Sonal Patel is a neonatologist who recognized a gap in the transition of care from a hospital delivery to discharge to the first pediatrician visit, so she created a practice that fills that gap from the ground up.  We discuss how she went about doing that and what she thinks every physician, from pathologists to trauma surgeons, need to know about breastfeeding.

Through residency, fellowship, practice and in personal experiences, she noticed the gaps of postpartum care. In 2017, she founded NayaCare: Newborn Speciality Clinic at Your Doorstep. This month-long evidence-based clinic is viewed as an extension of hospital care. Comprehensive care comprised of a Pediatrician, Lactation, and Counselor is delivered to your doorstep. By bringing care home, stressors are alleviated during this fragile time of maternal healing and family bonding.  She is currently pursuing her Certification of Lactation. She is also an active member of Good Business Colorado, a Strong Economy Working Group, with a focus of bringing paid family leave to Colorado.

nayacare.org

toxnet.nlm.nih.gov/help/newtoxnet/lactmedapp.htm

This and all episodes have been expertly produced by voice-over artist Carin Gilfry at GilfryStudios.com

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EPISODE TRANSCRIPT

Disclaimer: This is the transcript to the episode. This transcript was created by a talk to text application and the function of having this here is to improve the page search engine optimization. This transcript has not been proofread, so please listen to the episode and don’t read this. The information contained herein will inevitably contain inaccuracies that affect that quality of the information conveyed and the creator of this content will not be held liable for consequences of the use of the information herein.

Unknown Speaker  0:03
Welcome to the physicians guide to doctoring A Practical Guide for practicing physicians, Dr. Bradley Block interviews experts in and out of medicine to find out everything we should have been learning while we were memorizing the Krebs cycle. The ideas expressed on this podcast are those of the interviewer and interviewee and do not represent those of their respective employers. This podcast is intended for medical professionals. The information is to be used in the context of your own clinical judgment and those on this podcast except no liability for the outcomes of medical decisions based on this information. As the radiologists like to say, clinical correlation is required. This is not medical advice. And even though the magic of podcasting may make it seem like we’re speaking directly in your ears, this does not constitute a physician patient relationship. If you have a medical problem, seek medical attention And now, here’s Dr. Bradley Block.
Unknown Speaker  1:06
On today’s episode we speak to Dr. CINAHL Patel, a neonatologist who started her own niche practice conducting neonatal home visits. She gives us some networking pearls that she found to be critical to her success in our new practice, and then we segue into breastfeeding, and discuss how we can best support our patients and colleagues, and she gives us some great online resources. Welcome back to the physicians guide to doctoring. On today’s episode we have Dr. sonar Patel, a neonatologist who actually has her own niche practice where she visits mothers and their newborns at home. Right after they’ve left the hospital, it seems that there was this empty space where it was really challenging in that in those first few days to actually get out of the house. Pack the baby up there in such a fragile state, especially if you had a C section. Get into the dark office that she, she was witnessing this and decided to start a practice to fill that niche. So we’re going to talk about two things. We’re going to talk about how she started this practice and the lessons she’s learned, but also what she wants every doctor to know about breastfeeding and the circumstances in which she’s seen this take place and what someone like me an otolaryngologist, or seeing an orthopedic surgeon would need to know about and consider about breastfeeding. So Dr. Patel, thanks so much for being on the show today.
Unknown Speaker  2:28
Oh, thank you for having me. And thank you for giving me a platform to voice the breastfeeding issue.
Unknown Speaker  2:35
So, so first, where did you do your where’d you go to med school? Where’d you do your training?
Unknown Speaker  2:41
So um, I am from Omaha, Nebraska. And I went to med school, a university Nebraska Medical Center there after myself and my husband couples matched and we ended up down at I ended up in LSU. Children’s New Orleans and my husband is an order Peters. So he ended up down at aashna. And I started my nichy fellowship at LSU. However, my husband got a trauma fellowship at Harvard. So we moved up to Boston, where I completed my nichy fellowship at Tufts. And he actually led there after he led the job search. And my only criteria for him was my parents and my brother lives in Nebraska. And I wanted a direct flight there. That was my only thing. How many cities did he get to choose from where there are direct flights from Omaha, Nebraska? Yes, it’s actually not that bad. So Atlanta is one of them. So is Atlanta, St. Louis and Denver, where they
Unknown Speaker  3:46
find a job and one that’s like, Oh, that’s like applying for an academic job when you’re in a very small specialty. They’re like three cities to choose from and the whole country so
Unknown Speaker  3:56
well, I’m I followed him to Boston. So This was my only criteria for him and I knew he was going to be leading the job search because I knew I was going to go part time. That sounds like a nice compromise. Let’s say,
Unknown Speaker  4:08
That’s definitely reasonable confidence.
Unknown Speaker  4:11
Because the thing was at this time I already had my first child. And I, whenever I had to go home to Nebraska, there’s always a layover. And some of those layovers as time went on, got shorter and shorter, like it was 20 minutes or 30 minutes and running through I just remember reading through Chicago’s airport with a toddler is very challenging. And
Unknown Speaker  4:35
on its massive,
Unknown Speaker  4:37
yes. And it was ridiculous. So that was my only criteria is like, I just need a direct flight home. So, so we ended up in Denver, and for majority of my time here so far for seven and a half to eight years. I practiced making Nick you at Denver health and then Around actually working in the ICU, I end up having three of my own kids even more. So now I’m a mom of four beautiful boys who are challenged me every day, I would say. But it actually also inspired me to look at postpartum care in the United States. And that’s what led me to developing my own clinic. So what had happened was my when my fourth was born, at this time, he actually came due to some medical issues that I was facing with him. He came in earlier than anticipated and all my support system wasn’t available. So my mom is also a physician. So she usually would take two weeks off to come and be with me and then my mother in law would follow. But in both instances, they would take time off of work to do that. So we found herself in a position where my husband can take time off Cuz he had already, he’s a trauma ortho surgeon so you could take a couple days off. But other than that we were in between any very long story but what ended up happening is I didn’t have any help. So I found myself going to my newborn appointments. So traditionally what happens you deliver a baby, and two to three days after that you’re told after you get discharged from the hospital, you’re told to come back to the pediatricians office. And here it was snowing but in Denver, even if you get like, a foot of snow school still open so schools were still open and I found myself making sure that my boys had their lunches and drive them to school. While then I was in charge of also taking my newborn to the appointment. And mind you it’s still snowing. I get to the appointment. And did you did you shovel the driveway
Unknown Speaker  6:57
to that sounds like that should have been
Unknown Speaker  7:03
It was because at this time, like, by the time they went to school at 830, my husband had already left at six because it was a surgical day. And I’m not kidding you it, it was one of those things that I think everything aligned for me to realize this kind of sucks. And what are we doing? You know, like it’s something had to be pushed me over. So I go to this appointment. And first of all, I don’t fault the pediatricians at all because this is the system that’s been created, that you have 10 to 15 minutes with them. And in my case, this I didn’t actually have a pediatrician at a nurse practitioner. And within 10 to 15 minutes they had checked out if maybe was jaundice or not by just putting a little monitor on his head. That’s what the ability monitor that you can quickly do. And ask me how breastfeeding was going and I was like, great, and they were like, okay, we’re done. We’re good go back. And that whole ordeal just for that 15 minute appointment. It literally took me four hours because I had pumped before I had nurse before. I had to make sure all my kids were done. And then actually I spent a little time I remember in the, in my car nursing because now it’s time to nurse again before I could drive back home. And I came home exhausted. And I was like my husband and I, I looked at him I’m like, this is ridiculous. All I needed was a weight check, and someone to check jaundice. And I had to do that. And here’s the big caveat. I had just delivered a baby. Like, I had a one month baby or a two month Baby, I had just delivered a baby. Actually my contractor and obviously everything opens at once we had to get some work done in the house and he looked at Meaning goes, you just had a baby. I go, I know. So, I mean, those are the circumstances that moms do a
Unknown Speaker  9:09
little food scale in the kitchen to way I’m just emailed them the results.
Unknown Speaker  9:14
Exactly. actually an interesting side note and one of my newest, one of my patients that I recently had through my business, which we’ll talk about in a minute, she actually had her mom was there with her little puppy and she goes, do you mind if I just use the baby scale because of veterinarians just once a week and I don’t want to go out
Unknown Speaker  9:34
door.
Unknown Speaker  9:36
I mean, it was it was just really check and what I realized, like I said, I have four kids, I have four different deliveries and one of them was a C section. And I still remember going after two to three days, going with my baby after my C section, and mind you, C section is abdominal surgery. It’s not Let’s just kind of put in the context it is they cut you open and it’s abdominal surgery. If you’ve had abdominal surgery any other time in your life, they would restrict you for bed rest. And they would also restrict you for weight, right, like don’t pick up more than five pounds. But in most cases when you’re actually having a C section there, especially a term Baby, it’s because the baby’s too big. And so now I have an eight pounder that I have to pick up and nurse at the same time I have to do see all of us vigorously. What are we doing? So fast board was creating was looking at it came back home and said there has to be a better way and started exploring. What How could it just been simple. I just needed a weight check. And then within the state of Colorado, and it’s now more nationally, one of the biggest challenges in our field was when a baby went home. And the ductus closed that could potentially give the baby some hidden heart lesions that were not that were ductile dependent, and then the baby comes back and cardiac shock. So that was like one of the biggest fears. However, especially in Colorado, and in other states, there’s a state law now that you have to have a congenital heart screening done, ie a pulse ox tests before the baby goes home. So now through a lens of the Nick you what are we sending home? Well, we’re sending pretty much healthy babies who need to be breastfed. When you look at the data, the majority of readmissions in the first month are because of jaundice and feeding issues. So then you look at from the labor and delivery perspective. So now we’re sending a mom delivers vaginally, let’s say, and some of the insurances don’t even cover 48 hours. In 48 hours, the milk probably hasn’t come in Most likely cases that hasn’t come in, and now you’re sending her mom home. If it’s a new mom, they don’t know anything about breastfeeding, or they’re learning. If a second or third time mom, they actually have a higher chances of their milk coming in. But there’s this discrepancy that is occurring. Um, and so yeah. And that’s where the idea of a postpartum clinic came up. And actually, it’s not a new idea at all. A lot of European countries do this. A lot of Australia does this. Japan does this. And it is an evidence based clinic based on those research that has been done in those countries.
Unknown Speaker  12:46
So how did you get your business started today? Let’s talk about the logistics of starting from the ground up.
Unknown Speaker  12:54
Yes, so I actually started two years ago and initially because it was was such a novel idea for this area as well. It’s like, okay, I wanted to work as a lactation specialist and see. And here’s the other thing I’ve never worked. I’m coming to Denver. I’ve never trained here. So I just didn’t know the layout for the pediatric groups here. So I didn’t want to step on anybody’s toes and I still don’t. So I worked as a lactation specialist because I just wanted to see where like, just look at the market first. And I was realizing that I was hired as a lactation specialist out of pocket. It was they people were willing to pay for it. And once I added the MD part of it, it’s like, Yes, I’m a lactation specialist, but I’m an MD. People were willing to pay leave a little more because now they’re getting an expertise behind it as well. And for the first year, I just noticed that a lot. The pediatricians would keep asking the babies to come back in for a week. Come back in for a check in that first week of life. And the first week of life is very, it’s very precious because breastfeeding needs to be established. And you can’t just keep having a mom keep coming back for just a simple way check. And it was that’s all they need. That’s like, literally they can do it at home. Why can’t they do at home and not recorded? And obviously it’s a liability issue, right? So it was like, Okay, so first starting the business, I had to learn my market and I had to learn what was out there. And then I realized people are paying for lactation specialist out of pocket. So why would they not pay for me out of pocket when I can provide a little bit more and save them a trip to their pediatrician. So in September, February of last year, I actually opened officially open the clinic but I really didn’t do anything till September because I wanted a summer off
Unknown Speaker  15:00
Just like I’m tired of working, I want a summer off.
Unknown Speaker  15:04
Clearly you’re entitled you’ve you’ve paid your dues. Yes.
Unknown Speaker  15:09
So yes. And the other thing is that so you need to know your market. And the second thing is my market is the birthing world here. I’m still doing and I still do a lot of networking I do with the duelists. I do with my advice, because they actually, a lot of patients will go to them first. Or we’ll, we’ll search them and then come find me because it’s the same kind of line of thinking that they have.
Unknown Speaker  15:39
And those have been the birth birthing community really has helped me propel more of the attraction behind the clinic. This might be incorrect, but when I hear midwife when I hear doula, I think home birth, so are you now the first
Unknown Speaker  15:58
pediatrician to See these kids? And that’s it is that is that some of what you’re seeing is these home births?
Unknown Speaker  16:04
No, actually the most of Colorado. I mean, it’s a mixed but they have birthing centers here as well. And in the state of Colorado, the midwives are actually capable under their license to do the whole first week visit. And they just need a pediatrician at the one week mark. So that’s where I’m actually fitting into that realm. The ones that go through the hospital are finding me through Google ads, finding me through social media, and those are the ones that I see for their hospital discharge visit. And then the two week and then there after they see their pediatrician at one month.
Unknown Speaker  16:46
And how did that work in terms of malpractice because if you’re just getting started and you’re not taking any income yet, right, because you don’t know when you’re at a place with no patients. You have to start paying malpractice insurance without any income.
Unknown Speaker  17:04
Yes, it’s called.
Unknown Speaker  17:07
It’s also called an invest an owner’s investment from your husband.
Unknown Speaker  17:14
I think I’m very fortunate in that sense that there is I’m able to do it in that guys. And also, before I left the Nicky, we had a lot of moonlighting opportunities, which I took. So I knew I had a I actually invest I knew I was going to invest something so where’s the Where’s going to be coming from so even more so I took a lot more moonlighting opportunities just to have somewhat of a cushion before I got started. So
Unknown Speaker  17:50
credit card with zero percent for a year. Do you have to pass do
Unknown Speaker  17:57
I did I did I think I did that in my last year residency.
Unknown Speaker  18:02
which is I think what everybody tells it’s the complete opposite of all the rest of the teaching which is live like a resident for as long as you can try to start living like an attending while I was still resident accumulate a good idea. So, okay, so if you had one thing that you one piece of advice that you’d like to impart to people that are thinking of starting their own niche practice, what would it be what maybe a mistake that you made or something that came out well that you think man I think this is the type of thing that should be taught in med school.
Unknown Speaker  18:36
Know your market like my market is a know your network. So those are the two important things so I learned my market and it took me and I’m still learning it. I knew they people are paying for lactation specialist. I knew what their rates were. So I I made myself more reasonable. I didn’t say I want to be not a concierge service to be looked upon because come here, always has a notion of that’s a lot of money that I can spend. But then I know like in this market, what a lactation person costs and if I just add, you know, 30 to $50 more, then people will, people still will use me. And I’m still getting my mission to improving postpartum care out and know what community you have to network with. Because for me, the birth community is a huge and powerful resource that has been in existence before I even started this. And there are people in there they have so many more connections than you would ever imagined. Yeah, so those would be the two things
Unknown Speaker  19:45
and how did you network with them? Did you have like, you take people out for dinner, did you have a meet and greet at a like I just, I wouldn’t know where to begin aside from just like, liking people on like LinkedIn or something. You know, something like that? How do you How did you get out and meet people
Unknown Speaker  20:05
picked up the phone, call them up and said, Hey, this is what I’m doing because they like, it aligns with their values also, so you have to pick it, you have to also pick groups that align with your values. And I’ll get Alex elaborate a little more on that in just a second. But it really is picking up the phone and saying, This is what I’m doing. These are the we have a connection here. Let’s just meet and I’ve, I’ve, what happens is, you meet a lot of people you have coffees with them, you do like for the midwifery groups, I’ve actually done talks at their place with them. So then they get to start to get to know me as well and that’s where the referrals hopefully will start and have started coming in through and then the birthing community here. What they do is this two things has happened for me for one for the Colorado service. See the circusy part here. And they’re only pediatrician listed on their website. So that’s kind of really neat. So that’s a different edge. And secondly, the community here, every annually has a huge meet and greet. And I was invited to that and go and behold, I actually knew 20 to 30% of the people already there. And then they started introducing me to other people, and they’re like, Oh, you really have to meet this doctor. She’s doing something really novel that will fit your clientele. And then the other community is go beyond that, because I actually will look at Women’s Foundation and because their mission is to improve women’s care and economical and financial and health care in a spectrum, and I went to them and said, hey, how can we do this and in May they have a They there are nonprofit but they have a gala with not with donors that come out and will start supporting a cause. And so then my name will be listed on there as well. So some let’s think outside the box too, because that was something that I was like, well, a Women’s Foundation one better care for women. So I know their, their values align with mine. So sometimes sitting, sitting, thinking outside the box is really helpful to
Unknown Speaker  22:28
Yeah, very, very busy, very active. That’s That’s some fantastic advice on on marketing yourself and, and networking. But and that’s what I wanted to talk to you about. But you wanted to be on the podcast to talk about breastfeeding because you want to educate physicians in general about what we should all know about breastfeeding. Now. As an otolaryngologist. I sometimes see kids within their first couple of days of life because their difficulties breastfeeding because of a tongue tie. So it’s I’m a fairly large PDI. I’m a generally empty, but I have a fairly large pediatric practice. So I see that quite a bit. But that’s kind of the beginning and the end of what what I see. So let’s put you in a hypothetical circumstance where you have one of the University of Colorado, med students rotating with you for a week or two, and you don’t know what specialty they’re going into. They can go into anything. What is it that you would want them to take away from? breastfeeding?
Unknown Speaker  23:31
Yes. And so to step back, but all of us, I don’t want you to know the mechanism of breastfeeding. That’s not where this is going to go. That part is if you are interested in it, and it falls in your round. Like if you’re a pediatrician, family practice it will be and that’s something that you want to explore more, by all means, and we’re not even a good dive into that. But that because that’s not what I want anybody to know. For a medical students I want them to know that this is a public health issue. breastfeeding is and it ties into directly what every specialty they’re going to go into. We as physicians are affected by the cost of health care. We feed every day. We see that, you know, we we spend more time charting notes because we’re trying to get reimbursement. We see hospital care costs increasing increasing. And why when you start from the basics of preventive medicine, and we know if we do preventive medicine, it seems breastfeeding dollars. I mean, sorry, it saves healthcare dollars. And breastfeeding is a public health issue because of two reasons. One, the mom, it is shown and there’s research to back that up, that it reduces risk of type two diabetes and mothers and also, it reduces the risk of ovarian and breast cancer. Those are two huge, two huge things that you might see as an internal medicine person or a breast surgeon or a GYN gynecologist, you’re going to be somewhat affected by that. Then secondly, for the baby, and obviously there’s, we’ve all heard it, it reduces ear infections, it reduces cold in the first year, it reduces the likelihood of asthma it in. It protects them from type one diabetes, and also colitis and Crohn’s disease, and the list kind of goes on. And so in those terms, there’s actually studies been done that if you are supportive of a breastfeeding mom, and it becomes a public health issue, we can save about $13 billion and health care cost. That’s huge. And health care costs should be a priority for every position. So that’s one does that make sense?
Unknown Speaker  26:00
Yeah, absolutely.
Unknown Speaker  26:02
Okay. Secondly, you don’t need to know anything about breastfeeding. Know your resources. And the one resource is called lacked med. That’s one that’s an online it’s online and what you do is you put in a medication and see if it’s compatible with breastfeeding. So for example, and this is why I think we are talking is my husband is a trauma ortho surgeon, and he had a mom who was had a one month old This was in a car accident and ended up having some pelvic injuries that he got involved in. And that mom was for in her mind, she still has to provide milk for one year old, right me for her one month old. And obviously, during surgery and during recovery, there was so much medication pumped into her that there was no way that milk was good was going to be good for the baby. So that’s, that’s where all this thing and so what happened? It’s like he didn’t know what where to go and I was like well who is your lactation specialist in your hospital? And they’re mostly an adult hospital so they don’t have one. And then secondly, he was asking me about drugs being compatible with breastfeeding and I was like, well, Lachman is a good source. And now all his peers know that source. So they went back to her and they said, Listen, we understand that this is important to you. However, these medications are not compatible with breastfeeding. But we will get you to a point where you can pump again and nurse your baby. And that’s all you needed, right? The empathy part of it. So the other
Unknown Speaker  27:57
two points, I just want to
Unknown Speaker  28:00
Go back to one is did you really ask an orthopedic surgeon who the lactation consultant for the hospital was genuinely expect an answer?
Unknown Speaker  28:09
No, but I wanted him to think.
Unknown Speaker  28:14
Okay, and to what what is what was that website again?
Unknown Speaker  28:17
It’s laxed meded. La CT m Ed. Okay.
Unknown Speaker  28:21
Yeah, I think I think that research, which I was not aware of, right, as now, as an alarm bell, just I see lots of sinus infections. And, you know, we’re constantly putting people on antibiotics or steroids. And that is a common question that I get. And every time I get it, I have to look the medication up in, you know, on the EMR and it I was not aware that this resource was available, and I will definitely be using it starting tomorrow. So thank you for that. I lacked med calm
Unknown Speaker  28:55
or just google.com or dot, whatever, but just Google it and it’s a great Yeah, yeah. Yeah. And then, yeah, just you need to know anything about breastfeeding. Just know your resources. You know, but those that and then this idea of empathy. So why is that so important? Because breastfeeding is been for a mom, if you read a new mom, or mom, whatever type of mom, if you read it, you can see, we’ve had a pendulum shift in our culture, because we know we don’t like to stay in the middle. We always have to go either all the way to one side or all the way to the other side. And being in the middle seems very unnerving for our culture. So what happened with breastfeeding in our society was in the 50s and 60s, formula was introduced and formula was pushed. And a lot of women did not breastfeed for multiple reasons. And then when we started noticing in the 80s and 90s was That we were losing the benefits of breastfeeding. And then and we started getting lactation specialist and we started getting a big wave of now. I mean, you people do call them sometimes lactation Nazis that you have to breastfeed, you have to breastfeed. There’s no other way to do this. And now you get a mom in this day and age where there’s a generational gap of knowledge about breastfeeding, because it most likely cases her mom didn’t breastfeed her. So the knowledge has not been transferred to the mom. And then on the second, the one other arm, you’re getting a lactation specialist who’s just might be forcing their views on this mom, and on the third arm, it’s societal views. It’s like, Oh, my God, you’re not breastfeeding. Like, why are you not breastfeeding? And if you take breastfeeding the contents of human evolution, we’ve had wet nurses, we’ve had milk sharing You don’t know what kind of a breastfeeding Mom, you’re going to be until you start the process. So this whole idea that formula is bad and supplementation is bad. Is, is very outdated. I guess I have to say it, we’re just very lucky to live in a country where we can have fresh water to, you know, to mixer formula with, but milk sharing and what nurses exists in double developing countries. And a mom who’s chosen to breastfeed is her struggles might be internal, but just saying, Wow, in a really good job or just acknowledging the fact that she’s doing it is is monumental in my mom’s mind, and I think any physician who comes across, for example, a plastic surgeon who needs you know, for there’s a handful of moms who get diagnosed, unfortunately, with breast cancer, and I have a couple of friends who were dying. Nose while they were breastfeeding, to be like, you did a great job up to this point. But let us you’ve done wonderful. Your baby’s gotten exactly what it needs, but now to start taking care of you. So I think I could go on and on. So I apologize if I’m rambling. I think you’re you kind of
Unknown Speaker  32:21
you mentioned it, but but I do want to reiterate it because it relates to Allison escalon Day is a pediatrician that I interviewed. I think it was two episodes ago and she talks about the shitstorm. Right, that that we have to be aware of right because you should breastfeed you should Brett right? Like but there are some mothers who aren’t able to for a multitude of reasons or simply don’t want to and so you’re right it is in our in their best interest to try to but we also have to be wary about how Hard we really push it and try and not to shame them into doing it or make them think that they’re bad parents for not doing it. You were you were getting to that a bit in, in what you were saying. Yeah. Right. I think it’s really important to tell them and educate them and support them in any way we can. And right in as prescribing physicians, we have to make it as easy for them as possible and support them as much as possible. But at the same time, you’re right, the pendulum swings in one direction and the other before it was better living through chemistry that’s like DuPont or something like that. And so they were pushing formula now it’s in the other direction. So it’s just the onus is on us to just educate and support and educate and support.
Unknown Speaker  33:44
Right. And then the fourth point about breastfeeding and every medical student is going to see this at one point in the please support your colleagues who are working physician moms, who are climbing back to work and pumping and be supportive in the sense of, you know, not. I mean, there’s so many instances not only, I mean, nothing’s really personally happened to me, but I’ve heard is the medical community and professionals are supposed to be supporting the outside community about breastfeeding and they make they might make snarky remarks like, Oh, she’s pumping again. Or Oh, you know, oh, she’s, she’s not. She’s doing that again. And from personal experience, I’ve tell you, I’ve pump at my I pumped at my desk while doing my notes. I have pumped I have not pumped for seven hours straight because I’ve taken care of the ICU baby that needed me. And so we make the our first priority when we come back as physicians is to our job And sometimes our babies needs get on the back burner, which is totally fine by us, like those are our choices that we’re making. But please be supportive of us in those roles if we do need those 10 to 15 minutes to breastfeed instead of being and if there’s nothing going on and that’s how we have a lot of like I said, I used to do my notes, you know him a Snickers bar, can of water just remind them or just be like, Hey, good job doing that. I just had a recent incidents where in one of my position mom, blogs, on Facebook, one of the moms it’s a closed group and one of the moms mentioned that she was discreetly pumping in a meeting. And pumps have come this far that you can, you don’t need to be hooked up into an electric pump, meaning to the outlet or anything like that. They’re so discreet that you can put them underneath your shirt and nobody really knows that you’re pumping except for a small amount of noise and then noise can be muffled. I mean, it’s, it’s, you have to like, kind of listen for it. And that’s how sophisticated breast pumps have become. But she was actually told that she was being inconsiderate of everybody around her, though it was underneath the shirt, you could barely hear it. And there was no visible evidence of the fact that she was actually pumping. But they were just aware of it. And they kind of breast shamed her. And it’s kind of really disheartening that we can’t look in within our community ourselves and be supportive of our own peers
Unknown Speaker  36:35
in that way as medical professionals. Yeah, I mean, we we didn’t have our kids until after well after I was done with residency. So and it’s so hard, but I have no idea how you can have children and complete a residency program at the same time. It’s just incredible. It’s an incredible feat. And so my head my head goes off to you and yes, any support that That we can give from the medical community you make an excellent point we should get, we should be internally as supportive as we are, at least as we claim to be externally.
Unknown Speaker  37:12
Right. Right. And that’s all I those are the points I wanted to make.
Unknown Speaker  37:18
So some excellent points, excellent resources lacked bed, I’m definitely going to be using that going forward. That’ll make my life a lot a lot easier. And help me with patient care and some excellent pointers if you’re going to be starting your own business. So Dr. Sunil Patel, where can people find you online?
Unknown Speaker  37:36
I am on Instagram for Nyah care, that’s na y a CA r e on Facebook for Niagara care Colorado and a y a CA r e. Colorado, and then my website is Naya care.org and a y a CA r e.org. Nyan means renewal and sunshine. And it was always my girls name and I have
Unknown Speaker  38:02
my business as my baby.
Unknown Speaker  38:04
So I’ve heard you say that before. And I love that story. Yeah.
Unknown Speaker  38:11
Well, thank you for very much for talking to us today. It has been a pleasure.
Unknown Speaker  38:15
Thank you so much.
Unknown Speaker  38:18
That was Dr. Bradley Block at the physicians guide to doctoring. We can be found at physicians guide to doctor and calm or wherever you get your podcasts. If you have a question for a previous guest or have an idea for a future episode, send a comment on the web page. Also, be sure to leave a five star review on your preferred podcast platform. Our show is produced by guilt free Studios in New York City you can find them at guilt free studios calm our theme music was written by our show’s producer voice actor current guilt free
Transcribed by https://otter.ai