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Building a social contract with Tia."}],"markDefs":[],"style":"large"},{"_key":"6fe479be2c38","_type":"block","children":[{"_key":"6fe479be2c380","_type":"span","marks":[],"text":"Being social — togetherness — is what keeps us ticking, transforms the bitter moments in life to sweet ones, and, quite literally, gives us *pleasure*. Research shows that social ties reduce mortality risks among adults with documented medical conditions. Additionally, supportive interactions with others benefit the immune system and help to reduce allostatic load (the cumulative wear and tear on your body from stress — especially chronic stress)."}],"markDefs":[],"style":"normal"},{"_key":"a4fbd5add1dc","_type":"block","children":[{"_key":"a4fbd5add1dc0","_type":"span","marks":[],"text":"So, how in the world are we supposed to do this in the landscape of the coronavirus outbreak?"}],"markDefs":[],"style":"h4"},{"_key":"13405ba8c166","_type":"block","children":[{"_key":"13405ba8c1660","_type":"span","marks":[],"text":"If you’re confused about what to do right now, you’re not alone. It feels like there are different recommendations coming from everywhere and making sense of it, is no easy task. Ultimately, the choices in how *you* navigate through this bizarre time are up to you. These choices are likely dependent on a number of factors such as local context, work obligations, personal health, signature-stress type, etc. We’re here to offer a little more context to help you make more informed choices with confidence."}],"markDefs":[],"style":"normal"},{"_key":"bf40a011b81c","_type":"block","children":[{"_key":"bf40a011b81c0","_type":"span","marks":[],"text":"First things first, what is a social contract? It is an implicit agreement among the members of a society to cooperate for the social benefits of many, rather than few. Cooperation in this agreement may include sacrificing individual freedoms (not going on that hinge date, canceling wine club, or swapping your favorite yoga class for a run outside instead). Here we’ll break down how we’re thinking about the choices we’re making from an individual, local, and global perspective:\n\n"}],"markDefs":[],"style":"normal"},{"_key":"67637d4945af","_type":"editorialImageCarousel","items":[{"_key":"48f9ed2e95f9","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_id":"image-31cfec25082371da7aba4ca3c4426b97d309fb99-2103x195-png","_type":"sanity.imageAsset","_createdAt":"2022-11-28T07:23:48Z","_rev":"6Usa2B8ileD4MLCzOhEFFN","_updatedAt":"2022-11-28T07:23:48Z","assetId":"31cfec25082371da7aba4ca3c4426b97d309fb99","extension":"png","metadata":{"_type":"sanity.imageMetadata","blurHash":"43Fes*}^xbV?In","dimensions":{"_type":"sanity.imageDimensions","aspectRatio":10.784615384615385,"height":195,"width":2103},"hasAlpha":true,"isOpaque":true,"lqip":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABQAAAACCAYAAABYBvyLAAAACXBIWXMAAAsTAAALEwEAmpwYAAAASklEQVQImWNoU/T/36kW/L9LI/R/t2bY/26tMDAN4neqBv9vk/f73yzl9b9J0hNME8IMIAO71EPABvVohf/v0YZgEB8k3qZAmoEAtvdN+V1YK+EAAAAASUVORK5CYII=","palette":{"_type":"sanity.imagePalette","darkMuted":{"_type":"sanity.imagePaletteSwatch","background":"#7c4c64","foreground":"#fff","population":0.02,"title":"#fff"},"darkVibrant":{"_type":"sanity.imagePaletteSwatch","background":"#750c3c","foreground":"#fff","population":0.17,"title":"#fff"},"dominant":{"_type":"sanity.imagePaletteSwatch","background":"#841c4c","foreground":"#fff","population":80.64,"title":"#fff"},"lightMuted":{"_type":"sanity.imagePaletteSwatch","background":"#c484a4","foreground":"#000","population":0.02,"title":"#fff"},"lightVibrant":{"_type":"sanity.imagePaletteSwatch","background":"#fcb1d8","foreground":"#000","population":0.16,"title":"#000"},"muted":{"_type":"sanity.imagePaletteSwatch","background":"#975272","foreground":"#fff","population":0.64,"title":"#fff"},"vibrant":{"_type":"sanity.imagePaletteSwatch","background":"#841c4c","foreground":"#fff","population":80.64,"title":"#fff"}}},"mimeType":"image/png","originalFilename":"SocialContract_Inline2.png","path":"images/8qqycr4y/production/31cfec25082371da7aba4ca3c4426b97d309fb99-2103x195.png","sha1hash":"31cfec25082371da7aba4ca3c4426b97d309fb99","size":13101,"uploadId":"y5IKihcrt56UGEAOcCbnSBhrIrVseqAD","url":"https://cdn.sanity.io/images/8qqycr4y/production/31cfec25082371da7aba4ca3c4426b97d309fb99-2103x195.png","id":"image-31cfec25082371da7aba4ca3c4426b97d309fb99-2103x195-png","parent":null,"children":["90f4cbaf-789e-5892-a312-105cf9b188dc"],"internal":{"type":"SanityImageAsset","contentDigest":"b34117b6d08a121f2b335654ddc35c9e","counter":4334,"owner":"gatsby-source-sanity"}}}}}]},{"_key":"bde8d32c1f03","_type":"block","children":[{"_key":"bde8d32c1f030","_type":"span","marks":[],"text":"At Tia, we’ve shared recommendations on how to prepare for coronavirus:"}],"markDefs":[],"style":"normal"},{"_key":"d1f26547da7e","_type":"block","children":[{"_key":"d1f26547da7e0","_type":"span","marks":[],"text":""},{"_key":"d1f26547da7e1","_type":"span","marks":["5aeea2ff1c74"],"text":"Washing hands"},{"_key":"d1f26547da7e2","_type":"span","marks":[],"text":" (obvi!)"}],"level":1,"listItem":"bullet","markDefs":[{"_key":"5aeea2ff1c74","_type":"externalLink","url":"https://www.instagram.com/p/B9j8LnEpJZG/"}],"style":"normal"},{"_key":"9459b6fdf013","_type":"block","children":[{"_key":"9459b6fdf0130","_type":"span","marks":[],"text":"Setting-up your "},{"_key":"9459b6fdf0131","_type":"span","marks":["9c95530d7427"],"text":"medicine cabinet"},{"_key":"9459b6fdf0132","_type":"span","marks":[],"text":""}],"level":1,"listItem":"bullet","markDefs":[{"_key":"9c95530d7427","_type":"annotation","text":[{"_key":"c7d542418228","_type":"block","children":[{"_key":"c7d5424182281","_type":"span","marks":["0742c180e4e9"],"text":"Learn more"},{"_key":"c7d5424182282","_type":"span","marks":[],"text":" about what to include in your medicine cabinet in the Coronavirus climate."}],"markDefs":[{"_key":"0742c180e4e9","_type":"annotationLink","reference":{"_id":"12f61670-b812-4d44-85bb-7865737b7a5a","_type":"editorial","_createdAt":"2020-08-12T18:11:29Z","_rev":"6Usa2B8ileD4MLCzOhNyRR","_updatedAt":"2022-11-28T07:47:18Z","content":{"_type":"articleTabs","main":{"_type":"articleContent","articleColor":"bcraspberry","articleType":{"_ref":"6ebe3848-7078-4bbf-890a-e4cee9852934","_type":"reference"},"authors":[{"_key":"01c84a617256","_ref":"1d6ce256-595a-4357-89ae-bda37a32224e","_type":"reference"}],"cardImage":{"_type":"image","asset":{"_ref":"image-4010a6632675178f20e5a075279a1625508a17f2-1366x800-png","_type":"reference"}},"editorialText":[{"_key":"b2d7d423a53f","_type":"block","children":[{"_key":"b2d7d423a53f0","_type":"span","marks":["em"],"text":"At this point, you’re likely receiving tons of info about the Covid-19 outbreak and precautions to take for your health and the health of the greater community. We know that for many this is creating a lot of anxiety. We want you to know that you are not alone."}],"markDefs":[],"style":"normal"},{"_key":"0ece38579181","_type":"block","children":[{"_key":"0ece385791810","_type":"span","marks":["em"],"text":"At Tia, we will continue to put out information that is factual, and tactical for navigating this rapidly changing situation. We will also be extending Tia Care digitally through Virtual Visits via chat and video, starting today with Prescription Refills."}],"markDefs":[],"style":"normal"},{"_key":"64b8368d5087","_type":"block","children":[{"_key":"64b8368d50870","_type":"span","marks":["em"],"text":"By doing so, we can increase the capacity of patients we can service, and also help our patients uphold appropriate “social distancing” by minimizing travel to the Tia Clinic for services that don’t require it."}],"markDefs":[],"style":"normal"},{"_key":"7b914fe65de1","_type":"block","children":[{"_key":"7b914fe65de10","_type":"span","marks":["em"],"text":"In the spirit of proactive preparation, we’re encouraging you, our Tia patients, to prepare your medicine cabinets with any prescriptions and over-the-counter medications you take regularly. Whether you need more birth control pills or an extra-month supply of your thyroid medication, your Tia Care Team is here to help."}],"markDefs":[],"style":"normal"},{"_key":"64d8919052a2","_type":"block","children":[{"_key":"64d8919052a20","_type":"span","marks":["em"],"text":"—Team Tia"}],"markDefs":[],"style":"normal"},{"_key":"c4a26e1d12b9","_type":"block","children":[{"_key":"c4a26e1d12b90","_type":"span","marks":[],"text":"Here’s a step-by-step breakdown of how to get your prescriptions refilled with Tia:"}],"markDefs":[],"style":"h3"},{"_key":"e4189934ca9a","_type":"block","children":[{"_key":"e4189934ca9a0","_type":"span","marks":[],"text":"#1: "},{"_key":"e4189934ca9a1","_type":"span","marks":["64069758741d"],"text":"Sign-in"},{"_key":"e4189934ca9a2","_type":"span","marks":[],"text":" to your Tia Clinic Home."}],"markDefs":[{"_key":"64069758741d","_type":"internalLink","linkType":"text","reference":{"_ref":"8a7e7b1e-7485-4a22-be24-9a2005998452","_type":"reference"}}],"style":"h4"},{"_key":"a695a5600c13","_type":"block","children":[{"_key":"a695a5600c130","_type":"span","marks":[],"text":"#2: Message your Tia Care Coordinator with a list of any prescriptions that do not have refills."}],"markDefs":[],"style":"h4"},{"_key":"d77f925c1940","_type":"block","children":[{"_key":"d77f925c19400","_type":"span","marks":[],"text":"Please be prepared with the name of the provider who last prescribed you the medication you’re requesting and the location of the pharmacy that last filled the prescription."}],"markDefs":[],"style":"normal"},{"_key":"54489d44d3ba","_type":"block","children":[{"_key":"54489d44d3ba0","_type":"span","marks":["strong"],"text":"NOTE:"},{"_key":"54489d44d3ba1","_type":"span","marks":[],"text":" To best service all of our patients who need care, if your prescription has an active refill please call your pharmacist directly. Due to high volume, we’re focusing our care team’s efforts on patients who are out of refills."}],"markDefs":[],"style":"normal"},{"_key":"f733ffbc208f","_type":"block","children":[{"_key":"f733ffbc208f0","_type":"span","marks":[],"text":"#3: Ensure your Tia health record is complete, and double-check that your pharmacy, insurance, and credit card info are all up-to-date."}],"markDefs":[],"style":"h4"},{"_key":"1f6dd2eae5ca","_type":"block","children":[{"_key":"1f6dd2eae5ca0","_type":"span","marks":[],"text":"#4: Depending on your specific prescription, we will either refill via chat, or set you up with a short Virtual Visit with a Tia Provider."}],"markDefs":[],"style":"h4"},{"_key":"a318124a7f23","_type":"block","children":[{"_key":"a318124a7f230","_type":"span","marks":[],"text":"Ahead of a Virtual Video Visit, download "},{"_key":"a318124a7f231","_type":"span","marks":["f53b85e7b451"],"text":"Zoom Video"},{"_key":"a318124a7f232","_type":"span","marks":[],"text":" — a free, HIPAA-compliant video chat that you’ll use to interface with your Tia Provider from your own home."}],"level":1,"listItem":"bullet","markDefs":[{"_key":"f53b85e7b451","_type":"externalLink","url":"https://zoom.us/download"}],"style":"normal"},{"_key":"b03a52dd7769","_type":"block","children":[{"_key":"b03a52dd77690","_type":"span","marks":[],"text":"Be sure you are in a quiet place and enable video — “face-to-face” with your Tia Provider is required by law!"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"e9f3d897c599","_type":"block","children":[{"_key":"e9f3d897c5990","_type":"span","marks":[],"text":"Be on time! If you are more than 3 minutes late, you will be charged a cancellation fee and need to reschedule. Given capacity, these are highly valued and limited appointments that should be treated just like in-person visits."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"d830c930c47e","_type":"block","children":[{"_key":"d830c930c47e0","_type":"span","marks":[],"text":"#5: We’ll send your prescriptions to Capsule or CVS for delivery (or your preferred pharmacy)."}],"markDefs":[],"style":"h4"},{"_key":"31bc681710ba","_type":"block","children":[{"_key":"31bc681710ba0","_type":"span","marks":["strong"],"text":""},{"_key":"31bc681710ba1","_type":"span","marks":["strong","25f545173a0f"],"text":"Refill Your Prescriptions"},{"_key":"31bc681710ba2","_type":"span","marks":["strong"],"text":""}],"markDefs":[{"_key":"25f545173a0f","_type":"internalLink","linkType":"text","reference":{"_ref":"cb5582f0-024a-4a80-9425-5ce55f0084ff","_type":"reference"}}],"style":"normal"},{"_key":"393cf690d6d5","_type":"sectionHeader","title":"FAQs:"},{"_key":"27749bc0b50a","_type":"block","children":[{"_key":"27749bc0b50a0","_type":"span","marks":[],"text":"Does my insurance cover my Tia Virtual Video Visit?"}],"markDefs":[],"style":"h4"},{"_key":"79a079ce6386","_type":"block","children":[{"_key":"79a079ce63860","_type":"span","marks":[],"text":"If your insurance plan is in-network with Tia, this appointment will be covered! We will submit the claim to your insurance, and we will be waiving all copays at this time."}],"markDefs":[],"style":"normal"},{"_key":"f7e69bc5d4c9","_type":"block","children":[{"_key":"f7e69bc5d4c90","_type":"span","marks":[],"text":"If I am out-of-network or uninsured, how much will my Tia Virtual Video Visit cost?"}],"markDefs":[],"style":"h4"},{"_key":"fb0ae245869e","_type":"block","children":[{"_key":"fb0ae245869e0","_type":"span","marks":[],"text":"If you are out-of-network with us or are uninsured, the fee for this Virtual Video Visit is $30."}],"markDefs":[],"style":"normal"},{"_key":"2e0d93a21dbb","_type":"block","children":[{"_key":"2e0d93a21dbb0","_type":"span","marks":[],"text":"Will my insurance cover an extra month’s supply of my medication?"}],"markDefs":[],"style":"h4"},{"_key":"122ffae7864a","_type":"block","children":[{"_key":"122ffae7864a0","_type":"span","marks":[],"text":"While we are seeing most payers and pharmacies cover an additional 30-day supply, we cannot guarantee coverage at this time."}],"markDefs":[],"style":"normal"},{"_key":"ca3586354478","_type":"block","children":[{"_key":"ca35863544780","_type":"span","marks":[],"text":"Is the Tia Clinic still open?"}],"markDefs":[],"style":"h4"},{"_key":"d0c57642dc72","_type":"block","children":[{"_key":"d0c57642dc720","_type":"span","marks":[],"text":"Yes, the Tia Clinic is still open at this time. 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Tia, we work to take an approach that is proactive as opposed to reactive. With this in mind, we want to help you prepare mentally, physically, and emotionally in this continually changing landscape of coronavirus."}],"markDefs":[],"style":"large"},{"_key":"5e173cca12c9","_type":"block","children":[{"_key":"5e173cca12c90","_type":"span","marks":[],"text":"In the following, you will find a breakdown of some of the terms you are likely hearing on repeat and the actionable things you can do to prepare for any scenario — with confidence."}],"markDefs":[],"style":"normal"},{"_key":"2b58b67061d0","_type":"sectionHeader","title":"Real talk, what is quarantine and how does it work?"},{"_key":"3449573a9770","_type":"block","children":[{"_key":"3449573a97700","_type":"span","marks":["strong"],"text":"Quarantines"},{"_key":"3449573a97701","_type":"span","marks":[],"text":" help to protect the public by preventing exposure to people who have or may have a contagious disease. Quarantine guidance comes from elected officials and can be mandated to protect the public by preventing exposure and encouraging containment. separates and restricts the movement of people who were exposed to a contagious disease to see if they become sick."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"a1f8064a6f67","_type":"block","children":[{"_key":"a1f8064a6f670","_type":"span","marks":["strong"],"text":"Here are the definitions to some other terms you might be hearing a lot of:"}],"markDefs":[],"style":"h4"},{"_key":"950c2199ce6d","_type":"block","children":[{"_key":"950c2199ce6d0","_type":"span","marks":["strong"],"text":"Isolation"},{"_key":"950c2199ce6d1","_type":"span","marks":[],"text":" separates sick people with a contagious disease from people who are not sick."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"f48ad4fd815b","_type":"block","children":[{"_key":"f48ad4fd815b0","_type":"span","marks":["strong"],"text":"Social distancing"},{"_key":"f48ad4fd815b1","_type":"span","marks":[],"text":" is the practice of limiting exposure to the general public. This means avoiding crowded places, groups, events, and working from home if that option is available."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"0afa0fcffa8a","_type":"sectionHeader","title":"How do I (and should I) prepare?"},{"_key":"4aa247058e6f","_type":"block","children":[{"_key":"4aa247058e6f0","_type":"span","marks":[],"text":"To be extra clear, NYC is *not* in a mass state of quarantine like Italy. All that said, preparation is smart for all of us — especially given the speed at which things are changing. With this in mind, here are our quick recs for the varying degrees of quarantine and isolation"}],"markDefs":[],"style":"normal"},{"_key":"5d8986c28dab","_type":"block","children":[{"_key":"5d8986c28dab0","_type":"span","marks":["strong"],"text":"#1: Stock up on your meds"}],"markDefs":[],"style":"h4"},{"_key":"c0b956868129","_type":"block","children":[{"_key":"c0b9568681290","_type":"span","marks":[],"text":"If you take any prescriptions or over-the-counter medications regularly, we recommend stocking up and having an extra month supply in the case that you are not able to get to a pharmacy."}],"markDefs":[],"style":"normal"},{"_key":"e7d61ca16a14","_type":"block","children":[{"_key":"e7d61ca16a140","_type":"span","marks":[],"text":"Starting tomorrow, your Tia Care Team is here to help you prep your medicine cabinet (think: getting your birth control refilled ahead of schedule or any other important medications!)."}],"markDefs":[],"style":"normal"},{"_key":"59ae8676adc7","_type":"block","children":[{"_key":"59ae8676adc70","_type":"span","marks":[],"text":"Stay tuned for more on Virtual Visits from Tia tomorrow."}],"markDefs":[],"style":"normal"},{"_key":"4184108d7692","_type":"block","children":[{"_key":"4184108d76920","_type":"span","marks":["strong"],"text":"#2: Fill up your pantry (and your fridge)!"}],"markDefs":[],"style":"h4"},{"_key":"0029e42007da","_type":"block","children":[{"_key":"0029e42007da0","_type":"span","marks":[],"text":"While there’s been a land grab for hand sanitizer, TP and bleach, don’t forget that it’s food (preferably non-perishable, nutrient-backed food!) that is especially critical to stock up on!"}],"markDefs":[],"style":"normal"},{"_key":"7bb411241527","_type":"block","children":[{"_key":"7bb4112415270","_type":"span","marks":[],"text":"We recommend you get enough frozen and non-perishable foods for a few weeks of eating at home. Look out for a special edition #FoodAsMedicine pantry prep guide coming out in the following week."}],"markDefs":[],"style":"normal"},{"_key":"c9940013f0d3","_type":"block","children":[{"_key":"c9940013f0d30","_type":"span","marks":[],"text":"If you’re a filtered-water person, make sure yours is in tip-top shape and buy an extra as back up!"}],"markDefs":[],"style":"normal"},{"_key":"d7517e764d57","_type":"block","children":[{"_key":"d7517e764d570","_type":"span","marks":["strong"],"text":"#3: Nerd out on logistics for you & your loved ones."}],"markDefs":[],"style":"h4"},{"_key":"68b0e0f05bf0","_type":"block","children":[{"_key":"68b0e0f05bf00","_type":"span","marks":[],"text":"Whether it’s adapting to a WFH schedule, prepping childcare, or thinking through how to protect older relatives who are at greater risk, it’s worth thinking through logistics ahead of time. 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We know that for many this is creating a lot of anxiety. We want you to know that you are not alone."}],"markDefs":[],"style":"normal"},{"_key":"0ece38579181","_type":"block","children":[{"_key":"0ece385791810","_type":"span","marks":["em"],"text":"At Tia, we will continue to put out information that is factual, and tactical for navigating this rapidly changing situation. We will also be extending Tia Care digitally through Virtual Visits via chat and video, starting today with Prescription Refills."}],"markDefs":[],"style":"normal"},{"_key":"64b8368d5087","_type":"block","children":[{"_key":"64b8368d50870","_type":"span","marks":["em"],"text":"By doing so, we can increase the capacity of patients we can service, and also help our patients uphold appropriate “social distancing” by minimizing travel to the Tia Clinic for services that don’t require it."}],"markDefs":[],"style":"normal"},{"_key":"7b914fe65de1","_type":"block","children":[{"_key":"7b914fe65de10","_type":"span","marks":["em"],"text":"In the spirit of proactive preparation, we’re encouraging you, our Tia patients, to prepare your medicine cabinets with any prescriptions and over-the-counter medications you take regularly. Whether you need more birth control pills or an extra-month supply of your thyroid medication, your Tia Care Team is here to help."}],"markDefs":[],"style":"normal"},{"_key":"64d8919052a2","_type":"block","children":[{"_key":"64d8919052a20","_type":"span","marks":["em"],"text":"—Team Tia"}],"markDefs":[],"style":"normal"},{"_key":"c4a26e1d12b9","_type":"block","children":[{"_key":"c4a26e1d12b90","_type":"span","marks":[],"text":"Here’s a step-by-step breakdown of how to get your prescriptions refilled with Tia:"}],"markDefs":[],"style":"h3"},{"_key":"e4189934ca9a","_type":"block","children":[{"_key":"e4189934ca9a0","_type":"span","marks":[],"text":"#1: "},{"_key":"e4189934ca9a1","_type":"span","marks":["64069758741d"],"text":"Sign-in"},{"_key":"e4189934ca9a2","_type":"span","marks":[],"text":" to your Tia Clinic Home."}],"markDefs":[{"_key":"64069758741d","_type":"internalLink","linkType":"text","reference":{"_ref":"8a7e7b1e-7485-4a22-be24-9a2005998452","_type":"reference"}}],"style":"h4"},{"_key":"a695a5600c13","_type":"block","children":[{"_key":"a695a5600c130","_type":"span","marks":[],"text":"#2: Message your Tia Care Coordinator with a list of any prescriptions that do not have refills."}],"markDefs":[],"style":"h4"},{"_key":"d77f925c1940","_type":"block","children":[{"_key":"d77f925c19400","_type":"span","marks":[],"text":"Please be prepared with the name of the provider who last prescribed you the medication you’re requesting and the location of the pharmacy that last filled the prescription."}],"markDefs":[],"style":"normal"},{"_key":"54489d44d3ba","_type":"block","children":[{"_key":"54489d44d3ba0","_type":"span","marks":["strong"],"text":"NOTE:"},{"_key":"54489d44d3ba1","_type":"span","marks":[],"text":" To best service all of our patients who need care, if your prescription has an active refill please call your pharmacist directly. Due to high volume, we’re focusing our care team’s efforts on patients who are out of refills."}],"markDefs":[],"style":"normal"},{"_key":"f733ffbc208f","_type":"block","children":[{"_key":"f733ffbc208f0","_type":"span","marks":[],"text":"#3: Ensure your Tia health record is complete, and double-check that your pharmacy, insurance, and credit card info are all up-to-date."}],"markDefs":[],"style":"h4"},{"_key":"1f6dd2eae5ca","_type":"block","children":[{"_key":"1f6dd2eae5ca0","_type":"span","marks":[],"text":"#4: Depending on your specific prescription, we will either refill via chat, or set you up with a short Virtual Visit with a Tia Provider."}],"markDefs":[],"style":"h4"},{"_key":"a318124a7f23","_type":"block","children":[{"_key":"a318124a7f230","_type":"span","marks":[],"text":"Ahead of a Virtual Video Visit, download "},{"_key":"a318124a7f231","_type":"span","marks":["f53b85e7b451"],"text":"Zoom Video"},{"_key":"a318124a7f232","_type":"span","marks":[],"text":" — a free, HIPAA-compliant video chat that you’ll use to interface with your Tia Provider from your own home."}],"level":1,"listItem":"bullet","markDefs":[{"_key":"f53b85e7b451","_type":"externalLink","url":"https://zoom.us/download"}],"style":"normal"},{"_key":"b03a52dd7769","_type":"block","children":[{"_key":"b03a52dd77690","_type":"span","marks":[],"text":"Be sure you are in a quiet place and enable video — “face-to-face” with your Tia Provider is required by law!"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"e9f3d897c599","_type":"block","children":[{"_key":"e9f3d897c5990","_type":"span","marks":[],"text":"Be on time! If you are more than 3 minutes late, you will be charged a cancellation fee and need to reschedule. Given capacity, these are highly valued and limited appointments that should be treated just like in-person visits."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"d830c930c47e","_type":"block","children":[{"_key":"d830c930c47e0","_type":"span","marks":[],"text":"#5: We’ll send your prescriptions to Capsule or CVS for delivery (or your preferred pharmacy)."}],"markDefs":[],"style":"h4"},{"_key":"31bc681710ba","_type":"block","children":[{"_key":"31bc681710ba0","_type":"span","marks":["strong"],"text":""},{"_key":"31bc681710ba1","_type":"span","marks":["strong","25f545173a0f"],"text":"Refill Your Prescriptions"},{"_key":"31bc681710ba2","_type":"span","marks":["strong"],"text":""}],"markDefs":[{"_key":"25f545173a0f","_type":"internalLink","linkType":"text","reference":{"_ref":"cb5582f0-024a-4a80-9425-5ce55f0084ff","_type":"reference"}}],"style":"normal"},{"_key":"393cf690d6d5","_type":"sectionHeader","title":"FAQs:"},{"_key":"27749bc0b50a","_type":"block","children":[{"_key":"27749bc0b50a0","_type":"span","marks":[],"text":"Does my insurance cover my Tia Virtual Video Visit?"}],"markDefs":[],"style":"h4"},{"_key":"79a079ce6386","_type":"block","children":[{"_key":"79a079ce63860","_type":"span","marks":[],"text":"If your insurance plan is in-network with Tia, this appointment will be covered! We will submit the claim to your insurance, and we will be waiving all copays at this time."}],"markDefs":[],"style":"normal"},{"_key":"f7e69bc5d4c9","_type":"block","children":[{"_key":"f7e69bc5d4c90","_type":"span","marks":[],"text":"If I am out-of-network or uninsured, how much will my Tia Virtual Video Visit cost?"}],"markDefs":[],"style":"h4"},{"_key":"fb0ae245869e","_type":"block","children":[{"_key":"fb0ae245869e0","_type":"span","marks":[],"text":"If you are out-of-network with us or are uninsured, the fee for this Virtual Video Visit is $30."}],"markDefs":[],"style":"normal"},{"_key":"2e0d93a21dbb","_type":"block","children":[{"_key":"2e0d93a21dbb0","_type":"span","marks":[],"text":"Will my insurance cover an extra month’s supply of my medication?"}],"markDefs":[],"style":"h4"},{"_key":"122ffae7864a","_type":"block","children":[{"_key":"122ffae7864a0","_type":"span","marks":[],"text":"While we are seeing most payers and pharmacies cover an additional 30-day supply, we cannot guarantee coverage at this time."}],"markDefs":[],"style":"normal"},{"_key":"ca3586354478","_type":"block","children":[{"_key":"ca35863544780","_type":"span","marks":[],"text":"Is the Tia Clinic still open?"}],"markDefs":[],"style":"h4"},{"_key":"d0c57642dc72","_type":"block","children":[{"_key":"d0c57642dc720","_type":"span","marks":[],"text":"Yes, the Tia Clinic is still open at this time. We are rolling out Virtual Visits starting with prescription management, to help increase the capacity of patients we can service, to help our patients uphold appropriate “social distancing” by minimizing travel and keeping both our patients and Care Team at the Tia Clinic safe and healthy."}],"markDefs":[],"style":"normal"},{"_key":"011a4160d68c","_type":"block","children":[{"_key":"011a4160d68c0","_type":"span","marks":[],"text":"If I have an in-person appointment at Tia, should I cancel?"}],"markDefs":[],"style":"h4"},{"_key":"f99e4498f3f2","_type":"block","children":[{"_key":"f99e4498f3f20","_type":"span","marks":[],"text":"Patients who are not experiencing flu/cold symptoms are welcome to come in for any existing or booked appointments. We are re-evaluating this on a daily basis to ensure the safety of all Tia members and the broader community. If you feel uncomfortable coming to the clinic for an existing appointment we will waive the cancellation fee at this time."}],"markDefs":[],"style":"normal"},{"_key":"ed9564179106","_type":"block","children":[{"_key":"ed95641791060","_type":"span","marks":[],"text":"What precautions is Tia taking to keep the clinic safe?"}],"markDefs":[],"style":"h4"},{"_key":"5c178de63b34","_type":"block","children":[{"_key":"5c178de63b340","_type":"span","marks":[],"text":"We’ve increased the frequency of cleaning public areas (including door handles, elevator buttons, light switches, iPads, etc.)."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"f1c9cacdc550","_type":"block","children":[{"_key":"f1c9cacdc5500","_type":"span","marks":[],"text":"Per CDC guidelines, we are using cleaners and sanitizers with a 60% or greater concentration of alcohol. Sanitizer can also be found throughout the Tia Clinic and, of course, at the front desk."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"452e17203bf3","_type":"block","children":[{"_key":"452e17203bf30","_type":"span","marks":[],"text":"We are screening all patients at check-in and taking appropriate actions as needed, providing masks when appropriate."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"6145708f2f49","_type":"block","children":[{"_key":"6145708f2f490","_type":"span","marks":[],"text":"We’ve confirmed the laundry cleaners and cleaning team for the Tia Clinic are taking additional measures to ensure everything is clean."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"0dbf7d015849","_type":"block","children":[{"_key":"0dbf7d0158490","_type":"span","marks":[],"text":"And of course, the Tia Care Team is:"}],"markDefs":[],"style":"h4"},{"_key":"023d82a7f9e3","_type":"block","children":[{"_key":"023d82a7f9e30","_type":"span","marks":[],"text":"Being extra vigilant with hand washing and sanitizing between all patient visits."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"c4507722e598","_type":"block","children":[{"_key":"c4507722e5980","_type":"span","marks":[],"text":"Minimizing touching their faces, eyes, mouths, and hair."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"6faf255c95fc","_type":"block","children":[{"_key":"6faf255c95fc0","_type":"span","marks":[],"text":"Minimizing wearing jewelry as it can harbor bacteria."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"e6164ec80ded","_type":"block","children":[{"_key":"e6164ec80ded0","_type":"span","marks":[],"text":"Tying hair back and trimming nails."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"5bef73e1f517","_type":"block","children":[{"_key":"5bef73e1f5170","_type":"span","marks":[],"text":"Sanitizing stethoscopes between patients."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"ed9cc2f6e4f0","_type":"block","children":[{"_key":"ed9cc2f6e4f00","_type":"span","marks":[],"text":"Wiping down rooms after each patient."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9dd27d6f9c1d","_type":"block","children":[{"_key":"9dd27d6f9c1d0","_type":"span","marks":[],"text":"Wiping down work stations after processing specimen samples."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"861c63f3e49b","_type":"block","children":[{"_key":"861c63f3e49b0","_type":"span","marks":[],"text":"Medical Assistants are ensuring that all exam room surfaces are disinfected after each 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Building a social contract with Tia."}],"markDefs":[],"style":"large"},{"_key":"6fe479be2c38","_type":"block","children":[{"_key":"6fe479be2c380","_type":"span","marks":[],"text":"Being social — togetherness — is what keeps us ticking, transforms the bitter moments in life to sweet ones, and, quite literally, gives us *pleasure*. Research shows that social ties reduce mortality risks among adults with documented medical conditions. Additionally, supportive interactions with others benefit the immune system and help to reduce allostatic load (the cumulative wear and tear on your body from stress — especially chronic stress)."}],"markDefs":[],"style":"normal"},{"_key":"a4fbd5add1dc","_type":"block","children":[{"_key":"a4fbd5add1dc0","_type":"span","marks":[],"text":"So, how in the world are we supposed to do this in the landscape of the coronavirus outbreak?"}],"markDefs":[],"style":"h4"},{"_key":"13405ba8c166","_type":"block","children":[{"_key":"13405ba8c1660","_type":"span","marks":[],"text":"If you’re confused about what to do right now, you’re not alone. It feels like there are different recommendations coming from everywhere and making sense of it, is no easy task. Ultimately, the choices in how *you* navigate through this bizarre time are up to you. These choices are likely dependent on a number of factors such as local context, work obligations, personal health, signature-stress type, etc. We’re here to offer a little more context to help you make more informed choices with confidence."}],"markDefs":[],"style":"normal"},{"_key":"bf40a011b81c","_type":"block","children":[{"_key":"bf40a011b81c0","_type":"span","marks":[],"text":"First things first, what is a social contract? It is an implicit agreement among the members of a society to cooperate for the social benefits of many, rather than few. Cooperation in this agreement may include sacrificing individual freedoms (not going on that hinge date, canceling wine club, or swapping your favorite yoga class for a run outside instead). 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Individuals are most infectious early in the disease."}],"markDefs":[],"style":"normal"},{"_key":"c39adb0ae204","_type":"block","children":[{"_key":"c39adb0ae2040","_type":"span","marks":["strong"],"text":"2. Viral load (how much of the virus is present in an individual) does not necessarily correlate with the isolation of the virus. In layperson terms, you can be carrying and transmitting the virus *and* be completely symptom-free."}],"markDefs":[],"style":"normal"},{"_key":"5a2a54eadbbd","_type":"block","children":[{"_key":"5a2a54eadbbd0","_type":"span","marks":[],"text":"With restricted accessibility and availability to testing right now, one of the greatest measures we can take from a public health imperative is to engage in social distancing. This is because viruses spread easily in dense places (think: a packed subway car, a political rally, or a concert). Social distancing is a spectrum of measures that can be taken to increase the physical space between people in an effort to slow the spread of this virus."}],"markDefs":[],"style":"normal"},{"_key":"2369b328967b","_type":"editorialImageCarousel","items":[{"_key":"12d53cf0cf81","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-b21456f58736739245c4fea78dab025596ab4117-2103x842-png","_type":"reference"}}}}],"spacing":"pys"},{"_key":"1bdc6235dede","_type":"block","children":[{"_key":"1bdc6235dede0","_type":"span","marks":[],"text":"But what about local businesses? What about people who are financially unable to purchase adequate provisions or work from home? What about considerations for public school closings and the children who only receive meals at school?"}],"markDefs":[],"style":"normal"},{"_key":"6e4202ee7324","_type":"block","children":[{"_key":"6e4202ee73240","_type":"span","marks":[],"text":"There aren’t easy answers. But if you have extra resources we encourage you to donate, check-in with loved ones, and members of your community who may be in need."}],"markDefs":[],"style":"normal"},{"_key":"1680cb8b6a27","_type":"editorialImageCarousel","items":[{"_key":"840cbbc22193","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-815484b03ac66c237e154152daa81d310ebce817-2103x195-png","_type":"reference"}}}}]},{"_key":"a96a78e38025","_type":"block","children":[{"_key":"a96a78e380250","_type":"span","marks":[],"text":"As of now, the Department of State is advising U.S. citizens to reconsider all travel abroad. Many areas throughout the world are experiencing coronavirus outbreaks and taking actions that limit mobility (including everything from quarantines to border restrictions)."}],"markDefs":[],"style":"normal"},{"_key":"1a75bfbc9f5e","_type":"editorialImageCarousel","items":[{"_key":"bfce6b14c254","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-0573a6638628b9ddd5fc8ff947443d67643c1cee-2103x1042-png","_type":"reference"}}}}]},{"_key":"752626dacb99","_type":"block","children":[{"_key":"752626dacb990","_type":"span","marks":[],"text":"Global travel is only one aspect of this perspective. Unfortunately, we are able to see examples of healthcare systems that are completely overburdened by this virus. Our actions on an individual and local level must be considered as an ethical imperative for not only our own communities but also at a global level. It is our responsibility to work to ensure that our healthcare system does not grow overburdened. It is through small everyday choices that we can make an impact on the health and safety for all."}],"markDefs":[],"style":"normal"},{"_key":"2df8b636802d","_type":"block","children":[{"_key":"2df8b636802d0","_type":"span","marks":[],"text":"At Tia, we recommend taking some time to build out a social contract that works *you*. 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Tia, we work to take an approach that is proactive as opposed to reactive. With this in mind, we want to help you prepare mentally, physically, and emotionally in this continually changing landscape of coronavirus."}],"markDefs":[],"style":"large"},{"_key":"5e173cca12c9","_type":"block","children":[{"_key":"5e173cca12c90","_type":"span","marks":[],"text":"In the following, you will find a breakdown of some of the terms you are likely hearing on repeat and the actionable things you can do to prepare for any scenario — with confidence."}],"markDefs":[],"style":"normal"},{"_key":"2b58b67061d0","_type":"sectionHeader","title":"Real talk, what is quarantine and how does it work?"},{"_key":"3449573a9770","_type":"block","children":[{"_key":"3449573a97700","_type":"span","marks":["strong"],"text":"Quarantines"},{"_key":"3449573a97701","_type":"span","marks":[],"text":" help to protect the public by preventing exposure to people who have or may have a contagious disease. Quarantine guidance comes from elected officials and can be mandated to protect the public by preventing exposure and encouraging containment. separates and restricts the movement of people who were exposed to a contagious disease to see if they become sick."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"a1f8064a6f67","_type":"block","children":[{"_key":"a1f8064a6f670","_type":"span","marks":["strong"],"text":"Here are the definitions to some other terms you might be hearing a lot of:"}],"markDefs":[],"style":"h4"},{"_key":"950c2199ce6d","_type":"block","children":[{"_key":"950c2199ce6d0","_type":"span","marks":["strong"],"text":"Isolation"},{"_key":"950c2199ce6d1","_type":"span","marks":[],"text":" separates sick people with a contagious disease from people who are not sick."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"f48ad4fd815b","_type":"block","children":[{"_key":"f48ad4fd815b0","_type":"span","marks":["strong"],"text":"Social distancing"},{"_key":"f48ad4fd815b1","_type":"span","marks":[],"text":" is the practice of limiting exposure to the general public. This means avoiding crowded places, groups, events, and working from home if that option is available."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"0afa0fcffa8a","_type":"sectionHeader","title":"How do I (and should I) prepare?"},{"_key":"4aa247058e6f","_type":"block","children":[{"_key":"4aa247058e6f0","_type":"span","marks":[],"text":"To be extra clear, NYC is *not* in a mass state of quarantine like Italy. All that said, preparation is smart for all of us — especially given the speed at which things are changing. With this in mind, here are our quick recs for the varying degrees of quarantine and isolation"}],"markDefs":[],"style":"normal"},{"_key":"5d8986c28dab","_type":"block","children":[{"_key":"5d8986c28dab0","_type":"span","marks":["strong"],"text":"#1: Stock up on your meds"}],"markDefs":[],"style":"h4"},{"_key":"c0b956868129","_type":"block","children":[{"_key":"c0b9568681290","_type":"span","marks":[],"text":"If you take any prescriptions or over-the-counter medications regularly, we recommend stocking up and having an extra month supply in the case that you are not able to get to a pharmacy."}],"markDefs":[],"style":"normal"},{"_key":"e7d61ca16a14","_type":"block","children":[{"_key":"e7d61ca16a140","_type":"span","marks":[],"text":"Starting tomorrow, your Tia Care Team is here to help you prep your medicine cabinet (think: getting your birth control refilled ahead of schedule or any other important medications!)."}],"markDefs":[],"style":"normal"},{"_key":"59ae8676adc7","_type":"block","children":[{"_key":"59ae8676adc70","_type":"span","marks":[],"text":"Stay tuned for more on Virtual Visits from Tia tomorrow."}],"markDefs":[],"style":"normal"},{"_key":"4184108d7692","_type":"block","children":[{"_key":"4184108d76920","_type":"span","marks":["strong"],"text":"#2: Fill up your pantry (and your fridge)!"}],"markDefs":[],"style":"h4"},{"_key":"0029e42007da","_type":"block","children":[{"_key":"0029e42007da0","_type":"span","marks":[],"text":"While there’s been a land grab for hand sanitizer, TP and bleach, don’t forget that it’s food (preferably non-perishable, nutrient-backed food!) that is especially critical to stock up on!"}],"markDefs":[],"style":"normal"},{"_key":"7bb411241527","_type":"block","children":[{"_key":"7bb4112415270","_type":"span","marks":[],"text":"We recommend you get enough frozen and non-perishable foods for a few weeks of eating at home. Look out for a special edition #FoodAsMedicine pantry prep guide coming out in the following week."}],"markDefs":[],"style":"normal"},{"_key":"c9940013f0d3","_type":"block","children":[{"_key":"c9940013f0d30","_type":"span","marks":[],"text":"If you’re a filtered-water person, make sure yours is in tip-top shape and buy an extra as back up!"}],"markDefs":[],"style":"normal"},{"_key":"d7517e764d57","_type":"block","children":[{"_key":"d7517e764d570","_type":"span","marks":["strong"],"text":"#3: Nerd out on logistics for you & your loved ones."}],"markDefs":[],"style":"h4"},{"_key":"68b0e0f05bf0","_type":"block","children":[{"_key":"68b0e0f05bf00","_type":"span","marks":[],"text":"Whether it’s adapting to a WFH schedule, prepping childcare, or thinking through how to protect older relatives who are at greater risk, it’s worth thinking through logistics ahead of time. Over-planning and over-communicating is the name of the game!"}],"markDefs":[],"style":"normal"},{"_key":"a469f457bd90","_type":"block","children":[{"_key":"a469f457bd900","_type":"span","marks":[],"text":"Lastly, remember that we all deal differently — some may want to take greater protective measures like skipping out on a concert or big birthday party. Others may be less concerned or in communities with less risk of exposure. The point is that this is all so personal, you have to account for the individualized factors in *your* life."}],"markDefs":[],"style":"normal"},{"_key":"79868c5db1be","_type":"block","children":[{"_key":"79868c5db1be0","_type":"span","marks":[],"text":"Oh and don’t forget to 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The majority of them are bacteria, some are tiny fungi microbes, and others are viruses that can infect microorganisms and cells. Every day your body is attacked by billions of microscopic invaders. "}],"markDefs":[],"style":"large"},{"_key":"6e397782cfb9","_type":"block","children":[{"_key":"6e397782cfb90","_type":"span","marks":[],"text":"The immune system, composed of a network of cells, tissues, and their products, is on a constant lookout for pathogens (microorganisms, bacteria, or viruses that can cause disease) that are trying to infiltrate your body. As a result, your body is swimming with different kinds of immune cells — some bear the memory of past infections in preparation for future encounters, some vigorously destroy foreign microbes, and others act as a patrol."}],"markDefs":[],"style":"normal"},{"_key":"0e085434460d","_type":"sectionHeader","title":"The Immune System"},{"_key":"1363d2d8549a","_type":"block","children":[{"_key":"1363d2d8549a0","_type":"span","marks":[],"text":"The immune system can be divided into two main groups: the innate immune system and the adaptive immune system."}],"markDefs":[],"style":"normal"},{"_key":"fd0719c806ce","_type":"editorialImageCarousel","items":[{"_key":"0f7757b71a68","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-5d9131740d4df003b70090536bf5eb62d222269e-2103x792-png","_type":"reference"}}}}]},{"_key":"cb129f66abec","_type":"block","children":[{"_key":"cb129f66abec0","_type":"span","marks":[],"text":"If a foreign virus slips past the physical and chemical mechanisms (eg. the skin or mucus lining the inside the nose), it is met by the innate immune system. The innate immune system responds rapidly with inflammation and engages macrophages and neutrophils, white blood cells that devour, eat, and engulf foreign particles. They express receptors that can sense the presence of a foreign invader and sound a cytokine alarm to the rest of the body, like a loudspeaker announcing that an intruder has sneaked in. Innate immunity is activated in all kinds of injuries and illnesses, everything from a scrape on your leg to a splinter on your big toe."}],"markDefs":[],"style":"normal"},{"_key":"c82f399d546e","_type":"block","children":[{"_key":"c82f399d546e0","_type":"span","marks":[],"text":"Now and again, a microbe comes along that gets past the innate immune system. That is when the adaptive immune system, a true powerhouse, rallies to fight back. Only vertebrates (species with backbones like us) have adaptive immune systems, the third layer of defense that adapts to protect against foreign pathogens. Over 99% of organisms on Earth don’t have adaptive immune systems and get along fine with only natural barriers and the innate immune system for defense."}],"markDefs":[],"style":"normal"},{"_key":"072d5f18d7ad","_type":"block","children":[{"_key":"072d5f18d7ad0","_type":"span","marks":[],"text":"When you get a cold, flu, or the novel coronavirus, cells within your adaptive immune system rush out to identify the sickness. Your adaptive defenses come to the rescue by recruiting and activating a specialized team of while blood cells that are best equipped to fight the specific pathogen. For example, if you get infected with E. coli (the pesky bacteria that can cause food poisoning), white blood cells that recognize particular molecules on E. coli are activated. When the human immune system is given time to prepare, it can produce defenses that protect against foreign invaders."}],"markDefs":[],"style":"normal"},{"_key":"83ceab449cfd","_type":"sectionHeader","title":"On Antibodies"},{"_key":"471fcccb9790","_type":"block","children":[{"_key":"471fcccb97900","_type":"span","marks":[],"text":"The adaptive immune system is unique because it creates a special protein complex called an antibody (also referred to as immunoglobulin). Specialized white blood cells produce antibodies, which are uniquely designed to look for antigens, a specific structure found on a foreign virus or particle. Antibodies adhere to antigens, which then signal the immune system to destroy the foreign invader. Although antibodies are incredibly important to defend against pathogens, they do not kill anything! Their job is only to plant the kiss of death on the microbe — tagging it for destruction."}],"markDefs":[],"style":"normal"},{"_key":"649468365586","_type":"editorialImageCarousel","items":[{"_key":"3a996c978479","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-dd28afb65b53bd31e980f7680df9e1adbe09c0f0-2103x929-png","_type":"reference"}}}}]},{"_key":"6d4112673897","_type":"block","children":[{"_key":"6d41126738970","_type":"span","marks":[],"text":"White blood cells created in bone marrow can mature and become antibody factories. It can take antibodies a couple of weeks to develop after being exposed to a virus. IgG has reliably shown up on antibody tests 3- 14 days after a Covid-19 infection."}],"markDefs":[],"style":"normal"},{"_key":"0be06c721645","_type":"block","children":[{"_key":"0be06c7216450","_type":"span","marks":[],"text":"Antibodies stick around for differing amounts of time depending on the illness, creating an immunological memory. This means you are reinfected, the adaptive immune system can bounce into action quickly. Scientists believe SARS antibodies stay in the body for 2 years and MERS antibodies are maintained for almost 3 years. Because Covid-19 is a novel virus, we do not know for sure how long these antibodies last. However, experts generally agree that, based on experience with other viruses, the presence of antibodies does confer some level of protection. In a recent study, researchers infected volunteers with a seasonal coronavirus and around a year later, infected them with the same or similar virus. All of the participants either experienced full or partial protection."}],"markDefs":[],"style":"normal"},{"_key":"b3f9ab293109","_type":"sectionHeader","title":"Antibody Tests"},{"_key":"9bb084c727bf","_type":"block","children":[{"_key":"9bb084c727bf0","_type":"span","marks":[],"text":"Antibody tests also called serology tests, take a sample of your blood to test if your immune system has produced any antibodies in response to an infection. These tests can tell you if you were previously infected but they cannot detect active infections or recovery."}],"markDefs":[],"style":"normal"},{"_key":"273ff965f558","_type":"block","children":[{"_key":"273ff965f5580","_type":"span","marks":[],"text":"The is currently a lot of concern about the accuracy of Covid-19 antibody tests. Accuracy is based on sensitivity and specificity, this is tricky because the tests have to be sensitive enough to detect the presence of IgG-specific antibodies and specific enough to avoid accidentally produce a positive result. "}],"markDefs":[],"style":"normal"},{"_key":"276a2873923c","_type":"block","children":[{"_key":"276a2873923c0","_type":"span","marks":[],"text":"Tia is now offering in partnership with Quest the Abbott antibody test, which is 99.1% accurate. 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It is small steps and bits of information that help scientists build a robust understanding and system to address disease, not much different than the information an antibody holds to respond to infection and protect."}],"markDefs":[],"style":"normal"},{"_key":"f506dd83cb65","_type":"cta","backgroundColor":"bcraspberry","text":[{"_key":"f131d27ba34e","_type":"block","children":[{"_key":"f131d27ba34e0","_type":"span","marks":[],"text":"Ready to get tested?"}],"markDefs":[],"style":"h2"},{"_key":"f37eecd52017","_type":"buttonBlock","items":[{"_key":"3589cb5a9453","_type":"singleButton","linkCta":"Book now","linkType":"button","url":"https://asktia.com/member/appointment/schedule"}]},{"_key":"a360a0733f50","_type":"block","children":[{"_key":"a360a0733f500","_type":"span","marks":[],"text":"Not a member? 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Pfizer’s data showed a dramatic divergence in efficacy:"}],"markDefs":[],"style":"normal"},{"_key":"8088cb1094e1","_type":"editorialImageCarousel","items":[{"_key":"af6092f6578c","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-905623f30657f8d897d5704f44aab4f569234f2f-2103x1044-png","_type":"reference"}}},"text":[{"_key":"27386bf525f4","_type":"block","children":[{"_key":"01faee2d4812","_type":"span","marks":[],"text":"2 doses is pretty standard for vaccines!"}],"markDefs":[],"style":"normal"}]}]},{"_key":"546597925d22","_type":"block","children":[{"_key":"2a7b2f5ab2ea","_type":"span","marks":["strong"],"text":"What are the short-term side effects?"}],"markDefs":[],"style":"h3"},{"_key":"d825e2a9f300","_type":"block","children":[{"_key":"e5e0a2cae577","_type":"span","marks":[],"text":"A small percentage of patients who’ve received the vaccine have experienced..."}],"markDefs":[],"style":"normal"},{"_key":"01870ac34c6b","_type":"block","children":[{"_key":"f4998fa25bc1","_type":"span","marks":[],"text":"high fevers"}],"level":1,"listItem":"bullet","markDefs":[{"_key":"59d785fa0065","_type":"annotation"}],"style":"normal"},{"_key":"21b74ae8df1e","_type":"block","children":[{"_key":"8ee2cffc3145","_type":"span","marks":[],"text":"arm swelling"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"543bcab7619b","_type":"block","children":[{"_key":"a63fe56145ee","_type":"span","marks":[],"text":"joint pain"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"67f401a6c2c7","_type":"block","children":[{"_key":"aac67e08bfd6","_type":"span","marks":[],"text":"fatigue"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"4ba55b13ea4f","_type":"block","children":[{"_key":"e660b495e286","_type":"span","marks":[],"text":"These side-effects are normal. On a larger scale, when a whole country is vaccinated, millions of people will experience some, or all, of these symptoms.\n\nOther common reactions include:"}],"markDefs":[],"style":"normal"},{"_key":"185e3194cb2a","_type":"block","children":[{"_key":"e8af8a7c8ae8","_type":"span","marks":[],"text":"soreness, swelling, or redness at the injection site"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"471f203cce8d","_type":"block","children":[{"_key":"79b58340f391","_type":"span","marks":[],"text":"headache"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"62e446fbbafd","_type":"block","children":[{"_key":"f9b3825727e2","_type":"span","marks":[],"text":"nausea"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"8549ee063a23","_type":"block","children":[{"_key":"51843b128021","_type":"span","marks":[],"text":"muscle stiffness & aches"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"199c8c1e3d0b","_type":"block","children":[{"_key":"438b81cbbf74","_type":"span","marks":[],"text":"These effects are just what happens when your body is responding to a foreign protein and building an immune response to the disease — this is a good thing!"}],"markDefs":[],"style":"normal"},{"_key":"cce93f5cb215","_type":"block","children":[{"_key":"c52d00b21d95","_type":"span","marks":[],"text":"What about allergic reactions?"}],"markDefs":[],"style":"h3"},{"_key":"7319357ed2b3","_type":"editorialImageCarousel","items":[{"_key":"af6092f6578c","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-006cf58101140edd6ac4833294667e6a16b343ef-2103x1044-png","_type":"reference"}}}}]},{"_key":"1f4eb20b8d1b","_type":"block","children":[{"_key":"06d81ee8ba4b","_type":"span","marks":[],"text":"Should I get the vaccine if I’ve had Covid?"}],"markDefs":[],"style":"h3"},{"_key":"d2f083df6ad0","_type":"block","children":[{"_key":"e44ae95f7a24","_type":"span","marks":[],"text":"Yes! Early data strongly suggests that the mRNA vaccines will be more protective than protections from a previous infection."}],"markDefs":[],"style":"normal"},{"_key":"f26557263c13","_type":"editorialImageCarousel","items":[{"_key":"f9190eaa4163","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-e5c47ceb5c39842e84dbbd5f7204832c470509c7-2103x766-png","_type":"reference"}}}}]},{"_key":"5df85e91bd69","_type":"block","children":[{"_key":"8fbd86e6158c","_type":"span","marks":[],"text":"What are the long-term side effects?"}],"markDefs":[],"style":"h3"},{"_key":"2e3e4699b8ba","_type":"block","children":[{"_key":"1c724e0da280","_type":"span","marks":[],"text":" There is limited information on long-term side effects yet but based on a long history of vaccines. 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We’re doing exactly that with regular drops of THE DOSE, your science-backed guide to all things Covid-19 vaccines."}],"markDefs":[],"style":"normal"},{"_key":"e8410a1eb250","_type":"block","children":[{"_key":"2be8cca6706b","_type":"span","marks":["em"],"text":"THE DOSE is brought to you by geneticist and evolutionary biologist, "},{"_key":"4f4af212a3d9","_type":"span","marks":["em","d1d7e2448576"],"text":"Dr. Ava Mainieri, Head of Research at Tia"},{"_key":"4b5f0ab1134d","_type":"span","marks":["em"],"text":"."}],"markDefs":[{"_key":"d1d7e2448576","_type":"internalLink","linkType":"text","reference":{"_ref":"620445e8-cfbd-40b4-9bd3-1742868efe78","_type":"reference"}}],"style":"normal"},{"_key":"74d850d953ad","_type":"block","children":[{"_key":"ea4d8f8f7e13","_type":"span","marks":[],"text":"At Tia, we take a distinctly female approach. From anatomical and physiological distinctions to biosocial factors to the complexity of a female’s hormonal milieu, we know female health is fundamentally distinct from male health."}],"markDefs":[],"style":"large"},{"_key":"76d274187b40","_type":"block","children":[{"_key":"48ac9f3c8b3e","_type":"span","marks":[],"text":"First, let’s talk about vaccines & women"}],"markDefs":[],"style":"h3"},{"_key":"f3387f21fb6e","_type":"block","children":[{"_key":"4ac0cbc2e067","_type":"span","marks":[],"text":"While women were included in the Covid vaccine trials, there is still more to learn about sex-specific responses. From a long history of vaccine use, we do know how vaccines generally affect women."}],"markDefs":[],"style":"normal"},{"_key":"65a95b9a434c","_type":"editorialImageCarousel","items":[{"_key":"b57fe45ecc1e","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-10d4758526db53599d950930fcee005e4b7dcdc5-1400x606-png","_type":"reference"}}}}]},{"_key":"406a6fda17f5","_type":"block","children":[{"_key":"80441d6e9c2a","_type":"span","marks":[],"text":"The greater the immune response, the greater the protection you get from a vaccine."}],"markDefs":[]},{"_key":"97800a6a5426","_type":"block","children":[{"_key":"7959052b10f2","_type":"span","marks":[],"text":"Women have stronger immune responses to:"}],"markDefs":[],"style":"normal"},{"_key":"d9693b3d0513","_type":"block","children":[{"_key":"af3ae9e4d9d5","_type":"span","marks":[],"text":"foreign antigens — this a benefit when fighting infections and vaccines"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9e876691045d","_type":"block","children":[{"_key":"5d77bdf7a293","_type":"span","marks":[],"text":"self-antigens — this causes greater susceptibility to autoimmune 
diseases "}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"a112f6e53c0d","_type":"editorialImageCarousel","items":[{"_key":"634daabf219b","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-a84841b450757d5a3fa2aa878a3ad16b04f56abe-1400x606-png","_type":"reference"}}}}]},{"_key":"708a9b520fda","_type":"block","children":[{"_key":"d6fa8bde2d98","_type":"span","marks":[],"text":"Conception & fertility "}],"markDefs":[],"style":"h3"},{"_key":"04665be8bcae","_type":"block","children":[{"_key":"716b3cedd8cb","_type":"span","marks":[],"text":"There is no evidence — clinical or theoretical — that the Covid-19 vaccines cause infertility. The American College of Obstetricians and Gynecologists recommends getting the vaccine even if you are trying to conceive. Patients undergoing fertility treatments should get vaccinated too! "},{"_key":"d6bddae8f99c","_type":"span","marks":["a56416da6249"],"text":"There’s no evidence of increased risk of infertility, first or second-trimester loss, stillbirth, or congenital abnormalities from the Covid-19 vaccine."}],"markDefs":[{"_key":"a56416da6249","_type":"annotation","text":[{"_key":"8414b9846664","_type":"block","children":[{"_key":"3aa6c07fbcd9","_type":"span","marks":[],"text":"During recent Covid vaccine trials, some female participants got pregnant. They did not experience adverse events and had healthy pregnancies."}],"markDefs":[],"style":"normal"}]}],"style":"normal"},{"_key":"63d71861ea8a","_type":"block","children":[{"_key":"bbfdc9b81566","_type":"span","marks":[],"text":"Pregnancy"}],"markDefs":[],"style":"h3"},{"_key":"1bf172a7bf8d","_type":"editorialImageCarousel","items":[{"_key":"051f25e6d9ed","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-d9a6a4eb53a331a99f899260fd92e9c2a9a5e79e-1400x606-png","_type":"reference"}}}}]},{"_key":"7bbcbf061b52","_type":"block","children":[{"_key":"2640007e5eb3","_type":"span","marks":[],"text":"It is high-risk for a mom & baby to contract Covid but we know that vaccine safety data is strong. Getting vaccines while pregnant is normal, recommended & safe. Pregnant women regularly get seasonal flu, hepatitis B, whooping cough, and T dap vaccines. The safest choice for mom and baby is to get vaccinated!"}],"markDefs":[],"style":"normal"},{"_key":"bda268418b85","_type":"block","children":[{"_key":"0285b9bf1edb","_type":"span","marks":[],"text":"Risk benefit analysis"}],"markDefs":[],"style":"h4"},{"_key":"c46d4fe419c5","_type":"block","children":[{"_key":"f96273893d59","_type":"span","marks":[],"text":"The CDC estimates that pregnant women who contract Covid-19 are at a 3x higher risk of requiring admission to an ICU or requiring a ventilator and at a 70% higher risk of death than their non pregnant peers.\n\nWith 30 years of clinical data on mRNA treatment & vaccines, the Tia Care Team believes that the benefit of the vaccine outweighs any theoretical risks."}],"markDefs":[],"style":"normal"},{"_key":"a5603247cc15","_type":"block","children":[{"_key":"2d4e4a1bea99","_type":"span","marks":[],"text":"Breastfeeding"}],"markDefs":[],"style":"h3"},{"_key":"6a42f4f80796","_type":"block","children":[{"_key":"8abde9abd1f1","_type":"span","marks":[],"text":"ACOG states that lactating people should be offered the vaccine with no theoretical risks. The Academy of Breastfeeding Medicine encourages moms to continue breastfeeding post-vaccination. There are even benefits: vaccinated lactaters pass protective antibodies through milk to their babies."}],"markDefs":[],"style":"normal"},{"_key":"05955e8baa79","_type":"block","children":[{"_key":"304bda288070","_type":"span","marks":[],"text":"In summary..."}],"markDefs":[],"style":"h3"},{"_key":"06b399d79134","_type":"block","children":[{"_key":"1197ae21fd33","_type":"span","marks":[],"text":"Vaccines are safe & often more effective in women."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"f4fa98192447","_type":"block","children":[{"_key":"28bc689ce9f0","_type":"span","marks":[],"text":"If you are pregnant, trying to conceive, or breastfeeding, the Tia Care Team recommends the Covid vaccine. The benefits outweigh the risks."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"4d721def598b","_type":"block","children":[{"_key":"d3ebdbe6d95f","_type":"span","marks":[],"text":"No two patients are the same. We recommend a 1:1 discussion with your Tia provider to discuss the safety of the Covid vaccine for you & your needs."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"19cce2419caf","_type":"block","children":[{"_key":"cb849742b176","_type":"span","marks":["strong"],"text":"THE DOSE is your science-backed guide to Covid-19 vaccines, from Tia. In service of science-backed public health, share THE DOSE with a friend!"}],"markDefs":[],"style":"normal"},{"_key":"af571a51c6fa","_type":"block","children":[{"_key":"bc3a91f45708","_type":"span","marks":[],"text":"SOURCES"}],"markDefs":[],"style":"h5"},{"_key":"e78b4eb7c053","_type":"block","children":[{"_key":"595360f00710","_type":"span","marks":[],"text":"1. Flanagan, K. L., Fink, A. L., Plebanski, M., & Klein, S. L. (2017). Sex and Gender Differences in the Outcomes of Vaccination over the Life Course. Annual review of cell and developmental biology, 33, 577–599. https://doi.org/10.1146/annurev-cellbio-100616-060718\n\n2. Klein, S. L., Dhakal, S., Ursin, R. L., Deshpande, S., Sandberg, K., & Mauvais-Jarvis, F. (2020). Biological sex impacts COVID-19 outcomes. PLoS pathogens, 16(6), e1008570. https://doi.org/10.1371/journal.ppat.1008570\n\n3. Morbidity and Mortality Weekly Report (MMWR). (2021, January 15). Retrieved January 15, 2021, from https://www.cdc.gov/mmwr/index.html\n\n4. Scully, E. P., Haverfield, J., Ursin, R. L., Tannenbaum, C., & Klein, S. L. (2020). Considering how biological sex impacts immune responses and COVID-19 outcomes. Nature reviews. Immunology, 20(7), 442–447. https://doi.org/10.1038/s41577-020-0348-8\n\n5. Stevens, E. (n.d.). ABM Statement: Considerations for COVID-19 Vaccination in Lactation. Retrieved January 15, 2021, from https://abm.memberclicks.net/abm-statement-considerations-for-covid-19-vaccination-in-lactation"}],"markDefs":[],"style":"small"}],"image":{"_type":"image","asset":{"_ref":"image-654c9cbdf05a7795f5a206a10e98936fb9c62566-1400x472-png","_type":"reference"}},"modules":[{"_key":"0ab54760d6f8","_type":"furtherReading","articles":[{"_key":"aa20a4edd974","_ref":"1ca555ff-e20e-4ea1-9a0c-7ee4e82ff646","_type":"reference"},{"_key":"3d4e4d32dd19","_ref":"ec340f5f-8022-4846-8122-dba8db963129","_type":"reference"},{"_key":"cc7607d18ef1","_ref":"a8e579e5-f50e-4816-95bb-726b7b1fce9d","_type":"reference"}],"title":"MORE READS"}],"publishedAt":"2021-01-19T10:00:00.000Z","slug":{"_type":"slug","current":"the-dose-the-covid-19-vaccine-for-women"},"status":"production","subTitle":"THE DOSE","title":"What women need to know about the Covid-19 vaccines","topics":[{"_key":"9cf43a09310e","_ref":"f7cd4d35-238d-4aef-85e3-748808982d9b","_type":"reference"}]},"metaInformation":{"_type":"metaCard","metaDescription":"What women need to know about the Covid-19 vaccine.","metaTitle":"THE DOSE: The Covid-19 Vaccine for Women","openGraphDescription":"What women need to know about the Covid-19 vaccine.","openImage":{"_type":"image","asset":{"_ref":"image-e27be74d89f070514b01525dca7b981447a9bff5-7500x2400-png","_type":"reference"},"crop":{"_type":"sanity.imageCrop","bottom":0,"left":0.2848360655737704,"right":0.2151639344262296,"top":0},"hotspot":{"_type":"sanity.imageHotspot","height":1,"width":0.5,"x":0.5348360655737704,"y":0.5}},"title":"THE DOSE: The Covid-19 Vaccine for Women","twitterDescription":"What women need to know about the Covid-19 vaccine.","twitterImage":{"_type":"image","asset":{"_ref":"image-e27be74d89f070514b01525dca7b981447a9bff5-7500x2400-png","_type":"reference"},"crop":{"_type":"sanity.imageCrop","bottom":0,"left":0.2889344262295081,"right":0.14754098360655732,"top":0},"hotspot":{"_type":"sanity.imageHotspot","height":1,"width":0.4385245901639345,"x":0.5081967213114753,"y":0.5}},"twitterTitle":"THE DOSE: The Covid-19 Vaccine for Women"}},"id":"a96861bd-f12e-519d-8589-a54080f224bd","parent":null,"children":[],"internal":{"type":"SanityEditorial","contentDigest":"fee94aa50981a2eda2dca986e8a481d1","counter":183,"owner":"gatsby-source-sanity"}}],"title":"More reads"}],"publishedAt":"2020-05-08T04:00:00.000Z","slug":{"_type":"slug","current":"what-s-the-deal-with-antibodies"},"status":"production","subTitle":"The macro and micro point of view.","title":"How do Covid-19 antibodies work?","topics":[{"_id":"f7cd4d35-238d-4aef-85e3-748808982d9b","_type":"topic","_createdAt":"2020-08-09T18:56:23Z","_rev":"RdixGn6lpDGH89K9LFG39m","_updatedAt":"2022-09-15T12:22:15Z","slug":{"_type":"slug","current":"covid-19"},"title":"Covid-19","id":"893a1aa4-a40f-5f89-821e-2eb61cd455ec","parent":null,"children":[],"internal":{"type":"SanityTopic","contentDigest":"65a113832d02e8ac1526f273ca84b4b3","counter":2892,"owner":"gatsby-source-sanity"}}]},"metaInformation":{"_type":"metaCard","metaDescription":"People talk about testing positive for COVID-19 antibodies—but what does that mean? 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