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Uninhibited Podcast

Welcome to Uninhibited, a podcast with the mission to discuss taboo, multicultural, multi-generational, and multi-layered topics that matter to women. Our host, Dr. Makunda Abdul Mbacke, is an Ivy-League trained OBGYN, p... More
Latest Episode
2019-10-22

Annie Part 2

Season 2, Ep. 4

Uninhibited Podcast Shownotes

Season 2, Episode 4

Annie Part 2


Welcome to Uninhibited, a podcast with the mission to discuss taboo, multicultural, multi-generational, and multi-layered topics that matter to women. 

Our host, Dr. Makunda Abdul Mbacke, is an Ivy-League trained OBGYN, practicing medicine in rural America. She is a mother, career professional, part of Generation X, and so much more.


---


00:50 - Welcome to another episode of Uninhibited. We’re joined by Annie for part two of her interview, to discuss her background and influences that led to situations of interpersonal and relationship violence. Annie talks about her growth and survival through these deeply personal and painful challenges, as well as her future.


2:10 - Annie discusses the development of her second serious relationship, as the friendship and safety that her second partner offered was a stark difference from her first boyfriend. However, there were still some behavioral red flags in her second partner that Annie wasn’t able to see at first.


4:03 - During that time, Annie started at Yale’s Masters of Public Health program and got pregnant with their first child; her daughter was born during the first year of Annie’s Masters program.There were many other distractions and responsibilities that took up Annie’s focus, so she wasn’t able to clearly see the abusive patterns in her partner.


5:10 - Dr. Makunda asks what contributed to the abuse, and what kinds of abuse Annie’s partner subjected her to. Her partner actually suffered physical abuse from his own father and it was his goal never to emulate that behavior. Annie didn’t experience the same types of abuse that she did in her first relationship. She was able to have friends and a social life, she went to school and had jobs, he didn’t insult her - the manipulation came in the form of controlling money and working for his own self interest, at the cost of his family’s future.


8:23 - Annie explains how she was very much in the dark about their financial situation and that her partner convinced her that he always knew best. But, this was normal for Annie, as she had grown up in a household that did not speak about money or financial survival and felt she had no concept of income or money management.


13:30 - Dr. Makunda asks if Annie continued to work throughout her second relationship. Annie explains that after her daughter, their four other children quickly followed, and her focus was on being a good mother and supportive partner, despite her partner’s lies and deceit about their finances.


16:50 - Annie began to stand up for herself and her family and followed her intuition; she pushed back against her partner’s bad business deals and ideas for fear of risking her family’s security. Her partner had been sued a few times in the past, although there was nothing to be won from them because they had no money. 


19:48 - Her partner would continue to lie to her face, saying that he was listening to her but continuing to push his bad business through, which eventually landed them in bankruptcy court. Annie describes wanting to believe that their relationship was still good, even though it was clear to her that it wasn’t.


22:12 - Annie’s aha moment when she realized she had to leave her partner was signified by two events. First was when her two oldest children saw the dysfunction in the home for themselves and made the decision to leave. Second, a woman very who Annie holds very close in her heart, taught Annie about poverty, finances, and how women can be the money savers in the family, that women are generally more financially-savvy than men. This woman empowered Annie to start taking control.


24:30 - After recognizing the financial dysfunction in her partner, Annie demanded a separate bank account, prevented irresponsible spending on big-ticket items, and accurate accounting of their finances. Her partner then pursued disability and social security payments to fund his life, and Annie started to regain control and fix their financial situation.


30:20 - Annie discusses her realization of the risks her partner put her in, if he were to leave with all of their money. However, she educated herself about all the available options for money management and how to care for her finances, and empowered herself to take control. Dr. Makunda acknowledges that this is still something that we don’t promote in women, despite our good education and hard work ethic - but this is starting to change with our younger generation.


35:43 - Annie describes climbing out of their financial hole and how she transformed her life. She managed to move herself and her two youngest children to a new apartment and told her partner that he needed to find his own, separate living situation. Annie is finally finding stability for herself; she is saving herself and transforming her life.


39:45 - “I have to tell you, being your own rescuer is the best rescue of all.” - Annie leaves listeners with an inspiring message of hope, survival, and self-empowerment. 


42:35 - Annie shares a quote that really captures what her journey - and this podcast - is about: “Don’t be afraid to share your story. It could be the key that unlocks someone else’s prison.”

2019-10-22

Annie Part 2

Season 2, Ep. 4

Uninhibited Podcast Shownotes

Season 2, Episode 4

Annie Part 2


Welcome to Uninhibited, a podcast with the mission to discuss taboo, multicultural, multi-generational, and multi-layered topics that matter to women. 

Our host, Dr. Makunda Abdul Mbacke, is an Ivy-League trained OBGYN, practicing medicine in rural America. She is a mother, career professional, part of Generation X, and so much more.


---


00:50 - Welcome to another episode of Uninhibited. We’re joined by Annie for part two of her interview, to discuss her background and influences that led to situations of interpersonal and relationship violence. Annie talks about her growth and survival through these deeply personal and painful challenges, as well as her future.


2:10 - Annie discusses the development of her second serious relationship, as the friendship and safety that her second partner offered was a stark difference from her first boyfriend. However, there were still some behavioral red flags in her second partner that Annie wasn’t able to see at first.


4:03 - During that time, Annie started at Yale’s Masters of Public Health program and got pregnant with their first child; her daughter was born during the first year of Annie’s Masters program.There were many other distractions and responsibilities that took up Annie’s focus, so she wasn’t able to clearly see the abusive patterns in her partner.


5:10 - Dr. Makunda asks what contributed to the abuse, and what kinds of abuse Annie’s partner subjected her to. Her partner actually suffered physical abuse from his own father and it was his goal never to emulate that behavior. Annie didn’t experience the same types of abuse that she did in her first relationship. She was able to have friends and a social life, she went to school and had jobs, he didn’t insult her - the manipulation came in the form of controlling money and working for his own self interest, at the cost of his family’s future.


8:23 - Annie explains how she was very much in the dark about their financial situation and that her partner convinced her that he always knew best. But, this was normal for Annie, as she had grown up in a household that did not speak about money or financial survival and felt she had no concept of income or money management.


13:30 - Dr. Makunda asks if Annie continued to work throughout her second relationship. Annie explains that after her daughter, their four other children quickly followed, and her focus was on being a good mother and supportive partner, despite her partner’s lies and deceit about their finances.


16:50 - Annie began to stand up for herself and her family and followed her intuition; she pushed back against her partner’s bad business deals and ideas for fear of risking her family’s security. Her partner had been sued a few times in the past, although there was nothing to be won from them because they had no money. 


19:48 - Her partner would continue to lie to her face, saying that he was listening to her but continuing to push his bad business through, which eventually landed them in bankruptcy court. Annie describes wanting to believe that their relationship was still good, even though it was clear to her that it wasn’t.


22:12 - Annie’s aha moment when she realized she had to leave her partner was signified by two events. First was when her two oldest children saw the dysfunction in the home for themselves and made the decision to leave. Second, a woman very who Annie holds very close in her heart, taught Annie about poverty, finances, and how women can be the money savers in the family, that women are generally more financially-savvy than men. This woman empowered Annie to start taking control.


24:30 - After recognizing the financial dysfunction in her partner, Annie demanded a separate bank account, prevented irresponsible spending on big-ticket items, and accurate accounting of their finances. Her partner then pursued disability and social security payments to fund his life, and Annie started to regain control and fix their financial situation.


30:20 - Annie discusses her realization of the risks her partner put her in, if he were to leave with all of their money. However, she educated herself about all the available options for money management and how to care for her finances, and empowered herself to take control. Dr. Makunda acknowledges that this is still something that we don’t promote in women, despite our good education and hard work ethic - but this is starting to change with our younger generation.


35:43 - Annie describes climbing out of their financial hole and how she transformed her life. She managed to move herself and her two youngest children to a new apartment and told her partner that he needed to find his own, separate living situation. Annie is finally finding stability for herself; she is saving herself and transforming her life.


39:45 - “I have to tell you, being your own rescuer is the best rescue of all.” - Annie leaves listeners with an inspiring message of hope, survival, and self-empowerment. 


42:35 - Annie shares a quote that really captures what her journey - and this podcast - is about: “Don’t be afraid to share your story. It could be the key that unlocks someone else’s prison.”

2019-10-8

Episode 3: From Victim to Survivor

Season 2, Ep. 3

Uninhibited Podcast Shownotes

Season 2, Episode 3: Annie Part 1


Welcome to Uninhibited, a podcast with the mission to discuss taboo, multicultural, multi-generational, and multi-layered topics that matter to women. 

Our host, Dr. Makunda Abdul Mbacke, is an Ivy-League trained OBGYN, practicing medicine in rural America. She is a mother, career professional, part of Generation X, and so much more.


---


1:00 - Today, we are joined by Annie, a survivor of interpersonal violence. With October being Domestic Violence Awareness Month, Dr. Makunda wanted to feature Annie to share her story of overcoming her situation and taking back control. 


1:45 - Annie shares some about herself and her personal history of abuse, including physical and psychological abuse from her parents and her domestic partners. Annie had a negative relationship with her mother, who was very controlling, physically abusive, and socially isolated Annie. Annie’s father was an older man, a laid-off factory worker and rather removed from family interaction. 


6:07 - Despite her parents raising her in Depression-era mindset, Annie’s parents wanted her to get a good education and attend a private school. Annie faced a lot of bullying in public school, so she attended a boarding school for high school, where she lived full-time in her junior year. This was the time she started dating her first boyfriend, who would later become her husband.


8:25 - Dr. Makunda asks Annie what drew her to her boyfriend, which now she would read as warning signs. Annie describes that her boyfriend was not nice, often teasing and putting her down, and he didn’t offer kind or compassionate communication. He also isolated Annie from her friends and social events, especially when other men were involved. Resistance from her mother towards the relationship drove Annie to stay with this man even more. 


11:30 - Dr. Makunda reinforces that so much of what we see and experience as children can shape our future, and we should be mindful of what we expose our own kids to in their young lives. Annie missed the red flags in her partner because she saw that as normal behavior, as expressed by her mother.


12:55 - Annie was accepted at the University of Pennsylvania (UPenn) while her boyfriend went to Cornell, although she was afraid to end the relationship despite the distance. While she established a social life, Annie still felt the tension of her boyfriend telling her who she could interact with and he continued to place a lot of limitations and ultimations on what she could do.  


15:13 - Annie declared her major in Sociology and sub-matriculated into the Social Work program, which meant she could begin to take graduate studies at the same time as finishing her undergraduate degree. Her boyfriend was unhappy with that decision because she would be in Philadelphia longer and her parents were also disappointed because they expected that a prep school and Ivy League education would result in a more lucrative occupation. Annie’s parents ultimately withdrew their financial support because of her decision, and she had to figure out how to support herself in school.


19:38 - Under another ultimatum to come visit her boyfriend, Annie caught a ride with a friend to go see him when they got into a car accident. She suffered a bilateral concussion, several broken ribs, a lacerated liver, and a punctured lung, and had to be in the ICU for two weeks. Whenever she awoke in the hospital, she was surrounded by the people trying to manipulate and control her - the boyfriend and her parents. 


21:23 - After getting out of the hospital, Annie was caught between her parents, who would pay for school if she studied business and changed her living arrangements, and her boyfriend, who wanted her to live with him and switch to his university. She decided to live with her boyfriend, take a semester off, worked with different agencies, and got accepted into the Bachelor of Social Work next semester. 


26:02 - Annie describes living with her boyfriend at Cornell as a little bit of a honeymoon period, despite the controlling limitations he placed on her, like not allowing her to wear tie dye, volunteer or work with men, or contact her friends in Philadelphia. The manipulation her boyfriend exercised on her was framed by trying to help protect Annie from bad influences, and for her, he was a safe place at that time.


29:50 - Dr. Makunda asks if Annie’s boyfriend had a social life, even if she wasn’t allowed to. Annie says that many of his limits on her didn’t apply to him. He rushed a fraternity although he told her she couldn’t join a sorority; he had friends from a wide variety of activities and extracurriculars, despite telling her that she would ruin their relationship if she did the same. 


34:24 - Annie also experienced financial abuse from her partner, especially after she received a sizeable settlement from the car accident. She was pressured to spend excessively to fit in with his wealthy family, and she had the voices of her parents in her mind saying money will always be more important than happiness. Her settlement money disappeared quickly, and after they got married, she was assured that continuing to spend was okay because her husband would always have a job at his father’s company.


36:12 - Annie started to go to a gym, which she enjoyed, but she also found a group of people that she connected with socially. Her husband did not like these friendly relationships and did not allow her to interact with them socially - especially as her money was spent or shared with him and he exercised control over what she could do financially. 


39:00 - Thank you to Annie for sharing the details of your life story. Make sure you tune in for the next podcast to hear Part Two of Annie’s story.

---


Find out more about the history of Domestic Violence Awareness Month (DVAM): https://nrcdv.org/dvam/DVAM-history


RAINN https://www.rainn.org/ | The nation's largest anti-sexual violence organization. They organize and run a National Sexual Assault Hotline. Also, you can get the latest news on the work RAINN is doing every day to end sexual violence.

2019-10-1

Episode 2: When Love Hurts.

Season 2, Ep. 2

Uninhibited Podcast Shownotes

Season 2, Episode 2

Sharika


Welcome to Season Two of Uninhibited, a podcast with the mission to discuss taboo, multicultural, multi-generational, and multi-layered topics that matter to women. 

Our host, Dr. Makunda Abdul Mbacke, is an Ivy-League trained OBGYN, practicing medicine in rural America. She is a mother, career professional, part of Generation X, and so much more.


---


1:00 - Today, Dr. Makunda is joined by Sharika, an outreach advocate with a local survivor response group. Sharika is going to discuss intimate partner violence (also known as IPV) in teens and young adults. Statistically, 1 out of 5 women and 1 out of 7 men have experienced intimate partner violence in their lifetimes, and most have experienced this before the age of 18.


2:52 - Sharika introduces herself and shares some information about her professional background. In doing some research for this podcast, Sharika found out some shocking statistics that indicate that IPV is still a present and increasing problem; for example, 80% of girls who have been physically abused in IPV relationships continue to date the abuser.


5:42 - Sharika shares some of the stories of teenagers that she’s worked with who have experienced IPV, and each case is very different from the next because this type of violence is so personal and painful. Although physical abuse is absolutely damaging, intimate partner violence also manifests in other ways, like controlling behavior, emotional manipulation, or isolating someone from their family and friends.


11:30 - What are some of the warning signs of violence to be on the lookout for? Warning signs are typically found within the behavioral and social aspects of our lives. Observe how a person acts with others in their life - friends, family - and see if it aligns with what they’ve told about their relationships with those people. Demonstrations of aggression, anti-social, and jealous behavior can also be warning signs; listen to what they say about past relationship, if they accept responsibility for their actions. These are indicators of how someone may act towards you.


14:56 - When does behavior cross the line from teenage-attachment kind of love to excessive and potentially dangerous? That point can be hard to pin down, but most people realize it when they can no longer have alone time, watch TV, do homework or have a little peace away from their partner.


15:58 - Dr. Makunda asks Sharika if there is a difference between how IPV manifests between younger couples vs. older couples. Sharika explains that the patterns of violence - control, manipulation, isolation - are very similar in abusers, despite age. So many people misinterpret constant texting, calling or demands on time as love and care, when really, it’s about control and fear.


20:47 - What are the warning signs that we can look for as parents, guardians, or other loved ones? Sharika explains that paying attention is key; there aren’t any specific warning signs to watch for, because each child, teen, and young adult is different. Observing prolonged personality differences, or changes in demeanor, then give them a standing offer to come to you or another trusted person with any problem they may have. 


25:15 - If you’re in a situation where you know abuse is happening to your child or loved one, but they are insistent on continuing to be in the abusive relationship, do not make every conversation about the abuser and your dislike of the situation. Rephrase the conversation away from negative comments to reassure your loved one that you are there to support them - “I love you,” “Home will always be a safe place for you,” and similar words of comfort. Prove the abuser wrong by showing love and support (and yes, we know this is hard).


30:48 - What can we do to ensure we are promoting healthy relationships? Re-evaluate our own relationships, refrain from the do-as-I-say-not-as-I-do approach, and realize that teens and young people are aware of the actions of their elders. Show healthy relationships through communication and honesty; offer yourself to listen without interruption; be consistent with your probing questions that show support (how can I help, what do you need from me?).


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RAINN https://www.rainn.org/ | The nation's largest anti-sexual violence organization. They organize and run a National Sexual Assault Hotline. Also, you can get the latest news on the work RAINN is doing every day to end sexual violence.

2019-9-17

Episode 1: Breast Cancer Awareness

Season 2, Ep. 1

Uninhibited Podcast Shownotes

Episode 1, Season 2: Terralyn, Breast Cancer Survivor


Welcome to Uninhibited, a podcast with the mission to discuss taboo, multicultural, multi-generational, and multi-layered topics that matter to women. 

Our host, Dr. Makunda Abdul Mbacke, is an Ivy-League trained OBGYN, practicing medicine in rural America. She is a mother, career professional, part of Generation X, and so much more.


---


1:00 - Today’s guest is Ms. Terralyn “Terri” House, a breast cancer survivor with unique experiences. She will walk us through what it was like receiving her diagnosis, going through treatment, and life after cancer. 


1:38 - Terri shares some background about who she is and the start of her breast cancer journey when she received her diagnosis in 2010. Through a self-examination, Terri discovered a lump on her breast and she took the initiative to get it checked by her doctor the next day. However, after a mammogram, she was informed that the lump was just a cyst. 


4:12 - At that time, Terri was also under the care of Dr. Makunda. Since there was no follow up plan with her primary care doctor, Terri asked if Dr. Makunda would remove the cyst at their next examination. The lump was actually too dense to remove in the office, and further examination led Dr. Makunda requesting a second mammogram for Terri. Terri approached this second mammogram with the determination that some sort of action would result from her visit. 


7:55 - For the second mammogram, Terri informed her healthcare providers that she wanted to speak with the doctor to review her results and options to either remove or biopsy the lump. They chose to biopsy, and two days later, Terri found out that she had breast cancer.


9:18 - Terri’s first thought was of survival, which also meant making the decision to leave her more rural area for somewhere better equipped for her care. She began the process of researching facilities and contacting practitioners straight away. On a Saturday, she received a call from a nurse at Duke, reassuring Terri that they had received her message and would reach out on Monday. The fact that they cared enough about her wellbeing to call on a weekend made Terri certain she was choosing the right care by choosing Duke.


13:10 - Terri shares some details about the level of care that she received from Duke, which felt like a more holistic approach. This included shrinking and removing the lump, and an oral form of chemotherapy. Terri also credits her good health going into her cancer experience, which allowed doctors to try more with her treatments because her body and mindset were strong and healthy. 


17:25 - She started with chemotherapy every two weeks until the lump shrunk enough to allow for a less-invasive surgery. After the removal, Terri started radiation treatments once per week at her local hospital. From there, she moved on to the oral form of chemotherapy. 


18:55 - After backing off from the chemo treatments and the side effects lessened, Terri was released to the Survivor’s Clinic a full year early. She attends the Clinic once a year for a full review - bloodwork, a mammogram - to ensure that she remains cancer free!


21:02 - Dr. Makunda asks Terri what the important lessons she wants to share with others after going through this experience. Terri found it was very important for her to inform the attending medical students at Duke Hospital about “listening to your patient.” Terri also voiced her concerns and found practitioners, like Dr. Makunda, who would take her seriously. Lastly, she feels it is paramount that patients are partners and active participants in their treatment plans.


22:45 - Terri shares some about the diet she maintained before cancer and during treatment. For her, diet played an important role, eating living foods that gave her body nutrients and strength. She found she never lost her appetite during her chemo treatments, and she stuck to a healthy diet to help her body fight.


27:10 - “Just listen to your body, absolutely. Women, listen to your body!” - Terralyn House


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Breast Cancer Resources:

  • Duke Health Cancer Center 
  • How to Conduct a Breast Self-Exam
  • A breast examination should be a routine part of your annual well-woman exam. If you are not sure if this is being conducted, remember you can be your own advocate and ask a nurse or doctor the next time you go!
  • Remember, you can Google “free cancer screenings” to see what offerings are provided around your local area!
2019-9-10

Episode 10: Awakening: Part 2 Life after Illness with Dr.Kristen Reihman

Season 1, Ep. 10

Uninhibited Podcast Shownotes

Episode: Dr. Kristin Part 2


Welcome to Uninhibited, a podcast with the mission to discuss taboo, multicultural, multi-generational, and multi-layered topics that matter to women. 

Our host, Dr. Makunda Abdul Mbacke, is an Ivy-League trained OBGYN, practicing medicine in rural America. She is a mother, career professional, part of Generation X, and so much more.


---


:48 - Dr. Makunda is back this week to finish a two-part interview with Dr. Kristin Ryman, who is a family doctor living in Allentown, PA. She’s a married mother of four and three-time survivor of Lyme disease. 


1:50 - Dr. Kristin made the decision to live and fight her Lyme disease, she felt like her body made the choice for her and her spirit and brain had to catch up for a few months. She experienced improvement in her being due to making the choice to live, even though the pain was 10 out of 10 every time she stood up, the suffering had all disappeared. Over the next couple of years she focused on making choices that brought her joy and not suffering. 


5:50 - Dr. Kristin went back to work despite not wanting to be a doctor anymore or wanting to work in the clinic because much of what she had learned during her experience with Lyme was that some of the tools of her craft that she was trained to use could make people sick and make people with Lyme disease even sicker.


7:48 - Dr. Kristin explains that being a doctor comes with many rewards but she believes many doctors are surprised when they start their first job, she describes the struggle of only getting around 7 mins to develop relationships with her patients, the pain of dealing with insurance companies to get paid and the amount of paperwork that she has to complete at home for insurance companies even though they often still won't pay for her services.


9:37 - Once Dr. Kristin went back into the workforce, she worked at the clinic temporarily, where she resolved that she wanted to heal the relationships that were broken due to resentment over her leaving work when she was sick. 


11:05 - Dr. Kristin eventually left the clinic to start her own practice in her living room where she could practice in the most non toxic, loving and supportive place she could imagine in the world. She felt her house would help support her as she learned to be a doctor again.


11:35 - Dr. Makunda asks if she was at that time doing more integrative medicine. Dr. Kristin explained that she created a very focused Lyme consulting practice. During her recovery, she got in contact with all the Lyme support groups in her area, a lot of the famous Lyme doctors in her area who told her once she got well to call them because they had a list of people who could not get in to see a doctor who had a background in Lyme.


13.55 - Dr. Makunda asks Dr. Kristin to share her success stories working with patients in her new practice. Dr. Kristin shares that people who were plagued by Lyme’s many symptoms of dysfunction did improve. She also shared that she is still learning all the ways our immune system can break down and allow a Lyme infection to become so severe and prevent recovery. She spends an hour with each patient, troubleshooting and determining their treatment.  


14:50 - Dr. Makunda asked Dr. Kristin what her treatment plans look like and how she makes a diagnosis, especially with many patients believing they have Lyme despite their test results. Dr. Kristin explained that it is heavily dependant on the person, their story and the tools they have to help their treatment plan. Her preference is to avoid testing because the current testing available is limited and misleading and a waste of time and money. The better tests are considered experimental and thus not often covered by insurance companies and they are still not 100% accurate.


16:35 - Dr. Kristin discusses starting her patients with an elimination diet because it can remove many symptoms allowing her to focus on the symptoms that are left. This method makest is easier to make a clinical diagnosis based on what symptoms are present and which symptoms went away.


17:00 - Dr. Kirstin describes the elimination diet she uses to heal the gut. She starts with the Institute for Functional Medicine's basic elimination diet. It takes out the top ten allergens or potential secondary allergens, these are the foods that can create inflammation if inflammation is already present.


17:16 - Dr. Kristin describes foods that create inflammation in everyone and that the level of irritants is different for everyone. Gluten can create micro-tears in the gut lining, which can lead to inflammation, this often leads to leaky gut. Other foods can act like allergens because they can slip into your bloodstream, not fully digestion and therefore look like foreign invaders to your immune system and that leads to a feedback loop that leads your immune system back at the gut again and again until the gut is healed by removing all those things for a period of time or it will continue to attack itself.


18:40 - Dr. Makunda asks if Dr. Kristin began her healing with an elimination diet. Dr. Kristin did not because she did not know about the elimination diet until around a year into her illness. During the year leading up to her discovery of the elimination diet, she was doing a lot of spiritual work, looking at old wounds and unforgiveness, she was healing relationships with her friends in the clinic, basically, people who were disappointed by her absence and the people she imagined were disappointed about her absence. She was taking herbs and biofilm busters because Lyme creates a lot of Biofilm to live in, taking homeopathic, regular acupuncture and yoga. Dr. Kristin explained that she went to a Functional Medicine Conference where she learned about the elimination diet.


22:25 - Dr. Kristin discussed how the landscape has changed in terms of allergies and obesity where we have gone from one kid with a peanut allergy and one kid who is obese at school to more and more people with obesity and allergies. She believes this is due to us soaking in toxins from our environment but bodies that can only process so many toxins each day.


26:00 - Dr. Makunda and Dr. Kristin discuss our current environment and sources of toxins including BPA in water bottles, Teflon on frying pans, cell phones, and cell phone towers. But, the majority of the medical community not addressing these toxins citing a lack of scientific evidence. Dr. Kristin answers these calls for evidence by helping people take a look back at what our ancestors dealt with and compare it with the toxins in our current environment.


30:00 - Dr. Kristine said “The gluten we eat today is genetically modified and has 40 times the content that our ancestors may have stumbled across. Also, organic wheat can be spread with roundup that is very toxic to the gut.” 


31:50 - Dr. Kristin’s children challenged her to try gluten again by saying, “Mom, you always say any gut can heal from any food.” So, a couple of Thanksgiving’s ago she added gluten back in for a test by baking and eating a couple of pies. She did not get gassy or bloated but she did feel a tingle in her hands and feet. This was just an experiment, she has not eaten gluten since, and she doesn’t believe anyone should be eating gluten.


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International Lyme and Associated Diseases Society - https://www.ilads.org

Attend conferences, read news from the Board, find resources, and read up on the latest Lyme research and literature. 

2019-9-3

Episode 9: Awakening: Life after Illness with Dr. Kristin Reihman

Season 1, Ep. 9

Uninhibited Podcast Shownotes

Episode: Dr. Kristin


Welcome to Uninhibited, a podcast with the mission to discuss taboo, multicultural, multi-generational, and multi-layered topics that matter to women. 

Our host, Dr. Makunda Abdul Mbacke, is an Ivy-League trained OBGYN, practicing medicine in rural America. She is a mother, career professional, part of Generation X, and so much more.


---


1:07 - Our guest today is Dr. Kristin Ryman, who is a family doctor living in Allentown, PA. She’s a married mother of four and three-time survivor of Lyme disease. 


1:45 - Dr. Kristin shares about her life trajectory before the illness changed her life. She was on a path of entering traditional medicine, training at Stanford and choosing a longer-term residency in Pennsylvania, which allowed her to also juggle having kids and being a mom. During this time, Dr. Kristin received the tick bite that transmitted the Lyme disease that triggered her health challenges. 


3:24 - After receiving the tick bite while in residency, Dr. Kristin used her resources to find out more about the disease. She didn’t have typical symptoms, like a bullseye rash, but treated herself with four weeks of antibiotics, which she had been trained to do.


5:12 - As life went on - two more children, graduation, becoming faculty - work duties and stress intensified. In 2011, Dr. Kristin realized she hadn’t felt herself for about six months. It was only after a patient came to her claiming she had chronic Lyme disease (and described all the awful symptoms, and handed over all the internet research she had done) that Dr. Kristin realized how much she didn’t know about the disease.


9:00 - Dr. Kristin learned that there are two schools of thought about Lyme Disease - the traditional and the “crazy Lyme doctors.” The crazy Lyme doctors are actually called the International Lyme and Associated Disease Society, and have established their own set of evidence-based, peer-reviewed research and guidelines that don’t even enter into traditional medical education. There was so much about Lyme that traditional medical education hadn’t taught her. This set off the lightbulb that maybe this was the disease that was haunting Dr. Kristin herself.


11:50 - Dr. Kristin didn’t initially go get medical advice or treatment for herself because the testing for Lyme is highly inaccurate and insensitive to the active disease. 


13:32 - Her recommendation for determining if you have Lyme (even if a doctor initially says you don’t) is to listen to your body. If you know there is something wrong within your body, just because a test says there is nothing wrong doesn’t mean you stop fighting to find answers. 

15:00 - Dr. Kristin spent about a month researching and panicking, trying to find out if she really did have Lyme disease. She describes it as feeling as if she had taken on some of her patient’s fear. Everything she found continued to point to Lyme as the culprit of all of her health issues, so she started to pursue aggressive antibiotic treatment. 


18:45 - Dr. Makunda asks when Dr. Kristin started to feel better again, once she started treatment. Dr. Kristin explains that it took about a month of taking pills, feeling strange pains in her body, sleeping 12 hours a night, having strange neurological experiences, before she started to feel more like herself. She shares that the side effects, like the crippling brain fog, and co-infections of Lyme have derailed her ability to function. 


22:40 - “The biggest piece for me was I am learning things that I can’t unlearn and I don’t think that this new set of information makes me very welcome in medicine.” - Dr. Kristin speaks to the marginalization she felt as she learned more about Lyme that isn’t exactly welcome in traditional medicine.


26:30 - After ending the second round of her antibiotics, Dr. Kristin woke up one day slammed by all of her symptoms again. She visited a chiropractor that same day, which didn’t help her symptoms, but seemed to impart a calm that overrode her fear - she knew that she would be able to handle this. The next morning, all her previous symptoms were gone, but replaced with a terrible sciatic nerve pain in her right leg. That pain haunted her for the next two and a half years.


32:56 - One of the possible answers doctors had for Dr. Kristin was a bulging disk, for which they offered surgery. Dr. Kristin explains that she resisted the idea of surgery for about six months, before the pain drove her back to ask the surgeon to go ahead with it. He actually told her he wouldn’t do it… but later had no recollection of this conversation. 


34:52 - Dr. Kristin explains how she started on her path of finally healing. The pivotal moment for her was about a month after being discharged from the hospital, on all types of pills and medications and herbal medicines, and she visited a homeopath. The homeopath gave her a remedy and gave her a new perspective to approach her life with.


42:40 - “I had a very clear knowing, and the knowing said this: If you are going to live, you are not going to live being fearful, you’re not going to live running around checking to see if anyone’s scattering kindling behind you because you’re going to be burned at the stake for being a crazy Lyme doctor. You’re going to birth yourself anew as whatever doctor you’re going to be, and you’re going to be that.” - Dr. Kristin

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International Lyme and Associated Diseases Society - https://www.ilads.org

Attend conferences, read news from the Board, find resources, and read up on the latest Lyme research and literature. 

2019-8-27

Episode 8: When Being The Best Isn’t Good Enough.

Season 1, Ep. 8

Uninhibited Podcast Shownotes

Episode 8

Dr. Joy Baker


Welcome to Uninhibited, a podcast with the mission to discuss taboo, multicultural, multi-generational, and multi-layered topics that matter to women. 

Our host, Dr. Makunda Abdul Mbacke, is an Ivy-League trained OBGYN, practicing medicine in rural America. She is a mother, career professional, part of Generation X, and so much more.


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00:50 - Today, we’re joined by special guest, Dr. Joy Baker. Before getting started, Dr. Makunda shares a quote to honor the passing of Toni Morrison: 

I tell my students, 'When you get these jobs that you have been so brilliantly trained for, just remember that your real job is that if you are free, you need to free somebody else. If you have some power, then your job is to empower somebody else. This is not just a grab-bag candy game.”


2:00 - Dr. Joy Baker introduces herself. She is an obstetrician and gynecologist in rural Georgia and is going to talk with us about pay equity and women in the workforce. 


2:44 - Dr. Baker speaks to her training, how she found her profession and current position. Dr. Baker completed her education and residency at a large hospital in Atlanta, GA, but knew that she wanted to work outside of the metro-Atlanta area upon graduation. Having come from small-town life, Dr. Baker knew the challenges facing smaller communities and Georgia as a state in terms of providing maternal care. 


3:20 - Dr. Makunda comments that she read that some women have to travel 2-3 hours in order to find care, which Dr. Baker confirms, calling these places “maternal healthcare deserts” or “obstetric deserts”. 


4:15 - Dr. Baker graduated as the top resident of her training program and was awarded the Next Generation Healer Award. She ran with the mission of her program, which was to serve the underserved, so she went to Columbus and jumped into an attending position. Throughout her two years in that position, Dr. Baker dealt with many workplace issues and was under undue pressure to prove her value.


6:15 - Dr. Baker found her next position almost by accident. In a call to gather records on a patient, she spoke with a labor and delivery nurse who mentioned that their care center only had temporary OBGYNs. This absence of stable care piqued Dr. Baker’s interest, so she travelled out to the community to form her opinion of whether to make a move. She negotiated directly with the local hospital in order to get started with providing care as a temporary doctor. 


9:10 - As time progressed and Dr. Baker began discussions about a permanent position, she later discovered that the other temp doctors were making more than double what she was making. As she worked through negotiations, Dr. Baker wanted to ensure that she could do the community work she feels so passionate about, like providing community health education and group prenatal care. 


12:45 - While working on negotiating her contract, Dr. Baker was able to secure good benefits, as well as raises every year. However, she accidentally found out that her production bonuses were 9-10 times lower than the other surgical specialists were being paid, which is a huge monetary difference.


15:40 - Dr. Makunda asks Dr. Baker to expand on her experience at the hospital, after being partnered with another doctor whom they said she was “lucky” to work with. Dr. Baker explains “I just sort of absorbed that with no comment because I’m an African American female and I trained at a historically black institution, so I was prepared for the fact that people might underestimate me or discount my skill set just because of my race and my gender.”


20:05 - Dr. Baker goes into some detail about how she found out about the discrepancy between her and her partner’s pay. Dr. Baker was trying to ensure equitable compensation for an advanced practitioner brought into their practice, and through a discussion with a director, discovered that her productivity pay was far less than the standard amount. So, she started asking questions. 


25:14 - Dr. Baker was understandably angry, especially considering there was no justification for the huge pay disparity. At the root of it, she felt de-valued and unappreciated for the dedication, time, and care that she put into her work. Dr. Baker involved the CEO and Director of Physician Practices in the situation, and came prepared to a meeting with data to back up her worth, her hard work, and the industry standards for the amount she should have been compensated. 


30:50 - After making a well-researched, well-argued, and very direct ask to be paid the same as her partner (for doing most of the work at the practice), Dr. Baker continued to face an uphill battle. The Director of Physician Services that she met with was terminated, so she had to start her negotiation all over again. Then the Interim Director was terminated, followed by the CEO. She found herself advocating for her case over and over again. 


37:11 - Dr. Makunda makes the observation that women generally seek female OBs, so this should be a professional field where women are paid the most - yet we still face pay disparity within OB generalists to specialists. 


38: 23 - Dr. Baker’s partner took on locum (temporary) work at another facility to earn additional money, so she pursued the same. After three months of working additional hours at another facility, she was asked by the Director and an HR representative to stop that work. This discussion uncovered more disparities between how Dr. Baker and her partner were treated, and even more discrepancies in Dr. Baker’s pay.


41:44 - Despite Dr. Baker’s significant contributions to growing and transforming the practice, she was still not being treated or paid fairly or adequately. That was the final straw that caused her to leave. 


42:29 - Dr. Baker is moving on to a different hospital-owned practice and is being placed on a leadership track where she can pursue her interests and passions along with her clinical practice. Through her experience, she wants to try to help other women avoid the pitfalls and obstacles that she has run into, as well as empower people coming out of residency to know how to advocate for themselves and negotiate strongly. 


44:15 - “To women who are in these situations, the one thing I would say is speak out! Going to my administrators and presenting the facts, presenting what my productivity had been and the fact that it was higher than most people in my region - I had to tell them Look, this is what I’m bringing to the table and I deserve to be compensated equitably.” - Dr. Joy Baker