the episode. Dr. Sogade discusses some of Dr. Powell-Wiley’s work and the impact it has. Many topics associated with obesity will be examined in the upcoming series, such as chronic diseases and stigmatization. Dr. Sogade touches on some of these topics in this episode, including the effects of obesity in pregnant women and public health interventions. Stay tuned for next week’s episode to learn more about these topics and many more with Dr. Tiffany Powell-Wiley!
Timestamps (01:00) C-sections and breastfeeding (03:50) Initiative to reduce 1st c-section (06:00) Labor curve and tracing (12:10) Why do minority women have more c-sections (16:22) Profit of c-sections (19:55) Final advice
This concluding Part 4 of That Bikini Cut with Dr. MaryJoy Weathersby includes three major topics. First, Dr. Weathersby discusses breastfeeding after a caesarian section. With c-sections, there is a lag in the peak production of breast milk due to the nature of the surgery. If a mother elects to breastfeed, it is attempted as soon as mom is in recovery and mom and baby are both stable. The American College of Obstetricians and Gynecologists prefers vaginal delivery when possible. There is an initiative to reduce the first c-section due to the higher chance of subsequent c-sections. There are times, however, when tracing is not good and the risk of infection during prolonged labor is higher than the risk of a caesarian section. Additionally, Dr. Sogade and Dr. Weathersby discuss the issue of minority women having more c-sections than white women. Some minority women face the issue of not being listened to or taken seriously in the medical setting. Another factor involves profit. The cost of c-sections is almost double of an uncomplicated vaginal birth, and some hospitals take advantage of this. Dr. MaryJoy Weathersby leaves listeners with encouragement to come in with their desires but also listen to their doctor when there are medical reasons for doing something different.
Dr MaryJoy Weathersby
Timestamps (00:10) Advantages of a C-Section (03:30) Trial of labor (07:50) Vaginal birth after caesarian section (16:05) Things to note before leaving the hospital (23:55) Vocalize your symptoms
Dr. MaryJoy Weathersby and Dr. Bola Sogade continue their conversation in part 3 of That Bikini Cut. This episode includes discussions about trial of labor, vbac, and advocating for yourself. Dr. Weathersby first discusses the advantages of a caesarian section. A vaginal and caesarian delivery each have their own advantages depending on the health of the baby and current and previous health factors of the mother. It is possible for a mother to have a vaginal birth after a caesarian section. This is also known as a vbac. Dr. Weathersby does not recommend a vbac after more than one c-section due to scarring of the uterus. Risks arise even after one uterine scar due to the weakening of the uterus. The term uterine window is used to describe a very thin and weakened uterus. This leads to a high risk of rupture. If a woman with only one previous c-section wants a trial of labor, they must meet certain criteria and it must occur in a hospital setting. Before leaving the hospital after delivery, there are several things a mother should take note of. It is very important to communicate to your health care provider if you have persistent headaches, fevers, difficulty walking, belly pain, or urinary retention. Dr. MaryJoy Weathersby encourages listeners to be vocal. If something doesn’t feel right let your health care provider know!
Dr MaryJoy Time Stamps 0:33 what to expect from a patient's POV with a C-Section 9:54 Prep for surgery 12:08 Clear drapes 14:45 Baby out 15:17 Cut the cord 16:35 Repair mother 17:21 Mother in Recovery 18:39 Addressing complications 18:52 Mother goes to room 19:58 Long-Term Risks 22:00 Scar Tissue 23:33 Bladder Issues associated with C-Sections 24:05 Bowel issues associated with C-Sections 24:40 Placental Attachment 27:19 Cesarean Hysterectomy 28:51 Radiology Intervention option before Cesarean Hysterectomy
Summary: During this episode of Cocoa Pods, Dr. MaryJoy gives the audience and to-be mothers the straightforward truth about all the details of what to expect when delivering a baby in the hospital via Cesarean Section. She walks through the meticulous and redundant questions that are asked for the safety and consent of the patient. She gives insight on the roles of all those who attend the birth, and exposes the necessity of trust in working as a team all for the purpose of the health of mother and baby. Dr. MaryJoy reveals the indications of when C-sections are needed and discloses the risks of one or multiple C-sections. Ultimately, the conversation closes with the acknowledgement of what situations call for Cesarean Hysterectomies and one other advanced measure that can be taken to preserve the life of the mother when bleeding becomes an issue.
Dr MaryJoy Weathersby talks about Cesarean sections
Timestamps:
(00:30) Intro of Dr. Maryjoy Weathersby
(02:55) What is a caesarean birth
(05:35) Elective c section
(08:27) History of a caesarean section
(12:25) Reasons for a caesarean section
(19:23) Requesting a c section
(23:23) Vaginal birth after caesarean section
Obstetrics and gynecologist, Dr. Maryjoy Weathersby joins Dr. Bola Sogade for this week’s episode. This series will give you everything you need to know about caesarean sections! The two doctors quickly jump into the discussion and discuss what a caesarean birth is. A caesarean birth is an abdominal procedure where the obgyn cuts through the abdomen and into the uterus to deliver the baby. Dr. Sogade gives insight about the history of the caesarean section. The caesarean section dates to ancient roman times. The surgery was rarely performed due to the high risks associated with the procedure. Originally, it was only used to save a baby from the womb of a mother who had died while giving birth. Fortunately, the caesarian section has greatly evolved since its discovery! Today, a Caesarean section or c section can be elective or emergency. An elective c section is a scheduled procedure and is not a high stress situation. Dr. Weathersby explains the reasons for both elective c sections and emergency c sections. A baby in a breech position is one reason for a c section. If a mother wants a vaginal birth but their baby is in a breech position, an external cephalic version can be performed. Dr. Weathersby explains this technique of moving a baby to the correct position. Today’s episode also includes the topic of vbac or vaginal birth after caesarean section. The type of incision made on the uterus determines if a mother is eligible for a vaginal birth after a previous caesarean section. A vertical scar does not allow a woman to have a vaginal birth due to the greater risk of rupturing the uterus. Dr. Weathersby explains the severity of this risk. On the other hand, a lower uterine transverse scar may permit a woman to have a vaginal birth. Dr. Maryjoy Weathersby and Dr. Bola Sogade discuss all of this and more in this insightful episode!
Prelude to Dr MaryJoy Weathersby cesarean section episodes This episode is a prelude to the upcoming series, That Bikini Cut. Dr. Maryjoy Weathersby will be joining Coco Pods next week to continue the series. In this episode, Dr. Bola Sogade gives an insight to caesarian sections and an overview of the upcoming episodes. To begin this episode, Dr. Sogade explains the caesarian section. This method of delivery involves an incision in the belly and uterus. The most common incision is the Pfannenstiel incision or the bikini cut. The incision is made from one side of the abdomen to the other side just above the pubic hair line. This type of incision makes it possible for the woman to hide the incision if she would like. There are a variety of reasons for a caesarian section. Some of these reasons include failure of labor to progress, concern for the health of the baby, the position of the baby, and health conditions of the mother. There is a rising rate of mother’s electing a caesarian section over vaginal birth. This is a concern because of the risks associated with c-sections for low risks births. The American College of OBGYN has proposed to decrease primary or first-time c-section deliveries. Dr. Sogade explains the ways that primary c-sections can be reduced. In the upcoming series, the issue of structural racism will be discussed. Black women have more caesarian sections than white women in the United States. This is due to structural racism. These unnecessary c-sections put black women at a higher risk of complications, longer healing time after delivery, and even death. Other topics that will be included in the next episodes include pain management, types of anesthesia, the process of delivering a baby, recovery after c-section, the increase of c-sections and more. Stay tuned for the next episode and dive deeper into these topics with Dr. Bola Sogade and Dr. Maryjoy Weathersby!
Timestamps:
(00:35) Intro of guest
(02:12) What is a c-section
(02:45) Types of c-sections
(03:20) The bikini cut
(05:05) Why have a c-section
(05:50) History of a c-section
(08:05) More reasons for a caesarian section
(10:35) Structural racism
(20:05) Topics that will be discussed in upcoming series
(27:20) Is caesarian delivery overused
(29:17) Decreasing the rate of primary caesarian deliveries
(30:22) Can I request my own c-section
(32:55) Breastfeeding challenges in post c-section mom
(35:50) Benefits of a vaginal birth after c-section
(40:13) Risks associated with trial of labor
(41:30) Abnormal placenta implantation
Recap on Professor Elwing’s pulmonary hypertension description Have any questions from the past two episodes? If so, Dr. Bola Sogade will answer them all here. Dr. Sogade summarizes the past two episodes about pulmonary hypertension. Dr. Sogade uses the information learned from from guest speaker Dr. Jean Elwing and gives listeners all the information they need to better understand pulmonary hypertension. Pulmonary hypertension is a general term used to describe high blood pressure in the lungs. Dr. Sogade explains how the blood flows through the body and the effects of high blood pressure in the lungs. There are five different groups of pulmonary hypertension, and they each have different causes. Knowing which type of pulmonary hypertension an individual has is important for the proper treatment. Diagnosing pulmonary hypertension can be difficult due to the range of symptoms. Symptoms include the sudden or mild onset of shortness of breath, dizziness, heart palpitations, swelling, and chest pain. It is important to keep track of these symptoms and notify your healthcare provider. There are variety of tests to verify that a patient has pulmonary hypertension. Although there is not a cure, there are lifestyle changes, medications, and surgeries available to slow the progression and treat the symptoms. Dr. Sogade thoroughly explains these options and gives recommendations to prepare for a pulmonary hypertension consultation. This in-depth episode ends with recommendations of steps you can take now to better your health!
(01:05) What is pulmonary hypertension
(02:25) How blood flows in the body
(05:35) Different groups of pulmonary hypertension
(09:43) Symptoms of pulmonary hypertension
(12:50) How to diagnose
(26:45) Surgery and other procedures
(28:35) Lifestyle recommendations
(32:53) Prepare for your doctor appointment
(37:26) What you can do now
Dr Jean Elwing In this episode Dr. Jean Elwing joins Dr. Bola Sogade to discuss a variety of topics related to pulmonary arterial hypertension. Dr. Jean Elwing is a pulmonary arterial hypertension specialist who is passionate about her career. She shares her passion in today’s episode and gives advice to individuals who might be interested in this field of medicine. The two doctors focus on how pulmonary hypertension affects women specifically. This is an important issue since 28 out of 100 women could be affected by any spectrum of this disease. Dr. Elwing shares the symptoms of pulmonary arterial hypertension. These symptoms can be very general, ranging from shortness of breath to chest pain and lightheadedness. Dr. Elwing and Dr. Sogade explain why it is important for health care providers to be aware of the symptoms and to educate women on the severity of the health issue, especially if they are trying to become pregnant. Understanding changes of symptoms before and during pregnancy are also very important. Pregnant women with the diagnosis require special medical treatment. To end today’s episode, Dr. Elwing explains how a team of health care providers are needed for providing the best care and delivering a baby in the safest way.
Timestamps: (00:23) Intro of Dr. Jean Elwing (01:15) Advice to become a pulmonary hypertension specialist (03:30) Pulmonary arterial hypertension (05:30) Symptoms of pulmonary arterial hypertension (07:10) Causes of pulmonary arterial hypertension (08:35) Medications that put an individual at risk (10:30) Missing a diagnosis (14:08) Assessing risks and optimizing underlying cardiac condition (19:17) Where are pulmonary arterial specialists in the U.S. (20:47) A women choosing to become pregnant with the diagnosis (22:37) Effects of advanced therapy (24:30) Teamwork to provide care (29:42) Blood thinners (32:34) Delivery plan
Jonathan Z Butler joins Dr. Sogade again for part two of the arsenal of a single mother. Dr. Butler shares his personal experiences in both science and ministry. To begin, the two doctors discuss how minority women can help with research that is specific to their race and social conditions. This is important for science, but it is also important that the researcher builds a relationship with the community first. Dr. Butler has many achievements, but he gives a lot of credit to his mentors. His advice to listeners is to seek out mentors. This episode also includes the topic of food security. According to the San Francisco food security task force report, 50% of low income residents are food insecure. The two doctors discuss ways that food security can be increased in communities. To end this special episode, Dr. Butler closes with a prayer for every listener.
Timestamps: (00:35) “Giving a pond to fish from” (02:15) Community specific health data (10:15) Importance of mentors (17:00) Getting outside of your comfort zone (21:35) Taking care of yourself (23:25) Increasing food security (30:20) Continuing the science in action (35:25) Closing prayer
Dr. Jonathan Z Butler joins Dr. Bola Sogade for today’s episode. Dr. Jonathan Z Butler is a post doctoral scholar at the University of San Francisco. His research focuses on how religion socioeconomic status, race, and ethnicity affects one’s health. To begin this episode, Dr. Sogade asks Dr. Jonathan Z Butler about his life growing up. He speaks of the challenges his mom faced while raising children on her own. Their faith was very important in facing adversity. This conversation leads to the topic of science and religion. This episode also includes the effects of childhood experiences and the importance of a mother’s health for their baby. Dr. Sogade asks what minority communities can do to mitigate the effects of social determinants of health? Dr. Jonathan Z Butler leaves listeners with several encouraging messages. He believes in meeting people in hard places to provide for their needs and uplifting people so that they can come back and contribute to the next ones in need.
Timestamps: (01:45) Challenges of a black single mom (05:00) Science and religion (12:38) Effects of childhood experiences (18:35) Stress and diabetes (23:25) Social determinants of health (33:00) Dr. Jonathan Z Butler’s projects
Summary description: In part 2 of kidney talks, Dr Sagar Panse talks about renal replacement therapies, battery powered ( Tesla ) kidneys and simple things to prevent kidney disease Full description: Nephrologist, Dr. Sagar Panse is here again with Dr. Bola Sogade for part two of kidney talks! Today’s discussion begins with the conversation of the discovery of kidney disease. An important discovery was the sphygmograph. Clinical nephrology has greatly advanced since this discovery with renal replacement and dialysis. This leads to the topic of different types of dialysis. Dr. Panse explains the three types of dialysis, hemodialysis, peritoneal dialysis, and kidney transplantation. He also explains when renal replacement is necessary for a patient. It is possible for a woman to become pregnant during dialysis, but Dr. Panse says it is imperative to speak with your physicians when thinking of becoming pregnant due to some medications and the risks. Dr. Sogade begins the conversation of the kidney black market and trafficking. Dr. Panse answers the question: Why is the kidney the most trafficked organ? To end today’s special episode Dr. Panse gives advice to aspiring nephrologist and to all individuals to best take care of their kidneys.
Timestamps (00:25) History of kidney disease (02:35) Sphygmograph discovery (03:07) Advancement of clinical nephrology (05:00) Renal replacement therapy (07:00) Slowing progression of kidney disease (09:55) Renal denervation (12:43) Effects of diet (16:35) Food desert (18:00) Pregnancy after renal replacement therapy (21:17) Women who don’t want to get pregnant during dialysis (21:55) Kidney black market and trafficking (27:20) Abnormal number of kidneys (28:00) A nephrologist and obgyn relation (29:00) Advice for aspiring nephrologists (31:35) What you should know to prevent kidney disease (34:35) How much water to drink
With Dr Sagar Panse… In today’s episode Dr. Sagar Panse joins our host, Dr. Bola Sogade, to discuss a variety of topics involving the kidneys. Dr. Sagar Panse is a nephrologist at Central Georgia Kidney Specialists located in Macon, Ga. As a nephrologist, he focuses on the functions of the kidneys and managing the complications that arise with kidney issues. Dr. Panse explains the difference between a nephrologist and a urologist. Although the two professions collaborate at times, nephrologists focus on treating medical issues affecting the kidneys while urologists focus on the urinary tract including the surgical aspect. Next, Dr. Panse dives into a discussion of the normal functions of the kidneys. These include filtering waste product, regulating blood pressure, and vitamin D metabolism. This discussion leads to the next topic, acute kidney failure. Treatment and prevention of kidney failure are also discussed in today’s episode. To end this informative episode, the two doctors discuss all things related to kidneys and pregnancy. Dr. Sagar Panse emphasizes the importance of discussing kidney health with an OBGYN when planning to become pregnant to mitigate risks.
00:25) Intro of Dr. Sagar Panse (01:35) Central Georgia Kidney Specialist (02:14) Nephrology and urology (05:40) Acute kidney failure (12:48) Treatment of acute kidney failure (16:30) Anatomy of kidneys (20:30) Prevention strategies to avoid kidney disease (21:50) Tests to check kidney health (24:25) Kidney disease while pregnant (26:15) Changes in kidneys during pregnancy (28:25) Symptoms and treatment of UTI
Dr Juana Hutchinson-Colas Dr Juana Hutchinson-Colas joins our host again for the final episode of this 3 part series. The two doctors begin their discussion with the topic of prolapse. Dr. Hutchinson-Colas explains to listeners a conservative approach to prolapse, a pessary. This silicon device is recommended to many of her patients due to its easy fit and care. She then goes on to explain two types of surgeries (reconstruction and obliterative) that she performs when necessary. This episode also includes the topics of grafts in the vagina, transgender surgeries, and female genital mutilation. Dr. Hutchinson-Colas strives to assist all of her patients to be their best selves. In order to do this she provides surgeries, including phalloplasty surgery. Dr. Sogade finishes the episode by asking Dr. Hutchinson-Colas about her role in advocacy for women. She encourages listeners to be an advocate in their environment, especially for the ones who don’t have a voice! She says that you can’t do it all, but you can find your area!
Timestamps (01:30) Prolapse (01:50) Conservative approach to prolapse (03:15) Surgeries for prolapse (05:20) Grafts in the vagina (06:00) Mesh grafts (10:00) Transgender surgery (12:10) Gender dysphoria (14:30) Phalloplasty (14:55) Female genital mutilation (17:55) Advocacy for women
Dr Juana Hutchinson-Colas, a special mentor of our host, continues to talk about bladder and kidney issues in this part 2 of 3 episodes. But first she talks about her love for mentorship and what you must have to be a good mentee.Such attributes include being able to analyze things around you and shift as you need to;and the brain-hand connection.She also discussed her long time passion for women advocacy. Then she shifts gear into her role as a pelvic floor reconstruction super-specialist using minimally invasive techniques as the times demand. And as for technology she discusses the “ bladder pacemaker “ as a 3rd line FDA-approved device for certain bladder conditions. The bladder can be the first clue for a neurological condition and simple first line things we can do to help achieve a diagnosis include keeping a urinary diary and behavioral changes.In some other diagnostic steps, Dr Hutchinson-Colas can look into your bladder literally, in an office procedure. There can also be a condition of a “complicated leakage “ which can happen in developing countries and in America, which she explains. She delves into female pelvic and fetal factors that enable a woman to deliver a baby any where and those factors that make this difficult. In this podcast she discusses all the things that must be done before surgical management and mentions the “K” word! She closes with a discussion on Botox.
#Fistula
Dr Juana Hutchinson-Colas On this special episode of Cocoa Pods, our host reconnects with a foundational mentor, Dr. Juana Hutchinson-Colas, who helped launch her into a successful career as an obstetrician gynecologist. Dr. Hutchinson-Colas is a urogynecologist specializing in addressing female pelvic floor issues. After warm greetings, they open this episode defining and localizing the pelvic floor and the organs that the pelvic floor support. Dr. Hutchinson-Colas makes our audience aware of the inescapable affects of gravity and unveils the different lifestyle habits that can increase risks for pelvic floor failure because of its affects on the anatomy. In this episode, Dr. Sogade asks the sub-specialist to speak on frequent urination and urgency, straining, bladder leakage, and even prolapse that can come with aging. Dr. Hutchinson-Colas gives thorough answers to each question because she recognizes that education is key starting at young ages so that women can have an expectation of bodily changes. In addition, advocacy is paramount as well because the support through those bodily changes can encourage women to seek the necessary care to address the issues that many women tough their way through. Dr. Hutchinson-Colas closes this episode with a simple list of lifestyle practices that can help combat pelvic floor issues. She encourages: pelvic floor training, drinking as much water as one can, incorporating a high fiber diet, and supplementing your daily intake with magnesium. When you got to go, you got to go; but for now stay and tune in to this wonderfully informative episode of Cocoa Pods podcast, an education initiative of the Birth Center for Natural Deliveries Foundation.
Dr Barbara Hutchinson Owner/ Managing Partner, Chesapeake Cardiac Care Dr Barbara Hutchinson, M.D., Ph.D., FACC sleep talks
A renowned cardiologist, one of the Top 50 Women to watch in Maryland, for more than 15 years, she and her team have treated patients with high quality and compassionate cardiac and sleep care. A Ph.D. holder in Cardiovascular Pharmacology and one of the few doctors in the United States who is doubly board certified in both cardiovascular disease and sleep medicine, Dr Hutchinson explains sleep issues in this episode She starts with her very own social media #heartfacts explain diagnostic testing like a trans thoracic ultrasound of the heart and the reasons you have to practically “swallow” an ultrasonics probe. She then delves deep into sleep Do we ever wonder about the correct amount of sleep we need each night -and how a sleep tracker (wait a minute what is that) might help And in pregnancy and for us all in fact what are the best sleeping positions And of timing are you listening to this podcast at at time that is past your bedtime, what keeps you up at night ? She takes is through the spectrum of sleep disorders and awakens our senses to some hard core facts about not sleeping enough With complete mastery of the topics at hand she gives a very important piece of advise to up and coming students
Are you tired? Still worn out? Feeling like a lack of energy? During Cocoa Pods dual portion interview with Dr. Raj Gupta; after he encourages young brilliant minds to follow his foot steps to change lives in the specialty of oncology, he reveals the underlying issues constant tiredness as it relates to the blood and gives tips on how health care professionals can treat the symptoms of fatigue and weariness as well as how everyday people can address their own experiences of lethargy. More specifically Dr. Gupta discuss the function of the platelets and the purpose of obstetricians watchful eye on the platelet level when caring for a pregnant woman. The hematologist warns about blood thinners during pregnancy and the mechanisms that would be damaging to the unborn child. He does this to transition the conversation into informing the audience about the dangers of blood clots. Dr. Sogade then inquires about the sickle cell disease in pregnancy and investigates why this adaptive mutation to combat malaria can further heighten the risks for anemia in pregnancy which would limit oxygen for the unborn baby. This episode of the podcast becomes most impactful to all listeners when Dr. Raj Gupta talks about the most common conditions of cancer that affect young women and pregnant women because with this knowledge listeners can be proactive to subject themselves to regular and recurrent screenings to catch signs and signals of cancer as early as possible.
Dr Gupta For the season two premiere, Dr. Bola Sogade invites Dr. Raj Gupta, a Hematologist, to the Birth Center for Natural Deliveries Foundation’s very own Cocoa Pods Podcast to discuss issues with blood in pregnant women and how it could affect their lifestyle, their gestation, and their newborns. They expose how anemia arises and the molecular make up of hemoglobin. It was good to inform the audience that menstrual blood loss is most common reason for being anemic. Coming into pregnancy with anemia could produce severe iron deficiency anemia in pregnancy. In addition, when pregnant women have anemia conditions like preeclampsia, need of a blood transfusion, ICU admission during labor, and hysterectomy all have greater potential to occur. Furthermore, these blood issues increased the risk of preterm delivery (when a baby comes before 37 completed weeks of pregnancy), fetal distress, low birth weight, and lower cognitive function of the newborn do to shorten time to develop. That is why obstetricians get a baseline complete blood count and work to address any insufficiencies. Our guest gives a extended list of fruits, vegetables, and supplements that are available at your local food market that are high in iron and cofactors to promote the build up of hemoglobin and combat the deficiencies. While on the topic of eating the two respective specialists bring up a condition enacted by low iron called pica, which is characterized by the desire or craving to eat non nutritional things that humans do not normally eat. It is revealed where the body stores iron and reemphasizes the importance of coming into pregnancy as your healthiest self. After all the life of the flesh is in the blood.
Host of Cocoa Pods Podcast, Dr Bola Sogade, MD FACOG FAAFP explains why Cocoa Pods
Today I’m with guest Dr Rahul Vangala This episode gets straight to the point in answering the grand question of “Why does a mother’s immune system not reject a developing baby as foreign tissue?” Dr. Rahul Vangala’s most interesting answer is compared to a person’s rejection of organ transplants. He explains that along with the immune changes a mother experiences, the placenta’s close knit anatomy is a certain immune privilege site that has the attributes of a nematode using neurokinines in order to remain “hidden” and not be detected by the host. If the host’s body cannot recognize foreign substances, then it lacks the ability to enable defense mechanisms that would attack that foreign material. This is most favorable for a fetus and perpetuates gestation. He moves on to break down the complex immune responses our bodies have antigens, or foreign materials, by mentioning the main role of the TH1 T Helper Cell and it’s critical function to rejecting organs. Dr. Vangala mentions this because during pregnancy it necessary that there be an ideal degree of immune suppression of TH1 responses by the presence of TH2 responses. Not only are TH1 cells suppressed but Natural Killer cells are also dampened. He then goes on to explain how the beginning stages of the placenta during implantation resembles a semi-allograft meaning that the tissues grafted in are only partially foreign. The two doctors then discuss a major topic of autoimmune disorders and the complications of attempting to get pregnant. They unveil the way the autoimmune diseases decrease the likelihood of an optimal environment for viable gestation. Although, it is not impossible for women who live with autoimmune disorders to get pregnant and deliver a health baby. However, all in all there are many adjustments to the mechanics in order to make what we see as precious miracles.
Dr Vangala speaks ….. On this episode of Cocoa Pods, Dr. Rahul Vangala, an allergist and immunologist who treats disorders and deficiencies of the immune system more specifically how one's immune system reacts to different bacterial or viral antigens, opens with great advocacy for accurate public health education regarding the COVID-19 pandemic. He gives a definition of herd immunity, its benefits, and how the United States can work towards achieving that health status. He also pointed out some of the long-term implications that the pandemic's virus can present in persons infected. He encourages people of all ages 5 and older to be vaccinated against the COVID-19 virus. Our host follows up the current events talk with a question and discussion about asthma in women who are pregnant or desire to become pregnant. The doctors expand their conversation to talk about the two major burdens when it comes to pregnancy in women with chronic allergies: how do I take care of myself? and how do I protect my unborn baby? Dr. Vangala prioritizes how these concerns are to be addressed at home and at professional health care visits. Part one begins to close with talking about the immune changes that majority of women will experience when going through pregnancy. Since this interesting educational conversation gets thorough talking about those changes and there exists the limit of time; we would like to invite you back for a top tier part two of Dr. Raul Vangala's podcast interview where the two doctors will speak on why the immune system of the mother does not act on its programming to attack the fetus, who presents and introduces foreign genetic material inside mom by its mere living and existence.
Dr Rachel Bond National Spokeswoman for "Go Red For Women Campaign" speaks .... Dr. Rachel Bond exposes how COVID 19 has magnified health inequities. Then she goes further along to break down how equity and inclusion is done correctly in large institutions to not only improve how physicians are caring for patients but also how institutions are treating clinicians who are treating the patients. Dr. Rachel Bond then charges hospital systems and medical centers to take a pause and realize that in respect for race ethnicity and gender it is still an obligation to educate the patient population in health for the sake of society and improving the pipeline network to becoming physicians. After our host displayed Dr. Rachel Bond’s impressive biography, she then asked questions about cardiovascular testing and imaging strategies and interpretations for pregnant women and women of reproductive age. Dr. Rachel Bind gives well versed responses that not only are easy to understand but they put those seeking the answers to their questions at ease as well. A final review of life’s simple 7 closes this magnificent episode of Cocoa Pods to once again emphasize its significance in remaining heart healthy.
Dr Rachel Bond National Spokeswoman for "Go Red For Women Campaign" speaks ....
Cardiologist Dr. Rachel-Bond joins as our special guest to discuss women’s cardiovascular health and ways we can prevent this great threat 80% of the time. She gives the ways heart disease shows up in men and women by giving the classic and non-classic signs. This equips our audience with the knowledge that if they experience any of these that they should call for emergency help. We commend Dr. Rachel-Bond for her call to action insisting that all clinicians be hyper vigilant in order to diagnose heart disease by paying attention to non classical sex specific risk factors. The cardiologist then reveals how to alleviate risk factors by controlling Life’s Simple Seven. This special episode of Cocoa Pods is dedicated to being awareness to cardiovascular disease and stroke during American Heath Month which is the month of February. It is right on time with Valentine’s Day around the corner and we would love for you to take a listen.
Fertility Goddess Dr Desiree McKarthy- Keith discusses why In part 2 of this Cocoa Pods series, our host and special guest Dr. McCarthy-Keith who is a Reproduction Endocrinologist and Infertility Specialist dig into the minority maternal mortality and morbidity issues that they have faced in their career. This conversation sparks a great overview of risk factors that affect fertilization for men and women. Dr. McCarthy-Keith unveils that she emphasizes with her patients that before fertility treatment begins it is necessary that they have a healthy baseline with a healthy weight as well as a blood pressure and blood sugar that is under control. This is to mitigate the risk factors that will lead to a negative outcome. There is also discussion about different reproductive surgeries and their affects on the chances of getting pregnant. Then Dr. McCarthy-Keith breaks down the mechanisms of the In Vitro Fertilization process while ensuring to make our audience aware of the most ideal time to freeze eggs. It was productive for the two doctors to dispel myths associated with causes for infertility when once again talking about how improving your reproductive health falls on management of conditions so that you can achieve and maintain a healthy lifestyle and healthy diet. We do recommend that you tune in for part 2 because you can also listen and learn how a diagnosis of infertility arises and some of the successful treatment options that others have used to help their families flourish.
Fertility Goddess Dr Desiree McKarthy- Keith discusses why In this episode, Dr. Desiree McCarthy-Keith who is a Reproductive Endocrinologist and Infertility Specialist joins our podcast to discuss fecundity: a women’s physiological potential to reproduce and carry offspring and fertility: a woman’s natural capability to produce offspring. Women’s fertility changes as women age because every menstrual cycle from puberty forward there is a wave of about 50 microscopic eggs that form and some of those develop into a follicle that will grow the egg inside and naturally as the egg becomes a mature gamete ovulation occurs having the follicle release the egg. So Dr. McCarthy-Keith makes the audience aware that there are many eggs that go by every cycle, not just the ovulated one. This repeated addition of unfertilized eggs that pass by can result in a lower egg count which is part of the reason why women’s fertility changes with age. But Dr. McCarthy-Keith does not stop there, she continues on to expound about the quality of ovulated eggs, the factors that play a part in their viability, and the implications of pregnancies produced from poor quality eggs. The conversation gets more capturing as the question about how corporations and bureaucracies view fertility issues and treatments is posed in regard to insurance coverage. Yet, the audience can glean the most from our special guest as she breaks down the foundation of treatment and her foundation in medicine.
Dr Tarirah discusses here Pregnant in the ICU What could cause a pregnant woman to end up in the Intensive Care Unit? This episode of Cocoa Pods exposes that the common reasons for ICU admission for pregnant women is severe and sudden respiratory failure, postpartum hemorrhaging which is bleeding out more than 1000 mL of blood after delivery of a newborn. The Intensive Care Unit sees many cases that spring from complications of sepsis which is when inflammation occurs throughout the body due to a bacterial infection moving into the bloodstream. Deep Vein Thrombosis or dangerous blood clots in the legs, frequent kidney infections, uncontrolled diabetes, trauma, and gastrointestinal conditions are all also culprits of landing people in the intensive care unit. The ICU is used majority of the time to address the requirement of more intensive monitoring of a patient's oxygen saturation or blood sugar levels or it is for those in need of frequent monitoring due to blood loss and potential blood transfusion. Dr. Sogade unveils the grueling reality of the disparities between high-income countries and low-income countries in regards to women making out of the ICU. This leads our special guest Dr. Tarirah to delve into the management of the sicker population of ICU patients specifically women who are pregnant and women struggling with morbidities after labor and delivery.
Kwavi! 50 questions to answer before you turn 50, a handbook to guide women in discovering their next chapter on their own terms. It was created to combat the feeling of invisibility that some women feel as they approach middle age. In this podcast, menopause is defined and reevaluated from multiple perspectives with the average age in all women being year 51. Health conditions and challenges that could potentially appear when women reach that middle age mark were laid out and addressed in this episode. Our guest, Kwavi, does an excellent job at motivating our audience to take part in lifestyle changes now to live and lower all risks as they prepare to make it to middle age. The overarching question being: How do you want to live this next chapter of your life? Contemplate your genuine answer as you tune in to this week's episode of Cocoa Pods.
JoJo & Bee Our host Dr. Sogade gives insight on the cultural tradition of the Nigerian Naming Ceremony. Then our guests move into the topic of skin disorders while disclosing their experience of experimenting with natural formulas to combat different afflictions. This led them to a successful business venture inspired by the care of their children. Majority of the second part of the interview consisted of the special conversation about Jojo & B's spiritual life and religious practices that they hold dear to themselves. The conversation then flowed into the aspect of how dirt affects health and Jojo & B expressed their opinions on how humans are to consume nutrient foods for sustainability.
A naming ceremony
In traditional African society, the naming ceremony is a process of introducing the newborn baby to the extended family, the larger community and above all confers on the child a name and an expected identity.
Jojo & B share their pregnancy and childbirth experience at a birth center compared to a hospital birth. The audience can appreciate the introduction to the naming ceremony, it’s connection to African culture, and the inspiration behind it. They both give insight on the delights and tribulations they faced throughout the last minute transfer of care in order to have a good outcome with their labor and delivery.
They continuously give credit to God by recognizing His intervention and His comforting Spirit Who guided them throughout their journey to baby number three. Jojo & B emphasized the significance of having faith while receiving limited intervention laboring and delivering new life into this world. They were encouraged by talking to the Most High through prayer, reading scripture from His Word, and gathering testimonies of God’s glory and goodness. It certainly strengthened their faith as they rested while the Most Hight worked. Do tune in to hear their very own witnessing testimony that does give glory to the Most High.
Brianna Wolfe, certified cardiac rehab professional, health, wellness AND soccer coach talks about using exercise as a therapeutic modality for health and wellness in this episode
Prevent sudden cardiac death, know CPR -as a life skill Think of yourself, even as a bystander, with the potential to be THE first responder if you witness somebody going down ... All student athletes need to listen to this , all athletic departments need to know this
Exercise as therapy Do not be physically inactive it could lead to death, exercise can benefit, prevent or treat so many conditions I'm physically active is that enough " exercise"?
So if you are thinking of making and growing a baby, think of some things ..... What exact exercise can a pregnant woman do
Brianna Wolfe, certified cardiac rehab professional, health, wellness AND soccer coach talks about using exercise as a therapeutic modality for health and wellness in this episode
Prevent sudden cardiac death, know CPR -as a life skill Think of yourself, even as a bystander, with the potential to be THE first responder if you witness somebody going down ... All student athletes need to listen to this , all athletic departments need to know this
Exercise as therapy Do not be physically inactive it could lead to death, exercise can benefit, prevent or treat so many conditions I'm physically active is that enough " exercise"?
So if you are thinking of making and growing a baby, think of some things ..... What exact exercise can a pregnant woman do
The Cardiologist that does Clinical Electrophysiology, Dr. Joseph Poku, is BACK! In this episode, Dr. Poku explains what it is that he does from that clinical standpoint, and he is a “Heart Electrician”. He and his colleagues fix electrical wiring systems of the heart from inside out to address heart rhythm problems. What makes it so unique is that one cannot see the electrical system of the heart, so the heart electricians use a lot of computers to actually find the problem . Dr. Poku also dives into the ins and outs of the basic training of life support that health care professionals need to deal with a pregnant woman passing out or having a heart attack. Then he informs audience of the significance of an AED, its use, and how it works to save lives. The conversation does get INTENSE when the two physicians bring up the topic of health disparities due to systematic resistance to change because they witness the harsh realities the patients endure as they continuously advocate on the behalf of the patients'; ultimately, keeping the doctor-patient relationship sacred. Dr. Sogade presents different models of community care that have been proven to flourish communities, and Dr. Poku emphasizes the need to move forward from the starting line of education so that we can progress to the next steps that greater impact can be built upon. What a very fun and yet very knowledgeable person to spend your morning with!
Wait for it....Dr Joseph Poku talks about issues of dizziness,fainting,shocking a pregnant woman back to life and wait for it he has the happiest laugh ever! Dr. Joseph Poku
Clinical Electrophysiologist discusses the cardiothoracic and vascular issues that pregnant women experience and laughs at his own brief tangent as he presents ways to decrease risks and treat heart problems in pregnant women.
Our guest cardiologist specializing in electrophysiology gave the true breakdown of the heart and he defined the heart muscle as a pump that is driven by electricity. The electricity supply from the top part of the heart travels through the AV node (the middle toll booth) to the Ventricle (or bottom chamber). When heart is beating too fast or firing extra beats from other parts of the heart then the toll booth can get overloaded and cause the electric signals to bypass the normal toll booth (AV node) and goes down via another toll booth in the heart and this could affect blood pressure and potentially compromise the gas, nutrient, and waste exchange for the fetus that occurs via the placenta. In cases like this it may call for the mother’s heart to be shocked back into normal rhythm. Dr. Poku consistently emphasized the need for the electrical wiring to be in sync.
For informational reference, the normal heart rate for an adult was established to be anywhere between 60 and 100 beats per minute, but it was also made known to be on guard for a heart rate that is above 130 beats per minutes when resting because that is a problem.
Dr. Poku provides the Cocoa Pods audience with a heart arrythmia perspective and focused on the issues of dizziness, fainting, and shocking a pregnant woman back to life.
He designated dizziness as cardiac rhythm disturbances, and during pregnancy it is common to see an exacerbation of arrythmia symptoms which lead to some people coming to the cardiologist for the first time. Fainting spells usually only occur when there has been a history of fainting before getting pregnant, but the fainting becomes more frequent when pregnant perhaps because the increase in volume when the body gets bigger makes one prone to passing out.
Yvonne Gabriel
World renowned artist Yvonne Gabriel who has created majority of artwork housed at the BCFND Foundation headquarters has finally come to Cocoa Pods! Her enthusiasm lit up the host and audience capturing them in her exposé about art expression and art therapy. She expressed her appreciation for the opportunity to value people through portraits stating that each painting experience is a positive interaction. According to Mrs. Gabriel, the best benefits from art in pregnancy occur when the engagement in art is done with a group and is repetitive. This is because there will be an understanding that a bond will be formed through consistency. Furthermore, art provides a sense of community because of its nature as being a common activity that multiple people can contribute to. This combats loneliness that can be felt during pregnancy. With the sense of community where there is no judgement about what one is creating, pregnant women can introduce themselves leading to collective conversation that address thoughts and fears about their own gestational journey. In this time prenatal anxiety can rise due to the bombardment of written and verbal medical information paired with hormonal changes and the acknowledgment of great responsibility of parenthood. Yet, in these group art forums the pregnant ladies give insight and advice to each other and put one another at ease; hence, multiplying the anxiety reduction that engaging in art has proven to accomplish for many suffering with worry.
Art has many added benefits. Mrs. Yvonne Gabriel shares her pregnancy testimony about how art helped subdue her nausea. Art can give you a good break to distract you from the impact of change that results from pregnancy. Art has the power to help identify emotions while refreshing a person and giving a relaxing release of built up anxiety and frustration.
Do tune in to hear Mrs. Yvonne Gabriel share many creative art forms pregnant women can participate in to memorialize and capture their gestational journey. Art forms such as: • Painting • Coloring • Photography • Body Castes • Clay work • Sculpting • Knitting • Crocheting • Sewing • Making jewelry • Graffiti
Extremely talented Philanthropist artist Yvonne Gabriel gleefully shows us a new side of art and what it can do to a person; a person of means or of no means; a pregnant woman or a new mother. She talks about favorites in artist Jean-Michel Basquiat and the graffiti world and much more...
Do tune in to hear Mrs. Yvonne Gabriel share many creative art forms pregnant women can participate in to memorialize and capture their gestational journey. Art forms such as: • Painting • Coloring • Photography • Body Castes • Clay work • Sculpting • Knitting • Crocheting • Sewing • Making jewelry • Graffiti
Episode Description Dr Natalie Hernandez,Latinos BIPOC women
There exist barriers for participation in research, but to ensure research is reliable it is right to use community focused platforms and community based provider practices to begin and continue their involvement in research. Why? Because that is where the people are and it gives researchers the opportunity to address the disparities of respective communities by advocating for their apparent needs when advising legislators and policy makers. For GAImprove, Principle Investigators Dr. Natalie Hernandez and Dr. Cheryl Franklin use their research to cost effectively improve infrastructure purposed for implementing interventions in many rural health care practices to gauge the prognosis of pregnant women. They have worked to link rural women to essential services, to necessary resources, and to progressive medical systems that hope to provide the best care possible for all women.
Dr. Hernandez frequently speaks with policy makers, leading local legislators, and front line workers about the health issues that they see pregnant and postpartum women face during the current COVID-19 pandemic and in the context of racism because their acknowledgment of their heightened awareness will lead these leaders to make the best decisions that will impact the health of the community.
She also exposed the paradox of the #DualPandemic: COVID-19 + Racial Reckoning and how both of these issues lead to mental health issues, mainly the acute and chronic stress that many experience. During pregnancy, stress leads to maternal mortality and morbidity, but #GAImprove is researching biological indicators of stress by observing hair samples and sweat production which will awaken some to their own denial of the silent killer. Dr. Hernandez provided may tips to alleviate stress, and gave insight on how each local health department can provide mental health services.
On one side of the #DualPandemic, they at Morehouse School of Medicine have begun the beginning stages of what would be a longitudinal study of pregnant women who have had COVID or currently have COVID infection in order to study what the effects of the virus paired with a compromised immune system may be.
On the other side of the #DualPandemic, they are studying the #StructuralEpidemicOfRacism and the particular historical policies that still oppress today. Dr. Hernandez and her colleagues are analyzing policies and linking them to research data sets such as where clinics are located in communities to expose how structural policies are related to maternal health outcomes. The results of these major research projects will inform citizens and put pressure on the policy makers and leading local legislators to reform for the benefit of women and mothers in their cities, counties, districts.
In order for social research to be sufficiently successful it must move to policy and action. So, please participate in political reform for the sake of pregnant people by getting involved in research. Ways to get involved in research Contact organizations and inquire what kind of research is being conducted Surf the web at www.msm.edu to find ways to get involved in research projects To participate in #GAImprove focus groups where gift cards are rewarded, then email the program manager dteague@msm.edu
Dr Natalie Hernandez,Latinos BIPOC women
There exist barriers for participation in research, but to ensure research is reliable it is right to use community focused platforms and community based provider practices to begin and continue their involvement in research. Why? Because that is where the people are and it gives researchers the opportunity to address the disparities of respective communities by advocating for their apparent needs when advising legislators and policy makers. For GAImprove, Principle Investigators Dr. Natalie Hernandez and Dr. Cheryl Franklin use their research to cost effectively improve infrastructure purposed for implementing interventions in many rural health care practices to gauge the prognosis of pregnant women. They have worked to link rural women to essential services, to necessary resources, and to progressive medical systems that hope to provide the best care possible for all women.
Dr. Hernandez frequently speaks with policy makers, leading local legislators, and front line workers about the health issues that they see pregnant and postpartum women face during the current COVID-19 pandemic and in the context of racism because their acknowledgment of their heightened awareness will lead these leaders to make the best decisions that will impact the health of the community.
She also exposed the paradox of the #DualPandemic: COVID-19 + Racial Reckoning and how both of these issues lead to mental health issues, mainly the acute and chronic stress that many experience. During pregnancy, stress leads to maternal mortality and morbidity, but #GAImprove is researching biological indicators of stress by observing hair samples and sweat production which will awaken some to their own denial of the silent killer. Dr. Hernandez provided may tips to alleviate stress, and gave insight on how each local health department can provide mental health services.
On one side of the #DualPandemic, they at Morehouse School of Medicine have begun the beginning stages of what would be a longitudinal study of pregnant women who have had COVID or currently have COVID infection in order to study what the effects of the virus paired with a compromised immune system may be.
On the other side of the #DualPandemic, they are studying the #StructuralEpidemicOfRacism and the particular historical policies that still oppress today. Dr. Hernandez and her colleagues are analyzing policies and linking them to research data sets such as where clinics are located in communities to expose how structural policies are related to maternal health outcomes. The results of these major research projects will inform citizens and put pressure on the policy makers and leading local legislators to reform for the benefit of women and mothers in their cities, counties, districts.
In order for social research to be sufficiently successful it must move to policy and action. So, please participate in political reform for the sake of pregnant people by getting involved in research. Ways to get involved in research Contact organizations and inquire what kind of research is being conducted Surf the web at www.msm.edu to find ways to get involved in research projects To participate in #GAImprove focus groups where gift cards are rewarded, then email the program manager dteague@msm.edu
Praying,crying ,exercising ….. but surviving… Mrs Charneika Brown is doing it naturally in this episode “ I'm every woman,It's all in me Anything you want done baby,I do it naturally” W,H
Mrs Charneika Brown talks silly in this exciting episode Pregnancy can be the most beautiful and empowering experience you ever have in your life- there is indeed a lot of excitement! You could even have a superb birthing experience. Hear from somebody who had a good overall pregnancy, experience, good community support system, successful breast-feeding as a lactating mom and now enjoys motherhood.
Dr Afolabi- Brown speaks from a plastic surgeon’s perspective Artificial lashes, extra digits and all such that women engage in debunked
Jovial yet skillful Dr Afolabi-Brown talks on issues of c-section scars gone bad,painful episiotomy cuts leading to intimacy problems, babies with 6 toes and what has President Obama got to do with this Don’t suffer in silence because of large breasts Dr Afolabi-Brown talks about what would make a woman walk backwards
Dr Emerole continues to explain the difference between a heart attack and heart failure in pregnancy to us
With mastery of the topic,heart disease specialist Dr Obi Emerole discusses the spectrum of Heart disease in pregnancy What are the conditions that put you at risk for heart disease in pregnancy What can you do to reduce these risk factors before you get pregnant or when is it already too late What can you change and what can’t you change
How about the special population of people with heart disease that can now get pregnant after corrective surgey Why is heart disease in pregnant women more common in minority women
I’m busy pursuing my career Is there an age number for really increased risks of heart disease
Some of the symptoms of normal pregnancy look like symptoms of heart disease what are the nuances that dictate one rather than the other
If you have certain heart conditions, pregnancy becomes extremely risky and you must absolutely not get pregnant,listen to learn more … I need some tests done but will this testing harm my baby ? Risks of uncontrolled blood pressure in pregnancy
A pregnant woman having a heart attack in pregnancy the life of the mother must take priority how about the baby what do we do
When your heart fails …..and you are pregnant….
Dr Anthony Akenzua continues to explain to us the concept of enthusiastic consent or the absence of any consent
Dr Anthony Akenzua consultant psychiatrist from London, UK sheds light into the issue of gender differences in the diagnosis of personality disorders discussing the different types of personalities and personality disorders as it relates to a man or a woman What personality type makes certain people do what they do Then he goes in dept as to what consent is all about and the ramifications of its impact to a woman, even in pregnant women.
How we screen for postpartum depression, lessons learnt all around the world from Covid mental health effects Featuring Dr Moji Bello Arulefa Consultant Psychiatrist, and pandemic quarantine- initiated cook and wellness coach in Manchester UK
In part 2 of this podcast, as we continue to discuss with world-renowned cardiologist Dr Nanette Wenger we find out what ‘Life’s Simple 7’ is and things that can help a woman come into her pregnancy healthy. When research studies are done to investigate a matter, it is best to research the subject’s exact characteristics for example gender such that the conclusions made are more accurate. Dr Wenger discusses this as relates to heart disease study in women. We also discuss why even older women participated in research studies In being impactful in life what is the most important thing you must do as an individual? And for all the pregnant women out there, listen to this podcast to learn of the best way to detect problems during pregnancy.
Heart disease is the #1 cause of death of women in the US. What do you want to know about heart disease in pregnant women, and from whom should you learn? It should be from the person that has done overwhelmingly the most work and research on the topic at hand. We are excited to have world- renowned, who's who pioneer of female-focused heart disease Dr Nanette Wenger. In this podcast, we learn a thing or two from Dr. Wenger, Professor of Medicine, Division of Cardiology of the iconic Emory University School of Medicine in Atlanta, Georgia. With approximately over 1,700 that is one thousand seven hundred publications of her clinical and research interests, in the span of a legendary career, and with all the authority of a chair of the United States National Heart, Lung and Blood Institute Conference on Cardiovascular Health and Disease in Women, Dr Wenger explains to us certain heart conditions in pregnancy; and how we can recognize , manage and even prevent some of these conditions.
More about bacteria and viruses in pregnant women by infectious disease specialist Dr Bolaji Ogunsakin
Dr Ogunsakin infectious diseases specialist Tola about infections and pregnancy During pregnancy, hemorrhage and cardiovascular conditions are the leading causes of death. At birth and shortly after, infection is the leading cause. Invasive group A streptococci infection is an uncommon but well-recognized serious infectious disease condition in pregnancyand the postpartum period.
The annual incidence of group A streptococci postpartum infection in the United States is 6 per 100,000 live births, and globally puerperal group A streptococci sepsis causes approximately 75,000 maternal deaths per year.
Herpes simplex virus HSV infection of the genital tract is one of the most common sexually transmitted infections. Most individuals who are infected with HSV are unaware that they have contracted the virus and there are approximately 50 million prevalent HSV-2 infections among adolescent and adult individuals in the United States
Genital herpes simplex virus (HSV) infection during pregnancy poses a risk to the developing fetus and newborn. Genital herpes is common in the United States. We also discuss of chlamydia and gonorrhea infections in pregnancy decreases and how it can affect baby.
Can you be a surgeon and a also mother simultaneously, what is the attrition rate of female general surgery residents in their training In this episodes we also talk about the "disappearing" black doctors , what is happening to minority physicians in the lifespan of their careers
At the end Dr Miller shares a poem she wrote "Red Sea" from a patient from her palliative medicine practice, a black woman scholar who died an ugly undignified death in the hands of surgeons that did not have the courage to tell her she was dying - chose to operate -and she never woke up from surgery...
Can I get the both the flu shot and the Covid shot in pregnancy Will the covid vaccine make me infertile How can you say the vaccine is safe when it was developed so quickly Rubella and Zika virus infections caused the pregnant mother to have malformed babies will Covid infection or vaccination do the same to my baby ?
Dr Carly Ebanks GI specialist, that is specialist of stomach, bowels and and gastro- intestinal tracts speaks on the common issues of pregnancy and how he as a specialist gets involved When does nausea and vomiting of pregnancy need admission for more management?
Kirsten Wilder Co-founder of Students For Comprehensive Sex Education and aspiring law student speaks about what it means to have a sexually transmitted disease as a teenager and what you could do when you have an intense sexual feeling towards someone
Is checking out school sex ed class really a way to get out of math class ? Previously teenagers themselves,Kirsten Wilder and Erin Owens felt school education on sex health could be delivered in a manner that connected better with the target audience- the teenagers and they did something about it...in high school #abstinenceonly #teenpregnancy
R U OK? A conversation could change a life. For worldwide depression rates,China is #1 , America #3 Australia #55 Maybe we in America could learn a lesson or two from methods like R U OK? ( the Australian not Nigerian meaning of this), championed by Gavin Larkin in an Australia-wide national Conversation Movement for skills and confidence needed to support those struggling with life. Dr Akinsola Akinbiyi, board certified psychiatrist Fellow of the Australian and New Zeanland College of Psychiatry and Consultant Lecturer at the University of Notre Dame Australia
Iconic historic black school of medicine embarks on big project to investigate reasons behind why minority women die at an alarming rate in the state of Georgia in and around pregnancy Dr Cheryl Franklin Assistant Professor of Obstetrics and Gynecology, and co-lead investigator explains this to us You yourself can actually be of help! Register at GA-IMPROVE@MSM.edu
Iconic historic black school of medicine embarks on big project to investigate reasons behind why minority women die at an alarming rate in the state of Georgia in and around pregnancy Dr Cheryl Franklin Assistant Professor of Obstetrics and Gynecology, and co-lead investigator explains this to us You yourself can actually be of help! Register at GA-IMPROVE@MSM.edu
Maternal Fetal Medicine Specialist Dr. Brad Bootstaylor, Founder of See Baby Maternity Center and Author of Shared Decision Making brings powerful insight into issues in a pregnant woman that make her high risk and could adversely affect her or her baby. In this episode, we explore some of the reasons why your minority doctor that has taken care of you for years is suddenly and unceremoniously not seen around the hospital anymore. #MaternalFetalMedicine #DrBradBootstaylor #SeeBabyMaternityCenter #SharedDecisionMaking #minoritydoctor #highriskpregnancy Timestamps: (00:45) Issues that make a mother sick or lead to a demise (03:30) Hypertension in pregnant women (5:50) Complications of uncontrolled blood pressure (08:17) Cardiomyopathy (11:47) High risks conditions in pregnant women (15:45) Becoming a perinatologist (18:17) Barriers in providing care (21:50) Caste system (26:02) Shared decision making (31:50) Empowering women to obtain health care (35:30) Holding providers accountable (43:55) Minority physicians and support (45:57) Burnout and moral injury (52:15) Summary (55:55) A question for Dr. Sogade
What conditions make a woman #needsurgeryinpregnancy How does the surgery and all that goes with it -#anesthesia, #positioningforsurgeyofapregnant woman and blood loss affect the pregnant mother or the unborn baby
Timestamps (00:55) Introduction of Dr. Patrick Nar-Marty (01:55) Breast cancer in pregnancy (06:07) Assisting minority women (07:35) Changes of the breasts that might indicate cancer (08:35) Timing of a diagnosis during pregnancy (12:40) Next steps in surgical management after cancer diagnosis (16:43) cosmetic side of mastectomies (19:30) diagnosis of gallbladder disease (23:07) Risks of not treating gallbladder stones or gallbladder disease (25:00) Appendicitis (28:25) Renal and kidney disease during pregnancy (30:25) Hemorrhoids during pregnancy (33:00) Treatment for hemorrhoids (38:05) Scar revision
Who ( or what ) is a Doula ? In this Cocoa Pods podcast,Coral Riviera answers these questions describes Doula responsibilities and the requirements for Doula training What pregnancy changes could happen to your body that a chiropractor would be interested in ? Are you curious about the factors that cause pregnant women to develop specific loose joints called subluxation and posture changes in pregnancy? What does correct alignment of the spine do to labor in a pregnant woman ? Listen on,in this our first episode podcasted in English and Spanish ! Timestamps: (00:35) What is a doula (01:10) Dr. Coral Riviera natural birth experiences (04:30) Acupressure (05:25) Becoming a doula and chiropractor (08:18) Pelvic floor dysfunction (10:15) Symptoms and treatment of pelvic floor dysfunction (14:35) Becoming a doula (16:10) Pregnancy chiropractor (18:25) Searching for a chiropractor specialized in pregnancy (19:30) Combatting pelvic floor dysfunction (25:50) Changes in the muscles during pregnancy (29:00) A summary in Spanish, un resumen en español (31:25) What a doula does
Educator, Dr Alma Mundy helps us understand the mind and thinking in teenage years that can lead to behavior with un-intended consequences
Could mental health issues really kill a woman in pregnancy? Mental health causes of maternal morbidity and mortality even though significant are almost always preventable. Timestamps (01:25) Causes/prevention of maternal deaths (03:10) 4th trimester postpartum care (05:25) Substance abuse (07:20) Symptoms of postpartum depression (08:35) Mental health issues during a pandemic (09:48) Racial distribution (12:06) Minority women physicians in psychiatry (13:20) How family members can help (14:20) Screening for people at risk (16:07) Can marijuana harm the baby? (18:30) Why do women use marijuana? (20:00) Medical vs street marijuana (21:37) Why pregnant women’s mental issues go unnoticed (22:32) Superwoman syndrome (23:45) Barriers in accessing mental health treatment (25:14) Seeking a mental health professional (26:49) Risks factors for suicide (30:34) Counseling through Telehealth (32:58) Covid and pregnancy
What are the mental health challenges women face in pregnancy Why are some of these symptoms missed at times even by closest family members. Licensed Counselor Myrana Craig, Director of Enhance Behavioral Health helps us understand better Timestamps (01:25) Mental health issues during pregnancy (02:20) Superwoman syndrome (03:33) Barriers in accessing mental health treatment (05:00) Seeking a mental health professional (06:35) Risks factors for suicide (10:15) Counseling through Telehealth (12:40) Covid and pregnancy
Obstetric Providers' collaboration-problem defined-scarcity of obstetric providers; why obgyns and midwives should work together Why do some women choose home births what are some of the thinking and reasoning behind this choice Time stamps (00:30) Friction between OB’s and midwife (03:40) The need of collaboration (05:40) Home birth midwives (12:50) Certified professional midwives vs nurse midwives (14:00) Home birth safety (16:05) Assumed risks of home birth
Caregivers for women in pregnancy ,labor and beyond; an obgyn doctor and a midwife define and discuss the problem of the sparsity of professional providers for pregnant women in rural Georgia Timestamps (01:30) Shortage of OB providers in rural areas (02:35) Role of certified nurse midwife (04:43) Factors that contribute to maternal mortality (05:30) Adolescent pregnancy (09:05) Lack of access to health insurance (12:20) Georgia’s maternal mortality rate (13:25) Implicit bias (16:55) Mitigating the risks of pregnancy