Thank You, Veteran Community!

Today, we pause and thank the Veteran community for their service and sacrifice to our country.

At Upstream, we are lucky to have several veterans lending their expertise to our efforts to integrate primary and contraceptive care, and reduce unplanned pregnancies across the U.S. We are also grateful to the healthcare teams serving the contraceptive needs of those serving in the military. Like all patients, they deserve access to comprehensive, patient-centered contraceptive counseling and care!

Learn more about the service of some members of the Upstream community below:

Dorothea Rayty

Dot Rayty headshotDorothea Rayty is an Upstream Implementation Coach in NC. She served from 2002-2010 with the US Army Reserve, 320th Medical Company, Combat Support Hospital in Greensboro NC, working as a Senior Radiology NCO.

Frances Placide

Frances Placide is Upstream’s Director of Programs in Washington. She served as an officer in the US Army from 1986 to 1992 at Fort Lewis, WA & Fort Carson, Colorado as Chief Occupational Therapy- Hand Therapist, and Psychiatric OT.

She also served from 1992 – 2019 as an officer in the US Public Health Service in roles at Federal Bureau of Prisons- (Springfield, MO & Three Rivers, TX), Indian Health Service-(Navajo Nation, NM; Eastern Band of Cherokee Indians, NC; & IHS Headquarters, MD), and Center for Medicare and Medicaid Innovation (Baltimore, MD) that included the positions of Chief Physician Assistant, Clinical Quality Improvement Collaborative Director, and Comprehensive Primary Care Learning Improvement Director. Captain Placide retired from Active Duty in June 2019.

Nadine Caruthers

Nadine Caruthers, LPN, is an Upstream Quality Improvement Coordinator in North Carolina. She served in the United States Air Force, active duty from 2003-2005, working in security forces, and inactive service until 2011. Once honorably discharged, she re-enlisted in the Air National Guard where she continues to serve today.


Thank you to Dorothy, Frances, Nadine, and all who have served and continue to serve!

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