Practice and Reality with Solange Madriz, MA, MS
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Hey everyone, I hope you're having a wonderful spring. In the spirit of renewal, I wanted to share something new that we've been working on. It's called the Nocturnist Plus, our new subscriber-only feed. With a subscription, you'll get access to the Nocturnus After Hours, a monthly bonus series featuring original conversations between me and our executive producer, Allie Block, along with discounts on our new merch and access to all of our episodes in one place. To give you a taste of what it's like, here's a clip from our very first After Hours episode, where Allie and I talk about the ups and downs of being the doctors in our own families.
It was my first experience where a healthcare provider was sort of using lines on me that I knew. So the biggest thing was he was trying to transfer my dad out of the neuro ICU. And I was trying to argue that he was not ready to go to the floor. And I'm sure you're very familiar with this line. This ICU doc said what we say to patients in the hospital all the time, which is, you know, it's really much safer for your dad to be somewhere else. He could get an infection. He could get a DVT. And I was just like, don't pull that with me. I know those lines.
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This is The Nocturnist. I'm Emily Silverman. Today's episode features Solange Madriz, a public health professional whose work has focused on maternal health, global health, and childbirth emergencies. For years, Solange traveled to rural Guatemala to help lead a low-cost simulation training program for birth attendants and clinic staff. Instead of expensive mannequins in high-tech simulation labs, they used whatever they had. Fake blood, fabric placentas, baby dolls, improvised props, and one another's bodies. The goal was to help teams practice for obstetric emergencies, like postpartum hemorrhage, preeclampsia, and newborn distress, and to think through not only the clinical response, but also the realities of working in under-resourced settings.
Then, during the pandemic, after the birth of her first child, Solange developed severe postpartum preeclampsia and found herself in a situation no amount of training or simulation could fully prepare her for. In our conversation, we talk about her path to public health, what she learned from working alongside birth providers in rural Guatemala, and what it was like to go from teaching emergency response to depending on it. But first, here's a clip from Solange's live story.
Contraction! It hurts! It's 2015. Believe it or not, as part of my job description, I was asked to reenact giving birth. Essentially, I have to fake birth as part of my job, and not the pretty births that you see in the movies. I had to reenact sepsis, preeclampsia, eclampsia, cardiomyitis, postpartum hemorrhage. Sometimes, not only I had to be the mom with problems, sometimes I had to pretend the baby was also having problems, such as being born and not being able to breathe, being born and being floppy, being born or being stuck in my pelvis.
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