08-21-23 Mobile school clinics

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Episode Transcript

(00:00):
Mix one of six five. Goodmorning, it's Christina Woolford. It's just
after ten o'clock. It is timefor Lady Parts with doctor Richard Villarreal of
Adina Women's Health and doctor Villareal.Just like every month, we've got a
new topic and some special guests wedo and good morning to you. It's
great to see you, good tosee you do. So today, yeah,
we're going to talk about something reallyinteresting that Adina has started. You

(00:24):
know, they have this long standingcommitment to the community it serves, and
the system started this. It's calleda mobile school based health clinic. And
so I have two wonderful ladies herewith me today, Audrey Barker and Kim
Jones with Community Health and Development,and they're going to talk about this school
based wellness program that Adina is doing. So you know, it's it's always

(00:47):
about you know, Jeff Graham alwayshear him say that, you know,
we're trying to bring care close tohome, So healthcare close to home.
So that's what we're doing for thesecommunities and it's such a wonderful thing.
So I'm want to let you twoladies talk a little bit about this and
I'm going to ask you some questions, jump in here and there for you
and to see some things. ButI think it's such a wonderful program for
these children because you know, studenthealth is our priority, and uh,

(01:08):
it's a system's priority. So well, tell us how we're doing this.
Well, we're first of all,thank you for having us here to talk
about this today, because it's ait's a this is a project that's multiple
years in the making. So Iguess it all started with our probably our
twenty thirteen community Health Needs Assessment thatwe that we did here for the Ross

(01:30):
County area. We do those everythree years and as we did one in
sixteen and nineteen. You know,a lot of the things that we do
is we pull a lot of dataabout the community, you know, prevalence
of disease and those types of things. But we also do surveys with the
community where we ask them what doyou think some of the biggest barriers are
to health and healthcare? What doyou think our community needs more of?

(01:53):
And one particular question we ask theminvolves kids. You know, what do
you think kids need to know moreabout? What I access to care?
Do they need? And those typesof things, And it really became very
clear to us, you know,during those assessments that you know, getting
out to the kids and providing prevention, education, wellness care, all of

(02:13):
those things were really really critical.And so as part of that, with
our community partners, child safety andlifelong wellness became a health priority for our
Ross County community. And out ofthat, you know, lots of partnerships
came with that. And you fastforward into twenty twenty three and here we
are with a mobile clinic that's readyto go out and address a lot of

(02:35):
those needs that we filed in thoseassessments. Well, that is awesome.
And the communities I'm hearing are veryreceptive on this. Yes, yeah,
we have a lot of them reallyexcited and anxious because, like she said,
it's been years in the making,and to build this new mobile unit
took a lot of time, andso they've been they've been waiting patiently for

(02:55):
it, and so we were tryingto be really resourceble and get a grant,
you know, and we did.We secured the funding to get the
unit, and we thought, okay, let's go get it. And they're
like, yes, that's going totake eighteen months to build with supply chain
issues and things. So you knowyou want it, you want it to
happen overnight yet because you were doingthis author COVID right, yes, yes,
so wow, that's amazing that yougot this accomplished. So well,

(03:17):
tell me, tell me a littleand the viewer sort of a little bit
about the unit itself, So let'sstart there. So, the mobile unit
has two exam rooms and one isactually handicapped accessible with a wheelchair lift and
we were able to put a chairin it that can also be turned around
and be used for dental care potentially. Wow, so we're able to make

(03:40):
it more accessible for future development ofcare needive that these kids need. And
the other room is a basic examroom that you would see if you went
into any doctor's office really, youknow, you got your chair and your
stethoscope and your blood pressure monitors andso. And it's got also a registration

(04:01):
area of the ability to do blooddraws, so if they need any lab
work done. So yeah, that'swonderful. And then is it connected to
the health system in any way?Yes, yeah, I mean, I
think the thing that's really important toremember about this unit is we're really focusing
on the kids that are just notgetting what they need. You know,
many children already have a primary caremedical home, right, and we're not

(04:25):
there to try to supersede that oranything like that. Yeah, I understanding.
It's not to take the place ofyour yes, primary doctor or your
pediatrician. This is just an additiontoo. Or for those kids that really
can't get to the doctor, youknow, their their parents are too busy,
their jobs don't allow them to getthem to their visits things like that,
right, And if they don't havea medical home, we're hoping that

(04:46):
we can get them connected so theydo get well established with that. But
then it's also available for kids thatyou know today they've got an earache,
right, they've put that sore ofthroat. You know, it can be
a helpful tool as well for parentsand so that the child doesn't have to
miss any more school. So whydo you think it's important to do this
school based? So why did wetake it to the schools? Well,

(05:10):
first of all, the schools,you know, really reached out to us
about a lot of the needs thattheir kids had. And you know,
being in a rural community, youknow, things are not just as readily
accessible and we don't have you know, transportations not available everywhere, so going
out to deliver that care, makingit as close to home for those families
as possible. It was the goalof the schools and we also that's the

(05:31):
goal of ADENAS to make sure thatwe're getting the care to folks as making
it as accessible as we possibly candlewhere they live. Yeah, and to
add on to that too, wesee you know the future of it.
By helping these kids learn the importanceof healthcare now and why it matters,
we're able to hopefully instill in themthis priority to take care of themselves as

(05:54):
they get older and to make surethat they're well visits and they look at
their over all wellness as they continueto grow and learn. That's wonderful,
so they won't have issues later life. Hopefully they can take care of preventative.
It's more preventative. We're about hypertension, diabetes, you know all these
other illnesses and know when there's somethinggoing on, you need to see somebody
about it and not just let itkeep progressing. So that's wonderful. What

(06:15):
about now, can anybody go intothis or do they have to have permission
from their parents or how does thiswork? Yes? You definitely need permission
from the parents, are legal guardiansto be seen as a as a miner
on mobile clinic. We are notopen to the public at this point in
time. We are going to startwith the students and see how it works

(06:38):
with them and potentially be able tosee what we can do for these particularly
these smaller villages and communities. Okay, so schools are going to try to
make the consents easily available to parentselectronically and those types of things at the
top of the year if they canto make it more convenient for them.
But all parents will be notified ifthey're child needs to be seen or if

(07:00):
they probably the school nurse, Yes, yes, I would know, and
they if you need to get intoyou know, your child in or you
would like to have your child seeingjust in case you're working or there's something.
So I mean I think for me, I think it would be wonderful.
I said, you get those phonecalls your child sick, you know,
and if the mobile unit is there, can they be seen in the
mobile unit and love then I don'thave to leave work or something like that.
I think that's great. Yeah,and even keeping those parents, you

(07:24):
know, through a phone call andother options that we might have to keep
them there as part of the visitwhile it's taking place as well. So
it makes it much more convenient forthem, and I think that's wonderful.
So what schools are we talking about? Which schools are going to have access
to this right now? So we'restarting with four schools in Ross County.

(07:45):
We have a Union Sioto or Unioto. I never never say it correctly.
My husband says, we have PickawayRoss Career and Technology Center. We have
Adena Local and Honeyton Local, andthen we have one school in Bayette County,
Miami Trace that we will be goingto as well. Perfect And there's

(08:07):
lots of other schools on the horizonas well, many of them that are
starting to work with us on whatit would look like to have the clinic
there as well. We certainly aren'tgoing to limit you know, access to
it, but we wanted to getstarted with these first schools. Yeah,
but I think it's great, Yeah, to do this, you know,
take the care to them. Sowhat else can be done on this?

(08:28):
So in questions that I have,what about like vaccinations or other things like
that, can will those be ableto be given out there? Yeah,
absolutely, yea, we are workingwith through the Vaccines for Children program with
a high Department of Health. We'reworking on getting that approval to have that
available. And then also any vaccinescovered by any private insurance, we'll have
those on the units ready to go. That's awesome. And then as far

(08:52):
as billing, what do we dofor I mean, will their usual insurance
take care of this? For thechildren where their parents have Medicaid or Medicare,
will that be taken care of?Yeah, all insurances that are available
through the health system will be ableto be used, so the parents don't
have to worry about anything exactly.That's wonderful. And if we do have

(09:13):
children that don't have insurance, therewill be options available for them too,
so that everybody gets seen. Noone will be denying, nobody left behind.
That's right, That's wonderful. Okay, Well, then I have a
few more questions, not adults atthis time, but we will be starting
probably, but the adults will startwith will be the staff at the schools
too, because many of them havea request to be able to be seen

(09:39):
on it as well. And Ithink you know, even in the beginning,
you know all the things that goaround the germs that go around at
school during certain times of the yearfor them to be able to come on
to the unit and get checked first. That makes sense absolutely. And so
you said that they can get theinformation through the nurse or there be stuff
online for them through the school systems. One of the things I mean,

(10:01):
I know Adina has been doing likesports physicals and things like that for over
twenty years. They've been going outto the systems and so I know Adina
has been really involved with the kidsfor a long long time. But can
some of this be done on thebus as far as the sports physicals and
things like that, Uh yeah,yeah, and work physicals and work physicals.
Okay, yeah, that's perfect.So, like we said, this

(10:24):
isn't meant to replace their primary caredoctors, right, this is in addition
to and it can take care ofsort of like needed care emergen care right
then and there. So I thinkthat's perfect. So you said, when
does this start in two weeks?Okay, So will we be at every

(10:45):
school every week or is it goingto be It varies per school based on
the student numbers and the timing.So some schools were there twice a month,
some schools were there three times amonth. It's not usually about once
a week then, and so I'msure that the listeners are going to wonder
who's going to be taking care ofmy child? So who's going to be
on the bus. We have agreat workforce already in house of nurse practitioners

(11:09):
that are already probably providing kids careto your kids or to your family members,
and they are taking time from theirclinics and coming on this unit to
provide services to the schools. Theseare all folks that are really excited to
take care of kids, I mean, and many of them have already went
through additional training, particularly in areaslike primary care mental health, where they

(11:33):
will be able to assess students thatmight be having issues and work to connect
them with mental health care and otherthings like that as well. That was
a big concernable. Let's go therefor a little bit, because I think
mental health care is sparse everywhere,I mean all across the country for adults
and for children in particular, becauseyou just can't find anybody to take care

(11:54):
of them. So we're going tohave people I had no idea about this
one, So we're going to havepeople out there that can take care some
of these mental health issues, kidsthat are depressed or picked on. You
know what type of other things arewe're going to be taken care of.
You know, the mental health carestate right now is it's really difficult,
particularly for children. So when youlook at the different tiers of mental health
care that are available, obviously atthe top of the tier would be a

(12:15):
psychiatrist. Most child psychiatrist right now, and there's a six to nine month
wait to get a child in.So you've got many children who are experiencing
issues and problems at a certain timeand in line to go see someone.
So what do you do to buildthat bridge between that child actually getting to
see that specialist while they're waiting?And so that's kind of the concept behind

(12:39):
primary care mental health is as you'vegot that primary care provider that can work
with a counselor many of the schoolsalready have in house counselors, so they
got that great partnership where you mighteven be able to do things like medication
or different things just to get thatstarted until that child can get to that
next tier and hopefully mitigate issues itdoesn't get worse while they're waiting and then

(13:03):
they can get them in if theyneed to get them in sooner. You
know, I think this is probablyanother bridge where you say this child needs
seen immediately, yes, and thenwe can get them into somebody. So
I think this is a great wayto do it. Yeah, so a
lot of those kids really do needhelp. And then so we've got the
providers, We've got everything that weneed to take care of this. They
get in through the nursing staff,they can get in through just online,

(13:28):
and we're hitting all these schools.So I can't believe this is wonderful.
I do also want to just puta plug in to say this isn't our
only unit that we have it adeaner, right, the only mobile unit,
because we also have the mammogram unit. Right, Yes, that goes.
So I didn't want to put aplug in there. So I didn't
want to forget about that because we'vegot such wonderful things. But because women,
this is a women's show, Iwant to make sure that the moms

(13:50):
and grandmothers also remember there's also amobile unit. If you don't get accessed,
you should. You know it's onlinewhere it's going to be that they
can get in to get themselves takencare of all. So it's it's so
simple when they get do it.They just get online, make the appointment
and they just drive up beside it, walk in, have their emigrant,
walk out, and go. Yeah. So there's no waiting, you know,

(14:11):
have to get into the hospitals,you have to do any of that
type of stuff right. And it'sso nice. And that team actually,
that a team actually has been fantastic. They helped us a lot, taught
us a lot about operating a mobileclinic that way. So it's been a
real team effort working with them.Yeah, the teams within the health system
to help put this together have beenI would we would not be able to
do it without them to help usput together. Yeah, that's awesome.

(14:35):
So are there some other things thatyou've learned about this so that you'd like
to let the listeners know about.Well, I think that probably an Audrey
chime in here as well. Imean we've had an immense amount of education
around school based health and what thatmeans for students, particularly when it's done
right and it's done well. Imean, you really can impact metrics like

(14:56):
the number of days missed for studentsyou can you can im prove scores for
testing and things like that when childrenare well and going to school. And
so the impact that we're hoping tohave, and I think that's part of
the education we've gotten as part ofthis experience, is to know that you
know, it won't just be aboutmaking sure you got that immunization that you
needed right to be able to goback to school, but it can mean

(15:20):
a whole lot of other things,particularly for kids that just you know,
for whatever reason, don't have theaccess that they need to primary game.
Yeah, this is going to beI mean, we can put as many
news things out and posters and flyersand but these school nurses, these are
the touch points that see these kidsevery day. They know what a lot

(15:43):
of these kids are going through orfacing or not talking about necessarily, and
so they are going to be thatpoint to be able to say, hey,
this, I think you do needto go see this or go check
this out because these providers can maybegive a little bit more than I'm able
to be on my licensure. Sothey're going to be key in helping us

(16:07):
build those relationships with these kids thatthey already have. Our school nurses spend
a lot of time making phone callsabout getting in for vaccines and things like
that. So we really hope thatwe can partner with them too to be
a good support system for them sothat they're not having to spend as much
time on the phone and things thatreally take up more time rather than giving
care to the kids and things.I can see that. I think these

(16:29):
school nurses are going to be ahuge part of this because, like you
said, I think they know thesekids, they know who needs to be
seen, and they can give youa little insight on some of the things,
so you know, this child reallyneeds seen for this, and there's
some other issues that you might wantto talk to them about, just not
feeling well or pressed in school.But I think one of the neatest things
though, is that the studies doshow when kids get healthcare, they do

(16:52):
learn more because they feel good,they can remember things they want to learn,
and they score better on their testsand do better in school, and
then they can go on and ifthey do want to go to college and
things like that, they do havethat ability and there's nothing that's holding them
back. So I think, youknow, particularly the Appalachian area where we
are that's important. We want totake care of these kids. Well,

(17:15):
I think it's important to say thisclinic is one piece of the program itself.
I mean, we go and workwith these schools very closely to help
understand some of the social health needsfor their students and for their staff,
and then we try to bring communitypartners to the table to have those conversations.

(17:37):
Okay, well we can work withyou on this, or we can
do this. And people are comingup with so many new ideas and ways
for kids access food, clothing,hygiene products, and it's it is really
amazing to see these communities really rallyaround these schools to help these kids.
Yeah, that's awesome, And sothis program will continue to grow. That's

(17:59):
what I'm here. We hope notjust in the way of the bus,
but everything else, right exactly.So that's part of what this whole thing
about community health and development is.And I'm getting it. How about that?
All right? I love it?I love it. Are there any
other things that you guys are workingon? I know, I mean,
I know, this is wonderful.This is great. So is there anything
else that you have in the worksthat we can talk about. You're smiling.

(18:22):
Our our community health and Development teamhas really tried to evolve quite a
bit over the last ten years,and we've we've really gotten focused on three
strategic areas, kids being one ofthose, and this is the mobile clinic
in the school based wellness is allpart of that. We've also got another
team that is very focused on substanceuse disorder and how we partner with our
communities to make sure that we're creatinginterception points for folks that do have SUD

(18:48):
and getting them directed towards treatment andthose types of things, because you know,
the hospital was a very it's avery big intercept point for a lot
of things. Yeah, but youknow sometimes it's just it's so big that
people are a little bit hesitant tocome. And so well, let's start
with that one you just mentioned.If people have issues, if parents have

(19:10):
issues, that children have issues,you know, high schools have issues,
who can they contact? Who dothey talk to? There's a lot of
community partners out there that they couldcontact that are willing to help. We
have community health workers at the there'scommunity health worker at the Ross County Health
District. There are peer recovery supportersthrough Ross County community action. Those are

(19:30):
all great access points to just starttalking to somebody and to figure out what
is the path for me to gethelp. Our resources, that's what we
want to get out so they knowwhere they can go. And I think
this is just the beginning of it. It is if I think even like
if you go to the Hope PartnershipProject or even the Ross County Health District
website, they have resources on there. It's all the same in the other

(19:52):
counties that we service, right yes, yes. And then our community Health
and Development team, the other strategythat we work on is really around social
determinants of health, then creating acentralized resource center that our caregivers are able
to access. But also we've gota lot of community members now that are
sharing with that as well. Soconnecting through that website piece. What is

(20:12):
that involve? So it involves ifyou're looking for different resources. Let's say
you need access someone to guide youtowards treatment for substance use disorder in those
types of things, You're going tohave access to those types of pieces of
information through that website portal as wellas the listing of all those community partners
that can help you with that aswell, we also partner with our two

(20:36):
one one line here locally that's operatedby the United Way of Ross County.
That's a twenty four seven line youcan call STYAL two one one in Ross
County and all of those information andresource pieces are in that those folks on
the inf of into the line orthey're twenty four seven, you can reach
them anytime. And if you needhousing, food, transportation, where do

(20:56):
I sign my child up for kindergarten? You know, any any all of
those types of community questions and soit is a big collaborative, a lot
of people working together to make surethat I have no idea how do we
make those access points better for people, because it's hard in a rural community.
I think people when you're in anurban area that don't realize everything's readily

(21:17):
available, transportation, everything's there.But you know, we have sections of
our county that are you know,they're kind of far removed, you know,
I don't don't think the general listener, like even myself didn't realize how
much, you guys, how muchADENA is doing out there and working with
all these other programs. So you'dmentioned a website earlier, do you know

(21:37):
what what was the website again toawith me. You can go to Adena
dot org under community Health and youcan access that information there. Okay,
and that goes with any of thosethings that we were talking about. Yes,
that's wonderful, yes, okay,of various counties, yes, and
it's and it's from the it's aregional thing too, so you can look
at it if you're in Pike Countyor Highland County. We have those things
in there as well. Okay,yeah, oneful. What else we have?

(22:03):
The bus is coming. It startsin two weeks. Yes, is
there? Well, let me askyou this is there? How do we
know where it's going to be?Is there a way to access when the
bus? Beware? Well, rightnow, as a piloting so working very
closely with the school nurses and theschool administrators first just to kind of get
a feel work out any of thebugs that may happen in the processing.
We have to bear with us alittle bit. To be just a little

(22:25):
bit. We do ask for somepatients as we kind of figure this out
because this is new. Even thoughwe've had this great learning opportunity with some
of the technical assistants around the stateand even from national level. We still
we still don't know exactly what it'sgoing to look like, and so we
want to make sure where we throwa bunch of people in there progress.
Yes, and so potentially though,we'll work with the schools to get on

(22:51):
their websites as well as the Adenadot org website for people to see.
Yeah, most of these models aredone in urban areas, and this is
a rule model. So we're takingthe leap, you know, for this
community to try to say how doyou take that model and then modify it
for your rule community. And thesewonderful schools, the first four here and
that are on the on the list, I are willing to work with us

(23:15):
to say, Okay, how dowe how do we create good scheduling and
all that type of stuff. Theycare about these kids, Yeah, they
want to make sure that they're takingcare of and I think it's important.
And so then like you said,you mentioned that letters notices will be going
out to the parents. They wantto know that this is coming and they
can always get involved. That's wonderful. And we'll have the mobile clinic at
some of the open houses, notall of them, but we will take

(23:36):
it out so people can get achance to see what it actually looks like
and before they encourage everybody to comeesols and check check kids see it so
they're comfortable with it and they knowwhat's going on. Yeah, that would
be wonderful. Yeah, and getto meet the providers and that as well.
So because it's a great thing.Yeah, they want to be dedicated
to the schools and develop the relationshipswith those kids so the kids know they

(24:00):
are and and feel comfortable with them. And what a great thing for the
community that you guys are doing.So how wonderful. So we appreciate it
very much. Do you have anyquestions, because well, I just as
a parent, I'm thinking the preventativestuff is great. Like you said that
we will know ahead of time,you know, next Thursday, the you
know, the unit's going to beat the school if my child needs something.

(24:21):
But you talked about if children weresick that day at school, so
I mean, I know, theunit's obviously is not going to be there
all day every day at every school, so I guess that would just kind
of be hit or miss, youknow, if your kids not feeling well
that day or you know, soyou know, I was just wondering kind
of how that would work. Yeah, so if we do happen to be
there as long as the consent issigned, or if the school nurse gets

(24:44):
ahold of the parent and they giveverbal permission, we'll get verbal permission as
well. We can do some wewere working to build up the rapid testing
for like STRAP or RSV or flu, so then we'll be able to go
ahead and give that parent a callsaying, hey, you know they already
they do have straps, so youdon't have to worry about taking them necessarily

(25:07):
to the urgent care or to theer because we've done it there for you.
So it would just be picking themup, making sure that they get
their prescription, and letting them restand heal. And then we've got a
few schools that we're going to beginpiloting telehealth units on for that emergent care
when the unit is not there,so that's a whole new thing as well.

(25:30):
Yeah, so we're baby stepping withthat because that's just you know it
with the school nurses. You know, they're very busy during the day,
so how do you partner with themto make sure that they've got the ability
to access it? And it wouldreally be sort of like almost like an
urgent care via telehealth for them,so on the days that we're not there.
And then many of our districts tooare working to try to use this

(25:52):
unit as a bridge too in thefuture to maybe create their own on site
little wellness centers that these folks canmaybe rotate into, pending on the need
and how many students they have,because it does vary. You know,
if you've got if you've got lessthan six hundred kids, you're probably not
going to have somebody there five daysa week, you know, treating.
But when you're on the larger districtswhere you do have more kids, you

(26:14):
can definitely see that growing to afull time clinic. So it really is
it's the first step and hopefully creatinga network of care across our school districts.
And said in Ohio it said aboutthe permission slips, So is that's
something that's going to just kind ofbe on file or do the parents have
to give permission each time the childhas seen so it will be on file.
It's each each year they will haveto sign it, but it will

(26:37):
be on file with the school nursesas well as in our own records.
But we do want to win it'sa well visited we do want them give
the parents an option. I don'tbeing either on the phone on site or
some particularly if it's an older kid, some parents who are like just tell
me how it went, or I'llcheck that. I'll check the visits summary
of how it went. But ifit is an acute we probably will still

(27:02):
call to say do you want tobe here to give them that option.
I'll let them have that choice.Yeah, yeah, I think that's wonderful.
You know, in this day andage, you only hear just tear
you know, bad things, andit's so refreshing, you know, to
hear these wonderful things that are beingdone, that are that are there for

(27:25):
the kids, that that's there forthe communities, and how people are just
opening up their hearts and giving theirtime to take care of our our peers,
you know. And I care ofby my peeps, but you know,
these are our people and we needto take care of them. And
I think the community needs to recognize. I mean, Adina is doing a
good job. They're doing a greatjob of getting out there and taking care

(27:49):
of the people that they serve.I mean, these are their people.
I mean, we live in thesecommunities and we don't want anything to happen
to anybody around us, so wewant to do the best that we can.
And these are such wonderful things andgreat ideas, and you guys are
working so hard and we still appreciateyou. So we thank you so much
for everything that you're doing, andI thank you for the families the kids

(28:11):
that you're going to take care of. So but anything else that you want
to say before we end a day, I just like to give kudos to
the school districts because they really docare about their kids. These ones that
are partnering with us, they reallydo, but they can't do everything,
you know, and it's really hardand looking for a partner that can work
in partnership with them to make surethat the kids that don't get what they

(28:34):
need all the time are really gettingthat. So I think that's a really
important thing to know that they reallydo care about these kids and they're trying
to bring in as many resources aspossible to serve them. And we are
just very privileged to get to partnerwith people that really do care about as
much as these kids as we do. So yeah, you've got to respect
these these schools, yes, andthat they do care and that they're principles

(28:57):
and teachers and everybody else. They'reschool boards that are allowing us to do
this. Yeah, I think it'sfabulous. Yeah, yeah, thank you
so much. I think the biggestthing too, is just to make sure
if you see the mobile unit comingdown the road, wave its probably me
or our full time staff member Kelly. Just wave to us and we'll come.
Sure, we'll try to homecome comesee it. Absolutely, but again

(29:19):
at the beginning, it will beslow. They're going to work out the
bugs. Don't expect everything to beperfect the first time, but it will
be, but it will be hopefullythe systees will just keep growing. Yes,
yes, so well, thank youvery much for coming today. We
really appreciate it. Thank you,Thanks Christina, thank you, thanks again.
This has been Lady Parts with DoctorRichard Villa Real. It airs the

(29:41):
third Monday of every month at tenam on Mix one of six five and
Chillcothee. You can also catch thepodcast on iHeart Radio. Just open the
free iHeart Radio app, click onpodcasts and do a search for Lady Parts
with Doctor Richard Villereal.