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you’re not high-risk, you may have the highest impact on the containment of coronavirus. Building a social contract with Tia."}],"markDefs":[],"style":"large"},{"_key":"6fe479be2c38","_type":"block","children":[{"_key":"6fe479be2c380","_type":"span","marks":[],"text":"Being social — togetherness — is what keeps us ticking, transforms the bitter moments in life to sweet ones, and, quite literally, gives us *pleasure*. Research shows that social ties reduce mortality risks among adults with documented medical conditions. Additionally, supportive interactions with others benefit the immune system and help to reduce allostatic load (the cumulative wear and tear on your body from stress — especially chronic stress)."}],"markDefs":[],"style":"normal"},{"_key":"a4fbd5add1dc","_type":"block","children":[{"_key":"a4fbd5add1dc0","_type":"span","marks":[],"text":"So, how in the world are we supposed to do this in the landscape of the coronavirus outbreak?"}],"markDefs":[],"style":"h4"},{"_key":"13405ba8c166","_type":"block","children":[{"_key":"13405ba8c1660","_type":"span","marks":[],"text":"If you’re confused about what to do right now, you’re not alone. It feels like there are different recommendations coming from everywhere and making sense of it, is no easy task. Ultimately, the choices in how *you* navigate through this bizarre time are up to you. These choices are likely dependent on a number of factors such as local context, work obligations, personal health, signature-stress type, etc. We’re here to offer a little more context to help you make more informed choices with confidence."}],"markDefs":[],"style":"normal"},{"_key":"bf40a011b81c","_type":"block","children":[{"_key":"bf40a011b81c0","_type":"span","marks":[],"text":"First things first, what is a social contract? It is an implicit agreement among the members of a society to cooperate for the social benefits of many, rather than few. Cooperation in this agreement may include sacrificing individual freedoms (not going on that hinge date, canceling wine club, or swapping your favorite yoga class for a run outside instead). Here we’ll break down how we’re thinking about the choices we’re making from an individual, local, and global perspective:\n\n"}],"markDefs":[],"style":"normal"},{"_key":"67637d4945af","_type":"editorialImageCarousel","items":[{"_key":"48f9ed2e95f9","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-31cfec25082371da7aba4ca3c4426b97d309fb99-2103x195-png","_type":"reference"}}}}]},{"_key":"bde8d32c1f03","_type":"block","children":[{"_key":"bde8d32c1f030","_type":"span","marks":[],"text":"At Tia, we’ve shared recommendations on how to prepare for coronavirus:"}],"markDefs":[],"style":"normal"},{"_key":"d1f26547da7e","_type":"block","children":[{"_key":"d1f26547da7e0","_type":"span","marks":[],"text":""},{"_key":"d1f26547da7e1","_type":"span","marks":["5aeea2ff1c74"],"text":"Washing hands"},{"_key":"d1f26547da7e2","_type":"span","marks":[],"text":" (obvi!)"}],"level":1,"listItem":"bullet","markDefs":[{"_key":"5aeea2ff1c74","_type":"externalLink","url":"https://www.instagram.com/p/B9j8LnEpJZG/"}],"style":"normal"},{"_key":"9459b6fdf013","_type":"block","children":[{"_key":"9459b6fdf0130","_type":"span","marks":[],"text":"Setting-up your "},{"_key":"9459b6fdf0131","_type":"span","marks":["9c95530d7427"],"text":"medicine cabinet"},{"_key":"9459b6fdf0132","_type":"span","marks":[],"text":""}],"level":1,"listItem":"bullet","markDefs":[{"_key":"9c95530d7427","_type":"annotation","text":[{"_key":"c7d542418228","_type":"block","children":[{"_key":"c7d5424182281","_type":"span","marks":["0742c180e4e9"],"text":"Learn more"},{"_key":"c7d5424182282","_type":"span","marks":[],"text":" about what to include in your medicine cabinet in the Coronavirus climate."}],"markDefs":[{"_key":"0742c180e4e9","_type":"annotationLink","reference":{"_ref":"12f61670-b812-4d44-85bb-7865737b7a5a","_type":"reference"}}],"style":"normal"}]}],"style":"normal"},{"_key":"26c60024ce7e","_type":"block","children":[{"_key":"26c60024ce7e0","_type":"span","marks":[],"text":""},{"_key":"26c60024ce7e1","_type":"span","marks":["23eef6b7547c"],"text":"Proactively preparing"},{"_key":"26c60024ce7e2","_type":"span","marks":[],"text":" you and your household for a number of scenarios that may play out."}],"level":1,"listItem":"bullet","markDefs":[{"_key":"23eef6b7547c","_type":"internalLink","linkType":"text","reference":{"_ref":"84a00f77-6ca4-4dc2-a225-9141889ad4cc","_type":"reference"}}],"style":"normal"},{"_key":"ba02046dd70f","_type":"block","children":[{"_key":"ba02046dd70f0","_type":"span","marks":[],"text":"We do not promote:"}],"markDefs":[],"style":"normal"},{"_key":"b069817c4463","_type":"block","children":[{"_key":"b069817c44630","_type":"span","marks":[],"text":"Stockpiling or hoarding supplies, especially masks which are critically needed for care providers working around the clock right now!"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"727c38242d14","_type":"editorialImageCarousel","items":[{"_key":"0df7908e1a4e","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-3f91d3e1ec95e750d40675f5202a87660383e3a6-2103x195-png","_type":"reference"}}}}]},{"_key":"0b1bee5ad9e8","_type":"block","children":[{"_key":"0b1bee5ad9e80","_type":"span","marks":[],"text":"While young and healthy people are currently considered lower-risk for personally suffering severe illness from coronavirus, it is vital they dramatically alter their daily lives in order to lower risk from a greater local standpoint."}],"markDefs":[],"style":"normal"},{"_key":"9d63dfcbbf5b","_type":"block","children":[{"_key":"9d63dfcbbf5b0","_type":"span","marks":[],"text":"German scientists, some of the first to look at clinical data on this outbreak have concluded two pieces of information that can help us understand the impact of lessening our movement:"}],"markDefs":[],"style":"normal"},{"_key":"84852cc5667c","_type":"block","children":[{"_key":"84852cc5667c0","_type":"span","marks":["strong"],"text":"1. Individuals are most infectious early in the disease."}],"markDefs":[],"style":"normal"},{"_key":"c39adb0ae204","_type":"block","children":[{"_key":"c39adb0ae2040","_type":"span","marks":["strong"],"text":"2. Viral load (how much of the virus is present in an individual) does not necessarily correlate with the isolation of the virus. In layperson terms, you can be carrying and transmitting the virus *and* be completely symptom-free."}],"markDefs":[],"style":"normal"},{"_key":"5a2a54eadbbd","_type":"block","children":[{"_key":"5a2a54eadbbd0","_type":"span","marks":[],"text":"With restricted accessibility and availability to testing right now, one of the greatest measures we can take from a public health imperative is to engage in social distancing. This is because viruses spread easily in dense places (think: a packed subway car, a political rally, or a concert). Social distancing is a spectrum of measures that can be taken to increase the physical space between people in an effort to slow the spread of this virus."}],"markDefs":[],"style":"normal"},{"_key":"2369b328967b","_type":"editorialImageCarousel","items":[{"_key":"12d53cf0cf81","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-b21456f58736739245c4fea78dab025596ab4117-2103x842-png","_type":"reference"}}}}],"spacing":"pys"},{"_key":"1bdc6235dede","_type":"block","children":[{"_key":"1bdc6235dede0","_type":"span","marks":[],"text":"But what about local businesses? What about people who are financially unable to purchase adequate provisions or work from home? What about considerations for public school closings and the children who only receive meals at school?"}],"markDefs":[],"style":"normal"},{"_key":"6e4202ee7324","_type":"block","children":[{"_key":"6e4202ee73240","_type":"span","marks":[],"text":"There aren’t easy answers. But if you have extra resources we encourage you to donate, check-in with loved ones, and members of your community who may be in need."}],"markDefs":[],"style":"normal"},{"_key":"1680cb8b6a27","_type":"editorialImageCarousel","items":[{"_key":"840cbbc22193","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-815484b03ac66c237e154152daa81d310ebce817-2103x195-png","_type":"reference"}}}}]},{"_key":"a96a78e38025","_type":"block","children":[{"_key":"a96a78e380250","_type":"span","marks":[],"text":"As of now, the Department of State is advising U.S. citizens to reconsider all travel abroad. Many areas throughout the world are experiencing coronavirus outbreaks and taking actions that limit mobility (including everything from quarantines to border restrictions)."}],"markDefs":[],"style":"normal"},{"_key":"1a75bfbc9f5e","_type":"editorialImageCarousel","items":[{"_key":"bfce6b14c254","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-0573a6638628b9ddd5fc8ff947443d67643c1cee-2103x1042-png","_type":"reference"}}}}]},{"_key":"752626dacb99","_type":"block","children":[{"_key":"752626dacb990","_type":"span","marks":[],"text":"Global travel is only one aspect of this perspective. Unfortunately, we are able to see examples of healthcare systems that are completely overburdened by this virus. Our actions on an individual and local level must be considered as an ethical imperative for not only our own communities but also at a global level. It is our responsibility to work to ensure that our healthcare system does not grow overburdened. It is through small everyday choices that we can make an impact on the health and safety for all."}],"markDefs":[],"style":"normal"},{"_key":"2df8b636802d","_type":"block","children":[{"_key":"2df8b636802d0","_type":"span","marks":[],"text":"At Tia, we recommend taking some time to build out a social contract that works *you*. It might look something like this…"}],"markDefs":[],"style":"normal"},{"_key":"7bc8f6e8da95","_type":"editorialImageCarousel","items":[{"_key":"f884bea22897","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-02f3afc24fc49538a9624cc1a66146f2a98044e8-2103x656-png","_type":"reference"}}}}]},{"_key":"80a0a844609c","_type":"block","children":[{"_key":"80a0a844609c0","_type":"span","marks":[],"text":"Join us in making a social contract — for the betterment of you, your local community, and the world."}],"markDefs":[],"style":"normal"}],"image":{"_type":"image","asset":{"_ref":"image-0004b32a5e04b31382fa81488f3bbfd23ce70783-2500x866-png","_type":"reference"}},"modules":[{"_key":"d780561a00b6","_type":"furtherReading","articles":[{"_key":"fbc8aa0e2d30","_ref":"12f61670-b812-4d44-85bb-7865737b7a5a","_type":"reference"},{"_key":"9e26632391b4","_ref":"84a00f77-6ca4-4dc2-a225-9141889ad4cc","_type":"reference"},{"_key":"168fbebe73c8","_ref":"b100e362-4b40-48ce-9d93-b08acd64841c","_type":"reference"}],"title":"More reads"}],"publishedAt":"2020-03-13T04:00:00.000Z","slug":{"_type":"slug","current":"coronavirus-building-a-social-contract"},"status":"production","title":"Building a Social Contract during Covid-19","topics":[{"_key":"4d73259c2837","_ref":"f7cd4d35-238d-4aef-85e3-748808982d9b","_type":"reference"}]},"metaInformation":{"_type":"metaCard","metaDescription":"Learn how to build a social contract in the coronavirus climate.","metaTitle":"Building a Social Contract during Covid-19","openGraphDescription":"Learn how to build a social contract in the coronavirus climate.","openImage":{"_type":"image","asset":{"_ref":"image-a7ac813ec7088ae60203cd6c4f7836f1b7e605a5-5000x1600-png","_type":"reference"},"crop":{"_type":"sanity.imageCrop","bottom":0,"left":0.679354094579008,"right":0,"top":0},"hotspot":{"_type":"sanity.imageHotspot","height":1,"width":0.32064590542099203,"x":0.839677047289504,"y":0.5}},"title":"Building a Social Contract during Covid-19","twitterDescription":"Learn how to build a social contract in the coronavirus climate.","twitterImage":{"_type":"image","asset":{"_ref":"image-a7ac813ec7088ae60203cd6c4f7836f1b7e605a5-5000x1600-png","_type":"reference"},"crop":{"_type":"sanity.imageCrop","bottom":0,"left":0.6585928489042683,"right":0,"top":0},"hotspot":{"_type":"sanity.imageHotspot","height":1,"width":0.3414071510957317,"x":0.8292964244521341,"y":0.5}},"twitterTitle":"Building a Social Contract during Covid-19"}},"id":"7580c2cb-cec3-5cfb-be1e-53d80db23a27","parent":null,"children":[],"internal":{"type":"SanityEditorial","contentDigest":"917cc0221d4bd987ae7ef489706c4457","counter":210,"owner":"gatsby-source-sanity"}},{"_id":"714009ff-6629-4cb9-bf8b-310f7ac19fa7","_type":"editorial","_createdAt":"2020-08-18T18:02:50Z","_rev":"RVt03L4tU7L2hmVvtO8jO9","_updatedAt":"2023-02-22T16:08:05Z","content":{"_type":"articleTabs","main":{"_type":"articleContent","articleColor":"bcraspberry","articleType":{"_ref":"b404d313-73f7-4d54-875e-de1b26d3130d","_type":"reference"},"authors":[{"_key":"fe0a7e50dfa5","_ref":"1d6ce256-595a-4357-89ae-bda37a32224e","_type":"reference"}],"cardImage":{"_type":"image","asset":{"_ref":"image-7735d33465c18827e2575b42ee0be5f3110be84b-5000x1600-png","_type":"reference"},"crop":{"_type":"sanity.imageCrop","bottom":0,"left":0.02645502645502646,"right":0.4852607709750567,"top":0},"hotspot":{"_type":"sanity.imageHotspot","height":1,"width":0.4882842025699168,"x":0.27059712773998484,"y":0.5}},"editorialText":[{"_key":"48fd628c0a89","_type":"sectionHeader","title":"Why Women Need a Translational Bridge"},{"_key":"a9fb9ae90ab5","_type":"block","children":[{"_key":"a9fb9ae90ab50","_type":"span","marks":[],"text":"For most women, the world of academia, research and clinical care is a black box that is both inaccessible and incomprehensible. 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Head this way for a deep dive on the research supporting this effort!"}],"markDefs":[],"style":"normal"},{"_key":"ed3f5579813e","_type":"block","children":[{"_key":"ed3f5579813e0","_type":"span","marks":[],"text":"More than a simple quiz, Female Stress Signatures is an educational tool that communicates five key concepts that every female and women’s healthcare provider should know:"}],"markDefs":[],"style":"normal"},{"_key":"b94ee5458894","_type":"block","children":[{"_key":"b94ee54588940","_type":"span","marks":[],"text":"#1: Female* stress is distinct from male stress."}],"markDefs":[],"style":"h3"},{"_key":"9b66632e07c0","_type":"block","children":[{"_key":"9b66632e07c00","_type":"span","marks":[],"text":"Shocker! Males and females evolved to process stress differently. Even though our bodies react in a similar way (meaning, elevated blood pressure, increased heart rate, dilated pupils), female and male brains activate different pathways — even in response to the same stressors. This is why we need to both study and clinically consider female stress responses and triggers as distinct from male stress patterns."}],"markDefs":[],"style":"normal"},{"_key":"176c25bcc6d7","_type":"block","children":[{"_key":"176c25bcc6d70","_type":"span","marks":["em"],"text":"*Looking to know how we define female with respect to the science of stress? Check out our glossary"},{"_key":"176c25bcc6d71","_type":"span","marks":["em","strong"],"text":" "},{"_key":"176c25bcc6d72","_type":"span","marks":["strong","9454e8a13db8"],"text":"here"},{"_key":"176c25bcc6d73","_type":"span","marks":[],"text":"."}],"markDefs":[{"_key":"9454e8a13db8","_type":"externalLink","url":"https://stressquiz.asktia.com/glossary/"}],"style":"normal"},{"_key":"fc7e758f07d9","_type":"block","children":[{"_key":"fc7e758f07d90","_type":"span","marks":[],"text":"#2: Not all stress is bad nor created equal!"}],"markDefs":[],"style":"h3"},{"_key":"7431a524f0bb","_type":"block","children":[{"_key":"7431a524f0bb0","_type":"span","marks":[],"text":"Some stress is normal, healthy, and key to our survival. But other forms of stress — and too much stress — is not. Specifically, acute stress — which is stress that lasts anywhere from a few seconds to a few hours — is a natural physical and mental reaction to life’s experiences and is valuable (in doses)."}],"markDefs":[],"style":"normal"},{"_key":"064bde105db3","_type":"block","children":[{"_key":"064bde105db30","_type":"span","marks":[],"text":"But, when you let it run wild and stressors pile up, it can become negative This is called chronic stress and is what we’re committed to helping women better manage through Tia’s Female Stress Signatures."}],"markDefs":[],"style":"normal"},{"_key":"43689cbeb874","_type":"block","children":[{"_key":"43689cbeb8740","_type":"span","marks":[],"text":"#3: Chronic stress can make women sick."}],"markDefs":[],"style":"h3"},{"_key":"5928646224d1","_type":"block","children":[{"_key":"5928646224d10","_type":"span","marks":[],"text":"Stress protects you during short-term threatening conditions, but increasingly, you’ll find yourself in situations where a quick resolution isn’t an option — like feeling constantly overworked or worrying about paying rent on time. And so, the amazing system designed to protect you begins to cause wear and tear instead. This is known as "},{"_key":"5928646224d11","_type":"span","marks":["em"],"text":"allostatic load"},{"_key":"5928646224d12","_type":"span","marks":[],"text":"."}],"markDefs":[],"style":"normal"},{"_key":"4b0557270066","_type":"block","children":[{"_key":"4b05572700660","_type":"span","marks":[],"text":"How allostatic load presents itself in each individual woman depends on a multitude of complex, interactive factors: the nature, duration, and timing of the chronic stress, your genetics, epigenetics, and the cumulative effects of your lifestyle, good and bad."}],"markDefs":[],"style":"normal"},{"_key":"a50f02749723","_type":"block","children":[{"_key":"a50f027497230","_type":"span","marks":[],"text":"When your brain and body remain alert and activated longer than is healthy, you can become more vulnerable to infections, heart attacks, strokes, high blood pressure, fatigue, gut dysregulation, and accelerated aging. This is why in a very literal way, chronic stress can make you sick!"}],"markDefs":[],"style":"normal"},{"_key":"44bc40a9dd19","_type":"block","children":[{"_key":"44bc40a9dd190","_type":"span","marks":[],"text":"#4: Stress is more than cortisol — it involves the two separate axes of energy and arousal."}],"markDefs":[],"style":"h3"},{"_key":"4701d664db13","_type":"block","children":[{"_key":"4701d664db130","_type":"span","marks":[],"text":"Clinically, the burdens of chronic stress can be broadly grouped into four Stress Signatures:"}],"markDefs":[],"style":"normal"},{"_key":"beb1c3efc6d8","_type":"editorialImageCarousel","items":[{"_key":"9d612adb163c","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-743b4c299b0e9020c721b89fcc7e6993408a634a-1644x1096-jpg","_type":"reference"}}}}]},{"_key":"04acfd50ddf7","_type":"block","children":[{"_key":"04acfd50ddf70","_type":"span","marks":[],"text":"These four Stress Signatures focus on the dominant components of the stress response — primarily the cortisol released from your adrenal glands and your autonomic nervous system. In other words, your Stress Signature is a byproduct of how fast you are to mobilize energy and how aroused your nervous system is."}],"markDefs":[],"style":"normal"},{"_key":"f8ff147f94f9","_type":"block","children":[{"_key":"f8ff147f94f90","_type":"span","marks":[],"text":"Energy"}],"markDefs":[],"style":"h4"},{"_key":"9d7ca1503758","_type":"block","children":[{"_key":"9d7ca15037580","_type":"span","marks":[],"text":"When we say “Energy” in the context of stress, we’re talking about how eager your body is to mobilize — either a go-go-go "},{"_key":"9d7ca15037581","_type":"span","marks":["em"],"text":"Sprinter"},{"_key":"9d7ca15037582","_type":"span","marks":[],"text":" or a slow-your-roll "},{"_key":"9d7ca15037583","_type":"span","marks":["em"],"text":"Pacer"},{"_key":"9d7ca15037584","_type":"span","marks":[],"text":"."}],"markDefs":[],"style":"normal"},{"_key":"95fac5b23877","_type":"editorialImageCarousel","items":[{"_key":"2bd80d03d8f8","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-571e9cfe52954e2152bbae089a30856722783424-1644x1096-jpg","_type":"reference"}}}}]},{"_key":"1c8695f2ce94","_type":"block","children":[{"_key":"1c8695f2ce940","_type":"span","marks":["strong"],"text":"Sprinter"},{"_key":"1c8695f2ce941","_type":"span","marks":[],"text":": In comparison to Pacers, mobilizing energy is as easy as rise and shine. You’re ready to go-go-go from the moment your alarm goes off. But too much eager energy is taxing on your body, sending every cell in your body into overdrive, and bugging friends who’d rather not receive a brunch itinerary at 7AM."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"2a0318854f72","_type":"block","children":[{"_key":"2a0318854f720","_type":"span","marks":["strong"],"text":"Pacer"},{"_key":"2a0318854f721","_type":"span","marks":[],"text":": In comparison to Sprinters, you’re slower and more gradual in the way you mobilize energy. Late nights equal Kryptonite. When your circadian rhythms are balanced, you’re able to win the slow and steady race. But when you’re out of sync, you’re really out of sync, from aches and pains to regretful outbursts."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"27aec6c6d660","_type":"block","children":[{"_key":"27aec6c6d6600","_type":"span","marks":[],"text":"Arousal"}],"markDefs":[],"style":"h4"},{"_key":"ebaa7503cc69","_type":"block","children":[{"_key":"ebaa7503cc690","_type":"span","marks":[],"text":"The other side of the chronic stress coin is your “Arousal Style” — we’re talking about how alert your nervous system is, that means both your brain and body — either Vigilant or Reluctant."}],"markDefs":[],"style":"normal"},{"_key":"2304b3c66276","_type":"editorialImageCarousel","items":[{"_key":"2d73d8b90fff","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-5b78ddfdcc06c137a0692216e8fb149d31a8e560-1644x1096-jpg","_type":"reference"}}}}]},{"_key":"39df5fc0c4cd","_type":"block","children":[{"_key":"39df5fc0c4cd0","_type":"span","marks":["strong"],"text":"Vigilant"},{"_key":"39df5fc0c4cd1","_type":"span","marks":[],"text":": In comparison to Reluctant types, you’re always on the alert. You’re beyond perceptive, which makes attention to detail under stress a strength. But imagine that your body is like a security guard who is always on watch — there’s only so many shifts your nerves can handle before it starts to breakdown."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"c7b9a9f403fd","_type":"block","children":[{"_key":"c7b9a9f403fd0","_type":"span","marks":["strong"],"text":"Reluctant"},{"_key":"c7b9a9f403fd1","_type":"span","marks":[],"text":": In comparison to Vigilant types, you’re more contained. You tend to be more inwardly focused and when stressed, that can mean you’re in your own world. Think: mindlessly watching reruns until Netflix shuts off. So imagine your body is like a turtle — you prefer to be in your shell and when stress strikes, you’re retreating even further."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"98534900c8e2","_type":"block","children":[{"_key":"98534900c8e20","_type":"span","marks":[],"text":"#5: Stress is a spectrum. Unlike your high school prom pics, you aren’t stuck!"}],"markDefs":[],"style":"h3"},{"_key":"c6ae88f9eadf","_type":"block","children":[{"_key":"c6ae88f9eadf0","_type":"span","marks":[],"text":"So first things first: whether you feel “stressed” day-to-day or not, everyone has a Stress Signature. And there’s no such thing as a bad, wrong, or weird Signature. 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First, the provider reviews the patient’s health record with the patient and does a short consultation about the state of the patient’s health. From there, they will do a series of physical examinations, which can include everything from a pap smear and a breast exam to an ear & nose & eye check, depending on your age, gender, and other risk factors."}],"markDefs":[],"style":"normal"},{"_key":"7e14a49800b8","_type":"block","children":[{"_key":"53a8ab4be6a00","_type":"span","marks":[],"text":"Take the part where the patient is talking to their provider, and have them do this virtually. 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She sets the strategic direction for Tia’s growth, culture, and clinical innovation—guiding a fast-scaling team that’s redefining what comprehensive women’s healthcare looks like."}],"markDefs":[],"style":"normal"},{"_key":"b3fffdb5b399","_type":"block","children":[{"_key":"b5dd3b80bcba0","_type":"span","marks":[],"text":"Felicity brings a rare combination of analytical rigor and human empathy to her leadership. A data enthusiast with a deep passion for health and wellness, she believes healthcare should be both evidence-based and deeply personal. Under her leadership, Tia has expanded into a full-spectrum model that integrates primary care, gynecology, mental health, fertility, perimenopause and menopause support, skin care, and longevity services—delivered through seamless in-clinic and virtual experiences."}],"markDefs":[],"style":"normal"},{"_key":"3d6ac562358b","_type":"block","children":[{"_key":"da501b100faa0","_type":"span","marks":[],"text":"Before founding Tia, Felicity held roles at Bridgewater Associates and Owler, where she developed her expertise in data-driven decision-making and high-velocity team execution. She is a graduate of Cornell University and serves on the board of Columbia University's School of Public Health."}],"markDefs":[],"style":"normal"}],"title":"Felicity Yost"},"meta":{"_type":"metaCard","metaDescription":"Meet Tia CEO Felicity Yost. 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Prior to Tia I “cut my teeth” at Bridgewater and Owler, where I worked as a “traditional” product manager in very non-traditional company cultures. These experiences shaped my entree to Tia with deep regard for the impact structure and culture of a team can have on the end product."}],"markDefs":[],"style":"normal"},{"_key":"4ce7773d91da","_type":"block","children":[{"_key":"133d987bd06a","_type":"span","marks":[],"text":"As the incarnating blog post, I seek to describe what "},{"_key":"2afa3234b575","_type":"span","marks":["em"],"text":"Product"},{"_key":"d5026bdca791","_type":"span","marks":[],"text":" is at Tia. For, it’s something it’s not at most other places, or it’s not something it is at most other places. ;)"}],"markDefs":[],"style":"large"},{"_key":"15a236000d8b","_type":"block","children":[{"_key":"a4cac281e844","_type":"span","marks":[],"text":"Below I describe in a narrative fashion, how we’ve arrived at the product-centric approach to development at Tia. Immediately below (if you’re not prone to prose) I also summarize the key differentiators/takeaways."}],"markDefs":[],"style":"normal"},{"_key":"86edf8e48df8","_type":"block","children":[{"_key":"48e0d0698cf40","_type":"span","marks":[],"text":"In one phrase, though, "},{"_key":"48e0d0698cf41","_type":"span","marks":["em","strong"],"text":"we are different because we aren’t limiting the traditional product development principles to one tool kit (code) but, instead, liberally applying them across our various users and their needs in ways that healthcare has never seen before."}],"markDefs":[],"style":"normal"},{"_key":"127698635ed1","_type":"sectionHeader","headerLevel":"h2","title":"The Summary"},{"_key":"d9b885f32a77","_type":"block","children":[{"_key":"15ac3a565ad2","_type":"span","marks":[],"text":"Our approach is different in the following ways:"}],"markDefs":[],"style":"normal"},{"_key":"5ad0fe017438","_type":"block","children":[{"_key":"4dba881e17d70","_type":"span","marks":[],"text":"We believe that a massive contributor to the issues plaguing healthcare is the technology systems that have been incalculably thrust upon the industry, and the way we’ve operationally and technically shifted from relationships and longitudinal health and wellness to transactional, moment in time visits and care. As our core insight, we strive to build a system that is explicitly oriented around supporting the many people participating in a patient’s care community, as well as acknowledging that health and wellness are ongoing activities through life, necessitating more than just a visit."}],"markDefs":[],"style":"normal"},{"_key":"53f86ff36f70","_type":"block","children":[{"_key":"192b7036f6230","_type":"span","marks":[],"text":"In order to effectuate our core thesis into a system, we have taken two differentiated steps in building our products: we’ve greatly expanded our notion of “user” and we’ve greatly expanded how we think about product."}],"markDefs":[],"style":"normal"},{"_key":"d0cd88ac4105","_type":"block","children":[{"_key":"83170518b0aa","_type":"span","marks":["strong"],"text":"We have multiple users, we’re building for the patient, we’re also building for the provider."},{"_key":"ae6a12178830","_type":"span","marks":[],"text":" This means our gynecologists, Primary Care Physicians (PCPs), Licensed Clinical Social Workers (LCSWs) — but it also means the Medical Assistant, care team, the front desk associate, and the ultrasound tech (traditionally forgotten)… we’re building for each individual on our team, and for the team collectively.\n"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"f51d3c838c8b","_type":"block","children":[{"_key":"dc22fbcf25ba0","_type":"span","marks":["strong"],"text":"We view product more expansively than our tech platform, product is our service line, it is our community support, it’s our content."},{"_key":"0a20bdaef09b","_type":"span","marks":[],"text":" With this perspective, we apply the traditional “user-centered thinking” to every problem/issue we encounter (there’s many, we’ve no shortage of “TODOS”), and design solutions under traditional product management strategies (cult of WWUD, or what would the user do?”). This is surprisingly differentiated in healthcare, a space that is still run by the “bottom line”. We take the belief that, if we do what’s best for our users, the needed behavior and the right bottom line will fall into place.\n"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"4044ab598dce","_type":"block","children":[{"_key":"3b4800b1ca790","_type":"span","marks":["strong"],"text":"Expanding our view of product beyond tech alone has necessitated our “architects” to deploy more than code to stand up our differentiated systems. "},{"_key":"a6149a7bdbf0","_type":"span","marks":[],"text":"Our product teams use technology, process, protocols, norms, principles, and culture to build our system. The toolkit is far more expansive, but enables us to not only deploy new service lines, and do the much more challenging (and in my book innovative) which is to deploy tech features that don’t just ladder up to and support clinical processes, but actually help promote/reinforce our clinical model.\n"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"3e044e5cd656","_type":"block","children":[{"_key":"571f4fcab75f0","_type":"span","marks":[],"text":"In order to do this, "},{"_key":"0db4e76cfd06","_type":"span","marks":["strong"],"text":"we elevate engineers, designers, and clinical operators alike into the role of “builders”, and employ them all under the umbrella of the “product organization”."},{"_key":"41a8a65c30ca","_type":"span","marks":[],"text":" Given our platform is not just tech, it necessitates builders of all different skills and licenses to bring our interdisciplinary vision to fruition."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"8904519af8dc","_type":"editorialImageCarousel","items":[{"_key":"8aa8e64f316e","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-744becbbd3aa4a93740f80b3acf17062c74a3e0a-2103x562-png","_type":"reference"}}}}]},{"_key":"ce38dfd8863c","_type":"sectionHeader","headerLevel":"h2","title":"The story version: Our early days set up our differentiated approach"},{"_key":"9edfe4cf7568","_type":"block","children":[{"_key":"8d00f6568720","_type":"span","marks":[],"text":"When we first set out to build Tia, we were on a journey to “de-fragmentize” healthcare, and also to “democratize” access to reliable healthcare information so that women could make better decisions. We knew that this system must leverage technology — but in our early days — we hadn’t fully found what our product needed to be. In silicon valley terms, we hadn’t arrived at product-market fit. "}],"markDefs":[],"style":"normal"},{"_key":"4ee4bf48d6d0","_type":"block","children":[{"_key":"fe75a925d6dd","_type":"span","marks":[],"text":"For the first 9 months of Tia’s life, we were really focused on building a 1-to-1 personal health assistant. It was part human and part bot, and provided personalized and largely instantaneous answers to common women’s health questions such as “I forgot my birth control pill” or “my period is late, should I be concerned?”. Our sweet spot was urgent/anxiety-provoking questions requiring more personalization than a blog post. While this experience gave us an unparalleled front-row seat to over 200,000 different conversations with women about their health, we quickly learned that we needed to supply more than just digital answers on an iPhone to meet women’s needs. Women really wanted Tia to actually deliver their healthcare, not just advice on what and where to get it. We learned that our superpower was not only providing women information but a trusted relationship — one that made women feel seen heard and cared for in outsized ways. We had cracked one of the hardest things to do in healthcare — cultivate trust. "}],"markDefs":[],"style":"normal"},{"_key":"9b66809c5330","_type":"editorialImageCarousel","items":[{"_key":"f49d1bd31725","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-3d60fdc3083e7c9cd9e7acc97c2133910454b789-2103x549-png","_type":"reference"}}}}]},{"_key":"44c1774f77eb","_type":"block","children":[{"_key":"eeeb961d1555","_type":"span","marks":[],"text":"Why then, would we refer women into the healthcare system then for actual healthcare, which they more often than not, distrusted so much? Women wanted real “hardcore” care from Tia, a place to get pelvic exams, STI tests, ultrasounds, breast exams, Pap smears, and phlebotomy. Unlike many of the virtual care platforms that were taking off that the moment, we saw that to bring our women what they needed from Tia required physical sites for care. So, like any good product organization, we bent to our users’ demands."}],"markDefs":[],"style":"normal"},{"_key":"0c105e655eee","_type":"block","children":[{"_key":"0ef80267e55a0","_type":"span","marks":[],"text":"It was at this turning point that we had to face ourselves in the mirror and say: if we are going to become a brick and mortar healthcare delivery organization, what role does technology play in our business? Are we even a tech company? Do we even need a product team? In brief, Carolyn and I would reiterate to ourselves the existential question: “Are we an app with a clinic? Or, a clinic with an app?”"}],"markDefs":[],"style":"normal"},{"_key":"a3c6c42db9ef","_type":"block","children":[{"_key":"33cf1b6052510","_type":"span","marks":[],"text":"I knew we didn’t want to be either. Both sounded small. Not to mention, either way of looking at our future completely missed what we surmised as the core issues in healthcare: information fragmentation, bad patient AND provider experience lacking orientation around cost, a paucity of creative design to make it easy and convenient to use, tawdry technology that belabored simple actions."}],"markDefs":[],"style":"normal"},{"_key":"bdcdb493534e","_type":"sectionHeader","headerLevel":"h2","title":"We couldn’t follow the path of least resistance"},{"_key":"f254b98f9a3b","_type":"block","children":[{"_key":"ca0da4b65ef3","_type":"span","marks":[],"text":"If I am being honest, it probably would’ve been easy to say that “a clinic with an app” alone would solve the problem (it at least would’ve definitely been easier to sell to investors). The problems in healthcare technology are rampant, and most everyone knows this. For example, I’ve never heard a single provider rave about their tech. The brunt of provider complaints arise from the stone-age era Electronic Medical Records (EMR) systems they’re required to use every day, systems that were designed more around the success of the medical biller than the clinician themself. These truths are best described in the poignant article, "},{"_key":"0318a480b2b8","_type":"span","marks":["3b2369a73d90"],"text":"Death by 10,000 Clicks"},{"_key":"049c33b94b91","_type":"span","marks":[],"text":"; an article that every modern-day clinician and “health tech” industry worker has imprinted into their memory."}],"markDefs":[{"_key":"3b2369a73d90","_type":"externalLink","linkType":"text","url":"https://khn.org/news/death-by-a-thousand-clicks/"}],"style":"normal"},{"_key":"0bbeadd0b071","_type":"editorialImageCarousel","items":[{"_key":"081ca21fcc57","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-819cd80d214e48bcdd2133263ca6368afcf64b8a-2466x1644-png","_type":"reference"}}}}]},{"_key":"aab74a44f11b","_type":"block","children":[{"_key":"fa7cbf952e92","_type":"span","marks":[],"text":"That these technology systems inadvertently and advertently shape modern medicine is a critical vector of our problems. EMRs are no longer just data receptacles, they are actually dictating standard of care — "},{"_key":"162be1e80a24","_type":"span","marks":["em"],"text":"driving,"},{"_key":"6353b6556625","_type":"span","marks":[],"text":" not documenting, clinical actions. And, because of the ways that the systems prevent providers from “progressing” a patient through care if they don’t tap the right button, providers focus more on clicking than actually consulting. Who could blame them, for a standard primary care checkup there can be over "},{"_key":"631f1f84f3a9","_type":"span","marks":["dd265e5e3560"],"text":"400 required actions if the EMR is CMS Medicaid compliant"},{"_key":"f93979047b86","_type":"span","marks":[],"text":". This impacts our patients too — provider eye contact is drawn away from the patient in the visit, focused on the buttons not explaining the recommendations. But, worst of all, these "},{"_key":"e21f3f7c63ae","_type":"span","marks":["em"],"text":"buttons"},{"_key":"b565b465e375","_type":"span","marks":[],"text":" distract the provider from the very reason they got into medicine and spent years obtaining a medical degree. In lieu of medical decision making, providers, via these EMRs, are shoved into a draconian technology system that takes as slim a perspective on the merits and possible vertices of human existence and disease as a 1999 version of The Sims. (like versions pre-dating rosebud!;!;!;!;)"}],"markDefs":[{"_key":"dd265e5e3560","_type":"externalLink","linkType":"text","url":"https://pubmed.ncbi.nlm.nih.gov/240603"}],"style":"normal"},{"_key":"8cf8f66d5bbc","_type":"block","children":[{"_key":"5a0720bbafe4","_type":"span","marks":[],"text":"Just as limited as you might feel like a real human in a Sim life, providers are limited in the seemingly two-dimensional matrix of common EMRs. These collections of 1’s and 0’s have uprooted the art of medicine, the practice of wellness, and healing. The art supplanted not by science, but by code. Code that has been lobbed haphazardly on top of more antiquated code, to form a “system”. With each subsequent CMS guideline, another piece falls into a previously unrecognized crack. This mass of bad tech is a very large nodule on the rhizome of the issues in healthcare (I had to go with rhizome, as the panoply of issues in the healthcare system is certainly so large as to require its own glucose supply)."}],"markDefs":[],"style":"normal"},{"_key":"6b42f1072172","_type":"block","children":[{"_key":"0465b927a0d60","_type":"span","marks":[],"text":"So, it was clear that these issues we set out to solve: worsening outcomes, dissatisfied patients, demoralized providers, skyrocketing costs, layers and layers of institution/fragmentation could not be unearthed with a mere digital re-skinning of current tech. The Frankenstein needs to be put to rest and replaced with a new system more purposefully sewn together. This is why we couldn’t take the easy route — and couldn’t make a ‘clinic with an app’."}],"markDefs":[],"style":"normal"},{"_key":"205c89334b16","_type":"block","children":[{"_key":"bb52c346efa30","_type":"span","marks":[],"text":"Everything that I’ve said over the last 4 paragraphs is trite for someone in healthcare. The real difference is how Tia addresses this. A mini digression before I get to this (now you’re understanding why I wrote a summary!)"}],"markDefs":[],"style":"normal"},{"_key":"07b366d95710","_type":"sectionHeader","headerLevel":"h2","title":"Our society didn’t just have a break up with medicine, it lost all relationships in medicine"},{"_key":"98b982e41468","_type":"block","children":[{"_key":"f4283bdd0e65","_type":"span","marks":[],"text":"Long ago, art, science, medicine, pharmacology, botany, horticulture, spirituality and community were all linked, often tied to the same place, individual, or ritualistic practice. And, in more recent past (a mere decade ago), patients retained their doctor for life — allowing their care providers to amass a world of data about them, that while perhaps not all captured in a clinical note, was fertilizing the ground from which the physician drew clinical insights and took clinical decisions. While I am not insinuating we ought to return to bloodletting practices of the past, I do think that we’ve lost greatly in siloing medicine away from the acts of healing, wellness, and community. But required for those is an element that our society, and medicine, in particular, has waysided: time, continuity, cultivation, iteration, and evolution. The site of the modern medical marvel, the ER, is anything but a site for healing continuity. Instead, it’s a site of “transaction”, “one and done” and “take a pill to make it all go away”."}],"markDefs":[],"style":"normal"},{"_key":"d4098fdf9393","_type":"block","children":[{"_key":"1b24b4c949380","_type":"span","marks":[],"text":"What is elemental to “practice medicine”? Etymologically, practice is derived from the greek and means something that is constantly worked on. Medicine, the observation of what is natural. Both rely on this idea of ‘overtime’ — practice and observe "},{"_key":"9acab55604521","_type":"span","marks":["em"],"text":"over time"},{"_key":"9acab55604522","_type":"span","marks":[],"text":". We need a system that will more deeply support care for a patient through time."}],"markDefs":[],"style":"normal"},{"_key":"bfee497351b4","_type":"block","children":[{"_key":"6d4cc4f8623c0","_type":"span","marks":[],"text":"We want to shift our perspective back towards the ‘practice of medicine’ as longitudinal, as through time. How might we do this in a day where patients now expect to similarly command clinical care as they do Ubers? Where we’re promised “cures” to incurable diseases with symptom masking pills? Where providers are cornered into singular methods of treating patients, regardless of the patient's contextual complexities? And, where quite frankly, our clinicians are so burnt out they are constantly looking for ways to minimize patient-facing care hours?"}],"markDefs":[],"style":"normal"},{"_key":"435fe98da408","_type":"block","children":[{"_key":"ea16711fb45c0","_type":"span","marks":[],"text":"From our estimation the longitudinal shift comes down to two core elements that must be pursued: a focus on the spectrum between illness and health and cultivation of relationships as the core system in medicine. The former is at root Tia’s clinical model, our unique approach to delivering care. It is a topic for another, a stand-alone post. But the latter characterizes our perspective on the system that we need to build to enable success in medicine once again. Designing and building this system is my focus at Tia, I’ll aim to explain deeply yet tactically what we mean in the remainder of this post."}],"markDefs":[],"style":"normal"},{"_key":"ce247c3f8559","_type":"block","children":[{"_key":"1e90a900e5b70","_type":"span","marks":[],"text":"In healthcare, we often talk of the patient <> provider relationship — but, in fact that relationship barely exists today. We insinuated institutions between the patient and the provider (think: “I tried to call my doctor but I was on hold with a call center for nearly an hour”, or “I wouldn’t even know where to go to get my medical records”, or “I got a bill from someplace that I didn’t even know I went to for care”). And, of the other relationships critical to making care delivery “work”, we typically gloss them over: the relationship between the patient <> care team, the provider <> care team, the provider <> medical assistant, the provider <> radiologist … etc."}],"markDefs":[],"style":"normal"},{"_key":"3002460de716","_type":"block","children":[{"_key":"8d106fb7adce0","_type":"span","marks":[],"text":"The premise of a relationship, and how it separates from a transaction, is its specific design to have more interactions between the parties in the future. The intention of the design is to create trust between the parties, and per "},{"_key":"3b843a3b065b","_type":"span","marks":["b5cd7e108ae9"],"text":"Levi Strauss"},{"_key":"745f46dcdac8","_type":"span","marks":[],"text":", even a sense of indebtedness/anticipated return of something. In order to cultivate this, we need a sense of transparency, truthfulness, reliability — a sense of memory of the interaction, and most of all, a sense of reliability."}],"markDefs":[{"_key":"b5cd7e108ae9","_type":"externalLink","linkType":"text","url":"https://www.google.com/books/edition/Tristes_Tropiques/lfrk6HmuN7EC?hl=en&gbpv=1&printsec=frontcover"}],"style":"normal"},{"_key":"40fc13519791","_type":"block","children":[{"_key":"253e3a0602a3","_type":"span","marks":[],"text":"The transactional visits of today mystify these foundational elements of relationships (that EMRs have relabeled “encounters”, so as to truly absolve us of any misconception that there should be a string of interactions between that very patient and that very provider/health system ever again). The button clicking creates the effect of “pushing patients through” a string of digital checkpoints. The operating systems make healthcare point in time, one-off, and absolve it of the human-to-human relationship. It’s our thesis that in order to redesign a successful system, we must re-insert the effect of time on health. There’s that age-old adage “it takes a village” … to raise a child. It also takes a village to ensure health and wellness continuity across that child’s lifetime, through adulthood. We seemed to have lost that part of the phrase. Our healthcare is a lifetime journey, and it’s one that must be explored in concert with a band of supporters, namely a care team."}],"markDefs":[],"style":"normal"},{"_key":"f5902a4ca486","_type":"editorialImageCarousel","items":[{"_key":"0aa429cd63a5","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-a7d9359afcdf1ada0156014c08b7376fd2ccbad7-2103x740-png","_type":"reference"}}}}]},{"_key":"9adc9cb74c68","_type":"block","children":[{"_key":"29b01e1934070","_type":"span","marks":[],"text":"Our deepest insight is then: in order to transform healthcare we need to reorient our systems of delivery not around a single visit in a vacuum, but the healthcare journey of a patient. "},{"_key":"e1bf85cf92331","_type":"span","marks":["strong"],"text":"That journey must be supported through transparent, ongoing, collaborative relationships between patients and providers, providers and providers, and patients and patients, or the care community."}],"markDefs":[],"style":"normal"},{"_key":"19260d742d85","_type":"sectionHeader","headerLevel":"h2","title":"To put relationships back in medicine, we had to put the people back in medicine; to put the people back in medicine, we had to understand our people"},{"_key":"b18dcfa9e2b7","_type":"block","children":[{"_key":"07b6ec17a448","_type":"span","marks":[],"text":"How to do this — my first inclination came on strong, as it would for anyone steeped in Paul Graham's product thinking: user-centric design. But, as differentiated from our compatriots in healthcare, we certainly were not going to start with the medical biller (we don’t even employ a medical biller). But, we wouldn’t end with the patient and the provider either. Each member of the care community needs to be treated as a “user”, and so did the collective community. When designing and building our system, therefore, we dually consider each role in our organization (PCPs to front desk staff) and the interactions between each role type as a “user” itself. How might a patient use this feature? How would the way they use it to impact the provider on the other side? What might the provider need to do with the information? When would they need to involve a Medical Assistant or another provider?"}],"markDefs":[],"style":"normal"},{"_key":"6c8f326fcbea","_type":"block","children":[{"_key":"2879a59e28080","_type":"span","marks":[],"text":"And, we needed to refashion the success of care away from a focus on encounters, visit duration, and button clicks towards a longitudinal care journey rooted in a relationship with the patient. Meaning, based on patient need, we should prepare the patient for multiple appointments, and how the insights about their condition would unravel across those steps; we required a choreographed understanding across the team of the various touchpoints each role would have with the patient."}],"markDefs":[],"style":"normal"},{"_key":"96baf9413b89","_type":"block","children":[{"_key":"3b9514baadde0","_type":"span","marks":[],"text":"But, in order to do this successfully, we could not just depend on our technology system alone. It was clear that if we fell into the same trap as those around us, of thinking tech, could devise a solution that characterized the clinical operations or medical decision making, we’d end up down the same road as so many others, death by clicks."}],"markDefs":[],"style":"normal"},{"_key":"cb743db17c18","_type":"block","children":[{"_key":"bee018296b040","_type":"span","marks":[],"text":"Clinical operations, service line design, clinical research, patient experience, provider documentation, patient registration … even down to that “breath in, breath out” moment at blood draw needed to be redesigned with this altered perspective in mind. We had a long list, to name a few:"}],"markDefs":[],"style":"normal"},{"_key":"f12cf2b928cb","_type":"block","children":[{"_key":"404b35a78537","_type":"span","marks":["strong"],"text":"We need a service line redesign to change the concept of a “once a year preventive healthcare check-up” to “a daily engagement with my health and wellness”."},{"_key":"b3c3f6863066","_type":"span","marks":[],"text":" How can we help our patients translate “eat more fiber” from their digital care plan into a living and breathing action they take every day?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"e63e710ae414","_type":"block","children":[{"_key":"d6fa15a5fd950","_type":"span","marks":["strong"],"text":"We needed altered clinical operations, guidelines, and procedures to support such a longitudinal view"},{"_key":"4012b26922a5","_type":"span","marks":[],"text":" — how might a provider dig into different questions during different visits? How might we recommend different modalities of wellness (acupuncture, nutrition, mental support) given certain conditions?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"2ed3aeb13b9d","_type":"block","children":[{"_key":"00b5799e97be0","_type":"span","marks":["strong"],"text":"We needed patient education initiatives to engage and explain our different ways of doing things"},{"_key":"a2a6ee26bea9","_type":"span","marks":[],"text":". This education needs to extend beyond informational, to curational. It needs to break the long endured stigmas in women’s care, and building community in the experience of our bodies, of our health, of our lives — rehumanize healthcare through and through."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"b2eb0d0b02bd","_type":"block","children":[{"_key":"e66fad2e95eb0","_type":"span","marks":["strong"],"text":"We needed differentiated staff and personnel"},{"_key":"1dd9bc596723","_type":"span","marks":[],"text":" who would thrive in the high volume of communication that we are doing between our team and out to patients. We needed training modules on how to speak the language of patients, not the foreboding language of healthcare."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"cdca5180da06","_type":"block","children":[{"_key":"59488a7252f20","_type":"span","marks":["strong"],"text":"We even needed alternate clinical space design"},{"_key":"f726d5fd342b","_type":"span","marks":[],"text":" to support the cross-team collaboration and make “the doctor’s office” a place women wanted to go to — not just when something was wrong but to proactively invest in their health."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"351cde871b67","_type":"block","children":[{"_key":"3779c75984c70","_type":"span","marks":["strong"],"text":"We needed to establish an organizational culture"},{"_key":"6ab074c3d457","_type":"span","marks":[],"text":" that supported our core norms, principles, and philosophies around the critical elements of success in patient-care (longitudinal thinking/the health journey and relationships). This necessitated more than just technologists working on this “product”. This essentially requires our entire organization, from software developers to clinical operators, to NPs and MDs, to designers, to the brand team. Decisions couldn’t be siloed but must be made and executed horizontally across all these functional areas."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"558c73c02c20","_type":"block","children":[{"_key":"ad0cd20227cd","_type":"span","marks":[],"text":"To bring these various minds together, the right org structure became tantamount. As anyone familiar with matrixed decision making, the underbelly of the interdisciplinary team is decision paralysis. In an effort to avoid this, we took the role of the product manager, or the ambassador of the user, and said: you have many tools in your tool kit, use them all to impress your user. PMs at Tia use tech, service line design, patient education, clinical modeling, process/procedures, cultural development and training, and much more to deliver on their goal."}],"markDefs":[],"style":"normal"},{"_key":"59aaa16ce9ad","_type":"sectionHeader","headerLevel":"h2","title":"And, we had to revolutionize the way we organize our people to ensure the best possible collaborative outcomes."},{"_key":"2ec2ca7a695c","_type":"block","children":[{"_key":"c9d791fdc07a","_type":"span","marks":[],"text":"The role of the PM is much expanded from the traditional that typically works across engineering, design, and marketing. And, as is much in vogue at the moment in technical organizations, we’re pulling the “technical design” conversations earlier into the development process. But, we’ve expanded our definition of technical design to include clinical ops, clinical research, and care. After all, we’re in a world where much of our product is actually the care, and the ops are the delivery vessel (akin to businesses where content is the product, and the platform is the delivery vessel aka Instagram). Engineers and operators are our builders, they just have different building blocks. We treat the design and implementation process across the two much the same — and most importantly, the test/iterate cycle much the same. Our operational feature performance is measured and ‘bug fixed’ in much the same way our technical features are."}],"markDefs":[],"style":"normal"},{"_key":"ddc48aa57be0","_type":"block","children":[{"_key":"6725889768f00","_type":"span","marks":[],"text":"One of the most important elements of how we’ve thought about this design is that we cut a PM’s responsibility not by tools in the tool kit but by the user, we don’t have operator PMs and tech PMs, just PMs. Our PMs are focused on the patients or the providers or the administrative staff. This means, in order to develop end value for the user, they may / must have to traverse all tools in the tool kit. Take a recent feature we released, an online check-in for patients which allows them to validate their insurance coverage, the card on file for copays, and complete their intakes ahead of their visit. While a substantial portion of this feature was a technical build (and quite a complex one at that), this implicated both our administrative and clinician teams. This information is critical to the workflows of both. So, before even setting out to design or build tech, we said to them, “what are the ways in which you use this information? What are your biggest pain points around it? What do you wish you could do?”. These answers factored directly into the systems that we designed — both technical and operational."}],"markDefs":[],"style":"normal"},{"_key":"12714dd8295a","_type":"block","children":[{"_key":"c43acfa5d3d50","_type":"span","marks":[],"text":"A different, more clinical example is how we redesigned the use of the patient care plan to support our longitudinal care structure. Providers traditionally document the treatments and next steps for patients in the care plan section of the EMR. Similar to others, we use this opportunity to prompt providers to think about our particular care model (eg if a patient is in for a UTI, consider immune support, not just antibiotics). Yet, we also heard from patients and care teams alike that a document to remind the patient post appointment of the plan would be useful, and even more useful would be to have recommendations for how they might secure items in the care plan, or have the opportunity to discuss in more detail the recommendations. While we’re still building out this feature (it’s currently in the MVP phase), this was a perfect example of insights from a trifecta of users coming together to influence both technical features (digitally displaying the care plan to a patient and provider in their respective portals) as well as operations (training our care team on how to chat with patients about this document). Only when paired together does the vision become successful."}],"markDefs":[],"style":"normal"},{"_key":"c4263718e9f2","_type":"editorialImageCarousel","items":[{"_key":"6f7ed55aac4c","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-cb7098945684d174a607b3cf3a966d79bcc7bb46-2466x1644-png","_type":"reference"}}}}]},{"_key":"a86712270ecc","_type":"block","children":[{"_key":"f5934f87c170","_type":"span","marks":[],"text":"By explicitly defining the systemic principles that we believe need be upheld to deliver on clinical success, and explicitly choosing to design for how our core “users” (all of them!) must interrelate to engender success within it we believe we can avoid the Frankenstein systems all their negative tertiary consequences that balloon into the “problems of our healthcare system today” (worsening outcomes, dissatisfied patients, demoralized providers, skyrocketing costs, layers and layers of institution/fragmentation)."}],"markDefs":[],"style":"normal"},{"_key":"7af718a58699","_type":"block","children":[{"_key":"15bee01d138d0","_type":"span","marks":[],"text":"For details on how what, when we bring these philosophical practices into our making process, take a deeper dive into the content of this blog. 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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. Over 54% of women were postponing care due to "},{"_key":"db745bd13900","_type":"span","marks":["6d5837a99fed"],"text":"Covid"},{"_key":"c86221eb4c5b","_type":"span","marks":[],"text":" and 60% of primary care providers agreed that this delay in preventative care was going to lead to an increase in preventable illness for "},{"_key":"6a8fd9f96d1c","_type":"span","marks":["1cb8798aad11","d9e09a91650b"],"text":"patients."}],"markDefs":[{"_key":"6d5837a99fed","_type":"footnote","text":[{"_key":"af904d4bcaf0","_type":"block","children":[{"_key":"6eb6f99166a2","_type":"span","marks":[],"text":"Gabriela Weigel, A., & 2020, J. (2020, June 24). Potential Impacts of Delaying \"Non-Essential\" Reproductive Health Care. 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Retrieved February 01, 2021, from https://patientengagementhit.com/news/patient-health-could-falter-as-covid-19-limits-primary-care-access"}],"markDefs":[],"style":"normal"}]},{"_key":"d9e09a91650b","_type":"internalLink"}],"style":"normal"},{"_key":"b003f487cd72","_type":"editorialImageCarousel","items":[{"_key":"0ed7c7b78501","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-20bb1a86722a90331ed6c309883503f2be559b31-2103x842-png","_type":"reference"}}}}]},{"_key":"4a399b02cfa4","_type":"block","children":[{"_key":"d1c63040cd2c0","_type":"span","marks":[],"text":"Our preventive care services at Tia are entirely underpinned by the Well Woman Exam -- a once-a-year appointment that combines gynecology & primary care annuals. 80% of our active members had this appointment in their first year, and for over 50% of patients, it is their first experience with Tia."}],"markDefs":[],"style":"normal"},{"_key":"5a9e078eae0c","_type":"block","children":[{"_key":"37fa341f81440","_type":"span","marks":[],"text":"We knew we had an obligation to our patients to continue to deliver preventative care and adapt the way we were doing it to accommodate them. 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From there, they will do a series of physical examinations, which can include everything from a pap smear and a breast exam to an ear & nose & eye check, depending on your age, gender, and other risk factors."}],"markDefs":[],"style":"normal"},{"_key":"7e14a49800b8","_type":"block","children":[{"_key":"53a8ab4be6a00","_type":"span","marks":[],"text":"Take the part where the patient is talking to their provider, and have them do this virtually. 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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While we can’t give you an exact vaccination date just yet to bookmark your calendar, here’s what you can expect from Tia over the coming months:"}],"markDefs":[],"style":"normal"},{"_key":"572cb27d4382","_type":"editorialImageCarousel","items":[{"_key":"119f960914dc","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-c1f33402d6e2021fef63a55bd9f96d2c3bf0ef9e-7200x1530-png","_type":"reference"}}}}]},{"_key":"f1e4f9546bca","_type":"block","children":[{"_key":"fac99837e424","_type":"span","marks":[],"text":"As always, Tia’s first & foremost priority is arming women with "},{"_key":"7a47c61061e6","_type":"span","marks":["430cbb40cef1"],"text":"trusted information "},{"_key":"2e5d1918d353","_type":"span","marks":[],"text":"to make informed decisions for their bodies and lives — with confidence. As care providers, we are here to be your objective guide, counselor, and educator, but never your decision-maker.\n\nJust as in our core primary care and gynecology practice, we deploy a sex-specific, distinctly female approach to vaccines — assessing female-specific risk-factors, side effects, and translating the hard data to counter misinformation. Radical transparency and nothing but the facts will forever and always be our priority."}],"markDefs":[{"_key":"430cbb40cef1","_type":"annotation","text":[{"_key":"488368f78962","_type":"block","children":[{"_key":"ea15421d258e","_type":"span","marks":[],"text":"Want to learn more about the Covid Vaccine? "},{"_key":"c67979d60ba8","_type":"span","marks":["d3bad22f936b"],"text":"We covered your most asked questions!"}],"markDefs":[{"_key":"d3bad22f936b","_type":"annotationLink","reference":{"_ref":"1ca555ff-e20e-4ea1-9a0c-7ee4e82ff646","_type":"reference"}}],"style":"normal"}]}],"style":"normal"},{"_key":"c2774ce594fb","_type":"editorialImageCarousel","items":[{"_key":"286b5495b73f","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-a65e47005ebf5825a5c7c0e66eed1645963951c5-7200x1530-png","_type":"reference"}}}}]},{"_key":"788231967aa6","_type":"block","children":[{"_key":"7323d21c64cc","_type":"span","marks":[],"text":"Tia is working tirelessly with our local partners in New York and California to ensure safe and convenient vaccine access for every Tia patient, their partners, and families, following the CDC recommendations and local county roll-out plans. Vaccine efforts are currently focused on healthcare workers and long-term care facility residents, but eligibility criteria (determined at the local level) is changing daily."}],"markDefs":[],"style":"normal"},{"_key":"2eb9405a99c4","_type":"editorialImageCarousel","items":[{"_key":"472f969f2d7e","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-0e9b8e3ac7fa407685c3d6c5193463dee31f383e-7200x1530-png","_type":"reference"}}}}]},{"_key":"e4508c52cfcc","_type":"block","children":[{"_key":"32844a1b7863","_type":"span","marks":[],"text":"The last 9-months have revealed the disproportionate impact of Covid-19 on communities of color — a stark reminder that while a virus can impact us all, it does not affect us all equally. 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We’ve done our research and scoured the data, and we would never encourage you to do something we weren’t willing to do ourselves."}],"markDefs":[],"style":"normal"},{"_key":"3c1fbe087bff","_type":"editorialImageCarousel","items":[{"_key":"119f960914dc","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-35612920b2c14cd492255c430162360722a3c211-7200x4302-png","_type":"reference"},"crop":{"_type":"sanity.imageCrop","bottom":0,"left":0,"right":0,"top":0},"hotspot":{"_type":"sanity.imageHotspot","height":1,"width":0.9139344262295082,"x":0.5430327868852459,"y":0.5}}}}]},{"_key":"6d79f4f19d24","_type":"block","children":[{"_key":"ce95c74c8fc2","_type":"span","marks":[],"text":"As an infectious disease specialist and Internal Medicine doctor with more than two decades of experience designing complex care delivery models, I am proud to be at the helm of Tia's Covid vaccine efforts. While we can’t give you an exact vaccination date just yet to bookmark your calendar, here’s what you can expect from Tia over the coming months:"}],"markDefs":[],"style":"normal"},{"_key":"572cb27d4382","_type":"editorialImageCarousel","items":[{"_key":"119f960914dc","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-c1f33402d6e2021fef63a55bd9f96d2c3bf0ef9e-7200x1530-png","_type":"reference"}}}}]},{"_key":"f1e4f9546bca","_type":"block","children":[{"_key":"fac99837e424","_type":"span","marks":[],"text":"As always, Tia’s first & foremost priority is arming women with "},{"_key":"7a47c61061e6","_type":"span","marks":["430cbb40cef1"],"text":"trusted information "},{"_key":"2e5d1918d353","_type":"span","marks":[],"text":"to make informed decisions for their bodies and lives — with confidence. As care providers, we are here to be your objective guide, counselor, and educator, but never your decision-maker.\n\nJust as in our core primary care and gynecology practice, we deploy a sex-specific, distinctly female approach to vaccines — assessing female-specific risk-factors, side effects, and translating the hard data to counter misinformation. Radical transparency and nothing but the facts will forever and always be our priority."}],"markDefs":[{"_key":"430cbb40cef1","_type":"annotation","text":[{"_key":"488368f78962","_type":"block","children":[{"_key":"ea15421d258e","_type":"span","marks":[],"text":"Want to learn more about the Covid Vaccine? 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Vaccine efforts are currently focused on healthcare workers and long-term care facility residents, but eligibility criteria (determined at the local level) is changing daily."}],"markDefs":[],"style":"normal"},{"_key":"2eb9405a99c4","_type":"editorialImageCarousel","items":[{"_key":"472f969f2d7e","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-0e9b8e3ac7fa407685c3d6c5193463dee31f383e-7200x1530-png","_type":"reference"}}}}]},{"_key":"e4508c52cfcc","_type":"block","children":[{"_key":"32844a1b7863","_type":"span","marks":[],"text":"The last 9-months have revealed the disproportionate impact of Covid-19 on communities of color — a stark reminder that while a virus can impact us all, it does not affect us all equally. 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"},{"_key":"5737a080f0cf","_type":"span","marks":[],"text":"The immune system response causes the production of antibodies and T-lymphocytes "},{"_key":"3687df1e3fb4","_type":"span","marks":["strong"],"text":"which will protect against an actual infection."}],"markDefs":[],"style":"normal"},{"_key":"3e91d2f7c702","_type":"block","children":[{"_key":"7cd554d9bb30","_type":"span","marks":["strong"],"text":"And what’s an mRNA vaccine?"}],"markDefs":[],"style":"h3"},{"_key":"bb95651a367d","_type":"block","children":[{"_key":"2c06158c650e","_type":"span","marks":[],"text":"Messenger RNA or mRNA vaccines work like an instruction manual, introducing mRNA sequences to encode disease-specific Messenger RNA or mRNA vaccines work like an instruction manual, introducing mRNA sequences to encode disease-specific antigens* to trigger an immune response "},{"_key":"225989828ae5","_type":"span","marks":["e979702f51af"],"text":"antigens"},{"_key":"9935a6691674","_type":"span","marks":[],"text":" to trigger an immune response."}],"markDefs":[{"_key":"e979702f51af","_type":"annotation","text":[{"_key":"80fefeb7bc0f","_type":"block","children":[{"_key":"efeac069643f","_type":"span","marks":[],"text":"Antigens are foreign substances that induce immune responses to produce antibodies."}],"markDefs":[],"style":"normal"}]}],"style":"normal"},{"_key":"8088cb1094e1","_type":"editorialImageCarousel","items":[{"_key":"af6092f6578c","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-d7acca105a420b27e60634a3bc2cc803da883602-2103x929-png","_type":"reference"}}}}]},{"_key":"6b904ce2f061","_type":"block","children":[{"_key":"8fca1946a239","_type":"span","marks":[],"text":"Gossip-ectomy"}],"markDefs":[],"style":"h3"},{"_key":"d319a83b1da1","_type":"editorialImageCarousel","items":[{"_key":"122a9addc678","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-cffd3bb298e717b21405988fc0f7a382eb4ad5dc-2103x934-png","_type":"reference"}}}}]},{"_key":"719f8368f6cf","_type":"block","children":[{"_key":"6a3e823e6e5c","_type":"span","marks":["strong"],"text":"mRNA never enters the nucleus of the cell (where the DNA is). "},{"_key":"be1c28ea6490","_type":"span","marks":[],"text":"The cell breaks down and disposes of the mRNA after carrying out the instructions. It does not affect our genetic code."}],"markDefs":[],"style":"normal"},{"_key":"45077588069d","_type":"block","children":[{"_key":"b6baebc9bbaa","_type":"span","marks":[],"text":"While it’s true that there are currently no licensed mRNA vaccines in the U.S., "},{"_key":"293c9819f2bf","_type":"span","marks":["strong"],"text":"researchers have been working with them for decades. "},{"_key":"fa906b17d2a2","_type":"span","marks":[],"text":"mRNA vaccines have been s"},{"_key":"3382eca929bc","_type":"span","marks":["strong"],"text":"tudied for the flu, Zika, rabies, and cancer research."}],"markDefs":[],"style":"normal"},{"_key":"99b4708c1535","_type":"block","children":[{"_key":"dc6feeee498f","_type":"span","marks":[],"text":"These vaccines have been made in
record time due to collaboration, funding, and the help of research participants."},{"_key":"b58a8b1b22a5","_type":"span","marks":["strong"],"text":"No steps in the normal vaccine development have been skipped or compromised."}],"markDefs":[],"style":"normal"},{"_key":"d8fffa75b209","_type":"block","children":[{"_key":"0ac67196ad1d","_type":"span","marks":["em"],"text":""}],"markDefs":[],"style":"normal"},{"_key":"3f349d3d6188","_type":"block","children":[{"_key":"013e89f2beb2","_type":"span","marks":["strong"],"text":"THE DOSE is your science-backed guide to Covid-19 vaccines, from Tia"},{"_key":"69d4e441086f","_type":"span","marks":["strong"],"text":". 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This means..."}],"markDefs":[],"style":"normal"},{"_key":"99a63611080e","_type":"block","children":[{"_key":"e59f93be4e82","_type":"span","marks":[],"text":"more antibodies"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"a7d10e88c9ef","_type":"block","children":[{"_key":"6a169d554afc","_type":"span","marks":[],"text":"a robust supply of memory cells"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"a8c2367d0b3c","_type":"block","children":[{"_key":"e546a70d558b","_type":"span","marks":[],"text":"more antigens"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"0297df2fe086","_type":"block","children":[{"_key":"45cbb780c43a","_type":"span","marks":[],"text":"...leading to a faster and more effective response in the future."}],"markDefs":[],"style":"normal"},{"_key":"9c634bf7cf75","_type":"block","children":[{"_key":"57777024636c","_type":"span","marks":["strong"],"text":"Can I just get one shot instead of 2?"}],"markDefs":[],"style":"h3"},{"_key":"035289a07ad0","_type":"block","children":[{"_key":"8ec8455386f2","_type":"span","marks":[],"text":"Nope! Pfizer’s data showed a dramatic divergence in efficacy:"}],"markDefs":[],"style":"normal"},{"_key":"8088cb1094e1","_type":"editorialImageCarousel","items":[{"_key":"af6092f6578c","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-905623f30657f8d897d5704f44aab4f569234f2f-2103x1044-png","_type":"reference"}}},"text":[{"_key":"27386bf525f4","_type":"block","children":[{"_key":"01faee2d4812","_type":"span","marks":[],"text":"2 doses is pretty standard for vaccines!"}],"markDefs":[],"style":"normal"}]}]},{"_key":"546597925d22","_type":"block","children":[{"_key":"2a7b2f5ab2ea","_type":"span","marks":["strong"],"text":"What are the short-term side effects?"}],"markDefs":[],"style":"h3"},{"_key":"d825e2a9f300","_type":"block","children":[{"_key":"e5e0a2cae577","_type":"span","marks":[],"text":"A small percentage of patients who’ve received the vaccine have experienced..."}],"markDefs":[],"style":"normal"},{"_key":"01870ac34c6b","_type":"block","children":[{"_key":"f4998fa25bc1","_type":"span","marks":[],"text":"high fevers"}],"level":1,"listItem":"bullet","markDefs":[{"_key":"59d785fa0065","_type":"annotation"}],"style":"normal"},{"_key":"21b74ae8df1e","_type":"block","children":[{"_key":"8ee2cffc3145","_type":"span","marks":[],"text":"arm swelling"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"543bcab7619b","_type":"block","children":[{"_key":"a63fe56145ee","_type":"span","marks":[],"text":"joint pain"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"67f401a6c2c7","_type":"block","children":[{"_key":"aac67e08bfd6","_type":"span","marks":[],"text":"fatigue"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"4ba55b13ea4f","_type":"block","children":[{"_key":"e660b495e286","_type":"span","marks":[],"text":"These side-effects are normal. On a larger scale, when a whole country is vaccinated, millions of people will experience some, or all, of these symptoms.\n\nOther common reactions include:"}],"markDefs":[],"style":"normal"},{"_key":"185e3194cb2a","_type":"block","children":[{"_key":"e8af8a7c8ae8","_type":"span","marks":[],"text":"soreness, swelling, or redness at the injection site"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"471f203cce8d","_type":"block","children":[{"_key":"79b58340f391","_type":"span","marks":[],"text":"headache"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"62e446fbbafd","_type":"block","children":[{"_key":"f9b3825727e2","_type":"span","marks":[],"text":"nausea"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"8549ee063a23","_type":"block","children":[{"_key":"51843b128021","_type":"span","marks":[],"text":"muscle stiffness & aches"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"199c8c1e3d0b","_type":"block","children":[{"_key":"438b81cbbf74","_type":"span","marks":[],"text":"These effects are just what happens when your body is responding to a foreign protein and building an immune response to the disease — this is a good thing!"}],"markDefs":[],"style":"normal"},{"_key":"cce93f5cb215","_type":"block","children":[{"_key":"c52d00b21d95","_type":"span","marks":[],"text":"What about allergic reactions?"}],"markDefs":[],"style":"h3"},{"_key":"7319357ed2b3","_type":"editorialImageCarousel","items":[{"_key":"af6092f6578c","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-006cf58101140edd6ac4833294667e6a16b343ef-2103x1044-png","_type":"reference"}}}}]},{"_key":"1f4eb20b8d1b","_type":"block","children":[{"_key":"06d81ee8ba4b","_type":"span","marks":[],"text":"Should I get the vaccine if I’ve had Covid?"}],"markDefs":[],"style":"h3"},{"_key":"d2f083df6ad0","_type":"block","children":[{"_key":"e44ae95f7a24","_type":"span","marks":[],"text":"Yes! Early data strongly suggests that the mRNA vaccines will be more protective than protections from a previous infection."}],"markDefs":[],"style":"normal"},{"_key":"f26557263c13","_type":"editorialImageCarousel","items":[{"_key":"f9190eaa4163","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-e5c47ceb5c39842e84dbbd5f7204832c470509c7-2103x766-png","_type":"reference"}}}}]},{"_key":"5df85e91bd69","_type":"block","children":[{"_key":"8fbd86e6158c","_type":"span","marks":[],"text":"What are the long-term side effects?"}],"markDefs":[],"style":"h3"},{"_key":"2e3e4699b8ba","_type":"block","children":[{"_key":"1c724e0da280","_type":"span","marks":[],"text":" There is limited information on long-term side effects yet but based on a long history of vaccines. It is unlikely that there will be long-term negative effects. \n\nClinical trials catch all but the rarest adverse events, which will be caught by postmarketing surveillance. These events are rare and do not represent and do not represent a good reason to avoid a vaccine, especially amidst a pandemic. \n\n"},{"_key":"3491e3bf4af1","_type":"span","marks":["strong"],"text":"THE DOSE is your science-backed guide to Covid-19 vaccines, from Tia. 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