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Join us for a powerful episode with Dr. Allison Bontempo, postdoctoral research fellow at Rutgers Robert Wood Johnson Medical School, as we uncover the complexities of endometriosis and the lived experiences of those affected. With a personal connection to the disease, Dr. Bontempo transformed a class project into a groundbreaking global study involving thousands, shedding light on the significant diagnostic delays that patients endure.
In this episode, we explore the critical role of patient-provider communication in shaping both mental and physical health outcomes. Dr. Bontempo shares insights into how the dismissal of patient experiences impacts care and how her research is bridging the gap between clinical practices and patient needs. We dive deep into ethical considerations, balancing personal experiences with professional research, and the power of inclusivity in medical studies.
Discover how social media is amplifying diverse patient voices, and learn about innovative tools, like new measures to assess perceived invalidation in healthcare, that aim to drive meaningful change. Dr. Bontempo also discusses the importance of community and collaboration in advancing the care of chronic illnesses, emphasizing the need for continued education among clinicians.
This episode is a must-listen for anyone invested in improving healthcare outcomes for endometriosis and other chronic conditions. It’s more than just a conversation—it’s a call to action to contribute to research that can change lives and reshape the future of compassionate healthcare.
https://www.allysoncbontempo.com/
@acbontempo
Website endobattery.com
Researching Endometriosis and Patient Experiences
Alanna
0:03
Welcome
to
EndoBattery
,
where
I
share
about
my
endometriosis
and
adenomyosis
story
and
continue
learning
along
the
way
.
This
podcast
is
not
a
substitute
for
professional
medical
advice
or
diagnosis
,
but
a
place
to
equip
you
with
information
and
a
sense
of
community
,
ensuring
you
never
have
to
face
this
journey
alone
.
Join
me
as
I
navigate
the
ups
and
downs
and
share
stories
of
strength
,
resilience
and
hope
.
While
navigating
the
world
of
endometriosis
and
adenomyosis
,
from
personal
experience
to
expert
insights
,
I'm
your
host
,
alana
,
and
this
is
EndoBattery
charging
our
lives
when
endometriosis
drains
us
.
Welcome
back
to
EndoBattery
.
Grab
your
cup
of
coffee
or
your
cup
of
tea
and
join
me
at
the
table
.
Alanna
0:46
Today
.
I'm
thrilled
to
be
joined
by
Dr
Allison
Bontempo
,
a
postdoctoral
research
fellow
in
the
Department
of
Pediatrics
at
Rutgers
Robert
Wood
Johnson
Medical
School
.
Dr
Bontempo
holds
a
PhD
and
an
MA
in
health
communication
from
Rutgers
University
,
along
with
a
bachelor's
in
science
and
psychology
and
English
writing
from
Sacred
Heart
University
.
Along
with
a
bachelor's
in
science
and
psychology
and
English
writing
from
Sacred
Heart
University
,
her
research
centers
on
improving
the
patient
experience
,
with
the
focus
on
three
key
areas
diagnostic
error
,
the
patient-clinician
relationship
and
patient
support
networks
,
including
online
communities
.
She's
doing
incredible
work
,
exploring
how
relationships
between
patients
and
clinicians
,
as
well
as
broader
support
networks
,
shape
the
patient
journey
,
especially
around
issues
of
diagnosis
.
Please
help
me
in
welcoming
Dr
Allison
Bontempo
to
the
table
.
Thank
you
,
allison
,
so
much
for
joining
me
today
and
I
just
appreciate
you
taking
the
time
out
of
your
schedule
to
sit
down
with
me
and
kind
of
discuss
your
story
and
what
you're
doing
and
everything
else
that
has
kind
of
come
to
the
surface
with
research
.
So
thank
you
for
joining
me
,
thank
you
.
Allyson
1:51
Thank
you
so
much
for
having
me
,
alana
.
I'm
really
excited
to
be
here
and
I
enjoy
talking
about
my
work
,
especially
in
spaces
where
patients
have
access
,
because
,
you
know
,
I
think
they're
the
primary
stakeholders
of
this
work
and
,
ultimately
,
I
think
they're
the
primary
stakeholders
of
this
work
and
,
ultimately
,
I
think
it
needs
to
reach
them
.
So
thank
you
for
your
,
for
your
podcast
and
for
delivering
it
to
patients
.
Alanna
2:12
Oh
,
absolutely
.
I
love
doing
this
and
I
hope
that
it
is
helpful
for
many
.
But
you
have
done
amazing
work
so
far
and
I
just
want
to
first
of
all
say
thank
you
for
seeing
the
invisible
illness
is
not
invisible
and
working
towards
that
.
What
initially
drew
you
to
study
endometriosis
in
women's
health
or
chronic
illnesses
?
Allyson
2:32
Yeah
,
so
I
was
part
of
a
master's
program
at
Rutgers
University
and
I
had
recently
had
my
I
think
it
was
my
first
excision
surgery
for
endometriosis
had
my
I
think
it
was
my
first
excision
surgery
for
endometriosis
and
I
wasn't
somebody
who
had
a
delayed
diagnosis
,
which
is
like
amazingly
rare
,
but
it
was
a
disease
that
I
could
connect
with
.
So
in
one
of
my
classes
about
computer
mediated
communication
,
I
decided
to
apply
my
health
focus
so
I
chose
endometriosis
and
then
,
in
the
context
of
mediated
communication
,
so
you
know
,
developing
a
proposal
for
examining
online
community
use
of
individuals
with
endometriosis
.
And
I
hadn't
really
searched
the
literature
before
and
you
know
I
had
to
for
this
project
and
I
came
across
this
one
article
I
think
it's
called
like
the
therapeutic
affordances
of
online
communities
for
women
with
endometriosis
or
something
like
that
and
it
was
talking
about
this
delay
that
was
nine
,
10
years
,
and
I
was
like
that's
so
kind
of
bananas
again
,
like
I
hadn't
experienced
it
,
but
I
didn't
realize
it
was
such
a
problem
.
And
then
that
led
me
to
another
study
and
to
another
study
and
I
just
kept
reading
about
it
.
And
then
I
started
reading
which
often
happens
in
the
context
of
diagnostic
error
is
,
you
know
,
the
communication
that
takes
place
between
patients
and
clinicians
,
and
so
I
was
finding
,
you
know
,
correspondingly
during
this
time
,
patients
were
often
feeling
like
their
symptoms
were
dismissed
.
So
I
put
together
a
proposal
which
was
the
assignment
for
the
class
,
and
the
professor
,
you
know
,
not
with
a
health
background
,
but
she
was
like
you
can
actually
like
do
this
.
So
I
designed
the
study
.
I
did
it
during
my
master's
and
I
feel
like
there's
a
lot
more
research
out
now
Patients
themselves
doing
endometriosis
research
,
because
I
guess
nobody
else
will
.
But
so
so
I
feel
like
that
first
study
was
at
a
time
where
there
wasn't
as
much
study
,
because
I
feel
like
I
see
a
lot
more
advertising
for
studies
on
social
media
now
.
Allyson
4:34
But
this
was
back
in
like
2017
.
Allyson
4:38
And
I
had
reached
out
to
a
bunch
of
enemy
triosis
organizations
asking
if
they
could
advertise
a
study
.
Allyson
4:44
And
you
know
,
I
got
like
a
few
hundred
in
the
first
hour
and
it
was
across
40
different
countries
.
I
was
like
praying
for
like
150
because
for
certain
,
like
analysis
,
like
you
need
to
have
a
certain
amount
to
detect
if
there's
a
correlation
between
two
things
.
And
then
I
got
like
easily
150
in
the
first
hour
and
I
got
I
think
it
was
like
1700
patients
,
and
then
in
the
comments
,
like
I
had
a
comment
section
at
the
end
Is
there
anything
else
that
you
want
to
share
about
your
experiences
?
In
case
I
missed
something
,
that
was
important
and
not
really
expecting
patients
to
fill
it
out
,
but
half
the
patients
,
after
completing
a
20
to
30
minute
survey
,
went
on
to
talk
more
about
their
experiences
and
it
just
felt
like
there's
such
a
need
for
people
to
do
research
in
this
area
and
I
didn't
realize
how
desperately
it
was
needed
.
But
it
was
almost
like
that
survey
was
a
forum
for
patients
to
feel
heard
where
historically
they
haven't
felt
heard
by
the
medical
community
Not
that
I'm
,
you
know
,
a
medical
person
myself
,
but
just
institutionally
I
guess
.
Alanna
5:46
Yeah
.
Allyson
5:47
So
you
know
,
when
patients
thanked
me
in
their
comments
and
I
was
like
,
well
,
that's
not
how
research
is
supposed
to
work
,
I
should
be
thanking
you
for
your
time
I
did
a
little
gift
card
raffle
,
but
they
did
this
on
their
own
time
.
Essentially
After
that
,
I
was
like
I
really
want
this
and
I
was
like
,
am
I
going
to
go
for
a
PhD
now
?
So
I
can
,
you
know
,
continue
doing
this
.
But
it
was
really
that
study
and
that
response
to
that
study
that
,
once
I
got
a
taste
of
it
,
you
know
,
I
just
love
being
able
to
do
this
and
feel
like
I'm
helping
people
,
even
if
it's
just
providing
an
outlet
or
a
forum
for
them
to
feel
heard
and
feel
respected
and
feel
like
they
are
important
.
Alanna
6:28
Well
,
and
I
think
that's
so
important
because
many
of
us
have
had
the
experience
of
not
feeling
important
,
like
what
we're
going
through
isn't
validated
because
it's
not
real
,
you
can't
see
it
and
it's
really
misunderstood
.
How
do
you
do
research
for
endometriosis
when
it's
widely
misunderstood
,
not
only
by
the
providers
but
the
patient
?
Allyson
6:47
You
know
,
that's
the
thing
too
,
is
.
You
know
,
in
my
research
I
left
it
open
to
patient
.
Yeah
,
I
didn't
say
,
like
you
have
to
have
this
endometriosis
diagnosis
.
So
for
one
thing
,
I
didn't
exclude
those
patients
because
,
again
,
historically
a
lot
of
these
patients
have
felt
excluded
.
I
felt
dismissed
and
getting
diagnosis
for
other
conditions
other
than
endometriosis
,
and
so
I
tried
to
apply
that
to
endometriosis
,
even
though
you
know
I
have
endometriosis
as
well
,
and
then
I
also
used
the
literature
to
see
what
was
going
on
,
and
I
learned
so
much
from
patients
from
that
first
study
and
every
study
.
Allyson
7:24
I've
learned
you
know
what
language
to
use
,
how
to
speak
to
them
really
,
because
many
of
whom
are
traumatized
,
and
so
it's
just
like
very
delicate
when
you're
recruiting
for
your
study
,
when
you're
corresponding
with
patients
and
participants
,
so
that's
something
that
I
do
as
well
.
And
then
also
when
it
came
to
drafting
up
my
manuscripts
for
my
papers
.
So
my
first
paper
that
I
published
from
my
first
study
,
I
had
reached
out
to
the
Center
for
Endometriosis
Care
.
I
think
it
was
Heather
Guidon
who
responded
and
basically
I
was
like
hey
,
I'm
writing
this
paper
about
patients
and
misdiagnosis
and
I'm
not
an
MD
.
Would
you
be
willing
to
,
or
you
and
one
of
your
clinicians
,
look
over
this
to
make
sure
I
have
the
science
correct
and
experiences
correct
?
And
so
I
.
That
was
another
technique
that
I
have
used
A
lot
of
.
My
work
isn't
really
too
technical
,
but
that
one
was
.
So
it
was
important
that
for
a
misunderstood
disease
,
like
you
were
saying
,
that
I
didn't
potentially
perpetuate
any
misunderstandings
about
the
disease
.
Alanna
8:33
That's
important
when
we
were
looking
at
research
.
And
you
know
I've
gotten
into
looking
at
more
research
and
trying
to
understand
research
better
and
I
think
that
what
is
really
interesting
and
something
that
I
commend
you
for
,
is
reaching
out
to
other
people
to
make
sure
it
is
accurate
,
Because
I
feel
like
there's
oftentimes
in
the
medical
research
world
where
they
don't
necessarily
go
for
complete
accuracy
as
much
as
they
go
for
what
they
want
to
have
as
their
outcome
.
Like
they
test
for
their
outcome
.
Their
hypothesis
is
this
,
they're
going
to
test
for
that
,
but
if
they
don't
have
the
base
of
the
hypothesis
correct
,
is
the
research
really
validated
or
are
they
skewing
words
?
And
I
think
that
that's
so
important
.
Alanna
9:12
And
obviously
I
don't
look
at
how
everyone
does
their
research
,
but
there
are
studies
and
there
are
researchers
out
there
that
take
the
approach
of
making
sure
that
they
encompass
everyone
within
a
certain
community
or
broader
,
to
give
a
better
picture
,
have
better
numbers
,
have
better
outcomes
for
their
research
,
and
it's
actual
research
and
not
just
looking
at
you
know
what
they
want
to
achieve
.
You
know
,
and
it
sounds
like
that's
kind
of
how
you
even
started
was
just
by
simply
asking
questions
and
it
kind
of
blossomed
and
bloomed
into
something
bigger
than
what
you
had
anticipated
.
What
are
some
things
that
you
took
away
from
that
initial
study
that
really
blew
your
?
Allyson
9:49
mind
.
I
think
endometriosis
organizations
realize
the
value
of
this
work
.
I
mean
because
these
are
conversations
that
have
been
happening
in
these
communities
for
so
long
.
I
wasn't
just
trying
to
bring
it
into
the
academic
sphere
for
a
different
audience
,
for
clinicians
who
could
come
across
it
right
who
aren't
part
of
these
organizations
.
So
I
was
grateful
that
they
were
willing
to
advertise
the
study
for
me
because
I
was
like
,
if
I
advertise
it
myself
,
like
what
credibility
do
I
have
?
Especially
because
I
was
a
master's
student
.
It
was
my
first
ever
study
that
I
had
conducted
,
so
nobody
knew
my
name
.
Allyson
10:24
So
their
receptiveness
was
,
I
would
say
,
a
first
sign
that
this
was
research
that
was
needed
.
And
then
,
fast
forwarding
again
to
what
I
was
saying
before
,
was
I
like
I
had
to
do
double
take
when
I
saw
how
many
patients
were
completing
the
survey
and
I
was
like
,
is
this
?
Comes
some
kind
of
like
bot
thing
happening
?
But
I
was
going
through
the
data
as
it
was
coming
in
,
especially
because
so
many
people
wrote
responses
to
the
open-ended
question
.
I'm
like
these
are
real
people
and
it
was
very
hard
for
me
to
do
when
I
first
started
doing
it
,
especially
going
through
those
qualitative
open-ended
responses
,
and
they
actually
made
me
tear
up
when
I
was
going
through
them
.
Allyson
11:02
One
that
always
sticks
out
in
my
mind
is
I
think
it
was
something
along
the
lines
of
thank
you
for
caring
about
us
.
We
are
a
drowning
population
.
No
patient
should
have
to
feel
like
that
.
So
just
reading
like
this
sense
of
desperation
,
even
just
like
please
do
something
or
help
us
.
I'm
not
an
MD
,
you
know
.
That's
not
my
area
to
improve
the
diagnosis
per
se
or
the
treatment
of
endometriosis
.
Alanna
11:28
Did
that
propel
you
to
continue
doing
that
research
?
Is
that
what
was
like
the
catalyst
to
like
?
We've
got
to
research
this
more
and
ask
the
patients
Because
,
sure
,
the
medical
side
of
it
and
understanding
endometriosis
from
the
medical
side
is
important
,
but
if
you
don't
understand
the
patients
,
then
I
feel
like
you're
missing
a
whole
key
to
complete
and
comprehensive
care
for
endometriosis
.
Allyson
11:48
You
know
,
they
just
sounded
so
desperate
and
just
helpless
and
that
just
kind
of
really
stuck
with
me
.
But
my
address
was
on
the
advertisement
because
,
you
know
,
per
the
ethics
board
,
that's
something
that
you
have
to
provide
patients
for
emailing
me
thanking
me
for
doing
this
.
I'm
just
like
how
bad
of
a
spot
is
endometriosis
that
we're
in
this
place
,
and
so
I
just
was
like
somebody
has
to
do
it
and
I'm
kind
of
in
a
position
where
I
can
do
it
,
so
like
I
guess
I'll
do
it
.
You
know
I'll
take
it
on
.
It's
been
rewarding
to
feel
like
I
can
help
patients
,
you
know
,
especially
because
prior
to
being
in
the
master's
program
and
then
this
PhD
program
,
I
was
in
another
PhD
program
for
a
year
in
clinical
psychology
and
I
wanted
to
be
a
licensed
clinical
psychologist
and
I
wanted
to
help
people
.
Patient-Provider Communication and Medical Ethics
Allyson
12:38
And
due
to
endometriosis
slash
poor
recovery
from
endometriosis
slash
other
chronic
health
conditions
,
I
just
was
not
recovering
well
.
I
needed
to
move
back
to
where
my
support
system
largely
was
and
that
kind
of
crushed
my
dreams
.
And
once
I
did
the
survey
and
I
saw
how
appreciated
it
was
,
I
felt
like
,
okay
,
maybe
I
can
help
people
in
another
way
that
is
just
as
or
maybe
even
more
meaningful
than
what
I
had
initially
set
out
to
do
in
that
other
program
.
Alanna
13:07
Yeah
,
you
validated
something
that
they
hadn't
had
validated
before
,
that
it
was
completely
ignored
or
invisible
.
Alanna
13:14
You
know
,
they
say
endometriosis
is
an
invisible
illness
and
when
you
bring
it
to
light
it's
no
longer
invisible
,
right
?
Alanna
13:20
And
so
when
you're
bringing
some
of
these
things
that
these
patients
are
experiencing
or
going
through
,
it's
no
longer
invisible
and
you
feel
seen
,
you
feel
heard
,
you
feel
validated
,
and
that
means
the
world
to
patients
,
because
we're
so
used
to
not
having
that
and
not
being
the
center
of
research
and
not
being
the
center
of
what
we
are
going
through
on
a
daily
basis
.
Alanna
13:41
And
I
think
the
impact
of
that
is
substantial
.
And
I
would
even
say
this
why
I
think
your
work
is
so
important
and
why
I
think
that
we've
needed
this
forever
is
because
there
are
oftentimes
providers
aren't
necessarily
listening
to
the
patient
and
if
there's
actual
research
behind
what
these
patients
are
saying
and
it's
not
just
one
patient
,
it's
not
just
the
whiny
patient
or
the
drug
seeking
patient
is
what
they're
thinking
,
if
they're
seeing
that
this
is
across
the
board
,
will
that
narrative
change
in
care
?
And
it's
not
just
one
patient
,
it's
not
just
the
whiny
patient
or
the
drug
seeking
patient
is
what
they're
thinking
.
If
they're
seeing
that
this
is
across
the
board
?
Will
that
narrative
change
in
care
?
And
that's
why
I
think
the
research
that
you're
doing
is
so
impressive
and
so
important
,
because
it
gives
voice
to
the
patients
in
a
way
that
hasn't
been
available
as
much
yeah
.
Allyson
14:19
I
mean
to
me
it's
like
,
okay
,
this
is
all
like
discourse
that
I've
heard
from
being
part
of
these
communities
already
,
but
,
like
you
said
,
it's
something
that
providers
probably
haven't
heard
.
And
I
mean
,
what
patient
wants
to
mention
that
to
a
doctor
that
they
don't
have
a
good
relationship
with
?
Or
they
see
one
time
and
then
they
don't
see
again
,
so
they
don't
end
up
learning
really
what
the
issue
is
?
So
one
area
that
I'm
really
interested
in
although
it'll
take
some
training
,
a
lot
of
resources
is
I
want
to
demonstrate
that
communication
,
the
communication
that
patients
and
clinicians
have
with
each
other
,
have
perhaps
direct
but
even
indirect
effects
on
patients
,
certainly
mental
health
,
but
also
their
physical
health
.
You
know
there
are
some
studies
showing
that
patient-centered
communication
is
associated
with
reduced
blood
pressure
not
necessarily
in
endometriosis
.
Allyson
15:12
but
you
know
in
patients
generally
that
hurtful
communication
not
in
the
patient-clinician
relationship
but
in
like
in
romantic
partners
,
hurtful
communication
is
associated
with
some
inflammatory
markers
and
endometriosis
is
inflammatory
.
Allyson
15:30
A
clinicians
should
care
about
this
anyway
,
but
if
they
don't
,
if
we
can
speak
their
language
and
say
,
hey
,
you're
actually
doing
harm
to
patients
by
doing
this
I'm
hoping
that
more
of
them
will
be
persuaded
to
care
about
this
issue
how
they
relate
to
patients
.
So
,
yeah
,
again
,
not
to
invalidate
how
it
makes
patients
feel
isn't
important
enough
.
I'm
also
trained
in
persuasive
communication
,
so
that's
that
part
of
my
brain
that's
saying
like
,
how
do
we
get
this
target
audience
to
care
about
something
?
Because
a
lot
of
times
they'll
say
,
oh
well
,
like
mental
health
is
not
my
thing
,
or
like
psychology
is
not
,
like
that's
for
psychologists
.
But
if
we
say
,
well
,
physical
health
is
your
realm
,
isn't
it
?
You
know
,
and
if
we
could
show
this
,
then
it
would
be
,
I
think
,
super
great
to
be
able
to
show
that
.
So
I'm
early
in
my
career
,
but
at
some
point
down
the
line
,
that's
something
that
I
would
like
to
do
.
Alanna
16:25
I
feel
like
there's
a
huge
correlation
in
that
.
Though
I
think
if
you
talk
to
endometriosis
patients
and
you
know
I
talk
to
quite
a
few
and
almost
all
of
them
they're
like
I'm
in
a
flare
.
If
you
ask
what's
going
on
in
your
life
,
most
of
the
time
there
is
a
heightened
state
of
stress
or
concern
or
something's
going
on
and
it
causes
this
flare
to
just
spike
.
I
believe
there's
a
huge
correlation
in
that
,
and
I
think
if
you
talk
to
a
lot
of
providers
who
deal
with
this
day
in
and
day
out
,
they
would
say
the
same
thing
is
that
the
words
that
are
said
,
the
things
that
people
say
in
,
like
you
said
,
in
relationships
but
not
only
patient
provider
relationships
,
but
within
the
household
make
huge
difference
on
overall
health
outcomes
.
That
would
be
a
fascinating
study
.
I
think
that
would
be
.
I'll
be
here
for
that
.
You
can
ask
me
any
of
those
questions
you
want
.
Allyson
17:14
Allison
.
But
yeah
,
I
mean
,
the
hope
is
always
that
you
want
clinicians
to
care
anyway
about
how
you're
feeling
and
a
lot
of
times
I
think
patients
can
become
jaded
because
that's
just
not
their
experience
.
Or
you
grow
up
until
you
,
you
know
,
going
in
for
an
ear
infection
or
strep
throat
or
you
know
,
for
something
acute
like
that
.
It's
a
lot
more
cut
and
dry
,
but
with
chronic
diseases
,
especially
invisible
illnesses's
a
lot
more
cut
and
dry
,
but
with
chronic
diseases
,
especially
invisible
illnesses
,
it's
less
cut
and
dry
.
So
just
really
being
able
to
communicate
with
them
in
a
way
that
gets
them
to
care
about
this
issue
.
Alanna
17:53
Although
you're
doing
like
the
more
patient
,
how
that
correlates
with
their
health
and
their
experiences
.
We
also
know
that
medical
research
is
what
perpetuates
some
of
the
care
that
these
patients
get
.
Do
you
think
that
there's
ethical
concerns
with
that
,
especially
with
endometriosis
?
Have
you
seen
the
result
of
that
?
Allyson
18:10
Well
,
I
will
say
the
number
one
reason
for
medical
malpractice
claims
are
patients'
relationships
with
clinicians
.
Claims
are
patients'
relationships
with
clinicians
?
No
,
absolutely
.
There's
ethical
.
I
mean
,
you
know
the
oath
do
no
harm
is
just
not
being
upheld
.
And
you
know
,
patients
reasonably
become
disillusioned
with
the
healthcare
system
and
don't
want
to
engage
with
the
healthcare
system
because
it
triggers
anxiety
and
trauma
and
shame
and
embarrassment
.
That's
something
that
I'm
working
on
right
now
is
a
review
of
155
studies
or
something
like
that
,
not
just
of
endometriosis
but
endometriosis
included
,
but
looking
at
the
psychological
and
healthcare
related
harm
of
what
I
call
symptom
and
ventilation
,
which
is
,
I
guess
,
a
form
of
medical
gaslighting
that
you
know
,
I
know
a
lot
of
patients
use
.
But
yeah
,
I
mean
,
if
patients
are
too
scared
to
go
to
the
doctor
,
even
for
issues
that
aren't
related
to
endometriosis
,
how
is
that
providing
them
with
optimal
care
or
even
standard
care
?
Alanna
19:12
Right
,
I
feel
that
way
.
I
mean
,
I
look
at
and
hear
some
of
the
things
that
have
been
said
to
patients
and
I
think
to
myself
are
you
really
caring
about
your
patient
?
Are
you
just
caring
about
the
bottom
line
?
Are
you
seeing
in
your
research
that
people
are
feeling
the
effects
of
the
bottom
line
,
like
the
providers
being
driven
more
by
money
than
care
?
Is
that
something
that
you
have
looked
at
in
your
research
or
have
seen
maybe
the
effects
of
because
of
the
research
that
you're
doing
?
Allyson
19:39
It's
something
that
I
definitely
wonder
myself
,
specifically
from
my
own
personal
experiences
,
but
also
from
the
research
that
I've
done
,
I
feel
like
clinicians
,
doctors
,
these
days
,
they
lack
interest
and
curiosity
with
patients
and
it's
like
,
well
,
how
can
that
be
?
Because
they're
doctors
,
they're
like
problem
solvers
you
think
of
House
MD
,
like
you
know
the
show
,
but
that's
often
not
what
patients
get
,
you
know
,
it's
almost
seems
like
they
don't
want
to
have
to
engage
with
something
that's
not
algorithmic
,
right
?
Because
that's
what
they're
being
told
is
.
You
know
,
do
you
have
this
symptom
?
Yes
or
no
?
Yes
,
okay
,
go
to
this
next
set
of
questions
.
And
that
leaves
things
very
black
and
white
and
,
you
know
,
if
it
doesn't
fit
within
that
box
,
it's
not
validated
by
clinicians
.
So
we're
the
doctors
who
are
genuinely
interested
in
care
about
,
curious
about
what's
going
on
with
patients
and
just
from
what's
reported
,
they
don't
seem
to
be
yeah
.
And
again
,
like
you
cited
some
reasons
of
why
that
might
be
,
you
know
,
like
concern
for
maybe
,
financial
outcomes
more
than
patient
Navigating Personal and Professional Balance
Allyson
20:43
care
.
Alanna
20:43
How
do
you
balance
doing
the
research
that
you
do
and
your
own
story
?
Because
I'm
sure
at
some
I
mean
it
would
for
me
,
and
there
are
times
,
even
doing
the
podcast
that
when
people
tell
me
their
stories
or
when
I'm
looking
at
certain
stories
it
can
almost
like
trigger
me
back
to
a
place
that
I
have
been
in
the
past
.
How
do
you
prevent
that
from
happening
?
Or
do
you
just
let
it
happen
and
kind
of
work
through
that
,
being
a
patient
yourself
and
then
seeing
what
other
patients
are
going
through
?
Balancing
that
professional
and
the
personal
,
yeah
,
for
me
it's
always
been
difficult
.
Allyson
21:15
So
here
,
in
kind
of
a
less
academic
space
,
I'm
a
lot
more
open
and
like
I
will
disclose
it
.
But
in
my
research
typically
I
don't
you
know
.
For
example
,
I
did
an
interview
study
.
I
introduced
who
I
was
,
this
and
that
I
didn't
say
I
have
endometriosis
.
And
that's
always
something
that
I
struggle
with
,
because
I
want
them
to
know
that
I
understand
a
lot
of
what
they're
experiencing
but
at
the
same
time
I
don't
want
them
to
feel
like
I'm
doing
this
because
I'm
doing
me
search
is
what
we
call
it
in
PhD
programs
.
I
don't
want
them
to
feel
like
I
don't
care
about
them
,
that
this
is
just
a
means
to
an
end
to
understanding
something
that
happened
to
me
,
because
that's
not
the
case
.
But
if
a
patient
will
say
,
well
,
like
,
oh
,
just
curious
,
what
got
you
interested
in
this
research
,
you
know
I'll
disclose
it
but
it
is
a
difficult
thing
and
you
know
you
don't
want
to
be
judged
.
Allyson
22:02
I
want
patients
to
entrust
me
with
their
stories
.
But
I
use
a
lot
of
reflective
listening
and
comprehension
checks
and
words
of
empathy
,
empathy
tokens
,
not
even
for
research
.
But
even
if
I'm
just
writing
an
with
a
patient
about
something
you
know
I'll
be
like
that
sounds
really
difficult
or
you
know
,
and
that
can
be
really
frustrating
when
X
,
y
,
z
happens
.
So
I
kind
of
fill
in
what
they
might
be
experiencing
,
because
I
know
what
it
feels
like
and
I
want
them
to
feel
like
they're
understood
and
they're
probably
like
where
is
she
coming
from
,
you
know
,
if
it's
something
that
I
hadn't
disclosed
to
them
.
So
it's
something
that
I'm
still
working
on
finding
a
balance
of
right
now
.
But
again
,
like
I'm
open
on
Instagram
,
I'm
open
on
Twitter
,
I'm
not
,
again
just
because
of
the
types
of
followers
that
I
have
.
So
,
yeah
,
it's
a
difficult
thing
to
navigate
for
me
,
to
be
honest
.
Alanna
22:53
So
do
you
see
a
disparity
amongst
different
nationalities
,
ethnicities
,
races
?
Are
you
seeing
that
in
your
research
as
well
,
or
is
that
something
that
you
haven't
quite
gotten
into
as
much
?
Allyson
23:06
Yeah
,
admittedly
it's
not
something
I've
gotten
as
much
into
.
It's
something
that
I
plan
to
look
at
in
future
work
.
I
am
collaborating
with
some
folks
from
Baylor
College
of
Medicine
and
right
now
we're
interviewing
patients
about
their
diagnostic
journeys
,
essentially
with
endometriosis
and
lupus
,
who
are
specifically
racial
,
ethnic
minorities
,
and
also
looking
at
gender
minorities
,
so
non-binary
folks
,
I
mean
,
it
could
just
be
,
you
know
,
cisgender
females
as
well
but
looking
at
their
experiences
,
but
I
know
that
it
takes
longer
to
get
diagnosed
as
a
racial
minority
patient
,
at
least
for
Black
or
African
American
patients
.
If
you
think
about
the
diagnostic
delay
,
what
it
is
now
the
average
diagnostic
delay
I
like
to
emphasize
the
average
because
it's
just
like
no
,
this
isn't
like
the
upper
limit
,
this
is
like
the
average
,
right
.
If
we
think
about
that
,
we
think
about
the
fact
that
blacks
and
other
racial
minorities
have
largely
been
excluded
,
right
?
Allyson
24:04
So
my
studies
a
lot
of
time
have
like
85%
of
the
sample
is
non-Hispanic
,
white
and
so
like
.
If
we're
calculating
a
diagnostic
delay
of
eight
point
something
years
with
a
largely
well-educated
white
sample
,
what
are
we
going
to
get
?
When
we
look
at
minority
patients
with
regard
to
socioeconomic
status
,
regard
to
race
,
regard
to
gender
identity
,
what
does
that
look
like
and
the
research
just
hasn't
been
done
yet
.
So
,
while
things
are
hopefully
improving
for
your
diagnosis
right
now
and
more
awareness
and
everything
,
the
more
we
include
those
patients
,
I
feel
like
that
number
might
stay
stagnant
because
,
while
the
numbers
might
be
reduced
from
the
awareness
and
maybe
more
training
and
what
have
you
,
as
we're
also
including
more
Blacks
,
racial
minority
patients
,
we're
probably
also
seeing
you
know
what
I
mean
.
Allyson
24:59
So
,
like
that's
research
that
needs
to
be
done
.
And
I
know
I
did
see
on
Instagram
,
like
two
months
ago
I
think
it
was
,
there
was
I
forget
what
university
,
but
they
paired
with
EndoBlack
the
organization
and
I
know
that
they
were
recruiting
for
a
study
.
So
I'm
interested
in
you
know
,
obviously
it's
going
to
take
a
long
time
for
something
to
come
out
and
be
published
,
but
I'd
like
to
see
what
they
got
in
the
results
.
But
we
are
doing
myself
with
some
colleagues
at
Baylor
,
are
doing
that
with
patients
as
well
with
endometriosis
.
So
more
needs
to
be
done
.
Alanna
25:32
For
sure
.
I
feel
like
that's
a
population
that
gets
missed
in
research
,
or
is
that
a
very
low
number
?
It's
not
equally
quantifiable
,
if
you
will
.
It's
very
lopsided
in
research
,
for
not
only
on
the
medical
end
of
things
but
on
the
patient
care
end
of
things
,
I
think
we
miss
that
whole
population
or
don't
make
it
accessible
to
them
to
be
able
to
do
these
research
studies
.
I
think
that's
another
element
of
that
is
it
sounds
like
you
were
able
to
reach
out
outside
of
just
the
network
you
had
and
reached
out
to
other
networks
to
kind
of
provide
you
with
those
participants
.
But
I
don't
think
that's
very
common
.
In
my
understanding
of
it
,
it's
not
super
common
to
reach
out
to
those
organizations
.
It's
more
like
they
gather
these
participants
through
usually
one
pathway
,
not
multiple
pathways
.
Allyson
26:18
Yeah
,
you
know
what
the
thing
with
social
media
is
then
like
,
when
it's
posted
on
an
open
account
,
you
know
it
can
be
shared
,
and
then
it
just
kind
of
snowballs
from
there
.
So
then
again
,
when
we're
thinking
about
racial
minority
patients
who
have
less
access
to
technology
,
we're
missing
probably
those
who
are
on
the
lower
end
of
you
know
,
the
socioeconomic
status
,
Something
that
I've
thought
about
doing
.
I
haven't
done
any
studies
in
a
while
I'm
designing
two
right
now
but
one
thing
that
I
thought
of
is
because
I'm
in
New
Brunswick
,
New
Jersey
,
and
even
Rutgers
itself
is
one
of
the
most
diverse
campuses
in
the
nation
and
I
was
like
maybe
,
like
I
can
recruit
online
,
but
then
also
I
can
go
and
I
encourage
listeners
who
do
research
to
you
know
,
do
this
too
,
especially
if
they
live
in
diverse
areas
Post
ads
with
like
a
QR
code
or
something
in
nail
salons
and
hair
salons
,
where
they're
women-centric
places
in
towns
and
cities
where
we
know
there's
these
racial
minority
patients
,
so
we
can
better
reach
them
.
Alanna
27:21
Oh
,
that's
such
a
great
idea
.
Meeting
people
where
they're
at
is
where
we're
going
to
get
the
best
research
.
How
can
researchers
and
clinicians
collaborate
more
effectively
to
translate
the
scientific
findings
into
patient
care
,
in
your
opinion
?
Allyson
27:36
I
think
patients
need
to
be
included
in
research
,
in
the
research
process
,
which
is
something
that
I've
started
to
do
From
my
field
,
you
know
,
health
communication
.
There
are
health
communication
scholars
who
do
research
on
undergraduate
student
samples
at
large
universities
,
because
that's
what's
convenient
and
I'm
like
,
well
,
if
you're
studying
,
like
health
processes
,
you
really
need
to
be
studying
patients
.
So
I
think
it's
important
.
That's
part
of
why
I
want
to
end
up
in
an
academic
medical
center
or
someplace
where
I
have
access
to
clinics
and
clinicians
and
patients
.
So
I
think
that's
important
.
But
and
then
,
in
terms
of
translating
this
,
I
think
there's
like
some
crazy
number
of
how
long
it
takes
for
something
to
be
realized
and
researched
,
to
be
implemented
.
I
think
it's
like
11
or
12
years
or
something
like
that
.
I
mean
there's
communication
skills
training
for
clinicians
,
and
that's
something
that
you
know
I've
thought
about
down
the
line
for
myself
,
like
once
I
figure
out
what
can
we
do
to
address
this
.
Allyson
28:35
But
we
also
have
to
think
about
clinicians'
preexisting
attitudes
and
beliefs
regarding
endometriosis
,
and
that's
a
study
that
I'm
starting
to
develop
right
now
,
because
even
if
they
have
the
knowledge
,
if
they
have
these
biases
or
if
they
have
misconceptions
about
women
,
so
like
there's
a
study
that
talked
about
clinicians
who
withhold
an
endometriosis
diagnosis
from
patients
because
they
don't
want
them
to
be
worried
or
they
feel
like
they
need
to
protect
them
because
of
concerns
about
fertility
.
Allyson
29:04
Well
,
first
of
all
,
that
is
medical
malpractice
.
So
if
you
ever
find
out
that
happens
to
you
,
you
can
file
a
lawsuit
because
the
National
Academy
of
Medicine
,
its
definition
of
diagnosis
in
there
,
includes
the
communication
of
the
diagnosis
to
the
patient
.
So
if
you're
withholding
diagnosis
,
we
need
to
know
these
things
to
better
understand
,
you
know
,
even
if
they
suspect
endometriosis
,
we
kind
of
need
to
know
that
like
and
how
many
clinicians
have
that
?
So
understanding
,
I
think
,
and
maybe
even
intervening
on
gender
biases
,
racial
biases
that
clinicians
have
,
even
if
they
do
have
medical
knowledge
for
diagnosing
endometriosis
.
So
those
are
things
that
I've
thought
about
.
I
mean
I've
thought
about
a
lot
of
stuff
.
Alanna
29:50
I
can't
do
it
all
.
Allyson
29:50
But
for
other
researchers
too
.
You
know
,
just
promising
lines
of
research
,
I
think
that
to
help
make
change
and
move
things
forward
for
patients
with
endometriosis
.
Alanna
30:03
Yeah
,
and
talking
about
your
research
,
we
didn't
really
touch
on
the
kinds
of
research
you
have
done
so
far
.
What
are
the
names
of
some
of
your
studies
and
your
approach
to
those
studies
as
?
Allyson
30:12
I
mentioned
the
study
that
we
talked
about
before
.
I
actually
conducted
that
in
my
master's
program
and
that
was
a
mixed
methods
online
survey
.
So
that
had
open
and
closed-ended
questions
.
It
was
anonymous
,
it
was
online
.
So
that
had
open
and
closed
ended
questions
.
It
was
anonymous
,
it
was
online
.
So
it
was
a
super
convenient
study
Future Research Directions and Collaboration
Allyson
30:29
.
And
then
I
did
another
study
the
same
type
of
study
online
,
anonymous
,
mixed
method
.
Allyson
30:35
I
wasn't
really
ready
to
do
that
,
but
I
was
taking
a
class
where
we
were
going
to
develop
research
questions
to
be
administered
to
undergraduate
students
,
as
I
was
saying
,
a
lot
of
places
do
because
it's
convenient
.
And
I
was
like
,
hey
,
can
I
actually
just
collect
data
from
patients
?
Because
I
knew
from
that
first
study
that
I
would
be
able
to
probably
get
a
lot
of
responses
within
the
course
of
a
semester
.
So
I
wasn't
quite
ready
to
do
that
yet
because
I
just
got
so
much
data
from
participants
.
But
that
was
the
second
study
I
did
.
And
then
Heather
Goodone
told
me
about
how
the
Endometriosis
Research
Center
was
putting
out
a
call
for
a
small
research
grant
and
she
said
you
should
apply
.
So
you
know
,
I
talked
to
my
PhD
advisor
about
it
and
I
was
like
it
would
be
good
to
have
the
money
,
but
I
said
doing
what
we
do
now
like
we
don't
really
need
the
money
.
So
we
developed
a
study
,
an
interview
study
that
we
could
use
the
money
for
compensating
patients
for
.
It
was
an
interview
based
study
,
basically
about
how
to
improve
how
clinicians
can
best
support
patients
during
diagnosis
and
treatment
,
and
it
talked
about
things
like
do
they
want
them
to
communicate
their
uncertainty
to
them
?
Do
they
want
clinicians
to
acknowledge
and
apologize
for
missing
their
diagnosis
?
I
was
also
trying
to
kind
of
get
at
the
fact
that
not
all
treatment
options
are
presented
to
patients
.
But
,
yeah
,
so
I
did
that
study
.
So
,
like
I
still
am
,
like
I
want
to
publish
this
.
This
is
from
this
first
study
.
That's
from
2017
.
Allyson
32:05
And
then
,
after
a
while
,
your
data
gets
old
.
You
know
there's
just
so
much
and
I
want
to
do
more
to
find
other
people
who
are
doing
this
kind
of
research
,
because
it's
just
too
much
for
me
to
do
on
my
own
.
There's
so
much
to
be
said
.
There's
so
much
data
that
I'm
just
sitting
on
.
That
is
just
like
you
know
.
You're
one
person
.
How
much
can
you
accomplish
?
Allyson
32:24
Basically
,
a
majority
of
my
work
has
focused
on
patient
provider
communication
,
a
little
bit
of
online
community
use
and
how
that
is
influenced
by
the
patient's
relationship
with
clinicians
or
the
care
that
they
are
or
aren't
getting
.
And
I
did
one
study
that
looked
at
how
patients
who
felt
that
their
symptoms
were
invalidated
especially
when
they
felt
like
they
were
being
invalidated
versus
just
their
symptoms
that
was
associated
with
reduced
self-esteem
,
and
then
reduced
self-esteem
was
associated
with
increased
depression
.
So
that
was
just
kind
of
validating
basically
what
we
already
know
from
what's
being
discussed
in
these
online
communities
and
in
advocacy
worlds
and
also
in
a
lot
of
the
qualitative
interviews
,
study-based
work
,
but
I
just
wanted
to
confirm
it
using
quantitative
methods
.
Alanna
33:14
That's
interesting
.
What
are
you
looking
forward
to
as
you
progress
within
your
career
?
What
are
some
more
pressing
research
studies
that
you
are
looking
to
do
that
people
can
maybe
look
forward
to
you
doing
?
If
you
can
share
those
,
I
think
people
would
be
interested
to
understand
just
kind
of
the
direction
you're
going
and
if
they
can
be
part
of
something
,
because
there's
so
many
patients
that
want
to
be
part
of
something
and
they
want
their
voice
to
be
heard
but
don't
know
how
this
may
be
a
really
great
avenue
for
them
to
connect
with
you
.
Allyson
33:43
I
appreciate
that
for
the
plug
by
the
way
yes
.
Allyson
33:47
So
two
projects
,
I
have
three
in
mind
.
I'll
go
.
I'll
try
to
go
pretty
fast
Advocating for Patients and Providers
Allyson
33:52
.
So
the
first
one
,
which
I
already
kind
of
started
,
but
I'm
trying
to
develop
a
self-report
,
patient-reported
measure
of
perceived
invalidation
in
the
healthcare
encounter
.
And
I
want
to
develop
this
because
I
want
to
show
that
,
hey
,
when
this
invalidation
in
the
healthcare
encounter
and
I
want
to
develop
this
because
I
want
to
show
that
,
hey
,
when
this
invalidation
is
higher
,
patient's
depression
is
higher
,
which
is
kind
of
what
I
already
looked
at
but
I
didn't
.
Allyson
34:15
There's
a
whole
process
of
validating
,
a
scale
which
you
know
I
won't
get
into
.
So
,
basically
,
just
being
able
to
quantitatively
,
not
that
qualitative
and
when
I
say
qualitative
I
mean
like
interviews
and
focus
groups
,
not
that
that's
not
important
but
again
,
thinking
about
where
we
ultimately
want
to
see
the
change
,
which
is
in
clinicians
.
I
personally
believe
they
put
more
merit
in
quantitative
studies
.
Hey
,
if
invalidation
is
statistically
associated
with
increased
depression
,
increased
healthcare
related
anxiety
and
trauma
,
not
reporting
their
symptoms
to
other
people
for
fear
of
what
they're
going
to
say
,
if
we
can
show
that
.
And
then
ultimately
,
what
is
their
quality
of
life
like
?
What
are
their
pain
levels
like
in
the
past
seven
days
or
past
month
?
What's
their
fatigue
,
like
how
many
days
in
the
past
30
days
have
they
missed
work
or
school
from
this
.
Now
,
if
we
can
show
that
they
have
worse
outcomes
again
,
I'm
hoping
to
persuade
providers
that
this
is
something
that
they
need
to
care
about
.
So
that's
one
thing
.
Allyson
35:17
The
next
thing
is
part
of
that
,
basically
,
is
just
fleshing
out
what
are
all
these
negative
outcomes
of
invalidation
.
So
I'm
doing
a
systematic
review
right
now
,
but
it's
only
been
like
two
or
three
that
have
actually
looked
at
the
negative
psychological
harm
on
patients
of
invalidation
.
So
that's
something
that
I
want
to
specifically
ask
patients
about
.
And
something
that's
really
disconcerting
is
that
suicidal
ideation
has
been
mentioned
and
no
patient
should
be
in
that
position
.
And
the
that's
really
disconcerting
is
that
suicidal
ideation
has
been
mentioned
and
no
patient
should
be
in
that
position
.
Allyson
35:47
And
the
other
one
is
a
little
bit
different
,
but
as
I
was
I
think
I
touched
on
it
before
so
I
won't
go
into
great
detail
but
surveying
clinicians
,
so
primarily
like
pediatricians
,
internal
medicine
providers
,
family
medicine
providers
,
obgyns
and
possibly
emergency
department
physicians
on
,
again
,
their
knowledge
of
endometriosis
,
their
attitudes
,
beliefs
,
as
I
was
mentioning
before
,
because
A
I
want
to
show
that
regular
OBGYNs
who
don't
have
specialized
training
,
I
believe
that
their
knowledge
is
going
to
be
comparable
to
general
practitioners
,
and
that
speaks
to
the
lack
of
training
and
I
want
to
be
able
to
demonstrate
that
.
But
then
also
again
,
even
if
you
have
the
knowledge
,
you
know
,
biases
,
misconceptions
,
beliefs
also
impact
.
So
looking
at
those
as
well
.
Alanna
36:41
Oh
,
those
are
going
to
be
good
.
I
can't
wait
to
see
what
you
come
up
with
.
Alanna
36:45
I
feel
like
that's
so
true
.
I
mean
,
gosh
,
I
was
talking
to
a
friend
of
mine
who
went
to
just
her
normal
primary
care
and
she
was
saying
that
he
had
more
knowledge
than
most
any
other
doctor
or
specialist
that
she
had
seen
,
because
he
was
looking
at
a
more
complete
picture
and
not
just
like
a
specialized
area
,
and
so
he
was
able
to
put
pieces
together
for
her
or
bring
up
potential
pieces
prior
to
her
even
having
to
say
anything
,
even
though
she
had
her
knowledge
of
what
was
going
on
.
He
brought
it
up
and
was
like
have
you
ever
considered
?
Have
you
ever
?
So
I
think
that's
going
to
be
a
really
fascinating
study
.
I
think
that
would
be
really
interesting
to
see
.
Allyson
37:22
Yeah
,
so
I've
been
emailing
some
folks
who
might
be
able
to
help
out
and
that's
what
I
want
to
do
as
part
of
the
project
that
I'm
doing
for
my
fellowship
right
now
.
But
you
know
I
also
want
to
.
I
was
like
can
I
do
two
projects
?
And
he
said
yes
.
He
said
yes
,
but
just
like
,
again
,
there's
so
much
work
that
needs
to
be
done
,
it's
just
like
impossible
to
choose
.
Alanna
37:43
Yeah
,
it's
so
cool
to
see
just
that
you're
taking
this
on
and
I'm
hopeful
that
other
people
can
see
the
value
in
doing
research
like
this
and
the
impacts
that
it
can
make
and
young
fellowship
people
coming
up
and
seeing
this
and
wanting
to
do
more
research
.
I
think
it's
going
to
take
more
people
doing
it
,
but
it's
the
initial
step
and
the
initial
people
stepping
in
to
say
I'm
going
to
fill
this
space
with
validation
and
we're
going
to
look
at
different
components
of
this
disease
or
this
chronic
illness
that
is
going
to
change
the
narrative
of
care
for
those
chronic
illnesses
.
So
I
applaud
you
for
doing
that
.
Allyson
38:15
Thank
you
,
thank
you
,
and
if
anyone's
listening
wants
to
,
is
a
researcher
who
wants
to
collaborate
,
I
am
more
than
willing
.
As
a
researcher
who
wants
to
collaborate
,
I
am
more
than
willing
because
I
think
that's
how
we're
going
to
make
progress
is
if
we
all
stick
together
and
work
together
on
these
projects
.
I
think
that's
how
we're
really
going
to
move
this
forward
.
Alanna
38:34
Absolutely
.
I
would
agree
with
that
.
Community
is
key
,
right
,
and
whether
it's
a
patient
community
or
a
professional
community
or
a
chronic
illness
community
,
all
coming
together
,
that's
what
makes
the
movement
happen
.
So
I'm
excited
to
see
what
that
brings
in
your
future
.
For
that
,
thank
you
,
alison
,
so
much
for
joining
me
and
communicating
that
and
for
your
passion
and
just
thinking
outside
of
the
typical
box
of
research
.
I
appreciate
that
.
Thank
you
so
much
.
Allyson
38:59
Oh
,
thanks
so
much
for
having
me
and
thanks
for
your
service
with
your
podcast
.
Alanna
39:03
Absolutely
,
it's
my
pleasure
.
Well
,
until
next
time
,
everyone
,
continue
advocating
for
you
and
for
those
that
you
love
.