1 00:00:00,000 --> 00:00:00,000 2 00:00:12,560 --> 00:00:14,504 Hello , I'm Bri General de Tahan . 3 00:00:14,504 --> 00:00:16,616 Welcome to our seventh episode of Bay 4 00:00:16,616 --> 00:00:18,819 Med talk . Today's episode will focus 5 00:00:18,829 --> 00:00:21,051 on topics important to women's health . 6 00:00:21,051 --> 00:00:23,218 We have routine screening guidelines , 7 00:00:23,218 --> 00:00:25,329 birth control considerations , pelvic 8 00:00:25,329 --> 00:00:27,440 health and pregnancy , to name just a 9 00:00:27,440 --> 00:00:29,440 few . Fortunately , we have several 10 00:00:29,440 --> 00:00:31,496 world class experts with us today to 11 00:00:31,496 --> 00:00:33,385 explain the latest women's health 12 00:00:33,385 --> 00:00:35,218 guidelines and recommendations . 13 00:00:38,509 --> 00:00:40,731 So can you tell me the beauty of having 14 00:00:40,731 --> 00:00:42,676 amazing nurse midwives helping our 15 00:00:42,676 --> 00:00:44,898 patients here at B MC . The role of the 16 00:00:44,898 --> 00:00:46,620 military midwife is to provide 17 00:00:46,620 --> 00:00:48,787 gynecological care as well as prenatal 18 00:00:48,787 --> 00:00:50,599 care . We start off care during 19 00:00:50,610 --> 00:00:53,009 adolescence and go through menopause 20 00:00:53,020 --> 00:00:55,799 beyond menopause . We provide care for 21 00:00:55,810 --> 00:00:58,459 screening such as have screening for 22 00:00:58,470 --> 00:01:00,529 cervical cancer , breast exams , 23 00:01:00,889 --> 00:01:02,945 pregnancy care . We are able to take 24 00:01:02,945 --> 00:01:05,056 care of women from the time they find 25 00:01:05,056 --> 00:01:07,167 out they're pregnant throughout their 26 00:01:07,167 --> 00:01:09,222 entire pregnancy . And then our care 27 00:01:09,222 --> 00:01:11,445 does not just stop here in the clinic . 28 00:01:11,445 --> 00:01:13,389 We go up to labor and delivery and 29 00:01:13,389 --> 00:01:15,389 we're their delivery team as well . 30 00:01:15,389 --> 00:01:17,278 That's amazing . You have a great 31 00:01:17,278 --> 00:01:17,269 program called Beautiful Beginnings . 32 00:01:17,279 --> 00:01:19,501 Can you tell us a little bit more about 33 00:01:19,501 --> 00:01:21,446 that ? We have two care models for 34 00:01:21,446 --> 00:01:23,501 pregnant patients here at B MC . The 35 00:01:23,501 --> 00:01:25,612 first is the traditional care model . 36 00:01:25,612 --> 00:01:27,779 This consists of the patient coming in 37 00:01:27,779 --> 00:01:29,835 and having about 20 minutes with the 38 00:01:29,835 --> 00:01:32,057 provider . This is an individual form . 39 00:01:32,057 --> 00:01:34,112 The second model is called beautiful 40 00:01:34,112 --> 00:01:36,279 beginnings . This is the group model . 41 00:01:36,279 --> 00:01:38,446 This consists of about 10 patients who 42 00:01:38,446 --> 00:01:40,612 will deliver within four weeks of each 43 00:01:40,612 --> 00:01:42,612 other . This is a great way for the 44 00:01:42,612 --> 00:01:44,849 community to invest in itself . We have 45 00:01:44,860 --> 00:01:46,804 patients who are first time moms , 46 00:01:46,804 --> 00:01:48,860 patients who are a mom for the sixth 47 00:01:48,860 --> 00:01:51,089 time partners can come , moms , 48 00:01:51,099 --> 00:01:53,210 grandparents , anyone can come . It's 49 00:01:53,210 --> 00:01:55,266 really a great model . I really love 50 00:01:55,266 --> 00:01:57,266 beautiful beginnings . The feedback 51 00:01:57,266 --> 00:01:59,266 I've heard from patients is that it 52 00:01:59,266 --> 00:02:00,988 really allows them to create a 53 00:02:00,988 --> 00:02:03,210 community with other moms going through 54 00:02:03,210 --> 00:02:05,210 the same thing so they can actually 55 00:02:05,210 --> 00:02:07,432 reach out when they are having problems 56 00:02:07,432 --> 00:02:07,300 and , and they know they have a support 57 00:02:07,309 --> 00:02:09,479 system as much as they invest in us . 58 00:02:09,490 --> 00:02:11,546 We get to invest in them . Tell me a 59 00:02:11,546 --> 00:02:13,601 little bit more about military nurse 60 00:02:13,601 --> 00:02:15,979 midwives . Well , our military nurse 61 00:02:15,990 --> 00:02:17,657 midwives can provide care and 62 00:02:17,657 --> 00:02:19,699 deployment settings . This involves 63 00:02:19,710 --> 00:02:22,020 giving care at refugee camps . This 64 00:02:22,029 --> 00:02:24,279 involves going to humanitarian efforts 65 00:02:24,289 --> 00:02:26,178 as well as caring for our service 66 00:02:26,178 --> 00:02:28,570 members abroad . That's just wonderful . 67 00:02:28,990 --> 00:02:30,768 Thank you . Thank you , ma'am . 68 00:02:33,919 --> 00:02:36,130 We are now in the O B G Y N clinic . 69 00:02:36,139 --> 00:02:38,306 Can you tell me a little bit about the 70 00:02:38,306 --> 00:02:40,306 services you have available for the 71 00:02:40,306 --> 00:02:42,417 women we serve ? Yes , here at B MC . 72 00:02:42,417 --> 00:02:44,361 We are a tertiary care center . We 73 00:02:44,361 --> 00:02:46,528 offer the full scope of women's health 74 00:02:46,528 --> 00:02:48,417 care . We have everything from an 75 00:02:48,417 --> 00:02:51,850 oncologist for a cancer care uist for 76 00:02:51,860 --> 00:02:53,529 public Floor health . We have 77 00:02:53,539 --> 00:02:55,261 reproductive endocrinology and 78 00:02:55,261 --> 00:02:57,428 infertility services which include the 79 00:02:57,428 --> 00:02:59,595 full scope of in vitro fertilization . 80 00:02:59,729 --> 00:03:02,380 We have high risk of with a level three 81 00:03:02,729 --> 00:03:04,960 to take care of high risk pregnant 82 00:03:04,970 --> 00:03:07,026 women and we take care of women that 83 00:03:07,026 --> 00:03:08,970 come from all over the world . Our 84 00:03:08,970 --> 00:03:08,850 military service , women and their 85 00:03:08,860 --> 00:03:11,149 dependents . That's pretty impressive . 86 00:03:11,160 --> 00:03:13,440 That's a lot of services here are women 87 00:03:13,449 --> 00:03:15,560 that come here , know that they're in 88 00:03:15,560 --> 00:03:17,782 good hands . Can you tell me more about 89 00:03:17,782 --> 00:03:19,893 the guidelines and what people should 90 00:03:19,893 --> 00:03:22,339 know about women's health ? So we 91 00:03:22,350 --> 00:03:24,589 usually start screening for cervical 92 00:03:24,600 --> 00:03:26,544 cancer with PAP smear screening at 93 00:03:26,544 --> 00:03:29,070 about age 21 that's every three years 94 00:03:29,080 --> 00:03:31,302 up until about the age of 30 . And then 95 00:03:31,302 --> 00:03:33,630 we add in that HPV test if you haven't 96 00:03:33,639 --> 00:03:35,695 gotten the HPV vaccine , we offer it 97 00:03:35,695 --> 00:03:37,899 here in our clinic up until age 45 . 98 00:03:37,910 --> 00:03:40,270 That's when it's recommended . Um And 99 00:03:40,279 --> 00:03:42,168 the other big important thing for 100 00:03:42,168 --> 00:03:44,112 women's health is contraception if 101 00:03:44,112 --> 00:03:46,001 you're not actively trying to get 102 00:03:46,001 --> 00:03:48,168 pregnant , we do recommend you on some 103 00:03:48,168 --> 00:03:50,057 type of contraception and you can 104 00:03:50,057 --> 00:03:51,723 access contraceptive services 105 00:03:51,723 --> 00:03:53,723 throughout J BS A . You can make an 106 00:03:53,723 --> 00:03:55,890 appointment here at the clinic and you 107 00:03:55,890 --> 00:03:57,779 can access several of our walk in 108 00:03:57,779 --> 00:03:59,835 contraception clinics . You may have 109 00:03:59,835 --> 00:04:01,779 seen the flyers , we have the pink 110 00:04:01,779 --> 00:04:03,668 clinic it for patients in need of 111 00:04:03,668 --> 00:04:05,779 contraception and you can walk in and 112 00:04:05,779 --> 00:04:07,723 get walk in contraceptive services 113 00:04:07,723 --> 00:04:09,835 pretty much the full scope to include 114 00:04:09,835 --> 00:04:11,335 the long acting reversible 115 00:04:11,335 --> 00:04:14,555 contraceptives such as I U Ds and the 116 00:04:14,565 --> 00:04:16,732 implants . That's pretty amazing . Our 117 00:04:16,732 --> 00:04:18,885 pink clinic really makes it easy for 118 00:04:18,895 --> 00:04:21,175 every single woman in this area to get 119 00:04:21,186 --> 00:04:23,342 the services they need . It sure is . 120 00:04:23,351 --> 00:04:25,812 And starting May 1st we are going to be 121 00:04:25,821 --> 00:04:27,599 starting offering at the Moreno 122 00:04:27,599 --> 00:04:30,291 Pharmacy . The pharmacist themselves 123 00:04:30,302 --> 00:04:32,302 can prescribe birth control pills , 124 00:04:32,302 --> 00:04:34,413 patches or rings without even needing 125 00:04:34,413 --> 00:04:36,524 to see a provider . Thank you for all 126 00:04:36,524 --> 00:04:38,580 that you do to help allow our active 127 00:04:38,580 --> 00:04:40,635 duty service women to get the health 128 00:04:40,635 --> 00:04:42,858 care they need , but also to be able to 129 00:04:42,858 --> 00:04:44,635 defend our nation . Thank you . 130 00:04:47,540 --> 00:04:49,739 A MC is so lucky to have pelvic four 131 00:04:49,750 --> 00:04:52,070 physical therapy . Can you tell me what 132 00:04:52,079 --> 00:04:54,209 is a pelvic four physical therapist 133 00:04:54,220 --> 00:04:56,442 here ? So pelvic floor physical therapy 134 00:04:56,442 --> 00:04:58,331 is a specialized kind of physical 135 00:04:58,331 --> 00:05:00,053 therapy . So this pelvic floor 136 00:05:00,053 --> 00:05:02,989 therapist , they are trained to focus 137 00:05:03,000 --> 00:05:06,230 on the pelvic floor issues and they are 138 00:05:06,239 --> 00:05:07,795 more like bladder and bowel 139 00:05:07,795 --> 00:05:11,174 incontinence , prolapse pain , pain 140 00:05:11,184 --> 00:05:13,394 with the intercourse . And not only 141 00:05:13,404 --> 00:05:15,584 that the pelvic floor muscles , they 142 00:05:15,595 --> 00:05:17,734 are the dynamic stabilizers of the 143 00:05:17,744 --> 00:05:21,174 spine . So they do take part when we do 144 00:05:21,184 --> 00:05:23,406 different activities . They are part of 145 00:05:23,406 --> 00:05:25,462 core muscles . Yes , they say pelvic 146 00:05:25,462 --> 00:05:27,740 floor is the floor of the core , right ? 147 00:05:27,740 --> 00:05:29,795 Which can help prevent low back pain 148 00:05:29,795 --> 00:05:31,962 and treat low back pain . But like you 149 00:05:31,962 --> 00:05:34,073 said , it's so important for treating 150 00:05:34,073 --> 00:05:36,309 incontinence . Um and really post 151 00:05:36,320 --> 00:05:38,579 pregnancy challenges . Can you tell me 152 00:05:38,589 --> 00:05:40,645 a little bit more about the patients 153 00:05:40,645 --> 00:05:42,811 that would want to come here and , and 154 00:05:42,811 --> 00:05:44,922 see your services ? Yes . So first of 155 00:05:44,922 --> 00:05:47,089 all , so many of our patients they are 156 00:05:47,089 --> 00:05:49,619 not aware of because incontinence like 157 00:05:49,630 --> 00:05:51,741 50 percent female and with the age it 158 00:05:51,741 --> 00:05:55,274 increases to 70 75% same with the fecal 159 00:05:55,285 --> 00:05:57,315 incontinence . All those things are 160 00:05:57,325 --> 00:05:59,654 like a taboo subject . So they don't 161 00:05:59,665 --> 00:06:01,832 talk and they just take it for granted 162 00:06:01,832 --> 00:06:03,832 that I have babies . So this is but 163 00:06:03,832 --> 00:06:06,135 there is help available . So when it 164 00:06:06,144 --> 00:06:08,654 comes to uh women's health , 165 00:06:09,619 --> 00:06:12,519 pregnant patient , postpartum patients 166 00:06:12,529 --> 00:06:15,790 and post menopausal . So many of our 167 00:06:15,799 --> 00:06:18,021 patients don't feel comfortable talking 168 00:06:18,029 --> 00:06:20,085 about this . So they don't even know 169 00:06:20,085 --> 00:06:22,307 the services exist . But when they come 170 00:06:22,307 --> 00:06:24,529 in , the evidence suggests that this is 171 00:06:24,529 --> 00:06:26,585 an incredibly effective treatment to 172 00:06:26,585 --> 00:06:28,585 giving women back their lives after 173 00:06:28,585 --> 00:06:30,807 they've had something like incontinence 174 00:06:30,807 --> 00:06:33,695 or pain uh with intercourse or really 175 00:06:33,704 --> 00:06:36,024 any of those issues that have kept them 176 00:06:36,035 --> 00:06:38,635 from getting back to full . I just want 177 00:06:38,644 --> 00:06:40,755 our patients to know that the help is 178 00:06:40,755 --> 00:06:42,922 available . I think it's important for 179 00:06:42,922 --> 00:06:45,033 us to know there's muscles everywhere 180 00:06:45,033 --> 00:06:47,255 in our body to include our pelvic floor 181 00:06:47,255 --> 00:06:49,311 and we can train and rehab them just 182 00:06:49,311 --> 00:06:51,366 like we can train any other muscle . 183 00:06:51,366 --> 00:06:51,144 Thank you for all that you do for the 184 00:06:51,154 --> 00:06:53,265 women that come here for their health 185 00:06:53,265 --> 00:06:55,432 care . We really appreciate it . Thank 186 00:06:55,432 --> 00:06:54,505 you ? 187 00:07:01,209 --> 00:07:03,339 Welcome to Bay Labor and Delivery . 188 00:07:03,609 --> 00:07:05,665 What makes Bay Labor and delivery so 189 00:07:05,665 --> 00:07:07,887 special . Well , ma'am , I think one of 190 00:07:07,887 --> 00:07:09,942 the important things about our labor 191 00:07:09,942 --> 00:07:12,165 and delivery unit is the excellent team 192 00:07:12,165 --> 00:07:14,165 of physicians , midwives and nurses 193 00:07:14,165 --> 00:07:16,220 that we have here taking care of our 194 00:07:16,220 --> 00:07:18,276 patients . One of the things that we 195 00:07:18,276 --> 00:07:20,387 try to do with all of our patients is 196 00:07:20,387 --> 00:07:22,553 provide immediate skin to skin contact 197 00:07:22,553 --> 00:07:25,089 for baby and mom immediately after 198 00:07:25,100 --> 00:07:27,267 birth whenever that's possible . I bet 199 00:07:27,269 --> 00:07:29,380 families love coming here because the 200 00:07:29,380 --> 00:07:31,640 space is absolutely amazing to help a 201 00:07:31,649 --> 00:07:34,399 brand new family start their path 202 00:07:34,410 --> 00:07:36,632 together . Yes , I think we have a nice 203 00:07:36,632 --> 00:07:38,799 facility here . There's plenty of room 204 00:07:38,799 --> 00:07:41,329 here in the room for mom and her 205 00:07:41,339 --> 00:07:43,700 support person . And if they choose to 206 00:07:43,709 --> 00:07:46,250 bring a doula doula are also welcome 207 00:07:46,260 --> 00:07:48,260 here . Can you tell me a little bit 208 00:07:48,260 --> 00:07:50,482 more about the childbirth class ? Yes . 209 00:07:50,482 --> 00:07:53,209 So the labor and delivery staff offers 210 00:07:53,220 --> 00:07:56,429 two free child birth classes each month 211 00:07:56,440 --> 00:07:58,551 that patients can enroll for and they 212 00:07:58,551 --> 00:08:00,773 enroll for those in the regular O B G Y 213 00:08:00,773 --> 00:08:02,869 N clinic . I bet for some of our new 214 00:08:02,880 --> 00:08:05,220 moms lactation is challenging . Can you 215 00:08:05,230 --> 00:08:07,341 tell us what you guys have to support 216 00:08:07,341 --> 00:08:09,341 new moms in that space ? All of our 217 00:08:09,341 --> 00:08:11,563 patients who desire breast feeding have 218 00:08:11,563 --> 00:08:13,674 access to lactation consultant during 219 00:08:13,674 --> 00:08:15,786 their inpatient stay . And then those 220 00:08:15,786 --> 00:08:17,619 women who are continuing to have 221 00:08:17,619 --> 00:08:19,674 problems , have access to outpatient 222 00:08:19,674 --> 00:08:21,952 lactation consultants here at bay also . 223 00:08:21,952 --> 00:08:24,119 That's wonderful . I just had a friend 224 00:08:24,119 --> 00:08:26,286 that just delivered here and they just 225 00:08:26,286 --> 00:08:28,286 had the most amazing experience and 226 00:08:28,286 --> 00:08:30,563 really braved about your amazing staff . 227 00:08:30,563 --> 00:08:32,730 Well , thank you . I think we've got a 228 00:08:32,730 --> 00:08:34,952 great staff here and I think we provide 229 00:08:34,952 --> 00:08:38,580 great care for our patients . Welcome 230 00:08:38,590 --> 00:08:40,590 to our mammography clinic . Can you 231 00:08:40,590 --> 00:08:42,923 tell me why mammography is so important ? 232 00:08:42,923 --> 00:08:45,750 Well , mammography is stopping breast 233 00:08:45,760 --> 00:08:48,059 cancers early . So we want our patients 234 00:08:48,070 --> 00:08:50,219 to get their screenings on time 235 00:08:50,229 --> 00:08:52,599 Starting at the age of 40 . We catch 236 00:08:52,609 --> 00:08:55,299 these cancers early and we nip things 237 00:08:55,309 --> 00:08:57,309 in the bud . The surgeries are less 238 00:08:57,309 --> 00:09:00,400 invasive and we have less um occurrence 239 00:09:00,409 --> 00:09:02,687 of invasion to other parts of the body . 240 00:09:02,844 --> 00:09:04,955 And remind me again , what age should 241 00:09:04,955 --> 00:09:06,844 people start getting their annual 242 00:09:06,844 --> 00:09:09,011 mammography ? Ok . All of our patients 243 00:09:09,011 --> 00:09:11,122 should be getting their screenings at 244 00:09:11,122 --> 00:09:12,844 the age of 40 . There are some 245 00:09:12,844 --> 00:09:14,844 exceptions though some patients who 246 00:09:14,844 --> 00:09:16,955 have family histories have mothers or 247 00:09:16,955 --> 00:09:19,066 sisters who have gotten breast cancer 248 00:09:19,066 --> 00:09:21,177 early on in life say , for instance , 249 00:09:21,177 --> 00:09:23,554 they um got cancer at 40 . We want 250 00:09:23,565 --> 00:09:25,232 those patients to start their 251 00:09:25,232 --> 00:09:27,176 screenings at 30 . So they have an 252 00:09:27,176 --> 00:09:29,380 early start and our real goal is to be 253 00:09:29,390 --> 00:09:31,390 there for them . So we can catch it 254 00:09:31,390 --> 00:09:33,557 early and when they want to make their 255 00:09:33,557 --> 00:09:35,668 appointment , what do they do to make 256 00:09:35,668 --> 00:09:38,001 an appointment to come here ? Ok . Well , 257 00:09:38,001 --> 00:09:37,289 there's a couple of options . First of 258 00:09:37,299 --> 00:09:39,521 all , patients do not need to see their 259 00:09:39,521 --> 00:09:41,659 providers before um requesting a 260 00:09:41,669 --> 00:09:43,780 screening mammography as long as they 261 00:09:43,780 --> 00:09:46,119 are having no issues , they can call uh 262 00:09:46,130 --> 00:09:48,960 the , the radiology line , which is 292 263 00:09:49,044 --> 00:09:52,825 X ray , 2929729 patients without a 264 00:09:52,835 --> 00:09:54,946 referral can just call the x-ray line 265 00:09:54,946 --> 00:09:57,002 and just come here directly directly 266 00:09:57,002 --> 00:09:59,224 because we really do want to break down 267 00:09:59,224 --> 00:10:01,224 any barriers that would keep people 268 00:10:01,224 --> 00:10:03,446 from coming and getting , getting their 269 00:10:03,446 --> 00:10:05,557 annual screening . Yes . Well , thank 270 00:10:05,557 --> 00:10:05,534 you for all that you do for the women 271 00:10:05,544 --> 00:10:07,711 that we serve here at Team B MC . It's 272 00:10:07,711 --> 00:10:09,600 greatly appreciated . You're very 273 00:10:09,600 --> 00:10:11,822 welcome . Thank you . I'd like to thank 274 00:10:11,822 --> 00:10:13,933 all of our experts for taking time to 275 00:10:13,933 --> 00:10:15,933 highlight the importance of women's 276 00:10:15,933 --> 00:10:17,877 health and talk about the services 277 00:10:17,877 --> 00:10:19,933 available here at bay and within the 278 00:10:19,933 --> 00:10:22,155 military health system . I'm incredibly 279 00:10:22,155 --> 00:10:24,266 proud of all of our teammates helping 280 00:10:24,266 --> 00:10:26,266 to ensure our health and wellness . 281 00:10:26,266 --> 00:10:26,169 Thank you for watching the latest 282 00:10:26,179 --> 00:10:28,650 episode of Bam Med . Stay tuned for our 283 00:10:28,659 --> 00:10:30,770 next episode , which will be on men's 284 00:10:30,770 --> 00:10:31,770 health . 285 00:10:36,299 --> 00:10:36,330 Yeah .