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My PCP doesn’t talk to my gyno who definitely doesn’t talk to my acupuncturist and I’m stuck in the middle!”"}],"markDefs":[],"style":"large"},{"_key":"18eeb5b967df","_type":"block","children":[{"_key":"18eeb5b967df0","_type":"span","marks":["em"],"text":"“My doctors make me feel so patronized… like I don’t have a brain or an ability to make an informed decision for my own health.”"}],"markDefs":[],"style":"large"},{"_key":"4b1880073f3f","_type":"block","children":[{"_key":"4b1880073f3f0","_type":"span","marks":["em"],"text":"“As a woman of color, I want to see people who look like me when I go to the doctor — especially at the gynecologist.”"}],"markDefs":[],"style":"large"},{"_key":"44ef17b51f1a","_type":"block","children":[{"_key":"44ef17b51f1a0","_type":"span","marks":[],"text":"When we set out to hire our own Care Team for the first NYC Tia Clinic, we took these pain points to heart, and built a modern medical home with:"}],"markDefs":[],"style":"normal"},{"_key":"616a22847b13","_type":"block","children":[{"_key":"616a22847b130","_type":"span","marks":[],"text":"#1: A single Care Team that works together for you — not against you."}],"markDefs":[],"style":"h4"},{"_key":"0712ac83fdcf","_type":"block","children":[{"_key":"0712ac83fdcf0","_type":"span","marks":[],"text":"#2: Multiple disciplines and modalities under one roof — and most important of all, one health record and one set of patient notes!"}],"markDefs":[],"style":"h4"},{"_key":"0b18268baa2b","_type":"block","children":[{"_key":"0b18268baa2b0","_type":"span","marks":[],"text":"#3: Care providers who explain why and not just what — who exist to serve as consultants in, and not dictators of YOUR health!"}],"markDefs":[],"style":"h4"},{"_key":"0b4545d01923","_type":"block","children":[{"_key":"0b4545d019230","_type":"span","marks":[],"text":"#4: A diverse Care Team that reflects the diversity of our members."}],"markDefs":[],"style":"h4"},{"_key":"3d097857be8f","_type":"block","children":[{"_key":"3d097857be8f0","_type":"span","marks":[],"text":"#5: A community and environment that makes not only our patients happy, but our providers happy, too!"}],"markDefs":[],"style":"h4"},{"_key":"d37bb3236f35","_type":"cta","backgroundColor":"bcp","text":[{"_key":"165ed9d23954","_type":"block","children":[{"_key":"165ed9d239540","_type":"span","marks":[],"text":"Interested in our services?"}],"markDefs":[],"style":"h2"},{"_key":"712e83b27d66","_type":"buttonBlock","items":[{"_key":"2e0ee625ff5a","_type":"singleButton","linkCta":"Become a Tia member","linkType":"button","reference":{"_id":"6b861435-f6fe-4c96-893c-77732c7ab389","_type":"join","_createdAt":"2020-07-13T19:59:55Z","_rev":"KXvy2YJ8LiHvygPMefsRJm","_updatedAt":"2024-10-16T19:06:50Z","content":{"_type":"pageTabs","main":{"_type":"pageContent","modules":[{"_key":"f62712e7c72e","_type":"spacer","backgroundColor":"bccream","spacing":"pys"},{"_key":"4138984aed85","_type":"imageAndText","alignment":"jcrr","backgroundColor":"bccream","image":{"_type":"image","asset":{"_ref":"image-6c88ece24f8d7927ad4c62c96316335fe876aa15-7200x7201-png","_type":"reference"}},"text":[{"_key":"92c81ce50862","_type":"block","children":[{"_key":"533575c74524","_type":"span","marks":[],"text":"Use your insurance to pay for services"}],"markDefs":[],"style":"h2"},{"_key":"b94a3e25819b","_type":"block","children":[{"_key":"b44706be5f62","_type":"span","marks":[],"text":"Want to know if we take your insurance? 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Why can my doctor see it, but I can’t?”"}],"markDefs":[],"style":"large"},{"_key":"2c54345c1b71","_type":"sectionHeader","title":"What women’s health providers hate about health records today"},{"_key":"1fa68ab2bb31","_type":"block","children":[{"_key":"1fa68ab2bb310","_type":"span","marks":["em"],"text":"“It feels like there is never the right amount of information… there’s always too little or too much information to be useful.”"}],"markDefs":[],"style":"large"},{"_key":"e12c652e3bfa","_type":"block","children":[{"_key":"e12c652e3bfa0","_type":"span","marks":["em"],"text":"“My patient intake forms are too ‘one-size-fits all.’ There’s no way customize based on a patient’s particular needs.”"}],"markDefs":[],"style":"large"},{"_key":"990200665594","_type":"block","children":[{"_key":"9902006655940","_type":"span","marks":["em"],"text":"“I don’t have time to review a patient’s full health record when I’m in back-to-backs all day. 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We will be providing essential services to women that must be delivered in-person and can no longer be delayed, such as Pap tests, pelvic exams, IUD insertions, and other time-sensitive procedures. We will continue to provide all other services virtually, as a commitment to delivering the highest quality care to women across the continuum (in-clinic, virtual, and all of the moments in-between)."}],"markDefs":[],"style":"large"},{"_key":"ea2bf9ffdd49","_type":"sectionHeader","title":"The decision to close and reopen"},{"_key":"4cb2ffbc1add","_type":"block","children":[{"_key":"4cb2ffbc1add0","_type":"span","marks":[],"text":"The decision to close our doors was deliberate, so too is the choice to reopen. Tia provides essential services, meaning, we never had to close, but as NYC and the world came to a pause, we felt our operations at the clinic needed to pause too. With information changing in real-time, we took an evidence-based approach in our decision-making and elected to temporarily close our physical doors. We were able to effectively divert our care to virtual offerings which enabled us to continue to provide care to our patients. The decision to close was made for the safety of our patients, our staff, and the NYC healthcare system (at the time, inundated by volume and short on supplies). Closing our clinic also meant minimizing the spread of Covid-19 and reserving personal protective equipment for the frontlines."}],"markDefs":[],"style":"normal"},{"_key":"477fb91e8484","_type":"block","children":[{"_key":"477fb91e84840","_type":"span","marks":[],"text":"77 days later, we are grateful to see that the circumstances of the Covid-crisis have changed. 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And that Tia’s mission and foremost innovation is building a relationship-based care model at a time when “relationships” in healthcare are evermore rare."}],"markDefs":[],"style":"large"},{"_key":"065627a2bee0","_type":"block","children":[{"_key":"065627a2bee00","_type":"span","marks":[],"text":"Eight weeks since opening our first brick-and-mortar Tia Clinic, we’ve proven that women really, "},{"_key":"065627a2bee01","_type":"span","marks":["em"],"text":"really"},{"_key":"065627a2bee02","_type":"span","marks":[],"text":" want a differentiated relationship with the healthcare system, and that they are excited about Tia’s potential to deliver it to them. Despite the influx in demand and pressure to rapidly grow to service more members, we recently made the call to deliberately slow down before scaling up. We continue to believe that changing women’s healthcare is a marathon, and not a sprint, and that unchecked “hockey stick growth” cannot be applied to clinical care delivery when real human lives are at play. Instead, we are taking the approach that growth must be deliberate, thoughtful, and obsessively monitored to ensure care quality is never — not even for a second — sacrificed because of startup “growing pains.”"}],"markDefs":[],"style":"normal"},{"_key":"77d4ce896f7f","_type":"sectionHeader","title":"Clarifying the role of technology"},{"_key":"07a3803de386","_type":"block","children":[{"_key":"07a3803de3860","_type":"span","marks":[],"text":"In this explosive era of direct to consumer healthcare companies, we are repeatedly asked — "},{"_key":"07a3803de3861","_type":"span","marks":["em"],"text":"what is Tia?"},{"_key":"07a3803de3862","_type":"span","marks":[],"text":" — a technology company, a direct to consumer brand, or a healthcare services business? To this, we say we are not one, but all three — or more accurately, a relationship company above all else."}],"markDefs":[],"style":"normal"},{"_key":"adb43c883ca6","_type":"block","children":[{"_key":"adb43c883ca60","_type":"span","marks":[],"text":"More tactically, our approach rests on amplifying best-in-class clinical care with innovations in technology and experience design to strengthen — not replace — the canonical patient <> provider relationship. More than an Instagrammable waiting room, or “tech for tech’s sake”, we are laser-focused on interweaving technology and design into the patient and provider experience — not as a “wrapper around,” but in service of clinical care."}],"markDefs":[],"style":"normal"},{"_key":"f21dd6fa9620","_type":"block","children":[{"_key":"f21dd6fa96200","_type":"span","marks":[],"text":"In the words of our users, there’s an intangible, emotional quality that results from the interwoven-ness of technology, brand and "},{"_key":"f21dd6fa96201","_type":"span","marks":["em"],"text":"amazing"},{"_key":"f21dd6fa96202","_type":"span","marks":[],"text":" clinicians all-in-one:"}],"markDefs":[],"style":"normal"},{"_key":"8715a2b4ffa8","_type":"editorialImageCarousel","items":[{"_key":"5b15ac30b18b","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-8342e73a37f0f415f7e3f9d0eafa2c8c563b9a82-1644x1096-png","_type":"reference"}}},"text":[{"_key":"3f73ba6b8003","_type":"block","children":[{"_key":"3f73ba6b80030","_type":"span","marks":[],"text":"Tia patient reviews"}],"markDefs":[],"style":"normal"}]}]},{"_key":"44ba4663cf57","_type":"block","children":[{"_key":"44ba4663cf570","_type":"span","marks":[],"text":"In short, Tia’s model is about a sum greater than its individual parts. Remove the tech, remove the brand, or remove the care, and the whole thing disintegrates."}],"markDefs":[],"style":"normal"},{"_key":"82c702a83a9e","_type":"sectionHeader","title":"The necessity for innovation in women’s health"},{"_key":"ad5ebfbb5e05","_type":"block","children":[{"_key":"ad5ebfbb5e050","_type":"span","marks":[],"text":"While we believe that every woman "},{"_key":"ad5ebfbb5e051","_type":"span","marks":["em"],"text":"should"},{"_key":"ad5ebfbb5e052","_type":"span","marks":[],"text":" have a deep, loved and trusted 1:1 relationship with her provider, delivering this at scale and at an affordable price-point within the confines of the existing healthcare system is rife with challenges. Specifically, the dominant fee-for-service reimbursement models, women’s health provider shortages, and rapidly changing consumer demands make the historic 1:1 relationship with a provider a utopian concept of the past — increasingly limited to very expensive concierge medicine practices inaccessible to the mass market."}],"markDefs":[],"style":"normal"},{"_key":"ddbad4dac273","_type":"block","children":[{"_key":"ddbad4dac2730","_type":"span","marks":[],"text":"While we know Tia is not "},{"_key":"ddbad4dac2731","_type":"span","marks":["em"],"text":"yet"},{"_key":"ddbad4dac2732","_type":"span","marks":[],"text":" a universally-accessible solution that works for every woman with "},{"_key":"ddbad4dac2733","_type":"span","marks":["em"],"text":"any"},{"_key":"ddbad4dac2734","_type":"span","marks":[],"text":" health need across the socioeconomic spectrum, we are committed to building a best-in-class relationship-based care model where women don’t have to “choose” between the trifecta of care quality, convenience and insurance coverage. Instead at the Tia Clinic, women can get evidence-based integrative care in a non “speed dating” environment — for the price of what you pay for Netflix or Spotify each month. To deliver on this promise involves shifting the historic bi-directional patient <> provider relationship to a triangular one, with Tia as the bridge or liaison between a patient and her provider(s):"}],"markDefs":[],"style":"normal"},{"_key":"41cbaa51efcc","_type":"editorialImageCarousel","items":[{"_key":"1040cc0c11be","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-760c08c810d0f9be6570bfaf4adc76e714f4b30f-1644x1096-png","_type":"reference"}}}}]},{"_key":"aa9f939d7d63","_type":"sectionHeader","title":"Productizing this new care model"},{"_key":"fd462818416a","_type":"block","children":[{"_key":"fd462818416a0","_type":"span","marks":[],"text":"While Tia started out as the go-to “wing-woman” for women seeking health information before and after the doctor’s office, the move into real-world care delivery requires that Tia become the “wing-woman” for providers, too. In the words of Tia’s Chief Medical Officer, Dr. Stephanie McClellan:"}],"markDefs":[],"style":"normal"},{"_key":"724fca95e507","_type":"block","children":[{"_key":"724fca95e5070","_type":"span","marks":["em"],"text":"“Tia must become both healthcare translator, care navigator and research-obsessed thinker. For patients, Tia should act as ‘your best friend in medical school’ who explains things to you without dumbing things down. And for providers, Tia needs to be their ‘full-time research assistant,’ providing data-driven, evidence-based recommendations that at times, may be non-obvious, but clinically important. To create a meaningful patient <> provider relationship in the context of the pressures intrinsic to the modern medical system, Tia can’t just play one of these roles, Tia needs to excel at all of them.”"}],"markDefs":[],"style":"normal"},{"_key":"d77cf9d01341","_type":"block","children":[{"_key":"d77cf9d013410","_type":"span","marks":[],"text":"From a product perspective, this means building tools that:"}],"markDefs":[],"style":"normal"},{"_key":"1c6321fb73eb","_type":"block","children":[{"_key":"1c6321fb73eb0","_type":"span","marks":[],"text":"#1: Give the patient more control and agency over her healthcare:"}],"markDefs":[],"style":"h4"},{"_key":"39100e07fa7c","_type":"editorialImageCarousel","items":[{"_key":"53e2f33aa735","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-ad82fd76266e211f5c05fc94d48c93fd588012be-1644x1096-png","_type":"reference"}}},"text":[{"_key":"151a67289f84","_type":"block","children":[{"_key":"151a67289f840","_type":"span","marks":[],"text":"Tia patients control their own health record & can share their cycle, health & wellness data with their Care Team to personalize their experience."}],"markDefs":[],"style":"normal"}]}]},{"_key":"8a3226505eb5","_type":"block","children":[{"_key":"8a3226505eb50","_type":"span","marks":[],"text":"#2: Equip providers to spend more time interfacing with patients (and less time interfacing with the EHR)"}],"markDefs":[],"style":"h4"},{"_key":"c0e125353b94","_type":"editorialImageCarousel","items":[{"_key":"ec08df1b6f07","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-54f6353aa3bb9ff89dc1bfc1c1dddb311b8dca5d-1644x1096-png","_type":"reference"}}},"text":[{"_key":"217b7f58f542","_type":"block","children":[{"_key":"217b7f58f5420","_type":"span","marks":[],"text":"TiaMD (Tia’s “doctor facing” iPad app) flags relevant health data to providers ahead of a patient visit. During Tia appointments, this information is visualized on a “third screen” for the patient & provider to view in tandem."}],"markDefs":[],"style":"normal"}]}]},{"_key":"96e182439508","_type":"block","children":[{"_key":"96e1824395080","_type":"span","marks":[],"text":"#3: Facilitate transparency and collaborative care"}],"markDefs":[],"style":"h4"},{"_key":"3c3722037bfe","_type":"editorialImageCarousel","items":[{"_key":"b7c5dd8fe8e2","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-bfd9610c83e23525e5390724a7c105312170acba-1644x1096-png","_type":"reference"}}},"text":[{"_key":"5b806cb6d384","_type":"block","children":[{"_key":"5b806cb6d3840","_type":"span","marks":[],"text":"During Tia appointments, patients & providers build a collaborative care plan personalized to the patient’s goal."}],"markDefs":[],"style":"normal"}]}]},{"_key":"7e3b82183a27","_type":"sectionHeader","title":"Why people + tech > tech alone"},{"_key":"d736bca4ad48","_type":"block","children":[{"_key":"d736bca4ad480","_type":"span","marks":[],"text":"Patient reviews like these reinforce our belief that the reimagined patient <> provider relationship of the future is at the nexus of technology, design and clinical care."}],"markDefs":[],"style":"normal"},{"_key":"0c7ca848e3eb","_type":"editorialImageCarousel","items":[{"_key":"b2696cd27b00","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-8c0541e54f41ddb78b02eb522111ef604329c688-1644x1096-png","_type":"reference"}}}}]},{"_key":"768e7a58d64a","_type":"block","children":[{"_key":"768e7a58d64a0","_type":"span","marks":[],"text":"But, we’ve also learned that we need to make further investments in the underlying service model to support this new paradigm — particularly outside of Tia exam room walls. We know that technology alone can’t cut it as an effective bridge between the patient and provider. Instead, successful solutions involve both people "},{"_key":"768e7a58d64a1","_type":"span","marks":["em"],"text":"and"},{"_key":"768e7a58d64a2","_type":"span","marks":[],"text":" technology paired together."}],"markDefs":[],"style":"normal"},{"_key":"4fdd1a3660da","_type":"block","children":[{"_key":"4fdd1a3660da0","_type":"span","marks":[],"text":"As a patient-first company who believes that transparency is the foundation of trust, here are the chief points of feedback we’ve heard from our members the past eight weeks, and the ways we are working to address these wants and needs before releasing new memberships:"}],"markDefs":[],"style":"normal"},{"_key":"de86683b3fd8","_type":"block","children":[{"_key":"de86683b3fd80","_type":"span","marks":[],"text":"#1: “I want more appointment times that work with my schedule!”"}],"markDefs":[],"style":"h4"},{"_key":"1f1fd38225f1","_type":"block","children":[{"_key":"1f1fd38225f10","_type":"span","marks":[],"text":"While non-traditional doctor’s office hours optimized for the working woman have always been part of our care promise, we opened with limited availability for early morning, evening and weekend gynecology appointments, which booked up far more quickly than we anticipated."}],"markDefs":[],"style":"normal"},{"_key":"ad57109fffd2","_type":"block","children":[{"_key":"ad57109fffd20","_type":"span","marks":[],"text":"To address the demand for these hours, and the higher-than-expected utilization we’ve seen amongst our patient population, we have hired two additional women’s health nurse practitioners to our Care Team to support an expanded schedule. Starting this week, the Tia Clinic has:"}],"markDefs":[],"style":"normal"},{"_key":"ceaade647fea","_type":"block","children":[{"_key":"ceaade647fea0","_type":"span","marks":[],"text":"“Pre-Work” morning appointments starting at 7:40AM Monday — Friday"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"811904a3de18","_type":"block","children":[{"_key":"811904a3de180","_type":"span","marks":[],"text":"“Post-Work” evening appointments ‘till 8PM Mondays, Tuesdays & Thursdays"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"62bf68defb67","_type":"block","children":[{"_key":"62bf68defb670","_type":"span","marks":[],"text":"Saturday gynecology appointments 9AM — 3PM once a month starting May 11th (and acupuncture every Saturday!)"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"e204429b4f4f","_type":"block","children":[{"_key":"e204429b4f4f0","_type":"span","marks":[],"text":"Designated same and next day appointments for time-sensitive issues (such as UTIs or strep throat) that are released 24 hours ahead of time"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"1d681c32676b","_type":"editorialImageCarousel","items":[{"_key":"4cf14b2459c7","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-229563ce46ccc651888517dd388a3caec1d77cbc-1644x1096-png","_type":"reference"}}}}]},{"_key":"d9919ab32fc3","_type":"block","children":[{"_key":"d9919ab32fc30","_type":"span","marks":[],"text":"As we further expand our Care Team with an additional MD hire over the coming weeks, we will continue to expand our appointment availability, upholding our commitment to convenience and accessibility without compromising care quality or overloading our providers."}],"markDefs":[],"style":"normal"},{"_key":"78b0171933ff","_type":"block","children":[{"_key":"78b0171933ff0","_type":"span","marks":[],"text":"#2: “I love the experience I get at the Tia Clinic, but want that personalized care to extend before and after my visit.”"}],"markDefs":[],"style":"h4"},{"_key":"de01311c9296","_type":"block","children":[{"_key":"de01311c92960","_type":"span","marks":[],"text":"To date, we’ve struggled to ensure patients get the timely communication they desire, "},{"_key":"de01311c92961","_type":"span","marks":["em"],"text":"while also "},{"_key":"de01311c92962","_type":"span","marks":[],"text":"allowing our providers to stay focused on patient care in our exam rooms. To address this, we’re making significant changes to both our staffing model and supporting tech products to improve patient communications pre and post-Tia appointments:"}],"markDefs":[],"style":"normal"},{"_key":"8cb7522f634a","_type":"block","children":[{"_key":"8cb7522f634a0","_type":"span","marks":[],"text":"Specifically, we are introducing:"}],"markDefs":[],"style":"normal"},{"_key":"a167cf6eab7f","_type":"block","children":[{"_key":"a167cf6eab7f0","_type":"span","marks":["strong"],"text":"Care Coordinators"},{"_key":"a167cf6eab7f1","_type":"span","marks":[],"text":" "},{"_key":"a167cf6eab7f2","_type":"span","marks":["em"],"text":"— "},{"_key":"a167cf6eab7f3","_type":"span","marks":[],"text":"a dedicated human face assigned to members when they join to help them navigate every touch point of Tia Care. From questions about scheduling and billing, to referrals and labs, this person will act as our members’ “personal concierge” to streamline all communications between a patient and her provider team at Tia. We believe the addition of Care Coordinators will facilitate higher touch communications, faster response times, and enable continuity of care — without overburdening our providers."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"00ec77ccc726","_type":"editorialImageCarousel","items":[{"_key":"28d66f72a3b1","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-c42b6075306e8790ef7e2326161e52c3ab763e74-1644x1096-png","_type":"reference"}}}}]},{"_key":"f9c02c957190","_type":"block","children":[{"_key":"f9c02c9571900","_type":"span","marks":["strong"],"text":"Chat with the Care Team"},{"_key":"f9c02c9571901","_type":"span","marks":[],"text":" — and in a few weeks, we are launching a private, secure inbox for ALL communications with the Tia Clinic. These past few weeks, we’ve seen that administrative questions (“I need to reschedule my appointment”) can quickly become clinical (“Do I need an ultrasound?”), and clinical questions can quickly become administrative. 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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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Her favorite foods are lettuce, carrots, and bugs from the garden."}],"markDefs":[],"style":"normal"}]}],"layoutStyle":"inline","spacing":"pys"},{"_key":"89e5383c936f","_type":"block","children":[{"_key":"89e5383c936f0","_type":"span","marks":[],"text":"What do you find most challenging/confusing about navigating healthcare?"}],"markDefs":[],"style":"h4"},{"_key":"13ca81dd9c78","_type":"block","children":[{"_key":"8da5a7b6c647","_type":"span","marks":[],"text":"Throughout my Ph.D. I was surprised to find that, apart from reproductive health concerns, medicine does not pay a lot of attention to females specifically. Instead, there is a one-size-fits all approach to clinical research. Women are more likely to be diagnosed with an autoimmune disorder and are at least twice as likely to have chronic pain conditions. The immune system is also thought to be behind sex-specific responses to vaccines: females develop higher antibody responses and have more frequent reactions to vaccines. There was even a 2014 paper proposing developing male and female versions of flu vaccines. And despite an abundance of evidence showing that research conducted on males cannot be extrapolated to females (and that there are plentiful differences between them in everything from drug responses to risk factors for various diseases) many clinicians still don’t routinely analyze and report such differences. There are vast medical data gaps to be filled in, but the past 20 years have demonstrably shown that women are not just smaller men. So why aren’t we actively researching this? At Tia, I believe that we finally are!"}],"markDefs":[],"style":"normal"},{"_key":"80f64de332bb","_type":"block","children":[{"_key":"80f64de332bb0","_type":"span","marks":[],"text":"What is something you’ve learned about health and/or the healthcare system that you want to share with others?"}],"markDefs":[],"style":"h4"},{"_key":"e83d53984a3f","_type":"block","children":[{"_key":"844bea21b3db","_type":"span","marks":[],"text":"A common metaphor in medicine is that the body is a machine designed for certain functions and that when things go awry, they can be treated in the same way a mechanic might fix a car: tighten some screws, add some oil, and adjust the tire pressure. The human body, however, is a fascinating bundle of compromises shaped by natural selection. This leaves us vulnerable to diseases and disorder, but also makes us amazingly resilient. Our bodies can cope with migrations and major environmental challenges, adapting physically and emotionally! 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Some of the questions I’ve been asked led me to do a project on esters (take an acid and an alcohol, shake it up, and the end project is something stinky) or set up a camera so I could watch a tiny fruit fly walk across a table. There is no better preparation for a scientific life."}],"markDefs":[],"style":"normal"},{"_key":"5e28a08317d4","_type":"editorialImageCarousel","items":[{"_key":"faf1c9fc699d","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-387e42f6117e31296785df06b5bb031f1f720b65-1644x1096-png","_type":"reference"}}},"text":[{"_key":"26741bf209d2","_type":"block","children":[{"_key":"26741bf209d20","_type":"span","marks":[],"text":"Dr. Ava with our Chief Medical Officer, Dr. Stephanie McClellan."}],"markDefs":[],"style":"normal"}]}],"layoutStyle":"inline","spacing":"pys"},{"_key":"561660c4382f","_type":"block","children":[{"_key":"1b9f482186360","_type":"span","marks":[],"text":"Why’d you decide to be a part of Tia?"}],"markDefs":[],"style":"h4"},{"_key":"34b740fece09","_type":"block","children":[{"_key":"59b6057c3efa","_type":"span","marks":[],"text":"Health care tech should be about identifying a problem and making a solution that helps real people! Tia opens up a new door at the intersection between technology and female health — the company is truly patient-centric."}],"markDefs":[],"style":"normal"},{"_key":"a8b2b2c45336","_type":"block","children":[{"_key":"a8b2b2c453360","_type":"span","marks":[],"text":"To empower women, you have to make it easy for her to take care of her body! The patient-doctor relationship is among the most sacred in the world because we surrender our modesty and trust our physicians with our most intimate needs and vulnerabilities. In return, Tia gives us science, expertise, respect, and compassion."}],"markDefs":[],"style":"normal"},{"_key":"17e1b25428b5","_type":"block","children":[{"_key":"17e1b25428b50","_type":"span","marks":[],"text":"Carolyn and Felicity’s goals reverberated with me and I wanted to be a part of their movement from day one. Even before Tia had a clinic I helped write “Tia Talks” where we broke down how stress can affect your sex drive and why the clitoris is a magical organ. They have always wanted to give women agency into their health care and I too believe that women should be given access to the information, community, and care they need to make confident decisions about their health and wellness."}],"markDefs":[],"style":"normal"},{"_key":"1a701d3002f0","_type":"editorialImageCarousel","items":[{"_key":"6289d5509888","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-144a4240494778178d33ea024285283ef2e7d63c-1644x1096-png","_type":"reference"}}},"text":[{"_key":"9cf5fd9f843f","_type":"block","children":[{"_key":"9cf5fd9f843f0","_type":"span","marks":[],"text":"Obsessed with Ravensburger’s puzzles. Each puzzle piece shape is drawn by hand! It takes 4 weeks to build the cookie cutter used to cut out the pieces!"}],"markDefs":[],"style":"normal"}]}],"layoutStyle":"inline","spacing":"pys"},{"_key":"7b8cdb8a2c9f","_type":"block","children":[{"_key":"7b8cdb8a2c9f0","_type":"span","marks":[],"text":"As a scientist, how do you approach female health differently than a doctor?"}],"markDefs":[],"style":"h4"},{"_key":"75d5998124e4","_type":"block","children":[{"_key":"1d0bc9911301","_type":"span","marks":[],"text":"My PhD is in evolutionary biology and epigenetics, so I use these two processes to study how some of the health problems we face today arose. This approach will not solve all of our entrenched and deep-rooted health challenges, but it does offer a new, more holistic way of viewing individual and population health from both research and practice standpoints. I want to offer a broader and more inclusive approach to medicine and health, asking new questions about both the immediate and developmental causes and explanations of poor health. I view human health and development through a lens that assumes that humans are highly diverse with a biology that unfolds in a context rather than in predictable unvarying ways. Scientists recognize that for almost any human trait, there is a broad range within which wellness, growth, and development can thrive."}],"markDefs":[],"style":"normal"},{"_key":"ce2fd49a1082","_type":"block","children":[{"_key":"ce2fd49a10820","_type":"span","marks":[],"text":"Do you have a health goal you are working towards?"}],"markDefs":[],"style":"h4"},{"_key":"43ea4ba390a2","_type":"block","children":[{"_key":"7c8861a86193","_type":"span","marks":[],"text":"With a foundation in evolutionary and computational biology, my goal is to draw a dynamic hormonal portrait for every woman. Like each of us, it would be a multi-faceted and dynamic entity that ebbs and flows. Hormones are the building blocks of our cycles and transitions — like puberty, ovulation, periods, pregnancies, and menopause. Understanding our personalized hormonal milieu is a key to understanding our health! If we don’t know ourselves, how can we serve ourselves?"}],"markDefs":[],"style":"normal"},{"_key":"51e3d859504c","_type":"block","children":[{"_key":"51e3d859504c0","_type":"span","marks":[],"text":"What does being a “well-woman” mean to you?"}],"markDefs":[],"style":"h4"},{"_key":"a65998c892c0","_type":"block","children":[{"_key":"ef364827b5e8","_type":"span","marks":[],"text":"Arming myself with science-based advice!"}],"markDefs":[],"style":"normal"}],"image":{"_type":"image","asset":{"_id":"image-0f673c0e83010c0d324e761c095645749e44b35b-2500x800-png","_type":"sanity.imageAsset","_createdAt":"2022-11-08T01:23:38Z","_rev":"wExLizNDPQDMxTyHr9z5bI","_updatedAt":"2022-11-08T01:23:38Z","assetId":"0f673c0e83010c0d324e761c095645749e44b35b","extension":"png","metadata":{"_type":"sanity.imageMetadata","blurHash":"DPQ8}J*IIAaK.8=yJRsToeSg","dimensions":{"_type":"sanity.imageDimensions","aspectRatio":3.125,"height":800,"width":2500},"hasAlpha":true,"isOpaque":true,"lqip":"data:image/png;base64,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","palette":{"_type":"sanity.imagePalette","darkMuted":{"_type":"sanity.imagePaletteSwatch","background":"#574b44","foreground":"#fff","population":1.63,"title":"#fff"},"darkVibrant":{"_type":"sanity.imagePaletteSwatch","background":"#b42c5c","foreground":"#fff","population":0.01,"title":"#fff"},"dominant":{"_type":"sanity.imagePaletteSwatch","background":"#f45548","foreground":"#fff","population":8.49,"title":"#fff"},"lightMuted":{"_type":"sanity.imagePaletteSwatch","background":"#c3afb2","foreground":"#000","population":0.93,"title":"#fff"},"lightVibrant":{"_type":"sanity.imagePaletteSwatch","background":"#f45548","foreground":"#fff","population":8.49,"title":"#fff"},"muted":{"_type":"sanity.imagePaletteSwatch","background":"#a46d5a","foreground":"#fff","population":0.18,"title":"#fff"},"vibrant":{"_type":"sanity.imagePaletteSwatch","background":"#f15034","foreground":"#fff","population":0.04,"title":"#fff"}}},"mimeType":"image/png","originalFilename":"MeetAva_Header.png","path":"images/8qqycr4y/production/0f673c0e83010c0d324e761c095645749e44b35b-2500x800.png","sha1hash":"0f673c0e83010c0d324e761c095645749e44b35b","size":166002,"uploadId":"0OdYgZzsDltBnHv9LRS9VGbLfpXOaGKf","url":"https://cdn.sanity.io/images/8qqycr4y/production/0f673c0e83010c0d324e761c095645749e44b35b-2500x800.png","id":"image-0f673c0e83010c0d324e761c095645749e44b35b-2500x800-png","parent":null,"children":["99ae690d-4409-5e2a-9cda-199432ecacbc"],"internal":{"type":"SanityImageAsset","contentDigest":"a9ccf21b0790691710003ae4ae9e2713","counter":3302,"owner":"gatsby-source-sanity"}}},"modules":[{"_key":"eaff18a1d3ce","_type":"furtherReading","articles":[{"_id":"e43a486c-c7d1-4ea2-b9ac-37ccdc5d2d07","_type":"editorial","_createdAt":"2020-08-13T15:01:22Z","_rev":"8ycwaKn5PLURgEeFH9z4T6","_updatedAt":"2022-12-28T09:51:29Z","content":{"_type":"articleTabs","main":{"_type":"articleContent","articleColor":"bcraspberry","articleType":{"_ref":"29c10dba-823d-4f71-a20b-15b0d6d9db76","_type":"reference"},"authors":[{"_key":"0e6b0168ac15","_ref":"1d6ce256-595a-4357-89ae-bda37a32224e","_type":"reference"}],"cardImage":{"_type":"image","asset":{"_ref":"image-f3f771743acdf4624170918649f0d956e3b35ade-1366x800-png","_type":"reference"}},"editorialText":[{"_key":"a6a756b987cd","_type":"block","children":[{"_key":"a6a756b987cd0","_type":"span","marks":[],"text":"Last 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. 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. 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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. 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