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was walking home from a long shift at one of the three acupuncture clinics I was working at in Williamsburg. As I headed down to the subway, a brightly colored sign with bold text taped to some scaffolding caught my eye. It read “your vagina deserves better.” My first thought was “YES, she does!” and then I wondered, “who & what is Tia!?\" After a quick Instagram search, while waiting for the subway, I found "},{"_key":"42b7279d02e3","_type":"span","marks":["244eb34056cd"],"text":"@asktia"},{"_key":"617fbb29f5cb","_type":"span","marks":[],"text":", the Instagram handle for the app soon to be IRL clinic coming to Flatiron in NYC."}],"markDefs":[{"_key":"244eb34056cd","_type":"externalLink","linkType":"text","url":"https://www.instagram.com/asktia"}],"style":"large"},{"_key":"b582d05cd15d","_type":"editorialImageCarousel","items":[{"_key":"31de1aa49564","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-5cd5d2cd791b10ef222af688c59e51247036a73e-2103x842-png","_type":"reference"}}}}]},{"_key":"b431a4261485","_type":"block","children":[{"_key":"29b887bca4280","_type":"span","marks":[],"text":"I scrolled through posts — “imagine your PCP talks to your acupuncturist to collaborate on your care plan, “ or “yes, your diet and repeat UTIs might just be connected” to “sex-positive health care where you run the show” and other female empowered, body positive and pro-choice messages. Was this femtech/health startup with a cycle tracking, female health problem-solving app real? I immediately searched for an email address and sent a hopeful message expressing my admiration and newfound dream to work as the acupuncturist at the very 1st Tia clinic."}],"markDefs":[],"style":"normal"},{"_key":"ad0b40d8437e","_type":"block","children":[{"_key":"db025f3ffad90","_type":"span","marks":[],"text":"Fast forward 6 months later, I found myself in a meeting room at a coworking space with Chief Medical Officer at the time, Dr. Stephanie McClellan, and CPOO, Felicity Yost. Together we brainstormed how to incorporate the integrative +Traditional Chinese Medicine (TCM) medicine lens into the UHR while I googled meanings to tech acronyms under the table. It was my first time working with anyone other than small- business- owning -acupuncturists and I found myself temporarily swapping out words like Qi, Yin and Yang for more easily accessible phases like blood circulation, fluid balance, and energy levels. I was relieved, however, to find a team that was so open, fascinated, and hungry for this alternative way of thinking."}],"markDefs":[],"style":"normal"},{"_key":"61ffa4748505","_type":"editorialImageCarousel","items":[{"_key":"9db853ec9d46","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-1b60436c5a54b529856733d8a406ce2724a8ac2a-2103x841-png","_type":"reference"}}}}]},{"_key":"ef7ea03fecbe","_type":"block","children":[{"_key":"8e61f227c9290","_type":"span","marks":[],"text":"As evidence-based medicine, acupuncture and TCM have long been recognized for their non-invasive, side effect free and long-lasting stress relieving and health boosting benefits. The research on acupuncture for female-specific health concerns is ever-growing. Acupuncture and herbal medicine have successfully offered life-changing solutions to those plagued with chronically painful periods, hormonally influenced emotional roller coasters, fertility woes, and so on. Tia, and the creative minds building both the clinic and the UHR from the ground up, we're eager to find ways to weave TCM + whole-body health into their approach to care."}],"markDefs":[],"style":"normal"},{"_key":"07895de6947e","_type":"block","children":[{"_key":"6823d62b193f0","_type":"span","marks":[],"text":"This concept of whole-body health is at the very core of Chinese and integrative medicine. It’s nearly impossible, or at least very unlikely, for an acupuncturist to ask a patient about their inability to fall to sleep at night and not inquire about their bowel movements, frequency of headaches, or preference for warm or cold beverages. Figuring out how to merge together this, oftentimes stream of consciousness/ connect the dots style of thinking into a cohesive document is where the fun started."}],"markDefs":[],"style":"normal"},{"_key":"567c7c4bad79","_type":"editorialImageCarousel","items":[{"_key":"409dabfc6dc4","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-cf02c265f7e1dc86b5e116a79640a636ad2dca3b-2103x842-png","_type":"reference"}}}}]},{"_key":"4c98917d1ec2","_type":"block","children":[{"_key":"3e623103eac50","_type":"span","marks":[],"text":"Dr. McClellan, who had spent her career studying the effect of stress on female brains and convincing her medical colleagues that women were not just “small men” already tended to a more holistic and natural approach. She had been recommending acupuncture to her patients for the past 20 years even though I was the first to give her acupuncture. My task wasn’t to figure out how to convince them of acupuncture’s long list of benefits, something I was accustomed to doing, it was how to incorporate the ideology behind it  The first few questions I saw at the top of an intake asked, “were you born vaginally or cesarean?” and “Did your mother have a difficult pregnancy?” This type of thinking — looking at one’s innate constitution and how that informs overall health is embedded within TCM."}],"markDefs":[],"style":"normal"},{"_key":"ca0aaea9c2f5","_type":"block","children":[{"_key":"548b8db553230","_type":"span","marks":[],"text":"Some of the concerns I had noticed in UHR’s at previous acupuncture clinics at which I worked included:"}],"markDefs":[],"style":"normal"},{"_key":"23b20e9115cd","_type":"block","children":[{"_key":"34138abe29630","_type":"span","marks":["strong"],"text":"1. Either the questionnaire was so extensive and detailed that the patient’s first appointment was almost two hours or\n2. it was simply a space to free write your chief complaint."}],"markDefs":[],"style":"normal"},{"_key":"60ba8e307f3c","_type":"block","children":[{"_key":"14144e999cde0","_type":"span","marks":[],"text":"Both versions worked- patients benefited and symptoms improved from the acupuncture they received at either clinic, but they both were catered to a very specific model. As with most things, there is a sweet spot between the two- a UHR where you could get into the nitty-gritty without having to read and/or transcribe a novel. To do this, we had to see where our typical intake questions overlapped."}],"markDefs":[],"style":"normal"},{"_key":"3edee9b18514","_type":"block","children":[{"_key":"b769046733680","_type":"span","marks":[],"text":"We collaborated to explore the various ways we thought about female health. We had the more commonly asked questions about the menstrual cycle like, “Is your cycle regular? How many days do you bleed for? Do you experience pain with your cycle?\" And then dove into the more qualitative, nit-picky TCM style question, “what color is your blood?” “Do you experience clots?” “Does your period start and stop?” We expanded questions about sleep to go beyond, “How many hours do you sleep each night? and “What time do you go to bed? To include, “Do you have a hard time falling and/or staying to sleep? Do you experience night sweats? What about dream disturbed sleep?” We blended our approaches to patient inquiry to find where we aligned, what was missing, and what was necessary"}],"markDefs":[],"style":"normal"},{"_key":"75ff261869b6","_type":"block","children":[{"_key":"7e05947a8aed0","_type":"span","marks":[],"text":"What Chinese and integrative medicine brings to the table that is often missing in Western medicine clinics + hospitals is the idea that symptoms, or the branch, arises due to an underlying concern, the root. This idea is fundamental in TCM. Rather than giving a pill for this and a pill for that, this root/branch thinking enables us to dig deeper and figure out the "},{"_key":"7e05947a8aed1","_type":"span","marks":["em"],"text":"why"},{"_key":"7e05947a8aed2","_type":"span","marks":[],"text":" of how it all started. And what’s more affirming in this type of thinking is not only seeing longer-lasting solutions to what was once a chronic ailment, but the fact that asking patients these questions, incorporating them into the UHR enables them to make the connections. What we have found is that Tia patients are actively invested in their health and they are tired of going to specialist after specialist who say that the pain will eventually go away, that their chronic bloating doesn't sound that abnormal, or that their irregular bleeding "},{"_key":"7e05947a8aed3","_type":"span","marks":["em"],"text":"seems"},{"_key":"7e05947a8aed4","_type":"span","marks":[],"text":" to be normal their body. The Tia patient wants more answers. They are curious and intuitive and while they’ve been taught to ignore the signs their body is telling, sometimes screaming at them, they have come to us ready to listen, ready to learn."}],"markDefs":[],"style":"normal"},{"_key":"b056d7da9b6f","_type":"block","children":[{"_key":"d17f898fce060","_type":"span","marks":[],"text":"Working with the team to layer this type of thinking into the UHR did, as expected, posed a concern in terms of length. What I found, and still find to be a challenge when bringing together health and tech is all of the “ifs, buts and it depends,” of a patient's story. While tech thrives on clean, bullet point answers and organized layouts, my note-taking often leads me on a winding journey of writing outside the lines. I expected to incorporate at least some open text for a patient to “free write” a specific answer but soon found that not only is this inefficient space-wise, but also, makes it harder for another practitioner to make sense of it all. In order to honor the need to allow flexibility in response, I was introduced to the idea of “conditional logic”."}],"markDefs":[],"style":"normal"},{"_key":"20c62320168b","_type":"editorialImageCarousel","items":[{"_key":"a20ba21e3ed5","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-e1755d89b8de062321877ae0f906430a6f434b80-2103x1008-png","_type":"reference"}}}}]},{"_key":"c2bb33909b2c","_type":"block","children":[{"_key":"2cfee6596459","_type":"span","marks":[],"text":"Conditional logic allowed us to include the possibilities of the “if’s, but’s and it depends” into a relatively concise questionnaire. While I can’t credit this simple idea with being the secret to condensing dozens of textbooks of theory and years of clinical questioning into something a bit more approachable, it certainly helped."}],"markDefs":[],"style":"normal"},{"_key":"20e6fb756868","_type":"block","children":[{"_key":"9af6afea8faa0","_type":"span","marks":[],"text":"The underlying theme in this whole process was efficient collaboration — finding a balance between honoring a patient’s unique health journey while at the same time, making it digestible for practitioners of varying backgrounds. 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She has learned how to set boundaries in her personal, social and work lives to avoid feeling burnt out, over-extended and drained. In this age of “self care,” she gives her body and mind the rest, movement and love that she needs to feel good. A well-women can speak up for herself; knowing when to ask her community for help, when to back down and when to say no. She recognizes her imperfections but loves herself regardless, knowing that she is enough."}],"markDefs":[],"style":"normal"},{"_key":"4ed4835bf2c5","_type":"block","children":[{"_key":"4ed4835bf2c50","_type":"span","marks":[],"text":"What’s the most important thing you’ve learned about yourself over the last decade?"}],"markDefs":[],"style":"h4"},{"_key":"a61639d86714","_type":"block","children":[{"_key":"a61639d867140","_type":"span","marks":[],"text":"Over the past decade, I have learned to trust myself. I’ve always been the type of person who calls a million friends before making any sort of decision. Maybe it’s my Gemini nature, but I’ve always struggled to finalize my choices and feel confident about what I wanted. No matter how big, (should I move to New York City?) to how small (should I eat that cookie?) I’ve doubted myself and my ability to know and more so, to trust what I really wanted. In the last decade, however, I have learned to listen to my intuition, to know that I am fully capable of making my own choices, and while I can (and do) still turn to friends to talk something over, I am the one who need to decide. Trusting myself is everything."}],"markDefs":[],"style":"normal"},{"_key":"1c758a57c35b","_type":"block","children":[{"_key":"1c758a57c35b0","_type":"span","marks":[],"text":"If you could go back in time, what do you wish you knew about your health that you know now?"}],"markDefs":[],"style":"h4"},{"_key":"48b9c257b05d","_type":"block","children":[{"_key":"48b9c257b05d0","_type":"span","marks":[],"text":"I wish I knew that things take time, that patience is everything and that sometimes you can’t fix yourself. I wish I knew that taking care of myself every day and having a self-care routine, no matter how small, is essential to my mental, physical and emotional wellbeing. As much as we may think we can, we can’t overextend ourselves and expect our bodies to keep up. I didn’t understand the value of listening to my own my body’s cues; hunger signs, fatigue, headaches or sore muscles and because of this, I didn’t know when to stop or slow down. Through trial and error, I have since learned to listen, I appreciate that I discover more and more about my body and myself with every year that passes by."}],"markDefs":[],"style":"normal"},{"_key":"1ef0b020e50e","_type":"block","children":[{"_key":"1ef0b020e50e0","_type":"span","marks":[],"text":"If you could wave a magic wand and change one aspect of women’s healthcare, what would it be?"}],"markDefs":[],"style":"h4"},{"_key":"a8bec51b28d2","_type":"block","children":[{"_key":"a8bec51b28d20","_type":"span","marks":[],"text":"I would change how we talk about sex, about body acceptance and self-care. I’m grateful that the idea of self-care and self-love are finally gaining traction as wellness trends that promise a relaxed mind and rested body are suddenly everywhere. I wish that sex conversations were more diverse, more inclusive and more open from the start. Knowing that we can have sex that is different from what we read about in Cosmo, see in health class or on Sex & The City can be life-changing to someone who doesn’t fit into that hetero-normative box. We have so much shame and guilt around sex, especially when something isn’t right or isn’t “normal.” Luckily, due to more queer and diverse visibility in mainstream media, this is finally starting to change, but we still have a lot of work to do, especially in the healthcare world. This is one of the reasons I’m so excited to work with Tia."}],"markDefs":[],"style":"normal"},{"_key":"83098141acc4","_type":"block","children":[{"_key":"83098141acc40","_type":"span","marks":[],"text":"Tell me about your journey to acupuncture. What drew you to it?"}],"markDefs":[],"style":"h4"},{"_key":"0acccec6b46c","_type":"block","children":[{"_key":"0acccec6b46c0","_type":"span","marks":[],"text":"I started getting acupuncture when I was in undergrad. I was a creative writing major and while working on my thesis, I got tendonitis from writing all the time. I didn’t have healthcare or an expendable income, but luckily, someone recommended that I go to an acupuncturist who was able to be flexible with pricing. I decided to go and within a few treatments, not only was my wrist feeling better, but the treatments helped to reduce anxiety, lift my moods and energy. I was so amazed at how these little needles were able to do so much — I was instantly hooked. Even more so, the questions that Chinese Medicine brings up and asks of us led me to examine my body in ways I had never considered; did my headaches come on before my period or after? What kinds of foods did I crave? Do I feel rested when I wake up? Do I sweat at night?"}],"markDefs":[],"style":"normal"},{"_key":"1c7ec043d9d2","_type":"block","children":[{"_key":"1c7ec043d9d20","_type":"span","marks":[],"text":"I had battled an eating disorder for years — I didn’t understand how my mind and body were a part of the same circuit. With the support of acupuncture and the self-awareness it encouraged me to have, I was able to reconnect to parts of myself I thought were lost. I became drawn to this medicine because of how balanced, supportive and customized it is. Two people may both have period pain, but their remedies can be entirely different because they are not the same. This is an idea that seems so simple and even so, I think conventional medicine often strays from this belief. I think Chinese Medicine is magical in how it works; helping people regain body awareness through supporting them to find balance and encouraging them to make small, everyday changes towards a balanced lifestyle."}],"markDefs":[],"style":"normal"},{"_key":"279aa15bc3d7","_type":"editorialImageCarousel","items":[{"_key":"e46b94823985","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-1897f1ab8bc281f1a8157dbda3fd7f9e1325483b-2400x1336-png","_type":"reference"}}}}]},{"_key":"13d133a78723","_type":"block","children":[{"_key":"13d133a787230","_type":"span","marks":[],"text":"How do you see acupuncture complementing conventional medicine?"}],"markDefs":[],"style":"h4"},{"_key":"dace31b6f8a4","_type":"block","children":[{"_key":"dace31b6f8a40","_type":"span","marks":[],"text":"I have found, both personally and clinically that time and time again, acupuncture is able to provide unparalleled support to conventional medicine. Acupuncture and Traditional Chinese Medicine strive to get to the root of why problems and diseases arise by analyzing our everyday patterns and behaviors. As an integrative medicine practitioner, I believe that when balancing health, it’s often necessary to engage with a more holistic and inclusive view to create lasting benefit. By helping to reduce inflammation, balance hormones, relax the nervous system and encourage rest, acupuncture and TCM provide a grounding reset to modes of conventional medicine."}],"markDefs":[],"style":"normal"},{"_key":"5096eb4c07b7","_type":"block","children":[{"_key":"5096eb4c07b70","_type":"span","marks":[],"text":"What is the connection between acupuncture and women’s health?"}],"markDefs":[],"style":"h4"},{"_key":"1a4aadba484f","_type":"block","children":[{"_key":"1a4aadba484f0","_type":"span","marks":[],"text":"Simply put, Traditional Chinese Medicine (TCM) works to restore balance to one’s overall health. For women’s health in particular, there are many moving pieces — stress, sleep, energy, menstrual health, hormonal wellness, and so one. When just one piece to this complicated puzzle goes off track, the whole system is off. TCM works with the body to redirect and recalibrate the imbalances; how blood is flowing, how hormones are rising and falling throughout the cycle, how easy digestion is and so on. Through bringing awareness to the part of the puzzle that has fallen out of place, TCM aims to find the root of the problem. Acupuncture is so good at filling in the gaps of conventional healthcare; it is a subtle medicine with many intricate nuances, not unlike women’s health. The ability of TCM to look at each women as unique creatures and discover a personalized route to health is unmatched."}],"markDefs":[],"style":"normal"},{"_key":"075538ba94e0","_type":"block","children":[{"_key":"075538ba94e00","_type":"span","marks":[],"text":"Why did you join Tia? What is your definition of success for Tia and women’s health more broadly?"}],"markDefs":[],"style":"h4"},{"_key":"84e562dceeb2","_type":"block","children":[{"_key":"84e562dceeb20","_type":"span","marks":[],"text":"I joined Tia because I believe in the mission that women’s health care can be better, can do more. I believe that by working side by side with a multifaceted team of skilled and passionate practitioners, we can better address the common imbalances that women face. I believe that women’s health care should be affordable, approachable, accessible and integrative. Women’s health care should provide solutions, remedies and answers rather than fear, distrust and trauma. I think the success for this clinic will be bringing a diverse group of women together in open conversation about their health to offer encouragement, empowerment and reassurance."}],"markDefs":[],"style":"normal"},{"_key":"81704c647db8","_type":"cta","backgroundColor":"bcbluetint","text":[{"_key":"ab93928e2fd4","_type":"block","children":[{"_key":"ab93928e2fd40","_type":"span","marks":[],"text":"Ready to book acupuncture?"}],"markDefs":[],"style":"h2"},{"_key":"75bbe60c4f95","_type":"buttonBlock","items":[{"_key":"d77205d88529","_type":"singleButton","linkCta":"Book appointment","linkType":"button","url":"https://asktia.com/member/appointment/schedule"}]},{"_key":"85015ba80a59","_type":"block","children":[{"_key":"85015ba80a590","_type":"span","marks":[],"text":"Not a member? "},{"_key":"85015ba80a591","_type":"span","marks":["9ddfb5b7ac08"],"text":"Join now."},{"_key":"85015ba80a592","_type":"span","marks":[],"text":""}],"markDefs":[{"_key":"9ddfb5b7ac08","_type":"internalLink","linkType":"text","reference":{"_ref":"6b861435-f6fe-4c96-893c-77732c7ab389","_type":"reference"}}],"style":"normal"}]}],"image":{"_type":"image","asset":{"_ref":"image-c50edeb46ab015410abcb7bcd89f1669ce8d0f3e-2500x800-png","_type":"reference"}},"modules":[{"_key":"0ee26cb4714c","_type":"furtherReading","articles":[{"_key":"c455e701af24","_ref":"e43a486c-c7d1-4ea2-b9ac-37ccdc5d2d07","_type":"reference"},{"_key":"13bb0da49239","_ref":"08c5931f-3691-412d-86b2-fcfd343a0f59","_type":"reference"},{"_key":"71a71233baad","_ref":"c8f7f9a3-3dc5-45a4-aeab-89e9b0c808ce","_type":"reference"}],"title":"More reads"}],"publishedAt":"2019-04-12T04:00:00.000Z","slug":{"_type":"slug","current":"elana-weisberg"},"status":"production","title":"Meet Elana Weisberg, L.Ac., Tia Acupuncturist","topics":[{"_key":"7e1ed92fb45d","_ref":"52909ed4-6c00-4b08-bfee-cee50984c63b","_type":"reference"}],"updatedAt":"2026-01-12T19:38:00.000Z"},"metaInformation":{"_type":"metaCard","metaDescription":"Q&A with Elana Weisberg, Tia Acupuncturist.","metaTitle":"Meet Elana Weisberg, L.Ac., Tia Acupuncturist","openGraphDescription":"Q&A with Elana Weisberg, Tia Acupuncturist.","openImage":{"_type":"image","asset":{"_ref":"image-da01b6a8dc0fb8bfb3af0af1af6c5b19d5f2c245-1366x800-png","_type":"reference"}},"title":"Meet Elana Weisberg, L.Ac., Tia Acupuncturist","twitterDescription":"Q&A with Elana Weisberg, Tia Acupuncturist.","twitterImage":{"_type":"image","asset":{"_ref":"image-da01b6a8dc0fb8bfb3af0af1af6c5b19d5f2c245-1366x800-png","_type":"reference"}},"twitterTitle":"Meet Elana Weisberg, L.Ac., Tia Acupuncturist"}},"id":"2b245e1e-5a09-57be-b7af-3bc3a40b583b","parent":null,"children":[],"internal":{"type":"SanityEditorial","contentDigest":"c803d04d718bb36a17f69c8cc69d3852","counter":229,"owner":"gatsby-source-sanity"}},{"_id":"b2e53a55-277a-4d09-8a30-05a1a69cca7a","_type":"editorial","_createdAt":"2021-02-01T21:38:15Z","_rev":"L7Ei4gjGc4CwVNVd3wKuTO","_updatedAt":"2023-03-02T17:31:14Z","content":{"_type":"articleTabs","main":{"_type":"articleContent","articleColor":"bcraspberry","articleType":{"_ref":"012c972c-f201-415f-9805-7d9369c158b8","_type":"reference"},"authors":[{"_key":"64749ee8a26d","_ref":"ec358956-fa17-4727-8549-4e7a58c8f526","_type":"reference"}],"cardImage":{"_type":"image","asset":{"_ref":"image-6285630afa6480d82adbb82e021589fee58bd99e-1366x800-png","_type":"reference"}},"editorialText":[{"_key":"c737250a1e92","_type":"block","children":[{"_key":"99f7e08d3eea","_type":"span","marks":[],"text":"Think back to March 2020 — the gravity of the pandemic was beginning to settle in. It was clear that the Covid-19 pandemic was going to be impacting us directly, and to leave long-lasting changes on our society and, specifically, on healthcare."}],"markDefs":[],"style":"large"},{"_key":"343e6b00d1c0","_type":"sectionHeader","title":"Problem identification"},{"_key":"43c1ae4a8704","_type":"block","children":[{"_key":"ad34ce6252dc0","_type":"span","marks":[],"text":"At Tia, we made the decision to close our Flatiron clinic doors on 3/17 and transitioned all our services to be virtual. Within 5 days, we had shifted our entire business from living within 4 walls on 23rd street to living in the cloud. In these 5 days, we set up processes, trained providers, and rethought our entire patient experience to make sure that we were upholding our care principles in a virtual world."}],"markDefs":[],"style":"normal"},{"_key":"50e4941ba0f0","_type":"block","children":[{"_key":"0a6132da50170","_type":"span","marks":[],"text":"What happened after this was remarkable — providers & patients were screaming from the rooftops that they wanted more access virtually and that they wanted it from Tia. We saw our virtual visits grow over 3x in the first month. At this time, the services we were delivering virtually were only those that were “easy” to shift from the clinic to virtual -- think sick visits and non-physical consults."}],"markDefs":[],"style":"normal"},{"_key":"fe57071a65e3","_type":"block","children":[{"_key":"59e01ad00c4d0","_type":"span","marks":[],"text":"Quickly we saw a massive gap -- access to preventative care was gone."}],"markDefs":[],"style":"normal"},{"_key":"5375c4abef6c","_type":"block","children":[{"_key":"78a82ed7c5c00","_type":"span","marks":[],"text":"At Tia, we know the importance of preventative care and were closely monitoring the impact that we were seeing as a society from patients not having access to preventative care. 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. Retrieved February 01, 2021, from https://www.kff.org/womens-health-policy/issue-brief/potential-impacts-of-delaying-non-essential-reproductive-health-care/"}],"markDefs":[],"style":"normal"}]},{"_key":"1cb8798aad11","_type":"footnote","text":[{"_key":"65e4021addd8","_type":"block","children":[{"_key":"e4b1c859a545","_type":"span","marks":[],"text":"PatientEngagementHIT. (2020, May 12). Patient Health Could Falter as COVID-19 Limits Primary Care Access. 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. So, a cross-functional team of tech, clinical, and brand experts hit the (virtual) whiteboard to rethink our core service."}],"markDefs":[],"style":"normal"},{"_key":"515b23c2e543","_type":"sectionHeader","title":"Half n' Half"},{"_key":"452caa2951ba","_type":"block","children":[{"_key":"bfa6b6d8af21","_type":"span","marks":[],"text":"As we began to set out on this problem, we were looking for taking the Well Woman Experience that we people knew & loved from the “IRL” clinic space to the “URL” (virtual) clinic space. At this stage, we had three key insights:"}],"markDefs":[],"style":"normal"},{"_key":"17c9791ae397","_type":"editorialImageCarousel","items":[{"_key":"461d22ccc63b","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-9ac24c7db1364b556a7bc8a6fbd9a1b229f35d55-2103x842-png","_type":"reference"}}}}]},{"_key":"9cb06ec179d1","_type":"block","children":[{"_key":"13753e2c4dea","_type":"span","marks":[],"text":"For those of you who have recently gotten an annual primary care or gynecology exam, you’ll recall that these exams have two fairly distinct parts. 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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We knew that the next experience had to deliver on two key requirements:"}],"markDefs":[],"style":"normal"},{"_key":"d1ccb517fdd8","_type":"block","children":[{"_key":"c76e7f25fde70","_type":"span","marks":[],"text":"Education: it’s a new service, we needed to use this as an opportunity to explain the experience of booking"}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"17a629694195","_type":"block","children":[{"_key":"f385e0b8a3a10","_type":"span","marks":[],"text":"Continuous journey: we needed to show that they were booking the beginning of a journey of appointments, not a one-off appointment."}],"level":1,"listItem":"number","markDefs":[],"style":"normal"},{"_key":"64cf3e01f9ad","_type":"block","children":[{"_key":"d00754a3d9ed0","_type":"span","marks":[],"text":"Together, our tech product, product design, and engineering team worked together to shift to a new booking experience that delivered on this requirement."}],"markDefs":[],"style":"normal"},{"_key":"cf14657a28cf","_type":"sectionHeader","title":"It’s just the beginning"},{"_key":"1d824a4ecb8f","_type":"block","children":[{"_key":"5a2dfd292a4d","_type":"span","marks":[],"text":"In June 2020, Tia’s Well-Woman 2.0 was introduced to the world."}],"markDefs":[],"style":"normal"},{"_key":"dcefbf5cdd4f","_type":"block","children":[{"_key":"7ef8da1102140","_type":"span","marks":["strong"],"text":"Patients were thrilled"},{"_key":"d5c524ca72dc","_type":"span","marks":[],"text":" — the new service had both allowed for access to preventative care and created an experience that had up-leveled their preventative care experience."}],"markDefs":[],"style":"normal"},{"_key":"5c7dd3a475d7","_type":"editorialImageCarousel","items":[{"_key":"24a77389a97f","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-427f7de9056483b7a5f896aac7eb7d3e235d690d-1644x424-gif","_type":"reference"}}}}]},{"_key":"7b03da86ab09","_type":"block","children":[{"_key":"4b59e1c2602b","_type":"span","marks":["strong"],"text":"Providers were thrilled"},{"_key":"58f1af6c0b71","_type":"span","marks":[],"text":"-- by creating time for providers to focus on understanding the patient's health history & goals, they were given the space to work collaboratively with their patients to create a truly holistic plan for how to get or keep their patients healthy."}],"markDefs":[],"style":"normal"},{"_key":"6f7bd104dbc4","_type":"editorialImageCarousel","items":[{"_key":"b853a4833da9","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-dbb5b118af5b0396af69731bdca8ffdf71f68095-1644x424-gif","_type":"reference"}}}}]},{"_key":"4010ec4cbdc8","_type":"block","children":[{"_key":"8449a1d1f88b","_type":"span","marks":[],"text":"Launching the Tia Well-Woman 2.0 experience was a huge step forward in delivering on the Tia Care Model. It opened our eyes to the power of combining online and offline experiences and gave us even more insight into what females really want from their care providers. We’re excited to continue to develop the Well-Woman — keep an eye out for what’s to come!"}],"markDefs":[],"style":"normal"}],"image":{"_type":"image","asset":{"_ref":"image-6c7f71ce375c28a495d8c6759003c874e728e7f0-2500x866-png","_type":"reference"}},"modules":[{"_key":"b1cf32f46939","_type":"furtherReading","articles":[{"_key":"5621015dfa79","_ref":"f36cb660-77d9-4884-8573-ace868af5508","_type":"reference"},{"_key":"cbd9a0ed4a10","_ref":"ec340f5f-8022-4846-8122-dba8db963129","_type":"reference"}],"title":"MORE READS"}],"publishedAt":"2021-01-22T19:30:15.000Z","slug":{"_type":"slug","current":"how-we-made-this-well-woman-exam-2-0"},"status":"production","subTitle":"Our Head of Virtual Care Product explains the evolution of the Tia Well-Woman ","title":"How we made this: the Tia Well-Woman 2.0 ","topics":[{"_key":"b0182854a8a2","_ref":"2ecf8ed7-ad18-4303-b514-c3787f84908d","_type":"reference"}]},"metaInformation":{"_type":"metaCard","metaDescription":"Tia's Head of Virtual Care Product explains the evolution of the Tia Well Woman ","metaTitle":"How we made this: the Tia Well-Woman Exam 2.0 ","openGraphDescription":"Tia's Head of Virtual Care Product explains the evolution of the Tia Well Woman ","openImage":{"_type":"image","asset":{"_ref":"image-0a8dc3dc79471544aa85b0a5d67f4b3bd854a913-7500x2400-png","_type":"reference"},"crop":{"_type":"sanity.imageCrop","bottom":0,"left":0,"right":0.48724489795918324,"top":0.10363520408163267},"hotspot":{"_type":"sanity.imageHotspot","height":0.8963647959183674,"width":0.5127551020408168,"x":0.2563775510204084,"y":0.5518176020408163}},"title":"How we made this: the Tia Well-Woman Exam 2.0 ","twitterDescription":"Tia's Head of Virtual Care Product explains the evolution of the Tia Well Woman ","twitterImage":{"_type":"image","asset":{"_ref":"image-0a8dc3dc79471544aa85b0a5d67f4b3bd854a913-7500x2400-png","_type":"reference"},"crop":{"_type":"sanity.imageCrop","bottom":0,"left":0,"right":0.4974489795918361,"top":0.07174744897959184},"hotspot":{"_type":"sanity.imageHotspot","height":0.9282525510204082,"width":0.5025510204081639,"x":0.25127551020408195,"y":0.535873724489796}},"twitterTitle":"How we made this: the Tia Well-Woman Exam 2.0 "}},"id":"9364e199-fa4f-5155-aed8-05bad887c071","parent":null,"children":[],"internal":{"type":"SanityEditorial","contentDigest":"f6c9150d33323cc400583783f867a767","counter":257,"owner":"gatsby-source-sanity"}},{"_id":"37fc7706-599a-412e-87b6-2a358c1fd1b2","_type":"editorial","_createdAt":"2021-03-30T02:36:13Z","_rev":"RdixGn6lpDGH89K9LFGhJ6","_updatedAt":"2022-09-15T12:26:54Z","content":{"_type":"articleTabs","main":{"_type":"articleContent","articleColor":"bcraspberry","articleType":{"_ref":"1a9253e5-e147-4caa-9d06-eecb494e07b8","_type":"reference"},"authors":[{"_key":"eb47a53cb524","_ref":"1d6ce256-595a-4357-89ae-bda37a32224e","_type":"reference"}],"cardImage":{"_type":"image","asset":{"_ref":"image-b73f4f1ddbf62f0cc9d91408ef39110f5d7feddb-3780x2400-png","_type":"reference"}},"editorialText":[{"_key":"c6d0ccbc1cc2","_type":"block","children":[{"_key":"2eea167d3a93","_type":"span","marks":[],"text":"Covid, and everything that came with it, exposed some of our blindspots and systems that needed updating. So we immediately shifted into resolve mode, which meant solving the immediate things like virtual care. On the surface this looked like a quick and important pivot, but behind the curtain, we were simultaneously evolving many of our systems (like our updated "},{"_key":"b85979391ea7","_type":"span","marks":["97517374ddc2"],"text":"health record"},{"_key":"a57439b57185","_type":"span","marks":[],"text":") and processes in real time...during a global pandemic! Let’s take a peek behind the curtain at how we shifted gears, got curious, and used the moment to make technology that makes things more collaborative and meaningful for both patients and providers."}],"markDefs":[{"_key":"97517374ddc2","_type":"annotation","text":[{"_key":"fcd7d5a2212b","_type":"block","children":[{"_key":"87c89faaeda1","_type":"span","marks":[],"text":"The health record is our patient intake form, also known as all of those questions we ask you when you join Tia."}],"markDefs":[],"style":"normal"},{"_key":"466dbb1a3766","_type":"block","children":[{"_key":"091cecbfd7990","_type":"span","marks":[],"text":"\n"}],"markDefs":[],"style":"normal"}]}],"style":"normal"},{"_key":"847d19f904c6","_type":"sectionHeader","title":"The Set Up: how we got here "},{"_key":"2c795a32cf74","_type":"block","children":[{"_key":"94a7bef90706","_type":"span","marks":[],"text":"Testing and learning is at the heart of everything we do at Tia. Case in point: Our first NYC clinic, which was a physical manifestation of our ideas about the future of healthcare."}],"markDefs":[],"style":"normal"},{"_key":"3efe1dfa6fd9","_type":"editorialImageCarousel","items":[{"_key":"364b266e0e07","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-bb10e4a5442a9e89a3e8259ca86594d61eb5461c-7200x4008-png","_type":"reference"}}}}]},{"_key":"b5afdb070cee","_type":"block","children":[{"_key":"3ad289e28d25","_type":"span","marks":[],"text":"With tech-powered interventions like our Health Record 1.0 and our in-room "},{"_key":"04108fa22946","_type":"span","marks":["74eedc79e420"],"text":"\"third screen\""},{"_key":"df656a8b803d","_type":"span","marks":[],"text":", we proved the model worked and was really unique, so we set out to refine and update it. Then Covid hit. In a matter of days, we went from rolling out updates to creating an entirely new service line — virtual care. One year later, we know virtual care is here to stay. Now that we can safely think about what comes after Covid, we’ve started asking if it has to stay the way it is (which is better, but not perfect). "}],"markDefs":[{"_key":"74eedc79e420","_type":"annotation","text":[{"_key":"0f246442b3b7","_type":"block","children":[{"_key":"8e9ea2724b42","_type":"span","marks":[],"text":"Think: an interactive in-exam room white board that acts as a space for Tia patients and providers to collaborate and make a plan together.\n"}],"markDefs":[],"style":"normal"}]}],"style":"normal"},{"_key":"43046ee9965c","_type":"block","children":[{"_key":"bbf60e40de89","_type":"span","marks":[],"text":"How do the changes we made out of necessity (like video visits) evolve and get stronger, so there not a lesser than version of in-person care?"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"101c2514cbc2","_type":"block","children":[{"_key":"93300a6d74dd0","_type":"span","marks":[],"text":"How can we connect the dots between virtual and in-person, so they’re in sync, but different? 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But a lot more facts, figures, and freakishly long spreadsheets went into creating our newest tech products."}],"markDefs":[],"style":"normal"},{"_key":"2a93459c3914","_type":"editorialImageCarousel","items":[{"_key":"58397ef145a5","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-243e5f3d650d22d3625f6ab50190384deae0d8ae-4800x2672-png","_type":"reference"}}},"mobileImageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-243e5f3d650d22d3625f6ab50190384deae0d8ae-4800x2672-png","_type":"reference"}}}}]},{"_key":"552c85707ced","_type":"sectionHeader","title":"The Making Of: Virtual Care"},{"_key":"c5cbbaf2fc43","_type":"block","children":[{"_key":"c0868ff6f948","_type":"span","marks":[],"text":"Pre-Covid, 100% of Tia's services we're delivered IRL. That all changed overnight with Covid, when we launched virtual care to help our community navigate the crisis remotely. We very quickly learned that e can do more virtually than we ever imagined — primary care, mental health and even many GYN consults! And then when done right, virtual does not need to be a lesser than version of in person care, but a powerful form factor that can make care more convenient. Swipe through to see how we made virtual care feel intentional and distinctly Tia."}],"markDefs":[],"style":"normal"},{"_key":"80b4095b04f5","_type":"editorialImageCarousel","items":[{"_key":"660af39ccd82","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-a289f71c6d1c94cb7c3b3f975eadf62dbd0837ce-7200x4008-png","_type":"reference"}}}},{"_key":"bf2457b2a7b9","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-9f70435a195848b7bcdae1eeea289f76ced30b82-7200x4008-png","_type":"reference"}}},"text":[{"_key":"4aa936998205","_type":"block","children":[{"_key":"fb084050b922","_type":"span","marks":[],"text":"\"Virtual care is here to stay. I am not 100% sure what is next, but I am excited to find out. I think we will really see virtual care evolve over the next few years. 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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. And now, because of the heroic efforts of the frontline medical community, and the Tia community who heeded the call to adjust their behaviors to curb the crisis, we are re-opening to provide essential care that, quite simply, cannot be done virtually."}],"markDefs":[],"style":"normal"},{"_key":"f418b0e58c12","_type":"editorialImageCarousel","items":[{"_key":"307b91d8082a","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-9f2d3262f567adf695e83d2a17c81952d8b0a237-1644x1096-png","_type":"reference"}}}}]},{"_key":"c13beb179d19","_type":"block","children":[{"_key":"c13beb179d190","_type":"span","marks":[],"text":"All Tia providers were voluntarily signed-up to work on the frontline and were prepared to mobilize to acute care in NYC as needed. With Virtual Care we could uphold our commitment to our patients who needed care while practicing strict social distancing."}],"markDefs":[],"style":"normal"},{"_key":"71cd2d627e8d","_type":"editorialImageCarousel","items":[{"_key":"f29308f88e16","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","caption":"We can no longer delay the essential services we provide to females.","image":{"_type":"image","asset":{"_ref":"image-8019b8d7d7a4fe415aad16aa068a84de4bcd943d-1644x1096-png","_type":"reference"}}}}]},{"_key":"1d1a7acff6d4","_type":"editorialImageCarousel","items":[{"_key":"6654adc42309","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-17917e916a79881837f0570b70185012a598d5cc-1644x570-png","_type":"reference"}}}}],"spacing":"pys"},{"_key":"66a7d4629a42","_type":"sectionHeader","title":"Here’s what we’re doing to ensure safety for both patients and providers at the Tia Clinic"},{"_key":"3743876e816d","_type":"block","children":[{"_key":"3743876e816d0","_type":"span","marks":[],"text":"Safety begins before your appointment"}],"markDefs":[],"style":"h4"},{"_key":"4f5539f98da9","_type":"block","children":[{"_key":"4f5539f98da90","_type":"span","marks":[],"text":"To prevent exposure for our patients and staff, all Covid-related concerns will be addressed virtually (read: not at the Tia Clinic)"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"43465f6af2f9","_type":"block","children":[{"_key":"43465f6af2f90","_type":"span","marks":[],"text":"All patients coming into the clinic will answer a pre-visit health screening via text to assess symptoms before arrival"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"125e790d55ae","_type":"block","children":[{"_key":"125e790d55ae0","_type":"span","marks":[],"text":"Appointment check-ins will be done 100% virtually"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"1ea9aa58b6c0","_type":"block","children":[{"_key":"1ea9aa58b6c00","_type":"span","marks":[],"text":"Safety first at the Tia Clinic"}],"markDefs":[],"style":"h4"},{"_key":"cbe8dbc3b2d5","_type":"block","children":[{"_key":"cbe8dbc3b2d50","_type":"span","marks":[],"text":"Strict social distancing throughout"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"c9f39cc78a27","_type":"block","children":[{"_key":"c9f39cc78a270","_type":"span","marks":[],"text":"One person at a time in the elevator"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"70bb4d9a4a72","_type":"block","children":[{"_key":"70bb4d9a4a720","_type":"span","marks":[],"text":"Spaced out seating in our living room"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"5d75f8217db2","_type":"block","children":[{"_key":"5d75f8217db20","_type":"span","marks":[],"text":"Staggered appointments (a limited number of patients will be allowed in the clinic at a time)"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"8df0dec32529","_type":"block","children":[{"_key":"8df0dec325290","_type":"span","marks":[],"text":"Extra safety protocols"}],"markDefs":[],"style":"h4"},{"_key":"f63de20c8361","_type":"block","children":[{"_key":"f63de20c83610","_type":"span","marks":[],"text":"Upon arrival, every patient will receive a mask, a temperature check, and asked to wash their hands"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"4732786fca03","_type":"block","children":[{"_key":"4732786fca030","_type":"span","marks":[],"text":"We are keeping the Tia Clinic extra clean, by disinfecting all counter surfaces and medical equipment after each patient, throughout the day, and every evening with EPA-approved products"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"4ed166174e78","_type":"block","children":[{"_key":"4ed166174e780","_type":"span","marks":[],"text":"All Tia staff members screened daily, testing regularly for Covid-19 and providing personal protective gear for respiratory and contact precautions"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"bdbb60b90421","_type":"sectionHeader","title":" What reopening means for Tia"},{"_key":"14fef597c320","_type":"block","children":[{"_key":"14fef597c3200","_type":"span","marks":[],"text":"Over the past ten weeks, temporarily operating in a virtual-only state, it’s been amazing to see our patients and providers rapidly adopt new technology and fundamentally shift their mental model. We’ve seen an enlightened recognition that virtual care does not have to be a “lesser-than” version of in-person care, or limited to “quick fixes” and prescription refills. Rather, when designed with intention and relationship-based (as opposed to transact-based), virtual care has the potential to facilitate deep dialogue and human connection — in many regards, more so than an in-person visit, during which an honest conversation to evaluate your health with your provider can be eclipsed by exam tables, needles, and stirrups."}],"markDefs":[],"style":"normal"},{"_key":"98f46548b72e","_type":"block","children":[{"_key":"98f46548b72e0","_type":"span","marks":[],"text":"The Tia Clinic’s reopening signifies our investment in the ever-expanding care continuum — a virtually-integrated care model that is both online and offline. A model for the future of healthcare that’s all about delivering the right service in the right place at the right time and using Tia’s technology to connect the moments in-between."}],"markDefs":[],"style":"normal"},{"_key":"20bd25f90689","_type":"block","children":[{"_key":"20bd25f906890","_type":"span","marks":[],"text":"We hope to see you soon for a virtual or in-clinic appointment with 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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":{"_id":"image-0004b32a5e04b31382fa81488f3bbfd23ce70783-2500x866-png","_type":"sanity.imageAsset","_createdAt":"2022-11-28T07:22:03Z","_rev":"6Usa2B8ileD4MLCzOhDkBh","_updatedAt":"2022-11-28T07:22:03Z","assetId":"0004b32a5e04b31382fa81488f3bbfd23ce70783","extension":"png","metadata":{"_type":"sanity.imageMetadata","blurHash":"DBRlY2Egso$%so}ss.R+R+S2","dimensions":{"_type":"sanity.imageDimensions","aspectRatio":2.886836027713626,"height":866,"width":2500},"hasAlpha":true,"isOpaque":true,"lqip":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABQAAAAHCAYAAAAIy204AAAACXBIWXMAAAsTAAALEwEAmpwYAAAA1ElEQVQokZWRSQ+CMBCF/cOgFBTqCREoLqC/zjUuKIoe3FDPz0wPaEwIeniZvmn7zXRaeQw47hFHFnHQ+l89h808kioES4WB2GU49Rr5xq96fMAkMIssxB7DxFaxD3RcQwuU+9TtS5S7F3WYRRyJ0DFzqli0a4h9Jv0u0GVMxNtLCR1px8C5bxYBLWwFw6SlYmQrGNsKpi0Vc6eKmaPKQitPk7B9YMhYAuQ4dAysPQ1Lt4aVqyH2NWx8JrulYsduPR9F6ZPJEJQO0qVLaOIWFs+r7FNejmWbfU1hIn8AAAAASUVORK5CYII=","palette":{"_type":"sanity.imagePalette","darkMuted":{"_type":"sanity.imagePaletteSwatch","background":"#715234","foreground":"#fff","population":0.15,"title":"#fff"},"darkVibrant":{"_type":"sanity.imagePaletteSwatch","background":"#550b05","foreground":"#fff","population":0.08,"title":"#fff"},"dominant":{"_type":"sanity.imagePaletteSwatch","background":"#f4947c","foreground":"#000","population":72.55,"title":"#fff"},"lightMuted":{"_type":"sanity.imagePaletteSwatch","background":"#b08686","foreground":"#fff","population":0.02,"title":"#fff"},"lightVibrant":{"_type":"sanity.imagePaletteSwatch","background":"#f4947c","foreground":"#000","population":72.55,"title":"#fff"},"muted":{"_type":"sanity.imagePaletteSwatch","background":"#a5785d","foreground":"#fff","population":0.18,"title":"#fff"},"vibrant":{"_type":"sanity.imagePaletteSwatch","background":"#ec3c64","foreground":"#fff","population":0.01,"title":"#fff"}}},"mimeType":"image/png","originalFilename":"SocialContract_Header.png","path":"images/8qqycr4y/production/0004b32a5e04b31382fa81488f3bbfd23ce70783-2500x866.png","sha1hash":"0004b32a5e04b31382fa81488f3bbfd23ce70783","size":55656,"uploadId":"M1beDX8Je3Ry8KKNcsou3cjPBZaiaOKm","url":"https://cdn.sanity.io/images/8qqycr4y/production/0004b32a5e04b31382fa81488f3bbfd23ce70783-2500x866.png","id":"image-0004b32a5e04b31382fa81488f3bbfd23ce70783-2500x866-png","parent":null,"children":["f0e3fc88-7b12-586d-ac2c-d46440ad12d8"],"internal":{"type":"SanityImageAsset","contentDigest":"124be5792581c22e4b209f5970e9420b","counter":2387,"owner":"gatsby-source-sanity"}}},"modules":[{"_key":"d780561a00b6","_type":"furtherReading","articles":[{"_id":"12f61670-b812-4d44-85bb-7865737b7a5a","_type":"editorial","_createdAt":"2020-08-12T18:11:29Z","_rev":"6Usa2B8ileD4MLCzOhNyRR","_updatedAt":"2022-11-28T07:47:18Z","content":{"_type":"articleTabs","main":{"_type":"articleContent","articleColor":"bcraspberry","articleType":{"_ref":"6ebe3848-7078-4bbf-890a-e4cee9852934","_type":"reference"},"authors":[{"_key":"01c84a617256","_ref":"1d6ce256-595a-4357-89ae-bda37a32224e","_type":"reference"}],"cardImage":{"_type":"image","asset":{"_ref":"image-4010a6632675178f20e5a075279a1625508a17f2-1366x800-png","_type":"reference"}},"editorialText":[{"_key":"b2d7d423a53f","_type":"block","children":[{"_key":"b2d7d423a53f0","_type":"span","marks":["em"],"text":"At this point, you’re likely receiving tons of info about the Covid-19 outbreak and precautions to take for your health and the health of the greater community. 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We will also be extending Tia Care digitally through Virtual Visits via chat and video, starting today with Prescription Refills."}],"markDefs":[],"style":"normal"},{"_key":"64b8368d5087","_type":"block","children":[{"_key":"64b8368d50870","_type":"span","marks":["em"],"text":"By doing so, we can increase the capacity of patients we can service, and also help our patients uphold appropriate “social distancing” by minimizing travel to the Tia Clinic for services that don’t require it."}],"markDefs":[],"style":"normal"},{"_key":"7b914fe65de1","_type":"block","children":[{"_key":"7b914fe65de10","_type":"span","marks":["em"],"text":"In the spirit of proactive preparation, we’re encouraging you, our Tia patients, to prepare your medicine cabinets with any prescriptions and over-the-counter medications you take regularly. Whether you need more birth control pills or an extra-month supply of your thyroid medication, your Tia Care Team is here to help."}],"markDefs":[],"style":"normal"},{"_key":"64d8919052a2","_type":"block","children":[{"_key":"64d8919052a20","_type":"span","marks":["em"],"text":"—Team Tia"}],"markDefs":[],"style":"normal"},{"_key":"c4a26e1d12b9","_type":"block","children":[{"_key":"c4a26e1d12b90","_type":"span","marks":[],"text":"Here’s a step-by-step breakdown of how to get your prescriptions refilled with Tia:"}],"markDefs":[],"style":"h3"},{"_key":"e4189934ca9a","_type":"block","children":[{"_key":"e4189934ca9a0","_type":"span","marks":[],"text":"#1: "},{"_key":"e4189934ca9a1","_type":"span","marks":["64069758741d"],"text":"Sign-in"},{"_key":"e4189934ca9a2","_type":"span","marks":[],"text":" to your Tia Clinic Home."}],"markDefs":[{"_key":"64069758741d","_type":"internalLink","linkType":"text","reference":{"_ref":"8a7e7b1e-7485-4a22-be24-9a2005998452","_type":"reference"}}],"style":"h4"},{"_key":"a695a5600c13","_type":"block","children":[{"_key":"a695a5600c130","_type":"span","marks":[],"text":"#2: Message your Tia Care Coordinator with a list of any prescriptions that do not have refills."}],"markDefs":[],"style":"h4"},{"_key":"d77f925c1940","_type":"block","children":[{"_key":"d77f925c19400","_type":"span","marks":[],"text":"Please be prepared with the name of the provider who last prescribed you the medication you’re requesting and the location of the pharmacy that last filled the prescription."}],"markDefs":[],"style":"normal"},{"_key":"54489d44d3ba","_type":"block","children":[{"_key":"54489d44d3ba0","_type":"span","marks":["strong"],"text":"NOTE:"},{"_key":"54489d44d3ba1","_type":"span","marks":[],"text":" To best service all of our patients who need care, if your prescription has an active refill please call your pharmacist directly. Due to high volume, we’re focusing our care team’s efforts on patients who are out of refills."}],"markDefs":[],"style":"normal"},{"_key":"f733ffbc208f","_type":"block","children":[{"_key":"f733ffbc208f0","_type":"span","marks":[],"text":"#3: Ensure your Tia health record is complete, and double-check that your pharmacy, insurance, and credit card info are all up-to-date."}],"markDefs":[],"style":"h4"},{"_key":"1f6dd2eae5ca","_type":"block","children":[{"_key":"1f6dd2eae5ca0","_type":"span","marks":[],"text":"#4: Depending on your specific prescription, we will either refill via chat, or set you up with a short Virtual Visit with a Tia Provider."}],"markDefs":[],"style":"h4"},{"_key":"a318124a7f23","_type":"block","children":[{"_key":"a318124a7f230","_type":"span","marks":[],"text":"Ahead of a Virtual Video Visit, download "},{"_key":"a318124a7f231","_type":"span","marks":["f53b85e7b451"],"text":"Zoom Video"},{"_key":"a318124a7f232","_type":"span","marks":[],"text":" — a free, HIPAA-compliant video chat that you’ll use to interface with your Tia Provider from your own home."}],"level":1,"listItem":"bullet","markDefs":[{"_key":"f53b85e7b451","_type":"externalLink","url":"https://zoom.us/download"}],"style":"normal"},{"_key":"b03a52dd7769","_type":"block","children":[{"_key":"b03a52dd77690","_type":"span","marks":[],"text":"Be sure you are in a quiet place and enable video — “face-to-face” with your Tia Provider is required by law!"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"e9f3d897c599","_type":"block","children":[{"_key":"e9f3d897c5990","_type":"span","marks":[],"text":"Be on time! If you are more than 3 minutes late, you will be charged a cancellation fee and need to reschedule. Given capacity, these are highly valued and limited appointments that should be treated just like in-person visits."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"d830c930c47e","_type":"block","children":[{"_key":"d830c930c47e0","_type":"span","marks":[],"text":"#5: We’ll send your prescriptions to Capsule or CVS for delivery (or your preferred pharmacy)."}],"markDefs":[],"style":"h4"},{"_key":"31bc681710ba","_type":"block","children":[{"_key":"31bc681710ba0","_type":"span","marks":["strong"],"text":""},{"_key":"31bc681710ba1","_type":"span","marks":["strong","25f545173a0f"],"text":"Refill Your Prescriptions"},{"_key":"31bc681710ba2","_type":"span","marks":["strong"],"text":""}],"markDefs":[{"_key":"25f545173a0f","_type":"internalLink","linkType":"text","reference":{"_ref":"cb5582f0-024a-4a80-9425-5ce55f0084ff","_type":"reference"}}],"style":"normal"},{"_key":"393cf690d6d5","_type":"sectionHeader","title":"FAQs:"},{"_key":"27749bc0b50a","_type":"block","children":[{"_key":"27749bc0b50a0","_type":"span","marks":[],"text":"Does my insurance cover my Tia Virtual Video Visit?"}],"markDefs":[],"style":"h4"},{"_key":"79a079ce6386","_type":"block","children":[{"_key":"79a079ce63860","_type":"span","marks":[],"text":"If your insurance plan is in-network with Tia, this appointment will be covered! We will submit the claim to your insurance, and we will be waiving all copays at this time."}],"markDefs":[],"style":"normal"},{"_key":"f7e69bc5d4c9","_type":"block","children":[{"_key":"f7e69bc5d4c90","_type":"span","marks":[],"text":"If I am out-of-network or uninsured, how much will my Tia Virtual Video Visit cost?"}],"markDefs":[],"style":"h4"},{"_key":"fb0ae245869e","_type":"block","children":[{"_key":"fb0ae245869e0","_type":"span","marks":[],"text":"If you are out-of-network with us or are uninsured, the fee for this Virtual Video Visit is $30."}],"markDefs":[],"style":"normal"},{"_key":"2e0d93a21dbb","_type":"block","children":[{"_key":"2e0d93a21dbb0","_type":"span","marks":[],"text":"Will my insurance cover an extra month’s supply of my medication?"}],"markDefs":[],"style":"h4"},{"_key":"122ffae7864a","_type":"block","children":[{"_key":"122ffae7864a0","_type":"span","marks":[],"text":"While we are seeing most payers and pharmacies cover an additional 30-day supply, we cannot guarantee coverage at this time."}],"markDefs":[],"style":"normal"},{"_key":"ca3586354478","_type":"block","children":[{"_key":"ca35863544780","_type":"span","marks":[],"text":"Is the Tia Clinic still open?"}],"markDefs":[],"style":"h4"},{"_key":"d0c57642dc72","_type":"block","children":[{"_key":"d0c57642dc720","_type":"span","marks":[],"text":"Yes, the Tia Clinic is still open at this time. We are rolling out Virtual Visits starting with prescription management, to help increase the capacity of patients we can service, to help our patients uphold appropriate “social distancing” by minimizing travel and keeping both our patients and Care Team at the Tia Clinic safe and healthy."}],"markDefs":[],"style":"normal"},{"_key":"011a4160d68c","_type":"block","children":[{"_key":"011a4160d68c0","_type":"span","marks":[],"text":"If I have an in-person appointment at Tia, should I cancel?"}],"markDefs":[],"style":"h4"},{"_key":"f99e4498f3f2","_type":"block","children":[{"_key":"f99e4498f3f20","_type":"span","marks":[],"text":"Patients who are not experiencing flu/cold symptoms are welcome to come in for any existing or booked appointments. We are re-evaluating this on a daily basis to ensure the safety of all Tia members and the broader community. 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is:"}],"markDefs":[],"style":"h4"},{"_key":"023d82a7f9e3","_type":"block","children":[{"_key":"023d82a7f9e30","_type":"span","marks":[],"text":"Being extra vigilant with hand washing and sanitizing between all patient visits."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"c4507722e598","_type":"block","children":[{"_key":"c4507722e5980","_type":"span","marks":[],"text":"Minimizing touching their faces, eyes, mouths, and hair."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"6faf255c95fc","_type":"block","children":[{"_key":"6faf255c95fc0","_type":"span","marks":[],"text":"Minimizing wearing jewelry as it can harbor bacteria."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"e6164ec80ded","_type":"block","children":[{"_key":"e6164ec80ded0","_type":"span","marks":[],"text":"Tying hair back and trimming 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With this in mind, we want to help you prepare mentally, physically, and emotionally in this continually changing landscape of coronavirus."}],"markDefs":[],"style":"large"},{"_key":"5e173cca12c9","_type":"block","children":[{"_key":"5e173cca12c90","_type":"span","marks":[],"text":"In the following, you will find a breakdown of some of the terms you are likely hearing on repeat and the actionable things you can do to prepare for any scenario — with confidence."}],"markDefs":[],"style":"normal"},{"_key":"2b58b67061d0","_type":"sectionHeader","title":"Real talk, what is quarantine and how does it work?"},{"_key":"3449573a9770","_type":"block","children":[{"_key":"3449573a97700","_type":"span","marks":["strong"],"text":"Quarantines"},{"_key":"3449573a97701","_type":"span","marks":[],"text":" help to protect the public by preventing exposure to people who have or may have a contagious disease. Quarantine guidance comes from elected officials and can be mandated to protect the public by preventing exposure and encouraging containment. separates and restricts the movement of people who were exposed to a contagious disease to see if they become sick."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"a1f8064a6f67","_type":"block","children":[{"_key":"a1f8064a6f670","_type":"span","marks":["strong"],"text":"Here are the definitions to some other terms you might be hearing a lot of:"}],"markDefs":[],"style":"h4"},{"_key":"950c2199ce6d","_type":"block","children":[{"_key":"950c2199ce6d0","_type":"span","marks":["strong"],"text":"Isolation"},{"_key":"950c2199ce6d1","_type":"span","marks":[],"text":" separates sick people with a contagious disease from people who are not sick."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"f48ad4fd815b","_type":"block","children":[{"_key":"f48ad4fd815b0","_type":"span","marks":["strong"],"text":"Social distancing"},{"_key":"f48ad4fd815b1","_type":"span","marks":[],"text":" is the practice of limiting exposure to the general public. This means avoiding crowded places, groups, events, and working from home if that option is available."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"0afa0fcffa8a","_type":"sectionHeader","title":"How do I (and should I) prepare?"},{"_key":"4aa247058e6f","_type":"block","children":[{"_key":"4aa247058e6f0","_type":"span","marks":[],"text":"To be extra clear, NYC is *not* in a mass state of quarantine like Italy. All that said, preparation is smart for all of us — especially given the speed at which things are changing. With this in mind, here are our quick recs for the varying degrees of quarantine and isolation"}],"markDefs":[],"style":"normal"},{"_key":"5d8986c28dab","_type":"block","children":[{"_key":"5d8986c28dab0","_type":"span","marks":["strong"],"text":"#1: Stock up on your meds"}],"markDefs":[],"style":"h4"},{"_key":"c0b956868129","_type":"block","children":[{"_key":"c0b9568681290","_type":"span","marks":[],"text":"If you take any prescriptions or over-the-counter medications regularly, we recommend stocking up and having an extra month supply in the case that you are not able to get to a pharmacy."}],"markDefs":[],"style":"normal"},{"_key":"e7d61ca16a14","_type":"block","children":[{"_key":"e7d61ca16a140","_type":"span","marks":[],"text":"Starting tomorrow, your Tia Care Team is here to help you prep your medicine cabinet (think: getting your birth control refilled ahead of schedule or any other important medications!)."}],"markDefs":[],"style":"normal"},{"_key":"59ae8676adc7","_type":"block","children":[{"_key":"59ae8676adc70","_type":"span","marks":[],"text":"Stay tuned for more on Virtual Visits from Tia tomorrow."}],"markDefs":[],"style":"normal"},{"_key":"4184108d7692","_type":"block","children":[{"_key":"4184108d76920","_type":"span","marks":["strong"],"text":"#2: Fill up your pantry (and your fridge)!"}],"markDefs":[],"style":"h4"},{"_key":"0029e42007da","_type":"block","children":[{"_key":"0029e42007da0","_type":"span","marks":[],"text":"While there’s been a land grab for hand sanitizer, TP and bleach, don’t forget that it’s food (preferably non-perishable, nutrient-backed food!) that is especially critical to stock up on!"}],"markDefs":[],"style":"normal"},{"_key":"7bb411241527","_type":"block","children":[{"_key":"7bb4112415270","_type":"span","marks":[],"text":"We recommend you get enough frozen and non-perishable foods for a few weeks of eating at home. Look out for a special edition #FoodAsMedicine pantry prep guide coming out in the following week."}],"markDefs":[],"style":"normal"},{"_key":"c9940013f0d3","_type":"block","children":[{"_key":"c9940013f0d30","_type":"span","marks":[],"text":"If you’re a filtered-water person, make sure yours is in tip-top shape and buy an extra as back up!"}],"markDefs":[],"style":"normal"},{"_key":"d7517e764d57","_type":"block","children":[{"_key":"d7517e764d570","_type":"span","marks":["strong"],"text":"#3: Nerd out on logistics for you & your loved ones."}],"markDefs":[],"style":"h4"},{"_key":"68b0e0f05bf0","_type":"block","children":[{"_key":"68b0e0f05bf00","_type":"span","marks":[],"text":"Whether it’s adapting to a WFH schedule, prepping childcare, or thinking through how to protect older relatives who are at greater risk, it’s worth thinking through logistics ahead of time. Over-planning and over-communicating is the name of the game!"}],"markDefs":[],"style":"normal"},{"_key":"a469f457bd90","_type":"block","children":[{"_key":"a469f457bd900","_type":"span","marks":[],"text":"Lastly, remember that we all deal differently — some may want to take greater protective measures like skipping out on a concert or big birthday party. Others may be less concerned or in communities with less risk of exposure. The point is that this is all so personal, you have to account for the individualized factors in *your* life."}],"markDefs":[],"style":"normal"},{"_key":"79868c5db1be","_type":"block","children":[{"_key":"79868c5db1be0","_type":"span","marks":[],"text":"Oh and don’t forget to breathe!"}],"markDefs":[],"style":"large"}],"image":{"_type":"image","asset":{"_ref":"image-8d14e481ad105170b345bd1755904fde4cd1674e-2500x866-png","_type":"reference"}},"publishedAt":"2020-03-11T04:00:00.000Z","slug":{"_type":"slug","current":"proactively-preparing"},"status":"production","subTitle":"The things you need to know and do.","title":"How to proactively prepare for Covid-19","topics":[{"_key":"562c4b4ac5d3","_ref":"f7cd4d35-238d-4aef-85e3-748808982d9b","_type":"reference"}]},"metaInformation":{"_type":"metaCard","metaDescription":"We want to help you prepare mentally, physically, and emotionally in this continually changing landscape of coronavirus.","metaTitle":"Proactively Preparing for Covid-19","openGraphDescription":"We want to help you prepare mentally, physically, and emotionally in this continually changing landscape of coronavirus.","openImage":{"_type":"image","asset":{"_ref":"image-5472319cc8499b0515353fdb0db81c5be6552b9a-5000x1600-png","_type":"reference"},"crop":{"_type":"sanity.imageCrop","bottom":0,"left":0.04728950403690886,"right":0.6435986159169549,"top":0},"hotspot":{"_type":"sanity.imageHotspot","height":1,"width":0.3091118800461362,"x":0.20184544405997695,"y":0.5}},"title":"Proactively Preparing for Covid-19","twitterDescription":"We want to help you prepare mentally, physically, and emotionally in this continually changing landscape of coronavirus.","twitterImage":{"_type":"image","asset":{"_ref":"image-5472319cc8499b0515353fdb0db81c5be6552b9a-5000x1600-png","_type":"reference"},"crop":{"_type":"sanity.imageCrop","bottom":0,"left":0.020761245674740483,"right":0.6124567474048453,"top":0},"hotspot":{"_type":"sanity.imageHotspot","height":1,"width":0.3667820069204142,"x":0.20415224913494756,"y":0.5}},"twitterTitle":"Proactively Preparing for Covid-19"}},"id":"9a4b4de8-7cea-5212-837b-c4f7e5609ad7","parent":null,"children":[],"internal":{"type":"SanityEditorial","contentDigest":"a2fe1a3896842ba3409a13569bff0f7b","counter":208,"owner":"gatsby-source-sanity"}},{"_id":"b100e362-4b40-48ce-9d93-b08acd64841c","_type":"editorial","_createdAt":"2020-08-09T18:55:08Z","_rev":"8ycwaKn5PLURgEeFHA7avf","_updatedAt":"2022-12-28T10:30:34Z","content":{"_type":"articleTabs","main":{"_type":"articleContent","articleColor":"bcraspberry","articleType":{"_ref":"6ebe3848-7078-4bbf-890a-e4cee9852934","_type":"reference"},"authors":[{"_key":"d96ac70826e5","_ref":"620445e8-cfbd-40b4-9bd3-1742868efe78","_type":"reference"}],"cardImage":{"_type":"image","asset":{"_ref":"image-bb9b1c6cced2543da1f76913f5e9a07329adba8d-1366x800-png","_type":"reference"}},"editorialText":[{"_key":"526b73da21d7","_type":"block","children":[{"_key":"526b73da21d70","_type":"span","marks":[],"text":"Did you know you have an extensive microscopic collection living on your skin, inside your body, and in your cells? The majority of them are bacteria, some are tiny fungi microbes, and others are viruses that can infect microorganisms and cells. Every day your body is attacked by billions of microscopic invaders. "}],"markDefs":[],"style":"large"},{"_key":"6e397782cfb9","_type":"block","children":[{"_key":"6e397782cfb90","_type":"span","marks":[],"text":"The immune system, composed of a network of cells, tissues, and their products, is on a constant lookout for pathogens (microorganisms, bacteria, or viruses that can cause disease) that are trying to infiltrate your body. As a result, your body is swimming with different kinds of immune cells — some bear the memory of past infections in preparation for future encounters, some vigorously destroy foreign microbes, and others act as a patrol."}],"markDefs":[],"style":"normal"},{"_key":"0e085434460d","_type":"sectionHeader","title":"The Immune System"},{"_key":"1363d2d8549a","_type":"block","children":[{"_key":"1363d2d8549a0","_type":"span","marks":[],"text":"The immune system can be divided into two main groups: the innate immune system and the adaptive immune system."}],"markDefs":[],"style":"normal"},{"_key":"fd0719c806ce","_type":"editorialImageCarousel","items":[{"_key":"0f7757b71a68","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-5d9131740d4df003b70090536bf5eb62d222269e-2103x792-png","_type":"reference"}}}}]},{"_key":"cb129f66abec","_type":"block","children":[{"_key":"cb129f66abec0","_type":"span","marks":[],"text":"If a foreign virus slips past the physical and chemical mechanisms (eg. the skin or mucus lining the inside the nose), it is met by the innate immune system. The innate immune system responds rapidly with inflammation and engages macrophages and neutrophils, white blood cells that devour, eat, and engulf foreign particles. They express receptors that can sense the presence of a foreign invader and sound a cytokine alarm to the rest of the body, like a loudspeaker announcing that an intruder has sneaked in. Innate immunity is activated in all kinds of injuries and illnesses, everything from a scrape on your leg to a splinter on your big toe."}],"markDefs":[],"style":"normal"},{"_key":"c82f399d546e","_type":"block","children":[{"_key":"c82f399d546e0","_type":"span","marks":[],"text":"Now and again, a microbe comes along that gets past the innate immune system. That is when the adaptive immune system, a true powerhouse, rallies to fight back. Only vertebrates (species with backbones like us) have adaptive immune systems, the third layer of defense that adapts to protect against foreign pathogens. Over 99% of organisms on Earth don’t have adaptive immune systems and get along fine with only natural barriers and the innate immune system for defense."}],"markDefs":[],"style":"normal"},{"_key":"072d5f18d7ad","_type":"block","children":[{"_key":"072d5f18d7ad0","_type":"span","marks":[],"text":"When you get a cold, flu, or the novel coronavirus, cells within your adaptive immune system rush out to identify the sickness. Your adaptive defenses come to the rescue by recruiting and activating a specialized team of while blood cells that are best equipped to fight the specific pathogen. For example, if you get infected with E. coli (the pesky bacteria that can cause food poisoning), white blood cells that recognize particular molecules on E. coli are activated. When the human immune system is given time to prepare, it can produce defenses that protect against foreign invaders."}],"markDefs":[],"style":"normal"},{"_key":"83ceab449cfd","_type":"sectionHeader","title":"On Antibodies"},{"_key":"471fcccb9790","_type":"block","children":[{"_key":"471fcccb97900","_type":"span","marks":[],"text":"The adaptive immune system is unique because it creates a special protein complex called an antibody (also referred to as immunoglobulin). Specialized white blood cells produce antibodies, which are uniquely designed to look for antigens, a specific structure found on a foreign virus or particle. Antibodies adhere to antigens, which then signal the immune system to destroy the foreign invader. Although antibodies are incredibly important to defend against pathogens, they do not kill anything! Their job is only to plant the kiss of death on the microbe — tagging it for destruction."}],"markDefs":[],"style":"normal"},{"_key":"649468365586","_type":"editorialImageCarousel","items":[{"_key":"3a996c978479","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-dd28afb65b53bd31e980f7680df9e1adbe09c0f0-2103x929-png","_type":"reference"}}}}]},{"_key":"6d4112673897","_type":"block","children":[{"_key":"6d41126738970","_type":"span","marks":[],"text":"White blood cells created in bone marrow can mature and become antibody factories. It can take antibodies a couple of weeks to develop after being exposed to a virus. IgG has reliably shown up on antibody tests 3- 14 days after a Covid-19 infection."}],"markDefs":[],"style":"normal"},{"_key":"0be06c721645","_type":"block","children":[{"_key":"0be06c7216450","_type":"span","marks":[],"text":"Antibodies stick around for differing amounts of time depending on the illness, creating an immunological memory. This means you are reinfected, the adaptive immune system can bounce into action quickly. Scientists believe SARS antibodies stay in the body for 2 years and MERS antibodies are maintained for almost 3 years. Because Covid-19 is a novel virus, we do not know for sure how long these antibodies last. However, experts generally agree that, based on experience with other viruses, the presence of antibodies does confer some level of protection. In a recent study, researchers infected volunteers with a seasonal coronavirus and around a year later, infected them with the same or similar virus. All of the participants either experienced full or partial protection."}],"markDefs":[],"style":"normal"},{"_key":"b3f9ab293109","_type":"sectionHeader","title":"Antibody Tests"},{"_key":"9bb084c727bf","_type":"block","children":[{"_key":"9bb084c727bf0","_type":"span","marks":[],"text":"Antibody tests also called serology tests, take a sample of your blood to test if your immune system has produced any antibodies in response to an infection. These tests can tell you if you were previously infected but they cannot detect active infections or recovery."}],"markDefs":[],"style":"normal"},{"_key":"273ff965f558","_type":"block","children":[{"_key":"273ff965f5580","_type":"span","marks":[],"text":"The is currently a lot of concern about the accuracy of Covid-19 antibody tests. Accuracy is based on sensitivity and specificity, this is tricky because the tests have to be sensitive enough to detect the presence of IgG-specific antibodies and specific enough to avoid accidentally produce a positive result. "}],"markDefs":[],"style":"normal"},{"_key":"276a2873923c","_type":"block","children":[{"_key":"276a2873923c0","_type":"span","marks":[],"text":"Tia is now offering in partnership with Quest the Abbott antibody test, which is 99.1% accurate. "}],"markDefs":[],"style":"large"},{"_key":"3404b4440ee6","_type":"block","children":[{"_key":"3404b4440ee60","_type":"span","marks":[],"text":"As such, we stand by the quality of the test but because no antibody test can tell you if you are immune we recommend continuing to wear a mask and practicing social distancing even if you have developed antibodies."}],"markDefs":[],"style":"normal"},{"_key":"99b38b438ae8","_type":"sectionHeader","title":"Why Test?"},{"_key":"61cedbd48961","_type":"block","children":[{"_key":"61cedbd489610","_type":"span","marks":[],"text":"Widespread antibody testing will help give epidemiologists a clearer understanding of the scope of this disease. A study from random testing around 3,000 people in New York City recently postulated that as many as one in five residents, or about 2.7 million people, might have contracted the disease without knowing. Antibody testing research may also help identify groups who are more susceptible to infection, and why. It is small steps and bits of information that help scientists build a robust understanding and system to address disease, not much different than the information an antibody holds to respond to infection and protect."}],"markDefs":[],"style":"normal"},{"_key":"f506dd83cb65","_type":"cta","backgroundColor":"bcraspberry","text":[{"_key":"f131d27ba34e","_type":"block","children":[{"_key":"f131d27ba34e0","_type":"span","marks":[],"text":"Ready to get tested?"}],"markDefs":[],"style":"h2"},{"_key":"f37eecd52017","_type":"buttonBlock","items":[{"_key":"3589cb5a9453","_type":"singleButton","linkCta":"Book now","linkType":"button","url":"https://asktia.com/member/appointment/schedule"}]},{"_key":"a360a0733f50","_type":"block","children":[{"_key":"a360a0733f500","_type":"span","marks":[],"text":"Not a member? 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