TRANSKRİPT 🔗
WEBVTT
00:00.194 --> 00:03.400
The views expressed by speakers
00:03.578 --> 00:06.887
are their own and may not necessarily represent the views of
00:07.387 --> 00:10.686
the IMS. Hello, I'm Dr.
00:10.751 --> 00:14.003
Marla Shapiro, and I sit on the Board of Trustees of the International Menopause
00:14.503 --> 00:17.751
Society, and I'm joined today by a fellow Canadian, Dr. Susan Goldstein,
00:18.252 --> 00:21.696
who has a shared passion, which is educating women about
00:21.729 --> 00:25.502
midlife health. So firstly, introduce yourself to our audience.
00:27.017 --> 00:30.334
Thanks so much for having me, Marla. So I'm a family physician in Toronto.
00:30.462 --> 00:33.683
I do provide primary care. I am an
00:34.183 --> 00:37.993
assistant professor in the Department of Family Community Medicine at the University of Toronto.
00:38.410 --> 00:41.919
I am a Menopause Society certified practitioner,
00:42.399 --> 00:46.052
and as of the taping, I am the president-elect for Canadian Menopause
00:46.552 --> 00:50.026
Society. So with that in mind, you created a
00:50.526 --> 00:54.164
website, and I want to talk about the average woman who is
00:54.423 --> 00:57.948
inundated with social media and all
00:58.320 --> 01:01.522
types of inaccurate misinformation,
01:01.716 --> 01:05.233
disinformation. So talk about this website you've created,
01:05.974 --> 01:09.712
where it can be found, and why it can be helpful for
01:10.324 --> 01:13.816
any woman in midlife. Okay, so where it can be
01:14.316 --> 01:15.524
found, it's www.mq6.ca.
01:18.160 --> 01:23.464
So nice, easy to remember. MQ6 stands for Menopause So
01:24.618 --> 01:28.802
there, you're right, there's a ton of misinformation, social media.
01:28.930 --> 01:32.602
I think I really feel badly for our patients because
01:32.938 --> 01:36.401
how do you figure out what's evidence-based? And one of the purposes
01:36.901 --> 01:40.617
of creating this website, and it was designed specifically for use by healthcare providers,
01:41.066 --> 01:44.705
so everything on it is evidence-based. While it's
01:44.817 --> 01:48.232
at the level of the healthcare provider, it is written in simple language,
01:48.601 --> 01:51.823
so not too many big medical terms so that anybody who reads it
01:52.080 --> 01:55.653
can understand it. And there is a section that's
01:55.797 --> 01:59.338
particularly for women, but I particularly left it open access
01:59.838 --> 02:03.088
so that if patients are wondering what the doctors are doing or
02:03.588 --> 02:07.158
should be doing, they can actually read along on the other side of the
02:07.658 --> 02:11.052
website and get evidence-based medicine
02:11.340 --> 02:14.721
that has been peer-reviewed. And I try and keep it quite
02:15.221 --> 02:18.503
up to date. So what are the questions that are covered?
02:18.936 --> 02:22.462
In this MQ-6? All right, so within the website
02:22.962 --> 02:26.918
itself, there are a number of tools. There's an MQ-6 assessment tool, there's an MQ-6
02:26.966 --> 02:30.894
treatment algorithm, there's a counseling page and other tools that we'll
02:31.394 --> 02:34.741
talk about. But the thing was built originally because there was a
02:35.241 --> 02:39.101
publication in 2017 of the MQ-6 assessment tool and accompanying
02:39.213 --> 02:42.883
treatment algorithm. The MQ-6 assessment tool is
02:42.980 --> 02:46.491
a menopause symptom screener. It is simple, It is
02:46.603 --> 02:49.862
quick. It is based on the questions that we need to be asking, the most
02:49.959 --> 02:53.395
common symptoms related to menopause, and those for which
02:53.491 --> 02:57.103
we have menopause-specific treatments. Do you— should
02:57.603 --> 03:00.732
we go through the 6 questions? Well, I think women can find
03:01.232 --> 03:04.232
the 6 questions, but I think— and they can, you know, look at the questions
03:04.248 --> 03:07.459
that they should be asking themselves because some women are unaware what
03:07.959 --> 03:11.891
is menopause and what isn't. But, you know, part of the site refers to
03:12.540 --> 03:15.964
management. And I think for many women, there's the question of, okay, these are my
03:16.464 --> 03:20.457
symptoms. How do they get managed? There's so much misinformation. How, as a
03:20.957 --> 03:24.610
consumer, can the website help educate them or arm them when they
03:24.658 --> 03:28.454
do see their healthcare provider to know what they want to be asking about?
03:30.048 --> 03:33.752
That's a great question. So this is how I recommend the consumer to
03:34.252 --> 03:38.270
use the website. You first start by using the tool itself. You can self-administer
03:38.770 --> 03:41.915
it. You can do it on your mobile phone. There are PDFs. The original MQ-6
03:41.948 --> 03:45.795
screener was written in a conversational way,
03:45.875 --> 03:49.321
but there are forms of it on the website that have yes/no answers where you
03:49.821 --> 03:53.201
can just click on the computer. You can take that screener with
03:53.233 --> 03:56.599
you to your healthcare provider and say, hey, I did
03:57.099 --> 04:00.302
this screener and I have symptoms. So that's the first way they can use it.
04:01.168 --> 04:04.213
The second way is that we know that a lot
04:04.713 --> 04:07.948
of healthcare providers are reticent to provide menopausal care
04:08.061 --> 04:11.170
because they have knowledge gaps. It just is what it is.
04:11.988 --> 04:15.322
I have had patients who will say, look, I went on this website,
04:15.755 --> 04:19.591
there's a treatment algorithm. Why don't we go through the treatment algorithm
04:19.608 --> 04:23.027
together? I looked at it and I'm not a doctor, and of course
04:23.476 --> 04:26.928
the algorithm is informational. It does not replace
04:27.428 --> 04:30.620
medical care, but it can give patients a sense of the
04:31.120 --> 04:34.633
decision-making they might expect from their healthcare provider. And they
04:35.133 -->
Load full transcript
04:39.256
can go through the algorithm on the website with their clinician
04:39.915 --> 04:43.077
to help support the clinician provide them the care that they need.
04:44.024 --> 04:47.396
There's also health promotion because menopause is much more than just
04:47.896 --> 04:50.832
a decision to be on therapy for hot flashes and night sweats.
04:51.956 --> 04:55.632
Absolutely. So as you well know, we spend—
04:56.050 --> 04:58.329
we women spend half of our,
04:59.261 --> 05:02.889
half of our life or more in adulthood, and half
05:03.389 --> 05:07.609
of that is actually postmenopausal. And during the menopausal
05:08.109 --> 05:12.168
transition, there are a lot of health changes and metabolic changes
05:12.586 --> 05:16.149
related to our cardiovascular status, our bone status. So it's
05:16.649 --> 05:20.210
a very important time for women really to be thinking about preventive
05:20.710 --> 05:24.528
health and how to optimize their health and promote health. So on
05:25.025 --> 05:28.123
the website, there's a button that says Menopausal Health Promotion,
05:28.653 --> 05:32.842
and it's also found on the tab for women. And it talks about
05:33.388 --> 05:36.823
what we need to do to stay healthy for that second half of our
05:36.984 --> 05:40.688
adult life. To have good health and good quality of life speaks
05:41.188 --> 05:44.264
to doing your update, you know, updating your necessary screening,
05:45.002 --> 05:48.465
but also speaks specifically to how to maintain bone health,
05:48.850 --> 05:52.202
how to maintain brain health, and how to maintain cardiovascular health.
05:52.458 --> 05:55.649
And again, all guideline-informed, up-to-date information.
05:56.307 --> 05:59.883
Quickly, I think that's what I want to leave our women who
05:59.915 --> 06:02.978
are watching this, that regardless of your level of education or
06:03.478 --> 06:07.205
where you live, if you have access to an internet and you can
06:07.302 --> 06:10.603
access the tool, then you can spend your time looking at
06:11.103 --> 06:14.306
the different tools, all the different options it offers you to educate
06:14.806 --> 06:18.011
yourself and to make yourself an informed consumer regardless of
06:18.511 --> 06:21.570
who's providing your healthcare to you. So before I let you go, one last time,
06:21.973 --> 06:23.423
where do our women find this tool?
06:24.537 --> 06:27.556
www.mq6.ca.
06:29.057 --> 06:32.631
Well, I think it's terrific that there's a tool that on the one side our
06:32.647 --> 06:36.166
healthcare professionals can use. And on the other side, women who are
06:36.199 --> 06:39.140
navigating midlife and beyond can look at to get educated,
06:39.397 --> 06:43.157
to open up the door to proper evidence-based information as
06:43.205 --> 06:46.580
opposed to whatever else is out there that may or may not be true.
06:46.981 --> 06:49.905
So thank you so much for joining us today. Thank you very much for having
06:49.922 --> 06:50.227
me, Marla.
06:53.635 --> 06:56.696
Okay, great. All done. Thanks very
06:56.874 --> 06:59.304
much. Thanks for coming up for us.
06:59.712 --> 07:02.072
Thank you all. Bye for now.
07:02.843 --> 07:05.653
Thanks. Um, Erica,
07:06.118 --> 07:09.571
I have a question for you now. It may not be for you. Um,
07:09.892 --> 07:13.232
we have an old video from 3 years ago. Is there
07:13.344 --> 07:17.358
a way to get— I'm applying actually for promotion to associate professor.
07:17.840 --> 07:21.549
Um, is there a way to get the metrics at all? Like, how many people
07:22.049 --> 07:25.618
have viewed the videos or listened to the podcasts? Do you know? Uh,
07:26.252 --> 07:29.354
do you know where, like, the roughly the date?
07:30.864 --> 07:34.220
Uh, I think it was March 2023. Okay.
07:35.554 --> 07:39.234
So because there are existing videos about the MQ6, and I had wanted to
07:39.250 --> 07:42.399
redo this with Marla a little bit because they were
07:42.899 --> 07:46.210
more about the tool, the tools per se, and this was supposed to be a
07:46.710 --> 07:50.205
bit more about how to use the website. So it had— I think
07:50.705 --> 07:53.863
I gave her a different Uh, title for this one, I think, was Using
07:53.959 --> 07:58.029
Technology to Support Menopausal Care: The MQ-6 Menopause
07:58.045 --> 08:01.763
Management Tools. Okay. Yeah. Um, was it with BT
08:01.891 --> 08:05.433
Congress? Was it? Yeah. Okay. In a
08:06.634 --> 08:11.105
webinar? Yeah, the old videos are in— there's
08:11.605 --> 08:15.431
like a video, and then there's just one for patients,
08:15.447 --> 08:19.231
one for doctors, and then there is a Um,
08:19.456 --> 08:22.185
I think there's also like a podcast version of it.
08:23.614 --> 08:26.953
And it's there on the website. I checked it yesterday. So it's still there.
08:27.724 --> 08:31.224
There's about 14 of them. Yeah. If you could
08:31.240 --> 08:34.451
send me the link, that's, that would be great. So I can have a
08:34.951 --> 08:38.047
look at that because I just recently joined
08:38.304 --> 08:41.451
BT Congress in May. So, so I
08:41.951 --> 08:44.870
can check better if it's not a problem for you. Otherwise I'll just— Oh,
08:44.983 --> 08:48.212
not at all. No, no, I really appreciate it. Okay,
08:48.357 --> 08:50.453
thank you so much. Thank you. Thank you.
08:51.420 --> 08:54.337
Thank you so much. Bye-bye. Have a great weekend. Thanks, you too.