Skip to Main Content

Microclinic: Simple Solutions for Complex Problems, Part 2

Microclinic: Simple Solutions for Complex Problems, Part 2

Microclinic: Simple Solutions for Complex Problems, Part 2

Dr. Tuckson speaks with Leigh Ann Baker, Bell County facilitator for Microclinic International.
S15 E13 Length 27:35 Premiere: 1.26.20

Microclinic’s Public Health Achievements in Eastern Kentucky

Microclinic International, a nonprofit organization that uses a social network model to bring together communities and fight chronic diseases, launched its first United States program in Bell County in eastern Kentucky in 2011. The program has been successful in reducing metrics for diabetes and obesity among Bell Countians, and no one is more qualified to talk about how people’s lives have been transformed than Leigh Ann Baker, Bell County facilitator for the Microclinic program.

“I thought the concept was just brilliant,” Baker says. “Because nobody likes walking by themselves, and nobody likes doing things, especially when it comes to trying to get healthier, by yourself. So I saw it being a really good opportunity for our area.”

Bringing People Together to Build Motivation and Support

Born and raised in Bell County, Baker was well aware of the health challenges facing many of her neighbors, due to a variety of reasons. Since core health problems such as obesity, diabetes, and high blood pressure are common among people in vulnerable populations around the world, Baker was encouraged by the Microclinic model’s success in far-reaching places such as Jordan in the Middle East.

“I think that sometimes we get stereotyped because of the area we live in,” Baker says. “I tell people that we’re an hour away from access to an interstate, and that is remarkable nowadays because you think of the infrastructure of roads and how quick you can get to places.

“That kind of puts us at a little bit of a disadvantage, but on the other hand you have a lot of really good people in this area, a lot of people that really want to help and want to do right for their community, and show a true love for their community. So when this program came in, it brought a lot of people together that really hadn’t got together to improve their health.”

Baker followed the Microclinic curriculum and used her deep knowledge of the Bell County community to connect with her neighbors, setting goals established by the program and then getting the participants to form Microclinic teams. “My job was to get the program’s point across in a fun, easy way that people can understand,” she says.

Microclinic groups ideally numbered three to five or six persons. They could be comprised of family members, siblings, co-workers, or complete strangers. Even persons who did not know one another before meeting for the Microclinic soon found common ground, Baker says, and formed bonds of support.

“The more you have, the more accountability you have,” Baker explains, “when you’re calling me and saying, ‘All right Lee Ann, let’s go walk,’ and I’m like, ‘No, I’m too tired,’ and you’re saying, ‘No – we’re going walking.’”

Baker says that she made several lasting changes to her own lifestyle habits after participating in the Microclinic program, including stopping drinking sweet tea. Inspired by that change, she crafted a display to show at the Microclinic where she filled Ziploc bags with the amount of sugar in several different soft drinks and sweet teas.

“Something else I did was I went to a fast-food restaurant – I don’t want to say the name – and I got a hamburger and french fries,” she recalls. “And I put them in my office, and left them sitting in my office for a couple months. And I brought the meal into class, and I showed the class that there was no change, there was no mold, there was nothing that had changed to this hamburger and these french fries. That made me re-think the fast food restaurants that I was eating in.”

At her Microclinic, Baker taught members how to read nutrition information on food labels and had them research area restaurants and identify the healthiest food choices at each of them to create a handy guide. She also advised them on altering recipes for meals cooked at home to add healthy ingredients, such as Greek yogurt to ranch dip, for example.

In addition to the in-class success, Baker and participants also influenced other people in the community by changing their habits, she says. Her husband was initially reluctant to try healthier foods, but ended up trading white bread for whole wheat bread, “which was huge for him,” Baker says.

“I think it’s hard not to have contagious health,” she says. “When you’re in this class, it’s so much easier to have contagious health, because you want your family to live longer, you want them to be healthier.”

Watching Microclinic’s Principles Put Into Practice

During a trip to Bell County in the picturesque eastern Kentucky mountains, Kentucky Health host Dr. Wayne Tuckson visited Baker’s Microclinic and met with the participants. He sampled delicious dishes created by members using quinoa and other healthy ingredients, saw how educational materials such as portion plates have helped class members, and heard testimony from members about weight loss, improved A1C blood sugar numbers for Type 2 diabetes, and other success stories.

Willene Black participated in the original Microclinic in 2011. She can’t imagine ever going back to her older lifestyle habits; the lessons learned in her original Microclinic class, and the support she received from fellow members, have endured.

“You don’t realize how much it stays with you,” she says. “If you sit down and think about it, you say, ‘Oh, if it hadn’t been for them, I couldn’t have done so-and-so. The group is wonderful.”

Joy Saylor is Leigh Ann Baker’s mother and participated in her daughter’s Microclinic. Since the program started, she has not been prescribed any new medication and has made a commitment to cook healthier meals and walk every day. She even encouraged a neighbor to walk with her, helping the neighbor lose about 50 pounds.

“It was an interesting class, and really, it is a lifestyle change,” Saylor says. “After I finished the class, you take home what you learn.”

Building on the local success, Baker says that the Microclinic model has since been used in Tennessee, and other public health departments in Kentucky are interested in starting their own programs.

“It’s gone outside of Bell County, and that made me really proud that it started in Bell County and we saw results, and one day at a time, you’re changing the world,” she says.

Watch the first part of KET’s visit with Microclinic in Bell County, featuring interviews with founder and CEO Daniel Zoughbie and chief health economist Eric Feigl-Ding.

Program Details

Kentucky Health

About Kentucky Health

Learn how to improve your health through education and increased awareness. Dr. Wayne Tuckson, a colorectal surgeon in Louisville, hosts.

TV Schedules

Jump to Recent Airdates

Upcoming

Healthcare Networks: When Hospitals and Physicians Are on the Same Page - S15 E20

Dr. Tuckson speaks with Dr. Jody Prather, chief strategy and marketing officer at Baptist Health.

  • Friday September 25, 2020 6:00 pm ET on KET
  • Friday September 25, 2020 5:00 pm CT on KET
  • Friday September 25, 2020 11:30 pm ET on KET
  • Friday September 25, 2020 10:30 pm CT on KET
  • Sunday September 27, 2020 12:30 am ET on KETKY
  • Saturday September 26, 2020 11:30 pm CT on KETKY
  • Sunday September 27, 2020 7:00 am ET on KET2
  • Sunday September 27, 2020 6:00 am CT on KET2
  • Sunday September 27, 2020 9:00 am ET on KETKY
  • Sunday September 27, 2020 8:00 am CT on KETKY

Intestinal Microbiome: Care and Feeding for Your Health - S15 E21

Dr. Tuckson speaks with Sara Police, Ph.D., assistant professor and associate director of graduate studies, Pharmacology and Nutritional Sciences at the University of Kentucky College of Medicine; and Jessica Houlihan, MPH, MSPAS, PA-C, microbiome and culinary medicine strategies in the Pediatric High BMI Clinic at UK Healthcare.

  • Sunday September 27, 2020 12:30 pm ET on KET
  • Sunday September 27, 2020 11:30 am CT on KET
  • Sunday September 27, 2020 5:30 pm ET on KETKY
  • Sunday September 27, 2020 4:30 pm CT on KETKY
  • Monday September 28, 2020 2:00 pm ET on KET2
  • Monday September 28, 2020 1:00 pm CT on KET2
  • Friday October 2, 2020 1:30 pm ET on KETKY
  • Friday October 2, 2020 12:30 pm CT on KETKY
  • Friday October 2, 2020 6:00 pm ET on KET
  • Friday October 2, 2020 5:00 pm CT on KET
  • Friday October 2, 2020 11:30 pm ET on KET
  • Friday October 2, 2020 10:30 pm CT on KET
  • Sunday October 4, 2020 12:30 am ET on KETKY
  • Saturday October 3, 2020 11:30 pm CT on KETKY
  • Sunday October 4, 2020 7:00 am ET on KET2
  • Sunday October 4, 2020 6:00 am CT on KET2
  • Sunday October 4, 2020 9:00 am ET on KETKY
  • Sunday October 4, 2020 8:00 am CT on KETKY

Preventive Cardiology: Can We Prevent Cardiac Deaths?

Dr. Tuckson speaks with cardiologist Dr. Henry Sadlo.

  • Sunday October 4, 2020 12:30 pm ET on KET
  • Sunday October 4, 2020 11:30 am CT on KET
  • Sunday October 4, 2020 5:30 pm ET on KETKY
  • Sunday October 4, 2020 4:30 pm CT on KETKY
  • Monday October 5, 2020 2:00 pm ET on KET2
  • Monday October 5, 2020 1:00 pm CT on KET2
  • Friday October 9, 2020 1:30 pm ET on KETKY
  • Friday October 9, 2020 12:30 pm CT on KETKY
  • Friday October 9, 2020 6:00 pm ET on KET
  • Friday October 9, 2020 5:00 pm CT on KET
  • Friday October 9, 2020 11:30 pm ET on KET
  • Friday October 9, 2020 10:30 pm CT on KET
  • Sunday October 11, 2020 12:30 am ET on KETKY
  • Saturday October 10, 2020 11:30 pm CT on KETKY
  • Sunday October 11, 2020 7:00 am ET on KET2
  • Sunday October 11, 2020 6:00 am CT on KET2
  • Sunday October 11, 2020 9:00 am ET on KETKY
  • Sunday October 11, 2020 8:00 am CT on KETKY

Interventional Cardiology: Micro Techniques, Macro Results

Dr. Tuckson's guest is cardiologist Dr. Amir Piracha.

  • Sunday October 11, 2020 12:30 pm ET on KET
  • Sunday October 11, 2020 11:30 am CT on KET
  • Sunday October 11, 2020 5:30 pm ET on KETKY
  • Sunday October 11, 2020 4:30 pm CT on KETKY
  • Monday October 12, 2020 2:00 pm ET on KET2
  • Monday October 12, 2020 1:00 pm CT on KET2
  • Friday October 16, 2020 1:30 pm ET on KETKY
  • Friday October 16, 2020 12:30 pm CT on KETKY
  • Friday October 16, 2020 6:00 pm ET on KET
  • Friday October 16, 2020 5:00 pm CT on KET
  • Friday October 16, 2020 11:30 pm ET on KET
  • Friday October 16, 2020 10:30 pm CT on KET
  • Sunday October 18, 2020 12:30 am ET on KETKY
  • Saturday October 17, 2020 11:30 pm CT on KETKY
  • Sunday October 18, 2020 7:00 am ET on KET2
  • Sunday October 18, 2020 6:00 am CT on KET2
  • Sunday October 18, 2020 9:00 am ET on KETKY
  • Sunday October 18, 2020 8:00 am CT on KETKY

Gun Violence: It Is a Public Health Issue

Dr. Tuckson speaks with surgeon and critical care specialist Dr. Keith Miller.

  • Sunday October 18, 2020 12:30 pm ET on KET
  • Sunday October 18, 2020 11:30 am CT on KET
  • Sunday October 18, 2020 5:30 pm ET on KETKY
  • Sunday October 18, 2020 4:30 pm CT on KETKY
  • Monday October 19, 2020 2:00 pm ET on KET2
  • Monday October 19, 2020 1:00 pm CT on KET2
  • Friday October 23, 2020 1:30 pm ET on KETKY
  • Friday October 23, 2020 12:30 pm CT on KETKY
  • Friday October 23, 2020 6:00 pm ET on KET
  • Friday October 23, 2020 5:00 pm CT on KET
  • Friday October 23, 2020 11:30 pm ET on KET
  • Friday October 23, 2020 10:30 pm CT on KET
  • Sunday October 25, 2020 12:30 am ET on KETKY
  • Saturday October 24, 2020 11:30 pm CT on KETKY
  • Sunday October 25, 2020 7:00 am ET on KET2
  • Sunday October 25, 2020 6:00 am CT on KET2
  • Sunday October 25, 2020 9:00 am ET on KETKY
  • Sunday October 25, 2020 8:00 am CT on KETKY

Hospice and Palliative Care: Living and Dying with Dignity

Dr. Tuckson speaks with hospice and palliative medicine specialist Dr. Dustin Dillon.

  • Sunday October 25, 2020 12:30 pm ET on KET
  • Sunday October 25, 2020 11:30 am CT on KET
  • Sunday October 25, 2020 5:30 pm ET on KETKY
  • Sunday October 25, 2020 4:30 pm CT on KETKY
  • Monday October 26, 2020 2:00 pm ET on KET2
  • Monday October 26, 2020 1:00 pm CT on KET2
Jump to Upcoming Airdates

Recent

Healthcare Networks: When Hospitals and Physicians Are on the Same Page - S15 E20

  • Friday September 25, 2020 1:30 pm ET on KETKY
  • Friday September 25, 2020 12:30 pm CT on KETKY
  • Monday September 21, 2020 2:00 pm ET on KET2
  • Monday September 21, 2020 1:00 pm CT on KET2
  • Sunday September 20, 2020 5:30 pm ET on KETKY
  • Sunday September 20, 2020 4:30 pm CT on KETKY
  • Sunday September 20, 2020 12:30 pm ET on KET
  • Sunday September 20, 2020 11:30 am CT on KET

Diabetes: It's More Than Just Sugar - S15 E19

  • Sunday September 20, 2020 9:00 am ET on KETKY
  • Sunday September 20, 2020 8:00 am CT on KETKY
  • Sunday September 20, 2020 7:00 am ET on KET2
  • Sunday September 20, 2020 6:00 am CT on KET2
  • Sunday September 20, 2020 12:30 am ET on KETKY
  • Saturday September 19, 2020 11:30 pm CT on KETKY
  • Friday September 18, 2020 11:30 pm ET on KET
  • Friday September 18, 2020 10:30 pm CT on KET
  • Friday September 18, 2020 6:00 pm ET on KET
  • Friday September 18, 2020 5:00 pm CT on KET
  • Friday September 18, 2020 1:30 pm ET on KETKY
  • Friday September 18, 2020 12:30 pm CT on KETKY
  • Monday September 14, 2020 2:00 pm ET on KET2
  • Monday September 14, 2020 1:00 pm CT on KET2
  • Sunday September 13, 2020 5:30 pm ET on KETKY
  • Sunday September 13, 2020 4:30 pm CT on KETKY
  • Sunday September 13, 2020 12:30 pm ET on KET
  • Sunday September 13, 2020 11:30 am CT on KET

Filling Prescriptions: Why Can't I Just Buy Online? - S15 E18

  • Sunday September 13, 2020 9:00 am ET on KETKY
  • Sunday September 13, 2020 8:00 am CT on KETKY
  • Sunday September 13, 2020 7:00 am ET on KET2
  • Sunday September 13, 2020 6:00 am CT on KET2
  • Sunday September 13, 2020 12:30 am ET on KETKY
  • Saturday September 12, 2020 11:30 pm CT on KETKY
  • Friday September 11, 2020 11:30 pm ET on KET
  • Friday September 11, 2020 10:30 pm CT on KET
  • Friday September 11, 2020 6:00 pm ET on KET
  • Friday September 11, 2020 5:00 pm CT on KET
  • Friday September 11, 2020 1:30 pm ET on KETKY
  • Friday September 11, 2020 12:30 pm CT on KETKY
  • Monday September 7, 2020 2:00 pm ET on KET2
  • Monday September 7, 2020 1:00 pm CT on KET2
  • Sunday September 6, 2020 5:30 pm ET on KETKY
  • Sunday September 6, 2020 4:30 pm CT on KETKY

Taking Care of Patients with Intellectual and Developmental Disabilities - S15 E17

  • Sunday September 6, 2020 9:00 am ET on KETKY
  • Sunday September 6, 2020 8:00 am CT on KETKY
  • Sunday September 6, 2020 12:30 am ET on KETKY
  • Saturday September 5, 2020 11:30 pm CT on KETKY
  • Friday September 4, 2020 6:00 pm ET on KET
  • Friday September 4, 2020 5:00 pm CT on KET
  • Friday September 4, 2020 1:30 pm ET on KETKY
  • Friday September 4, 2020 12:30 pm CT on KETKY
  • Monday August 31, 2020 2:00 pm ET on KET2
  • Monday August 31, 2020 1:00 pm CT on KET2
  • Sunday August 30, 2020 5:30 pm ET on KETKY
  • Sunday August 30, 2020 4:30 pm CT on KETKY

Rural Health Care Practices: It's More Than Just a Doc-in-a-Box - S15 E16

  • Sunday August 30, 2020 9:00 am ET on KETKY
  • Sunday August 30, 2020 8:00 am CT on KETKY
  • Sunday August 30, 2020 12:30 am ET on KETKY
  • Saturday August 29, 2020 11:30 pm CT on KETKY
  • Friday August 28, 2020 11:30 pm ET on KET
  • Friday August 28, 2020 10:30 pm CT on KET
  • Friday August 28, 2020 6:00 pm ET on KET
  • Friday August 28, 2020 5:00 pm CT on KET
  • Friday August 28, 2020 1:30 pm ET on KETKY
  • Friday August 28, 2020 12:30 pm CT on KETKY
Top

Season 15

Catching My Breath: Lung Diseases and Their Causes

S15 E24 Length 27:25 Premiere Date 5.24.20

Pain Management and Treatment of Addiction

S15 E23 Length 26:55 Premiere Date 5.17.20

Intestinal Microbiome: Care and Feeding for Your Health

S15 E21 Length 25:51 Premiere Date 5.3.20

Health Care Networks

S15 E20 Length 27:11 Premiere Date 3.29.20

Diabetes: It's More Than Just Sugar

S15 E19 Length 26:56 Premiere Date 3.22.20

Filling Prescriptions: Why Can't I Just Buy Online?

S15 E18 Length 26:46 Premiere Date 3.15.20

Caring for Patients with Developmental Disabilities

S15 E17 Length 27:03 Premiere Date 2.23.20

Rural Health Care Practices: Serving a Region In Need

S15 E16 Length 28:46 Premiere Date 2.15.20

Pediatric Anesthesia: Making Surgery Easier for Kids

S15 E15 Length 26:54 Premiere Date 2.9.20

Rehabilitation: Getting Back to the New Normal

S15 E14 Length 27:26 Premiere Date 2.2.20

Microclinic: Simple Solutions for Complex Problems, Part 2

S15 E13 Length 27:35 Premiere Date 1.26.20

Microclinic: Simple Solutions for Complex Problems, Part 1

S15 E12 Length 27:26 Premiere Date 1.19.20

Changing Curriculum to Meet Unique Patient Needs

S15 E11 Length 27:14 Premiere Date 1.12.20

Colon Cancer: Can We Prevent Unnecessary Deaths?

S15 E10 Length 26:56 Premiere Date 1.5.20

Infections and Other Urinary Tract Problems

S15 E9 Length 27:02 Premiere Date 12.15.19

Health Insurance for All: What Does It Mean?

S15 E8 Length 27:50 Premiere Date 11.24.19

Huntington's Disease

S15 E7 Length 28:42 Premiere Date 11.17.19

Natural Approaches to Health and Nutrition

S15 E6 Length 26:52 Premiere Date 11.10.19

Vaping, E-Cigarettes and Kids: Not a Good Mix

S15 E5 Length 27:37 Premiere Date 11.3.19

Breast Cancer: Determining Your Risk

S15 E4 Length 27:36 Premiere Date 10.27.19

Cystic Fibrosis: Improvements in Outcomes

S15 E3 Length 26:53 Premiere Date 10.20.19

Rhinoplasty: Looking Good, Breathing Better

S15 E2 Length 27:42 Premiere Date 10.13.19

Child Psychiatry

S15 E1 Length 27:15 Premiere Date 10.6.19

Explore KET