Uploaded May 2026 | Updated September 2026, 2 weeks ago
Ever felt ignored, dismissed, or completely rushed by your doctor? In this episode, OB-GYN physician assistant and medical advocate Nikki Sapiro Vincier exposes the systemic flaws inside reproductive healthcare—and shares exactly how you can take control of your medical care today.
I sat down with Nikki to unpack the disturbing reality of medical gaslighting, why it takes an average of 7 to 10 years to get an endometriosis diagnosis, and why "breaking up with your doctor" might actually save your life. Whether you are navigating the gaps in postpartum care, trying to survive perimenopause, or just trying to get a straight answer from your clinician, Nikki provides the ultimate step-by-step guide to triaging your own symptoms, gathering your "receipts," and demanding the care you deserve.
It's time to stop passively existing in a system that wasn't built to serve you.
Find Nikki at:
nikkivinck.com
instagram.com/nikkivinck
📚 Too Much Book: hfcbook.com
📩 Newsletter: terricole.com/newsletter
🔑 Ready to build healthier relationships? Join: terricole.com/tcm
Time Stamps
00:00 - Preview: Why the Healthcare System Was Never Built to Serve You
00:35 - Introduction: Meet OB-GYN PA & Patient Advocate Nikki Sapiro Vincier
02:45 - Nikki’s Origin Story: Falling Through the Cracks of Her Own System
04:08 - PA vs. MD: Rejecting Rushed Medicine for Better Patient Communication
05:55 - Breaking Generational Patterns & Navigating Work-Life Balance
06:33 - The Brutal Reality of the "Working Mom Hamster Wheel"
09:00 - The Invisible Gaps in Postpartum Care and Perimenopause
10:57 - The Shocking and Untold History of Modern Gynecology
12:04 - How to Successfully Navigate a Fundamentally Flawed System
13:58 - The "Nail Salon" Analogy: Why Women Swallow Their Medical Complaints
14:59 - How to Triage Your Own Symptoms and Bring "Receipts" to Appointments
16:47 - Fired! Why It’s 100% Okay to Break Up With Your Doctor
19:39 - What Medical Gaslighting Actually Looks Like in Real Time
21:15 - The Endometriosis Crisis: Why a Diagnosis Takes 7 to 10 Years
23:37 - Blind Trust: The Danger of Fear-Based Medical Authority Figures
24:40 - The Dark Side of Residency: How Medical Training Strips Away Empathy
27:17 - Leaving the System: The Rise of Alternative Private Practices
28:44 - Protecting Your Reproductive Rights and IVF in the Current Healthscape
31:05 - Reclaiming Your Story: Overcoming Trauma and Setting Hard Boundaries
34:45 - Where to Connect with Nikki Online
If You Enjoyed This, Watch These Videos
youtu.be/c2HAZCfHmk4 - From People Pleasing to Purpose: How Menopause Changes Everything with Dr. Mindy Pelz
youtu.be/4G3ycqFU-rQ - How to Menopause with Tamsen Fadal
youtu.be/jqwmd23poJM - Menopause and YOU with Tamsen Fadal
youtu.be/IastSTZlGrE - Understanding Your Sexual Health with Dr. Bat Sheva Marcus
🪔 Meditate with me: insighttimer.com/terricole
📸 Instagram: terricole.com/ig
About Terri Cole
Terri Cole is a licensed psychotherapist, global relationship and empowerment expert, and the author of Boundary Boss-The Essential Guide to Talk True, Be Seen and (Finally) Live Free, The Boundary Boss Workbook, and Too Much: A Guide to Breaking the Cycle of High-Functioning Codependency.
For over two decades, Terri has worked with a diverse group of clients that includes everyone from stay-at-home moms to celebrities and Fortune 500 CEOs.
She has a gift for making complex psychological concepts accessible and actionable so that clients and students achieve sustainable change. She inspires over a million people weekly through her blog, social media platform, signature courses, and her popular podcast, The Terri Cole Show. For more, see terricole.com
BetterHelp: betterhelp.com/terricole
I’m not currently taking any new one-on-one therapy or coaching clients, but highly recommend using BetterHelp to find a therapist that fits your needs. As a team, we have fully vetted BetterHelp's resources.
terricole.com/gethelp -- If you are in a crisis or any other person may be in danger, the resources on this page can provide you with immediate help.
Please note: If you choose to sign up for BetterHelp or Insight Timer or buy through my Amazon links, I will receive a commission. Please know that I only recommend services and products that I know & trust.
#postpartum #reproductivehealth #femalehealth #pregnancycare #pregnancyjourney
Ever felt ignored, dismissed, or completely rushed by your doctor? In this episode, OB-GYN physician assistant and medical advocate Nikki Sapiro Vincier exposes the systemic flaws inside reproductive healthcare—and shares exactly how you can take control of your medical care today.
I sat down with Nikki to unpack the disturbing reality of medical gaslighting, why it takes an average of 7 to 10 years to get an endometriosis diagnosis, and why "breaking up with your doctor" might actually save your life. Whether you are navigating the gaps in postpartum care, trying to survive perimenopause, or just trying to get a straight answer from your clinician, Nikki provides the ultimate step-by-step guide to triaging your own symptoms, gathering your "receipts," and demanding the care you deserve.
It's time to stop passively existing in a system that wasn't built to serve you.
Find Nikki at:
nikkivinck.com
instagram.com/nikkivinck
📚 Too Much Book: hfcbook.com
📩 Newsletter: terricole.com/newsletter
🔑 Ready to build healthier relationships? Join: terricole.com/tcm
Time Stamps
00:00 - Preview: Why the Healthcare System Was Never Built to Serve You
00:35 - Introduction: Meet OB-GYN PA & Patient Advocate Nikki Sapiro Vincier
02:45 - Nikki’s Origin Story: Falling Through the Cracks of Her Own System
04:08 - PA vs. MD: Rejecting Rushed Medicine for Better Patient Communication
05:55 - Breaking Generational Patterns & Navigating Work-Life Balance
06:33 - The Brutal Reality of the "Working Mom Hamster Wheel"
09:00 - The Invisible Gaps in Postpartum Care and Perimenopause
10:57 - The Shocking and Untold History of Modern Gynecology
12:04 - How to Successfully Navigate a Fundamentally Flawed System
13:58 - The "Nail Salon" Analogy: Why Women Swallow Their Medical Complaints
14:59 - How to Triage Your Own Symptoms and Bring "Receipts" to Appointments
16:47 - Fired! Why It’s 100% Okay to Break Up With Your Doctor
19:39 - What Medical Gaslighting Actually Looks Like in Real Time
21:15 - The Endometriosis Crisis: Why a Diagnosis Takes 7 to 10 Years
23:37 - Blind Trust: The Danger of Fear-Based Medical Authority Figures
24:40 - The Dark Side of Residency: How Medical Training Strips Away Empathy
27:17 - Leaving the System: The Rise of Alternative Private Practices
28:44 - Protecting Your Reproductive Rights and IVF in the Current Healthscape
31:05 - Reclaiming Your Story: Overcoming Trauma and Setting Hard Boundaries
34:45 - Where to Connect with Nikki Online
If You Enjoyed This, Watch These Videos
youtu.be/c2HAZCfHmk4 - From People Pleasing to Purpose: How Menopause Changes Everything with Dr. Mindy Pelz
youtu.be/4G3ycqFU-rQ - How to Menopause with Tamsen Fadal
youtu.be/jqwmd23poJM - Menopause and YOU with Tamsen Fadal
youtu.be/IastSTZlGrE - Understanding Your Sexual Health with Dr. Bat Sheva Marcus
🪔 Meditate with me: insighttimer.com/terricole
📸 Instagram: terricole.com/ig
About Terri Cole
Terri Cole is a licensed psychotherapist, global relationship and empowerment expert, and the author of Boundary Boss-The Essential Guide to Talk True, Be Seen and (Finally) Live Free, The Boundary Boss Workbook, and Too Much: A Guide to Breaking the Cycle of High-Functioning Codependency.
For over two decades, Terri has worked with a diverse group of clients that includes everyone from stay-at-home moms to celebrities and Fortune 500 CEOs.
She has a gift for making complex psychological concepts accessible and actionable so that clients and students achieve sustainable change. She inspires over a million people weekly through her blog, social media platform, signature courses, and her popular podcast, The Terri Cole Show. For more, see terricole.com
BetterHelp: betterhelp.com/terricole
I’m not currently taking any new one-on-one therapy or coaching clients, but highly recommend using BetterHelp to find a therapist that fits your needs. As a team, we have fully vetted BetterHelp's resources.
terricole.com/gethelp -- If you are in a crisis or any other person may be in danger, the resources on this page can provide you with immediate help.
Please note: If you choose to sign up for BetterHelp or Insight Timer or buy through my Amazon links, I will receive a commission. Please know that I only recommend services and products that I know & trust.
#postpartum #reproductivehealth #femalehealth #pregnancycare #pregnancyjourney
