Darcel Williams — Member Timeline

2026-08-27 (Thursday)

[00:00:00] MILESTONE Member Engaged
[20:55:26] MILESTONE Enrolled
[20:59:31] SESSION
SESSION #1 • MSat Score: 5 • Fatigue: 0 • Problematic?: false

Session Category Level One: Movement Assessment • Session Category Level Two: No-Pod

Exercises Done: 1 • Wrong Movements: 0

Completed?: true • DT/App Version: 8031 • Actual Training Time: 962

Program Sword ID: US-1321549

2026-08-28 (Friday)

[19:15:00] MILESTONE Consultation Scheduled
[19:27:00] CALL intake PT: Hetali Shah
↗ Outbound ⏱ 793s
[19:35:18] CALL Consultation Completed
[19:36:18] CHAT patient: Darcel Williams Hi, I’m am set communicate with you! Thank you!
[19:48:54] CHAT patient: Darcel Williams My biggest issue is with severe urge incontinence. When I have to go, I cannot hold it. I am peeing full-on myself. When I’m out in public, I use two super tampons and 6 drop poise pad. When I am home, I keep a poise pad on. This happens all day and overnight. I do get up at least twice at night to urinate and have issues making to the toilet. Thank you for your help!

2026-08-31 (Monday)

[14:35:00] CHAT treatment PT: Rikki Markham
[14:37:46] CHAT treatment PT: Rikki Markham Hi Darcel! Welcome back to Bloom!🌸 I'm Rikki, your dedicated Women's Health Specialist. I heard your call with Hetali went well, and I can see from your message that urge incontinence is really impacting your daily life right now! Thank you for sharing! I’ve prescribed your personalized program based on the information from your call and your goals. As you know, your program will consist of 3 different session types: Mind, Move, or Pelvic (no pod/pod) sessions. Once your kit has shipped I will send over some program expectations and we can dive in!
[14:38:07] CHAT treatment PT: Rikki Markham Also some great review while we are waiting 😊
[16:20:56] SMS intake PT: Hetali Shah Hi Darcel this is Hetali, your intake Women’s Health Specialist from Bloom. Your personalized sessions from Rikki are ready and waiting for you in the Sword Health app. Do you have a few minutes today to complete your first session? It takes less than 10 minutes and is a great way to build momentum toward the goals we talked about on our call. Reply here if you have any questions or need help getting started. We're excited to support you on your journey! 😊

2026-09-01 (Tuesday)

[16:30:08] CHAT treatment PT: Rikki Markham Your kit is on its way and should arrive soon (I can't see the tracking from my end yet)! Here's our game plan to help you start seeing improvements in less than TWO WEEKS: 1. Getting started right away is key! A good rule of thumb is within 24 hours of kit delivery if possible. 2. For the best results, I recommend daily sessions for your first week to start. You can mix and match between pod and no pod sessions based on what feels right each day. Does this feel manageable? 3. Many members notice positive changes at our first milestone of 9 sessions. Let's aim to reach that in less than 2 weeks! Send me a 👍 if this plan works for you! Please let me know if you have any questions!

2026-09-02 (Wednesday)

[14:11:03] CHAT treatment PT: Rikki Markham Morning Darcel! Just coming by for a quick update! Tracking on my end now says your kit should be there on Friday! 😊
[14:31:14] CHAT patient: Darcel Williams Good morning Rikki! 👍🏾
[14:31:55] CHAT patient: Darcel Williams This a great plan! Thank you!
[17:47:47] CHAT treatment PT: Rikki Markham Perfect! I'll check in with you once your kit arrives on Friday!
[18:18:02] CHAT patient: Darcel Williams Awesome! Thank you!!☺️

2026-09-04 (Friday)

[13:56:52] CHAT treatment PT: Rikki Markham
[13:57:36] CHAT treatment PT: Rikki Markham Happy Friday, Darcel! I saw that your kit arrived--EXCITING! 🎉 As you know, your first session will take you about 10 minutes. Can you get started this weekend?
[14:00:25] CHAT treatment PT: Rikki Markham Also quick heads up - I'll be out of office next week (9/9-9/14) but one of my amazing colleagues will be here to support you and answer any questions that you have as you are starting your program again. I'll be able to review weekend sessions first thing on Tuesday. Happy Labor Day!

2026-09-07 (Monday)

[00:53:10] CHAT patient: Darcel Williams Sounds great 👍🏾! Thank you!
[01:19:11] SESSION
SESSION #2 • MSat Score: 5 • Fatigue: 0 • Problematic?: true

Session Category Level One: Standard • Session Category Level Two: Pod

Exercises Done: 4 • Wrong Movements: 52

Completed?: true • DT/App Version: 8031 • Actual Training Time: 330

Problematic Reasons: low_exercise_performance • Program Sword ID: US-1321549

2026-09-08 (Tuesday)

[00:09:10] SESSION
SESSION #3 • MSat Score: 5 • Fatigue: 0 • Problematic?: true

Session Category Level One: Standard • Session Category Level Two: Pod

Exercises Done: 4 • Wrong Movements: 75

Completed?: true • DT/App Version: 8031 • Actual Training Time: 255

Problematic Reasons: low_exercise_performance • Program Sword ID: US-1321549
[17:36:25] CHAT treatment PT: Rikki Markham
[17:36:31] CHAT treatment PT: Rikki Markham
[17:37:49] CHAT treatment PT: Rikki Markham Fantastic job getting started this weekend, Darcel! I can see you're doing great with the hold and agility exercises. The breathing coordination tends to be the trickiest part at first (as you probably remember) - it's all about syncing your diaphragm with your pelvic floor movements, practice will help! I also sent over some videos for review. I'll look forward to seeing your progress when I return next week!
[18:56:25] CHAT patient: Darcel Williams Ok. Thank you!

2026-09-09 (Wednesday)

[00:01:36] CHAT treatment PT: Rikki Markham
[02:15:59] SESSION
SESSION #4 • MSat Score: 5 • Fatigue: 0 • Problematic?: true

Session Category Level One: Standard • Session Category Level Two: Pod

Exercises Done: 4 • Wrong Movements: 81

Completed?: true • DT/App Version: 8031 • Actual Training Time: 293

Problematic Reasons: low_exercise_performance • Program Sword ID: US-1321549
[02:21:34] CHAT patient: Darcel Williams Ok. Thank you!
[02:22:29] SESSION
SESSION #5 • MSat Score: 5 • Fatigue: 0 • Problematic?: true

Session Category Level One: Standard • Session Category Level Two: Pod

Exercises Done: 4 • Wrong Movements: 77

Completed?: true • DT/App Version: 8031 • Actual Training Time: 225

Problematic Reasons: low_exercise_performance • Program Sword ID: US-1321549
[02:27:01] MILESTONE PGIC | First Answered

2026-09-10 (Thursday)

[19:08:41] CHAT treatment PT: Rikki Markham Hi Darcel! I'm Rachel, covering for Rikki while she's out this week, I've been following your great progress! But I have noticed the breathing coordination exercise has been consistently a bit challenging (which is totally normal early on!) so let's troubleshoot together: - Try taking a smaller, gentler breath in rather than a deep belly breath - a bigger inhale can sometimes create too much downward pressure and throw off the coordination. - Focus on a slow, complete exhale as you contract, rather than a quick squeeze. Give this a try on your next session and let me know how it feels!

2026-09-11 (Friday)

[04:03:17] SESSION
SESSION #6 • MSat Score: 5 • Fatigue: 0 • Problematic?: true

Session Category Level One: Standard • Session Category Level Two: Pod

Exercises Done: 10 • Wrong Movements: 117

Completed?: true • DT/App Version: 8040 • Actual Training Time: 785

Problematic Reasons: low_exercise_performance • Program Sword ID: US-1321549
[04:44:48] CHAT patient: Darcel Williams Ok. Thank you!☺️
[18:46:34] CHAT treatment PT: Rikki Markham Hi Darcel! Great consistency this week, session #6 already and your overall performance keeps climbing to 85%! How did you feel the breathing tips worked for you? If you're ever finding the pod and app aren't reading your movements correctly, feel free to press pause and recalibrate. Sometimes that manual recalibration step is necessary as the pod or your body can shift and move ever so slightly, and that affects its readings!

2026-09-14 (Monday)

[02:27:07] SESSION
SESSION #7 • MSat Score: 5 • Fatigue: 0 • Problematic?: true

Session Category Level One: Standard • Session Category Level Two: Pod

Exercises Done: 10 • Wrong Movements: 117

Completed?: true • DT/App Version: 8040 • Actual Training Time: 677

Problematic Reasons: low_exercise_performance • Program Sword ID: US-1321549
[02:41:57] CHAT patient: Darcel Williams Even though I’m doing well with the exercises at night, I wake up at least twice to pee when I sit on the side of my bed the pee comes very strong and I start to gush if I don’t have a pad on I’m in trouble even though I’ve been using the techniques that I’ve learned through this pod, it doesn’t stop the gushing, and I barely make it to the toilet on time. I am concerned I think I may have to go to a gyno urologist.
[02:43:15] CHAT patient: Darcel Williams I failed to mention that I had a total hysterectomy back in 2018. I don’t have ovaries. I don’t have any female organs with this contribute to my issue.
[20:38:33] CHAT treatment PT: Rikki Markham Thank you for sharing this detail, and I completely understand your concern with the nighttime gushing, that sounds really frustrating and disruptive to your sleep. 😓 It's great that you're already noticing the techniques helping during the day. For that first trip out of bed, try this: - Before standing up, do a few gentle contractions ("the Knack") while still sitting on the bed's edge, before you shift your weight up. - Move slowly and deliberately from sitting to standing, avoiding any sudden position changes that can trigger a strong urge. If symptoms continue to feel unmanageable despite these strategies, it's reasonable to loop in your physician to discuss further evaluation. In the meantime, let's keep building your strength and coordination, progress can take a few weeks to translate into these tougher moments!
[20:38:57] CHAT treatment PT: Rikki Markham
[20:39:03] CHAT treatment PT: Rikki Markham
[20:39:04] CHAT treatment PT: Rikki Markham These educational videos and resources offers strategies to help manage sudden urinary urges and reduce leakage. Let me know if you have any questions!

2026-09-15 (Tuesday)

[04:05:33] CHAT treatment PT: Rikki Markham

2026-09-16 (Wednesday)

[17:55:22] CHAT treatment PT: Rikki Markham Hi Darcel! It's Rikki, I'm back in the office this week. Following up on what you shared about the nighttime urgency, since that sounds tough to manage. How have things felt the last couple nights, and were you able to try those tips Rachel shared before getting out of bed? It can take a few weeks for you to see changes within your pelvic floor muscles, 4-6 weeks. So try not to get discouraged. Let's get you back to sessions this week!
[17:55:24] SMS treatment PT: Rikki Markham Hi Darcel! It's Rikki, I'm back in the office this week. Following up on what you shared about the nighttime urgency, since that sounds tough to manage. How have things felt the last couple nights, and were ... (by the way, the app is the best way for us to chat anytime: https://app-links.swordhealth.com/?t=chat)
[18:10:31] CHAT patient: Darcel Williams Hi Rikki! Yes, I am using the tips Rachel has shared. However, the urgency is the same and I am concerned that it won’t get better without medical intervention. I have surgery coming up soon and concerned about what it’s going to be like while I am under. I am not sure if a catheter will be placed in me. I am continuing with my excercises. Thank you for reaching out. Have a blessed day!

2026-09-17 (Thursday)

[18:15:18] CHAT treatment PT: Rikki Markham Hi Darcel! Thank you for the update. It's completely understandable to feel concerned about your upcoming surgery, that's a valid thing to want clarity on. Questions about catheter placement or surgical care are best directed to your surgical team, as they'll know the specifics of your procedure and can address that directly. In the meantime, keep up with your exercises as you're able, consistency is your muscles need right now for change to occur. When is your surgery scheduled for?
[18:16:59] CHAT patient: Darcel Williams Hello Rikki! Thank you. My surgery is scheduled for October 2nd

2026-09-18 (Friday)

[18:02:16] CHAT treatment PT: Rikki Markham Thank you for letting me know, Darcel! We'll place your program on hold during that time. Let's aim to complete as many sessions as possible before then! This will help going into surgery and post operatively! Can you aim for a few more before Monday?

2026-09-19 (Saturday)

[00:46:09] SESSION
SESSION #8 • MSat Score: 5 • Fatigue: 0 • Problematic?: true

Session Category Level One: Standard • Session Category Level Two: Pod

Exercises Done: 10 • Wrong Movements: 95

Completed?: true • DT/App Version: 8040 • Actual Training Time: 729

Problematic Reasons: low_exercise_performance • Program Sword ID: US-1321549
[00:59:14] CHAT patient: Darcel Williams Yes.
[00:59:19] CHAT patient: Darcel Williams Thank you

2026-09-21 (Monday)

[15:28:44] CHAT treatment PT: Rikki Markham
[15:29:19] CHAT treatment PT: Rikki Markham Morning Darcel! Great job on session #8, 89% overall and your breathing coordination is trending up too! I hope you had a nice weekend! You’re one session away from your next progress check! Progress doesn’t have to be dramatic to matter. Sometimes it shows up as symptoms being less frequent, movements feeling more natural, or simply feeling more confident in your body! After your next session, you’ll see your progress form- your answers help me adjust the program based on how things are improving. Can you complete your 9th session today?

2026-09-22 (Tuesday)

[15:30:07] SMS treatment PT: Rikki Markham Morning Darcel! Great job on session #8, 89% overall and your breathing coordination is trending up too! I hope you had a nice weekend! You’re one session away from your next progress check! Progress ... (by the way, the app is the best way for us to chat anytime: https://app-links.swordhealth.com/?t=chat)