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She has learned how to set boundaries in her personal, social and work lives to avoid feeling burnt out, over-extended and drained. In this age of “self care,” she gives her body and mind the rest, movement and love that she needs to feel good. A well-women can speak up for herself; knowing when to ask her community for help, when to back down and when to say no. She recognizes her imperfections but loves herself regardless, knowing that she is enough."}],"markDefs":[],"style":"normal"},{"_key":"4ed4835bf2c5","_type":"block","children":[{"_key":"4ed4835bf2c50","_type":"span","marks":[],"text":"What’s the most important thing you’ve learned about yourself over the last decade?"}],"markDefs":[],"style":"h4"},{"_key":"a61639d86714","_type":"block","children":[{"_key":"a61639d867140","_type":"span","marks":[],"text":"Over the past decade, I have learned to trust myself. I’ve always been the type of person who calls a million friends before making any sort of decision. Maybe it’s my Gemini nature, but I’ve always struggled to finalize my choices and feel confident about what I wanted. No matter how big, (should I move to New York City?) to how small (should I eat that cookie?) I’ve doubted myself and my ability to know and more so, to trust what I really wanted. In the last decade, however, I have learned to listen to my intuition, to know that I am fully capable of making my own choices, and while I can (and do) still turn to friends to talk something over, I am the one who need to decide. Trusting myself is everything."}],"markDefs":[],"style":"normal"},{"_key":"1c758a57c35b","_type":"block","children":[{"_key":"1c758a57c35b0","_type":"span","marks":[],"text":"If you could go back in time, what do you wish you knew about your health that you know now?"}],"markDefs":[],"style":"h4"},{"_key":"48b9c257b05d","_type":"block","children":[{"_key":"48b9c257b05d0","_type":"span","marks":[],"text":"I wish I knew that things take time, that patience is everything and that sometimes you can’t fix yourself. I wish I knew that taking care of myself every day and having a self-care routine, no matter how small, is essential to my mental, physical and emotional wellbeing. As much as we may think we can, we can’t overextend ourselves and expect our bodies to keep up. I didn’t understand the value of listening to my own my body’s cues; hunger signs, fatigue, headaches or sore muscles and because of this, I didn’t know when to stop or slow down. Through trial and error, I have since learned to listen, I appreciate that I discover more and more about my body and myself with every year that passes by."}],"markDefs":[],"style":"normal"},{"_key":"1ef0b020e50e","_type":"block","children":[{"_key":"1ef0b020e50e0","_type":"span","marks":[],"text":"If you could wave a magic wand and change one aspect of women’s healthcare, what would it be?"}],"markDefs":[],"style":"h4"},{"_key":"a8bec51b28d2","_type":"block","children":[{"_key":"a8bec51b28d20","_type":"span","marks":[],"text":"I would change how we talk about sex, about body acceptance and self-care. I’m grateful that the idea of self-care and self-love are finally gaining traction as wellness trends that promise a relaxed mind and rested body are suddenly everywhere. I wish that sex conversations were more diverse, more inclusive and more open from the start. Knowing that we can have sex that is different from what we read about in Cosmo, see in health class or on Sex & The City can be life-changing to someone who doesn’t fit into that hetero-normative box. We have so much shame and guilt around sex, especially when something isn’t right or isn’t “normal.” Luckily, due to more queer and diverse visibility in mainstream media, this is finally starting to change, but we still have a lot of work to do, especially in the healthcare world. This is one of the reasons I’m so excited to work with Tia."}],"markDefs":[],"style":"normal"},{"_key":"83098141acc4","_type":"block","children":[{"_key":"83098141acc40","_type":"span","marks":[],"text":"Tell me about your journey to acupuncture. What drew you to it?"}],"markDefs":[],"style":"h4"},{"_key":"0acccec6b46c","_type":"block","children":[{"_key":"0acccec6b46c0","_type":"span","marks":[],"text":"I started getting acupuncture when I was in undergrad. I was a creative writing major and while working on my thesis, I got tendonitis from writing all the time. I didn’t have healthcare or an expendable income, but luckily, someone recommended that I go to an acupuncturist who was able to be flexible with pricing. I decided to go and within a few treatments, not only was my wrist feeling better, but the treatments helped to reduce anxiety, lift my moods and energy. I was so amazed at how these little needles were able to do so much — I was instantly hooked. Even more so, the questions that Chinese Medicine brings up and asks of us led me to examine my body in ways I had never considered; did my headaches come on before my period or after? What kinds of foods did I crave? Do I feel rested when I wake up? Do I sweat at night?"}],"markDefs":[],"style":"normal"},{"_key":"1c7ec043d9d2","_type":"block","children":[{"_key":"1c7ec043d9d20","_type":"span","marks":[],"text":"I had battled an eating disorder for years — I didn’t understand how my mind and body were a part of the same circuit. With the support of acupuncture and the self-awareness it encouraged me to have, I was able to reconnect to parts of myself I thought were lost. I became drawn to this medicine because of how balanced, supportive and customized it is. Two people may both have period pain, but their remedies can be entirely different because they are not the same. This is an idea that seems so simple and even so, I think conventional medicine often strays from this belief. I think Chinese Medicine is magical in how it works; helping people regain body awareness through supporting them to find balance and encouraging them to make small, everyday changes towards a balanced lifestyle."}],"markDefs":[],"style":"normal"},{"_key":"279aa15bc3d7","_type":"editorialImageCarousel","items":[{"_key":"e46b94823985","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_id":"image-1897f1ab8bc281f1a8157dbda3fd7f9e1325483b-2400x1336-png","_type":"sanity.imageAsset","_createdAt":"2022-09-27T04:07:34Z","_rev":"gHx1FBwxBrB7MHeWRJ9fAv","_updatedAt":"2022-09-27T04:07:34Z","assetId":"1897f1ab8bc281f1a8157dbda3fd7f9e1325483b","extension":"png","metadata":{"_type":"sanity.imageMetadata","blurHash":"MGR9NcR+-B$%$%$%oLoLWVa|}ss.I;WVNa","dimensions":{"_type":"sanity.imageDimensions","aspectRatio":1.7964071856287425,"height":1336,"width":2400},"hasAlpha":true,"isOpaque":true,"lqip":"data:image/png;base64,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","palette":{"_type":"sanity.imagePalette","darkMuted":{"_type":"sanity.imagePaletteSwatch","background":"#6c472f","foreground":"#fff","population":0.2,"title":"#fff"},"darkVibrant":{"_type":"sanity.imagePaletteSwatch","background":"#4f1107","foreground":"#fff","population":2.87,"title":"#fff"},"dominant":{"_type":"sanity.imagePaletteSwatch","background":"#f4947c","foreground":"#000","population":61.56,"title":"#fff"},"lightMuted":{"_type":"sanity.imagePaletteSwatch","background":"#ac8474","foreground":"#fff","population":0,"title":"#fff"},"lightVibrant":{"_type":"sanity.imagePaletteSwatch","background":"#f4947c","foreground":"#000","population":61.56,"title":"#fff"},"muted":{"_type":"sanity.imagePaletteSwatch","background":"#a57862","foreground":"#fff","population":0.16,"title":"#fff"},"vibrant":{"_type":"sanity.imagePaletteSwatch","background":"#b44434","foreground":"#fff","population":0,"title":"#fff"}}},"mimeType":"image/png","originalFilename":"MeetElana_Inline_1.png","path":"images/8qqycr4y/production/1897f1ab8bc281f1a8157dbda3fd7f9e1325483b-2400x1336.png","sha1hash":"1897f1ab8bc281f1a8157dbda3fd7f9e1325483b","size":101851,"uploadId":"pfFjY4OAYCFmStJR5aybIVeQcvhjnI1Y","url":"https://cdn.sanity.io/images/8qqycr4y/production/1897f1ab8bc281f1a8157dbda3fd7f9e1325483b-2400x1336.png","id":"image-1897f1ab8bc281f1a8157dbda3fd7f9e1325483b-2400x1336-png","parent":null,"children":["3de2b0b7-e199-541c-ac53-b1edde42d62b"],"internal":{"type":"SanityImageAsset","contentDigest":"7fbd3584120a47ad42123eb9327b396d","counter":3576,"owner":"gatsby-source-sanity"}}}}}]},{"_key":"13d133a78723","_type":"block","children":[{"_key":"13d133a787230","_type":"span","marks":[],"text":"How do you see acupuncture complementing conventional medicine?"}],"markDefs":[],"style":"h4"},{"_key":"dace31b6f8a4","_type":"block","children":[{"_key":"dace31b6f8a40","_type":"span","marks":[],"text":"I have found, both personally and clinically that time and time again, acupuncture is able to provide unparalleled support to conventional medicine. Acupuncture and Traditional Chinese Medicine strive to get to the root of why problems and diseases arise by analyzing our everyday patterns and behaviors. As an integrative medicine practitioner, I believe that when balancing health, it’s often necessary to engage with a more holistic and inclusive view to create lasting benefit. By helping to reduce inflammation, balance hormones, relax the nervous system and encourage rest, acupuncture and TCM provide a grounding reset to modes of conventional medicine."}],"markDefs":[],"style":"normal"},{"_key":"5096eb4c07b7","_type":"block","children":[{"_key":"5096eb4c07b70","_type":"span","marks":[],"text":"What is the connection between acupuncture and women’s health?"}],"markDefs":[],"style":"h4"},{"_key":"1a4aadba484f","_type":"block","children":[{"_key":"1a4aadba484f0","_type":"span","marks":[],"text":"Simply put, Traditional Chinese Medicine (TCM) works to restore balance to one’s overall health. For women’s health in particular, there are many moving pieces — stress, sleep, energy, menstrual health, hormonal wellness, and so one. When just one piece to this complicated puzzle goes off track, the whole system is off. TCM works with the body to redirect and recalibrate the imbalances; how blood is flowing, how hormones are rising and falling throughout the cycle, how easy digestion is and so on. Through bringing awareness to the part of the puzzle that has fallen out of place, TCM aims to find the root of the problem. Acupuncture is so good at filling in the gaps of conventional healthcare; it is a subtle medicine with many intricate nuances, not unlike women’s health. The ability of TCM to look at each women as unique creatures and discover a personalized route to health is unmatched."}],"markDefs":[],"style":"normal"},{"_key":"075538ba94e0","_type":"block","children":[{"_key":"075538ba94e00","_type":"span","marks":[],"text":"Why did you join Tia? What is your definition of success for Tia and women’s health more broadly?"}],"markDefs":[],"style":"h4"},{"_key":"84e562dceeb2","_type":"block","children":[{"_key":"84e562dceeb20","_type":"span","marks":[],"text":"I joined Tia because I believe in the mission that women’s health care can be better, can do more. I believe that by working side by side with a multifaceted team of skilled and passionate practitioners, we can better address the common imbalances that women face. I believe that women’s health care should be affordable, approachable, accessible and integrative. Women’s health care should provide solutions, remedies and answers rather than fear, distrust and trauma. I think the success for this clinic will be bringing a diverse group of women together in open conversation about their health to offer encouragement, empowerment and reassurance."}],"markDefs":[],"style":"normal"},{"_key":"81704c647db8","_type":"cta","backgroundColor":"bcbluetint","text":[{"_key":"ab93928e2fd4","_type":"block","children":[{"_key":"ab93928e2fd40","_type":"span","marks":[],"text":"Ready to book acupuncture?"}],"markDefs":[],"style":"h2"},{"_key":"75bbe60c4f95","_type":"buttonBlock","items":[{"_key":"d77205d88529","_type":"singleButton","linkCta":"Book appointment","linkType":"button","url":"https://asktia.com/member/appointment/schedule"}]},{"_key":"85015ba80a59","_type":"block","children":[{"_key":"85015ba80a590","_type":"span","marks":[],"text":"Not a member? 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week we hosted our very first Tia Tackles event — "},{"_key":"a6a756b987cd1","_type":"span","marks":["462761f45d02"],"text":"Dr. Terri-Ann Bennett"},{"_key":"a6a756b987cd2","_type":"span","marks":[],"text":" shared her wisdom and expertise in conversation with Dr. Stephanie McClellan, Chief Medical Officer of Tia. They spoke about the need for patient advocacy for BIPOC, what patient advocates do, and how to weave them through the clinical experience from institutional change to providers to the layperson. Here is some of what we learned."}],"markDefs":[{"_key":"462761f45d02","_type":"externalLink","url":"https://www.instagram.com/drbennettmfm/?hl=en"}],"style":"large"},{"_key":"5cc2d857b25a","_type":"sectionHeader","title":"The basics"},{"_key":"18872cfaaa12","_type":"block","children":[{"_key":"18872cfaaa120","_type":"span","marks":[],"text":"The American healthcare system has a long legacy of racism and discrimination, fuel for the disparity that is pervasive in this system. Navigating the healthcare system is daunting for most, but especially for BIPOC. Due to an array of access barriers, BIPOC not only receive less care than white people but also receive worse care. BIPOC are disproportionately misdiagnosed, under-diagnosed, and mistreated, quality of care directly correlates to worse health outcomes."}],"markDefs":[],"style":"normal"},{"_key":"69c3a1a3bba9","_type":"block","children":[{"_key":"69c3a1a3bba90","_type":"span","marks":[],"text":"Emotional expressions and experience of pain by Black individuals are more likely to be misperceived. Pain is under-diagnosed and under-treated as a result of racial bias. Stereotyping is ever-present in clinical situations, leading certain populations to emphasize specific class and cultural resources such as cultural health capital (cultural skills, attitudes, behaviors, and interaction styles) to leverage and mitigate discrimination."}],"markDefs":[],"style":"normal"},{"_key":"f7a587f59750","_type":"block","children":[{"_key":"f7a587f597500","_type":"span","marks":[],"text":"Epigenetics, the study of inherited genetic trait changes, is a quickly evolving field showing that trauma and its effects may be passed through generations, recognizable through gene expression and cellular activity that is influenced by external factors such as environment. Inherited trauma may be likened to the permanence of scar, the remnants of the initial wound become a scar inscribed into a person that then passes on through their lineage. Generational trauma can impact livelihood via both the mind and body."}],"markDefs":[],"style":"normal"},{"_key":"486e325a5684","_type":"block","children":[{"_key":"486e325a56840","_type":"span","marks":[],"text":"There are social determinants of health that directly impact BIPOC — economic and social conditions, such as living and working conditions (think: the distribution of income, wealth, influence, and power) that influence individual and group differences in health status (think: risk and vulnerability of disease or injury) and access to care."}],"markDefs":[],"style":"normal"},{"_key":"5bc6416a244f","_type":"sectionHeader","title":"How can we create a built-in system for patient advocacy?"},{"_key":"8396cabbd87c","_type":"block","children":[{"_key":"8396cabbd87c0","_type":"span","marks":[],"text":"Trust facilitates care-seeking behavior and promotes patient honesty and adherence. Distrust inhibits care-seeking and may lead to non-adherence. One study in Chicago looked at how trustworthy Black people found their physicians. The study found that participants indicated that trust is determined by the interpersonal and technical competence of physicians. Contributing factors to distrust in physicians included a lack of interpersonal and technical competence, perceived quest for profit, and expectations of racism and experimentation during routine health care. Another study looking at race in patient-physician relationships found that the quality of interpersonal care is vital in facilitating a patient’s involvement in their care, increased patient involvement improves patient satisfaction and outcomes."}],"markDefs":[],"style":"normal"},{"_key":"96b7f39ad00d","_type":"block","children":[{"_key":"96b7f39ad00d0","_type":"span","marks":[],"text":"One way to effectively create institutional change is to promote diversity within the healthcare system. Data suggests that African American patients rate their visits with physicians as less participatory than whites. However, patients seeing physicians of their own race rate their physicians’ decision-making styles as more participatory. Improving cross-cultural communication between physicians and patients and providing patients with access to a diverse group of physicians may lead to more patient involvement in care, higher levels of patient satisfaction, and ultimately, better health outcomes. A study conducted by Stanford looked at Black men in Oakland, found that men seen by Black physicians were more likely to engage with them, and even consent to preventive services like cardiovascular screenings and immunizations. Black doctors were 71% more likely to get their patients to receive a cholesterol screening, whereas non-Black doctors were 45% as likely. The study estimates this approach could reduce the Black-white mortality gap due to heart disease by 19%."}],"markDefs":[],"style":"normal"},{"_key":"43ac32ba5304","_type":"block","children":[{"_key":"43ac32ba53040","_type":"span","marks":[],"text":"Dr. Terri-Ann Bennett believes that providers should be trained early on in their schooling to understand not only bias but also the actual biological differences that result from inherited trauma. Beyond this training, she recommends that providers continually check their bias while working with patients and actively seek to understand why their patients have fears or misunderstandings. Understanding why gives way to an empathetic response, leading with empathy engenders advocacy. Dr. Bennett suggests implicit bias training but also asks that providers take it a step further by enhancing their cultural competency and actively work to have an anti-racist practice."}],"markDefs":[],"style":"normal"},{"_key":"01939b3fe286","_type":"sectionHeader","title":"In conclusion"},{"_key":"a0520b6fd005","_type":"block","children":[{"_key":"a0520b6fd0050","_type":"span","marks":[],"text":"Research shows that patient advocacy is effective. One study looking at a sample of 30–74-year-old self-identified African-American and/or Black women who had received abnormal mammogram results found advocacy to be a positive factor in their medical experiences. The participants felt that engaging in medical advocacy helped address ongoing experiences of mistrust and racism in the medical setting. 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Note: hospital systems and third party agencies are often able to provide advocates to patients."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"14785252d485","_type":"block","children":[{"_key":"14785252d4850","_type":"span","marks":[],"text":"Not ending an appointment until they feel they understand their provider fully."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"b9df7bfd8f51","_type":"block","children":[{"_key":"b9df7bfd8f510","_type":"span","marks":[],"text":"Researching before and after visits."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"8802015a591b","_type":"block","children":[{"_key":"8802015a591b0","_type":"span","marks":[],"text":"Ask all the questions! Ask why and why again! Ask about side-effects, advantages, and disadvantages of recommendations made by the provider. 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"},{"_key":"8724797ed80c","_type":"span","marks":[],"text":"JAMA"},{"_key":"f32faae9ce4f","_type":"span","marks":[],"text":", "},{"_key":"7f1b0e2df26f","_type":"span","marks":[],"text":"282"},{"_key":"3eb6bea0bcbe","_type":"span","marks":[],"text":"(6), 583–589. "},{"_key":"315f163fe6c8","_type":"span","marks":["52ae7d4e6f1b"],"text":"https://doi.org/10.1001/jama.282.6.583"}],"markDefs":[{"_key":"52ae7d4e6f1b","_type":"externalLink","linkType":"text","url":"https://doi.org/10.1001/jama.282.6.583"}],"style":"small"},{"_key":"fce7197a986b","_type":"block","children":[{"_key":"fce7197a986b0","_type":"span","marks":[],"text":"Jacobs, E. A., Rolle, I., Ferrans, C. E., Whitaker, E. E., & Warnecke, R. B. (2006). Understanding African Americans’ views of the trustworthiness of physicians. Journal of general internal medicine, 21(6), 642–647. "},{"_key":"84ef5e0054c8","_type":"span","marks":["e6a6ed7bf493"],"text":"https://doi.org/10.1111/j.1525-1497.2006.00485"},{"_key":"0a7b2dd4db7d","_type":"span","marks":[],"text":"​ "}],"markDefs":[{"_key":"e6a6ed7bf493","_type":"externalLink","linkType":"text","url":"https://dx.doi.org/10.1111%2Fj.1525-1497.2006.00485.x"}],"style":"small"},{"_key":"98575ad7c337","_type":"block","children":[{"_key":"98575ad7c3370","_type":"span","marks":[],"text":"Marcella Alsan & Owen Garrick & Grant Graziani, 2019. Does Diversity Matter for Health? Experimental Evidence from Oakland. American Economic Review, vol 109(12), pages 4071–4111. "},{"_key":"42ec4000ec71","_type":"span","marks":["a1cfb3ced60b"],"text":"https://doi.org/10.1257/aer.20181446"},{"_key":"6069a899806c","_type":"span","marks":[],"text":""}],"markDefs":[{"_key":"a1cfb3ced60b","_type":"externalLink","linkType":"text","url":"https://doi.org/10.1257/aer.20181446"}],"style":"small"},{"_key":"6019ebaa2bfd","_type":"block","children":[{"_key":"6019ebaa2bfd0","_type":"span","marks":[],"text":"Mende-Siedlecki, P., Qu-Lee, J., Backer, R., & Van Bavel, J. J. (2019). Perceptual contributions to racial bias in pain recognition. "},{"_key":"6019ebaa2bfd1","_type":"span","marks":[],"text":"Journal of experimental psychology. General"},{"_key":"6019ebaa2bfd2","_type":"span","marks":[],"text":", "},{"_key":"6019ebaa2bfd3","_type":"span","marks":[],"text":"148"},{"_key":"6019ebaa2bfd4","_type":"span","marks":[],"text":"(5), 863–889. "},{"_key":"6019ebaa2bfd5","_type":"span","marks":["bd83529a24be"],"text":"https://doi.org/10.1037/xge0000600"}],"markDefs":[{"_key":"bd83529a24be","_type":"externalLink","linkType":"text","url":"https://doi.org/10.1037/xge0000600"}],"style":"small"},{"_key":"e1ead0b84c94","_type":"block","children":[{"_key":"e1ead0b84c940","_type":"span","marks":[],"text":"Molina, Y., Hempstead, B.H., Thompson-Dodd, J. "},{"_key":"e1ead0b84c941","_type":"span","marks":[],"text":"et al."},{"_key":"e1ead0b84c942","_type":"span","marks":[],"text":" Medical Advocacy and Supportive Environments for African-Americans Following Abnormal Mammograms. "},{"_key":"e1ead0b84c943","_type":"span","marks":[],"text":"J Canc Educ"},{"_key":"e1ead0b84c944","_type":"span","marks":[],"text":" 30, 447–452 (2015). "},{"_key":"e1ead0b84c945","_type":"span","marks":["a0374c8a68a7"],"text":"https://doi.org/10.1007/s13187-014-0732-9"}],"markDefs":[{"_key":"a0374c8a68a7","_type":"externalLink","linkType":"text","url":"https://doi.org/10.1007/s13187-014-0732-9"}],"style":"small"},{"_key":"fbb2a28b50c7","_type":"block","children":[{"_key":"fbb2a28b50c70","_type":"span","marks":[],"text":"Tina K. 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in joining Tia? "},{"_key":"68da2db4bc45","_type":"span","marks":["00d8b4950642"],"text":"Join Now"},{"_key":"739e8bc9a0dd","_type":"span","marks":[],"text":"\n\nOne of the most exciting things about Tia’s growth and evolution as a healthcare provider is that we’re continually improving, changing, assessing, and evaluating our services to make sure we’re meeting the needs of our community. We understand the deep history of healthcare in the United States as a site of exclusion, oppression, and trauma for many people, making our commitment to personalized, affirming, whole-person care all the more critical. That also means we have a responsibility to take an intersectional approach to our diversity, equity, and inclusion initiatives at every level of our organization, and to offer transparency about that process to our community. You’ve asked us important questions about who we serve, the line between our values and expertise, and what we’re doing to make Tia a more inclusive provider -- we’re here to provide some answers."}],"markDefs":[{"_key":"00d8b4950642","_type":"internalLink","linkType":"text","reference":{"_ref":"6b861435-f6fe-4c96-893c-77732c7ab389","_type":"reference"}}],"style":"normal"},{"_key":"2c6e33ed515b","_type":"block","children":[{"_key":"d8504928d5ad","_type":"span","marks":[],"text":"At Tia, we call ourselves the “modern medical home for women”. We understand that solely referencing cisgender women in the context of women’s health excludes a diverse group of "},{"_key":"0fd9664acd6f","_type":"span","marks":["44ff8a5511ac"],"text":"transgender"},{"_key":"39ff26d63504","_type":"span","marks":[],"text":" and "},{"_key":"b716b165438b","_type":"span","marks":["32d575ec287d"],"text":"gender nonbinary"},{"_key":"b970a12e5ec8","_type":"span","marks":[],"text":" people who have healthcare needs and experiences that can be similar to, but also unique from, those of cisgender women.\n\nTrans women are women, full stop. When we reference “women'' at Tia, our language is always inclusive of trans women, who face unique and disproportionate barriers to healthcare, especially if they are women of color. "},{"_key":"28ea40d4fb7e","_type":"span","marks":["strong"],"text":"Trans people and nonbinary individuals are welcome and celebrated at Tia, and are active members of the Tia patient community today."}],"markDefs":[{"_key":"44ff8a5511ac","_type":"externalLink","linkType":"text","url":"https://www.glaad.org/transgender/transfaq"},{"_key":"32d575ec287d","_type":"externalLink","linkType":"text","url":"https://transequality.org/issues/resources/understanding-non-binary-people-how-to-be-respectful-and-supportive#:~:text=The%20idea%20that%20there%20are,two%20categories%2C%20male%20or%20female."}],"style":"normal"},{"_key":"0bad204028fb","_type":"editorialImageCarousel","items":[{"_key":"b2b7fe49d4fc","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-1608bc3621e73bf13ff16b6e6c39b779a9271679-2400x1336-png","_type":"reference"}}}}]},{"_key":"ac9ccc60789f","_type":"block","children":[{"_key":"50020f1db97e","_type":"span","marks":[],"text":"As a Tia member, your gender identity will be affirmed and respected. Before you ever meet with one of our providers, you’ll fill out a detailed health record form that will tell us important details about your identity, including your gender, pronouns, and sexual orientation, so we can ensure that we are referring to you correctly and asking appropriate questions about your health and life experiences. "},{"_key":"c22a8b26d458","_type":"span","marks":["strong"],"text":"More than 7% of Tia patients use a pronoun other than she/her and identify across the gender spectrum"},{"_key":"6bd0d0b2cfc0","_type":"span","marks":[],"text":". Where appropriate, we provide our patients clinical context as to why it's important for a provider to understand this information; it’s core to our care philosophy, specifically, our commitment to personalized care and treating the person, not (just) the patient. We recognize the multitude of ways that a patient’s lived experience influences their health and access to care: clinically, psychosocially, and experientially. All Tia providers undergo training on inclusive care as well as inclusive language, protocols, and the individualized, connected model of Tia care that centers our patients and gives you full agency over your health care."}],"markDefs":[],"style":"normal"},{"_key":"e0724b55d1c6","_type":"editorialImageCarousel","items":[{"_key":"0f67f13d62d9","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-ebaa45eefd3638624fd7f2f7e1fa97d395dbfccc-1644x1138-png","_type":"reference"}}},"text":[{"_key":"2e2a3cdd50fb","_type":"block","children":[{"_key":"7b6f18c3bf47","_type":"span","marks":[],"text":"Tia provider screen that includes important information about patient identity."}],"markDefs":[],"style":"normal"}]}]},{"_key":"b1e2c0d9ff52","_type":"block","children":[{"_key":"b94976a06f2e","_type":"span","marks":[],"text":"While our community is explicitly open and welcoming to people of all genders, we have a duty to be transparent that we are not a center of excellence for every person across the gender spectrum at this time. Tia offers a range of services from primary care to acupuncture to gynecology and mental health, which are currently utilized by trans and nonbinary patients. We provide primary care services for cis, trans and nonbinary patients (ranging from blood pressure management to acute injury or illnesses) and at this time work with our community specialist partners who provide gender affirming hormone therapy and surgical services. While we do not currently offer these specific services that we know are critical to the trans community, you still have a place at Tia. If you are a Tia member in need of a service that we do not offer, we will work with you one on one to refer you to the high-quality, trusted care you require to live healthily and as your authentic self."}],"markDefs":[],"style":"normal"},{"_key":"2f3e2398205b","_type":"block","children":[{"_key":"db5e7889e4b50","_type":"span","marks":[],"text":"As a healthcare provider, Tia is committed to growing and evolving, always keeping diversity, equity, and inclusion at the heart of our mission. As we look forward to our future, we commit to gender inclusivity in the following ways at this moment:"}],"markDefs":[],"style":"normal"},{"_key":"1e05417fa5dd","_type":"block","children":[{"_key":"6dfd1aff438f","_type":"span","marks":["381b1d77117f"],"text":"Creation of a Tia DEI Advisory Council"},{"_key":"6c1bf9936a18","_type":"span","marks":[],"text":" made up of experts and members to strategize and guide us in becoming a more inclusive health care providers"}],"level":1,"listItem":"bullet","markDefs":[{"_key":"381b1d77117f","_type":"internalLink","linkType":"text","reference":{"_ref":"b0cc1191-358f-4639-b68c-f28aae31e8ee","_type":"reference"}}],"style":"normal"},{"_key":"9f46e9ab63f7","_type":"block","children":[{"_key":"2409f5547d53","_type":"span","marks":[],"text":"Engaging an experienced LGBTQ+ consultant, "},{"_key":"e80a46bd575d","_type":"span","marks":["f61eddd2d87f"],"text":"Shane Snowdon"},{"_key":"ef5c6b178845","_type":"span","marks":[],"text":", to ensure our organization and environment of care (for both employees and patients) supports the health of people of all gender identities and sexual orientations"}],"level":1,"listItem":"bullet","markDefs":[{"_key":"f61eddd2d87f","_type":"internalLink","linkType":"text","reference":{"_ref":"571a4e54-4ef4-44ba-87bc-b6eef3f32e63","_type":"reference"}}],"style":"normal"},{"_key":"944c3dd5d759","_type":"block","children":[{"_key":"3044f0ee1d76","_type":"span","marks":[],"text":"Continued education for staff and providers on issues in LGBTQ+ health"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"4839d60b3752","_type":"block","children":[{"_key":"e5107206af8d","_type":"span","marks":[],"text":"Community events that specifically speak to the experiences and needs of LGBTQ+ members"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9831a10f8465","_type":"block","children":[{"_key":"3232bdce812b","_type":"span","marks":[],"text":"Building more partnerships with LGBTQ+ institutions, influencers, and health experts / educators"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"833e86a5475c","_type":"block","children":[{"_key":"f42aa73d9ac8","_type":"span","marks":[],"text":"Expansion of the language we use with regard to gender in our clinic experience and communications"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"056d0320340c","_type":"block","children":[{"_key":"421d68edd01c","_type":"span","marks":[],"text":"Increasing representation of LGBTQ+ people on the Tia Care Team and our staff as a whole"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"4aefbaa1bfd8","_type":"block","children":[{"_key":"82cbe1f71faf","_type":"span","marks":[],"text":"Providing a listening ear to our community and an open door policy for feedback and ideas for our growth. Reach out at "},{"_key":"02d6628e2863","_type":"span","marks":["9ccaf116e1a4"],"text":"sayhello@asktia.com"},{"_key":"b55f2bcb769a","_type":"span","marks":[],"text":"."}],"level":1,"listItem":"bullet","markDefs":[{"_key":"9ccaf116e1a4","_type":"externalLink","linkType":"text","url":"mailto:sayhello@asktia.com"}],"style":"normal"},{"_key":"369df6bfe144","_type":"block","children":[{"_key":"ea3a37c58d36","_type":"span","marks":[],"text":"At Tia, we understand that the journey of growth and change can be messy and difficult. We know there may be stumbling blocks or mistakes ahead, and we thank our community for holding us accountable and being a partner in our evolution. Learning is never over, and we’re committed to the process. Our services and care model can grow and change in the future, and we are open to so many possibilities. 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They spoke about the need for patient advocacy for BIPOC, what patient advocates do, and how to weave them through the clinical experience from institutional change to providers to the layperson. Here is some of what we learned."}],"markDefs":[{"_key":"462761f45d02","_type":"externalLink","url":"https://www.instagram.com/drbennettmfm/?hl=en"}],"style":"large"},{"_key":"5cc2d857b25a","_type":"sectionHeader","title":"The basics"},{"_key":"18872cfaaa12","_type":"block","children":[{"_key":"18872cfaaa120","_type":"span","marks":[],"text":"The American healthcare system has a long legacy of racism and discrimination, fuel for the disparity that is pervasive in this system. Navigating the healthcare system is daunting for most, but especially for BIPOC. Due to an array of access barriers, BIPOC not only receive less care than white people but also receive worse care. BIPOC are disproportionately misdiagnosed, under-diagnosed, and mistreated, quality of care directly correlates to worse health outcomes."}],"markDefs":[],"style":"normal"},{"_key":"69c3a1a3bba9","_type":"block","children":[{"_key":"69c3a1a3bba90","_type":"span","marks":[],"text":"Emotional expressions and experience of pain by Black individuals are more likely to be misperceived. Pain is under-diagnosed and under-treated as a result of racial bias. Stereotyping is ever-present in clinical situations, leading certain populations to emphasize specific class and cultural resources such as cultural health capital (cultural skills, attitudes, behaviors, and interaction styles) to leverage and mitigate discrimination."}],"markDefs":[],"style":"normal"},{"_key":"f7a587f59750","_type":"block","children":[{"_key":"f7a587f597500","_type":"span","marks":[],"text":"Epigenetics, the study of inherited genetic trait changes, is a quickly evolving field showing that trauma and its effects may be passed through generations, recognizable through gene expression and cellular activity that is influenced by external factors such as environment. Inherited trauma may be likened to the permanence of scar, the remnants of the initial wound become a scar inscribed into a person that then passes on through their lineage. Generational trauma can impact livelihood via both the mind and body."}],"markDefs":[],"style":"normal"},{"_key":"486e325a5684","_type":"block","children":[{"_key":"486e325a56840","_type":"span","marks":[],"text":"There are social determinants of health that directly impact BIPOC — economic and social conditions, such as living and working conditions (think: the distribution of income, wealth, influence, and power) that influence individual and group differences in health status (think: risk and vulnerability of disease or injury) and access to care."}],"markDefs":[],"style":"normal"},{"_key":"5bc6416a244f","_type":"sectionHeader","title":"How can we create a built-in system for patient advocacy?"},{"_key":"8396cabbd87c","_type":"block","children":[{"_key":"8396cabbd87c0","_type":"span","marks":[],"text":"Trust facilitates care-seeking behavior and promotes patient honesty and adherence. Distrust inhibits care-seeking and may lead to non-adherence. One study in Chicago looked at how trustworthy Black people found their physicians. The study found that participants indicated that trust is determined by the interpersonal and technical competence of physicians. Contributing factors to distrust in physicians included a lack of interpersonal and technical competence, perceived quest for profit, and expectations of racism and experimentation during routine health care. Another study looking at race in patient-physician relationships found that the quality of interpersonal care is vital in facilitating a patient’s involvement in their care, increased patient involvement improves patient satisfaction and outcomes."}],"markDefs":[],"style":"normal"},{"_key":"96b7f39ad00d","_type":"block","children":[{"_key":"96b7f39ad00d0","_type":"span","marks":[],"text":"One way to effectively create institutional change is to promote diversity within the healthcare system. Data suggests that African American patients rate their visits with physicians as less participatory than whites. However, patients seeing physicians of their own race rate their physicians’ decision-making styles as more participatory. Improving cross-cultural communication between physicians and patients and providing patients with access to a diverse group of physicians may lead to more patient involvement in care, higher levels of patient satisfaction, and ultimately, better health outcomes. A study conducted by Stanford looked at Black men in Oakland, found that men seen by Black physicians were more likely to engage with them, and even consent to preventive services like cardiovascular screenings and immunizations. Black doctors were 71% more likely to get their patients to receive a cholesterol screening, whereas non-Black doctors were 45% as likely. The study estimates this approach could reduce the Black-white mortality gap due to heart disease by 19%."}],"markDefs":[],"style":"normal"},{"_key":"43ac32ba5304","_type":"block","children":[{"_key":"43ac32ba53040","_type":"span","marks":[],"text":"Dr. Terri-Ann Bennett believes that providers should be trained early on in their schooling to understand not only bias but also the actual biological differences that result from inherited trauma. Beyond this training, she recommends that providers continually check their bias while working with patients and actively seek to understand why their patients have fears or misunderstandings. Understanding why gives way to an empathetic response, leading with empathy engenders advocacy. Dr. Bennett suggests implicit bias training but also asks that providers take it a step further by enhancing their cultural competency and actively work to have an anti-racist practice."}],"markDefs":[],"style":"normal"},{"_key":"01939b3fe286","_type":"sectionHeader","title":"In conclusion"},{"_key":"a0520b6fd005","_type":"block","children":[{"_key":"a0520b6fd0050","_type":"span","marks":[],"text":"Research shows that patient advocacy is effective. One study looking at a sample of 30–74-year-old self-identified African-American and/or Black women who had received abnormal mammogram results found advocacy to be a positive factor in their medical experiences. The participants felt that engaging in medical advocacy helped address ongoing experiences of mistrust and racism in the medical setting. Participants also expressed that they felt accountable for their own bodies because they were involved in decisions about their care because they were informed about their decisions."}],"markDefs":[],"style":"normal"},{"_key":"3cb35a11f00c","_type":"block","children":[{"_key":"3cb35a11f00c0","_type":"span","marks":["strong"],"text":"Institutions can support patient advocacy by…"}],"markDefs":[],"style":"normal"},{"_key":"840e64a59bcc","_type":"block","children":[{"_key":"840e64a59bcc0","_type":"span","marks":[],"text":"Promoting body literacy by actively teaching and making information readily accessible which empowers patients to advocate for themselves."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"276008b74a88","_type":"block","children":[{"_key":"276008b74a880","_type":"span","marks":[],"text":"Personalizing medicine, rather than generalizing."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"6607820d9ff9","_type":"block","children":[{"_key":"6607820d9ff90","_type":"span","marks":[],"text":"Revolutionizing healthcare delivery by incorporating patient advocates throughout the patient journey and actively supporting their presence (eg. doulas, friends and family members joining appointments)."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"c9591238e643","_type":"block","children":[{"_key":"c9591238e6430","_type":"span","marks":["strong"],"text":"Providers can advocate for their patients by…"}],"markDefs":[],"style":"normal"},{"_key":"9be527d2e42e","_type":"block","children":[{"_key":"9be527d2e42e0","_type":"span","marks":[],"text":"Empowering them through teaching and shared-decision making."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"2f294d0b9ebb","_type":"block","children":[{"_key":"2f294d0b9ebb0","_type":"span","marks":[],"text":"Reminding patients of their rights."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"e788333914af","_type":"block","children":[{"_key":"e788333914af0","_type":"span","marks":[],"text":"Using communication styles that support understanding."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"28ebefbaaff8","_type":"block","children":[{"_key":"28ebefbaaff80","_type":"span","marks":[],"text":"Ensuring care continues after appointments (eg. follow-ups, lifestyle changes, medication, etc.)."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"0e9da3e98991","_type":"block","children":[{"_key":"0e9da3e989910","_type":"span","marks":["strong"],"text":"Patients can advocate for themselves by…"}],"markDefs":[],"style":"normal"},{"_key":"58a2e5a98858","_type":"block","children":[{"_key":"58a2e5a988580","_type":"span","marks":[],"text":"Bringing someone with them (eg. friend or family member) for support. Note: hospital systems and third party agencies are often able to provide advocates to patients."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"14785252d485","_type":"block","children":[{"_key":"14785252d4850","_type":"span","marks":[],"text":"Not ending an appointment until they feel they understand their provider fully."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"b9df7bfd8f51","_type":"block","children":[{"_key":"b9df7bfd8f510","_type":"span","marks":[],"text":"Researching before and after visits."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"8802015a591b","_type":"block","children":[{"_key":"8802015a591b0","_type":"span","marks":[],"text":"Ask all the questions! Ask why and why again! Ask about side-effects, advantages, and disadvantages of recommendations made by the provider. Pro-tip from Dr. Bennett: come to your appointment with your questions written down."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"05df59e789b8","_type":"block","children":[{"_key":"05df59e789b80","_type":"span","marks":[],"text":"Familiarizing themselves with the "},{"_key":"05df59e789b81","_type":"span","marks":["419d8e2d4349"],"text":"patient bill of rights"},{"_key":"05df59e789b82","_type":"span","marks":[],"text":"."}],"level":1,"listItem":"bullet","markDefs":[{"_key":"419d8e2d4349","_type":"annotation","text":[{"_key":"79c725936df8","_type":"block","children":[{"_key":"79c725936df80","_type":"span","marks":["strong"],"text":"Patient's bill of rights"}],"markDefs":[],"style":"normal"},{"_key":"eb98ed994f21","_type":"block","children":[{"_key":"eb98ed994f210","_type":"span","marks":[],"text":"A patient’s bill of rights is a list of guarantees on patient information, fair treatment, and autonomy over medical decisions for those receiving care. It is usually found in the paperwork you sign upon arrival!"}],"markDefs":[],"style":"normal"}]}],"style":"normal"},{"_key":"de181be6ed14","_type":"block","children":[{"_key":"de181be6ed140","_type":"span","marks":[],"text":"Asking for an interpreter if needed."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"76c11b01b163","_type":"block","children":[{"_key":"76c11b01b1630","_type":"span","marks":[],"text":"\nSOURCES"}],"markDefs":[],"style":"h5"},{"_key":"0db611282b75","_type":"block","children":[{"_key":"72eb6ee3b643","_type":"span","marks":[],"text":"Cooper-Patrick, L., Gallo, J. J., Gonzales, J. J., Vu, H. T., Powe, N. R., Nelson, C., & Ford, D. E. (1999). Race, gender, and partnership in the patient-physician relationship. "},{"_key":"8724797ed80c","_type":"span","marks":[],"text":"JAMA"},{"_key":"f32faae9ce4f","_type":"span","marks":[],"text":", "},{"_key":"7f1b0e2df26f","_type":"span","marks":[],"text":"282"},{"_key":"3eb6bea0bcbe","_type":"span","marks":[],"text":"(6), 583–589. "},{"_key":"315f163fe6c8","_type":"span","marks":["52ae7d4e6f1b"],"text":"https://doi.org/10.1001/jama.282.6.583"}],"markDefs":[{"_key":"52ae7d4e6f1b","_type":"externalLink","linkType":"text","url":"https://doi.org/10.1001/jama.282.6.583"}],"style":"small"},{"_key":"fce7197a986b","_type":"block","children":[{"_key":"fce7197a986b0","_type":"span","marks":[],"text":"Jacobs, E. A., Rolle, I., Ferrans, C. E., Whitaker, E. E., & Warnecke, R. B. (2006). Understanding African Americans’ views of the trustworthiness of physicians. Journal of general internal medicine, 21(6), 642–647. "},{"_key":"84ef5e0054c8","_type":"span","marks":["e6a6ed7bf493"],"text":"https://doi.org/10.1111/j.1525-1497.2006.00485"},{"_key":"0a7b2dd4db7d","_type":"span","marks":[],"text":"​ "}],"markDefs":[{"_key":"e6a6ed7bf493","_type":"externalLink","linkType":"text","url":"https://dx.doi.org/10.1111%2Fj.1525-1497.2006.00485.x"}],"style":"small"},{"_key":"98575ad7c337","_type":"block","children":[{"_key":"98575ad7c3370","_type":"span","marks":[],"text":"Marcella Alsan & Owen Garrick & Grant Graziani, 2019. Does Diversity Matter for Health? Experimental Evidence from Oakland. American Economic Review, vol 109(12), pages 4071–4111. "},{"_key":"42ec4000ec71","_type":"span","marks":["a1cfb3ced60b"],"text":"https://doi.org/10.1257/aer.20181446"},{"_key":"6069a899806c","_type":"span","marks":[],"text":""}],"markDefs":[{"_key":"a1cfb3ced60b","_type":"externalLink","linkType":"text","url":"https://doi.org/10.1257/aer.20181446"}],"style":"small"},{"_key":"6019ebaa2bfd","_type":"block","children":[{"_key":"6019ebaa2bfd0","_type":"span","marks":[],"text":"Mende-Siedlecki, P., Qu-Lee, J., Backer, R., & Van Bavel, J. J. (2019). Perceptual contributions to racial bias in pain recognition. "},{"_key":"6019ebaa2bfd1","_type":"span","marks":[],"text":"Journal of experimental psychology. General"},{"_key":"6019ebaa2bfd2","_type":"span","marks":[],"text":", "},{"_key":"6019ebaa2bfd3","_type":"span","marks":[],"text":"148"},{"_key":"6019ebaa2bfd4","_type":"span","marks":[],"text":"(5), 863–889. "},{"_key":"6019ebaa2bfd5","_type":"span","marks":["bd83529a24be"],"text":"https://doi.org/10.1037/xge0000600"}],"markDefs":[{"_key":"bd83529a24be","_type":"externalLink","linkType":"text","url":"https://doi.org/10.1037/xge0000600"}],"style":"small"},{"_key":"e1ead0b84c94","_type":"block","children":[{"_key":"e1ead0b84c940","_type":"span","marks":[],"text":"Molina, Y., Hempstead, B.H., Thompson-Dodd, J. "},{"_key":"e1ead0b84c941","_type":"span","marks":[],"text":"et al."},{"_key":"e1ead0b84c942","_type":"span","marks":[],"text":" Medical Advocacy and Supportive Environments for African-Americans Following Abnormal Mammograms. "},{"_key":"e1ead0b84c943","_type":"span","marks":[],"text":"J Canc Educ"},{"_key":"e1ead0b84c944","_type":"span","marks":[],"text":" 30, 447–452 (2015). 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was walking home from a long shift at one of the three acupuncture clinics I was working at in Williamsburg. As I headed down to the subway, a brightly colored sign with bold text taped to some scaffolding caught my eye. It read “your vagina deserves better.” My first thought was “YES, she does!” and then I wondered, “who & what is Tia!?\" After a quick Instagram search, while waiting for the subway, I found "},{"_key":"42b7279d02e3","_type":"span","marks":["244eb34056cd"],"text":"@asktia"},{"_key":"617fbb29f5cb","_type":"span","marks":[],"text":", the Instagram handle for the app soon to be IRL clinic coming to Flatiron in NYC."}],"markDefs":[{"_key":"244eb34056cd","_type":"externalLink","linkType":"text","url":"https://www.instagram.com/asktia"}],"style":"large"},{"_key":"b582d05cd15d","_type":"editorialImageCarousel","items":[{"_key":"31de1aa49564","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-5cd5d2cd791b10ef222af688c59e51247036a73e-2103x842-png","_type":"reference"}}}}]},{"_key":"b431a4261485","_type":"block","children":[{"_key":"29b887bca4280","_type":"span","marks":[],"text":"I scrolled through posts — “imagine your PCP talks to your acupuncturist to collaborate on your care plan, “ or “yes, your diet and repeat UTIs might just be connected” to “sex-positive health care where you run the show” and other female empowered, body positive and pro-choice messages. Was this femtech/health startup with a cycle tracking, female health problem-solving app real? I immediately searched for an email address and sent a hopeful message expressing my admiration and newfound dream to work as the acupuncturist at the very 1st Tia clinic."}],"markDefs":[],"style":"normal"},{"_key":"ad0b40d8437e","_type":"block","children":[{"_key":"db025f3ffad90","_type":"span","marks":[],"text":"Fast forward 6 months later, I found myself in a meeting room at a coworking space with Chief Medical Officer at the time, Dr. Stephanie McClellan, and CPOO, Felicity Yost. Together we brainstormed how to incorporate the integrative +Traditional Chinese Medicine (TCM) medicine lens into the UHR while I googled meanings to tech acronyms under the table. It was my first time working with anyone other than small- business- owning -acupuncturists and I found myself temporarily swapping out words like Qi, Yin and Yang for more easily accessible phases like blood circulation, fluid balance, and energy levels. I was relieved, however, to find a team that was so open, fascinated, and hungry for this alternative way of thinking."}],"markDefs":[],"style":"normal"},{"_key":"61ffa4748505","_type":"editorialImageCarousel","items":[{"_key":"9db853ec9d46","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-1b60436c5a54b529856733d8a406ce2724a8ac2a-2103x841-png","_type":"reference"}}}}]},{"_key":"ef7ea03fecbe","_type":"block","children":[{"_key":"8e61f227c9290","_type":"span","marks":[],"text":"As evidence-based medicine, acupuncture and TCM have long been recognized for their non-invasive, side effect free and long-lasting stress relieving and health boosting benefits. The research on acupuncture for female-specific health concerns is ever-growing. Acupuncture and herbal medicine have successfully offered life-changing solutions to those plagued with chronically painful periods, hormonally influenced emotional roller coasters, fertility woes, and so on. Tia, and the creative minds building both the clinic and the UHR from the ground up, we're eager to find ways to weave TCM + whole-body health into their approach to care."}],"markDefs":[],"style":"normal"},{"_key":"07895de6947e","_type":"block","children":[{"_key":"6823d62b193f0","_type":"span","marks":[],"text":"This concept of whole-body health is at the very core of Chinese and integrative medicine. It’s nearly impossible, or at least very unlikely, for an acupuncturist to ask a patient about their inability to fall to sleep at night and not inquire about their bowel movements, frequency of headaches, or preference for warm or cold beverages. Figuring out how to merge together this, oftentimes stream of consciousness/ connect the dots style of thinking into a cohesive document is where the fun started."}],"markDefs":[],"style":"normal"},{"_key":"567c7c4bad79","_type":"editorialImageCarousel","items":[{"_key":"409dabfc6dc4","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-cf02c265f7e1dc86b5e116a79640a636ad2dca3b-2103x842-png","_type":"reference"}}}}]},{"_key":"4c98917d1ec2","_type":"block","children":[{"_key":"3e623103eac50","_type":"span","marks":[],"text":"Dr. McClellan, who had spent her career studying the effect of stress on female brains and convincing her medical colleagues that women were not just “small men” already tended to a more holistic and natural approach. She had been recommending acupuncture to her patients for the past 20 years even though I was the first to give her acupuncture. My task wasn’t to figure out how to convince them of acupuncture’s long list of benefits, something I was accustomed to doing, it was how to incorporate the ideology behind it  The first few questions I saw at the top of an intake asked, “were you born vaginally or cesarean?” and “Did your mother have a difficult pregnancy?” This type of thinking — looking at one’s innate constitution and how that informs overall health is embedded within TCM."}],"markDefs":[],"style":"normal"},{"_key":"ca0aaea9c2f5","_type":"block","children":[{"_key":"548b8db553230","_type":"span","marks":[],"text":"Some of the concerns I had noticed in UHR’s at previous acupuncture clinics at which I worked included:"}],"markDefs":[],"style":"normal"},{"_key":"23b20e9115cd","_type":"block","children":[{"_key":"34138abe29630","_type":"span","marks":["strong"],"text":"1. Either the questionnaire was so extensive and detailed that the patient’s first appointment was almost two hours or\n2. it was simply a space to free write your chief complaint."}],"markDefs":[],"style":"normal"},{"_key":"60ba8e307f3c","_type":"block","children":[{"_key":"14144e999cde0","_type":"span","marks":[],"text":"Both versions worked- patients benefited and symptoms improved from the acupuncture they received at either clinic, but they both were catered to a very specific model. As with most things, there is a sweet spot between the two- a UHR where you could get into the nitty-gritty without having to read and/or transcribe a novel. To do this, we had to see where our typical intake questions overlapped."}],"markDefs":[],"style":"normal"},{"_key":"3edee9b18514","_type":"block","children":[{"_key":"b769046733680","_type":"span","marks":[],"text":"We collaborated to explore the various ways we thought about female health. We had the more commonly asked questions about the menstrual cycle like, “Is your cycle regular? How many days do you bleed for? Do you experience pain with your cycle?\" And then dove into the more qualitative, nit-picky TCM style question, “what color is your blood?” “Do you experience clots?” “Does your period start and stop?” We expanded questions about sleep to go beyond, “How many hours do you sleep each night? and “What time do you go to bed? To include, “Do you have a hard time falling and/or staying to sleep? Do you experience night sweats? What about dream disturbed sleep?” We blended our approaches to patient inquiry to find where we aligned, what was missing, and what was necessary"}],"markDefs":[],"style":"normal"},{"_key":"75ff261869b6","_type":"block","children":[{"_key":"7e05947a8aed0","_type":"span","marks":[],"text":"What Chinese and integrative medicine brings to the table that is often missing in Western medicine clinics + hospitals is the idea that symptoms, or the branch, arises due to an underlying concern, the root. This idea is fundamental in TCM. Rather than giving a pill for this and a pill for that, this root/branch thinking enables us to dig deeper and figure out the "},{"_key":"7e05947a8aed1","_type":"span","marks":["em"],"text":"why"},{"_key":"7e05947a8aed2","_type":"span","marks":[],"text":" of how it all started. And what’s more affirming in this type of thinking is not only seeing longer-lasting solutions to what was once a chronic ailment, but the fact that asking patients these questions, incorporating them into the UHR enables them to make the connections. What we have found is that Tia patients are actively invested in their health and they are tired of going to specialist after specialist who say that the pain will eventually go away, that their chronic bloating doesn't sound that abnormal, or that their irregular bleeding "},{"_key":"7e05947a8aed3","_type":"span","marks":["em"],"text":"seems"},{"_key":"7e05947a8aed4","_type":"span","marks":[],"text":" to be normal their body. The Tia patient wants more answers. They are curious and intuitive and while they’ve been taught to ignore the signs their body is telling, sometimes screaming at them, they have come to us ready to listen, ready to learn."}],"markDefs":[],"style":"normal"},{"_key":"b056d7da9b6f","_type":"block","children":[{"_key":"d17f898fce060","_type":"span","marks":[],"text":"Working with the team to layer this type of thinking into the UHR did, as expected, posed a concern in terms of length. What I found, and still find to be a challenge when bringing together health and tech is all of the “ifs, buts and it depends,” of a patient's story. While tech thrives on clean, bullet point answers and organized layouts, my note-taking often leads me on a winding journey of writing outside the lines. I expected to incorporate at least some open text for a patient to “free write” a specific answer but soon found that not only is this inefficient space-wise, but also, makes it harder for another practitioner to make sense of it all. In order to honor the need to allow flexibility in response, I was introduced to the idea of “conditional logic”."}],"markDefs":[],"style":"normal"},{"_key":"20c62320168b","_type":"editorialImageCarousel","items":[{"_key":"a20ba21e3ed5","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-e1755d89b8de062321877ae0f906430a6f434b80-2103x1008-png","_type":"reference"}}}}]},{"_key":"c2bb33909b2c","_type":"block","children":[{"_key":"2cfee6596459","_type":"span","marks":[],"text":"Conditional logic allowed us to include the possibilities of the “if’s, but’s and it depends” into a relatively concise questionnaire. While I can’t credit this simple idea with being the secret to condensing dozens of textbooks of theory and years of clinical questioning into something a bit more approachable, it certainly helped."}],"markDefs":[],"style":"normal"},{"_key":"20e6fb756868","_type":"block","children":[{"_key":"9af6afea8faa0","_type":"span","marks":[],"text":"The underlying theme in this whole process was efficient collaboration — finding a balance between honoring a patient’s unique health journey while at the same time, making it digestible for practitioners of varying backgrounds. It is through creating the right kind of layered questions that leads not only a practitioner but also the patient, to the underlying root."}],"markDefs":[],"style":"normal"},{"_key":"8af9ebd2733b","_type":"editorialImageCarousel","items":[{"_key":"901066bdbf22","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-5f03d6ba4762048ee6ace93ec6e3be81457144c0-2103x811-png","_type":"reference"}}}}]},{"_key":"c47e2a2416a8","_type":"block","children":[{"_key":"660fcb2d30d90","_type":"span","marks":[],"text":"\n"}],"markDefs":[],"style":"normal"}],"image":{"_type":"image","asset":{"_id":"image-d9c3e1e764337c4664d8fa8f6825cef699a365c5-2500x866-png","_type":"sanity.imageAsset","_createdAt":"2022-12-27T08:04:11Z","_rev":"Pf6WA3QqVnnbHhbAQb21Us","_updatedAt":"2022-12-27T08:04:11Z","assetId":"d9c3e1e764337c4664d8fa8f6825cef699a365c5","extension":"png","metadata":{"_type":"sanity.imageMetadata","blurHash":"D7RI.C-B9]so}s-UxGWVs.$%","dimensions":{"_type":"sanity.imageDimensions","aspectRatio":2.886836027713626,"height":866,"width":2500},"hasAlpha":true,"isOpaque":true,"lqip":"data:image/png;base64,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","palette":{"_type":"sanity.imagePalette","darkMuted":{"_type":"sanity.imagePaletteSwatch","background":"#433d2e","foreground":"#fff","population":0.1,"title":"#fff"},"darkVibrant":{"_type":"sanity.imagePaletteSwatch","background":"#7c1010","foreground":"#fff","population":0.01,"title":"#fff"},"dominant":{"_type":"sanity.imagePaletteSwatch","background":"#f4947c","foreground":"#000","population":62.99,"title":"#fff"},"lightMuted":{"_type":"sanity.imagePaletteSwatch","background":"#a4948c","foreground":"#000","population":0,"title":"#fff"},"lightVibrant":{"_type":"sanity.imagePaletteSwatch","background":"#f4947c","foreground":"#000","population":62.99,"title":"#fff"},"muted":{"_type":"sanity.imagePaletteSwatch","background":"#9e5b4a","foreground":"#fff","population":1.88,"title":"#fff"},"vibrant":{"_type":"sanity.imagePaletteSwatch","background":"#bc4c34","foreground":"#fff","population":0,"title":"#fff"}}},"mimeType":"image/png","originalFilename":"AcuProduct_Header.png","path":"images/8qqycr4y/production/d9c3e1e764337c4664d8fa8f6825cef699a365c5-2500x866.png","sha1hash":"d9c3e1e764337c4664d8fa8f6825cef699a365c5","size":78421,"uploadId":"4ENsuT2F10Umo4jSc1USiaCAiPAWWXq2","url":"https://cdn.sanity.io/images/8qqycr4y/production/d9c3e1e764337c4664d8fa8f6825cef699a365c5-2500x866.png","id":"image-d9c3e1e764337c4664d8fa8f6825cef699a365c5-2500x866-png","parent":null,"children":["204310b8-b250-5d2e-95b1-18c0b5a5334f"],"internal":{"type":"SanityImageAsset","contentDigest":"9e76d8628e475cd760d097df7e47cbdd","counter":9061,"owner":"gatsby-source-sanity"}}},"modules":[{"_key":"cf9b0d2a8c44","_type":"shape","backgroundColor":"bcb","shapeColor":"bcw","shapeType":"shape-3"},{"_key":"c8ddbfce814e","_type":"furtherReading","articles":[{"_id":"7d21f8ee-e0d9-4aa2-a4fb-ca9b2c057fda","_type":"editorial","_createdAt":"2020-08-18T20:28:18Z","_rev":"c77HigilZp1fQgz2kYnrxw","_system":{"base":{"id":"7d21f8ee-e0d9-4aa2-a4fb-ca9b2c057fda","rev":"TBVR5mfoBKv2xR4I2Tmrz1"}},"_updatedAt":"2026-01-12T19:38:34Z","content":{"_type":"articleTabs","main":{"_type":"articleContent","articleColor":"bcraspberry","articleType":{"_ref":"10c5f3a7-5fe1-4bd0-ba53-9a080da06c43","_type":"reference"},"authors":[{"_key":"c1cb42798237","_ref":"1d6ce256-595a-4357-89ae-bda37a32224e","_type":"reference"}],"cardImage":{"_type":"image","asset":{"_ref":"image-da01b6a8dc0fb8bfb3af0af1af6c5b19d5f2c245-1366x800-png","_type":"reference"}},"editorialText":[{"_key":"807b33b55340","_type":"block","children":[{"_key":"807b33b553400","_type":"span","marks":[],"text":"Elana, in your own words, what does it mean to be a “Well-Woman” in 2019?"}],"markDefs":[],"style":"h4"},{"_key":"d519a6c6cdda","_type":"block","children":[{"_key":"b10eadd865fc","_type":"span","marks":[],"text":"I believe that a “Well-Woman” in 2019 knows what she needs to feel nourished and balanced. She has learned how to set boundaries in her personal, social and work lives to avoid feeling burnt out, over-extended and drained. In this age of “self care,” she gives her body and mind the rest, movement and love that she needs to feel good. A well-women can speak up for herself; knowing when to ask her community for help, when to back down and when to say no. She recognizes her imperfections but loves herself regardless, knowing that she is enough."}],"markDefs":[],"style":"normal"},{"_key":"4ed4835bf2c5","_type":"block","children":[{"_key":"4ed4835bf2c50","_type":"span","marks":[],"text":"What’s the most important thing you’ve learned about yourself over the last decade?"}],"markDefs":[],"style":"h4"},{"_key":"a61639d86714","_type":"block","children":[{"_key":"a61639d867140","_type":"span","marks":[],"text":"Over the past decade, I have learned to trust myself. I’ve always been the type of person who calls a million friends before making any sort of decision. Maybe it’s my Gemini nature, but I’ve always struggled to finalize my choices and feel confident about what I wanted. No matter how big, (should I move to New York City?) to how small (should I eat that cookie?) I’ve doubted myself and my ability to know and more so, to trust what I really wanted. In the last decade, however, I have learned to listen to my intuition, to know that I am fully capable of making my own choices, and while I can (and do) still turn to friends to talk something over, I am the one who need to decide. Trusting myself is everything."}],"markDefs":[],"style":"normal"},{"_key":"1c758a57c35b","_type":"block","children":[{"_key":"1c758a57c35b0","_type":"span","marks":[],"text":"If you could go back in time, what do you wish you knew about your health that you know now?"}],"markDefs":[],"style":"h4"},{"_key":"48b9c257b05d","_type":"block","children":[{"_key":"48b9c257b05d0","_type":"span","marks":[],"text":"I wish I knew that things take time, that patience is everything and that sometimes you can’t fix yourself. I wish I knew that taking care of myself every day and having a self-care routine, no matter how small, is essential to my mental, physical and emotional wellbeing. As much as we may think we can, we can’t overextend ourselves and expect our bodies to keep up. I didn’t understand the value of listening to my own my body’s cues; hunger signs, fatigue, headaches or sore muscles and because of this, I didn’t know when to stop or slow down. Through trial and error, I have since learned to listen, I appreciate that I discover more and more about my body and myself with every year that passes by."}],"markDefs":[],"style":"normal"},{"_key":"1ef0b020e50e","_type":"block","children":[{"_key":"1ef0b020e50e0","_type":"span","marks":[],"text":"If you could wave a magic wand and change one aspect of women’s healthcare, what would it be?"}],"markDefs":[],"style":"h4"},{"_key":"a8bec51b28d2","_type":"block","children":[{"_key":"a8bec51b28d20","_type":"span","marks":[],"text":"I would change how we talk about sex, about body acceptance and self-care. I’m grateful that the idea of self-care and self-love are finally gaining traction as wellness trends that promise a relaxed mind and rested body are suddenly everywhere. I wish that sex conversations were more diverse, more inclusive and more open from the start. Knowing that we can have sex that is different from what we read about in Cosmo, see in health class or on Sex & The City can be life-changing to someone who doesn’t fit into that hetero-normative box. We have so much shame and guilt around sex, especially when something isn’t right or isn’t “normal.” Luckily, due to more queer and diverse visibility in mainstream media, this is finally starting to change, but we still have a lot of work to do, especially in the healthcare world. This is one of the reasons I’m so excited to work with Tia."}],"markDefs":[],"style":"normal"},{"_key":"83098141acc4","_type":"block","children":[{"_key":"83098141acc40","_type":"span","marks":[],"text":"Tell me about your journey to acupuncture. What drew you to it?"}],"markDefs":[],"style":"h4"},{"_key":"0acccec6b46c","_type":"block","children":[{"_key":"0acccec6b46c0","_type":"span","marks":[],"text":"I started getting acupuncture when I was in undergrad. I was a creative writing major and while working on my thesis, I got tendonitis from writing all the time. I didn’t have healthcare or an expendable income, but luckily, someone recommended that I go to an acupuncturist who was able to be flexible with pricing. I decided to go and within a few treatments, not only was my wrist feeling better, but the treatments helped to reduce anxiety, lift my moods and energy. I was so amazed at how these little needles were able to do so much — I was instantly hooked. Even more so, the questions that Chinese Medicine brings up and asks of us led me to examine my body in ways I had never considered; did my headaches come on before my period or after? What kinds of foods did I crave? Do I feel rested when I wake up? Do I sweat at night?"}],"markDefs":[],"style":"normal"},{"_key":"1c7ec043d9d2","_type":"block","children":[{"_key":"1c7ec043d9d20","_type":"span","marks":[],"text":"I had battled an eating disorder for years — I didn’t understand how my mind and body were a part of the same circuit. With the support of acupuncture and the self-awareness it encouraged me to have, I was able to reconnect to parts of myself I thought were lost. I became drawn to this medicine because of how balanced, supportive and customized it is. Two people may both have period pain, but their remedies can be entirely different because they are not the same. This is an idea that seems so simple and even so, I think conventional medicine often strays from this belief. I think Chinese Medicine is magical in how it works; helping people regain body awareness through supporting them to find balance and encouraging them to make small, everyday changes towards a balanced lifestyle."}],"markDefs":[],"style":"normal"},{"_key":"279aa15bc3d7","_type":"editorialImageCarousel","items":[{"_key":"e46b94823985","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-1897f1ab8bc281f1a8157dbda3fd7f9e1325483b-2400x1336-png","_type":"reference"}}}}]},{"_key":"13d133a78723","_type":"block","children":[{"_key":"13d133a787230","_type":"span","marks":[],"text":"How do you see acupuncture complementing conventional medicine?"}],"markDefs":[],"style":"h4"},{"_key":"dace31b6f8a4","_type":"block","children":[{"_key":"dace31b6f8a40","_type":"span","marks":[],"text":"I have found, both personally and clinically that time and time again, acupuncture is able to provide unparalleled support to conventional medicine. Acupuncture and Traditional Chinese Medicine strive to get to the root of why problems and diseases arise by analyzing our everyday patterns and behaviors. As an integrative medicine practitioner, I believe that when balancing health, it’s often necessary to engage with a more holistic and inclusive view to create lasting benefit. By helping to reduce inflammation, balance hormones, relax the nervous system and encourage rest, acupuncture and TCM provide a grounding reset to modes of conventional medicine."}],"markDefs":[],"style":"normal"},{"_key":"5096eb4c07b7","_type":"block","children":[{"_key":"5096eb4c07b70","_type":"span","marks":[],"text":"What is the connection between acupuncture and women’s health?"}],"markDefs":[],"style":"h4"},{"_key":"1a4aadba484f","_type":"block","children":[{"_key":"1a4aadba484f0","_type":"span","marks":[],"text":"Simply put, Traditional Chinese Medicine (TCM) works to restore balance to one’s overall health. For women’s health in particular, there are many moving pieces — stress, sleep, energy, menstrual health, hormonal wellness, and so one. When just one piece to this complicated puzzle goes off track, the whole system is off. TCM works with the body to redirect and recalibrate the imbalances; how blood is flowing, how hormones are rising and falling throughout the cycle, how easy digestion is and so on. Through bringing awareness to the part of the puzzle that has fallen out of place, TCM aims to find the root of the problem. Acupuncture is so good at filling in the gaps of conventional healthcare; it is a subtle medicine with many intricate nuances, not unlike women’s health. The ability of TCM to look at each women as unique creatures and discover a personalized route to health is unmatched."}],"markDefs":[],"style":"normal"},{"_key":"075538ba94e0","_type":"block","children":[{"_key":"075538ba94e00","_type":"span","marks":[],"text":"Why did you join Tia? What is your definition of success for Tia and women’s health more broadly?"}],"markDefs":[],"style":"h4"},{"_key":"84e562dceeb2","_type":"block","children":[{"_key":"84e562dceeb20","_type":"span","marks":[],"text":"I joined Tia because I believe in the mission that women’s health care can be better, can do more. I believe that by working side by side with a multifaceted team of skilled and passionate practitioners, we can better address the common imbalances that women face. I believe that women’s health care should be affordable, approachable, accessible and integrative. Women’s health care should provide solutions, remedies and answers rather than fear, distrust and trauma. I think the success for this clinic will be bringing a diverse group of women together in open conversation about their health to offer encouragement, empowerment and reassurance."}],"markDefs":[],"style":"normal"},{"_key":"81704c647db8","_type":"cta","backgroundColor":"bcbluetint","text":[{"_key":"ab93928e2fd4","_type":"block","children":[{"_key":"ab93928e2fd40","_type":"span","marks":[],"text":"Ready to book acupuncture?"}],"markDefs":[],"style":"h2"},{"_key":"75bbe60c4f95","_type":"buttonBlock","items":[{"_key":"d77205d88529","_type":"singleButton","linkCta":"Book appointment","linkType":"button","url":"https://asktia.com/member/appointment/schedule"}]},{"_key":"85015ba80a59","_type":"block","children":[{"_key":"85015ba80a590","_type":"span","marks":[],"text":"Not a member? "},{"_key":"85015ba80a591","_type":"span","marks":["9ddfb5b7ac08"],"text":"Join now."},{"_key":"85015ba80a592","_type":"span","marks":[],"text":""}],"markDefs":[{"_key":"9ddfb5b7ac08","_type":"internalLink","linkType":"text","reference":{"_ref":"6b861435-f6fe-4c96-893c-77732c7ab389","_type":"reference"}}],"style":"normal"}]}],"image":{"_type":"image","asset":{"_ref":"image-c50edeb46ab015410abcb7bcd89f1669ce8d0f3e-2500x800-png","_type":"reference"}},"modules":[{"_key":"0ee26cb4714c","_type":"furtherReading","articles":[{"_key":"c455e701af24","_ref":"e43a486c-c7d1-4ea2-b9ac-37ccdc5d2d07","_type":"reference"},{"_key":"13bb0da49239","_ref":"08c5931f-3691-412d-86b2-fcfd343a0f59","_type":"reference"},{"_key":"71a71233baad","_ref":"c8f7f9a3-3dc5-45a4-aeab-89e9b0c808ce","_type":"reference"}],"title":"More reads"}],"publishedAt":"2019-04-12T04:00:00.000Z","slug":{"_type":"slug","current":"elana-weisberg"},"status":"production","title":"Meet Elana Weisberg, L.Ac., Tia Acupuncturist","topics":[{"_key":"7e1ed92fb45d","_ref":"52909ed4-6c00-4b08-bfee-cee50984c63b","_type":"reference"}],"updatedAt":"2026-01-12T19:38:00.000Z"},"metaInformation":{"_type":"metaCard","metaDescription":"Q&A with Elana Weisberg, Tia Acupuncturist.","metaTitle":"Meet Elana Weisberg, L.Ac., Tia Acupuncturist","openGraphDescription":"Q&A with Elana Weisberg, Tia Acupuncturist.","openImage":{"_type":"image","asset":{"_ref":"image-da01b6a8dc0fb8bfb3af0af1af6c5b19d5f2c245-1366x800-png","_type":"reference"}},"title":"Meet Elana Weisberg, L.Ac., Tia Acupuncturist","twitterDescription":"Q&A with Elana Weisberg, Tia Acupuncturist.","twitterImage":{"_type":"image","asset":{"_ref":"image-da01b6a8dc0fb8bfb3af0af1af6c5b19d5f2c245-1366x800-png","_type":"reference"}},"twitterTitle":"Meet Elana Weisberg, L.Ac., Tia Acupuncturist"}},"id":"2b245e1e-5a09-57be-b7af-3bc3a40b583b","parent":null,"children":[],"internal":{"type":"SanityEditorial","contentDigest":"c803d04d718bb36a17f69c8cc69d3852","counter":253,"owner":"gatsby-source-sanity"}},{"_id":"b2e53a55-277a-4d09-8a30-05a1a69cca7a","_type":"editorial","_createdAt":"2021-02-01T21:38:15Z","_rev":"L7Ei4gjGc4CwVNVd3wKuTO","_updatedAt":"2023-03-02T17:31:14Z","content":{"_type":"articleTabs","main":{"_type":"articleContent","articleColor":"bcraspberry","articleType":{"_ref":"012c972c-f201-415f-9805-7d9369c158b8","_type":"reference"},"authors":[{"_key":"64749ee8a26d","_ref":"ec358956-fa17-4727-8549-4e7a58c8f526","_type":"reference"}],"cardImage":{"_type":"image","asset":{"_ref":"image-6285630afa6480d82adbb82e021589fee58bd99e-1366x800-png","_type":"reference"}},"editorialText":[{"_key":"c737250a1e92","_type":"block","children":[{"_key":"99f7e08d3eea","_type":"span","marks":[],"text":"Think back to March 2020 — the gravity of the pandemic was beginning to settle in. It was clear that the Covid-19 pandemic was going to be impacting us directly, and to leave long-lasting changes on our society and, specifically, on healthcare."}],"markDefs":[],"style":"large"},{"_key":"343e6b00d1c0","_type":"sectionHeader","title":"Problem identification"},{"_key":"43c1ae4a8704","_type":"block","children":[{"_key":"ad34ce6252dc0","_type":"span","marks":[],"text":"At Tia, we made the decision to close our Flatiron clinic doors on 3/17 and transitioned all our services to be virtual. Within 5 days, we had shifted our entire business from living within 4 walls on 23rd street to living in the cloud. In these 5 days, we set up processes, trained providers, and rethought our entire patient experience to make sure that we were upholding our care principles in a virtual world."}],"markDefs":[],"style":"normal"},{"_key":"50e4941ba0f0","_type":"block","children":[{"_key":"0a6132da50170","_type":"span","marks":[],"text":"What happened after this was remarkable — providers & patients were screaming from the rooftops that they wanted more access virtually and that they wanted it from Tia. We saw our virtual visits grow over 3x in the first month. At this time, the services we were delivering virtually were only those that were “easy” to shift from the clinic to virtual -- think sick visits and non-physical consults."}],"markDefs":[],"style":"normal"},{"_key":"fe57071a65e3","_type":"block","children":[{"_key":"59e01ad00c4d0","_type":"span","marks":[],"text":"Quickly we saw a massive gap -- access to preventative care was gone."}],"markDefs":[],"style":"normal"},{"_key":"5375c4abef6c","_type":"block","children":[{"_key":"78a82ed7c5c00","_type":"span","marks":[],"text":"At Tia, we know the importance of preventative care and were closely monitoring the impact that we were seeing as a society from patients not having access to preventative care. 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This allowed providers to understand the patient’s risk factors, determine the urgency of their physical exams, and ensure that the patient was only getting the physical examinations that they needed."}],"markDefs":[],"style":"normal"},{"_key":"4053071bb96c","_type":"block","children":[{"_key":"e9a0800ce8cb0","_type":"span","marks":[],"text":"Thinking we had figured it out, we began to plan for a “Half n’ Half” Well-Woman — half online, half offline."}],"markDefs":[],"style":"normal"},{"_key":"eba3cb389a70","_type":"sectionHeader","title":"Tia Well Woman 2.0: Service Design"},{"_key":"9b3a7d71c730","_type":"block","children":[{"_key":"ab0ef5376dfb","_type":"span","marks":[],"text":"At Tia, we believe in constantly listening to our patients & providers when designing products. 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We knew that the next experience had to deliver on two key requirements:"}],"markDefs":[],"style":"normal"},{"_key":"d1ccb517fdd8","_type":"block","children":[{"_key":"c76e7f25fde70","_type":"span","marks":[],"text":"Education: it’s a new service, we needed to use this as an opportunity to explain the experience of booking"}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"17a629694195","_type":"block","children":[{"_key":"f385e0b8a3a10","_type":"span","marks":[],"text":"Continuous journey: we needed to show that they were booking the beginning of a journey of appointments, not a one-off appointment."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"64cf3e01f9ad","_type":"block","children":[{"_key":"d00754a3d9ed0","_type":"span","marks":[],"text":"Together, our tech product, product design, and engineering team worked together to shift to a new booking experience that delivered on this requirement."}],"markDefs":[],"style":"normal"},{"_key":"cf14657a28cf","_type":"sectionHeader","title":"It’s just the beginning"},{"_key":"1d824a4ecb8f","_type":"block","children":[{"_key":"5a2dfd292a4d","_type":"span","marks":[],"text":"In June 2020, Tia’s Well-Woman 2.0 was introduced to the world."}],"markDefs":[],"style":"normal"},{"_key":"dcefbf5cdd4f","_type":"block","children":[{"_key":"7ef8da1102140","_type":"span","marks":["strong"],"text":"Patients were thrilled"},{"_key":"d5c524ca72dc","_type":"span","marks":[],"text":" — the new service had both allowed for access to preventative care and created an experience that had up-leveled their preventative care experience."}],"markDefs":[],"style":"normal"},{"_key":"5c7dd3a475d7","_type":"editorialImageCarousel","items":[{"_key":"24a77389a97f","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-427f7de9056483b7a5f896aac7eb7d3e235d690d-1644x424-gif","_type":"reference"}}}}]},{"_key":"7b03da86ab09","_type":"block","children":[{"_key":"4b59e1c2602b","_type":"span","marks":["strong"],"text":"Providers were thrilled"},{"_key":"58f1af6c0b71","_type":"span","marks":[],"text":"-- by creating time for providers to focus on understanding the patient's health history & goals, they were given the space to work collaboratively with their patients to create a truly holistic plan for how to get or keep their patients healthy."}],"markDefs":[],"style":"normal"},{"_key":"6f7bd104dbc4","_type":"editorialImageCarousel","items":[{"_key":"b853a4833da9","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-dbb5b118af5b0396af69731bdca8ffdf71f68095-1644x424-gif","_type":"reference"}}}}]},{"_key":"4010ec4cbdc8","_type":"block","children":[{"_key":"8449a1d1f88b","_type":"span","marks":[],"text":"Launching the Tia Well-Woman 2.0 experience was a huge step forward in delivering on the Tia Care Model. It opened our eyes to the power of combining online and offline experiences and gave us even more insight into what females really want from their care providers. We’re excited to continue to develop the Well-Woman — keep an eye out for what’s to come!"}],"markDefs":[],"style":"normal"}],"image":{"_type":"image","asset":{"_ref":"image-6c7f71ce375c28a495d8c6759003c874e728e7f0-2500x866-png","_type":"reference"}},"modules":[{"_key":"b1cf32f46939","_type":"furtherReading","articles":[{"_key":"5621015dfa79","_ref":"f36cb660-77d9-4884-8573-ace868af5508","_type":"reference"},{"_key":"cbd9a0ed4a10","_ref":"ec340f5f-8022-4846-8122-dba8db963129","_type":"reference"}],"title":"MORE READS"}],"publishedAt":"2021-01-22T19:30:15.000Z","slug":{"_type":"slug","current":"how-we-made-this-well-woman-exam-2-0"},"status":"production","subTitle":"Our Head of Virtual Care Product explains the evolution of the Tia Well-Woman ","title":"How we made this: the Tia Well-Woman 2.0 ","topics":[{"_key":"b0182854a8a2","_ref":"2ecf8ed7-ad18-4303-b514-c3787f84908d","_type":"reference"}]},"metaInformation":{"_type":"metaCard","metaDescription":"Tia's Head of Virtual Care Product explains the evolution of the Tia Well Woman ","metaTitle":"How we made this: the Tia Well-Woman Exam 2.0 ","openGraphDescription":"Tia's Head of Virtual Care Product explains the evolution of the Tia Well Woman ","openImage":{"_type":"image","asset":{"_ref":"image-0a8dc3dc79471544aa85b0a5d67f4b3bd854a913-7500x2400-png","_type":"reference"},"crop":{"_type":"sanity.imageCrop","bottom":0,"left":0,"right":0.48724489795918324,"top":0.10363520408163267},"hotspot":{"_type":"sanity.imageHotspot","height":0.8963647959183674,"width":0.5127551020408168,"x":0.2563775510204084,"y":0.5518176020408163}},"title":"How we made this: the Tia Well-Woman Exam 2.0 ","twitterDescription":"Tia's Head of Virtual Care Product explains the evolution of the Tia Well Woman ","twitterImage":{"_type":"image","asset":{"_ref":"image-0a8dc3dc79471544aa85b0a5d67f4b3bd854a913-7500x2400-png","_type":"reference"},"crop":{"_type":"sanity.imageCrop","bottom":0,"left":0,"right":0.4974489795918361,"top":0.07174744897959184},"hotspot":{"_type":"sanity.imageHotspot","height":0.9282525510204082,"width":0.5025510204081639,"x":0.25127551020408195,"y":0.535873724489796}},"twitterTitle":"How we made this: the Tia Well-Woman Exam 2.0 "}},"id":"9364e199-fa4f-5155-aed8-05bad887c071","parent":null,"children":[],"internal":{"type":"SanityEditorial","contentDigest":"f6c9150d33323cc400583783f867a767","counter":279,"owner":"gatsby-source-sanity"}},{"_id":"37fc7706-599a-412e-87b6-2a358c1fd1b2","_type":"editorial","_createdAt":"2021-03-30T02:36:13Z","_rev":"RdixGn6lpDGH89K9LFGhJ6","_updatedAt":"2022-09-15T12:26:54Z","content":{"_type":"articleTabs","main":{"_type":"articleContent","articleColor":"bcraspberry","articleType":{"_ref":"1a9253e5-e147-4caa-9d06-eecb494e07b8","_type":"reference"},"authors":[{"_key":"eb47a53cb524","_ref":"1d6ce256-595a-4357-89ae-bda37a32224e","_type":"reference"}],"cardImage":{"_type":"image","asset":{"_ref":"image-b73f4f1ddbf62f0cc9d91408ef39110f5d7feddb-3780x2400-png","_type":"reference"}},"editorialText":[{"_key":"c6d0ccbc1cc2","_type":"block","children":[{"_key":"2eea167d3a93","_type":"span","marks":[],"text":"Covid, and everything that came with it, exposed some of our blindspots and systems that needed updating. So we immediately shifted into resolve mode, which meant solving the immediate things like virtual care. On the surface this looked like a quick and important pivot, but behind the curtain, we were simultaneously evolving many of our systems (like our updated "},{"_key":"b85979391ea7","_type":"span","marks":["97517374ddc2"],"text":"health record"},{"_key":"a57439b57185","_type":"span","marks":[],"text":") and processes in real time...during a global pandemic! Let’s take a peek behind the curtain at how we shifted gears, got curious, and used the moment to make technology that makes things more collaborative and meaningful for both patients and providers."}],"markDefs":[{"_key":"97517374ddc2","_type":"annotation","text":[{"_key":"fcd7d5a2212b","_type":"block","children":[{"_key":"87c89faaeda1","_type":"span","marks":[],"text":"The health record is our patient intake form, also known as all of those questions we ask you when you join Tia."}],"markDefs":[],"style":"normal"},{"_key":"466dbb1a3766","_type":"block","children":[{"_key":"091cecbfd7990","_type":"span","marks":[],"text":"\n"}],"markDefs":[],"style":"normal"}]}],"style":"normal"},{"_key":"847d19f904c6","_type":"sectionHeader","title":"The Set Up: how we got here "},{"_key":"2c795a32cf74","_type":"block","children":[{"_key":"94a7bef90706","_type":"span","marks":[],"text":"Testing and learning is at the heart of everything we do at Tia. Case in point: Our first NYC clinic, which was a physical manifestation of our ideas about the future of healthcare."}],"markDefs":[],"style":"normal"},{"_key":"3efe1dfa6fd9","_type":"editorialImageCarousel","items":[{"_key":"364b266e0e07","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-bb10e4a5442a9e89a3e8259ca86594d61eb5461c-7200x4008-png","_type":"reference"}}}}]},{"_key":"b5afdb070cee","_type":"block","children":[{"_key":"3ad289e28d25","_type":"span","marks":[],"text":"With tech-powered interventions like our Health Record 1.0 and our in-room "},{"_key":"04108fa22946","_type":"span","marks":["74eedc79e420"],"text":"\"third screen\""},{"_key":"df656a8b803d","_type":"span","marks":[],"text":", we proved the model worked and was really unique, so we set out to refine and update it. Then Covid hit. In a matter of days, we went from rolling out updates to creating an entirely new service line — virtual care. One year later, we know virtual care is here to stay. Now that we can safely think about what comes after Covid, we’ve started asking if it has to stay the way it is (which is better, but not perfect). "}],"markDefs":[{"_key":"74eedc79e420","_type":"annotation","text":[{"_key":"0f246442b3b7","_type":"block","children":[{"_key":"8e9ea2724b42","_type":"span","marks":[],"text":"Think: an interactive in-exam room white board that acts as a space for Tia patients and providers to collaborate and make a plan together.\n"}],"markDefs":[],"style":"normal"}]}],"style":"normal"},{"_key":"43046ee9965c","_type":"block","children":[{"_key":"bbf60e40de89","_type":"span","marks":[],"text":"How do the changes we made out of necessity (like video visits) evolve and get stronger, so there not a lesser than version of in-person care?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"101c2514cbc2","_type":"block","children":[{"_key":"93300a6d74dd0","_type":"span","marks":[],"text":"How can we connect the dots between virtual and in-person, so they’re in sync, but different? And most importantly, help us know you better?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"13b922cbb6a0","_type":"block","children":[{"_key":"bd56e415c88a0","_type":"span","marks":[],"text":"How can our "},{"_key":"2a57bdfe898d","_type":"span","marks":["81eee8914b79"],"text":"virtual care"},{"_key":"19db8680e2ea","_type":"span","marks":[],"text":" meet you before you’re sick, so we’re actually preventing illness vs. treating it?"}],"level":1,"listItem":"bullet","markDefs":[{"_key":"81eee8914b79","_type":"annotation","text":[{"_key":"aaf1fc4a0dba","_type":"block","children":[{"_key":"767a0c627eeb","_type":"span","marks":[],"text":"Not everything (in women’s health), can be done on the Internet, so with our new clinics, we needed to ask how we could make our technology in the service of our relationships with both patients and providers."}],"markDefs":[],"style":"normal"}]}],"style":"normal"},{"_key":"183b48304ccc","_type":"block","children":[{"_key":"b088c50e83050","_type":"span","marks":[],"text":"How can we reimagine the clipboard through a tech-driven lens, so it’s intuitive and inclusive?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"2e6dff43d1ce","_type":"sectionHeader","title":"Meet the Makers: Devon + Ari "},{"_key":"0f56c125e571","_type":"block","children":[{"_key":"f8f62efd4b41","_type":"span","marks":[],"text":"Tech at Tia is about relationships. Naturally, many of our most important products and tech upgrades result from the relationships among different teams who work together to solve pain points in your healthcare journey."}],"markDefs":[],"style":"normal"},{"_key":"47875fbf2b2e","_type":"editorialImageCarousel","items":[{"_key":"660af39ccd82","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-9a6c306c0ecee19542f0e2d0a1f1e17a28246338-7200x4008-png","_type":"reference"}}}},{"_key":"bf2457b2a7b9","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-bd82fe1614c48bf23073c5e9c8b8c0b5f9a673f5-7200x4008-png","_type":"reference"}}}}]},{"_key":"f9af072820f4","_type":"sectionHeader","title":"Virtual Care by the Numbers"},{"_key":"3c2b26c5be27","_type":"block","children":[{"_key":"aeff006697b6","_type":"span","marks":[],"text":"True story: Our new health record originated from a 300 page document, based on our care model and designed to help Tia providers access a patients' allostatic load. 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