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A gynecologist asked Twitter how he should redesign his office. The answers he got were about deeper health care issues.

By
Kylie Logan
Kylie Logan
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By
Kylie Logan
Kylie Logan
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December 7, 2021, 2:20 PM ET
Dr. Ryan Stewart-OBGYN-Office design advice
Dr. Ryan Stewart asked for office design advice on Twitter and what he received was a flurry of healthcare commentary.Courtesy of Sam Walker

A doctor in Indiana recently asked a simple question on Twitter: How should he design his office to best serve his patients? 

“I have the opportunity to design my office from scratch. I’m asking women. How would you design/optimize a visit to the gynecologist’s office? Problems, frustrations, solutions. No detail is too small,” wrote Dr. Ryan Stewart, a urogynecologist in Indiana who specializes in treating people past reproductive age dealing with urinary complications.

I have the opportunity to design my office from scratch.

I’m asking women. How would you design/optimize a visit to the gynecologist’s office?

✅problems
✅frustrations
✅solutions

No detail is too small.

If I’ve ever had a tweet worthy of virality, it’s this one. 🙏🏼 RT.

— Ryan Stewart (@stuboo) December 5, 2021

Within hours, Dr. Stewart’s seemingly basic query sparked a wide-ranging conversation about not just gynecologic practices, but diversity, gender, and the state of healthcare in the U.S.

“It’s really pretty rare that we, sort of, get onsite feedback. And that is our fault,” Stewart told Fortune about the comments he received from his tweet. “And I say ‘our’ as like the medical community…we really sort of push people through the process so quickly, that there’s no time to sort of reflect on the actual experience.”  

Stewart is currently in the process of building his own pelvic health practice called Midwest Center for Public Health in Indianapolis, which he plans to open in 2022. 

In response to his tweet, one Twitter user noted their own gynecologist’s stirrup warmers that make the footholds more comfortable and ease the tension of an inherently vulnerable doctor’s appointment. They posted a photo of two warmers that read “Are We” on the left and “Done Yet” on the right.  

My OBGYN has hilarious warmers over the stirrups, which always make me laugh. There's another room that says "I Hate" & "This Part". They also make me feel like the office understands how awkward and uncomfortable these appointments can be, despite their best efforts. pic.twitter.com/UidkvHjrR3

— 🌈 Dr. Jay Phab (@PhabPharmaDoc) December 5, 2021

Another mentioned how disruptive TV’s can be in a gynecologist’s waiting room when patients may already feel nervous. And someone else brought up the bigger problem that people have accessing their healthcare providers.  

“People with lacking economic means don’t have a car. Do something that makes your office accessible without a car, and with public transport,” they wrote. 

Stewart responded that “thankfully,” his practice would be located next to a bus route. 

“We have SO MUCH work to do on public transportation in this country,” he wrote.

I'm not a woman, but an international grad student in US. I've seen a firsthand issue. People with lacking economic means don't have a car. Do something that makes your office accessible without a car, and with public transport. So that someone doesn't go hungry to get a (1/n)

— grad_school_sucks (@crzygradstudent) December 5, 2021

Stewart told Fortune that the discussion of accessibility was one of the most powerful results of the Twitter thread. 

“Those kinds of, sort of, personal stories, were really very touching and encouraged me to, sort of, rethink the actual physical design space considerably,” he said.

Other Twitter users emphasized the dire need for diverse representation in office decorations. 

“Please have images of Black women in the office. I haven’t visited a gynecologist office yet with this type of representation,” one user wrote.

Please have images of Black women in the office. I haven't visited a gynecologist office yet with this type of representation. Also, privacy is key. I shouldn't fear that the door will swing open exposing me in the middle of my examination.

— Dr. Kimberly Sapre (@KimEMPA2019) December 5, 2021

Another said that patients should have a fair warning if someone else besides the doctor will be in the room during their examination. 

Please consider:
– not asking the patient if an intern can be in the room in the presence of the intern- it's hard to say no in front of them
– not changing practitioner between the time of appt. and the actual appt. expecting the patient to be comfortable with someone else
1/2

— Kimberly Cooper Griffin – Lost Harbor is out now! (@KCooperGriffin) December 6, 2021

While the U.S. awaits a decision in the Supreme Court’s most recent abortion case, which may overturn Roe v. Wade, there seems to be an increased discussion about reproductive healthcare. One physician’s tweet on IUD-related sedation went viral, as did a professor’s tweet on how simply not wanting a baby is a good enough reason to have an abortion, NBCLX originally reported. 

Stewart’s question about how to best design his practice, however, also received some criticism.  He wrote that he was interested in hearing from “women,” which some Twitter users noted would exclude people who don’t identify as women but still require gynecological care.

“I would not just ask women. I’m not a woman and GYN care is essential to my health. Physical space is important, but invest in comprehensive training for your staff to ensure safety of BIPOC, queer, disabled, and other marginalized patients. This is essential,” one Twitter user wrote.

https://twitter.com/HannahntheWolf/status/1467552565038518279

Dr. Stewart responded to the criticism by saying he should have taken more care with his wording.

“Folks have [correctly] pointed out that I [incorrectly] said “women” when what I should have said was “folks who may need gynecologic care.”” 

Folks have [correctly] pointed out that I [incorrectly] said “women” when what I should have said was “folks who may need gynecologic care.”

I named the practice with this in mind @midwestpelvis, but I find that I still have a lot of internalized/implicit bias. 🧵

— Ryan Stewart (@stuboo) December 5, 2021

“I’m a #workinprogress,” he added. “I appreciate your advocacy and the reminders. Everyone is welcome and I want them to feel welcomed.”

Stewart told Fortune that he takes the feedback as an opportunity to learn. 

“Whenever somebody tells you you’re wrong, your first inclination is to, like, put a guard up and, like, sort of be shocked, or to be frustrated, angry, defensive,” Stewart said, adding that in his 40’s, he’s learned to look inside himself more. “They were absolutely right and I was wrong.”

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By Kylie Logan
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