Practice and Reality with Solange Madriz, MA, MS
The Nocturnists
Emily Silverman
4.8 • 614 Ratings
🗓️ 30 April 2026
⏱️ 44 minutes
🧾️ Download transcript
Summary
Solange Madriz, a public health professional at UCSF, reflects on her work training birth attendants and clinicians in rural Guatemala to respond to maternal emergencies through low-cost simulation. For years, she helped others prepare for postpartum hemorrhage, preeclampsia, and other life-threatening complications of childbirth. Then, after the birth of her own first child during the pandemic, she developed severe postpartum preeclampsia and found herself on the other side of the hospital bed. In our conversation, Solange talks about public health, maternal health, the limits of knowledge when your own body is in crisis, and how her own medical experience changed the way she thinks about her work.
Solange originally performed this story at a live storytelling event produced UCSF Institute of Global Health Sciences as a part of our Satellites Storytelling program.
Looking for more from The Nocturnists? Explore The Nocturnists+, our subscriber-only feed featuring The Nocturnists After Hours—a monthly series where host Emily Silverman is joined by executive producer Dr. Ali Block for more informal, open conversations about medicine, culture, and their own lived experiences. Subscriptions start at just $10/mo and include exclusive discounts on our new merch. Learn more or subscribe at thenocturnists.org/plus.
Transcript
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| 0:00.0 | Hey everyone. I hope you're having a wonderful spring. In the spirit of renewal, I wanted to share |
| 0:07.5 | something new that we've been working on. It's called The Nocturnous Plus, our new subscriber-only feed. |
| 0:15.0 | With a subscription, you'll get access to The Nocturnous 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. |
| 0:32.2 | 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 |
| 0:38.9 | the ups and downs of being the doctors in our own families. It was my first experience where |
| 0:44.3 | a health care provider was sort of using lines on me that I knew. So the biggest thing was he was |
| 0:51.6 | 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. |
| 1:11.9 | And I was just like, don't pull that with me. I know those lines. That's the nocturnous after |
| 1:17.7 | hours. We're really excited to see how the series evolves. It's been really fun so far. |
| 1:23.5 | And would love to hear your ideas, questions, and suggestions along the way. |
| 1:28.3 | If you want to join us in this new corner of our community, take a visit to the nocturnist.org slash plus. |
| 1:34.4 | Subscriptions start at just $10 a month. |
| 1:37.1 | And now, on to today's episode. |
| 1:40.0 | Every episode of tradeoffs is grounded in rigorous research. |
| 1:43.3 | The findings of this paper indicate that there are conversations. |
| 1:47.2 | A lot of the anger, while real, is somewhat misplaced. |
| 1:50.4 | And insights into what the latest in health policy means for you. |
| 1:54.6 | Hey, we're spending hundreds of billions of dollars. |
| 1:56.6 | What are we getting for it? |
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