“In the Ladies’ Room with Dr. Donnica” is the only public ladies' room you can enter any time without ever waiting on line! Hosted by women’s health expert and media commentator Donnica Moore MD, the podcast will feature real conversations, with real women, about really intimate issues. They may be…
The HealthyWomen 2021 Survey reveals that moms still feel pressured to ‘do it all' and continue to deprioritize their mental health and well-being. Ummmm. . .we needed a study to find that out?! In all seriousness, research shows that women are more likely to experience postpartum depression (PPD) if they receive little or no support from family, friends, or community after childbirth than women who receive appropriate support. With 1 in 8 mothers in the U.S. reporting experiencing symptoms of postpartum depression (PPD) each year, there is a need for greater fourth trimester (the 12 weeks following baby's arrival) planning and support. So what are we going to do about it? Check on Mom https://www.mycheckonmom.com is a program to help new and expectant moms create a maternal mental wellness plan and designate a group of trusted friends and family who are empowered to help her through the postpartum period. The site also features ongoing inspirational content and helpful information and tips. Here to discuss this with us today is Dr. Kristina Deligiannidis, Director, Women's Behavioral Health of Northwell Health. Dr. Deligiannidis is a national leader in the field of perinatal depression and novel therapeutics research. Her research program includes a focus in psychoneuroendocrinology, particularly neurosteroids and hormones, and neuroimaging in women's behavioral health. She has authored more than 50 peer-reviewed articles plus several textbook chapters and has given more than 170 scientific presentations. Dr. Deligiannidis completed her undergraduate degrees in biology and psychology at the University of Massachusetts at Amherst. As a recipient of predoctoral intramural research training awards, she trained in molecular neuroendocrinology research at the National Institutes of Health (NIH) and the National Institute of Mental Health (NIMH). She received her medical degree from and completed her psychiatry residency and chief residency in psychopharmacology research at the University of Massachusetts Medical School. After residency, she completed a visiting fellowship and further training in multimodal neuroimaging at the Massachusetts General Hospital/Martinos Center for Biomedical Imaging. Dr. Deligiannidis joined faculty at Zucker Hillside Hospital, the Feinstein Institutes for Medical Research and the Donald and Barbara Zucker School of Medicine at Hofstra/Northwell in September 2016. She is board certified by the American Board of Psychiatry and Neurology and currently serves as the director of women's behavioral health at Zucker Hillside Hospital. As a reproductive psychiatrist, she has expertise in treating women with mood and anxiety disorders linked to the menstrual cycle, pregnancy/postpartum and perimenopause.
Here's an email I recently received: “I've had a hysterectomy due to cervical cancer diagnosis 3 yrs ago, had to use IVF to conceive my twins, experienced chemically induced menopause in my 20s related to endometriosis, all while on active duty so lots to share, LOL!!! I'm also connected to a women's online "sexology" group talking about intimacy as we age.” So you know, we had to invite that woman to be a guest on our show! She's Pamela Price, Deputy Director for The Balm In Gilead and with us today! Pamela manages the various health initiatives of the organization. Under her leadership, The Balm In Gilead provides support to faith-based and public health institutions in areas of program design, implementation, and evaluation, which strengthen their capacity to deliver programs and services that contribute to the elimination of health disparities. Mrs. Price also serves as the Director for The National Brain Health Center for African-Americans. In 2016, she co-developed a six-part educational curriculum for nurses and allied healthcare professionals aimed at addressing knowledge gaps related to Alzheimer's disease and other dementias affecting African Americans. Mrs. Price has conducted numerous training sessions across the country with various nursing associations and healthcare organizations. She also co-created and facilitates an accredited training for healthcare providers; aimed at increasing cultural competencies related to the screening, diagnosis, and treatment of dementia in African Americans. Mrs. Price holds a Bachelor of Science degree in Public Health and has more than 20 years of experience in public health, epidemiology, and healthcare. As a registered nurse, she has served as a member of the U.S. Army Nurse Corp. Mrs. Price is also an experienced consultant and serves on various boards and steering committees, frequently conducting workshops and trainings across the country at various conferences and events in addition to providing technical assistance and capacity building services to community-based organizations.
Most women have heard of fibroids—and most women will have them—so let's talk about Fibroid Facts! Fibroids are the most common type of non-cancerous tumors in women. But just because they aren't cancer doesn't mean they are “benign”: they can be asymptomatic, but more often, they can cause a wide range of physical symptoms, including heavy menstrual bleeding and an overall reduced quality of life. Uterine fibroids occur in more than 80% of African American women and nearly 70% of Caucasian women by the time they are 50 years old. Fibroids are also the leading reason for hysterectomies performed in the U.S. My guest today, Dr. Veronica Gillispie-Bell knows a lot about fibroids, both personally & professionally. She is a practicing, Board-certified ob-gyn and section head of women's services at Ochsner Kenner in New Orleans. She is the Medical Director of programs with the LA Department of Health as well as an associate professor and director of the Center for Minimally Invasive Treatment of Uterine Fibroids. She earned her medical degree from Meharry Medical College and completed her residency training at Ochsner Health System. She also earned a Master of Applied Science in Patient Safety and Healthcare Quality from the Johns Hopkins Bloomberg School of Public Health. Additionally, she has received certification in Diversity and Inclusion from Cornell University.
Did you ever meet someone at a meeting & immediately decide that you want to get to know this person better? That you want them to be on your team? That's how I felt when I met Lisa Charles several years ago when we were both speakers at Olympian Joetta Clark Diggs' annual women's health conference. It's no surprise that this inspirational speaker is known as “Coach Lisa”. She's the CEO of Embrace Your Fitness, a health & wellness consultancy. She has walked the talk, having to overcome her own health & weight management challenges. She's a life coach who has also had an incredible diversity of life experiences from being a state and federal prosecutor for more than a decade, becoming a jazz and opera singer and actor, and then changing lanes to focus on health & fitness. She is the Research Coordinator for the Rutgers University Aging and Brain Health Alliance & today adds 2 new accolades to her resume: she is a new author of the motivational book “Yes! Commit. Do. Live.” And she is my official new health & fitness trainer.
In case anyone ever wondered if LinkedIn actually works, the answer is YES! I learned about today's guest through a LinkedIn post about Suzanne Sinatra being named to the Forbes 1000 List which recognizes bold and inspiring entrepreneurs on their way to breakthrough success. And she is well on her way with the launch of her company “Private Packs”. I immediately invited her to join us In the Ladies' Room! Private Packs is a consumer products company that makes wearable, reusable hot and cold packs to relieve pain, swelling, and discomfort in the lady parts on-the-go. Suzanne is a pioneer in the SexTech and FemTech spaces. In addition to making the Forbes 100 list, she has been honored by Yotpo's 2020 Amazing Women in E-Commerce. Through her exciting entrepreneurial journey, Suzanne was also forced to embark on a journey no one wants: battling breast cancer. She now describes herself as a proud breast cancer survivor, who is committed to helping other women by sharing her story to raise awareness about women's health and sexual wellness. Originally from Toronto, Suzanne served in the Royal Canadian Armed Forces where she was one of three women in Canada selected for a highly competitive Aircrew Search and Survival course. She is also a skilled markswoman.
Since the COVID-19 pandemic began, we've been asking each of our guests to describe their personal and professional pandemic experiences. Today's guest, Shari Wallack sums it up in the title of her new book, “From Hell To Challah”. As the founder of Buy The Sea, the largest and most decorated cruise and all-inclusive brokerage company in the industry, Shari experienced a mind-numbing professional crash in one day when cruise ships stopped sailings & her days became filled with arranging refunds for her clients rather than bookings. Her adult children came home to roost & with increasing anxiety, depression and despair Shari just wanted to run away from home. Unfortunately, the first stop on her journey was an involuntary commitment to a mental hospital. The rest of the story—3 months of travel & cooking in far-flung kitchens-- is far more uplifting.
So here's a novel concept: a new pharmaceutical company focused on women's health has launched with the strategy of actually LISTENING to women! Their strategy is to put women at the center of everything they do—and not just their customers. 70% of their Board of Directors—including the Chairman of the Board—are women. Another company leader, Organon's Head of Research & Development, Dr. Sandra Milligan is our guest today. We have a broad agenda planned including talking about how she got here--& why she went to both medical and law school first. We're also going to discuss Organon's “Here for Her Health” campaign & how you can share your voice; why a new kind of women's health pharmaceutical company is needed now; How our understanding and appreciation of wellness/healthcare has evolved in a near post-COVID world; and her perspective on Innovation in women's health – the current state of it and what's needed. And because we're both women physicians of a certain age, we're going to discuss our own experiences with menopause, as well as some other women's health topics that remain overlooked, misunderstood, & undertreated ranging from post partum hemorrhage to endometriosis. Before joining Organon, Dr. Milligan served as Merck's senior vice president and head of global regulatory affairs and clinical safety. Previously, she served as vice president of product development regulatory for Genentech, and prior to that, she was at Amgen for 10 years in positions across legal and regulatory affairs functions. She also proudly served in the U.S. Army Medical Corps for 7 years. Dr. Milligan has also served on the Board of Directors of the Drug Information Association (DIA) for several years, as well as serving as their Board Chairman. She is a graduate of both George Washington University School of Medicine and Georgetown University Law Center.
For more information: https://www.twirla.com/pdf/Twirla%20FINAL%20PI%20IFU%20PPI.pdf#page=24 Currently, an astonishing 45 percent of the 6 million pregnancies in the United States each year are unintended. Every year, 2.8 million American women, married and unmarried, young and not so young, are expecting an outcome they didn’t expect. According to the Guttmacher Institute, another way to look at this data is that nearly 5% --or 5 in 100-- American women aged 15—44 have an unintended pregnancy each year. The Guttmacher Institute also reports that on average, U.S. women say they want to have two children. To accomplish that, a woman will spend close to three years pregnant, postpartum or attempting to become pregnant, and about three decades—more than three-quarters of her reproductive life—trying to avoid an unintended pregnancy. Here to discuss this & related issues is Dr. ALYSSA DWECK a practicing gynecologist in Westchester County, New York and a paid spokesperson for Twirla. She has delivered thousands of babies. . . and counseled thousands more women about how to prevent making babies when they don’t want to. A graduate of Barnard College, she has a Master’s Degree in Human Nutrition from Columbia University and a Medical Degree from Hahnemann University School of Medicine in Philadelphia. She has been voted a “Top Doctor” in New York Magazine and Westchester County. You may have read one or more of the 3 books she has co-authored: The Complete A to Z for your V, The Sexual Spark, and V is for Vagina. This episode of “In The Ladies’ Room with Dr. Donnica” is sponsored by the makers of Twirla, the levonorgestrel and ethinyl estradiol transdermal system. Twirla is a weekly birth control patch for women with a body mass index, or BMI, less than 30 who can become pregnant. Twirla is less effective in women with a BMI of 25 or more. If you have BMI of 30 or more, please talk to your healthcare provider about which method of birth control is right for you. Please see boxed warnings regarding cardiovascular risks associated with smoking and with having a BMI over 30 as well as other safety information at the end of this podcast and linked above.
You’ve heard a lot of doctors—including your own—talk about the importance of diet & exercise from many different perspectives. But today we’re going to break down nutritional information into the particularly exciting area of cellular nutrition & preventing Age Associated Cellular Decline. Today’s guest has been dancing through life from a young age. Dr. Noelle Reid is a board-certified Family Medicine physician who was a trained dancer prior to medical school. She bridged her love for dance through the practice of Yoga, Pilates, & movement, which she has creatively made into a focal point of her medical practice. Dr. Reid is a graduate of the University of Chicago Pritzker School of Medicine & completed her residency at Harbor UCLA Medical Center. She has also been a medical contributor for ABC/ Good Morning America, & a frequent guest on other shows including Fox Soul TV, Good Day LA/ Fox 11, and “The Doctors”. This episode of “In the Ladies’ Room with Dr. Donnica” is sponsored by Celltrient Cellular Nutrition, a new line of nutritional beverages and supplements from Nestle Health Science that are formulated with cellular nutrients that go to work deep within your cells to address key sources of Age-Associated Cellular Decline (AACD).
Dr. Erika Moseson is a pulmonary and critical care medicine physician aka a lung and ICU doctor. She’s a graduate of Cornell Medical School. She’s the founder of Air Health Our Health, an educational resource regarding the intersection of breathing healthy air and the well-being and weals of our communities. She hosts the Air Health Our Health podcast where she interviews experts on everything from tobacco and vaping to policy options to improve public health. She is one of the American Lung Association’s Health Professionals for clear air and climate action. Erika and Donnica talk about clean air. Erika believes in the motto “don’t light things on fire and breathe them into your lungs”. This pertains to tobacco, marijuana, diesel, fire, and more. When you light something on fire, the particles that are generated hang in the air. Even though you can’t see them, they are there and you are breathing them in. This year we’ve seen an unprecedented number of wildfires in California. Californians are now having to check the air particles before they can walk outside to know if the air is safe to breathe. The particles that you inhale go into your blood veins and can stay there and lead to heart attacks, strokes, and other diseases. Erika goes over what needs to be done policy-wise to create cleaner air. A lot of companies rely on transportation methods that are terrible for the environment and finding cleaner solutions are key to cleaner air. They discuss how smoking and tobacco sales should change to support the environment and people who are looking to quit smoking. Tobacco companies target lower-income communities and people of color in their advertising. This is directly impacting the health of those communities at a disproportionate rate. Now kids are being introduced to vaping, which has an insanely high amount of nicotine compared to smoking cigarettes for something that is flavored like bubblegum.
If you’ve watched an episode of Grey’s Anatomy, you know organ transplant is a TV writer’s dream for high drama. In real life, roughly 20 people on transplant lists die everyday while donors remain elusive. This gap is particularly significant in New York, which is home to approximately 10 percent of those waiting in the US for organs but has a lower donor registration rate than the national average. A single donor can save up to eight lives and aid up to 50 more through tissues like blood cells, bone, and corneas. Dr. Amy L. Friedman is a transplant surgeon and the Chief Medical Officer/Executive Vice President of LiveOnNY, the non-profit that oversees transplant donations in the greater NYC area. She received her undergraduate degree in biology from Princeton University, her MD from Downstate Medical Center/SUNY in Brooklyn, her training in general surgery also at Downstate, and her training in transplant surgery at the University of Pennsylvania. She has been on the faculties of the University of Pennsylvania, the Yale University School of Medicine, and SUNY Upstate Medical University. She talks about the importance of blood and organ donations. She goes through the life of a donated organ, which can include anything from a liver to a face. She also tells us about the effects of COVID on organ donations and transplants. You can be an organ donor living or dead, and it is absolutely essential to helping other people get the organs they need to survive.
Like 3.4 million people in the U.S., Laine Richards has active epilepsy and faces the daily challenges of this commonly - but also misunderstood - condition. People living with epilepsy are in the constant state of the in-between - an anxious juggling game of seizure activity, recovery, and wondering when the next episode will occur. During a seizure, patients can experience a wide range of symptoms that can include loss of consciousness, inability to swallow, tremors, and rigid or tense muscles. Regardless of the severity of their disease, epilepsy can be incredibly frightening for patients and their caregivers. Laine has been inspired to help others in her shoes. She has been to Capitol Hill to speak with members of Congress about the importance of epilepsy research and funding, and for the past four years, she has represented the state of Michigan with the Epilepsy Foundation of America’s “Teens Speak Up!” program. She is a freshman at Grand Valley State University and plans to advocate for greater accessibility on campus while pursuing her dream of becoming a special education teacher. Laine talks about her misdiagnosis with ADHD as a child and then finally getting the correct diagnosis of Epilepsy. There are numerous types of seizures that people can have, and they affect everyone differently so it’s important to talk to your doctor and get a proper diagnosis. Laine opens up about explaining epilepsy to roommates and friends to create clear communications of what to expect in the case of a seizure.
Are you sick of false information circulating in the news and social media about important health care topics from COVID 19 to vaccines to what we should eat to what undies we should wear? Well, so am I and so is today’s guest Dr. Nina Shapiro, a graduate of Harvard Medical School. She is the Director of Pediatric Ear, Nose, and Throat at the Mattel Children’s Hospital UCLA and Professor of Head and Neck Surgery at the David Geffen School of Medicine at UCLA. With more than two decades of experience in clinical and academic medicine, she’s a trusted expert whom her patients and the media rely on to set the record straight about health fads and misconceptions. Her book “HYPE: A Doctor’s Guide to Medical Myths, Exaggerated Claims, and Bad Advice - How to Tell What’s Real and What’s Not” addresses these myths. Today in the ladies’ room, Dr. Donnica and Dr. Shaprio go through some of the big hype that we hear about medical issues and figure out what is true and what isn’t. There are so many products and trends about our health, but it’s important to remember to get the medical information as opposed to the hype about medical treatments. She also talks about the importance of risk. Every day there is a certain amount of risk we face, but how do we factor in risk when it comes to medical procedures? And they talk about the celebrities who try to sell dangerous, overpriced products to women.
You may know today’s guest Terri Cheney from Amazon Prime’s “Modern Love. Her struggle with bipolar disorder was portrayed by Anne Hathaway, who wrote that “Terri Cheney’s unflinching commitment to telling her own truth on her own terms moved me into a new place of compassion. Hers is an unparalleled—and deeply necessary voice.” Terris is a New York Times bestselling author of “Manic”. She now has a new book “Modern Madness: An Owner’s Manual”. Publicly, Terri was an entertainment attorney, but she struggled with managing bipolar disorder behind the scenes. Terri’s writings and commentary about bipolar disorder have also been featured in the New York Times, the Los Angeles Times, the Huffington Post, NPR, PsychologyToday.com, and countless articles and blogs. She is a member of the Board of Directors of the Saks Institute for Mental Health Law, Policy, and Ethics at USC; the Honorary Board of Directors of the International Bipolar Foundation; and the Board of Directors of Project Return Peer Support Network. She also founded and facilitates a weekly mental health support group at UCLA’s Neuropsychiatric Institute. Terri joins Dr. Donnica to open up about her experience with depression and feeling manic. Terri talks about how to communicate with your friends and family who have bipolar disorder in a way that is understanding and encouraging. She talks about the importance of creating clear communication with your loved ones so you know how to talk about cycling between moods. Terri makes the connection between mental and physical health that are often treated as two separate things.
Dr. Carol Balthazar is an Internal Medicine physician specializing in aesthetic medicine, the co-founder and medical director of Longevity Medical Spa, and the co-founder of TheraPearl reusable hot and cold packs. She is a married mother of 3, and her oldest son has Autism Spectrum Disorder. She is an appointed member of the Maryland Behavioral Analyst and Advisory Committee and a member of the Howard County Autism Society. Her passion for advocacy in the Autism community led her to create The Autism Mom MD Podcast. If you have any questions, comments, or suggestions for topics you’d like to hear on her podcast, you can connect with Dr. Balthazar on Instagram @austim_mom_md or on Facebook @AustimMomMD. Carol talks about what the spectrum of Autism means and how it affects different people. With her son, she suspected that he had Autism Spectrum Disorder based on his behavior as a young child. It was then confirmed when her son was in fifth grade. For a long time, people had dismissed his behavior as “oh he’s just being a boy” or “he’ll grow out of this”. So Carol had to take charge and get her son tested. Once her son was diagnosed, she then had to keep pushing his teachers to keep believing in him. Carol also discusses the importance of getting vaccinated and getting your children vaccinated. Dr. Donnica and Dr. Balthazar address the false information that vaccines can lead to Autism.
Tracy Tutor is the first and only female star of Bravo’s hit show “Million Dollar Listing: Los Angeles”, a Wall Street Journal Best-Selling author of “Fear is Just a Four-Letter Word”, and a multi-million dollar real-estate mogul. She is a divorced mother of two teenage daughters. During the painful time after her divorce, Tracy turned to fitness as a way to cope with the changes within her family. She encouraged her fans to put themselves first and take care of their bodies and their minds. She steps into the ladies’ room today to tell us about her journey into falling in love with fitness and falling in love because of fitness. She talks about how she was able to make fitness a part of her everyday routine and something that she actually looks forward too! She believes that it’s important to keep trying new things. No one has it all figured out. So facing your fears is the thing that will keep pushing you to be better and achieve more.
Brittany’s new book “Instant Loss On A Budget” features delicious, crowd-pleasing meals that are friendly to both your wallet and waistline. She believes healthy eating is for everyone. She is the bestselling author of “Instant Loss Cookbook” and “Instant Loss: Eat Real, Lose Weight”. For years, she struggled with obesity, hypothyroidism, yo-yo dieting, and chronic fatigue before she changed her relationship with food. She started cursing out processed food and takeout and replacing them with healthier meals. Through her diet, she was about to lose 125 pounds and keep it off. Now she has been able to improve her health and the health of her young daughter, who was diagnosed with rheumatoid arthritis in 2016. When she started dating her husband, her eyes were open to a world of more than the cheapest white bread on the shelf. She and her husband started watching nutrition documentaries together, and she started her journey into health. When her husband got her an Instant Pot, she got excited to learn new healthy recipes that were fast. She talks about how her health issues informed her pregnancies.
Dr. Shikha Jain is not only at the summit amongst women in medicine, but she is the chair of the Women in Medicine Summit, a national conference focused on gender equity. She is a board-certified hematology and oncology physician on faculty at the University of Illinois Medical Center with a focus on Gastrointestinal malignancies and a special interest in neuroendocrine tumors, precision oncology, immunotherapy, genomics, colorectal and pancreatic cancers, hepatocellular carcinoma, and advances in cancer therapy. She is also the host of the podcast “The Oncology Overdrive” as well as the co-founder and COO of the group Impact4HC. Recently, she was listed as Medscape’s Top 25 Rising Stars in Medicine. Today, she enters the ladies' room to talk debunk a lot of information that is being spread about the COVID vaccine. Dr. Jain is ready to get the vaccine as soon as possible and encourages others to get vaccinated and be smart about where they are getting their information. Dr. Donnica calls out physicians in the spotlight who are spreading false information on the coronavirus that can be dangerous to people who are at risk. Science is based on facts, not opinions. There aren’t alternative facts when it comes to medicine. They dive into what exactly “anecdotal evidence” is and how to process anecdotal evidence when you hear about it. Just because something works for one person, that doesn’t mean that it is a medical study that applies to the general population.
Chaunte Lowe is a four-time Olympian (2004, 2008, 2012, and 2016) high jumper. She won the Bronze medal in the 2008 Olympics. She’s the American recorder holder in the women’s high jump in indoors and outdoors. In 2018, she found a small lump in her breast at the age of 34. When the doctors told her everything was fine, she knew that something was still wrong. After a second opinion, she was diagnosed with Stage 1 breast cancer. Her life was turned upside down when she underwent a double mastectomy and chemotherapy. Her first instinct was to blame herself for something she thought she did wrong. Dr. Donnica talks about all of the things that can be out of our control. Her tumor was triple negative, which affects mostly African American women. Roughly 10% of people with breast cancer have triple-negative cancer, meaning that there’s less research for it. Chaunte also had the rude awakening that Black Women are more likely to die from a cancer diagnosis than White Women. Chaunte Lowe is now partnering with Stand Up to Cancer to encourage people to go to the doctor and get regular examinations as well as listening to their bodies. She is dedicated to making more people aware of the risk of cancer and how getting an annual examination can save your life. So she trained for the 2020 Olympics throughout chemotherapy and her double mastectomy. While she was disappointed that the Olympics were postponed to 2021, she is finding the silver lining and getting inspired to train harder.
In 2018, entrepreneur and former professional baker, Frances Tang was inspired by a spatula and cake batter to break into the $20.6 billion feminine hygiene industry. While scooping the excess batter from her kitchen aid, she thought, “Why can’t clean up after sex be this easy?” After several awkward conversations with friends, family, and eventually investors, Frances launches her company Awkward Essentials. It’s a direct to consumer brand with the purpose of creating solutions for life’s embarrassing problems. Instead of a CEO, Frances calls herself “Captain Awkward”. She talks about her journey into creating the sex clean up sponge. Many women don’t have all of the information on women’s health and sex. She’s been using this opportunity to teach women all of the taboo’s that people don’t like talking about! You can check out her website and get your own DripStick here: https://awkwardessentials.com/
Dr. Faubion is the Professor and Chair of the Department of Medicine at Mayo Clinic and the Director of their Center for Women’s Health. Stephanie is the Medical Director of The North American Menopause Society. She has come up with her own version of “the talk”. No, not an awkward conversation between you and your parents talking about menstruation and sex. Dr. Stephanie Faubion has developed a new version of “the talk” to get women information about menopause. She goes over everything from the definition of menopause to what to expect from it. Stephanie encourages women to talk to their doctors in their 40s to prepare for what’s going to happen during menopause. She has found that a lot of women are not even aware of some of the symptoms of menopause beyond hot flashes. The more informed women are when going into menopause, the better equipped they can be to work with their doctor to be ready for it. She goes over different options women have to combat symptoms that may come from menopause. For more information on menopause, you can go to http://www.menopause.org/
Dr. Padmini Murthy is a Professor and Global Heath Director at New York Medical College School of Health Science and Practice. She is an obstetrician and gynecologist, as well as an activist. She has practiced medicine for over 30 years in several countries. She holds an MPH and an MS in Management from New York University. Dr. Murthy serves as the Medical Women’s International Association NGO representative to the United Nations as well as the Global Health Lead of American Medical Women’s Association. With many states still struggling to deal with COVID, Dr. Donnica and Dr. Murthy talk about how everyone is able to step up and help in the pandemic. They discuss the importance of blood donation, social distancing, and wearing a mask. Some people are afraid to go out and give blood, but Dr. Murthy debunks those fears! Taking small steps can make a big difference in making your community a healthier place. Padmini talks about helping women who don’t have access to feminine hygiene products. All over the world, America included, women aren’t able to get information and hygiene products needed for their periods. She shares the work she is doing to bring light to this issue and make it a more discussed topic.
In the ladies’ room today, we have US Congressional Candidate, Cathy Kunkel, who is running as a Democrat in West Virginia’s 2nd Congressional District. Cathy has defended West Virginians against monopoly electric utilities, analyzed the economic and financial impact of natural gas drilling and pipelines in the region, researched absentee land ownership in West Virginia, and fought electric utility corporate bailouts. She’s is the co-founder of Advocates for a Safe Water System in the aftermath of the January 2014 Freedom Industries chemical spill. She is the co-founder of Rise Up WV, an organization that advocates for healthcare for quality public education, better services for those suffering from addiction, and many other issues we’ve discussed on this podcast. Cathy discusses her stance on healthcare. Specifically, in West Virginia, the coal industry that is now leaving and shrinking because of financial and environmental reasons has left a lot of former coal workers with black lung disease. Even though, many coal workers are entitled to help from getting this disease at work. they are struggling to fight big lawyers working against them. Now that many West Virginians have lost their coal mining jobs, they are being left without health insurance. She goes through her plans for helping the environment and health insurance if elected to Congress.
Dr. Dani Jackson is a first-generation college student finishing her final year of residency at the Yale Department of Psychiatry. Now she is working to address healthcare inequity and social justice of the unmet health needs of the black community due to systemic racism and structural vulnerability. She is the co-director of the Social Justice and Health Equity Curriculum for the Department of Psychiatry at Yale. She is also a recipient of the National Medical Association’s Top Health Care Providers Under 40 Award for 2020. She enters the ladies’ room to talk about being a little girl who loved to learn and want to learn more about diseased directly affecting her family. This prompted her to go to medical school. Dani and Donnica talk about racial inequality in the health care system and also in medical school. Many people can go through elementary school, high school, and even into college without a black teacher. Even more never see a black doctor. The more representation there is in healthcare, the more people there are on the side of fighting racial inequity. Someone’s zip code should not dictate their life expectancy.
Candice is an Anesthesiologist/Pain Physician and musician from Los Angeles. Her passions from making quality music and spreading joy through live performance, writing, producing, and singing started during her childhood when she said she wanted to be a doctor and a musician when she grew up. After completing her medical education, she began studying piano, which led to her passion for R&B and jazz. Her nickname is KeyBoard Doc, which pays homage to her transition from being a physician to a musician, writer, and producer. Candice and her husband Keith are the co-founders of Backstage Consultants - a company that offers full-service live music support, in-person and virtual instruction in piano and drums, and support organizations wishing to improve the administration of their music departments. She talks about her experience of feeling like an “other” often being the only woman in her classrooms. She was able to spin that experience into a positive for herself by learning about many other cultures as she was constantly surrounded by people different than herself. But she still faced discrimination when people constantly asked her to prove that she belonged in medical school. After working as a physician, she realized how much stress she was under. When she turned to music, she was able to find so much creative energy that was waiting for her. She made the hard decision to turn down having a steady income to trusting that if she jumped into the music world, she would find her footing.
Today we welcome comedy legend, Vicki Lawrence, back on the show. Vicki is best known for her iconic characters on Mama’s Family and The Carol Burnett Show, and she recently co-starred in “The Cool Kids” on Fox. Now she’s using her voice to share her personal experience with chronic idiopathic urticaria (CIU). She is partnering with the Asthma and Allergy Foundation of America on their national education and awareness program called “CIU & You”. Most people haven’t heard of CIU, but it affects approximately 1.6 million people in the United States. Vicki talks about her experience dealing with this extremely uncomfortable feeling in their skin. Vicki spent 6 weeks dealing with hives and having discomfort but not understanding what was going on with her body. Finally, her doctor diagnosed her with CIU. When people break out in hives, people often suspect it’s something they’ve done wrong. People try to change their diets, their detergents, and even give up their wine, when in actuality, this is a disease that isn’t anyone’s fault. Most people just don’t know about CIU, which leaves people wondering what’s happening to them. Vicki gives her tips on who to talk to and how to find the best doctor for this condition. She is now working to make this disease more well known so people don’t have to suffer not knowing what their diagnosis is, and she is now the proud self-proclaimed face of hives! Learn more at https://www.ciuandyou.com/
Happy Women in Medicine Month! We’re celebrating by talking with super doc Dr. Kamala Tamirisa, a cardiologist super specialist in Cardiac Electrophysiology & Advanced Cardiac Imaging at Texas Cardiac Arrhythmia. She completed her training in Internal Medicine and served as Chief Resident at St. Louis University in Missouri. After she completed General Cardiology, Cardiac Electrophysiology, and Cardiac MRI fellowships at the University of Michigan. She then joined a large cardiology group (ProMedica Physicians Cardiology) in Ohio where she serves as the Director of The University of Toledo. She talks about her journey into medicine, which started with her father walking into her classroom trying to get her to stop studying medicine. Kamala and Donnica discuss how even though everyone is tired of talking about politics, politics plays a crucial role in our healthcare system. Kamala talks about her personal experience of working with patients who refuse to wear a mask during the pandemic. If Kamala could make one big change in the health care system, she would take away the insurance companies she has to fight with to get her patients the care they need. They discuss RBG’s legacy and the best way for the Supreme Court to move forward to give women the best fighting chance for fair healthcare.
Shahada Karim is an influential wellness and fitness expert behind the organic bath and body brand Habibi. Today she’s here to share her philosophy on intuitive nutrition as the world continues to stress eat during the coronavirus pandemic. She shares her journey from journalism to yoga and learning to let go of expectations. She talks about bringing balance into her clients’ diet. When she started her journey as a wellness and fitness expert, she learned quickly that no one who created nutritional plans knew how to cook. A lot of people begin health journeys to lose weight rather than feel better. She encourages her clients to love their whole selves. A lot of women spend time cooking three separate meals for their families. Her company Habibi builds a community for people who are all seeking to find wellness. You can find out more about her program on her website: www.habibibodysport.com.
Dr. Casperson attended medical school at the University of Minnesota and moved to Denver for a six year urology residency. She specializes in urogynecology including urological conditions specific to female patients, such as stress urinary incontinence, pelvic organ prolapse, vaginal atrophy related to menopause, sexual health, and other health concerns. She’s an expert in InterStim therapy and Botox injections for bladder leakage, urinary incontinence, and incomplete bladder emptying, as well as vaginal laser therapy treatment for genitourinary symptoms of menopause. She also hosts her own podcast “You Are Not Broken.” Dr. Casperson tells us about the joy she has discovered with telemedicine in the pandemic. She has been able to treat many of her patients via video calls. Kelly and Donnica talk about the pelvic area including a lot of confusion about the labeling of the female anatomy. They even go into waxing your vulva — not vagina! When women hit their 50s, the labia minora begins to dissolve without topical estrogen. Now a lot of young women are worried that their labia is not normal. Kelly has a great rule for you: you’re normal! Everyone’s labia looks different, and that’s normal. Some people will get a reconstructive surgery to change the look of their labia to look more “normal”. Dr. Casperson finds this unnecessary and warns that it could damage the clitoris for women. She has started teaching a female sex class. She teaches everything from the importance of lube to learning what creates female arousal. And now men are interested in having their own version of the sex class.
Ariel Meadow Stallings became internet famous at the OffBeat Bride and is now the author of a nuanced self-help book “From Sh!tshow to Afterglow: Putting Life Back Together When It All Falls Apart”. She wrote the books after dealing with her own medical crisis, divorce, and business setbacks that left her life in shambles. Today, she’s joining us from the home recording studio inside her closet! Ariel talks about how her identity as an “offbeat bride” then added another aspect of complication to her divorce. In the midst of feeling like she was falling apart, she turned to BDSM therapy. Through her traditional therapy, she talked through a new sexual exploration she wanted to go on after her divorce. This experience allowed her to grapple with the ideas of resistance and surrender with her issues. Ariel talks about her journey into this new world of BDSM and teaches Donnica what a glory hole is!
Dr. Sophia Yen is the CEO and Co-Founder of Pandia Health, a women physician founded and led birth control delivery company, which has a sterling credentialed Board of Directors of ten physicians — all but one are women! Dr. Yen graduated from MIT, UCSF Medical School, and UC Berkely’s MPH program. She is a Clinical Associate Professor of Pediatrics at Stanford Medical School in the Division of Adolescent Medicine and serves on the Executive Committee of the American Academy of Pediatrics’s Section on Adolescent Health. She has co-founded three non-profit projects to improve the lives of women: The Silver Ribbon Campaign to Trust Women, SheHeroes.org, and fffl.com. She is a mother and wife of a feminist. Her goal is to be the first surgeon general to be able to say masturbation without being fired. Dr. Yen joins Dr. Donnica to have a discussion on sexual education for teenagers. There’s a lot of misinformation about sex for teenage girls. Often teen pregnancies happen when girls have sex because they feel like they’ll lose their boyfriend if they don’t. Dr. Yen encourages girls to learn why they want to have sex to empower them to make the best choice for themself. A lot of families are afraid to talk to their kids about sex and periods. This leads to girls missing out on important information on their bodies. There’s so much stigma around your period. So Donnica and Sophia talk about their most embarrassing period stories to get them out in the open! Now, there are options to not have your period safely with different birth control options. Her company, Pandia, allows women to order their birth control from home. This way women are not tethered to going to their pharmacists once a month, every month. Their goal is to make sure no one runs out of birth control.
Dr. Arabia Mollete is an emergency medicine physician and health expert in the South Bronx, NY. She was one of the frontline workers in the Emergency Department in New York City at one of the hardest hit hospitals, which she describes as a “war zone”. You can hear more from her on her own podcast “The Visit with Dr. Arabia Mollette.” Dr. Arabia Mollete talks about her experience with youth and domestic violence before and after the pandemic. She comes from a family that suffered from substance abuse, depression, domestic violence, suicide attempts, poverty, and homelessness. She has been able to turn these experiences into the strength that led to her becoming a doctor. Dr. Arabia discusses the racial and institutional disparates she saw first hand during the start of the pandemic. Certain zip codes were getting more initial funding than hospitals in more affluent zip codes. Now health insurance has become more of a business than part of health care which has been hurting patients. There are big changes that need to be made in the country in order to create a healthier world for all of us. The push for children to go back to school and the refusal to wear masks are going to lead to the virus being around for much longer than it should.
Dr. Geeta Nayyar is a rheumatologist, an assistant professor at Florida International University, a nationally recognized leader in healthcare information technology, an Executive Medical Director for Salesforce, and an author. If that wasn’t enough, she has also been named one of the “Top 26 Smartest People in Health IT” by Becker’s Report, ranked one of the “Top 25 Minority Healthcare Executives” by Modern Health care, and is recognized by the Med City News as one of the “Top 12 Powerful Women Voices in Healthcare Innovation and on Twitter.” Geeta and Donnica talk about what people can do to actually prevent coronavirus, and they discuss false information and “cures” that are being talked about. While there isn’t a magic pill you can take for the virus, there are a ton of basic things you can do to be safer. They debunk other myths that have been circulating about coronavirus. They talk about issues in the healthcare system. Often doctors are not allowed to step in until it’s too late. Rather than being able to help patients with preventative issues, doctors have to wait until something bad has already happen. Dr. Donnica asks the simple question “What would you do if you could give $30 to all of your patients?”
In the ladies' room today, we have some breaking news! Our guest, Dr. Hiral Tipirneni, just won the Democratic primary in Arizona’s 6th Congressional District! Hiral is an emergency medicine physician, cancer research advocate, and on the board of directors of the Maricopa Health Foundation. She discusses the coronavirus and mistakes states have made along the way. They also go into detail on the steps states and government officials can take to get more testing and help lower the spread of the virus. Hiral talks about what inspired her to run for office and how she saw a need to help her country. Hiral and Donnica talk about the history and importance of having doctors in Congress. Hiral goes over her plan to improve healthcare in America and the fight going on right now to stop people from getting healthcare. She believes that a public healthcare option is essential to create a better system for Americans. She talks about her personal experience watching family members suffer from a failed healthcare system.
Dr. Becky Kaufman Lynn is back to talk about what you’ve all been asking about: how to have safe sex during the pandemic. Dr. Lynn is just the person to talk to about his. She is the Director of the Evora Center for Menopause and Sexual Health. She’s a board-certified gynecologist, sexual medicine specialist, a trained Sexual Counselor, a Certified Menopause Provider, and an Adjunct Associate Professor of Obstetrics and Gynecology at St. Louis University School of Medicine. If you haven’t heard her on episode #59 “Becoming Cliterate”, go back and listen! She answers your questions about what’s allowed when your partner tests positive for COVID-19. Becky and Donnica go into the types of conversations you should be having with your children about safe sex in the pandemic. And they discuss how to go about being single and deciding to mingle right now. Overall, it’s almost impossible to be completely safe if you’re engaging in sexual activity without quarantining with the person. But Becky and Donnica give some tips on how you can be smart in your sexual activity.
Dr. Sara Winokur is an accomplished molecular geneticist, researcher, and novelist. She has earned a master’s degree in cytogenetics and a Ph.D. in molecular genetics. She was on the team that discovered the genes associated with Dwarfism, Muscular Dystrophy, and Huntington’s Disease. She is an ovarian cancer survivor and thriver. Sara discusses how the coronavirus is mutating. Unlike the flu virus, coronavirus isn’t mutating at as quickly of a rate. This means that vaccine research should be able to keep up with how the virus is changing. She talks about her experience with ovarian cancer. Sara was lucky in that she was able to catch ovarian cancer at stage one. Unfortunately, many women do not get diagnosed until stage two or three because there are so few symptoms. While Sara was recovering, she spent her time writing her new novel “Double Blind: The Icelandic Manuscript Murders” which is out now.
Dr. Nicole Christian-Braithwaite is a psychiatrist as well as the Founder and CEO of Well Minds Psychiatry & Consulting. She graduated from the University of Pittsburgh School of Medicine and complete her psychiatry resident training at Massachusetts General/McLean Hospital Residency Program. Nicole and Donnica talk about postpartum depression and explain what it feels like for new moms. Nicole discusses the details of her experience with postpartum depression and not being able to do basic tasks or feel good enough to be a mom. When she reached out to a a psychiatrist and her support system to find out that postpartum is very common for new moms. From there, she realized she needed to share her story so other women wouldn’t feel ashamed by their feelings. Over 40% of black women in America experience postpartum depression, but unfortunately, it is often diagnosed too late. They talk about what leads to the percentage of black women being more susceptible to postpartum depression than white women.
Dr. Tsion Firew is an emergency physician at Columbia University, where she’s an assistant professor of Global Health. She’s served as a medic in the Iraq War. She’s also become a huge advocate for COVID testing for front line workers after she tested positive herself. Tsion joins Dr. Donnica and talks about when it’s necessary to call 911 and take an ambulance or drive to the hospital. Often people will decide to bring their loved ones to the hospital on their own, but calling an ambulance will give them extra time to be treated before they get there. They discuss the experience of working in the hospital during the pandemic and what that means for health care workers who are constantly being exposed to COVID positive patients. Tsion discusses the racial disparities she has seen in the pandemic. During her time at medical school, Dr. Firew consistently noticed that there were very few women of color in her classes. And now she’s seeing similar racial issues for patients. Unfortunately, the outcome of many medical cases is related to what zip code the patient lives in. People in lower-income zip codes are not being treated as well as people in wealthy zip codes. When people don’t have the same levels of education and healthcare, people are unfairly getting left behind.
Latham Thomas is a Celebrity Doula, one of Oprah Winfrey’s Super Soul 100, and a Maternity Wellness Expert. Latham works with women to embrace their optimal wellness and spiritual growth to empowerment. She’s the founder of Mama Glow, a global women’s health and education brand. A new version of her book “Own Your Glow: A Soulful Guide to Luminous Living and Crowing the Queen” is out this summer! She tells us about the experience of being a virtual doula in the times of coronavirus. She’s been teaching her methods online during these times. She goes through what a doula is and how a doula can be a helpful third party in the birth to feel supported and empowered in the process. The rules of the hospitals have changed during the pandemic. So it’s important that expecting mothers are prepared for the new procedures of the hospital. It’s important to use this time at home to listen to what your need to work on yourself. Find a self care routine that will allow you to live a happier life. What can you cut out that is adding unnecessary stress in your day to day. Let’s learn how to not go back to a stressful lifestyle most of us led pre-quarantine. They discuss the Black Lives Matter protest that have come about in quarantine and how we can carry this activism into our daily lives. There’s also a huge problem with racial discrimination in the medical field that needs to be addressed. Dr. Donnica and Latham talk about how we need to create a new pathway for people to get medical help.
In the ladies' room, today is Claudia Garcia, MBA, RN, CADAC II, LAC. She has more than fifteen years of direct patient care experience as well as managerial and recruitment experience. She currently is an appointed member of the Indiana Office of the Attorney General and Prescription Drug Task Force. She talks about her personal and professional experiences with addiction which have led her to develop one the most seamless, comprehensive, and resourceful family programs in the country, The Parkland Center in Chesterton Indiana. She discusses the substance abuse issues in America and how treatment and aftercare treatment can save lives. Recovery is a lifetime journey, and Claudia is working with people to be sober not only when they're in treatment but what happens after. It can differ for everyone. So she's trying to find the best ways to get across to someone you love and get them the help they need.
A big day in the ladies' room because we have a Grammy nominee, a married couple, and a gender reveal! Sekou Andrews is a world-renowned spoken word poet who has performed for Barack Obama in Oprah's backyard. His video "Flawlessly Fallen" was inspired by his wife Stacy's miscarriage, and you must watch it! Sekou and Stacy join me in the ladies' room to share their very personal story of having a miscarriage and how most people don't know what to say when their friend has one. So they end up not saying anything and what a lonely experience that can be. They talk about their journey into this new pregnancy during the age of coronavirus and what that means for doctors' visits and kicking dad out of the room.
Dr. Lucy McBride is a Washington DC internist who graduated with honors from Princeton University and Harvard Medical School. Subsequently, she spent a year studying pharmacology as a Fulbright scholar at the University of Cambridge in England, followed by residency training at Johns Hopkins Hospital. After several years practicing Emergency Medicine at Hopkins, she joined Foxhall Internists in Washington DC. She has special interests in hypertension, heart disease, diabetes, and women’s health. She recently came out with a daily newsletter about COVID-19 that has now gone viral. She gives advice not only about coronavirus but also keeping up your mental health during the pandemic. A lot of people are experiencing anxiety and trauma from the quarantine. Everyone is going through a state of loss, whether that be the loss of a loved one, the loss of your daily routine, the loss of your high school graduation. Though the loss can vary in degrees of heaviness, we still have to acknowledge that loss.
Here to discuss PTSD with us today is Dr. Una McCann, Professor, Department of Psychiatry and Behavioral Sciences at Johns Hopkins University School of Medicine where she is also the Co-Director of the Center for Interdisciplinary Sleep Research. Previously, she held positions as a research psychiatrist at the Walter Reed Army Medical Center and as Chief of the Unit on Anxiety at the National Institutes of Mental Health. She is an editorial board member for 6 different medical journals, and widely regarded as a pre-eminent expert on depression and anxiety. We discuss how PTSD is an anxiety disorder. Una goes through the criteria for what is considered PTSD and the behavior that comes with the disorder. They talk about why some people go through traumatic experiences and develop PTSD and why others don't.
Dr. Lynn Seeley is the CEO of Myovant Sciences. She is an endocrinologist with over 20 years of drug development and biopharmaceutical company leadership experience. Prior to joining Myovant, she served as Chief Medical Officer of Medivation for 10 years where she led the development of XTANDI® (enzalutamide) for the treatment of metastatic castration-resistant prostate cancer. Today Lynn and Donnica are taking a break from talking about the pandemic to go back to the basics of the ladies' room: period talk. Women don't talk about their periods enough so often women are silently suffering from really harsh period pains. Lynn encourages women to be more open about their periods so that they can know their period better. So they open up and share their own period horror stories so you can feel ready to share your own!
Dr. Beverly Zavaleta is a board-certified family physician, author, mother, and long-time advocate of patient education. She received her medical degree from Harvard Medical School, and she now works as a hospitalist in Texas. In 2015, she was diagnosed with triple-negative breast cancer, and she underwent grueling chemotherapy, which led to her writing her book Braving Chemo. She talks about her journey with breast cancer. When she first got her diagnosis, she was shocked and started building her support team. Beverly and Donnica break down the different vocabulary used with cancer to make your diagnosis easier to understand. The entire experience inspired Beverly to take action and write her book. She felt that she had to share her experience both medically and emotionally to help others in their cancer journeys.
Dr. Ava Shamban is a celebrity dermatologist in California who is still working hard in the pandemic. She has been taking a number of telemedicine phone calls to help people with their skin from home. We're all washing our hands more than ever. Ava goes over the best way to not only wash your hands but how to moisturize after to keep your skin healthy. She goes into the many benefits of wearing a face mask beyond protecting from coronavirus. Ava talks about the first signs of coronavirus and how to know what to look out for.
Nina Sossamon-Pogue has a wealth of experiences behind her: She has been a member of the United States Gymnastics Team, a successful corporate executive, an investigative reporter, an Emmy Award-winning news anchor, and was voted Charleston’s Favorite News Anchor for 10 consecutive years. She has also flown through the eye of Hurricane Andrew, covered the 9/11 World Trade Center attacks, experienced a life-altering injury, been downsized from a beloved job, gone through a divorce, and been a single mom. She talks about how she was able to overcome the unimaginable. She was the driver in a devastating accident in her co-anchor’s driveway—that crushed the skull of her friend’s baby boy. This led to despair and suicidal thoughts. But it also led to a miraculous full recovery for the baby and herself. Through this, she learned that everything in your life is just one chapter of your lifestory with a ton of blank pages ahead.
Our guest today is expert couples’ counselor & psychologist, Dr. Sarah Rattray. A native New Yorker, she relocated to the west coast in the 1980’s where she got a PhD in Clinical Psychology from the CA School of Professional Psychology and has been a practicing clinical psychologist for more than 3 decades. She joins the podcast today to discuss building the foundation of good communication in a relationship that creates a safe space for all members. Listening is a huge part of a relationship. What does your partner need from you right now? Do they need you to listen and be there or take action with you? Being able to understand their goals will allow you to be a better partner. When we're all locked in with our significant others and family members, how do we still respect each other's space and time?
Dr. Jacqueline Jones is an NYC ear nose and throat doctor with too many awards to list. To name a few, she's received Top 100 Black Doctors in the United States Award, the Talk of the Town Award, Yelp Patient Satisfaction Award, and the Teacher of the Year Award from Weill Cornel Medical Center. She's also currently quarantining at home with her children during the pandemic. She goes through what it means to be a mom and a doctor during this time. No one wants to think about emergencies with their children, but they do happen. And when emergencies happen, it's always better to be prepare. Dr. Jacqueline Jones goes through ways to be prepared for when something unexpected happens.
Jessi Gold, M.D. is an Assistant Professor in the Department of Psychiatry at Washington University in St Louis School of Medicine. Today, she joins Dr. Donnica in a conversation about dealing with anxiety during the coronavirus pandemic. They talk about the difference between social distancing and physical distancing. Even while we are physically apart from friends and family, it is still important to check in on people and continue strengthening your relationships in new ways inside the confinements of the pandemic. During these extreme times, Jessi has noticed how the pandemic has affected the mental and physical health of her patients when they are being forced to slow down and spend more time at home with themselves and their families.
My guest today is a friend of the show, who millions know as “Dorothy the Organizer”: the fearless-yet-endearing efficient problem-solver on the hit show “Hoarders” on A&E. We’re chatting today during the week that Dr. Anthony Fauci, Gov. Andrew Cuomo & even President Trump anticipated would be one of the toughest weeks of the coronavirus outbreak. But I’m going to talk with Dorothy about the week that was the toughest for her: her personal experiences of being a patient--& the wife of a patient--with Coronavirus. We’re going to get her top tips for planning & preparing for the tough weeks ahead. We’re also going to talk about how you can best put your time to good use while staying home during this pandemic decluttering & better organizing your home.