Endo Year Reflection: #13

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Endo Year Reflection: #13
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Send us a text with a question or thought on this episode ( We cannot replay from this link)

In this episode we reflect back on two inspiring episodes that remind us that there is a need for accessible and equitable healthcare. We’re reflecting back on episodes 82, 89, and 90 from guests Chanda Hinton and Bryce Rafferty. Their journeys reveal the gaps in traditional medical models and advocate for an integrated approach to health that empowers individuals with disabilities.

• Chanda Hinton shares her experience navigating disability care 
• Limitations of traditional medical models highlighted 
• Importance of integrative therapies for enhanced quality of life 
• Disparities in healthcare access for those with disabilities discussed 
• Insights on the Americans with Disabilities Act (ADA) 
• Practical resources for understanding disability rights provided 
• Call for collective advocacy and communal support in healthcare reform

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Website endobattery.com

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EndoYear Reflection Series

Speaker 1
0:02

Welcome

to

EndoBattery
,

where

I

share

my

journey

with

endometriosis

and

chronic

illness
,

while

learning

and

growing

along

the

way
.

This

podcast

is

not

a

substitute

for

medical

advice
,

but

a

supportive

space

to

provide

community

and

valuable

information

so

you

never

have

to

face

this

journey

alone
.

We

embrace

a

range

of

perspectives

that

may

not

always

align

with

our

own
.

Believing

that

open

dialogue

helps

us

grow

and

gain

new

tools

always

align

with

our

own
.

Believing

that

open

dialogue

helps

us

grow

and

gain

new

tools
.

Join

me

as

I

share

stories

of

strength
,

resilience

and

hope
,

from

personal

experiences

to

expert

insights
.

I'm

your

host
,

alana
,

and

this

is

IndoBattery

charging

our

lives

when

endometriosis

drains

us
.

Welcome

back

to

IndoBattery
.

Grab

your

favorite

cup

of

coffee

or

your

cup

of

tea

and

pull

up

a

chair

at

the

table

with

me
.

Speaker 1
0:49

Can

you

believe

how

quickly

this

year

has

flown

by
?

It

feels

like

just

yesterday
.

We

were

setting

goals

and

dreaming

big

for

2024
.

Now
,

as

we're

staring

down

the

new

year
,

I

want

to

take

a

moment

to

reflect

not

just

on

our

personal

journeys

with

health
,

but

on

how

we

approach

change

as

a

whole
.

The

EndoYear

Reflection

Series

is

like

a

guiding

light

for

sparking

thoughtful

transformation
.

This

series

is

all

about

nuggets

of

wisdom
,

moments

of

clarity

and

inspiration

to

fuel

change

we

all

see
,

not

just

for

ourselves
,

but

for

the

communities

we're

part

of
.

Speaker 1
1:21

One

of

the

topics

I

became

deeply

passionate

about

this

year

is

accessible

and

equitable

care

for

all
.

It's

not

just

a

lofty

goal
,

it's

a

necessity
.

In

episode

82
,

I

sat

down

with

the

amazing

Chanda

Hinton
,

who

opened

my

eyes

to

this

in

ways

I

never

expected
.

Chanda
,

who

experienced

a

spinal

cord

injury

that

left

her

in

a

wheelchair
,

shared

her

journey

of

finding

life-saving

medical

care
,

but

also

the

stark

realization

that

traditional

treatments

alone

often

fall

short

in

providing

a

good

quality

of

life
.

Chanda

introduced

us

to

the

power

of

therapeutic

modalities
,

how

they

can

significantly

enhance

and

prolong

quality

of

life
,

not

just

for

those

with

visible

disabilities
,

but

also

for

people

with

invisible

ones
.

It

was

a

conversation

filled

with

relatability
,

motivation

and

yes
,

a

little

frustration
.

Here's

a

clip

from

our

chat

that

truly

captures

her

insight
.

Speaker 2
2:17

Why

that

injury

created

what

I

shared

earlier

was

because
,

you

know
,

when

I

was

shot
,

I

was

thrown

into

a

medical

model

rightfully

so
,

to

save

my

life
,

as

I

was

just

shot
,

but

also

into

the

medical

model

as

it

relates

to

how

was

I

going

to

address

my

spinal

cord

injury

for

the

rest

of

my

life
.

And

what

that

initially

looked

like

was
,

after

rehab
,

I

would

sit

in

a

power

wheelchair

and

I

would

consume

a

ton

of

medications

for

the

rest

of

my

life
,

and

after

doing

that

for

probably

a

decade
,

that

was

not

the

way

that

my

body

or
,

I

think
,

many
,

many

people

are

able

to

sustain
,

in

the

sense

that

it

wasn't

a

vibrant
.

I

was

constantly

sick
.

The

medication

would

cause

additional

secondary

conditions
.

So

when

I

turned

21
,

I

started

having

chronic

pain
.

Speaker 2
3:08

I

was

added

another

medication
,

which

was

a

Percocet
,

during

2003
,

when

the

opioid

epidemic

was

at

its

peak
,

and

so

I

became

extremely

sick

by

utilizing

the

traditional

medical

model
,

and

from

there

I

got

really

sick
.

I

became

bed

bound
,

I

weighed

59

pounds
.

I

needed

to

be

hospitalized

for

medical

intervention
,

which

I

find

a

little

bit

interesting
,

like

I

was

shot

and

I

used

medical

intervention

to

save

my

life
,

but

then

the

overall

utilization

of

medication

then

resulted

in

me

needing

medical

intervention

again

to

save

my

life
.

So

it

was

interesting

to

see

the

difference

or

the

variance

between

those

two

scenarios
,

knowing

that

medicine

has

such

a

beautiful

place

in

our

lives

and
,

at

the

same

time
,

can

also

be

a

detriment

to

our

lives
.

And

so

that

balance
,

or

seeing

those

variances

and

finding

a

balance
,

was

really
,

really

critical

to

me
,

and

so

that's

when

I

started

doing

integrative

therapy
.

I

wanted

to

make

sure

that

I

balanced

the

medication

that

I

needed

to

take
,

the

medication

I

didn't

need

to

take
,

but

then

also

substitute

acupuncture
,

massage

and

movement

to

my

body
.

Speaker 2
4:20

Given

my

paralysis
,

I

had

no

ability

to

move

anymore
,

Like
.

So

if

I

could

have
,

if

I

could

have

gone

to

a

gym
,

awesome

if

I

was

still

moving
.

But

because

I

can't

move
,

I

have

to

rely

on

other

humans

to

move

my

body
,

and

that

doesn't

mean

that

that's

any

less
.

I

still

should

go

to

the

gym
.

And

if

that

looks

like

it's

a

person

that's

doing

that

for

me

a

physical

therapist
,

an

adaptive

yoga

provider
,

a

massage

therapist

it's

essential

to

living

a

vibrant

life

as

someone

who

doesn't

use

mobility

aids

or

face

the

challenges

of

visible

disabilities
,

I

hadn't

fully

considered

the

hurdles

others

encounter

daily
.

Speaker 1
4:58

This

conversation

made

me

realize

how

often

we

overlook

experiences

of

those

with

disabilities
,

visible

or

invisible
,

in

discussions

about

endometriosis

and

chronic

illness
.

Chanda

also

shed

light

on

societal

challenges

for

those

with

disabilities
.

Here's

a

moment

that

really

stuck

with

me
.

Speaker 2
5:14

Yeah
,

I

think

that

my

sense

granted
,

being

a

woman

with

a

spinal

cord

injury
,

there's

some

that

apply

to

that

component

of

it
,

but

there's

bigger

pieces

that

comply

to

all

of

us
,

right
?

I

know

that

with

the

work

that

I've

been

doing
,

it's

been

very

devastating

to

see

that

the

center

is

more

accommodating

and

physically

accessible

to

people

with

disabilities

than

what

we've

always

seen

as

the

traditional

model
,

such

as

physician

clinics

or

specialty

clinics
,

meaning
,

like
,

if

you

want

to

go

get

your

mammogram
,

there's

not

very

many

machines

that

can

do

that
,

that

are

accessible

to

people
.

So

the

thing

is

is

that

we've

been

living

30

years

post

the

ADA
,

which

was

created

in

1990
.

And

we

are

still

coming

up

against

the

most

disparaging

civil

rights

violations

in

our

healthcare

system

that

really
,

to

me
,

are

completely

unacceptable
.

And

this

has

kind

of

been

the

new

project

that

I've

been

working

on
.

And

I

believe

again

that

these

are

providers

that

went

to

school
,

wanted

to

become

a

physician
,

because

they

believed

in

healing
,

they

believed

in

wanting

to

help

people

and

again
,

they've

been

caught

up

in

the

bureaucratic

process

of

it

because

they

only

get

paid

so

much

by

so

many

individuals

in

order

to

make

what

it

is

that

they

need

to

do

get

done

and

they're

limited

in

terms

of

what

is

covered
.

And

so

and

some

of

these
,

I

would

say
,

providers

are

within

institutions
,

that

if

the

institution

doesn't

support

it
,

they

as

a

provider

have

very

little

authority

to

make

any

level

of

change
.

And

so

I

see

all

of

those

one

the

systems

being

the

issue
,

and

then

I

also

see

our

own

kind

of

state

and

federal

government

needing

to

step

up

to

the

plate

and

just

say
,

hey
,

there's

some

violations

occurring

and

compliance

is

going

to

start

coming

down

and

so

that

people
,

all

people
,

have

equitable

access

to

healthcare

and

can

be

put

on

a

treatment

table
,

get

their

pap

smears

once

a

year
.

Like

those

things

are

not

happening

today
.

Like

people

are

being

turned

away

from

healthcare

because

they

have

a

disability
,

because

people

are

so

uncomfortable
,

have

never

had

the

education

or

the

financial

ability

to

care

for

them
,

and

so

it's

interesting
.

So

those

are

the

major

barriers

kind

of

highlights

there's
.

Obviously

it's

far

more

complex

than

that
.

Speaker 2
7:42

I

think

the

other

components

is

that

there's

lots

of

biases

in

our

health

care

systems
,

as

well

as

gaslighting
,

and

so

you

know

the

health

care
.

Gaslighting

is

just

one

of

those

things

that

I

feel

a

lot

of

folks

with

disabilities

unfortunately

have

to

experience

which

results

in

a

lot

of

trauma
,

because
,

right

when

they

say

that
,

oh
,

it's

all

in

your

head

like
,

oh
,

you

don't

know

what

you're

like
,

you

know
,

like

we're

the

provider
,

it's

like

no
,

no
,

no
,

no
.

There's

this

thing

now

called

you

know
,

patient

advocacy
,

and

there's

this

thing

called

that

what

I

feel

is

real

and

it's

not

okay

for

you

to

determine

otherwise
.

And

so

I

think

that

there's

that

ongoing

piece
,

as

well

as

the

biases

that

providers
,

depending

on

their

age
,

age

or

their

cultural

background
,

some

can

look

at

disability

in

a

very

disparaging

way
.

Speaker 2
8:30

There

was

an

article

of

a

research

where

there

were

all

these

physicians

in

the

room

and

they

asked

them

to

raise

their

hand

if

they

believed

that

their

patients

with

disabilities

could

be

healthy
.

And

no

one

raised

their

hand

because

their

association

that

disability

and

health
,

good

health

or

disability

and

wellness

could

coexist

wasn't

even

a

reality

to

them
.

Wow
,

that's

crazy

to

me
.

So

we're

being

served

by

providers

that

don't

even

believe

that

we

can

be

healthy

people
.

Yeah
,

what

kind

of

direction

and

care

are

they

going

to

give

us
?

Not

very

good
,

right
,

like

they

might

just

think

that

they're

trying

to

put

band-aids

on

things

just

to

keep

us

alive

for

as

long

as

we

can
,

but

in

reality

it's

like

no
,

we

can

live

for

a

really

long

time

because

we're

healthy
,

productive

people

in

our

society
.

So

it's

interesting
.

Disability Advocacy and Legal Rights

Speaker 1
9:29

But

Chanda's

story

was

just

the

beginning
.

It

fueled

my

desire

to

learn

more

about

the

intersection

of

disability

and

advocacy
.

That

curiosity

led

me

to

Bryce

Rafferty
,

a

staff

attorney

with

the

Colorado

Cross

Disability

Coalition
,

who

joined

me

for

episode

89

and

90
.

Bryce

took

us

on

a

deep

dive

into

the

Americans

with

Disabilities

Act
,

or

the

ADA

what

it

is
,

what

protections

it

offers

and

how

it's

evolving

to

address

invisible

disabilities
.

Bryce

doesn't

just

talk

about

laws
.

He

gives

us

practical

tools

for

understanding

our

rights

and

navigating

systems

that

well
,

let's

face

it
,

aren't

always

designed

to

support

everyone

equally
.

Hearing

Bryce

talk

about

this

inspired

me

to

dig

a

little

bit

deeper
.

Speaker 3
10:12

The

ADA

defines

disability

as

any

kind

of

condition
,

physical

or

mental

impairment

that

substantially

affects

or

limits

a

major

life

activity
,

and

so

you're

going

to

have

a

lot

of

argument

over

what

does

substantially

limits

mean
?

What's

the

major

life

activity
?

Speaker 1
10:36

Right
.

Speaker 3
10:36

And

there

has

been
,

and

there

will

continue

to

be
,

a

lot

of

litigation

and

argument

about

that
.

There

have

been

actually

recently
.

This

is

one

thing

I'm

working

on
.

I

am

putting

into

plain

English
,

as

best

as

I

possibly

can
,

a

bunch

of

new

rules

and

regulations

that

are

correlated

to

the

Rehabilitation

Act
,

which

is

kind

of

a

sister

act

of

the

Americans

with

Disabilities

Act
,

and

how

these

laws

work
,

at

least

federally
,

and

I

mean

it's

similar

with

states
.

But

I

mean

you

take

Congress

right
,

and

so

Congress

identifies

a

problem

and

in

the

case

of

disability

it's

okay
.

Speaker 3
11:15

We

have

a

very

large

subset

of

our

population

that

is

not

integrated

into

society
.

They're

not

in

the

workforce
,

they're

not

able

to

have

independent

lives
.

These

are

people

who

are

capable

of

and

want

to

be

in

society
,

but

they're

in

assisted

living

facilities

under

very

difficult

conditions
,

often

having

to

deal

with

neglect
,

abuse
.

So

the

whole

idea

really

and

this

came

out

of

the

culture

revolution

in

the

60s

and

70s

Initially

the

Rehabilitation

Act

was

passed

in

1973
.

Americans

with

Disabilities

Act
,

the

ADA
,

was

in

1990
.

And

then

there's

a

bunch

of

case

law

and

courts

interpreting

these

things

and

then

these

regulations

that

come

out
.

Speaker 3
11:59

But

going

back

to

the

Rehabilitation

Act

this

summer

a

bunch

of

new

rules

and

regulations

were

passed

that

go

into

great

depth

and

help

in

defying

disability
.

Speaker 3
12:11

They

take

that

definition

that's

in

the

ADA
,

you

know
,

substantially

limiting

major

life

activities
,

and

what

an

impairment

is
.

Speaker 3
12:20

And

people

might

have

heard

about

the

Supreme

Court

decision

that

overturned

Chevron
,

and

I

mean

you

might

like

hear

that

phrase

and

have

no

idea

what

it

means
.

But

basically

what

it

means

in

practice

is

that

Congress

and

other

administrative

agencies
,

like

the

Department

of

Health

and

Human

Services
,

for

instance
,

in

this

case
,

have

to

be

extremely

specific

when

they

are

defining

both

who

benefits

from

certain

rules
,

how

they're

supposed

to

work
,

what

context

they

apply

in
,

where

they

don't
.

And

so

these

rules

that

were

just

promulgated

and

made

into

effect

in

July
,

I

believe

go

into

great

detail

and

they

add

chronic

fatigue

syndrome
,

they

add

COVID
,

they

add

a

lot

of

invisible

disabilities
,

which

is

great

to

see

because

that

is

a

very

underserved

population
,

to

your

point
.

So
,

generally

speaking
,

the

law

really

defines

disability

in

that

kind

of

big

umbrella

term

of

an

impairment

that

substantially

limits

a

major

life

activity
,

and

we're

getting

a

lot

more

help

from

the

Department

of

Health

and

Human

Services

in

defining

what

all

those

elements

are

and

providing

like

a

ton

of

examples
,

which

is

great

yeah
.

Speaker 3
13:33

Because

then

you

can't

argue

that

in

court
,

or

you

can

point

to

an

actual

regulation

and

get

an

answer
.

Speaker 1
13:40

One

of

the

biggest

takeaways

from

my

conversation

with

Bryce

was

this

Creating

change

isn't

just

a

job

for

policymakers

or

advocates
.

It's

something

we

all

have

to

be

part

of
,

whether

it's

educating

ourselves
,

standing

up

for

our

rights

or

simply

listening

to

those

who

face

different

challenges
.

Every

small

action

matters
.

Bryce's

passion

was

contagious

and

I

walked

away

with

a

renewed

sense

of

conviction

to

step

out

of

my

bubble

and

push

for

change
,

not

just

for

myself
,

but

for

others
.

Getting

to

know

Chanda

and

Bryce

has

been

a

gift
,

not

just

because

they're

fellow

Coloradans
,

but

because

they've

expanded

my

perspective

in

ways

I

never

anticipated
.

Empowering Advocacy and Reflection Through Podcast

Speaker 1
14:20

I

encourage

you

to

revisit

these

episodes
.

Whether

it's

your

first

time

listening

or

your

fifth
,

I

promise

you'll

walk

away

with

fresh

insights

and

a

fire

to

make

a

difference
.

Thank

you

for

joining

me

as

we

approach

the

final

episodes

of

our

EndoYear

Reflection

Series
.

Be

sure

to

subscribe

so

you

don't

miss

a

moment
.

Remember

knowledge

isn't

just

power
.

It's

the

fuel

that

helps

us

advocate

for

the

care

we

deserve

and

drive

meaningful

change
.

I'm

grateful

for

everything

I've

learned

this

year
,

and

I

hope

these

episodes

have

helped

you

feel

the

same
.

Until

next

time
,

continue

advocating

for

you

and

for

those

that

you

love
.

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