Afleveringen
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CDC’s 2023 STI Report is in, and for the first time in years, there’s good news. Tune in to our latest episode with Dr. Ina Park, a nationally recognized expert on STIs, to learn why she is cautiously optimistic about the new data trends in chlamydia, gonorrhea, and syphilis. Dr. Park expertly navigates the report with our host, Tammy Kremer, explaining how the previous surge in STIs has begun to slow, while prevalence continues to be high in certain “STI microclimates." Dr. Park stresses the importance of maintaining momentum through increased testing, focused prevention efforts for disproportionately impacted communities, and reducing stigma around STIs. Listen in to discover how disease intervention specialists are battling syphilis on Native American reservations with plenty of penicillin, a trusty car, and heroic determination. Overall, Dr. Park envisions a world where discussing infections is as routine and stigma-free as talking about the common cold.
Links:
Connect with Dr. Ina Park on her website, LinkedIn, and Instagram
Resources mentioned in episode
CDC 2023 Sexually Transmitted Infections Report
Strange Bedfellows: Adventures in the Science, History, and Surprising Secrets of STDs
CAPTC-related training and resources
CAPTC Disease Intervention Trainings
CAPTC STI Clinical Training
Previous episodes with Dr. Ina Park
S4 E7 Dan Savage on the Magic Question “What are you into?” & Dr. Ina Park on How Providers Can Help
S3 E7: Breaking Down STI Stigma with Dr. Ina Park & Courtney Brame
S3 E3: Monkeypox, What's The Hype? with Dr. Ina Park
S1 E6: Fighting STIgma With Humor & Honesty with Dr. Ina Park
Bio of Guest:
Ina Park MD, MS, is the author of Strange Bedfellows: Adventures in the Science, History, and Surprising Secrets of STDs. She is the Principal Investigator at the California Prevention Training Center. Ina is a Professor in the Department of Family and Community Medicine at the University of California San Francisco School of Medicine and a Medical Consultant in the Division of STD Prevention at the Centers for Disease Control and Prevention. She is a co-author of the 2021 CDC STD Treatment Guidelines, the country’s premier resource for diagnosis and treatment of sexually transmitted infections.
Have any questions, concerns, or love letters? Send us a message on Instagram @comingtogetherpod or email us at [email protected].
Don’t forget to leave us a review on Spotify, or wherever you get your podcasts.
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Meet Rachel E. Gross, science journalist and author of Vagina Obscura: An Anatomical Voyage. In this first part of a two–part conversation, Rachel shares how her personal experience with bacterial vaginosis inspired her to write a book that investigates what we know about different parts of female anatomy and how that knowledge (and lack thereof) has been developed. Vagina Obscura is Tammy's favorite read of the year! Rachel highlights the often-overlooked clitoris and vagina, exploring how these body parts are still unfamiliar or awkward for many, including healthcare professionals. We also delve into the systemic marginalization of female and LGBTQ+ voices in science, and how this has influenced society's understanding of the female sexual and reproductive system. Our discussion covers topics like vaginal pH balance and why it varies across different racial groups, and the use of boric acid—a common rat poison—as a treatment for bacterial vaginosis. Rachel also shares the story behind her book's title, Vagina Obscura.
Part two of the episode with Rachel is all about the clitoris. Stay tuned!
Check out the transcript of the episode.
Guest Bio:
Rachel Gross has been a science reporter for over 10 years, determined to share educational resources and information with the public. Rachel’s work has been published in The New York Times, The Guardian, BBC Future, National Geographic, and more. Rachel is also the author of Vagina Obscura: An Anatomical Voyage, a novel dedicated to re-mapping the female body based on meticulous research and exploration. Rachel is a committed sexual health educator, having lectured at various organizations and top universities in the nation.
Links:
Check out Rachel Gross’s website
Connect with Rachel Gross on LinkedIn, X, and Instagram
Rachel’s book: Vagina Obscura: An Anatomical Voyage
CAPTC related training and resources:
S3 E13: Centering Pleasure, Problems, and Pride in Sexual Healthcare with Jenn Rogers & Bryce Furness
S4 E8: Intimacy Starts with I: Women, Self-Love, and HIV with Michelle Lopez
Taking a Sexual Health History
Sexual Health Educator Training Program
Have any questions, concerns, or love letters? Send us a message on Instagram @comingtogetherpod or email us at [email protected].
Don’t forget to leave us a review on Spotify, or wherever you get your podcasts.
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Zijn er afleveringen die ontbreken?
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Check out a complilation of three previous episodes on harm reduction. Hear from each of our guests and then go back and listen to one of the full episodes:
S4 E1: Narcan Queen Kochina Rude on Drag and Harm Reduction S4 E2: Harm Reduction by Heart with Braunz Courtney S4 E3: America’s War on Drugs and Harm Reduction Around the World with Tanagra Melgarejo Pulido -
In this episode, Rodney McCoy, a Black queer man with over four decades of experience in HIV prevention and education, shares his journey as a Leatherman of color and discusses the intersection of BDSM, kink, and HIV prevention. From his entry into the kink community to becoming a titleholder in the American Leatherman competition, Rodney emphasizes how the kink community provided a safe space for self-discovery and empowerment. The episode explores the link between pleasure, power dynamics, and HIV prevention, highlighting the importance of honest conversations, sex positivity training, and the destigmatization of "risky behavior."
Rodney, a health educator, program director, adjunct professor, and researcher, emphasizes the partnership between healthcare professionals and patients in promoting sexual health. Rodney says, “I am about encouraging people to embrace all pleasure: sexual pleasure, pleasure that comes from good mental health, from good physical health and from good social connections. I believe as healthcare professionals, regardless of the field we're in, we are arbiters to help assist our clients explore and enhance that pleasure, that good health in their lives.” Rodney shares personal experiences as an HIV/STI testing specialist, addressing the impact of stigma and the importance of open communication.
Download the transcript of this episode.
Resources from Rodney:
Beyond the Red Ribbon training & other services: https://rodneymccoy.info/services
Listen to Daddy Podcast on YouTube
Bio:
Rodney “Rod” McCoy, Jr. brings his expertise of nearly four decades in HIV prevention and education, as well as his real-life experience as an African American gay/queer man living with HIV. An Oberlin College graduate with his Bachelors in Sociology and Black Studies, Rod has worked in a variety of capacities in the field of HIV Prevention, from Health Educator and HIV Counselor to Program Director. As an Adjunct Professor at George Mason University, Rod established the “HIV, Culture and Sexuality” course for the school’s Global and Community Health Department. Rod created a sex positivity training for public health professionals called Beyond the Red Ribbon in collaboration with Louis Shackelford of the HIV Vaccine Trials Network. He currently works at Us Helping Us in Washington, DC, as a Research Assistant.
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CW: Mention of abuse, sexual abuse, physical abuse, incest, molestation
At 24 years old, in the early 90’s, Michelle Lopez was riding a train in New York with her newborn baby and saw an advertisement that spoke to her. It said, “If you’re a woman and you’re enduring substance abuse, homelessness, or battery, call this number.” Michelle picked up a phone and began her new life. Her and her daughter were diagnosed with HIV, and it was her mission to get clean, understand her own trauma, and help others with similar stories.
Michelle, a bisexual Caribbean woman, realized that women living with HIV continue to be ostracized for both wanting and having sex. Michelle knew she had to combat this and teach herself and others about self-love, pleasure, and intimacy. She has spent her career advocating for HIV prevention and treatment, women’s health, mental health, sexuality, and how to unlearn feelings of shame. She says, “I recognized getting clean would give me more power to fight against situations and circumstances and stand up for my rights. I had to learn what it is to love Michelle and deal with the trauma that I endured.” Michelle shares how she utilizes her experiences from childhood to the present to educate others through clinical work, research, and advocacy. Her story is one of empowerment, celebration, and making lemonade with the lemons she was given.
Download the transcript of this episode.
Resources:
Michelle Lopez LinkedIn
CAPTC World AIDS Day Page
HIV.gov
Bio:
Michelle Lopez is a tireless advocate for public health among Black and Latinx communities. Over the last 30 years, Michelle has worked in HIV and AIDS prevention and health care navigation and substance use services. Michelle has served on boards of directors and advised on policy development that impacts the lives of marginalized communities. Michelle is now focusing on research designs methodology to meaningfully engages community members.
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Dan Savage is a sex-advice columnist and podcaster, and Ina Park is a sex positive STI researcher, physician, and author. The two come together in this episode to discuss desire, pleasure, and how to communicate about what feels good with partners and providers. Dan delves into discovering kinks, pleasure as we age, and trying new things alone and with partners. Ina reflects on her experiences as a provider, having conversations with patients around sex and pleasure as bodies, needs, and abilities change.
Dan says that gay people might be better at sex, “not because we're magic...we use the 4 magic words ‘what are you into?’” Ina explains that honest communication with a partner, a physician, a sex columnist, or a therapist knocks down barriers to explore sex and discover pleasure. The two emphasize the importance of both having providers and friends (with a good sense of judgment) with whom you can discuss sex freely.
This is our first episode of the 3-episode mini-series on pleasure.
Download the transcript of this episode.
Resources:
Connect with Dan: https://savage.love/, @dansavage on Instagram, and @fakedansavage on Twitter/X
Connect with Ina: https://www.inapark.net/ and @InaParkMD on Twitter/X
Learn how to include pleasure in sexual health history-taking from the National Coalition for Sexual Health: https://nationalcoalitionforsexualhealth.org/tools/for-healthcare-providers/video-series
Bios:
Dan Savage is a sex-advice columnist, podcaster and author whose graphic, pragmatic, and humorous advice has changed the cultural conversation about monogamy, gay rights, religion, and politics. “Savage Love,” Dan’s sex-advice column, was first published in 1991 and is now syndicated across the United States and Canada. He also hosts the Savage Lovecast, a weekly, call-in advice podcast that has tens of thousands of paying subscribers for premium Magnum content. Both his podcast and column can be found on his website Savage.Love.
Ina Park MD, MS, is the author of Strange Bedfellows: Adventures in the Science, History, and Surprising Secrets of STDs. She is the Principal Investigator at the California Prevention Training Center. She is a Professor in the Department of Family and Community Medicine at the University of California San Francisco School of Medicine and a Medical Consultant in the Division of STD Prevention at the Centers for Disease Control and Prevention. She is a co-author of the 2021 CDC STD Treatment Guidelines, the country’s premier resource for diagnosis and treatment of sexually transmitted infections.
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Director of Gender-Affirming Care for UC Davis Health, Miles Harris, FNP-BC, advocates for the integration of gender-affirming care with primary care and family planning. He shares that “so much of gender affirming care is not about hormones” and that “it is often so easy as a health care provider to do the thing that someone needs that changes their life.” He breaks down misconceptions: hormone therapy and contraception for trans folks is relatively simple, taking testosterone and not having a period does not prevent pregnancy, and there are no contraceptive methods that are contraindicated due to testosterone use.
He emphasizes the importance of not making assumptions about someone’s body parts or those of their partners, as well as not assuming that people are having types of sex that can result in a pregnancy. In choosing a contraceptive method, he says, “we want to remember that this person is a whole person, more than just their trans or non-binary identity.” This is the last episode in our mini-series on family planning and reproductive justice.
Download the transcript of this episode.
Resources:
Contraception Across the Transmasculine Spectrum Article co-authored by Miles Harris
Guidelines for the Primary and Gender-Affirming Care of Transgender and Gender Nonbinary People UCSF website
National Transgender Health Summit Biannual conference
National LGBTQIA+ Health Education Center Online learning from the Fenway Institute
LGBTQ+ Healthcare Directory Created by GLMA
Queer Doc & Plume Remote providers of gender affirming care
CAPTC-Related Training and Resources:
S3 E9: Abortion and Reproductive Justice Across State Lines Podcast episode
S2 E2: Speaking Frankly: Supporting Youths' Choice to Parent with Dr. Aisha May Podcast episode
Reproductive and Sexual Health Considerations for Trans and Non-Binary People Recorded webinar
Turn on notifications to never miss an episode of Coming Together for Sexual Health.
Follow Coming Together for Sexual Health on Instagram and Twitter.
Miles Harris is a trans and non-binary identified family nurse practitioner. He serves as the founding Director of Gender-Affirming Care for UC Davis Health and as an assistant clinical professor at the UC Davis Betty Irene Moore School of Nursing. His research focuses on sexual and reproductive health needs of transgender and gender nonbinary people, including contraceptive options for transgender and gender-nonbinary people assigned female at birth.
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Family doctor Jennifer Karlin, MD, PhD, and health educator Mariana Horne, join host Tammy Kremer to talk through forms of birth control that are not as well-known, including self-injectable Depo Provera, internal condoms, and the fertility awareness method. They go into side effects of birth control methods that are not always named, such as changes in mood and blood pressure. Mariana shares how she has supported clients who’ve faced coercive birth control practices in getting the care they want and how her background helps her connect with monolingual Spanish-speaking communities. Meanwhile, Jennifer shares how her family’s experience with healthcare led her to focus on empowering her patients, making the connection between how experiences in the clinic can impact people outside of the clinic: “I want them to take that feeling of autonomy, of like ‘oh, this is my body, I get to make choices about it,’ I want everybody to walk around the world knowing that and feeling that and acting that when they're not in the clinical space.”
Read the transcript of the episode.
Resources:
Plan C Pills
M&A Hotline
UCSF New Generation Health Clinic
CAPTC Related Training and Resources:
S3 E9: Abortion and Reproductive Justice Across State Lines
Reproductive and Sexual Health Considerations for Trans and Non-Binary People
Shared Decision Making in Contraceptive Counseling
Emergency Contraception
Prevention and Management of IUD Complications
Turn on notifications to never miss an episode of Coming Together for Sexual Health.
Follow Coming Together for Sexual Health on Instagram and Twitter.
Mariana Horne is a health educator and outreach lead at UCSF New Generation Health Clinic. She is committed to addressing racial inequities and disparities in reproductive health care and is an advocate for anyone in need of reproductive care, including monolingual Spanish-speaking communities. Her expertise encompasses birth control, sexually transmitted infections, minor consent laws in California, and reproductive justice initiatives.
Jennifer Karlin, MD, PhD, is a board-certified family physician and family planning specialist whose primary care practice is anchored in caring for patients in ways that encourage their empowerment and autonomy. At UC Davis and beyond, she is committed to medical and resident education that aims to encourage physicians-in-training to approach their practices from an historical, trauma-informed, and self-reflexive perspective. Her research aims to understand how social, political, and institutional structures affect people's experiences with diagnosis, treatment, and health care.
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Welcome to our mini-series on Reproductive Justice and Family Planning! Diana Greene Foster, PhD, author of The Turnaway Study: Ten Years, a Thousand Women, and the Consequences of Having - or Being Denied - an Abortion, sits down with host Tammy Kremer to advocate for reproductive justice and bodily autonomy. She explains that the Turnaway Study found that, “When people are making the decision about what to do with an unexpected pregnancy and they decide on abortion, all the reasons they give us are exactly those outcomes that we see for people who are denied an abortion.” She envisions a world in which “everyone is an equal partner in sex, in childbearing, in contraception, in pregnancy decision-making.”
Download the transcript of this episode.
Follow Diana Greene Foster on Twitter.
Resources:
The Turnaway Study: Ten Years, a Thousand Women, and the Consequences of Having—or Being Denied—an Abortion
Global Turnaway Study
ANSIRH: Advancing New Standards in Reproductive Care
Bixby Center for Global Reproductive Health
Plan C Pills
“Black Women’s Lived Experiences of Abortion"
Girlx Lab
CAPTC-Related Training and Resources:
S3 E9: Abortion and Reproductive Justice Across State Lines
S2 E2: Speaking Frankly: Supporting Youths' Choice to Parent with Dr. Aisha May
Reproductive and Sexual Health Considerations for Trans and Non-Binary People
Turn on notifications to never miss an episode of Coming Together for Sexual Health.
Follow Coming Together for Sexual Health on Instagram and Twitter.
Diana Greene Foster is a professor at the University of California, San Francisco, in the Department of Obstetrics, Gynecology, and Reproductive Sciences and a researcher at Advancing New Standards in Reproductive Health. She is the principal investigator of the Turnaway Study in the United States and Nepal, a nationwide longitudinal prospective study of the health and well-being of women who seek abortion including both women who do and do not receive abortion.
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Tanagra Melgarejo Pulido, Director of Capacity Building at the National Harm Reduction Coalition, speaks with host Tammy Kremer about the landscape of harm reduction programs and policies around the world and in the US, with a focus on the impacts of racism and colonization. She explains how harm reduction began with “communities of people who used drugs looking at each other, saying wait a minute, ‘We love each other, we care for each other. We need to build power and we need to work together.'”
Download the transcript of this episode.
Resources:
National Harm Reduction Coalition
Harm Reduction International Conference
The Chicago Recovery Alliance
Positive Women's Network
Sister Stone
CAPTC-Related Training and Resources:
S3 E2: Sex, Drugs, and Rock & Roll: Harm Reduction Strategies with Jen Jackson
Drugs 101 Series
Harm Reduction Resources
Turn on notifications to never miss an episode of Coming Together for Sexual Health.
Follow Coming Together for Sexual Health on Instagram and Twitter.
Tanagra Melgarejo Pulido was born and raised in Puerto Rico and is a daughter of immigrants from Mexico and Cuba. She leads the National Harm Reduction Coalition's capacity, building, and technical assistance efforts across the United States and its territories.
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CW: Substance Abuse
Braunz Courtney speaks with host Tammy Kremer about he practiced strategies of harm reduction at the age of 11 before he knew what the term meant. He went from dancing shirtless to raise awareness of the prevalence of HIV/AIDS in queer Black communities to serving as the Executive Director of the HIV Education Prevention Project of Alameda County. He touches upon the importance of organizations that understand the lived experiences of the populations they serve.
Download the transcript of this episode.
Follow HEPPAC on Instagram and Twitter.
Resources:
National Harm Reduction Coalition
Cal-Pep
Oakland LGBTQ Center
CAPTC-Related Training and Resources:
Syringe Services Programs Workshop
Breakout Session 6: Mobile Harm Reduction, Street Medicine as a Medical Home
Turn on notifications to never miss an episode of Coming Together for Sexual Health.
Follow Coming Together for Sexual Health on Instagram and Twitter.
Braunz Courtney is the Executive Director of the HIV Education Prevention Project of Alameda County. He serves PWUDs, the unhoused homeless, LGBTQ+, youth, and the recently released/reentry of the Alameda, Contra Costa, and Solano Counties. He creates, implements, and markets culturally appropriate programs that provide services in non-clinical settings to BIPOC communities throughout Northern California East Bay with a goal of having long-lasting public health impacts.
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CW: Opioid Overdose, Molestation
Welcome to our mini-series on Harm Reduction! Host Tammy Kremer sits down with drag queen Kochina Rude to share how she uses her performances to educate the LGBTQ+ community about Naloxone administration, safer partying, and overdose prevention. At her show “Princess,” cohosted with Lisa Frankenstien, Kochina Rude has provided training and 2,000+ doses of Narcan in San Francisco’s South of Market neighborhood.
Download the transcript of this episode.
Follow Kochina Rude on Instagram, Twitter, and TikTok.
Resources:
National Harm Reduction Coalition
Remedy Alliance For The People
NEXT Distro
DanceSafe
CAPTC-Related Training and Resources:
Unconditional Positive Regard–Intersectionality of Harm Reduction & Spirituality
Syringe Service Program Community of Practice
Drugs 101
Turn on notifications to never miss an episode of Coming Together for Sexual Health.
Follow Coming Together for Sexual Health on Instagram and Twitter.
Kochina Rude is a Bay Area-based drag queen, harm reduction advocate, and public health worker. She co-hosts the drag show “Princess” with Lisa Frankenstein at SF Oasis, where she established a naloxone distribution and overdose prevention education project for LGBT+ nightlife, providing over 2,000 doses of Narcan for community members in San Francisco’s South of Market neighborhood since 2021.
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Host Tammy Kremer chats with UCSF Infectious Disease Specialist Dr. Peter Chin-Hong about the current state of the Mpox outbreak: how it reflects contemporary health inequities, how stigma can be a barrier to people accessing treatment, and how lessons learned from past public health crises shaped the clinical and community response. Dr. Chin-Hong speaks about his experience caring for Mpox patients over the course of the outbreak, and how the stigma surrounding the virus has discouraged individuals from seeking out the necessary care, creating invisible populations of patients who are disconnected from diagnosis and treatment. Finally, he breaks down the social and behavioral interventions that have been effective in slowing the spread of the virus over the past months. They explore the role of public health education and messaging in the Mpox outbreak and how Dr. Chin-Hong anticipates the outbreak may proceed.
Read the transcript of the episode here.
CAPTC-Related Training and Resources:
S3 E8: Monkeypox in California: A Personal Story and Public Health Perspective
S3 E3: Monkeypox, What's the Hype?
CAPTC Monkeypox FAQ’s
CDC Monkeypox Resource Center
Turn on notifications to never miss an episode of Coming Together for Sexual Health.
Follow Coming Together for Sexual Health on Instagram and Twitter.
Peter Chin-Hong, MD, is a professor of medicine and associate dean at UCSF. He specializes in treating infectious diseases, especially in immunosuppressed patients such as recipients of organ and stem cell transplants and HIV-positive recipients of organ transplants. He is regularly featured in the media discussing COVID-19 and Mpox.
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Host Tammy Kremer interviews Jenn Rogers, director of the National Coalition for Sexual Health (NCSH), and Bryce Furness, MD, CDC Epidemiologist, about their work developing a toolkit for primary care providers to use in order to center sexual pleasure, problems, and pride as a part of all wellness visits. The CDC encourages taking sexual history by asking about 5 Ps: Partners, Practices, Past STI History, Protection From STIs, and Pregnancy Intention. The National Coalition for Sexual Health recently released a video series called “A New Approach to Sexual History Taking,” along with a set of new questions for providers to ask patients in all wellness visits that add a 6th P: Pleasure, Pride, and Problems.
Jenn and Bryce discuss the 6th P, which re-centers patients’ needs, enjoyment of their sexual lives, and social stigma attached to sex. As Jenn elaborates, “A satisfying pleasurable sex life is really a key element to sexual health and well-being for most people. So our sexual history taking questions really should reflect that." Bryce uses his specialized experiences providing sexual health care to LGBTQ+ populations to argue that we must recognize health disparities and address stigma around sexual health. Together, they discuss the creation of a freely accessible toolkit for all providers to use. They recognize that the current method of sexual history taking doesn’t incorporate enough discussion of issues such as gender identity, sexuality, shame, and stigma, and how these can affect sexual activity and sexual health.
Read the transcript of the episode here.
Resources:
National Coalition for Sexual Health
NCSH Membership Application
NCSH Health Care Action Group, Communications Actions Group, Policy Action Group
NCSH 6th P Video Series
NCSH Medical Provider’s Guide
NCSH Sexual Health History Questions
CDC guide to taking a sexual history
CDC’s Rachel Kucher et al. , “Sexual History Taking in Clinical Settings: A Narrative Review”
Turn on notifications to never miss an episode of Coming Together for Sexual Health.
Follow Coming Together for Sexual Health on Instagram and Twitter.
Jennifer Rogers, MPH, is the co-director of the National Coalition for Sexual Health (NCSH), a robust Coalition of over 200 members where she works collaboratively to promote high-quality sexual health information and health services. She also leads the Coalition’s Health Care Action Group to develop evidence-based and practical provider tools and materials.
Bryce Furness, MD, MPH, is a Medical Epidemiologist with the CDC’s Division of STD Prevention. He has been embedded within the Washington, DC Department of Health since 2002. Highlights of his tenure include establishing a transgender health clinic, leading gay men’s health & wellness clinics, and improving the PrEP Clinic. He has recently published several articles on transforming primary care for LGBT people.
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Director of the CAPTC Dana Cropper sits down with Gail Bolan, MD, and Alice Gandelman to discuss the founding of the CAPTC and its work in supporting sexual healthcare providers over the last 33 years. We learn about the forces that shaped the sexual healthcare field. Our guests unpack how the CAPTC developed alongside the HIV/AIDS epidemic in the late 1980s, the surprising relationship between HIV work and STI response, strategies to meet sexual healthcare needs both within and outside of sexual health clinics, and the ever-present need for greater training for providers around testing and treatment of STIs. We learn about how behavioral interventions were centered in response to the HIV/AIDS epidemic, and the importance of centering social determinants of health and larger structural forces in prevention and treatment efforts. They also discuss their hopes for opening up discussions about sexual health and de-stigmatizing the topic in the greater community.
Read the transcript of the episode here.
Resources:
HHS/Viral Hepatitis Action Plan
Ending the HIV Epidemic in the US (EHE)
Provision of Quality of STD Services (CDC) 2020
San Francisco City Clinic
Health HIV
National Coalition for Sexual Health
Turn on notifications to never miss an episode of Coming Together for Sexual Health.
Follow Coming Together for Sexual Health on Instagram and Twitter.
Gail Bolan, MD, was the Director of the Division of STD Prevention at the Centers for Disease Control and Prevention (CDC) from 2011 through 2020. Prior to joining CDC, she directed the California Prevention Training Center for 23 years. She served as the Chief of the STD Control Branch at the California Department of Public Health and the Director of the San Francisco City and County STD Prevention and Control Program from 1997 to 2011 as well as Medical Director of the San Francisco City Clinic from 1987 to 1997.
Alice Gandelman was the Director of the CAPTC from 1994 through 2021. She oversaw growth and development of CAPTC in numerous training and capacity-building programs in STD, HIV, sexual, and reproductive health.
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CW: Transphobia, Racism
Zami Hyemingway and Dr. Tatyana Moaton sit down with Tammy to discuss their personal and professional experiences with medical care for transgender folks and medical mistreatment. Together, they reflect on the need for medical providers to become responsive to transgender people's individual needs and advocate for them in a setting that has often been unsafe for them. Transgender folks need medical providers who will take risks and be true allies. Healthcare providers must rethink care amidst a system in which they occupy positions of power.
Our guests also argue for de-coupling all healthcare from any sort of police or criminal systems, emphasizing the impact this has on people with marginalized identities. Their discussion dives into the colonial roots of the gender binary and the transgender identity category, and how these constructs lead to a misunderstanding of what it means to be transgender and navigate trans healthcare.
Last March, Zami Hyemingway co-organized the conference on "See All of Me: The Intersections of Medical Mis/Distrust and its Impact on Transgender Health, HIV Care and Prevention” with Dr. Tatyana Moaton as a plenary speaker.
Download the transcript of the episode here.
Resources:
“See All of Me: The Intersections of Medical Mis/Distrust and its Impact on Transgender Health, HIV Care and Prevention”
Zami Hyemingway
Tatyana Moaton
CBA Resources https://californiaptc.com/programs/capacity-building-assistance/
U.S. Trans Survey: New survey, open to trans people at any stage, launching 10/19/22 https://www.ustranssurvey.org/
STD Expert Hour: This training focuses on the sexual health needs of transgender and gender non-conforming people. https://californiaptc.com/training/std-expert-hour-transgender-sexual-health-what-you-should-know/
Improving Transgender Services for Trans and Gender Diverse People: https://californiaptc.com/resources/improving-prep-services-for-trans-and-gender-diverse-people/
Higher Education Scholarship Opportunities for LGBTQ+ students listed at EduMed, Peterson's, GoGrad
Turn on notifications to never miss an episode of Coming Together for Sexual Health.
Follow Coming Together for Sexual Health on Instagram and Twitter.
Zami Hyemingway is the Capacity Building Assistance Gender-Affirming Project Manager at the Denver Prevention Training Center where he leads a team of identity consultants that provide technical assistance to clinics, health departments, and community-based organizations. Zami has over 10 years of experience in developing and implementing health behavior and health promotion programs. He also hosts personal wellness workshops via his organization, Spiritus Wellness.
Dr. Tatyana Moaton is the CEO and Principal Consultant for Envision Consulting, one of the first black trans-led consulting firms in the country. She is also a senior capacity-building specialist with San Francisco Community Health Center. Tatyana is a veteran of the U.S. Armed Forces, serving honorably as an intelligence officer in the US Army. She recently obtained her Doctorate of Philosophy In Management Science. She has worked with the American Civil Liberties Union, LAMBDA Legal, the U.S. Center for Disease Control, AIDS United, NMAC, Gilead, Merck, Elton John AIDS Foundation, and The Black AIDS Institute.
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CW: Sexual Trauma
Psychotherapist Sam Kendakur talks with host Tammy Kremer about the intersections of sexual health and mental health. Listen in for nuanced conversations about the gray areas and messiness of consent; how to piece apart our own understandings of sexual pleasure, desire, and attraction; the impacts of stigma on sexual and gender identity and those who choose non-monogamous relationship styles. We learn about the unexpected impacts healthcare providers can have on the well-being of folks with marginalized sexual, gender, and racial identities, especially when there are stark differences between the provider and client’s lived experiences.
Download the transcript of this episode.
Resources:
Sam Kendakur’s website
The Best Polyamory, Sex, and Queer Books
The Body Keeps the Score
Polysecure: Attachment, Trauma, and Consensual Nonmonogamy
Higher Education Scholarship Opportunities for LGBTQ+ students on EduMed, Peterson's, GoGrad
Turn on notifications to never miss an episode of Coming Together for Sexual Health.
Follow Coming Together for Sexual Health on Instagram and Twitter.
Sam Kendakur has worked in the mental health field for the past 12 years in a variety of settings across college campuses, inpatient psychiatric hospitals, alternative peer support networks, clinics, institutes, and currently private clinical practice. He’s invested in creating spaces that make healing accessible and relevant to people from different realms of experience, especially those that inhabit marginalized spaces. The social structure and health care system have failed so many, and he tries to address and combat these shortcomings through a commitment to client-centered anti-oppression practices that honor that suffering is most often nested within inequitable and unjust systems and their consequences rather than individual lack. He specializes in working with the LGBTQIA community, BDSM and kink, race and ethnicity, trauma, and alternative relationship styles.
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Dr. Mai Fleming sits down with host Tammy Kremer to discuss what she sees as the provider’s role in supporting patients, now that Roe v. Wade has been overturned. They review the multitude of situations in which a pregnancy is not optimal and how abortion stigma is one of the biggest barriers to medically safe abortion. At the core of her work, Dr. Fleming seeks to ensure her patients are empowered and find joy in their own reproductive health decisions.
Download the transcript of this episode.
Follow Dr. Mai Fleming on Twitter.
Resources:
Aid Access
Hey Jane
Plan C Pills
TEACH
Benioff Children's Hospital—Abortion Access Post-Roe
CAPTC-Related Training and Resources:
S3 E5: Trauma-Informed Pregnancy Care with Becca Schwartz, LCSW
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Follow Coming Together for Sexual Health on Instagram and Twitter.
Dr. Mai Fleming has a breadth of experience working in primary care settings and providing reproductive health services across the gender spectrum. Her work includes telemedicine abortion services via Hey Jane. As a family doctor, she helps people consider reproductive health and family planning within the broader context of their lives. In taking an expansive view of what reproductive care encompasses - including fertility counseling, abortion, and gender-affirming hormone therapy - Dr. Mai Fleming works to help her patients meet their goals.
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Stephan Ferris, a Bay Area activist lawyer, received one of the first 40 reported diagnoses of Monkeypox after attending a Pride celebration in San Francisco, California. Here, Ferris sits down with host, Tammy Kremer, and Dr. Akanksha Vaidya, a clinical fellow responding to the health crisis, to share his experience and discuss the need for improving treatment accessibility and provider education concerning a Monkeypox diagnosis.
This is a follow-up to S3 E3: Monkeypox, What's The Hype? with Dr. Ina Park at a very different stage of the spread of monkeypox. With the USA and WHO declaring this a public health emergency, Ferris and Dr. Vaidya use their respective lenses to reflect on the representation of this disease in the media, transmission, and the stigma associated with those who receive a diagnosis. As commercial labs begin to provide greater testing capacity, the group discusses improving messaging about limited vaccine supply and other treatment options for groups most vulnerable and individuals experiencing moderate symptoms.
Download the transcript of this episode.
Resources:
Stephan Ferris's Website
Reading is Fundamental Podcast
CDPH About Monkeypox and California Data
CDPH Monkeypox Clinical Assist Evaluation Tool
CDC Monitor Monkeypox Exposure
CDC Monkeypox Updates and Topics
"What You Need To Know About Monkeypox"
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Stephan Ferris is an openly queer and activist lawyer who focuses on entertainment law with an emphasis on uplifting LGBTQ+ voices. Stephan is also the producer and co-host of the entertainment law podcast Reading is Fundamental. He volunteers with various Bay Area LGBTQI+ organizations and is on the board of directors for Bay Area Lawyers for Individual Freedom.
Dr. Akanksha Vaidya is a clinical fellow trained in internal medicine and infectious diseases at the California Prevention Training Center. She completed her medical degree at Cornell University and her residency in Internal Medicine at Emory University in Atlanta. She came to UCSF in July 2020 for her Infectious Diseases Fellowship. Her research and professional interests include improving health equity and access to care for people with STIs and HIV.
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