Pt. 2: A History Of Medical Racism and Its Part In Current Endometriosis Treatment for Those of Color: Kimether’s Story

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Pt. 2: A History Of Medical Racism and Its Part In Current Endometriosis Treatment for Those of Color: Kimether's Story
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We start our part two with talking about ways that we can communicate to your care provider and setting the tone for your appointment. Something we should always ask is what is the differential diagnosis? This puts you in a position to gather more information and have your doctor really be present with you in the exam room.  That was just the start to the wisdom Kimether showered on us.  
We’ve all heard and experienced the abysmal information and care when it comes to Endometriosis. Have you ever stepped back and looked at the history of endometriosis care? Imagine having the same pain as other’s but being told it’s only a white woman’s disease. Kimether continues walking us through the history of Endometriosis and the roots of racism and scientific racism to people of color. She talks about how it  all really started with a doctor with the last name of Meigs ( ring a bell?). It started out because of a sociological difference between middle to upper class white woman and people of color.  Kimether gives not only the history, but incredibly insightful thoughts on why there’s still racial inequality within our health system and specifically for those of color dealing with Endometriosis, or any chronic disease. 
This episode was thought-provoking and full of mind blowing information. Listening to Kimether bring history to light challenges us to look at how we approach inclusive care for all.  This is a must listen to for everyone!

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Navigating Healthcare as an Endometriosis Patient

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
.

Speaker 1
0:41

Today

is

part

two

of

our

episode

with

Kimetha

Redman
,

and

this

is

where

we

left

off
.

Speaker 1
0:48

I

went

in

to

see

a

PA

for

a

urology

clinic

and

it

gave

me

a

snippet

of

kind

of

what

you're

talking

about
,

because

I

walk

in

and

she

says

to

me

well
,

your

ultrasounds

are

probably

inconclusive
,

they're

oftentimes

wrong

and

stones

aren't

really

as

big

in

there

as

the

ultrasound

is

made

to

seem
,

and

sometimes

you

don't

have

stones
,

even

if

the

ultrasound

says

that

you

have

stones
.

She

never

palpitated

anything

on

me
,

she

never

looked

at

me
,

she

barely

acknowledged

me
,

even

though

I

have

a

history

of

stones
.

So

this

is

a

lot

of

what

I

feel

like

you

go

through

to

jump

through

hoops

to

just

have

someone

listen

to

you

and

believe

you
.

And

we
,

as

endometriosis

patients
,

already

experience

this

to

a

heightened

level
.

Women

typically

experience

this

to

a

heightened

level

and

all

those

layers
.

So

when

we're

communicating

to

these

practitioners
,

how

do

we

communicate

and

I

don't

want

to

say

demand
,

because

that

can

have

a

negative

connotation

but

how

do

we

set

the

tone

of

respect

and

expectation

as

a

patient

walking

into

a

provider
?

Speaker 2
2:11

The

fact

that

you

had

a

history

of

kidney

stones
.

You

had

documentation
,

you

had

I'm

sure

consultation

notes

previous

visits

with

other

providers

and

they

were

that

dismissive
.

Those

are

the

ones

that

I'm

like
.

I

can't

waste

my

energy

on

you
?

Speaker 1
2:22

Nope
,

I'm

not

going

back

to

her
.

Speaker 2
2:23

No
,

because
,

even

though

I'm

always

giving

people

can't

waste

my

energy

on

you
.

Nope
,

I'm

not

going

back

to

her
.

No
,

because

even

though

I'm

always

giving

people

different

insight

on
,

like
,

how

to

prepare

for

your

visit
,

you

know
,

certainly

you

can

help

set

the

tone

by

coming

in

with

your

symptom

tracking
.

You

know
,

I

try

to

do

a

one

page

summary

of
,

like

the

chief

complaint

kind

of

your

history

or

present

illness
,

like

what's

going

on

with

you
,

how

the

pain

is

impacting

your

life
,

things

like

that
.

You

can

come

in

with

all

of

that
.

You

can

come

in

with

your

imaging

reports

and

everything
.

Speaker 2
2:53

If

you're

dealing

with

someone

who

really

just

has

not

valued

the

importance

of

listening

to

the

patient
,

I

tell

people

to

choose

your

battles

because

it's

not

likely

that

you'll

get

very

far

with

that

person
.

Certainly
,

a

few

times

I

have

encountered

someone

like

that
.

They're

not

listening
,

they've

already

kind

of

in

their

head
,

have

already

decided

what's

going

on
.

Yeah
,

I'll

ask

them

to

explain

their

process

for

coming

up

with

that

diagnosis

and

to

share

their

differential

diagnoses
,

because

that

at

least

and

you

can

say

that

as

lightly

or

bubbly

as

you

like

you-

know

to

ensure

that

it's

not

coming

across

in

a

questioning

type

of

way
.

Speaker 2
3:38

It's

like

I

do

it

in

an

inquisitive

way
.

I'm

like
,

oh

okay
,

oh
,

that's

interesting
.

Can

you

tell

me

what

about

my

history

and

your

physical

exam

that

led

you

to

that

diagnosis

and

what

your

differential

diagnoses

are
?

Because

that

cues

to

them
,

if

they

don't

have

differential

diagnoses
,

that

their

diagnostic

process

is

not

done

yet
,

Because

a

true

diagnostic

process

requires

a

adequate

history
,

which

means

listening

to

you

and

asking

the

right

question
.

Speaker 2
4:08

That's

90%

right

there
.

A

physical

exam
.

You

said

that

they

didn't

even

touch

you
,

so

they

didn't

even

have

a

physical

exam

data

to

work

from

and

then

coming

up

with

differential

diagnoses
.

So

you

have

a

top

diagnosis
.

Speaker 2
4:22

In

this

case

they

thought

you

probably

don't

have

kidney

stones

at

all
.

And

but

what

was

their

second

and

third

differential

diagnosis
?

Because

you

aren't

supposed

to

just

have

one

physician
,

assistant
,

nurse
,

practitioner
.

We're

all

taught

to

make

sure

that

you

have

other

differential

diagnoses

in

mind
,

because

that

way
,

when

you

start

going

down

the

route

of

your

one

diagnosis

that

you

think

it

is

in

this

case

nothing
,

what

happens

when

you

end

up

in

an

emergency

room

with

kidney

stones
?

You

didn't

even

start

any

of

the

work

to

figure

out

if

maybe

it's

something

else
,

one

of

your

differential

diagnoses
.

Speaker 2
5:06

So

that

at

least

gives

them

pause
.

Yep
,

and

they

could

decide

to

confirm

that

they're

a

jerk

and

say

I

don't

have

to
,

I

don't

have

to

show

you
,

I

don't

have

to

explain

myself
,

and

that

that

gives

you

the

confirmation

to

be

like

oh

well
,

I'm

looking

for
,

I'm

looking

for

a

provider

who's

a

partner
.

I

need

someone

who's

actually

going

to

partner

with

me

with

my

healthcare

and

not

just

draw

baseless

conclusions
.

So

I

guess

our

time

here

is

over
.

And

then

I

go

to

the

front

desk

person

and

ask

for

my

copay

back
.

Speaker 1
5:40

You

do

See
,

I

should

have
.

I

told

okay
.

So

I

literally

walked

out
.

So
,

dr

LaRiche
,

I

asked

him

a

few

questions

about

it

and

he
,

he

had

called

me

about

it

too

because

my

creatinine

numbers

were

my

base

is

really

high
,

which

indicates

other

things
,

right
,

so

I

call

him

and

tell

him

about

it
.

He

goes
,

you

walk

back

in

there

and

you

tell

him

to

go
,

you

go

talk

to

a

doctor

and

I

was

like
,

but

I

can't

do

anything

till

I

get

the

CT

scan
,

like

then

I

have

everything
,

but

I

never

once

thought

to

ask

to

get

my

copay

back
.

Speaker 2
6:12

I

never

once

even

thought

of

that
.

Yeah
,

if

they

didn't

render

the

service
,

because

that's

the

whole

point
,

right
,

right
,

payment

is

expected

at

time

of

service

rendered
.

If

the

service

wasn't

rendered

and

I'm

not

saying

the

service

means

that

you

had

to

walk

out

with

a

diagnosis

If

they

literally

just

sat

down

and

just

was

like
,

yeah
,

no
,

no
,

no
,

there's

nothing

wrong

with

you
.

Blah
,

blah
,

blah

and

didn't

do

any

due

diligence
,

that's

to

me

worth

being

billable
,

right
,

it's

worth

asking

Ew
,

we

should

set

that

standard

because

it

is

a

service
.

Speaker 1
6:47

we

are

paying

for

it
.

We

shouldn't

just

pay

them

for

not

doing

work

right

you

blow

my

mind
.

You

blow

my

mind
,

I

just

need

more

of

you
.

Speaker 2
7:05

Yeah
,

but

just

to

get

back
,

only

because

I

thought

of

something

else
,

that

we

didn't

talk

about

the

Black

experience

with

endometriosis

specifically
.

I

know

I

mentioned

just

historically
,

just

as

a

country
,

the

role

of

Black

bodies

within

the

healthcare

system

is

awful
.

It's

evil
,

to

be

honest
.

There

is

no

nice

way

to

put

it
.

There's

no

politically

correct

way

to

put

it
.

It

was

awful
.

We

would

certainly

treat

it

with

the

same
,

if

not

worse
,

as

you

would

test

animals
.

So

that

is

heavy
.

And

the

fact

that

fields

of

medicine
,

especially

gynecology

that

is

their

foundation

is

already

problematic
.

So

we're

already

dealing

with

a

very

problematic

system
.

But

with

endometriosis

it

wasn't

immune

to

the

scientific

racism

that

was

being

perpetuated

with

other

diseases

too
.

So

it

didn't

take

long

after

the

doctor's

name

is

Vincent

Miggs
,

it

didn't

take

long

for

him

in

his

practice

to

see

like
,

oh
,

it

seems

like

my

white

patients

who

are

like

well-to-do
,

you

know
,

basically

my

private

patients
,

the

ones

who

had

the

money

to

pay

privately
,

they're

the

ones

to

get

endometriosis
.

He

wasn't

even

focusing

on

race

per

se
.

Speaker 2
8:21

He

really

was

just

like
,

oh

you

know
,

endo

really

seems

to

just

secure

most

frequently

amongst
,

like

my
,

private

patients

versus
,

like

my
,

public

hospital

ward

patients
.

But

at

that

time

and

I

mean

we're

talking

about

like

the

30s

now
,

right

at

that

time

it

was

pretty

highly

influenced

by

socioeconomic

status

and

racial

inequity
.

If

you

were

a

public

hospital

ward

patient

versus

a

private

patient
,

so

being

a

private

patient

was

synonymous

with

being

white

and

being

middle

to

upper

class
,

maybe

being

a

career

person
.

You

know

your

household

had

a

career

and

maybe

you

wanted

to

hold

off

childbearing

so

that

you

could

finish

school

first

and

get

into

your

career

and

then

you

can

go

ahead

and

start

having

children
.

Speaker 2
9:09

Racism

embedded

within

the

literature

for

physicians

to

just

say
,

oh

well
,

if

private

patients

and

white

patients

are

the

ones

who

are

getting

endometriosis
,

then

it

must

be

unlikely

to

happen

in

non-white

patients
,

especially

if

they

are

also

poor
.

So

that's

how

it

became

a

white

woman's

disease
.

So

for

a

long

time

it

was

a

white

career

woman's

disease
.

And

we

know

that

because

even

now

we

encounter

physicians

who

can

get

the

definition

right

of

endometriosis

and

are

dealing

with

like

outdated

information
.

Speaker 2
10:02

So
,

unfortunately
,

there

were

still

textbooks

saying

how

this

was

a

white

women's

disease
,

like

even

just

within

the

last

20

years
.

Wow
.

I

didn't

know
,

I'd

know

that
,

because
,

for

you

know
,

a

lot

of

times

like

medical

textbooks

will

kind

of

outline

the

patient

profile

that

you

can

expect

in

someone

who

has

this

disease
.

Speaker 2
10:23

You

can

expect

in

someone

who

has

this

disease

and

it

was

described

as

like

a

white

woman

you

know
,

middle

to

upper

class

but

no

explanation

behind

it
.

It's

really

irresponsible

of

textbooks

and

literature

to

like

outline

like
,

oh
,

this

seems

to

be

the

patient

profile
,

with

no

context

behind

it
.

Like

that

context
,

for

example
,

could

be

patients

who

can

afford

to

see

a

doctor

privately
,

who

has
,

who

has

the

specialized

training

to

diagnose

endometriosis
,

are

more

likely

to

get

diagnosed

with

endometriosis
.

It's

like

a

no

brainer

and

my

husband
,

who

is

not

a

scientist

or

a

clinician

it

took

him

five

seconds

to

come

to

that

conclusion

that
,

oh

well
,

wouldn't

it

appear

to

be

a

white

woman's

disease
,

just

a

white
,

you

know
,

white
,

middle

to

upper

class

woman

disease
,

simply

because

they

had

the

means

to

be

able

to

get

diagnosed
.

Speaker 2
11:17

Or

they

were

more

likely

to

be

taken

seriously
.

I'm

like
,

absolutely

Now
,

if

I

could

just

get

the

rest

of

society

to

pick

up

on

that
,

that'd

be

great
.

Speaker 1
11:27

It's

interesting

too
,

though
,

because

internally
,

we

have

obviously

the

same

parts

and

everything

else

Like

why

Right
?

Speaker 2
11:35

However
,

there

are

scientific

differences

between

white

women

and

women

of

color

in

their

risk

factors

yeah
,

the

risk

factors

and
,

even

more

importantly
,

their

lived

experience
,

like

how

they

interact

with

the

health

care

system
,

how

they're

treated

as

they

go

through

the

health

care

system
.

That

is

a

large

perpetrator

of

poor

health

outcomes

is

how

you're

treated

when

you

interact

with

the

healthcare

system
.

And

those

risk

factors

certainly

are

very
,

they're

very

important
.

But

even

those
,

I

really

try

to

have

an

understanding

of

what's

behind

those
.

Speaker 2
12:19

I

remember

sitting

in

one

of

my

nursing

school

classes

and

the

professor
,

you

know

pretty

flippantly

and

this

isn't

the

first

time

that

it

happened

in

school
,

because

I

remember

sitting

in

one

of

my

nursing

school

classes

and

the

professor
,

you

know

pretty

flippantly

and

this

isn't

the

first

time

that

it

happened

in

school
,

because

I

remember

it

happening

in

my

public

health

program

too
,

where

it

was

just

real

flippantly

noted

that

a

risk

factor

for

HIV

is

being

Black
.

Speaker 2
12:39

And

you

know
,

wow
,

she

mentioned

another

one

I

think

it

was

one

of

your

chronic

illnesses
,

can't

remember

which

one
,

but

she

just
,

very

matter

of

fact
,

actually

just

said

risk

factors

being

Black

and

then

just

moved

on

and

I

remember

I

was

like
,

hey
,

can

we

take

a

moment

to

mention

why

that

this

classroom

of

future

clinicians

is

going

to

believe

that

just

my

inherent

blackness

is

just

going

to

automatically

mean

that

I'm

just

more

prone

to

certain

things
,

and

that's

it
.

There's

no

contents

behind

that
,

like

my

access

to

care

or

how

I'm

treated

within

the

healthcare

system
,

or

my

ability

to

afford

my

medications

or

my

care

in

general
.

Speaker 2
13:24

Yeah
,

even

down

to

like

employment

and

like

my

ability

to

be

able

to

have

a

job

that

provides

excellent

benefits

or

not
,

you

know

and

they

just

brushed

it

off

and

I

walked

out
.

I

was

like

no
,

can't

have

this
.

This

is

not

cool
.

Because

now
,

because

this

is

why

you

have

clinicians

who

just

go

out

into

the

world

and

just

think

that

black

and

brown

people

are

just

inherently

broken
.

You're

just

inherently

going

to

have

bad

health

outcomes

simply

because

you're

black
,

when

it's

way

more

complex

than

that
.

Speaker 1
13:53

Yeah
,

and

we

already

feel

broken
.

That's

the

thing

that

I

was

talking

to

another

endometriosis

person

and

she

was

telling

I

just

felt

broken
,

you

know
,

I

just

I

had

to

have

a

hysterectomy

because

I

was

misinformed

and

I

just

felt

broken

and

I

felt

less

than

as

a

woman
,

but

no

one

explained

why
.

No

one

backed

that

up

with

evidence
,

no

one

backed

that

up

with
.

This

is

not

because

of

you
,

this

is

what

it

is

and

this

is

you

know
.

And

I

think

that

we

carry

so

up

with

this

is

not

because

of

you
.

This

is

what

it

is

and

this

is

you

know
.

And

and

I

think

that

we

carry

so

much

guilt
,

so

much

information
,

because

no

one

says

why
.

So

if

the

textbooks

are

saying

because

you're

black
,

because

you're

white
,

but

why
?

Speaker 2
14:37

why
,

Like

I
,

it

is

not

just

because

I'm

black

that

I

have

a

higher

rate

of

open

versus

minimally

invasive

surgery

gyne

surgery

like

hysterectomies
,

oophorectomies
.

Speaker 2
14:50

It

isn't

just

because

I'm

black

that

I'm

more

likely

that

I'm

going

to

have

a

hysterectomy

or

oophorectomy

at

a

younger

age
.

It

isn't

just

because

I'm

black

that

I'm

more

likely

to

have

surgical

complications
,

diagnostic

delays
,

years

of

progressive

suffering
,

more

likely

to

have

adverse

reactions

to

treatments
.

No
,

it's

so

much

deeper

than

that
.

It's

not

just

because

of

being

Black

that

all

of

this

is

your

fault
,

because

it

is

the

medical

system
,

it

is

racism
,

scientific

racism
,

it's

implicit

bias
,

it's

the

medical

distrust

and

the

normalization

of

our

symptoms

that

we

inflict

on

ourselves
,

absolutely

Simply

because

we

realize

that

we

do

not

have

pleasant

experiences

when

we

interact

with

the

health

care

system
.

It's

us

not

following

up

with

appointments

because

we're

terrified

and

don't

feel

valued

by

the

provider
.

Following

up

with

appointments

because

we're

terrified

and

don't

feel

valued

by

the

provider
,

or

we

would

maybe

gaslit

or

talked

down

to
,

or

made

to

feel

small
,

or

made

to

feel

like

we

were

just

a

uterus

Right
,

or
,

when

we

went

to

our

providers
,

that

were

less

likely

to

seek

care
,

less

likely

to

follow

up

with

appointments
,

like

there's

just

so

much

more

Addressing Disparities in Endometriosis Care

Speaker 2
15:56

to

it
.

I

think

the

reduced

quality

of

care
,

though
,

and

the

access

to
,

the

lack

of

access

to

specialized

care

is

probably

the

biggest

factors

and

justice

me

anecdotally
.

That

is

the

biggest

thing
.

I

think

if

we

had

the

exact

awesome

quality

of

care

as

everyone

else
,

with

excellent

quality

of

care
,

that

these

poor

outcomes

issues

would

start

to

go

away
.

Speaker 2
16:22

And

then

in

the

research
,

so

the

fact

that
,

for

multiple

reasons
,

black

women

have

less

access

to

surgical

diagnosis
,

that's

the

reason

why

we're

also

less

represented

in

research

too
,

because

if

the

research

studies

are

only

including

individuals

with

surgically

confirmed

endometriosis
,

it

eliminates

anyone

who

has

not

had

surgically

confirmed

endometriosis
.

It

eliminates

all

the

people

who

literally

go

decades
,

like

me
,

with

symptoms
,

who

didn't

get

a

diagnosis

until

they

were

almost

40
,

or

that's

if

they

ever

get

one

at

all
.

It

eliminates

those

who

will

never

be

able

to

afford

a

out-of-pocket

endometriosis

specialist

right
,

who

has

the

best

eyes

and

the

best

skill

to

be

able

to

identify

and

remove

all

of

the

endometriosis
.

You

know
,

yeah
,

so

even

that

has

some

huge

repercussions
,

like

just

us

not

being

represented

adequately

in

the

research
.

Speaker 2
17:24

It's

heartbreaking

to

me

which

is

why

I

also

advocate

on

just

like

more

representation

in

research

and

I

don't

mean

like

just

the

research

to

keep

repackaging

the

same

GnRH

drugs

or

birth

control

pills

like

actual

research

that's

talking

about

not

only

the

lived

experience

of

a

more

diverse

group

of

people

with

endometriosis
,

but

also

the

outcomes

of

having

a

well

done

incision

Like
.

We

need

to

see

more

of

that

in

the

research

and

it

needs

to

be

from

a

diverse

group
,

and

that's

going

to

have

to

take

more

than

just

including

women

of

color
,

but

it's

going

to

mean

including

LGBTQIA

plus

non-binary
.

We

need

more

of

us
.

We

need

more

of

our

stories

and

more

of

our

data

being

shared

within

the

literature

from

a

specific

geographical

area
.

Speaker 1
18:21

I

think

that

can

also

create

a

bias

right
,

like

here

is

very

different

than

where

you

live

because

culturally

it's

different

here

than

it

is

there
,

and

economics

play

a

big

part

in

that
.

And

so

taking

it

from

every

walk

of

life

and

understanding

background
,

understanding

hardships
,

understanding

all

of

it

is

so

important

to

having

a

well-rounded

research
,

not

just

geographic
,

specific

or

anything

else
,

and

we

need

that

to

really

understand

it

Absolutely
.

Speaker 2
18:54

Yeah
,

absolutely
,

and

we

need

more
.

We

obviously

need

more

endometriosis

education
,

not

only

in

the

general

public

but

especially

amongst

our

clinicians
,

but

we

need

also

the

historical

context

of

the

Black

experience
,

both

in

general

throughout

the

healthcare

system

and

within

endometriosis
.

I

love

telling

people

about

Dr

Donald

Chapman
.

He's

an

African-American

gynecologist

out

of

Chicago

even

though

he

wasn't

the

only

one

he

really

like

doubled

down

and

and

really

like

laser

focused

on

criticizing

the

racial

bias

and

endometriosis

diagnosis
.

And

this

was

in

the

seventies

and

you

know
.

So

endometriosis

was

able

to

go

several

decades

as

just

being

this

white

woman

disease

before

Dr

Chapman

really

put

it

out

there

mainstream

and

really

challenged

his

peers

by

not

only

criticizing

them

about

the

racial

bias

but

actually

conducting

his

own

studies
,

because

the

majority

of

his

patients

unlike

Dr

Miggs
,

majority

of

his

patients

were

black
.

You

know
,

because

he

was

in

Chicago

after

all

and

he

found

that

the

incidence

of

endometriosis

was

quite

comparable

between

Black

women

and

white

women
.

Speaker 2
20:08

But

he

also

published

research

that

showed

how

Black

women

were

more

likely

to

be

diagnosed

with

pelvic

inflammatory

disease
,

which

is

a

complication

of

STDs
,

versus

endometriosis
.

And

then

one

of

his

studies

found

that

40%

of

his

Black

private

patients

key

private
,

his

Black

private

patients
.

They

had

surgically

confirmed

endometriosis

but

40%

of

them

were

first

inappropriately

diagnosed

with

pelvic

inflammatory

disease

Improving Endometriosis Care Through Advocacy

Speaker 2
20:32

.

Interesting
,

we

are

literally

being

given

antibiotics

without

them

doing

any

type

of

urine

test
,

blood

test

anything
.

They

would

just

write

out

antibiotics

and

say

so

urine

test
,

blood

test

anything
.

They

would

just

write

out
,

write

out

antibiotics

and

say
,

take

this

and

you

know
,

I

think

you

have

an

STD
,

without

asking

you

any

questions

about

if

you're

even

sexually

active
.

Speaker 1
20:48

Which

is

the

first

thing

they

ask

us

when

we

go

in

there
.

Speaker 2
20:50

So

yeah
,

and

that's

that's

still

happening

today
.

Still

still

is

happening

today
,

that's

insane
.

Speaker 1
21:02

This

is

why

it's

so

good

to

talk

about

this
,

though
,

and

this

is

why

I

love

your

perspective
,

because

you

come

with

so

much

knowledge

and

you

come

with

a

base

to

that

knowledge
.

It's

not

incomplete

knowledge
,

if

that

makes

sense
.

Oh

gosh
,

it

always

feels

incomplete

and

I'm

like

In

Demetriosis
.

Speaker 1
21:15

knowledge

is

really

incomplete

in

general
,

only

because

we're

still

doing

so

much

research

on

it
.

But

you

are

just

so

knowledgeable

about

this

and

I

appreciate

it
,

because

it

forces

me

outside

of

my

little

bubble

to

look

at

the

bigger

picture
.

And

if

we

don't

look

at

the

bigger

picture
,

we

can't

have

better

care

for

everyone
.

Speaker 2
21:34

I

swear

I'm

just

going

to

die

on

that

hill

of

saying

that

in

my

professional

and

personal

opinion
.

In

my

professional

and

personal

opinion
,

it

is

not

until

we

ensure

that

endometriosis

care

is

greatly

improved

for

the

most

marginalized

that

we

as

a

whole

will

be

able

to

get

very

far

if

we're

not

ensuring

that

the

most

marginalized

are

not

being

brought

along

and

brought

to

the

table
.

I

think

that's

why

I

see

organizations

like

Endo

Black
,

for

example
,

point

we're

like

well
,

let's

combine

efforts

because

the

work

needs

to

be

done

and

improvements

need

to

be

made
.

And

I

just

want

all

of

the

endometriosis

community
,

especially

as

advocates
,

to

really

hone

in

on

addressing

the

discrepancies

in

care

for

the

marginalized

population
.

Because

it's

awful
,

we

have

a

general

idea

of

how

prevalent

endometriosis

is
,

but

really

we

don't
,

because

there's

countless

non-binary
,

LGBTQIA
,

low

income

like

those

who

just

never

get

access

to

the

care

necessary

to

diagnose

their

endometriosis
.

They

remain

countless
.

When

I

say

one

in

10

women
,

it's

really

not

one

in

10
.

Speaker 1
23:04

It's

like

one

in

six

or

seven

maybe
.

Speaker 2
23:08

Maybe

and

I

always

add

on

in

countless

numbers

of

non-binary
,

lgbt
,

low

income

and

others

who

just

are

not

being

viewed

as

belonging

in

this

group
.

Yeah
,

you

know

when

we

need

to

be

ensuring

that

they

get

the

quality

care

necessary

to

to

ensure

that

they

can

get

diagnosed

and

properly

treated
.

Speaker 1
23:33

Yeah
,

it's

kind

of

like

that

you

know

when

we're

in

a

relay

for

endometriosis

right

For

proper

care

diagnosis

you're

only

as

good

as

the

slowest

person

in

the

race
.

Yes
,

yeah
,

you're
,

only

you

will

not

win

this

race

of

advocacy

and

better

care

if

you

don't

work

as

a

team

to

build

it

to

go

faster
.

If

you

don't

include

the

middle
,

the

end
,

the

wherever
.

You

have

to

all

go

at

an

expedited

pace
,

but

you

have

to

do

it

together

and

work

together
.

Speaker 2
24:03

Have

to

do

it

together
.

Speaker 1
24:04

And

I

think

that's

been

so

enlightening

for

me

to

experience

that

because
,

like

I

said
,

I

can

be

stuck

in

a

bubble

over

here
.

Speaker 1
24:13

But

if

we're

not

made

aware

of

the

fact

that

there

are

other

people

with

other

challenges

and

other

struggles
,

and

if

we

don't

work

on

that

together

and

hear

each

other

and

say
,

yeah
,

this

isn't

okay
,

we

really

need

to

work

better

at

this

as

a

whole
,

then

we're

just

going

to

be

stuck

in

this

standstill
,

much

like

a

lot

of

the

medical

system

and

endometriosis

education
,

because

they

don't

look

outside

of

their

bubble

and

what

they

know
.

Because

it's

uncomfortable

at

times

right
,

it's

uncomfortable

for

a

practitioner

sometimes

to

have

to

look

outside

of

what

they

already

know

and

how

and

to

look

outside

of

how

to

treat

certain

demographics

of

people

across

the

board
.

It

can

be

uncomfortable
.

It's

not

what

they

know
,

it's

not

what

they

learn
,

but

we

have

to

to

get

better
.

That's

how

we

grow

and

to

have

that

expectation

walking

into

the

exam

room

I

think

is

important
,

and

maybe

do

we

step

into

the

exam

room

saying
,

hey
,

I'm

looking

for

a

doctor

to

partner

with

me
,

I'm

looking

for

a

practitioner

to

partner

with

me
.

Speaker 2
25:14

I

do
.

Speaker 1
25:15

Yeah
.

Speaker 2
25:15

That's

what

I

like

to

do
,

at

least

with

a

new

provider
,

Because

it's

an

interview

anyway

to

me
.

When

it's

a

new

provider
,

you're

deciding

whether

someone

you're

going

to

even

stick

with

is

even

worth

your

time
.

Right
,

and

the

way

they

present

themselves

in

that

initial

interview

is

going

to

determine

if

you're

going

to

hire

them
.

Speaker 1
25:33

It's

like

a

dating

app

of

sorts
.

If

you

really

think

about

it
,

they're

going

to

know

a

whole

lot

about

you
.

It's

real

intimate
,

so

they're

gonna

know

a

whole

lot

about

you
.

Speaker 2
25:44

it's

real

intimate
,

so

you

might

as

well
,

vet

them

first
,

exactly
,

exactly
,

exactly
,

you

know
.

So

I

try

to

tell

people
.

I

try

to

come

in

with

that

mindset

because

unfortunately
,

a

lot

of

us

that's

and

we

can

blame
,

unfortunately
,

our

a

lot

of

our

past

experience

with

providers
.

We

go

into

appointments

fearful
,

we

feel

small
,

we

feel

completely

at

the

mercy

of

the

provider
,

and

it

shouldn't

be

that

way
,

it

really

shouldn't
.

You

are

very

important
.

In

fact

you

are

just

the

center

of

this
.

That's

the

whole

point

of

patient-centered

care

and

if

a

provider

is

not

understanding

that

or

does

not

fit

within

that
,

then

they

got

shortcomings

that

they

need

to

address
.

But

you

hopefully

can

go

elsewhere
.

Speaker 2
26:32

Hey
,

I've

been

dealing

with

a

lot
,

as

you

can

see
,

in

my

history
.

It's

fairly

extensive

and

I'm

looking

for

a

provider

that

can

do

X
.

I

really

try

to

narrow

it

down

because

I

don't

need

them

to

be

my

end

all

be

all
.

I'm

not

looking

for

a

savior

here
.

I'm

not

looking

for

someone

that

I

could

go

to

for

everything
.

I

try

to

just

say
,

hey
,

this

corner

of

my

health

I

could

use

someone

who

could

help

me

with

that
.

So

that's

what

I'm

looking

for

and

I

do

try

to

like

that

one

pager

summary
.

Speaker 2
27:09

Like

I

said
,

I

try

to

bring

that

to

all

my

appointments
.

And

the

beginning

and

end

of

that

one

pager

says

exactly

what

I'm

here

for

and

what

I

wish

to

leave

with
.

Ooh
,

that's

good
.

So

if

I

come

in
,

and

yeah
,

I

want

you

to

look

at

my

history

and

I

want

you

to

listen

to

me
,

but

I

like

to

let

them

know

right

up

front

that

I'm

looking

for

a

referral

to

pain

management
.

For

example
,

I'm

looking

to

try

a

different

formulation

of

vaginal

suppository

because

the

one

that

I'm

using

is

not

effective

anymore
,

because

clinicians

can

work

with

that
.

They're

like

OK
,

I

can

handle

that
,

that's

within

my

purview
,

it's

targeted
.

I

can

knock

that

out

for

you

within

this

visit
.

I

like

to

give

them

an

opportunity

to

be

able

to

have

an

easy

go

in

too
.

Speaker 1
27:54

Yeah
.

Speaker 2
27:56

Narrow

it

down

yeah
.

Speaker 1
27:58

Mm-hmm
,

and

I

think

too
,

like

if

you

come

in

with

that
,

it

gives

them

little

room

to

wiggle

outside

of

listening

to

you
.

Maybe

I'm

wrong

in

that
,

but

I

think

that

you're

very

good

at

communicating

ways

that

we

can

walk

in
,

and

we

should

all

feel

empowered

to

do

that
.

It

doesn't

matter

who

you

are
,

where

you

come

from
,

the

color

of

your

skin
,

your

sexual

orientation
,

your

religious

beliefs

it

does

not

matter
.

Your

sexual

orientation
,

your

religious

beliefs
,

it

does

not

matter
.

You

should

all

feel

empowered

to

walk

in

there

with

these

very

direct

yet

simplistic

ways

of

communicating

to

your

practitioner
.

Speaker 1
28:36

And

if

they

aren't

on

board

with

that
,

then

I

think

it's

time

to

use

your

feet

and

say

I

don't

know

if

we're

on

the

same

page
,

Thank

you

for

your

time

and

walk

out

the

door

and

try

to

get

what

it

is

that

you

still

need
.

Speaker 2
28:51

I've

seen

providers

that

I'm

like
,

wow
,

this

was

not

a

good

visit
.

But

so

towards

the

end

I'm

like
,

well
,

let's

see

if

there's

anything

on

my

little

checklist

here

that

I

could

at

least

have

them

do
.

Um
,

oh
,

yeah
,

I

saw
.

I'm

like
,

okay
,

are

you

able

to

refer

me

to

another

provider
?

Maybe

I

need

a

actual

documented

referral
.

I

probably

already

most

likely

already

know

who

I

want

you

to

refer

me

to
.

Right
,

so

I

can

say

could

you

write

me

a

referral

to

go

see

this

clinician

specifically
?

Yeah
,

you

know

again
,

and

see

if
,

if

I

can

at

least

get

that

like
,

I

try

to

get

something

out

of

it
,

especially

if

you're

paying

for

this

time

and

and

it's

not

just

the

monetary

paying

but

it's

also

paying

for

it

physically
,

emotionally
,

mentally
,

like

to

get

yourself

to

this

appointment

and

everything

so

I

try

to

at

least

see

what

I

can

get

out

of

those

appointments
.

But

sometimes
,

if

it's

really

like

crashing

and

burning
,

I'm

like

let

me

just

get

the

heck

out

of

here
,

I

ain't

got

time

for

this
.

Speaker 1
29:52

It's

really
,

you

know
,

it's

interesting
.

Like

you

know
,

endometriosis

statistics

are

they

say

one

in

10

and

really

like

good

doctor's

appointments
,

are

like

one

in

10
.

That's

the

reality
.

Speaker 2
30:06

Yeah
,

until

you

get

like

a

team

of

providers

together

where

you

are

like
,

okay
,

I

finally

have

folks

that

I

feel

comfortable

with
.

None

of

you

move
,

don't

change

practices
,

don't

go

anywhere
.

Speaker 2
30:19

Yes
,

but

it

can

take

time
.

I

mean
,

just

as

an

example
,

it's

taken

me

almost

two

years

to

get

a

multidisciplinary

team

and

it's

not

like

they

work

together
,

because
,

even

though

that

would

be

amazing

if

they

did
,

they

don't
,

because

our

healthcare

system

just

doesn't

really

lend

itself

nicely

to

that
.

But

I

at

least

have

five

providers

that

I'm

like

okay
,

I

feel

comfortable

with

these

five

providers
.

They

know

me

well
,

they

treat

me

well
,

they

listen
.

This

is

who

I

can

move

forward

with

so

that

I

can

stop

having

the

hit

or

miss
.

But

I

can't

tell

you

how

many

providers

I

had

to

see

before

I

finally

got

to

these

providers
.

Speaker 1
30:56

But

it

does

make

you

feel

very

unseen
.

Exactly
.

Speaker 2
31:02

And

it's

exhausting

it

is

and
.

Speaker 2
31:04

I

go

through

periods

of

provider

fatigue

where

I'm

like

I

just

can't

see

anybody

for

a

while
,

even

if

I'm

feeling

not

my

best
.

I'm

like

you

know

what
,

I

just

kind

of

need

to

live

life

for

a

little

bit

because

I

have

to

recharge

my

battery

to

be

able

to

even

prepare

for

another

visit

with

a

new

provider

and

be

able

to

manage

however

that

visit

goes

Right

and

and

whatever

repercussions

of

that

visit
,

and

and

that's

okay
,

that's

okay
.

You

know
,

that's

self-care
.

Honestly
,

it

is

To

say

you

know

what
.

I

need

a

break
.

This

is

exhausting

work
.

I'm

going

to

give

myself

a

week
,

a

month
,

three

months
,

whatever
,

and

then

I'll

pick

back

up

when

I'm

feeling

more

up

to

it
,

because

I

really

try

to

show

up

as

fully

as

I

can

to

my

visits
.

But

you

can

only

do

the

best

you

can

when

you're

dealing

with

chronic

illness
.

Speaker 1
31:55

Yep
,

and

a

doctor

should

be

able

to

meet

you

where

you're

at

too
.

Absolutely

yeah
,

any

practitioner
,

honestly
.

Speaker 2
32:02

Yeah
,

every

practitioner

and

we're

supposed

to
.

But

it

gets

exhausting

when

you

feel

like

you

have

to

be

dressed

up

and

makeup

on

and

questions

ready

and

your

documentation

ready

and

to

show

like

I

am

a

informed

patient
.

I

am

someone

that

you

cannot

just

dismiss

and

it's

going

to

fly
.

I

am

someone

that

you

cannot

just

dismiss

and

it's

going

to

fly
.

I

need

you

to

not

only

listen
,

but

I

need

you

to

actually

do

the

critical

skills
,

the

critical

thinking

that

you

were

trained

to

do
,

to

be

able

to

help

me

with

my

health

issue
.

Speaker 1
32:36

It's

a

lot

to

bring

that

to

the

table
,

yeah

it

is
,

but

you're

doing

an

amazing

job
,

not

only

as

a

practitioner
,

understanding

that
,

you're

doing

an

amazing

job

as

an

advocate
,

and

I

just

think

if

we

had

a

significant

amount

of

Kimethers

in

the

world
,

it

would

be

so

much

better
,

because

you

have

such

a

great

way

of

perspective

and

I

love

that
.

Speaker 2
33:02

I

mean

I

don't

think

I

was

a

jerk

before

chronic

illness
,

but

I

do

feel

like

I've

always

been

passionate

about

serving

the

underserved
.

That

is

clear
.

And

I

think

my

upbringing

as

a

Black

woman
,

seeing

the

women

in

my

family
,

how

they

were

treated
,

the

sacrifices

that

they

had

to

make

literally

sacrifices

to

their

health

even

in

order

to

just

keep

food

on

the

table
,

keep

the

lights

on

and

keep

us

fed

the

dismissal

that

they've

experienced
,

the

ultimately

unnecessary

hysterectomies
,

the

fear

of

questioning

physicians

I

mean

I

grew

up

seeing

all

that

and

really

taking

all

that

in

and

I

feel

like

I

recognized

really

early

that

not

only

was

the

health

care

system

broken

but

it

was

particularly

shattered

when

it

came

to

women

of

color
.

I

feel

like

even

as

a

child
,

I

saw

that

pretty

early

on

and

I

wanted

to

be

a

part

of

fixing

that
.

That's

amazing
.

Speaker 1
34:01

And

you're

doing

a

great

job
.

Empowering Patients Through Advocacy and Care

Speaker 2
34:03

Going

through

chronic

illness

has

added

a

whole

different

level
.

When

I

see

someone

and

I'm

listening

to

their

story
,

I've

experienced

the

dismissal
,

the

gaslighting
,

the

ignorant
.

Personally
,

I

have

had

to

deal

with

the

medical

repercussions

of

the

ignorance

of

providers
.

Going

back

to

the

beginning

of

our

conversation
,

when

I

was

seeking

fertility

treatment
,

what

I

should

have

been

told

is

that

endometriosis

excision

by

an

expert

specialist

is

probably

your

best

bet

at

improving

your

fertility
.

So

you

should

do

that

first

and

then

perhaps
,

if

necessary
,

move

on

to

fertility

treatment
.

But

instead
,

because

of

the

ignorance

of

providers
,

I

was

told

oh

yeah
,

could

be

endometriosis
.

Speaker 2
34:50

but

it's

fine
,

you

can

get

pregnant

with

it
,

it's

okay
,

and

because

I'm

dealing

with

a

chronic

illness

where

there

is

a

lot

of

ignorance
,

like
,

just

like

lack

of

knowledge
.

What

falls

into

that

gap

of

knowledge

is

bias
.

So

I

unfortunately

think

that

the

way

I

treat

patients

is

largely

informed

by

the

negative

experiences

that

I've

had

and

the

negative

experiences

that

I've

observed
.

I

wish

it

wasn't

that

way
.

I

wish

that

I

was

just

good
,

old
,

young

chemist

that

just

was

like

I'm

going

to

do

this

right

as

a

clinician

and

it's

not

going

to

have

to

come

out

of

a

place

of

harm

Right
,

but

unfortunately

it

has
.

I

will

always

take

my

patients

seriously
.

I

will

always

honor

their

pain
.

When

they

say

10

out

of

10

pain
,

I

believe

10

out

of

10

pain
.

I

believe

10

out

of

10

pain
.

When

they

open

up

to

me

about

something

that

I

know

was

painful
,

like

a

past

trauma
,

I'm

going

to

always

honor

the

courage

that

it

took

for

them

to

do

that

because

I

didn't

have

that
.

Speaker 2
35:58

So

this

is

my

way

of

providing

what

I

didn't

have
,

what

my

mother

didn't

have

fully
,

what

my

grandmother

didn't

have
,

what

my

mother

didn't

have

fully
,

what

my

grandmother

didn't

have
,

what

my

enslaved

ancestors

absolutely

didn't

have
.

I'm

going

to

treat

you

as

a

human
.

I'm

going

to

treat

you

as

a

child

of

God
.

I'm

going

to

treat

you

with

the

respect

and

the

dignity

that

I

would

give

a

family

member
.

Yeah
,

yeah
,

like
.

So
.

It's

what

I

wish

all

clinicians

did
.

Speaker 2
36:27

I

will

say

that

the

vast

majority

want

to
,

right
,

but

we're

within

a

health

care

system

that

really

just

doesn't

lend

itself

to

that
.

I'm

often

taking

work

home
,

I'm

charting
,

I'm

staying

at

work

late

and

I'm

OK

with

that
,

right
,

right
,

because

this

is

the

choice

that

I've

made

and

when

I

decided

that

I

wanted

to

be

a

clinician

that's

going

to

actually

do

this

the

way

that

I

think

it

has

to

be

done
.

This

is

what

it

includes
,

and

so

I

wish

we

could

all

direct

our

careers

in

a

way

that

we

can

provide

care

exactly

in

the

way

that

we

envisioned

when

we

envisioned

ourselves

becoming

clinicians
,

can

provide

care

exactly

in

the

way

that

we

envisioned

when

we

envisioned

ourselves

becoming

clinicians
.

But

unfortunately
,

a

lot
,

don't
?

You

have

a

lot

of

unhappy

clinicians

unfortunately

for

that

reason
.

Speaker 2
37:12

But

that's

no

excuse

for

ignorance
,

no

excuse

for

dismissal
,

it's

no

excuse

for

not

staying

on

top

of

the

literature
,

it's

no

excuse

for

saying
,

huh
,

I

don't

know

that
,

let

me

go

and

look

that

up
.

That's

okay
.

That's

okay
.

Speaker 1
37:27

I

would

rather

a

clinician

tell

me

they

don't

know

than

give

me

a

falsified

answer

that

makes

me

chase

a

diagnosis

or

chase

care

or

chase

getting

better

of

any

sort
.

I

would

much

rather

honesty

every

time

every

time
,

every

time

now
.

Speaker 2
37:48

So

I

will

continue

to

encourage

clinicians

to

do

that
.

The

same

amount

of

energy

I

put

into

trying

to

help

people

who

are

patients

you

know

going

in

to

see

clinicians
,

I

really

try

to

to

use

a

lot

of

energy

also

with

clinicians

too

to

help

them

recognize
,

like
,

what

are

some

ways

that

you

can

recognize

the

humanity

in

your

patient
?

That's

not

going

to

throw

off

your

whole

schedule
,

like

get

you

in

trouble

or

anything

Like

what

can

you

do

and

find

those

opportunities

and

don't

just

give

up

and

just

decide

to

just

be
?

Speaker 1
38:22

part

of

the

exactly
.

Don't

accept

mediocrity

of

yourself

professionally
,

no

because

you'll

find

more

joy

and

a

better

outcome

than

mediocrity
.

Speaker 2
38:32

Yeah
,

yeah
,

yeah
.

Speaker 1
38:34

You

will
.

Kimather
,

thank

you

so

much

for

your

time

and

your

wisdom
,

and

just

taking

the

bull

by

the

horns

that's

what

we

say

out

here

is

the

bull

by

the

horns

because

it's
,

you

know
,

mostly

country
.

You

are

doing

an

amazing

job

and

you

have

given

and

empowered

people

to

get

better

care

while

giving

better

care
,

and

that

is

when

we

talk

about

gold

standard
.

That

is

gold

standard

is

when

we

talk

about

gold

standard
.

That

is

gold

standard
.

And

you

are

living

that

life

of

gold

standard

in

a

place

where

it

has

not

been

gold

standard

for

you
,

but

you're

taking

it

and

you

are

making

it

better

for

others

and

you

are

a

battery

charger

for

so

many

people

not

just

your

patients
,

but

for

those

listening

today

and

for

those

that

you

encounter

in

your

advocacy

work
,

and

so

thank

you

so

much

for

doing

that
.

You're

amazing
.

Speaker 2
39:30

It's

an

absolute

honor

and

I

will

continue

to

do

this

work

for

as

long

as

I

can

and

will

continue

to

find

new

ways

to

reach

more

people
,

and

I

try

to

stay

pretty

involved

with

nonprofits

in

my

area
.

And
,

oh
,

I

could

tell

you

a

little

bit

about

some

of

the

work

that

I've

been

doing
.

Endo

Black

is

an

organization

that

provides

a

safe

space

for

women

of

color

who

are

dealing

with

endometriosis
,

and

I

absolutely

love

them
.

They're

based

here

in

Maryland

and

they

are

getting

ready

to

roll

out

their

fall

schedule
.

They

have

a

gala

that's

coming

up
,

which

is

one

of

their

big

fundraisers
,

and

they

also

do

these

talks

where

they

talk

about

African-Americans

and

endometriosis
,

and

I'm

one

of

the

folks

that

gives

this

talk
,

so

I

let

them

know
.

If

you

ever

need

someone

to

talk

to

the

community

or

to

clinicians

or

med

students

and

nurse

students
,

just

give

me

a

call
.

I'm

always

happy

to

teach

about

endometriosis
,

so

they'll

be

rolling

those

back

out

again
.

So

I'm

excited

to

be

able

to

share

a

lot

about

just

the

history

of

endometriosis

and

the

experience

of

Black

women

to

the

community

and

especially

to

nursing

students

and

medical

students
.

Those

are

my

favorites
.

Speaker 2
40:42

I'm

just

particularly

excited

that

we're

partnering

with

Emma

my-aimacom
.

They're

a

CBD

suppository

they

just

rolled

out

amazing

organization
.

Please

look

them

up
.

Also
,

check

out

the

founder
,

lana
.

She's

one

of

the

founders

and

she's

amazing
.

She

knows

what

we've

all

been

through
.

She

created

this

product

for

herself

and

I'm

just

so

thankful

that

she

has

chosen

to

make

this

a

business

where

she

can

help

to

treat

chronic

pelvic

pain

and

painful

periods

for

people

across

the

world
.

Really

excited

about

that

partnership

too
.

So

keep

an

eye

out

for

those

things
.

You

can

follow

me

on

instagram

at

the

rebellious

uterus
.

You

can

also

follow

my

husband
,

and

his

podcast

is

at

endo

thick

of

it

it's

amazing
.

Speaker 1
41:37

Yeah
,

it's

amazing
.

So

if

you

and

your

significant

other

need

a

space

to

join

together

and

be

a

team

in

this
,

kimather

and

Brandon
,

you

two

provide

that

with

EndoThick

of

it
.

So
.

Speaker 2
41:50

We

just

fill

in

a

space

because

I

feel

like

it

wasn't

there
.

I

was

like

man
.

There's

tons

of

us

who

are

in

relationships
,

who

are

having

to

navigate

these

waters

on

our

own
.

We

really

just

wanted

to

provide

a

place

where

people

could

hear

from

another

couple

who's

also

navigating

this
.

You

know

too
,

so

would

love

to

have

you

and

your

hubby

on

Love

it

yeah
.

Speaker 2
42:15

Because

I

just

I

can't

tell

you

how

amazing

the

feedback

is

that

we

get

when

people

hear

from

other

couples

and

hear

from

other

folks

like
,

oh

wow
,

we

struggle

with

that

too
,

and

they

also

can

feel

more

seen

and

validated
.

So

I

absolutely

love

it
.

Speaker 1
42:34

Well
,

and

it

all

goes

back

to

a

strong

community
.

When

you

have

a

community

behind

you
,

you

feel

more

seen
,

you

feel

more

heard

and

you

feel

more

connected

and

therefore

you

feel

less

isolated
.

And

this

disease

is

very

isolating
.

And

so

when

you

get

together

with

your

community
,

you

feel

less

isolated

and

it

makes

it

more

bearable
.

Speaker 2
42:56

It

makes

this
?

Speaker 1
42:57

living

with

this

chronic

illness

more

bearable

yeah

absolutely

right
,

absolutely

right
.

Speaker 2
43:04

One

of

the

things

that

we're

considering

and

we'll

put

it

out

there

to

just

see

interest

is

a

support

group

that's

couple

specific
.

Yes
,

I'm

seeing

more

and

more

endometriosis

support

groups

out

there
.

Speaker 2
43:18

I'd

love

to

see

more

with

like

adeno

and

PCOS
,

but

I'm

seeing

definitely

more

endometriosis

support

groups
.

But

our

family

member
,

our

partners
,

our

spouses

they're

going

through

it

too
.

Oh
,

absolutely
,

and

they're

having

to

see

the

person

that

they

love

most

going

through

this
.

They

need

the

support

too
.

They

really

do

so
.

I'm

glad

that

I'm

seeing

more

support

groups

for

us

patients
,

but

I

think

that

it

would

be

nice

to

have

more

opportunities

where

partners

can

come

in

too
.

You'll

definitely

see

that

from

the

nonprofit

formerly

known

as

Endoville
.

Speaker 1
43:53

And

Endovillage
,

which

is

the

one

that

we

have
.

So

very

similar

we

have
.

We

have

targeted

that

as

well
.

So

we're

going

to

be

starting

to

do

more

events

for

the

support

people

specifically

and

helping

those

walking

chronic

illness

and

doing

it

together

and

what

that

looks

like
.

Speaker 2
44:12

Oh
,

that's

amazing
.

I

don't

know

if

you

started

doing

it

yet
,

like

with

the
,

with

the

partners
,

but
,

man
,

when

Endoville

did

it
,

it

was

awesome
.

They

would

have

you

know
,

bring

your

family

member
,

bring

your

partner
,

you

know
,

and

sometimes

they'll

have

a

counselor

there

where

people

could

share
,

and

sometimes

it

was

the

first

time

that

the

partner

was

even

ever

asked
.

Well
,

how

do

you

feel

about

what

your
?

Speaker 1
44:38

partner's

been

going

through
.

Speaker 2
44:40

There

was

a

lot

of

thoughts

of

helplessness

and

frustration
,

sadness
,

fear
,

anxiety
.

So

I'm

so

glad

that

you're

doing

that

in

the

village

too
,

because

the

partners

need
.

They

need

that

safe

space

also
.

And

then

we

as

the

patients

the

one

with

the

chronic

illness

need

to

know

that

our

partner

is

being

cared

for

too
,

because

just

because

we're

patients

doesn't

mean

that

we're

not

also

caregivers
.

We're

caring

for

our

partners

too
.

Speaker 1
45:09

And

we

want

them
.

Speaker 2
45:10

We

want

them

to

be

in

a

good

place

mentally
.

That

you

know

a

support

group

that

includes

them

really

helps

with

Supporting Patients With Infertility Challenges

Speaker 2
45:16

that
.

Speaker 1
45:16

Yeah
,

absolutely
.

And

I

think

it's

twofold

when

you're

dealing

with

infertility

on

top

of

a

chronic

illness

and

the

disappointment

of

potentially

not

having

your

own

kids

or

the

expense

of

not

being

able

to
.

This

is

a

full

circle

right
.

It's

a

full

body

disease
,

it's

a

full

life

disease

and

it

encompasses

everyone

within

your

circle

and

beyond
.

So

we

need

to

really

rally

behind

everyone

dealing

with

this
,

not

just

the

patient
,

because

it

affects

everyone
.

Speaker 2
45:43

So

Absolutely

Thank

you

for

all

the

work

that

you

are

doing
.

It's

been

so

amazing

to

just

see

everything

that

you're

doing

flourishing
.

So

just

keep

doing

what

you're

doing
,

because

I'm

just

so

glad

that

the

people

in

your

area

have

you

both

really

championing

this

work

and

somehow

you're

still

staying

on

top

of

this

amazing

podcast

at

the

same

time
.

So
,

yeah
,

keep

up

the

great

work
.

Thank

you

so

much
.

Thank

you
.

I

love

sharing

your

podcast

with

folks

and

they

love

it
,

love

the

information
.

Speaker 1
46:12

Well
,

thank

you
,

and

for

those

that

continue

to

listen

and

follow

really

putting

the

information

out

there
,

and

what

Kimather

is

doing
,

what

Brandon

is

doing

as

a

support

person
,

and

what

we

continue

to

do

is

to

get

the

information

so

that

you

have

better

tools

to

advocate

for

yourself
.

So
,

with

that

being

said
,

continue

advocating

for

yourself

and

for

those

that

you

love
.

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