Archive for the ‘Patients: News, Stories, and Comments’ Category

Helping You Remember

A study published this month in the Obstetrics & Gynecology Journal concludes that text messaging is effective in helping women continue oral contraceptives.

Participants receiving the intervention were more likely to continue oral contraception than control participants at 6 months (odds ratio 1.44, 95% confidence interval 1.03–2.00) in analyses adjusted for age, race or ethnicity, age at coitarche, pregnancy history, and OCP experience.

CONCLUSION: The use of daily educational text messages improves OCP continuation at 6 months over routine care alone.

We’re happy to see the research supporting this method.  We began providing text message reminders as a free service to our patients in 2010. You can sign up for daily reminders by texting PillPixy to 74700.  If you’d prefer a more anonymous text, we can send you reminders to drink water.  Text WaterPixy to 74700. 

We also offer the service in Spanish:

Apúntate hoy para recibir un mensaje de texto diario en tu teléfono: envía el texto HadaMadrina al 74700

 O si prefieres un texto menos explícito, podemos recordarte que bebas agua: envía el texto HadaAgua al 74700.

If you have any questions about Pill Pixy, email us at pillpixy@ppcentralnc.org

Simply a Dream!

It’s that time of year again.
  
Merry Christmas! 
Happy Hanukkah!
Happy Kwanzaa!

But for me the season also means Customer Satisfaction Surveys! This week I’ve been working on the surveys distributed in November and early December.  With some computing still left to do, here’s what I can say, Our patients love us, I mean, LOVE us.  

Have you ever left your doctor’s office thinking, “That was awesome.” or ”Simply a Dream!” ?   Or “Everyone here is so super nice, don’t change a thing” ?   If you haven’t, then maybe you should come check out Planned Parenthood.

A quick look at some of our early results
- our average family planning patient is in and out the door in 1 hour 5 minutes
- more than half of our walk-in patients are seen within 15 minutes.
- over 96% of patients would describe the care they received as “GREAT”
- 99% say they will recommend us to a friend.

If you have a story you’d like to share with us, feel free to add a comment.  I’ll end with this quote from a patient seen this month in Chapel Hill, “My visit was perfect. The IUD Queen is the BEST doctor in town!”

What’s Your Story?

I love this: What’s Your Story, Let’s Talk.   The online flipbook, which was published in conjunction with Let’s Talk Month, shares eighteen people’s stories of learning about sex and “the talk” with parents and kids.  Some of the stories will make you cringe and others will have you rolling  (check out Reshma’s story about her aunt.) 

Want to share your six answers? Put them in the comments and win a Planned Parenthood t-shirt. 

I learned about sex

Talking with my parent(s) about sexuality

Talking with my kid(s) about sexuality

My most awkard parent moment

My best parent moment

The last time I talked about sex and sexuality was

As you may know from your own experience or from what you read in What’s Your Story, parents and kids don’t always have an easy time of it when it comes to talking about sex. 

We’re Here to help!  Join us as we celebrate Let’s Talk Month by holding a FREE class for Parents called Talking with Your Teen.  Click the title for the 411 on the class.

one patient

From the very beginning of the legislature’s effort to defund us, we have fought to continue to provide life-saving cancer screenings, birth control, breast exams, and prevention and treatment of STDs to those who rely on us for care.

For more than a decade, we’ve participated in state and federal programs to provide uninsured and low-income North Carolinians basic sexual health care.   Up until July 1st, we were under multi-year contracts with the state to provide these health services and a peer education program in Fayetteville. 

As you know, we’ve filed a lawsuit against the state and had our injunction hearing on August 10th.  We are confident that we will win the lawsuit and very hopeful for an injunction that will restore the funding while the lawsuit is settled.

Because of our Board of Directors’ commitment to our patients, we are serving clients without interruption as we await the court’s decision on our request for an injunction.  One of patients wrote a wonderful two page letter thanking us.  Here are a few excerpts:

“I’m a 36 year old single mother of 4 children. I’m currently unemployed and I lost my medicaid because I receive more than $650 of unemployment a month. I found out my excruciating pelvic pain and heavy menstrual cycles with blood clotting were coming from fibroid tumors and cysts in my uterus.  My ob/gyn told me we could try Depo-Provera.  After my fourth 12 week injection my pain was minimum and my cycles ended.  I used to miss work the first two days of my cycle because I flowed so heavy and was in so much pain I stayed in bed balled up in a knot..”

“I was a patient at Duke Ob/Gyn before my insurance was terminated. I had an appointment for my annual pap smear and my Depo-Provera injection. [The financial coordinator ] informed me I would have to pay $300 for my injection and $300-$400 for the pap smear.  I told her I could not afford it and she referred me to Planned Parenthood.  I called Planned Parenthood as soon as I left Duke and… could not believe how fast I was able to get an appointment.”

“I really needed this appointment because if I had missed my injection of Depo-Provera I would fall right back into the excruciating pain, heave menstrual cycles with clotting, and my fibroid tumors and cyst would grow back bigger.. causing me tremendous pain.”

“To my surprise I qualified and I was able to receive Title X funds which covered my visit at 100%.  I was so happy to receives the services and be granted with this special program that I cried because I was filled with joy and I knew I honestly couldn’t afford to pay for my services. I graciously donated $50 to help out someone else in need like me.”

This patient is just one of the patients we’ve seen since the ban.  They each have a story and they all depend on us to find a way to be here for them.  Women, like her, are counting on us. 

We’re here for every person, every family, and every community.

NC Legislature Overrides Governor’s Veto of HB854

Planned Parenthood released the following statement in response to today’s vote to overide the Governor’s veto of HB854.

Today’s vote reveals that some legislators care more about scoring political points than they do about protecting women’s rights and health.  They are so extreme that they refused to even allow exceptions for rape, incest, or when something has gone terribly wrong with the pregnancy.  We urge all North Carolinians who value reproductive rights and health to remember this vote in November of next year.

Planned Parenthood will take all necessary steps to reduce the negative impact this intrusive legislation will have on our patients.  We will continue to provide compassionate, non-judgemental health services to women who need them.

press contact: Paige Johnson, 919-618-3899 
to support Planned Parenthood: donate

Finally, some good news!

Yesterday the Institute of Medicine (IOM) released its recommendation (more than a year in the making) that prescription birth control should be covered by health insurance with no cost-sharing for patients. 

As we’ve written before this is thanks to the Affordable Care Act (aka health care reform) which requires preventative services for women to be fully covered by insurance companies with no co-pays. The recommendations of the independent IOM cited eight women’s health care services that should be fully covered including annual “well-woman” visits, screening for sexually transmitted diseases, and, of course, prescription birth control

This is great news for the more than 98 percent of sexually active women who will use some form of birth control during their childbearing years. Bad news for the U.S. Conference of Catholic Bishops and others who hold women and their ability to control their own bodies in the same low regard.

It’s unfortunate, but not surprising, this recommendation is attracting controversy. As reported by NPR the Conference of Catholic Bishops (widely noted as medical experts on women’s health…) stated that “”to prevent pregnancy is not to prevent a disease.”

The IOM flatly rejected this claim that birth control is not primary, preventative health care by pointing out that spacing pregnancy and births has advantages for women, babies and families. They went on to say, “Women with unintended pregnancies are more likely to receive delayed or no prenatal care and to smoke, consume alcohol, be depressed, and experience domestic violence during pregnancy, the panel wrote. “Unintended pregnancy also increases the risk of babies being born preterm or at a low birth weight, both of which raise their chances of health and developmental problems.”

Rock on IOM. But who, or what, are you anyway? A lot of people are probably asking that same question so here’s the Cliff Notes version—the Institute of Medicine is an independent, non-profit organization that is made up of medical professionals which “serves as an advisor to the nation to improve health.” The IOM is often called upon by Congress or other governmental entities (in this case it was the Department of Health and Human Services) to make recommendations on health and health care policy that is unbiased and informed by the best research and medical science available. 

In short: boring name, VERY prestigious group. You can read their women’s preventative service report brief here. Make sure to check out the last page to learn about the people who actually made up the panel that released these recommendations. I hope it won’t hurt anyone’s feelings when I say they have slightly more women’s health expertise than the Catholic Bishops.

So where does that leave us? The IOM studied this issue and made recommendations at the request of DHHS and Kathleen Sebelius who will now get to make her own recommendation based on (or not, if she so chooses) the IOM analysis. Ultimately, the final say is up to the Obama administration who can then choose to accept or reject the recommendation of DHHS.

The bottom line is that we’re a lot closer than we were to birth control with no co-pays and that’s great news considering that 50 percent of pregnancies in the US are unintended and that high cost of contraceptives is frequently the reason women cite for not using it.

BUT don’t run down to the pharmacy demanding a free pack quite yet!  There is still a long road ahead and we need your help to get there! Sign our petition to let DHHS and the Obama administration know that Birth Control Matters to millions of women and that it matters to YOU!

Banned, Not Cut

We’ve all done it and lived to regret it. Last night I went down the rabbit hole of comments posted in response to the news about our filing suit against North Carolina for singling out Planned Parenthood and banning us from doing business with the state.  

Aside from the nut jobs that refuse to admit Planned Parenthood provides health care, there were two strands of comments that made me a bit crazy. Several people seemed genuinely baffled as to why we were shocked to have been cut. Let me say for the record, we wouldn’t have been shocked had we simply been cut. I mean, we’re all aware of the devastating cuts wreaked on education by the new legislative majority.  

So, no, we’re not suing because our funding was reduced. We’re suing because we were BANNED from doing business with the state in a purely political move by the new legislative majority despite a gubernatorial veto.

Here’s the exact language:

Prohibit Use of All Funds for Planned Parenthood Organizations

For FY 2011-2012 and FY 2012-2013, the Department of Health and Human Services may not provide State fund or other funds administered by the Department for contracts and grants to Planned Parenthood, Inc and affiliated organizations.

The other strand that made me a little bonkers were those who seem to have a “let them eat cake” approach to women in need of annual exams, birth control and lifesaving cancer screenings (aka basic health care for women in their childbearing years).

They suggested women could just go to the local health department. Aside from my suspicion that few of these virtual commentators get their health care from a health department, they seem clueless as to the wait involved in such an endeavor.

When the Planned Parenthood ban was first introduced in the NC House, we called health departments in cities where Planned Parenthood provides health services to see how long a new patient would have to wait for birth control. Waiting periods, in general, for a new family planning patient spanned from one month to three. A woman could be well into her first trimester of a pregnancy by this time.

In most cases, Planned Parenthood can see a woman who calls the same day or week. We’re also open on Saturdays and evenings—additional access not always available through health departments.

Proven access, in fact, is a major reason why Planned Parenthood won competitive state grants to deliver family planning services to women time and time again.

I’m not knocking health departments. There wasn’t a Planned Parenthood where I grew up so I got my first pack of pills from the health department. I’m grateful they were there.

The issue isn’t Planned Parenthood vs. health departments. We’re partners in making sure that women with little or no health coverage receive quality health care. Simply put, most health departments are at capacity. They do not have the ability to serve more patients. And, NC House Health and Human Services Chair Rep. Nelson Dollar couldn’t care less. Without ever addressing current waiting periods or other barriers to women seeking health care, Dollar cavalierly suggests Planned Parenthood patients can just go to their health department.  But, then, again, Dollar and his ilk like waiting periods and barriers for women seeking health care.

Oops, that’s another topic.

I know facts matter little to some vitriolic commentators out there but, friends, if you are inclined, help us by posting the truth. North Carolina’s new legislative majority cares far more about politics than women’s lives and that’s my final comment.

Open Letter

Dear Patients and Friends,

I wanted to communicate directly with you. Today, we filed suit against the state of North Carolina for defunding Planned Parenthood and denying life-saving health care to some of our most vulnerable patients.

For almost 30 years, Planned Parenthood of Central North Carolina (PPCNC) has been here as your trusted provider of health care and education. Last year PPCNC provided more than 11,000 medical visits.

Planned Parenthood of Central North Carolina has participated for years in state programs through which low-income women and men receive family planning health and education services, including life-saving cancer screening, annual exams and contraceptives.

Unfortunately, at a time when we know more people are in desperate need of access to high quality health care, not less, the North Carolina legislature overrode Governor Perdue’s veto and passed a state budget that takes these essential funds away from Planned Parenthood.

We’re fighting for you! Our patients deserve to receive cervical cancer screenings, breast exams, sex education, STD testing and treatment, and family planning from the provider they trust.

Our number one priority is our patients.  Our Board of Directors voted unanimously to absorb the state and federal funds we’re losing for up to two months. This gives the court time to act on our request for a temporary injunction while the lawsuit is heard. 

We intend to win the lawsuit.  And we intend to be here for you.

Sincerely,


 

 

 

 

Janet Colm
CEO& President

Tips for Talking

It is perfectly normal to feel nervous talking with your partner about STDs.   Many people do! But don’t let that stop you.

 

gytMillions of people have to deal with STDs every year, you are not alone!

 

Here are some tips on how to get yourself talking with your partner

 

Get in the Know

Read up and know the facts.  This will help you feel more confident and you can help answer questions your partner might have.  Check out our website to learn.

 

Time it Right

Start the conversation when you have time and privacy and before things heat up.  Explain that this isn’t about trust, it is about the fact that STDs are really common and most people who have one, don’t know it.   All STDs, including HIV, are treatable and many are curable, so it’s better to know.

 

If you have an STD, it’s important to talk with your partner before you have sex- including oral sex.  It might help to have a pamphlet or information available to give them.

 

Take Charge

Don’t wait for your partner to bring up getting tested.  They may be nervous too and relieved that you bring it up.  You could try something like this, “I’m kind of nervous to put this out there, but I think it’s important that we go get tested together.”

 

Listen

After you’ve brought it up, listen.  If your partner doesn’t respond, ask them what they thing about getting tested.  If your partner is reluctant to get tested, encourage them and think it over, is this someone you really want to be in a relationship with. After all this is about health.  If your partner reveals they have an STD, be supportive and recognize their courage in sharing with you.  It is still important to get tested and while you’re there you can talk to the doctor about treatment and protecting yourself.

 

Planned Parenthood is proud to be apart of GYT Campaign, a part of It’s Your (Sex) Life, a long-standing public information partnership of MTV and the Kaiser Family Foundation, Center for Disease Control, Planned Parenthood, National Coalition of STD Directors and the American College Health Association.

 

April is Get Yourself Tested Month, Get Yourself Talking and Get Yourself Tested.

Pregnant? Imagine your next suprise

fakeclinicOnce while working as an HCA at Planned Parenthood, I had an interesting experience with a patient who was around 19 weeks pregnant.  When I walked in, I saw a young woman in stunned silence in her chair. Soon she started to cry and told me that “the people at the other clinic I went to last week said I was only 12 weeks pregnant.” She went on to say that the staff at this “other clinic” told her that getting an abortion could increase her risk for breast cancer, give her post-traumatic stress disorder, and make her infertile. She was clearly very scared.

 

The moment she said all of this, I knew what exactly what had happened: she visited a crisis pregnancy center. I told her that although ultrasounds can be an approximation (possibly a few days off), there was no way that she was in her first trimester. I talked about the people who work at these centers, most posing as doctors or nurses, who date ultrasounds earlier to trick unsuspecting patients into thinking their pregnancy is earlier than it really is. By manipulating the pregnancy dating, it makes women think they have more time to decide about what to do about a pregnancy. These centers hope that these women will then run out of time and be unable to get a legal abortion in their state.

I wish I could tell you that this is a rare story I hear, but it isn’t. CPCs are places that exist solely for the purpose of deterring women from pursuing abortion procedures. Many are affiliated with religious organizations, few disclosing their relation, and they often lure women in with free pregnancy tests, ultrasounds and counseling. They usually place themselves near college campuses, lower income areas, and near abortion providers. Sometimes the staff makes the girls and women watch graphic videos depicting abortion procedures while waiting for the pregnancy test results, giving her brochures and pamphlets with false information about fetal development, birth control and abortion procedure side effects. They do not have to adhere to HIPAA compliant laws as medical offices do, so your contact information may be used as they wish. I once started the medication abortion video in a counseling room before I went over a patient’s paper work, and she started to scream: “Please don’t make me watch this! I don’t want to watch the video about Jesus and hell again!”

 

A crisis pregnancy center usually advertises with pictures of women crying or looking distressed on billboards and websites with phrases like, “Are you pregnant and scared?” On the phone or online they may evade questions you’re asking about abortion or say they only offer “positive” options. They may list reasons not to have an abortion citing evidence for depression in women who have abortions (which has been disproven). Some clinics are listed under “abortion alternatives” in their local yellow pages, but others, deceptively, list themselves under “abortion services.” If you or someone you know has visited a CPC, share your story in order to help law makers realize the damage CPCs are doing to women in your community.

 

Women deserve to be presented with accurate, unbiased, scientific medical information to make the most informed choices they can. When a woman is pregnant and asks for options at Planned Parenthood, you can guarantee she is presented with all of them: prenatal care, adoption, and abortion services. She deserves nothing less than the best care.

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