Mandy Papke, MSN, APRN, FNP-C

Nine years in primary care: "I’ve been a nurse practitioner since 2017, with experience in primary care and internal medicine. Over time, I kept seeing women come in with symptoms that had been dismissed or not taken seriously, often without clear options for feeling better. That experience led me to Midi and to a deeper focus on midlife women’s health."

Listening changes everything: "One moment that stays with me is when a patient I had been seeing for some time broke down in tears and told me I was the first provider who had truly taken her symptoms seriously and created a plan to help her feel better. It reminded me how meaningful it can be simply to listen and make someone feel heard."

Care is a partnership: "I believe patients should be a big part of their own care. I start by listening to their needs and goals, then we talk through the options together. I’m not the only one making decisions, we create a plan as partners."

You have options: "When it comes to midlife symptoms, I ask what a patient hopes to achieve and what treatments she’s interested in. We explore different options and routes together, knowing there isn’t always one linear path. If something doesn’t work, we can always adjust and try another approach."