16 Episode results for "C O"
#998 The Comfort of God (Psalm 119:82)
"Pre the WORD WITH DAVID. Platt is a resource from radical dot net som- chapter one hundred and nineteen verse. Eighty two. My is long for your promise. I ask when will you comfort me? What a great honest prayer and question before God to save is long for your promise. Oh God I ask you. When will you comfort me like we can all identify right times in our lives where we need comfort? Were wondering why certain things are happening. The way they were happening and our longing. In those moments is for God's promise the fulfillment of God's promise like Romans Eight twenty eight. God promises to work all things together for the good of those who love him have been called according to his purpose but there are times when we long to see that province like God. What is the good you were working in this? When will you work together for good? When will you comfort me mile long to see your problems in action? So as we're praying for specific needs and a lot of this pandemic people sending in Brera requests a radical dot net slash prayer requests them. Encourage you to continue to do that. I read this and it's actually pretty long. I can't read it all but from Chris. In Tennessee's an elder at a church there and serves as C. O. At a local hospital and long story short in mid March came down with a fever at this time in his area there had been hardly any reported cases of Cova nineteen but he ended up getting tested Quarantine in his basement away from his wife and his kids to facetime dinners with them and then found out he was positive and so obviously was sick was further quarantine away from his family and it was all pretty perplexing because in the area around him hardly anybody had been sick even all kinds of questions about where he could have gotten this and so he found himself in that basement. Just asking why why. Why is he developed cardiac issues as he just? Yeah obviously experienced a lot of physical struggle as a result of Cova nineteen. Well by God's grace he came through it and then his healthcare organization was selected to take part in a clinical trial using plasma from recovered patients to treat those who are most critically ill from the virus. The problem was they were trying to find people who they could use. Who's plasma could be used for helping save other people's lives and they were just such a small number of people who could qualify for that and Chris qualified so he wrote actually this request in sitting in a donor clinic as he's donating plasma that is going to be helpful and others who are struggling with this revival and he said I just sat there and remembered. God's promise that God does indeed work things together in ways. We don't see particularly in the moment that will lead to good for those who love him and have been called according to his purpose so even sent a picture in of tuning into secret church while donating covert nineteen convalescent plasma. So I just WANNA I WANNA PRAISE. God lead us to praise God and lead us to trust God and Lighted Psalm. One nineteen burst. Eighty-two got our is long for your promise we ask Win. Will you comfort Scott Win we bring an end to this pandemic you alone. Have the power to do. GotTa rephrase you even for news of different drugs and medicines. That might be helpful in treatment. We know all of that is evidence of your grace. Cowdery pray for more you with pray for your provision. Gunnery pray that you would use all this work. That's being done taking plasma from those who have recovered to help those who haven't gone. That's all evidence of your grace and so as we walked through these days we say we long for your promise. We long to see you work all this together for the good of lows who loves unit been called according to your purpose. God we long for you to lead many many more people police or godly many more people to know your love to trust in you during these days to know your promises to know the comfort that only comes ultimately from you. GotTa repays you for your grace in Chris. Praise you for sustaining him. His wife their kids. They walked through such a challenging month with praise you for the restoration of his health but praise you for using that to help others even their pain to bring help to others. Got Thank you for the way you are working. Thank you for this glimpse into how you're working and we trust. We trusted even right now. Amidst all that each one of us is going through you are working and so we say with trust with faith with love for you are is along for your promise and we ask when will you comfort us and as we asked that we trust that you will and we know this is true because of who Jesus is what he has done on the cross for us how you have saved us from our sense for we place all our trust in you and your ultimate comfort in Jesus name we pray Amen.
"Spelled C. O. M. P. R. I S. E. comprises a verb that means to be made up of it can also mean to compose or two the Merriam Webster's word of the day for October twenty first. Today's word is comprised made up of as in phrases like a team comprising nine players was correct and that comprise meaning to make up as in phrases like the nine players who comprise the team was not this disputed use is most common in the passive construction to be comprised of has in a team comprised of nine players until relatively recently this less favoured sense appeared mostly in scientific writing but current evidence you'd a massive recreational complex that comprises a concert hall four restaurants two hotels and a theater the word comprise has undergone institute comprise also means to include especially within a particular scope. Here's the word used in a sense. The city developers plans include knows that it is now somewhat more common in general use than the words other meetings with your word of the day I'm Peter Sokolski visit Merriam Webster Dot Com today stanton shift in usage since first appearing in English in the Fifteenth Century for many years Grammarians insisted that the usage of comprise meaning to be Eh definitions wordplay and trending word look ups.
"Mariam Webster's Word of the day four February twenty eighth. Today's PODCAST is sponsored by Britannica. Kids a safe and trusted website to inspire and educate young learners. Start Your seven day. Free trial by visiting BRITANNICA DOT com slash wirt. Today's word is cokes. Spelled C. O. A. X. Cokes is a verb that means to influence or gently urge by caressing or flattering. To wheedle. It can also mean to draw gain or persuade by means of gentle urging or flattery or to manipulate with great perseverance and usually with considerable effort toward a desired state or activity. Here's the word used in a sentence from bone APETIT BY MOLLY. Willett toasting the pine nuts until they're properly golden brown to the center and not just on the surface is key in coaxing out maximum flavor in the days of your if you made eight cokes. That is CEO K. E. S. of someone you made a fool of them Cokes C. O. K. E. S. Is a now obsolete word for fool and believed to be the source of the verb cokes? Co a acts which was first used in the sixteenth century to mean to make a fool off soon the verb also took on the kinder meaning of to make a pet of as might be expected the act of coaxing was sometimes done for personal gain by the seventeenth century. The word was being used in. Today's sentences that refer to influencing or persuading people by kind acts or words by the Nineteenth Century the spelling C. O. K. E. S. Had fallen out of use along with the meanings to make a fool of and to make a pet of with your word of the day. I'm Peter Sokolowski visit Merriam Webster Dot com today for definitions wordplay and trending word look ups.
"Marian listers word of the day for may twenty seventh. Today's word is commemorate spelled. C. O. M. M E, M, O, R, A, T, commemorate is verb. That means to call to remembrance. It can also mean to Mark by some ceremony or observation. It's a synonym of the word to observe commemorate can also mean to serve as a memorial of here's the word used in a sentence from the Waterville, Maine morning sentinel by Abigail Austin, the conference will feature presentations by educators and World War, Two history experts along with discussions with veterans of the war. It will come eight with a remembrance ceremony at the World War, Two memorial where participants will commemorate veterans of that war when you remember something you are mindful of it. It's appropriate, therefore that commemorate and other related memory associated words, including memorable memo. Morial remember and memory itself. Come from the Latin root, men, more meaning mindful some distant older relatives are the old English word gimme more. Meaning well known the Greek word may Mera, meaning care and the sanskrit word, some Muratti, meaning he remembers English speakers have been marking the memory of important events with the word commemorate, since the late fifteen hundreds with your word of the day on Peter. Sokolow. S-k-y. Visit Marian Webster dot com today for definitions wordplay and trending word look ups.
561 - How to Fight PCOS with Diet and Nutrition
"The quick and dirty tips family of PODCAST has an exciting new edition. Modern Mentor is a podcast designed. To help you get the most out of your work life. No matter what stage of your career your in the host Rachel. Cook is an organizational leadership specialist and on the show. She'll help you navigate your path to success however you define that she'll share tips. That will help you balance your work and your personal life effectively. Invest your time and craft a workplace environment. That you can feel good about find. Modern Mentor at Quick and dirty tips dot com. Or wherever you listen. Hello there I'm Monica Ri- naval and this is the nutrition diva podcast today. We're talking about how diet and nutrition effect very common condition known as peace including some brand new research on the role of the microbiome in this condition. Nutrition diva listener. Angie writes I was recently diagnosed with Pto. And I've been trying to learn more about it. There seems to be a lot of confusing advice. Out there. And a few sources suggest that a healthy diet for someone with P. C. O. S. is different than a healthy diet for someone without this condition. Is this true? Well unfortunately Angie. You've got plenty of company Poly Cystic Ovarian Syndrome or P. C. O. S. is a condition that affects up to one in ten women of childbearing age in a nutshell. P. C. O. S. is characterized by hormonal imbalances involving not just the reproductive hormones like estrogen testosterone but also hormones that regulate blood sugar fat storage and appetite symptoms of P. C. O. S. may include painful or irregular periods. Acne abnormal hair growth increased appetite weight gain and Difficulty Losing Weight Women with P. C. O. S. often develop metabolic syndrome and that increases your risk of heart disease diabetes and the reverse is also true women with Metabolic Syndrome are more likely to develop P. C. O. S. and P. C. O. S. is also a leading cause of infertility P. C. O. S. is strongly linked with obesity and as obesity. Levels have risen. Pcs has become a more common diagnosis but there are also lean women who suffer from almost all women with P. C. O. S. However have some degree of insulin resistance which is sometimes referred to as prediabetes. Now the first line therapy for PCs is a diet and lifestyle makeover with the primary goal of improving the body sensitivity to insulin and so here are three ways to improve insulin sensitivity and potentially alleviate symptoms but actually all three of these tips would be great advice for anyone tip number. One is to lose weight if you need to weight loss improves insulin sensitivity. And you don't necessarily have to reach your goal weight to get this benefit even a modest amount of weight loss can begin to reverse the symptoms of PC OS for example if you're fifty pounds overweight losing even ten pounds can make a big difference in Your P. C. O. S. symptoms other health metrics. Even though you might still be significantly overweight but above all you want to lose weight at a pace that you can maintain long-term crash diet that produce fast weight loss followed by that inevitable. Rebound weight gain may do more harm than good tip. Number two is to be more active. Exercise is also a great way to improve insulin sensitivity and it can help rebalanced reproductive hormones as well as a bonus it can also help with weight loss a combination of exercise. Anything that gets your heart rate up for thirty minutes a day and strength training is GonNa work best and for more help incorporating more movement and activity into your life check out brock. Armstrong's get fit guy podcast which is also on the quick and dirty tips. Podcast NETWORK TIP. Number three is eat regularly but not too frequently and this is something. I've talked about quite a bit in previous episodes although some people claim that eating every two or three hours as ideal the truth is that spacing your meals out more can help improve insulin sensitivity so instead of having a small meal or snack every few hours try to get used to eating a more substantial meal and then waiting for five hours before eating again and for tips on how to choose foods that going to keep you full longer check out my episodes on station and society. I've got links to those related episodes in the show notes for today and the show notes are always at nutrition diva dot quick and dirty tips dot com. I'm going to take a brief pause. And then let's talk about what? Diet is best for PCS. As I said at the beginning of the show diet can be a big player in relieving symptoms. Now you don't necessarily have to follow a low carb diet but because of the increased risk of insulin sensitivity the best diet for. Pcs appears to be one that is lower in carbohydrates especially sugar and Grain Based Foods P. C. O. S. is also associated with low grade systemic inflammation so following. An anti inflammatory diet may be helpful. Oily fish lean meat colorful fruits and vegetables olive oil avocado and nuts turmeric. Ginger and garlic all contain anti-inflammatory nutrients and for more on that you can check out my episode on foods that fight inflammation now. Some websites suggests that people with should avoid dairy studies have found no clear link between dairy consumption and peace. Yo Risk however if you choose to consume dairy products it's probably best to avoid skim and non fat products women who consume whole milk and yogurt are more likely to maintain a healthy body weight and less likely to have P. C. O. S. than those who consume nonfat dairy products. And there's a related episode on this to just look for the one titled Will Whole Milk. Keep you thin. They're also appears to be a connection between the microbiome and PCS Women with P. C. O. S. tend to have fewer strains of beneficial bacteria in your gut. Now you may well wonder whether this cause or effect does having the condition changed the composition of your intestinal bacteria or do certain conditions in the gut. Increase your risk of developing the condition while there's preliminary research to suggest that it may be the ladder and that improving the health of the gut. Microbiome may be awaited treat or even prevent the syndrome and the most reliable way to improve. The health of the microbiome is to increase the amount and the variety of fiber sources. In your diet if you haven't yet listened to last week's episode. It's all about the new science of fiber and prebiotics so check that out so taking all of this into consideration. Here's a quick and dirty guide to what to eat and what to avoid if you have P. C. O. S. You want to eat more vegetables. Fish legumes wheat. And OAT Bran. You WanNa eat these foods in moderation lean cuts of meat and poultry whole or reduced fat dairy hole and dried fruit whole grains olive oil nuts seeds and avocado. And you want to eat less sweets foods with added sugar sweeteners including yogurt cereal meal replacement bars things like that. Sweetened beverages fruit juice artificial sweeteners white bread and other foods containing refined flour and just in general baked goods. Now most of you already know that. I'm not a big fan of vitamin supplements. I'd much prefer that you get your nutrition from food but there are times when targeted supplementation can be useful and P. C. O. S. appears to be one of them. Although the Diet and lifestyle changes I just outlined are by far the most important things you can do. The following nutrients could be a useful addition to your regimen first off Vitamin D. Three Women with P. C. O. S. tend to have low vitamin D levels especially when they are also overweight and some preliminary studies have shown that taking high dose Vitamin D. as a supplement improves the symptoms of P. C. O. S. now the doses used in. These studies are more aggressive than I would recommend taking without a doctor's supervision. So if you have pcs ask your doctor whether he or she would recommend a vitamin D SUPPLEMENT. And how much you should take and the other one to consider his. Myo Inositol INOSITOL. A family of nutrients often lumped together with a B vitamin family and one particular form called. Myo INOSITOL has been found to help women with P. C. O. S. improve insulin sensitivity and other symptoms. You can buy Myo Inositol as a bulk powder online or from a vitamin store and the recommended amount is two tablespoons a day. If I were you I would just try adding to your morning smoothie and there are also some prescription medications that can help and these are ones. You should discuss with your doctor. But the good news is that P. C. O. S. is treatable and often without medication. But a lot of it is up to you and making lifestyle changes can be challenging for extra support from women who know what you're going through. Check out the groups and the forms that are available at P. C. O. SUPPORT DOT COM and P. C. O. S. Foundation DOT ORG and again if that links to those in the show notes at quick and dirty tips dot com. Now before we wrap up today show. I also wanted to mention a free online workshop that Brooke Armstrong of the get fit guy. Podcast and I are offering this weekend and how to avoid Yo-yo dieting and achieve sustainable weight loss. And if you'd like to join us you can sign up at way less. Dot Life Slash. Sustainable I'll be back next week with a look at a fun and interesting. New Product called coffee flower. What are the benefits and uses? How's it taste tune in next week and find out? Our show is produced. By Nathan. Sems edited by Karen Herzberg and our team at Macmillan audio also includes Morgan rattener Emily Miller Shumur Lewis and our director. Kathy Doyle thanks so much for listening Asiya next week.
Demystifying Polycystic Ovary Syndrome
"If you're looking for special. Cme credits to fulfill controlled substance prescribing requirements we will be re releasing popular mayoclinic talks opioid edition on Thursdays these meet Arezzo Wisconsin and updated Minnesota state guidelines to claim. Cme credit for listening to these episodes visit C. E. Dot Mayo Dot edu slash opioid pc. This is Mayo Clinic. Talk's sake curated weekly podcast. Physicians and healthcare providers. I'm your host Daryl. Chapter a general internist at Mayo Clinic in Rochester Minnesota. Today we'll be discussing a relatively common health problems. Seen in women the prevalence is between five and ten percent of child. Bearing women living in the United States complications include infertility diabetes cardiovascular disease and endometrial cancer despite the fact that this problem is common and has potentially serious complications. Less than fifty percent of women with this condition are given a correct diagnosis. I'm talking about polycystic Ovary Syndrome. And if you see women of childbearing age you need to know about this often. Misdiagnosed health condition our guest. Today is Dr Alice. Chang an expert in polycystic ovary syndrome and an endocrinologist in the division of endocrinology at the Mayo Clinic in Rochester Minnesota. Welcome good morning. Thank you for inviting me. Let's start by talking about how patients present what symptoms would make a healthcare provider suspect polycystic ovary syndrome. That's a great question. It's often the first question I asked patients to is. What led you to come to your provider for the diagnosis and I get referrals from dermatologists regarding their acne or hair growth or even hair loss. So that's important to look for that they can get male pattern hair loss symptoms. Some are coming in with irregular periods. So that's the first signal that something is off Others are getting evaluated by gynecology for infertility and the diagnosis raised their than they often circle back to either their primary care provider or endocrine to sort of further evaluate whether they have the condition sort. Sounds like one of the issues with this. Condition is the variety of symptoms that patients can develop with exactly and I think that's part of their frustration is that they might be seen by one type of provider who just focuses on their acne or their hair growth in then shuttled over to other provider regarding irregular periods. And then they don't get that unified diagnosis. So I think that's why a lot of them get sort of worried and turn to anybody and anyone in Google addict. Try to get more information so the reading that I did on this since. My Paik practices primarily man. I don't see this but so many have not been diagnosed zip because they don't come in for an evaluation or because healthcare providers miss it or maybe combination. I think it's a combination and I think that's part of why I'm here to kind of clarify that. It is not a one test diagnosis. And that's one of the myths of this condition is that Patients and providers even think that they need an ultrasound to make this diagnosis. And they think it's about these ovarian cysts and I think that's part of the misunderstanding. Is it really is multiple follicles. That they see on the ultrasound. That's the criteria. So if you don't ovulate you collect these immature follicles. That are perfectly healthy and just waiting for the trigger So that's one thing is mystifying. The idea that there's something wrong with the ovary and that you're going to get these painful cysts that will burst. And because that's not the condition so then the criteria is something that I think providers have a hard time with because For example a woman might be on birth control pills so the criteria for androgen excess. Either or it's significant symptoms. And so there's if you want to get technical you can use the firemen. Galloway Score But significant hair growth on the body is one thing and then if a woman's treating the hair growth then you don't see it and I think that's another part of the problem but I usually go through with women and I can tell you tell exactly where the the terminal hair falls are because you can actually feel them so they'll say oh it's across the face on the jaw line down the chin. Those are kind of ways to sort of clarify how much they're affected because they're Levels don't have to be elevated and then for example a fair treating their irregular periods with birth control pills then when they do the blood testing the doctrine levels will be normal. Because they're being treated so then you know I can see how it'd be confusing for provider will do they have the criteria or not and then when they don't really know and convey that to the patient and the patient gets frustrated too. Because you really WanNa know. Have this or not. It sounds scary and so part of really a visit with a patient. Pcs clarifying where they fit in the scheme. And how you're gonNA treat it anyway because the symptoms can be treated regardless of whether they have. Pc Weser not sounds like some of the symptoms that these young women will experience. Are those that many get already some acne irregular menzies and? I suspect they feel. Maybe that's just normal for me right or the enjoy it. They don't want to be so they don't really present. I think that's maybe clarifying at this point the classic PCs diagnosis when Nih did their studies or created a diagnosis that everyone could use for research studies about insulin resistance. It's really irregular periods less than nine periods per year. So that gives you a hard number to ask patients. And then the second criteria was again the excess androgen symptoms either clinically significant symptoms with normal testosterone. And then the other could be that you actually detected in blood but they don't have any symptoms. So that's that's a second criteria and they only use those two back in those days so clarify the severe P. C. O. S. You have both of those criteria so I think that's helpful and talking to patients because if they don't have those criteria they realized they could be more mildly affected so I think that's helpful for most patients to cut a grasp onto. I also don't recommend pulling patients off of treatment just to make the diagnosis. I think it's important to kind of reflect as they go through Childbearing they will go off oral contraceptives. They might become more symptomatic and then they might know that they have more of this kind of Real P. C. O. S. at severe and has been there since they were adolescents. While I was surprised when I did my reading that not all women with PCs have ovarian cysts. So if you're doing an ultrasound to make a diagnosis you're gonNA miss some patients right well. So that's again the the criteria actually adds more. So if you go by the prevalence estimates that you gave. That was the classic. Nih criteria but now that they expanded the two out of three. So you add in the ultrasound You probably are going to catch more women who are less symptomatic actually rather than the other way around Airing on the side of missing. But I guess that's true if someone thought that they should only get the ultrasound and didn't try to characterize the other two you're right. They would miss the diagnosis. So what's actually happening? Hormonal wise Is this say ovarian hormone problems? That are GONNA atropine problem. What's what's actually going on pathophysiology physiologically in these patients. That's a great question. So this is the other challenges that this is a very heterogeneous disorder. And I think there's no one cause for any for the whole group of living with us so then it gets into What are the causes for that individual or for certain subgroups of the population? That's the challenge so I think you point out. An excellent you know. Discussion is really was the cause and that common question. There's probably multiple different causes so the way I try to explain it to patients because they're all familiar with somebody who has high blood pressure so I say there's probably many genetic and environmental reasons why someone might be prone to high blood pressure but we treat it the same way so this group of patients have Androgen excess they have Andrew Johns. That are interfering. Probably with their ovulation and then. There's this other thing that insulin resistance. It's not part of the criteria so we brought it up yet but that's clearly a major part of the pathophysiology so it might be that for one woman. The high insulin levels are driving the FICA cell production of Anderton's so that's been seen sort of in cell culture models so that's possible so lowering. Insulin levels does seem to improve to some degree androgen excess but not to the same degree as ovarian suppression with Birth Control. Pills so is part of the pathophysiology and complications it. We'll talk about next but I think for women. I I try to point out. It's like a chicken the egg problem so when they do studies. If you lower the Andrew Johns you improve insulin sensitivity but also if you lower or improve insulin sensitivity insulin sensitivity or lower insulin concentrations you also see an improvement in the android connects us. And they're more likely to oscillate so that's where you're the cause is not one specific thing kind of knowing what the major factors are and trying for each individual to see which one is more important in their care In in their pathophysiology is important. Well this is a very technical situation. You've got hormonal changes of Anatomic changes. How do you explain to patients? What's going on in words that they really understand? I think just breaking it down to the ovary first of all is I realize some women were asking me will. What if I just take the over his out when I be better set off and it doesn't change the fact that they might have insulin resistance as the primary cause and might still have an effect in terms of their medical co morbidity so trying to discuss the pathophysiology I explained the major characters or features? Are the ANDROID ACCESS. The fact that that can impact. How how they operate and whether they oscillate and then you know some women might have normal periods some women ovulate with PCs. You really can't say for sure you have to sort of look at the individual case and try to highlight those two major things I think. And then determine what their symptoms are and what's important to them. Some women are trying to conceive. So that's their major priority. They don't care about the androgen. Excess symptoms other women are focused on the cosmetic and sort of how that affects your mood and their their sense of self. So I think there's a lot of differences and I know it's It can be confusing. We're talking about a lot of different things which is focused on the individual patient and what their symptoms are and what it means to them because it can't be different from one patient exactly. Yes so is this a random health condition or is there a genetic component to it? Well there's certainly genetic component component in the sense that it can run in families and There was even an interesting study looking that In the men in the family that they might have the insulin resistance and Metabolic Syndrome feature. So there's probably a genetic component to it I also look at Drivers risk factors so in terms of diabetes. Risk with the insulin resistance you see a lot more prediabetes and especially. It's the impaired glucose tolerance so I often encourage patients to get in or glucose tolerance test at baseline. Just so they know if they have prediabetes But the rates are in when you look at the population or the whole group. It's only about seven or eight. Percent Develop. Diabetes is Justin Young Women. It's so rare But I talked to them about ethnicity and family. History of diabetes is being a lot more important in their risk factor assessment than actually PC OS itself. So if you have a family history of diabetes. I think that's a lot more. Concerning or something that we talk about prevention of diabetes with Metformin in those cases In terms of you know the ethnicity I think that's a large driver. Especially if you're you know you have a native American ancestry or Hispanic. I think that's a lot more important again than being diagnosed with P. C. O. S. Well let's talk about some of the potential complications. You mentioned insulin. Resistance and diabetes. Is that slightly more common in those who already have risk factors for diabetes overweight and family history exactly but it's actually even above and beyond obesity. So you raise a good point. There's a lot of obesity in P. C. O. S. OVERWEIGHT AND OBESITY. And that's often a factor that can confound whether or not these risks are above and beyond The obesity but there are women with PC who have insulin resistance and prediabetes so they can also respond to Metformin in terms of ovulating more frequently and several cases that I've seen recently that that is the case so it should always be considered and I think that's part of the myth is some patients. Say they're frustrated because they would like to try METFORMIN IN THEIR PROVIDER. Thinks that they need to have diabetes or prediabetes but they don't have to have those abnormalities. Plenty of studies have shown they respond even if they don't another potential complication is pretty vascular disease. What's the mechanism there? So it's interesting because I've seen the shift in my career from saying there's this you know several fold risk in developing cardiovascular events and then stepping back and looking at those studies. They really didn't prospectively follow like we don't have a perspective population being followed so there's definitely multiple studies that show increase in risk factors hypertension the cholesterol metabolic syndrome diabetes prediabetes. However we don't really see the events I think that's even more interesting question is like why don't we see more heart disease in women with P. C. O. S? So I I know it's a it's Kinda challenging the conventional wisdom but I think there might be something protective and away about having these higher androgen levels and estrogen estrogen levels but any case what I tell patients. Is that what the data show is? There's no increase in events unless you develop diabetes. So that's I know I'm an endocrinologist. But that's clearly important. Target that if they can prevent diabetes that they won't see necessarily you know that they're destined to have a car basket event in stroke Obstructive sleep apnea has also been reported is at purely due to the increased weight of some of these patients from what I can tell I. Think that most of the samples that see the Sleep apnea it is from overweight and obesity. But I think it's important to screen boot because I think we look at young women and we think we'll they can't have sleep apnea and the studies have shown that if they use C-pap they can improve their insulin sensitivity. As well we need to be alert for mood disorders. Sue Patients Often. Asked me that question. Also get referrals from psychiatrists. Because they're wondering if you know that may be treating their Hormone imbalance and kind of stabilizing. Their androgen levels will help to improve their mood disorder. So I think that it's kind of Interrelated with the fact that there is this self image if androgen excess or having for Tillis issues that increases your risk for having depression and anxiety. So it's good to pay attention to it and then even offer treatment to see if controlling the Anderton's will help so that's important to consider and finally endometrial cancer assume that's related to the hormonal imbalance. Right so I think the data is basically from Meta analyses looking at a case control studies in so that it would support the possibility of a two full two to three fold greater risk. But where I try to sort of temper that in discussing with patients is that it's not clear if all women with PCS have increase risk or it might be the ones who don't have a period for many months and then the lining can be thickened and over grow intend to hyperplasia so as long as they're aware that they need to have a period every three months or need to have some strategy to prevent the excess development of the lining. Then I I don't think they necessarily have an increased risk so. I'm a little bit skeptical of the data and just want the patients to understand that as long as they control the disease control the condition that they are not destined again have cancer. All right let's talk about treatment This is a very diverse disease and I suspect. The treatment varies depending on the symptoms of the patient. But in general. What's the treatment? So then it always turns back to the patient. I say what are your goals? What are your symptoms? And what are your goals? And I think that's important for providers to realize because sometimes patients feel like they got the message that if they don't take a treatment if they don't take birth control pills even if they're not symptomatic that they're going to somehow make their disease worse or that things will progress but we have to realize that many women don't want to be under control pills so I think it's not an automatic treatment. It's the best treatment if you have androgen excess symptoms so it will slow down hair growth. That's the other thing that's important is setting expectations so that patients don't think that I take the treatment and all the hairs just GonNa fall off. My body is that Harris slower is thinner. And that's enough for them. It's often enough for them to feel like things aren't getting worse getting better and it's controllable So birth control pills for engine access as first line. If you can't take birth control pills sprung lactose actually an excellent drug especially for acne And it may help to slow. Down is certainly helped. Slowdown hair growth and androgen levels will fall with it as well. So that's considered second line. The only downside is that you need to have another strategy because it can promote irregular bleeding of the lining. If you don't have birth control pills or something like Marina. Iud's ideal with a combination spring lactone. So that's a good option Andrew genetic hair loss is very challenging for patients because it may not respond to that Other of those treatments as well so I've been using a off label of finance ride. Sometimes in those cases could certainly there was indication for men for male pattern hair loss. So I think some women if they don't respond to spurn lactone. I should also mentioned that. The dose thanks for Spring lactone. I see a lot of patients. Come in and they're only on twenty five milligrams of parental acton but guidelines would actually suggest you go right two hundred milligrams start you. Check a potassium in a couple of weeks just to make sure and very rarely do I see that. Their potassium is affected. And then I tell them in three months Let me know if your symptoms are not optimally controlled because we can then just go right up to two hundred so I think that's the one other kind of parole. I would convey that. You can be a little more aggressive in the treatment and that they will respond very well. So that's Andrew Access. Then if a patient says that they just really don't like the irregularity of their bleeding or they're not having a period every three months then we talk about a couple of different strategies so birth control pills again would be ideal and it certainly can be used for contraception but then for the patients. I was telling you about that. Don't want to be on birth control pills Strategy a premium hundred milligrams for ten days. Every three months is enough to just make sure. The lining doesn't over grow. So that's the the woman who really doesn't have any androgen. Excess symptoms maybe their Stash Ronan levels were elevated but they would just like a strategy to prevent complications. What about the women whose treatment goal is fertility wants a successful pregnancy right so then I vary it depending on their age and Kind of discussed the data with them for some women. They kind of if they're obese and they know about lifestyle strategies being important but I often encourage them to try metformin especially if they're under the age of thirty because if they ovulate more frequently That would be a better strategy in the long run might also help them with their weight. Loss goals and the prevention of diabetes that we talked about so that's one option if they're over the age of thirty or pushing thirty five especially then I talked to them about the data that really show head to head coma. Fien or claim does better than Metformin and then now the aromatase inhibitors letras. All are being encouraged because they did better than Coloma ffynnon trials so that the data would support that they should really go directly to a reproductive endocrinologist for those strategies. But I like the idea if you have some time or the ability to even discuss with and preplanned so when you go off your oral contraceptives this is another thing to kind of time is that they don't realize said it in the first three to six months or more likely to ovulate because the Andersons have started to rise yet so I talked to them about really getting ready to go instead of waiting a year and then the second thing would be you could start them at form and before they stopped the birth control pills so so those are the kinds of things that we as providers in internal medicine or family. You know a primary care providers could do could offer but then just realizing that the better strategies for someone who's really approaching their middle thirties would be to really go right to reproductive endocrinology and they should know that they're more likely to have better outcomes than someone without pcs because they have those multiple follicles just waiting for the trigger is just they have a higher risk for multiple pregnancy and they can have the hyperstimulation syndrome as well. So that's important for them to realize so what happens at menopause great question. I get that a lot too because technically you only have P. C. O. S. before menopause. But what I discuss with them as it's possible I first of all. They're actually get a relief from their androgen excess symptoms. That's probably more likely to happen because the ovary was producing eighty percent of their Anderton's before menopause and that will change so that should improve The second thing though is understanding the genetics. That if you have insulin resistance especially if it's strong in the family that's not necessarily GonNa go away just because he engines are now normal. We've covered a lot of ground. Let's finish up by asking you to summarize what you think are the most important points. Our listeners should know about polycystic ovary syndrome. I think if they focus on first of all knowing the criteria that androgen excess Evidence of not ovulating regularly so instead of the less than nine periods per year it could be more frequent periods. You can check day. Twenty-one progesterone to see if there ovulating so there's a. Lotta little subtle tricks to try to figure that out. And then the third thing is that you don't really need an ultrasound to make the diagnosis kind of focusing on the other criteria. So knowing about those criteria are important and then knowing when you don't necessarily need to just make that diagnosis and focus in on the symptoms. A lot of patients are happy to Kinda know where they fall in. The higher severe category may be mild. Maybe you don't even have this and they like to know that so I think just telling them upfront and being honest about it is important I think also emphasizing sometimes Patients are told you just need to lose weight. But they don't really focus in on all those strategies we discussed you want to find out what is of greatest concern to the patient and then focus in on different treatment strategies and then feel comfortable to refer now. I think this is the other part that I find I find a lot of patients are frustrated with is that I know. Even among my colleagues who are focused more on thyroid or diabetes for example that they might get referred to an endocrinologist. Who doesn't necessarily have the answers are all the discussion that I talked about I can say that. There's a great reference for patients now the PC US If you Google Menashe. Mo Nasa H. They did a comprehensive review included patients in their Guidelines and they have a lot of tools for patients to read up more and kind of understand the condition. So I think that's a nice thing to offer now Also Be Flexible. Be Flexible about understanding. What their concerns are and trying to offer Advice and reassurance more than anything else and then finally is There's a lot of what I call metformin resistance in the community. I think he should be open to trying. It's a it's a good drug. It's been around for a long time and it's safe so I think for patients who would like to try that either either because they're trying to ovulate more frequently or as a strategy to make their periods more regular that's another thing And then again for the prevention of diabetes. It's early can be used off label for that without PDAS. So that's why it's not specific. Pcs but it's a great indication as well. We've been discussing the diagnosis potential complications and management of polycystic Ovary Syndrome with Dr Alice Chang from the division of inner chronology at the male clinic. Ls thank you so much for sharing your knowledge with us. I've learned a lot. Thank you you can. Now listen to over one hundred. Different medical topics developed for primary care providers on Mayoclinic talk. Podcasts find them see dot Mayo Dot. Edu or your favorite podcast APP. If you've enjoyed Mayo. Clinic talks podcast. Please subscribed stay healthy and see next week.
#B48 (barracoon to barred owl)
"Hello words welcome to another episode of the dictionary. Podcast the one with the guy reading this stuff to you. You are the reason I am here although I guess if you weren't listening I'd probably still be doing it but you know you are here and there's more of you. It seems like every day. So thank you for all you new people joining me You probably haven't heard me say this or maybe you have but go back to the beginning if you're starting in the middle that's dumb. Go start at the beginning. A one is the first episode. Oh I recently got a message from somebody on instagram. Saying my friend and I love your podcast So thank you for that direct message. That was really awesome to hear and out of the blue and I don't think I've really gotten maybe one or two before but no I mean this one is really jumping out at me so I really appreciate that you know who you are. If you want me to say your instagram handle I can although I think your account was private so maybe you don't I won't anyway. That was awesome. Let's talk about some words. The first word is Barracuda can be A. R. A. C. O. N. This is a noun from eighteen. Forty eight and enclosure or barracks formerly used for temporary confinement of slaves or convicts often used in plural. So this is Spanish From the Spanish word Barracuda on which is an augmented version of Baraka which means Hutt Which is from Catalonia? I think we actually had a similar at Mahlouji previously. Okay what's next next? We have Barracuda. This is maybe not the Barracuda. Youth are thinking of this is B. A. R. A. C. O. U. T. A. This is a noun from seventeen seventy although it is the Barracuda you're thinking about just spelled differently A large elongate marine bony fish used for food and caught commercially in the waters off New Zealand and southern Australia. This is modified of American Spanish Barracuda C. U. D. A. The scientific name for this bony fish is theorised. Ease attune of the family Now we have Barracuda with a C. You Da the end. It is a noun from seventeenth. No sixteen seventy eight one. Any other genus of elongate predate often large bony fishes of warm seas that includes food and sport fishes as well as some forms frequently causing CAIG CIGUATERA poisoning Ciguatera poisoning. I think that's how it's pronounced C. I. G. U. At are so similar to the previous word but a little bit different The scientific name is How do you pronounce this spy? Raina Saviour Reina of the family environment. I so number now. We have the number two definition one that uses aggressive selfish and sometimes unethical methods to obtain a goal especially in Business Barracuda. This American Spanish word. Now we have burridge B. A. R. A. G. E. This is the first form of this spelling but the other spellings are pronounced a little bit differently This is a noun from eighteen. Forty five a damn placed in a watercourse to increase the depth of water or to divert it into a channel for navigation or irrigation. Yup Now we have the word by RAJ spelled the same way it's the second form it's a noun from nineteen sixteen one artillery fire laid on a line close to friendly troops to screen and protect them number to a vigorous or rapid outpouring or projection of many things at once as in a barrage of protests. This is from the French word. Tear Day barrage which is barrier fire. Now we have the third form of barrage it is a transitive verb from nineteen eighteen and it means to deliver a barrage against now. We have barrage balloon. It is a noun from Circa nineteen twenty. A small captive balloon used to support wires or nets as protection against air attacks. Excuse me I had a BURP. Oh that was the other thing In that message I got from instagram. They said we love your podcast. Thank you and We think you should keep in your burps. I think they said they were on episode. Eighty two four. Maybe and So I think back then was at least one of the Times where I said should I keep in my burp? Should I not keep in my burps? Think I cut them all out in as but in the bees so you who sent me the message in the bees you'll start hearing some burps. You already have started hearing some burps actually but if you decide to become a Patriot a patron of the Patriot Fan. You can hear a lot. More burps because that is coming in as an exclusive episode. All the BURBS. I cut out all right now. We have Barramundi B. A. R. R. A. M. U. N. D. I this is a noun a from eighteen sixty four a kata dramas bony fish with a greenish bronze back and silvery sides and that is found from the Persian Gulf to southern China and Australia and is valued as a sport and food fish. The scientific name is Probably Lattice Calcara for sure of the Family Central Pulmoddai. This is probably from an Australian aboriginal language of Tweeden Queensland Bar Mundi the word or Barramundi Cool that one of their aboriginal. Words has gotten into the English dictionary. Now we have Barranca B. A. R. A. N. C. A. also could be Barack Barranco with an oh This is a noun from sixteen. Forty eight one. A deep gully or Arroyo with steep sides number two a steep bank or bluff. This is a Spanish word now. We have buried her B. A. R. R. A. T. O. R. or a T. E. R. This is a noun from the fifteenth century. One Who engages in Barrett? Which funny enough is our next word? It is a noun from the fifteenth century one the purchase or sale of office or preferment in Church or state number two an unlawful act or fraudulent breach of duty by a master of a ship or by the mariners to the injury of the owner of the ship or cargo number three the persistent incitement of litigation. This is a middle English and then in parentheses it's at Scottish. Beira tree from the anglo-french Barrett Torri literally means deception from the French Barataria. Which means to be active or do business or caused strife or deceive the lots of possibilities Perhaps from the vulgar Latin Pretoria which is from the Greek protein or processing which means to do. And there's more at the word practical a very long etymology now. We have bar body. Two words bar is spelled capital B. A. R. R. It is a noun from nineteen sixty one a densely staining inactivated condensed x chromosome. That is present in each so matic cell of most female mammals and is used as a test of genetic female nece as in a fetus. Called also sex chromosomes. So this is from Murray Llewellyn bar. Who died in nineteen ninety five and he was a Canadian and Tom Anthem. An epidemic dissed. That's how you say that word and NATTA missed. Why was it so hard to say? The word anatomist. It's because they didn't know where the emphasis was and I wanted to say an anti nominee east or something okay. Next is bar B. A. R. E. It is a noun from nineteen thirty six and we have the one seat definition for the word bar. Which should we go back and look at that? We've already read it. And it's only a couple of pages way one C. A. Usually rigid piece of wood or metal longer than it is wide that is used as a handle or support especially a handrail used by ballet dancers to maintain balance while exercising. Oh yeah it's fancy B. a. r. e. It is French from Middle Latin Barra. Now we have the word. Bard B. A. R. R. E. Deep. It is an adjective from the fourteenth century marked by or divided off by bars especially having alternate bands in different color or of different color. If I could speak correctly as in a barred feather last word for this episode is barred Owl B. A. R. E. D. Next Word Owl. And this is funny because I think the last word from just a few episodes go if I could find. It was another owl. WasN'T IT BARN OWL? Yeah I think Barna was the last word anyway. I'm just putting things together in my brain that don't need to be put together. This is a noun from eighteen. Eleven a large North American owl with Brown eyes and bars of Dark Brown on the breast. And the scientific name is strict varia. That's kind of a cool word. Were two words actually. So what is the word of the episode That was Kinda cool. And that was Kinda cool What do we WANNA pick Well we will pick Baracuda as the word of the episode. But we're going to do the The modified from American Spanish one with the C O. Ut A BARRACUDA. That is the word of the episode and thank you very much for listening. Oh and I'm done with the words. You can turn me off if you want but you can leave me on if you want to hear a little bit more about what's going on in my life so tonight. The march seventh. There is a very large national trivia contest. It's called Geek Bowl. I think this might be equal. Twenty twenty. Well that's the year but I don't know if they're numbering by that way anyway. It's a very big event and The musical guest they have to have like musical interludes. I guess I've never been to one of these I've actually never played trivia at all at a bar or anything But the musical guest because they are in town are they might be giants So I got a group of people to go with me and we are going to have a very good time. I'm recording this a week before so I have no idea what's going to happen But I'm really excited. I really don't care if we win Although there is money on the line I just WanNa have fun and listen to the music and hang out with my friends and You know that's it so If any of you are going to be at that game Cool say hi all right that is all I have to say thank you. Oh and I forgot to mention yesterday. This is page one hundred. We're on page one hundred out of I don't even know how many hundred so that's cool. Maybe like I said before. Maybe I'll do something for the end of this page which is two episodes from now. That's all I can think of right now. Thank you very much for listening and until next time this is spencer reading the dictionary goodbye.
GSMC Relationship Podcast The Sex Edition Episode196 Medications (4-15-19)
"Hi, it's Jamie, progressive's number one number two employee. Leave a message at the hey, Jamie. It's me, Jamie. This is your daily pep talk. I know it's been rough going ever since people found out about your Capella group mad harmony, but you will bounce back. I mean, you're the guy always helping people find coverage options with the name your price tool. It should be you giving me the pep talk. Now get out there, hit that high note, and take mad harmony all the way to nationals this year. Sorry, it's pitchy. Progressive casualty insurance company and affiliates. Price and coverage match limited by state law. Welcome to the Golden State media concepts X podcast, a show that examines all aspects of sexuality from physical to emotional to spiritual. Join our house as they discuss age old questions common misconceptions and the latest topics surrounding sex. They'll tackle topics about sexuality from the complicated to the hilarious and everything in between. GS MC sex podcast is your show for all of your questions about sex. Even some you might not have thought of yet. Welcome to Golden State media concepts relationships podcast sex edition. I'm your host John Johnson. And now, here's a topic that a kind of comes up because I have some dear friends of mine who you know, various times people go through situations. For example, I go to the hospital because if they have a cold or the flu, you know, it seems like this year has been a particularly troublesome one for a lot of people with chronic obstructive, pulmonary disease, and congestive heart failures things that we just seem to take for granted if you're healthy, but those people who are immune compromised can find themselves in all kinds of situations. Dealing with the flu colds that turn into something. That's just lingers. So anyway, I set all that up because. When you go to hospital in or your doctor, and they're trying to deal with these situations to all kinds of medications that they give you and some work of some kind of work. So they have to keep raising the stakes here today find something that has some sort of effect to help you get better because it seemed like the longer sick, obviously the harder it seems to get through that process. So if you're thinking about it, try to do everything you can to take care of yourself. Whether it's getting a flu shot or or eating, right? You know, all of these things are gonna contribute to the quality of your life, and therefore your quality of life and long jetty. So that being said I'm going to pivot to what sort of brought this thing up, and it's the effect of medications on your sex life now in particular. And I'm going to say this has a guy I have never been a person that say a medications for any long-term reason in in the case of somebody picking up head to take steroids because their chronic obstructive pulmonary disease. Was so inflamed that steroids were the only thing that they could take. So the net effect. Which is the focus of this is that it made his man parts shrink. I have heard I've never taken steroids, and I've done a lot of reading, but that's one of the side effects of the use of steroids. And as a guy when I think about that consequence of having to take the medication, obviously, I'm going to take medication as I needed that. Because I want to get well, but sometimes the side effects of these things is really intense. So you want it definitely be in the place of thinking about well. I know we don't think about what these medications do to us. But try to be proactive. So that if the circumstances happen upon you, then maybe they will be short lived, and you can get better and back to as would be the purpose of this podcast having a healthy sex light. But when your man parts tend to shrink, and I'm talking about your penis testicles, everything associated with whatever the steroids tend to affect and as in the case of of the one friend that I know about he he and his wife are are not physically intimate. I mean, he doesn't have much desire to because he's obviously dealing with the the. But even the motivation to be sexual seems to have passed, and I I would imagine that at some point in time. It may come back when Roth the medication because. What I'm understanding that the steroids have affected this is male organs, and they have shrunk. And I have to imagine that psychologically that would have an impact. I mean, you may not be necessarily thinking about being sexual. But as a man to see my penis, get smaller and smaller because of the medication I'm taking at some point. I might even feel a little ambivalent about one to take the medication because aware is this whereas this going what may be the long term effects of taking the medication now as I said earlier, obviously, I'm sick. I'm gonna take the medicine, but I'm going to work like the dickens to get off of it and indicates that this one particular individual, the chronic obstructive pulmonary disease. You may be thinking about was he a smoker. Yes, he was now I personally have nothing against smokers. I love people for who they are. But that was definitely a contributing factor here in this man's life. New Year's smoked mostly all of his all definitely all of his adult life and parties teenage years. So it's sort of ingrained in him to that. That was something that he would do. Now when the C O P D, the disease itself became part of his life. Well, it certainly became incumbent upon him to to at least want to quit by didn't. And he would periodically. Come up with a shortness of breath, and you have to go into the hospital. The ers a matter of fact, they keep them for a few days, and he's more on the side. Now, he had to quit smokin his wife, obviously was was dealing with a lot. And he could see what he was putting his family through. So that's off the table for him. And and thank goodness because in order to heal from what he is has been afflicted with. He's going to have to make some of those kinds of choices and that is a quality of life choice but back to the medication and the the sexuality associated with that. It's at this point is pretty much non existed, and if your person who's going through this scenario through this situation guy, or if you're woman who is involved with somebody that's going through this now from a man, I get I have total. Disclaimer here, I have never had steroids. I've never experienced it from that perspective. But I. Imagine what that would be like for me. And that's the perspective. I'm talking to you from. What I would hope is that my partner. Would understand that? I don't have any control over this. Now as a woman, you may feel that your loyalty to your partner is certainly very important because if you were sick, you would want your partner to be loyal to you. That's that's that's one way of looking at it. But if you're not being satisfied sexually at this time. What can you do about that? This is one of those cases where we start thinking about what other ways can we be physically intimate? A lot of people have subscribed to the idea that intercourse is how it's done. That's that's what they like. And maybe haven't ventured very far to try other things a situation. Like, this certainly gives rise to the notion that we're going to have to try something else in order to be able to pleasure each other, nor that the satisfy other, and that's okay. Being that this is one of those situations that forces the issue out front. It it might be the desire might be shrink away from it. You know, borrow that term from, but you might wanna shriek away from it. Because maybe it's embarrassing. It's there there's a certain amount of humiliation at least for men because we have we have programmed ourselves that penis size equals, the amount of manhood that we possess and it's been that way for a long time. In now. And just one conversation is not going to change that culturally. That's how we all think. Even though we hear from lots and lots of women than they say, you know, it's not about the size. It's how you use it. But guys still have that conversation. They they joke about it themselves in their in their locker room talk. And it's just what guys do. But now that we've kind of come to face something in a much more serious fashion. You know, they're gonna have to come to grips with what they believe. And now what is likely to be possible with their partner? So that they're going to have to try some things that are different. And hopefully, the the partner she's going to be enrolled in that that idea that possibility as well, so many take a break and cover some more of this when I return. You want to be healthier yet? You just don't know what to do all these shows telling you this and that, but nothing seems to work will listen close. Golden State media Cossacks has got something. Great for you. The health and wellness podcast dedicated to work out Trent healthy eating habits die and everything about healthy living. Join us in our banters as we help you not just live life to the fullest. But live it to the healthiest. The GSM see life happiness podcast takes you on a journey of exploration. We'll discuss tried and true methods alongside the latest rents of the how the best live your life to its fullest and happiest from psychology to meditation science to sell help books. The genus MC life and happiness podcast. We'll help you to discover what makes you happy and how you can live live being the best you possible. Download the cincy life and happiness podcast on itunes, Stitcher. Soundcloud who will play or anywhere you find podcasts just tied Janssen see in the search bar. Hi, it's Jamie, progressive's number one number two employee. Leave a message at the hey, Jamie. It's me, Jamie. This is your daily pep talk. I know it's been rough going ever since people found out about your Capella group mad harmony, but you will bounce back. I mean, you're the guy always helping people find coverage options with the name your price tool. It should be you giving me the pep talk. Now get out there, hit that high note, and take mad harmony all the way to nationals this year. Sorry pitchy. Progressive casualty insurance company and affiliates. Price and coverage match limited by state law. Bone Poile them to Golden State media concepts relationships podcast, the sex addition. And I am talking about the effects of medications on your sex life in particular men, and I've started out by talking about steroids, and how they affect guys and how if you are a woman who's in a relationship with the guy who has been affected by the steroids because it has shrunk down his memoirs, this is going to be a conversation that you're going to have what the guy because I can imagine I know you care about him. And maybe the sex has been generally pretty good. But now that he's on the medication. It has made his testicles and penis and everything shrink, and he might be having a lot of anxiety about the subject. He may not even wanna bring it up. So it may become incumbent upon you his partner to bring the subject up with the idea of giving him. Some reassurance that there is more to him than just that. And that there is still a possibility that we can have a sexual relationship. It just may not include intercourse, but it's going to require us to get a little more creative. And if you haven't done that part, you haven't been the creative part trying thing other than the regular missionary position and and quotas. Then here you are this is life stare you in the face, and we're going to try something different. And I think with the possibility that we can expand what we do sexually. It's gonna make it a little more interesting down. This is where the Cecil is the mother of invention. You you have a situation circumstance and you're gonna face it together. It may require a little priming little jump starting. And if it takes maybe reading a book together, maybe watching a movie together, maybe even having some counseling. So that we can talk about. Out what happens to your body when you take the medications? See we oftentimes don't really do that. I know we can read the the handout that comes with the medications in it'll give you some of the the the history and an explanation of some of the side effects. So it intellectually I think it's much easier to grasp the stuff because this isn't really new information. But when it is actually happening to you, then you might go into a bit of a shock because you're saying to yourself. Wow. I mean, this is actually happening to me. I mean, I've never seen this on somebody else. But now I'm seeing this happen to me, I'm worried what do I do? What clearly when you have that much anxiety and concern about it talking to a doctor somebody who knows and understands the medications or not a doctor pharmacist because a pharmacist is the doctor when it comes to. -cations medical doctors family practitioners all of these that they consult with pharmacists because armistice themselves understand medicines. They understand the chemistry behind it. The inter stand that the side effects, and they can talk to you about it, very, very candidly. And I think the are really good resource. So this is a shout out all the pharmacists in the world who are there to help? Remember, they are medical professionals. They are in these doctors pharmacists, so we talked to somebody who's in the business of understanding this. So that you can get your questions answered right? Him down and emotionally. If you're having a problem with this, then really support yourself, go get some help it get some counseling talk to somebody. So that you're not just burdened with this. And if you're suffering through this all by yourself, maybe you wanna talk to your partner, but you haven't then. Get the courage to bring up the subject because if you've been a voiding the love making part of your your your relationship because of the side effects of the medication. You really oh it to your partner as well as yourself. So that the understand because your partner may be going through up feeling rejected because they don't they don't know what's happening to you. I mean, they may see things going on. You may be reacting to certain way that that that gives them clues that you know, you're distraught. You're just not your your normal self, and maybe they wanna help. But they don't know how. So this is one of those things where it becomes a slippery slow, but somebody's gotta reach out. And if you have it in your mind that you have some concerns will share with your your lover your partner, so that they can be part of the conversation because that's where progress made that's where you can be shown Le. Love and compassion and understanding for what you're going through. And just breaking the ice by talking about it helps to. You know, when there is, you know, the expression of there's an elephant in the room, and your voiding, it, it's it's very obvious that that's happening in we all have things going on our minds as to what the causes. But until we start speaking our own truth. Now, this goes back to, you know, having honest and open communication. That's where the solutions are going to be found in remember being loved isn't just about when we're healthy when we're not feeling good. That's one of the reasons in life to have a partner, and if you've kind of operated like one of those selfish individuals in the world, we know who they are. They think about themselves all the time, and and don't really give love someone else. This might hit you particularly hard because you see your vulnerability, and it's going to be through the love and care of someone else that this changes. And I hope it does change you for the better. But he's eat. To have a pity party in a situation like this. Because you think is all about you. And that this is you may have the the condition the ailment illness. But there are definitely people around you who are affected as well. Even if it's simply that they are they might be taking up the slack that. Because if you're not well enough to do something. Whatever jobs, you have whatever responsibility. You have for the family. Somebody else is going to have to pick that up. But it's also where you can then show appreciation to those who love and who care about you and want to see you. Well, remember, always remember that there is somebody worried about you. And remember to think about reaching out and connecting to them and saying thank you for them being in your life, and that will help go a long way to for the communication part. And it helps those who are carrying the burden. To carry the burden because they feel like they are being appreciated and that can only come from you. So now, I'm going to give it back to the part about where your lover is engaged with you in dealing with this. So and hopefully, your lover is going to listen to this podcast and can take an active role in the lovemaking portion of this. We've talked about the initial shock and the physicality of what the medications can do into understand that love making sex isn't just about intercourse, but there's other possibilities. And now it brings it front and center that we're going to try something else. So I'm gonna talk about what some of those something else's are, you know, to kinda coined a word, and we're gonna make this a lot easier for you. So it's about love and communication and. Satisfaction state-owned. Still the search of that one true love on the limbo in this crazy world of dating marriage relationships. Well, listen to the Golden State media concepts relationship podcast, your one-stop podcast for everything about relationships. The Golden State media concepts travel podcast the show that gives you advice. Everything travel weeks four places you've always wanted to go as well as giving tips for traveling in those places, we'll give you buy on the best sites for travel. Tips information in discounts. Join us as we travel the world explore cultures and meet new people. The Golden State media concepts travel podcast has got you covered. Download the MC travel podcast on itunes, Stitcher. Soundcloud who go play or anywhere you find bug AST? Just type GS MC in the search bar. Welcome back to Golden State media concepts relationships podcast sex addition, I'm talking about medications, and how the effect you in your relationship and your sexuality. So one of the things that I wanted to speak on at least in this. Last segment is we're talking about communication. It's about being open and honest about your condition what you're facing what you're dealing with how when you communicate with your partner. It gives them an opportunity to open up about how they feel and you both can support each other. And as you see. Love can be defined in many different ways. We have in our minds a romantic notion of love that. It's makes us we have these giddy feelings, and then if you've been in a relationship awhile, then they're the interdependence seem to symbolize the steadfastness steadfastness. Let me say that correctly. The steadfastness of who we are individuals to each other. And that we can rely on one another through thick and thin. And it's nice to verbalize that how much I appreciate you. Thank you for being there in my life. You have really made a difference for me that kind of thing. And it's nice to know that love really takes on a much more broader definition, and we can explain it and a lot of of different events that that that define us because as life rolls on as we deal with these kinds of situations. Then knowing that we're loved that we're appreciated, and I kind of look at when you're in a relationship with someone you always want to be able to make deposits in their relationship Bain because as you make the withdrawals. And this would be one of those things, you know, say through taking through thin. This will be one of those times when you're making withdrawals out of that Bank. And you wanna have have paid up prepaid so to speak into that love Bank. So that when you when you wanted withdraw from it, you partner feels like, yeah, I'm there for you. I'm there with and that's that's a pretty doggone good. Feeling we got somebody that loves you. And that kind of way so now under talk about the sex part. And as a guy who's learned to have intercourse, and and you really kinda focus on that having to pivot away from our proceed traditional norm and take advantage of this. Now, new canvas we have to create a or put a different color on the canvas because it can't just be the old missionary way. But we're going to use our hands. Maybe we're going to be more into oral sex. And as a guy if you've never been into that it might be a really good time for you to change your ways, and obviously work with your partner. If that's something that she's wanted. Then you could share that with her in a gives her an opportunity to feel like, wow, you know, we can't have this. Because I have I have talked to a number of people who say started out when they were being sexual thought of things in just one. Narrow dimension it could have been because of conversations I've had or or maybe some antiquated beliefs. They had, but when they open themselves up to well, you know, this is, you know, there's some pleasure behind this, you know, different positions. And or maybe they saw something a book or maybe this watch the movie, and well, you know, there's other other ways of doing this. I never thought of it. Well, this is a reason to want to try something else for the benefit of your partner. So whether it's oral sex, whether it's, you know, digital stimulation, meaning using your fingers on your partner snuggling cuddling in that kind of thing. Well, it's here's the opportunity to do it and to have it not only make sense. But also see that this intimacy as well when you talk to a lot of people their perception of sex. Really centered around mayo penetration of a female doubts or some sort of penetration. That's really what they considered sex anything other than that was. Okay. Well, you know, there was fondling and sort of touching. But that's not like really sex, though, this sort of forces you to broaden your definition and not be so sterile about how you see things happening. And as I'm saying this to the guys remember, you're doing this for your partner as much as yourself free yourself is really because you're trying to give your partner pleasure in the relationship. What the part about pleasing your partner is about taking care of them because you care about them. And the sexual relationship, which was is a big part of the union. You can still have that. It's just you're going to have to shift your ideas until either your off medication which will allow you to be a wrecked in a way that you feel a lot more substantial. And and if you can't get an erection possibility is if there's other medications that you might be we'll take that'll help your condition then discuss that with your doctor. Or you can look forward to the time. When you don't have to take the medication you can work on rebuilding that particular quality of your life. But this is about sex education and about helping you to change your mindset about what you consider to be sex about communicating with your partner. So that they're on the same page with you, it's about being appreciative. And not only that. But when you're in these conversations are obviously you're vulnerable in one. Can appreciate the honesty that comes out of another person when they are vulnerable when they're this exposed Rimmer. You're not going to be ridiculed. That's just not something your partner wants to do when you're this honest, when you're this open when you're this exposed they sense it they get it. They want to be there with you. And they want to support you through it. Whether you. And if you're crying tears because you feel so bad that you're don't feel like you're performing as as a man would or and, you know, I'm going to have to actually get a little research because I've not actually talked to women that have had the steroids. I mean, I have but I have not really discussed with them. What it does their veto because I have known women who have had to take steroids because of the chronic obstructive pulmonary disease. But obviously, it would have a different effect in women. So I will research that and get back to you on that in another podcast. But I'm speaking specifically of men because this particular individual that I know that going through the situation, and you know, him and his wife have had these challenges because well, he's been ill for some time and sex intercourse, as we see it has been off the table, but but they have been okay with that they have been married for years and years and years. I mean, there's not going to be a divorce over this situation, but I would hope for their sake that. They are able to return to some sort of happy medium, you know, some sort of sexual activity when the when the L nece itself subsides, and he's able to be and much more independent from medications so recap one of the things you want to do is try to take as good care of yourself as you can if you're faced with a situation which taking medications and those medications affect your sexual health. They're oftentimes the side effects will be maybe limited. If you have any concerns about the side effects, certainly ask your doctor. You can also read the handouts that in that generally tend to come with medications, and if you have if gonna have a condition, which you're going to be dealing with some long-term effects of having to take medications, then you may have to make some adjustments in your sex life. How you perceive sex is going to happen between you and your partner, and that's a time for really open and honest conversations because we don't necessarily think. About these things. But when they happened we can't face them. And if you're having difficulty with that their accounts lers who work with couples, that's what they are do they work with couples and whatever kinds of problems they have so that you can stay together and have a positive outcome. It's not any fun to feel vulnerable and not be able to give your partner what they want from you, especially if you've had a robust sex life. But it is something that can be managed. And I always encourage people to vulnerable have the open on his conversation because it only helps the situation forwards the cause to be able to come up with a solution. And I'm sure you and your partner want to do that. But you have to trust the process you have to get involved because burying your head in the sand and denying anything is going wrong is not the way to problem solve. So that's my advice, and I hope been listening. My name is John Johnson. This is the goal of state media concepts relationships podcast, the sex addition. You've been listening to the Golden State media concepts sex THAAD cast part of the g s in c- podcast network. You can find this show and others like it at WWW dot GS and see podcast dot com. Download our podcast on itunes, Stitcher. Soundcloud, Google play or anywhere you find podcasts. Just type in Jesus emceed fund. All of our shows from the GS z podcast network from Saxon relationships to health and wellness life in happiness and even weird news. You can also follow us on Twitter and Facebook, thank you. And we hope you have enjoyed today's episode of the Golden State media concepts sex podcast.
EP101: PCOS, PMS and Finding the Right PreNatal with Dr. Jolene Brighten
"So many people thought I was crazy when I shared my plans to birth unmedicated using hypnosis but I believed I could and I succeeded. I'm a first time mom to my beautiful seven week. Gold baby girl. My name is Kim. Miraculously everybody welcome back to miraculously Iraqi lous Mama's I'm your host Elizabeth Joy and I am so glad that you are here. We are a podcast that believes in empowering women through storytelling an education occasion. I have an amazing guess for you guys today. I have Dr Jolyon Brighton on and she is going to talk to us about. P. C. O.. S. You guys have asked to have an episode on us. Plus I heard your requests wanted to bring the right person on and she's also GonNa touch on a few other things just she's amazing when it comes to women's health she's been in the industry for a very long time and We have a great conversation on just women's health and how it's so hard when you're dealing with these issues like P. C. O. S.. You know it's she talks about how it takes the average woman two years and three providers to get diagnosed. This should not not be happening in there so much we can do to to push for change and to prevent women from continuing suffering when it comes enemy trio sis US and other hormonal issues. Is that that we have to deal with you. Know that if men were the ones with P. C. O. S. it would be diagnosed straightaway. It just really would so we have to continue to push for change and expect expect more from our healthcare providers and push for more education when it comes to those types of things so super excited that she is here but before we get into it. January is national slavery and Human Trafficking Prevention Month. So I just wanted to take a minute to talk about that human trafficking. It's a crime and which they use force fraud or coercion and used to compel a person to perform labor services or commercial sex at affects all populations adult children men women foreign people. US citizens and all Economic Mike Classes and the Department of Defense continues to raise awareness and to do its part in this crime. If you suspect human trafficking please contact the Department of Defense Inspector General Hotline. It's one eight hundred four two four nine zero nine eight. There's also the national human trafficking hotline. It's one one eight eight eight three seven three seven eight also. There's different things that you can do to get involved to help continue this education in and preventing this from happening there. You can attend an event. There's a lot of events if you look into your local area January's definitely full all of them but they have them in. You know big cities but also in your smaller ones like Duluth Minnesota. They're doing their part to prevent modern day. Slavery by by showing documentaries and hosting discussions about it you can also give a little. There's organizations like compassion. I that will match. Every dollar donated to stop up human trafficking for the month of January and all the proceeds from the Patriots are were donating to compassion. I this month because it's such a topic that is close to my heart is such a sad thing. I don't understand why these types of things are still happening. I don't understand how people could be so cruel and I would love for you guys to join me by getting involved. If you go to the human trafficking search dot org you can find organizations by state to see and like what you can do to help and how you can get involved. You can just read up. There's The New York anti-trafficking network is publishing a series of blogs discussing discussing different human trafficking issues. And you can also read women. At risk international they have great month-long calendar filled with daily informational facts and activities on human trafficking and organizations nations. Working to stop it. So that's that's what you can do. Also if you WANNA do more take some time in flag CRAG CRAIG LIST DOT ORG post the advertisers seemingly Promotes Sexual Services provided by underage young girls. It's crazy if you go to craigslist you can see advertisements for this Stuff and if you have time go through and read them and flag them report them do what we can to get. These things stopped and under control also as reading a crazy statistic the other day if your child has a cellphone monitor the upset there on if you're if you have a kid that is on social media than then they have already been looked at by a Predator there's millions of people who are predators and their job is to be online all day long looking for people so just take that into consideration your kids you know. I know you do what you can to protect them in love on them and maybe they think I'm going to die without having social media and it's like no. I'm doing what I can to protect you because the risks out there absolutely crazy I I remember reading a story just this month about eleven year old girl who got abducted getting off the bus and because people they put an amber alert out and the car that took her they were able to actually get the guy and rescue the girl back and we need more success stories like that. We need more people pulling together a turning owning people in reporting suspicious behavior. Whatever it is to help stop modern day slavery human trafficking sex trafficking? It needs a now now self my rant over but it's something that I'm super passionate about in January is the awareness month for it. So do what you can to be a part of it. If you know people full who have this has happened to share their stories because it does happen right under our nose in our own communities and so just do what you can to get involved. Be Aware protect yourself. Protect your family's look out for each other's families if you see somebody suspicious that's it's looking at somebody else's family or whatever it is it's time to to pull together and have each other's back and look out for one another so I'm going to take a quick break from this episode episode to talk to you guys about one of our favorites sponsors now that we're all settling back into our routines and your little ones are off to school it's time to freshen up those lunchboxes and that's where perfect kids snack bars. Come in from the makers of perfect bar. The original refrigerated protein bar. Perfect kids is a line of fresh from the fridge. Snack bars made made from organic peanut butter. They have up to eight grams of whole food. Protein eight organic superfoods handpicked for kids. Nutritional needs in a cookie dough like texture that both both you and your kids will love perfect kids. Bars are kept refrigerated. But don't worry they're good for up to one week after the fridge as we all know. Nothing spoils carpool faster Sir than a meltdown. From your little ones. So be prepared with nutritious and delicious snacks to keep everyone full and in good spirits. They are amazing snacks that you can feel good about giving your children because perfect kids bars are organic non. GMO project verified Gluten Free Soy Free Kosher and a low G I I. I gave some to my nephews the other day and they actually think that they're dessert. That's right they're like. Oh we're ready for dessert now. And what they're getting for. Dessert is protein. wholefoods good things that are for them so it's super exciting to have that healthy option to be able to give your kids and if you're looking for a snack to help you survive parenthood for me? It's babysitting whatever I watch them on my care then they're full-sized protein. Bar is is for you as well. I love their full size protein bars. My favorite is the original peanut butter. One it is so good I also like they have a chocolate chip one that is delicious and they're good for me on the go because I also know that if I don't have a good snack ago I also have a meltdown so I know everybody's busy but it really is the perfect snack for you and your kids your entire family and right now. Perfect Bar's offering you fifteen percent off your online order. Just go to perfect bar dot com slash Mama's fifteen shop. They're refrigerated snacks at perfect bar. Dot Com Slash Mama's fifteen today to get fifteen percents off your order be ready. This season with perfect kids go to perfect bar dot com slash Mama's fifteen to stock up and save fifteen percent. Now back to the episode. All right without further ADO. I'm going to get Dr Julian Brighton on get ready to learn a lot and have a great episode with me. I have Dr Dolan Brighton. Here she is somebody that I heard of. Actually through the fertility Friday podcast and I had Lisa Henderson. Jack on the PODCASTS. Then I started listening to it and I heard you on her episode and I was like. Oh my Gosh I have to get this woman on Miraculously Mamas and so Dr Julian Brighton. She works with people's hormone. Ramon she helps people understand symptoms to get to the root of the problems treating the body as a whole healing yourself from the inside out in the work that she's doing is amazing. So thank you so much for agreeing to come on so much for having me. I'm really excited for this conversation. Not everyone can see your face. I can see your face and you guys. She's like glowing filing. Thank such a big grin that IRA no. This is going to be really. I'm so excited so I would love for you just to kind of tell us in your own words. The work that you were doing so I am a nutritional biochemist and naturopathic physician with an emphasis in women's health. So I work work with a Lotta ladies who have a history with hormonal birth control currently using it or are struggling with post console syndrome. That is the Oh oh those lasting side effects hormonal birth control that when we try to break off with them and be a little bit tricky. And so you know I I have my own private practice. I work with patients one on one. But I'm also an educator not telling see myself and really a mission to help change women's medicine for the better and a very much believe that's not going to change because of knee or because of any other doctors saying we need to change this. It's going to change when we educate women when we remind them of their power that they've always had the ability to heal and that they can go into the doctor's office having much more productive conversations and be able to advocate the case for themselves on a new level so that they can get the care that they need and not just be passed a elective surgery or elective medication. And as a way to basically diller symptoms I very much content This was a bit of my wake up while I was in medical school is not. You shouldn't have to go to the medical school to understand the body. You live in to understand how your menstrual cycle works understand how to leverage your hormones as superpowers rather than letting them own you and feeding into that old story that our hormones are what make life inherently awful for women. So that's a lot of what I do some international speaker. I'm all over Social Canadian. Thank goodness for social media because it is such an easy way to impact millions of people who wouldn't be able to meet with me one on one in my office. I I mean just by following your account I've learned so much 'cause you always put up like little tips and I actually screen shotted a few that that I wanNA talk about but speaking of you know going to to the doctor and needing to advocate for yourself I was reading up on which we're GONNA talk about. And it says it takes up to two years and going to three different health professionals to even diagnose it you have it. I mean talk about advocating for yourself own link well and what's at the root of this is really not that your doctor is about person so that that tends to be reflexive where people are like. We want to blame so what we want to say. Someone's fault that anyone's it is the scientific communities all in medicine as a whole not including women and more studies so the reality is is not. There's a lot of drugs on the market that are prescribed to women that we actually actually don't know we've never done a study that we don't know what they do to women and then when we look at hormonal birth control. I mean. That's a pharmaceutical that is so ubiquitous and like as a first generation college student super super grateful. I could get my hands on that Banished my bad periods. Of course I wish someone would only what was up with my periods that you know vanished about periods for ten years. I was able to emulate multiple degrees and college as a first generation college student so super super grateful to hand it yet at the same time you know as I was writing beyond the Pale and getting more and more to the research and understanding that there's so much we don't know because we refuse to ask the question because questioning hormonal birth controls impact on women's bodies became taboo and there are people who actually say that's anti anti women like anti woman is not giving her the informed consent not doing our due diligence and why bring hormonal birth control in. This is because this is often and what happens to women with polycystic Ovarian Syndrome or P. C. O. S. The for women who don't know what this condition is now really. The hallmark of the condition is irregular periods. Because you have an auditory cycle. So you're not anya leading the brain. Ovarian communication is off and and in addition to that the metabolic metabolic component is really driving not chariot. So let me explain that always seems to go variants syndrome. The root cause is a metabolic disorder disorder with inflammatory components likely linked to gut health as well like everything and yet it manifests with hormonal symptoms. So the irregular periods are growth chin chest abdomen. Losing heroine her head cystic acne. Maybe just on our face but maybe also are back on our chance to other places as well and or some women. There's waking because of insulin resistance and the metabolic component not every woman with peace. US will gain weight and cleans to understand stand. Not Every woman will actually present in the same way so when it comes to syndromes though Policies Variant Syndrome was birth control syndrome irritable bowel syndrome either collections of signs and symptoms that go together but they don't necessarily mean that one person will have every hallmark of that mission and and with peace. US old school docs have gotten it in their mind. And kinda stuck there because of like when they were trained that if you have a piece. US woman she's GonNa be overweight and if she's not overweight account be peace you us and then other times they're like Oh will you sometimes get your period will count be peace. US because you'd never get your period And a bit rooted in the fact that most doctors do not have substantial nutrition education. So I'm kind of unique in being nutritional biochemist's before going to medical school and people who like what is not study nutrition science and we look at how nutrients can impact hacked disease preventing disease Making disease come on for sure but also used in the treatment of disease swell. And I've seen a lot of wind with peace you. I actually be able to control their symptoms with Diet and lifestyle management and. They don't get a diagnosis now. The piece of the pill coming in is with hormonal birth control. We understand now that more than half of women using it are using it primarily for symptom management. Yes we still want to prevent babies that it's usually for things like acne irregular periods aimed full periods. And we're told this will fix your period when in reality not a medication that shuts down your entire reproductive system. Have not it will not fix your hormone. It's making your ovaries stop acids. It's John and so women with peace. You US part of this delay in the diagnosis from what I've seen. Clinically is not their past hormonal birth control so they start their period. Maybe fourteen eighteen a fifteen. It's erotic and they're like maybe I've gotten it twice. Their doctor says there's a pill for that I can fix that. Just take that and go on your merry way and then it's when they're like well you know I'm I'm you know they enter. Maybe they're sexually active at the time or the become sexually. Active great brought this birth control method. GET INTO THE THIRTY S. And they're like well. I want to have a baby except that you've actually had this metabolic disorder that leads to infertility brewing. None unaccounted for because your doctor is Jackson. Are you bleeding yes great. You're getting your period regularly. All we need to correct that language you only people having periods are people who are cycling being hormones and who are ovulating. We are not having periods while. We're on hormonal birth control. We're having medication. Induced withdrawal bleeds. And this is a big one of the nanny areas of women's health that we have to refine the language. And how we talk about this because it's inaccurate. What we're saying I feel like my mind is just exploding right now because well so I got my period right when I was about to turn fourteen and I remember it was so light just barely spotting and then the next couple of cycles it was so heavy and I got on birth control at fourteen and I only took it for a couple years and I'm in my early thirties now so I haven't been on it in forever but it but also like at that age? I didn't understand a heavy periods. It was heavy for me and I was only wearing pads and it was hard to deal with and so so hard to deal I it soon as you say that I kind of cringe because I had just so many pad fails so many bad. I'm like those were really Ju- Overall Jassem got some old like that. We were walking in the nineties and they were destroyed. You right there. I think you hit the nail and had a really important point. And what chapter four or of my book is dedicated to helping you understand. What's normal wants to not normal because I don't know about you? I never told what was normal until I was going into shoe critical nutrition and it was like okay. You know. We look for abnormalities. Because if there's abnormalities than we need come in with like Iron Rich Foods twelve seventy six and fully all these things that Bill Bud Safai because we're losing a lot of line and then into medical school to understand like Not Everybody has a twenty eight day cycle Michael. An that young men streeters actually do not start off with regular clockwork periods. A lot of times. Because it's I call it the dance and it's like for anybody who has ever tried to learn dancing. You understand you're going to trap. There's going to be some hiccups. It takes some time to learn the routine and your brain rain in your ovaries ovarian communication You know the ovarian will the hypothalamus pituitary ovarian access. That's how the brain is communicating over his at takes time to mature and find a doctor. Jalen prior's work has shown us that it can take years decade for that system to mature her which is part of the issue. I hypothesized that when we come in with hormonal birth control in what we're seeing from the research that's finally getting done. Their Ronald Lessons are at the greatest risk for depression anxiety suicide risk and there was a study that just came out in two thousand nineteen showing. If if you ever start a hormonal birth control as a teenager you are forever at risk. Increased risk of pressure mood symptoms. So that's that's Ne- that's you. Does that mean we're stupid or we should eight ourselves. We should hate our doctor because we did this thing now but it is important to know this and not to get afraid. But if you're aware of this then you can make changes. So if I'm aware that I am going to be forever predisposed towards developing it'll be depression and you better believe I need the actress is I need to be eating. Foods that nourish my brain. I had a traumatic brain injury in twenty sixteen that puts it higher risk for for depression in mid symptoms. So mean knowing that me knowing now knowing that my history okay I need to to actively tend to this and also let my inner circle my social circle no if I start acting strange and being withdrawn and and how can slow and unmotivated and basically opposite would I am right now like we need to check in because reality is with mental health. It's so stigmatized admits high so nobody really wants to talk about it but also when you're in the thick of it you're in the thick of it so you don't know to ask for help and this is one way that like you know if we know the impact birth control that we can take action and take steps to safeguard our health and make sure that our community has our back. Yeah Yeah No. That's really great information and I mean it's it is good to know I've read a lot lately on like brain injuries and how that can affect your health later on and hand which is why my sons will never be allowed to play football but no my son was like he was a chunk. All I love it I love it too. We used to call his his thighs. Turkeys guys new riches huge. I mean he I mean he breast fed a lot so so seniors that I maybe I would wear him and wear him for years and always in the grocery we come up and he's going to be a linebacker and I'm like no Momma took much fish wheel during her pregnancy. You don't even know what I did. Grow this break. I grew this brain. No Oh shut it down and that was before all of these football players were coming out and really being very vocal about it. I mean it's also something to of like he gets soccer I have had a lot of patients with head injuries and we usually think like. Oh you'RE GONNA get knocked out you've got to have a concussion and it actually. The repetitive trauma is almost worse. And so I'm not dissing soccer especially after like in two thousand nineteen US winning joining us. Love it love. The sports are great but I do think we need to be critical about that. I appreciate you bringing that up. Not a lot of people talk about that. And I'm like no my son can be swimmer. No no impact to the head right right. Yeah no my husband's actually the first one who has like you know our sons aren't doing that And then after reading a lot on it it is good information information to have and to know so going back to So you said you can kind of change some of it with Diet What about what are the risks? If this goes undiagnosed or if you are just you had mentioned infertility before yeah totally so if you're not only leading regularly getting practice going to do you travel It's going to be a little more difficult. There are certainly women with policies took Ovarian Syndrome. Who are able to have healthy? Pregnancy has helped a lot with peace. US get pregnant but it may take a little more effort than the average woman just because Anabela Tori cycles but I've also been neom with help women restore their cycles ovulate regularly to which the thing that cracks me up is that their doctor will say you must not have had peace. US If you were able to crack October Diet lifestyle US and it's like the insulin resistance. How the inflammation there? We had the elevated androgen 's so all of that showing showing up in the blood work. It just want to clear up a myth so poly cystic ovarian syndrome. Probably it does need to get renamed because it's inaccurate way to describe it Ling Language Language Understand these places starting places for us but we had to do so much advocacy just to get science and that is into wake up to peace. US I don't think we can name it every name in now. But only cystic ovaries. Those are not says those. Are Your your ovaries really trying to. Obviously they actually show follicles and the classically piece. US was described that you would have this strand of pearls on your ovaries not. Everybody has that the younger you are the more likely you are to show that the younger you are the more likely you are to show what I'm doing. Air quotes guys this on your ovaries and yet the older you are so if you're like thirty eight and you gotta get the ultrasound in they don't either on your ovaries at. That's not ruling out. That's not ruling out the condition wailing. We have to look at the whole picture. which is the metabolic picture? Insulin Resistance Inflammation and looking at Androgen so looking testosterone free testosterone absolute must in women. It's not enough just to look good. Total touchdowns touchstones drum. If you look at it through the Lens of how old you are so you know because there's different on different changes to our life cycle with testosterone a strong Nielsen WanNa look at Dhea which is an adrenal hormone. That has the potential to go into testosterone or go into estrogen so with that we see that prices go very syndrome. It does get missed or misdiagnosed by a bat and Joe Important to know what the labs it's our and then when you understand so when you when you start to understand like okay this is an inflammatory condition. You can take stops to lower inflammation formation in a one thing that people are always surprised about is. When I'm like I asked my patients? How do you talk to yourself okay? So you're going to start this diet like we they do not nutritional interventions and we removed foods. We do elimination diets. Not because any of these foods are banned. Because we have to know. What's true for you? What's what's interacting in in your body? What works for you? What doesn't work for you and I on US okay? So let's say we're taking out gluten and you mess up and you end up going to Sushi and you get soya sauce like how would how would you respond. And if they're like oh I would be so angry with myself on the increase inflammation so the message thing. You can do actually talk pretty yourself talk night. I think David Sedaris. Every time I say this on the B- I'm a big fan of his loves books but you at noon to talk Nice yourself you need needs to be gentle with yourself and you need to understand that screwing up is the human experience is what you're here for. It's what we learned from and sometimes when people mess up on the dialect. They're they're like Oh snap loot makes me feel awful like what we just now. So that's a really big piece is bringing down inflammation optimizing optimizing blood sugar insulin sensitization and as a sale this you know for anyone who's familiar with how chronic disease develops most chronic disease is rooted in inflammation and metabolic issues and got dysfunction. Because the guy is where the immune system land so like seventy percent of our immune system some lives in our gun so with that if you are not managing your policies to go very in syndrome or you were putting on hormonal birth control so chapter eight of my book. which is reversing metabolic mayhem? All into this problem which is a hormone will birth control so the pill specifically it depletes nutrients leads nutrient deficiencies. It's inflammatory who's already inflammatory. And these contraceptives in actually increase your cholesterol so like triglycerides and LDL with gets. It's called odd cholesterol. You have you have the wrong kind of cholesterol. Elevated meets inflammation that's where we get plaques are heart and you know hormonal birth control token also lead to elevations in blood pressure. So is this mean that hormonal birth control. No one should ever use it. No it means that you need to measure and you need to track these things. Nick Schrager staying safe on it. Because women with polycystic Ovarian Syndrome are higher risk or diabetes cardiovascular disease and two things that hormonal birth control itself can increase the risk for. So if you're GONNA use it you need to make sure that your doctor got your blood pressure. It's being monitored that you check your cholesterol and then you go back in check again in the year to make sure that everything's going okay. I'm typically will check. CRP Marker of inflammation six months after starting birth control because if that inflammation is going up. It's just a matter of time till we have cellular resistance to our hormones. That's just the way the body works in the peace. US As we talked about fertility. And that's a concern if you want to have a baby but you know for me as a doctor I get really concerned about your metabolic all cal. And what with potential is I had a mentor very early on. WHO's sand on every like every every patient walks into the room? Your responsibility is a doctor to ask yourself. What are they going to die of? What are they gonNA die of? And then your work is to try to prevent that and so that sounds really morbid and scary but that is the way of being a physician is that you know. If we're GONNA practice true preventative medicine. I need to be looking down the road in twenty forty in sixty years. What is that person's life GonNa look like and what can we do right now so like with this is something that like? I'll be talking to twentysomethings about it. They're like sixty something year old disease like that started when you were a teenager. I don't know about you but I didn't have the best diet when teenager. So let's do what we can now because because once you fracture a hit your morbidity increases. Let's not let's not go there. Yeah so it's more I don't I love that train of thought of okay was Morbid Ismi sound what might this person die of instead of okay. What symptoms are recovering and covering and covering and covering until it all unfolds? You know later in life because that's something I've seen a lot of and it's something I'm super passionate about became as I don't know it's it's just so hard because the body he has to be treated as the whole as a whole and I loved you. Were one of your things that you said was how high estrogen can be is usually league a sign of your gut and liver health. And I've been working with a doctor a holistic doctor for six months now and we tested my hormones estrogen and was out of control. And it's because my body couldn't eliminate it because my liver was not functioning properly due to gut being over inflamed and having a parasites and in all things were connected so I had to cut out. You know I did a hormone test of food allergy test a stool sample tests. And it's like you have have to. It's not just one thing and and going to my gynecologist I've presented symptoms before the answer has always been birth control or hormone blocker and and I'm glad that I didn't do either of those because I got to the route and it's usually always comes back to your health or your you know right. Yeah we'll see. It started out. I was I when I was getting my masters and then I got accepted to School and I was like well. You know part of me is like I wish wish. I would've just finished my masters that was ego. That wasn't really about like no following your passion necessarily so when I went off to school though it was like I'm GonNa Focus on God because I had a history of issues I was offered a you know I just. I figured out in early age. If it shifted my diet it changed everything. Free thing for me so you know in that I started I was like I'm going to study health until I have this moment of sitting in class and just realizing that like so much much of my experience as a woman in medicine has been medicine doing it to me and that so many women we go to the doctors and medicine is done to us. There is no like. Hey Hey I'm going to insert the spectrum now. Is that okay like it's more okay. I'm inserting the spectrum very procedural. I'm mind you your doctor is like like doing a lot of things in their in their brain doing this procedure selected. You know this what we call the bedside manner but just really recognize like mine. Mentors doors were doing it so differently in that they would ask permission every time and then informed consent was so different it was you know is it. Like here's you you know and this is what's different about. Naturally physicians is not. We're actually trained in pharmacology. Because yes guys even though. There's matcher neck nick nature in our title. We do use pharmaceutical. There's a time. And place for the management there's a timing a place for pharmaceuticals but we also study along fine on herb herb and nutrient interactions so that we are arguably the most qualified to tell you about a drug nutrient interaction a drug nutrient depletion a drug herb interaction. So you know in night at your right just about everything starts in the guy at an NBA on the Pelham Guy Once we get out of the like let's solve all your period problems chapter go right and deliver health. And the editors for the book like sexy of like you're going to start heart liver and then go with guiding at absolutely necessary. If you're ever in your gut you're GonNa like people love the sex hormones Let's get the estrogen the testosterone right. Let's get progesterone a- you can't get your progesterone if your adrenal. Glands are getting fired off to the signal that we're totally stressed out or you can optimize is your estrogen. If your liver can't package it up and your and your kidneys move it out of your body because so few okay let me like I mean like not. Be Such a nerd bird. And I I want to bring everyone with okay. So your liver packages up estrogen into harmful metabolites potentially away and not so harmful metabolites beneficial. So we've got to or in sixteen hydroxy as strom so even if your estrogen level seemed normal in a blood test. If you don't have your metabolites has did. You don't really know the full picture of what's going on. And for example you could have elevated sixteen hydroxy as drone normal. So you're estrogen normal in your body that you're processing it and you're putting it into this Matab way. Actually leading to cloudy periods very heavy periods the Howard stimulating to choose your breasts or tender so understanding that we wanna get on everything into the right path as best as we can and we you do this. You know the Diet that I give you and beyond the pill. I was hate the word Diet because they feel like. It's like this weight loss although I will say that when you're eating in way that really lowers inflammation starts to optimize hormones. Your weight will find words supposed to be. No if you're really bydesign meant to be a size eight you will not the size zero It's just not your body time but in night on you know we've got that we've got the Diet we've got the lifestyle he. He says that everything packaged up. Then it goes into your gut in Bil- is really important to gallbladders really important this when it goes into your gut if you have overgrowth of the wrong kind of organisms. Or they don't have they're not pathogenic disease causing they're just an overgrowth Certainly having being a parasite you've got disavows. The whole system disrupting These organisms can increase an enzyme called Beta Legrand. At as they're gonNA make this and it is. He's GonNa do everything that your liver did the package of estrogen and get out of your body. Beta Gerona days is going to undo it and it's called conjugation now we've reactivated estrogen estrogen. But here's the kicker is not bound to approaching so now it hits her go clay and I like to call estrogen All the hormones under divas estrogen really beyond reality as is if you will be on stage. It's going to be really hard to have anyone show her up like I ruined. Let me like all eyes. On beyond say. And that's kind of estrogen once Estrin gets out and gets onto those receptors late. She calls the shots. So even if you have adequate progesterone in production from your ovaries you can still find yourself with. Symptoms of estrogen dominance. And that is a frank. dominance now. We have way too much. Estrogen the system ECHINACEA. Because you make too much of it because you're not eliminating it effectively or Zeno estrogens can come into play as well. Those are not estrogen estrogens or not what you make. They don't want the same benefits. They just have all the same troublemaking properties yet. Well I'm glad that you explained that because I'd love to get into a little bit of pms because you said if your estrogen dominant dominant have cloudy periods. You can have all these things which is something that I've kind of always had. I've super regular cycles to the day and I can always tonight ovulate. I'm one of those people. That checks may cervical mucus. And I'm I can tell I just. I try to be superintendent with my body but I've always had pretty pretty heavy periods and my boobs hurts. My you know all clot and again. That was a symptom that I went to the doctor actor for one time I had a horrible period I was clotting tons and the answer was birth control. And I'm like I just can't because although I was on it very early in my life I tried tried it once in my twenty s for like a couple of weeks and on the lowest dosage and I felt like a psycho person and I'm like I can't take this I'd even my boss was like Liz. What what is what's going on? Are you okay and I started. Bawling started this new birth control. I don't have any control over how I feel. I was not myself and I I had to get to right. That's the worst when you're like I. I know what's going on here and I have zero control Kazakhs the other thing. So so one societies like ill your motion show because we'll use it against you. You overly sensitive woman a to break. Its y'all emotions are normal. Human Experience am m-net's hormones influence there as well you know but the other piece is feeling out of control and not being able to talk about it on. I do want to flesh something out there because this has been coming up a lot lately and I'm like oh I really need to explain this so yes on. premenstrual syndrome gets diagnosed. How's this is the diagnosis premenstrual syndrome? This is before your very hidden and so this is really important for women to flush out because often women are like I have. Pms they talk about their periods. So this leading up to your period and this is really important information to flush out because that in actually I mean I know what's going on. He Amass Wise. I know what's going to happen when may period com so if I've been essentially disobeying the laws of nature and not sleeping and not move in my body and not eating. Well then I know my I'll have to be really really Period comes sure enough name fun but you know when you know that so for example if I know okay I'm actually share with my audience when My dog passed away abruptly. I'm I'm an animal person so I like wreck me and I knew I was. I was just around the elation and I was like this going to be a terrible period and sure enough my. PMS was ramping on. Because I knew I was like I'm GonNa get my magnesium of an increase museum. I'm going to increase as increased to six hundred milligrams in so three hundred milligrams daily. I doubled up on my fish oil so by makeup last usually take two. I took four. Why is going to help with prostaglandins ends? It's also going to help with inflammation is going to help with processing that estrogen. Asta Landon are hormone like little chemicals. That causes contractions attractions in your uterus. Of Very very good thing when you want to shed the uterine lining or you want to get a baby out but not such a good thing when they're super super potent which they can be the if your diet is really rich in Omega six or your low in Omega threes vitamin E magnesium and that's when we get period diarrhea. Here's someone who's like a you know with patients on it'll be like I have really bad cramps and like do you also poop or like a lot on your period early. How did you know I'm like prostate gland? Not Not as a question right there that will dial you in but does that help in terms of flushing out like this is msn period symptom. Will I know like for me the. PMS is my boobs will start hurting a week before and be pretender and then I usually get like hormonal migraine. But since I I mean even just since doing my will I started seeing a chiropractor again which I hadn't in a long time and then just adjusting my diet and I'm taking awesome stuff to support my body through balancing the owns and eliminating all this other stuff and it actually has been lighter. I've realized because before I would get super emotional emotional and now it's much much milder and the but I mean I feel like the only way that you can even figure that out is by I working with somebody like yourself for or their doctor that I was somebody who's going to test your body as a whole and get to the root to find out what's going on because some of these people who are suffering especially with pc os or you know other things like that they some of them are like I need immediate relief and the birth control is going going to potentially giving you like. Oh Yeah Yeah I mean this is something where there are certainly people that Have taken my message in ran with it to be anti. Birth Control am not anti birth control. I swear I probably have about one hundred twenty interviews where I start start with Dr Julian Britain. I am not anti birth control. And it's something where they will. This doesn't happen anymore because my foot went down and I realized I needed to have strong boundaries on social media and hold that container because if women were coming into that space it were coming with vulnerability honorability wanting to heal and when women come in. They're like you're so stupid. Why are you taking birth control or like you should just stop that? I'm like okay. Firstly you'll only a person who can advise not individual on their medication is the person who prescribed or another prescriber so if you don't have a licensed to prescribe these medications lease he's do not advise on it because you don't know we know what we know from social media but what if she has endometriosis. What if this is the only thing right now? It makes it so she she can function. They're winning with enemy troops to count function two weeks out of the month we will. PM Di di severe form of P. M. US is the best way to describe that. Wrap off your head around it. It can't get out of bed. The function they count mother. They can't parents They can't be a partner. They can't go to work. They can't be a boss two weeks out of every month and hormonal birth control does not work for every woman for sympa management. Lots of Endo patients didn't work lots of women. PM DVD made it worse. PMS need it worse. So it's not a cure all for you know I you know it's it's passed to us as the pill. Ethics is every female ill and it doesn't always necessarily do that but if it is we need a plan and this is what I talk about. My Book is that you WanNa prep your body a good three to six months before you come off control. If you're on it for symptom management for things like endometriosis or issues like menstrual migraines of course if you ever Migraine with Aura. Stay away from birth control. That's that's that essentially increase your stroke stroke risk and we want that and you know there was a time in place to use these things and we don't have to judge each other based on our our own our own bias. Yes but decisions we make for ourselves so I appreciate you bringing that up in terms of working with a healthcare provider we we all need healthcare provider nicely to build the time. Like I've got my own doctors. I I made the doctor when you're working with your own body. It's a lot like reading a book that's right against your face. You have all the answers you have them all. It's all there it's so coast. You can't read it. You need someone who can stand back objectively and and rebe data for you and you know our women though I will say now the beyond pills been out for a year when we've got all these babies that are coming in from women women who were unable to conceive before Not because they stopped birth. Control my God. I just saw that now. Women are GONNA be like it's because you told them to stop birth control firstly. I don't tell anyone anyone wants to do with their body because that's just rude now like my nose and my husband is well like I hate him but to deal like. It's just like inherent I think about Gretchen. Rubin and more of the four percent. I'm more on the upholder. There are times where I'm the rebel and it is. If you will do this I'm not gonNA tell you why you're just going to do it. I'm like I'm not GonNa do not gonna in that but the other things that we seen with beyond the Pale is women reversing their piece. US symptoms keeping them in check at Indiana public Women for their skin and I'm like the skin the last thing you you and it takes a long time but going to the book there are women who have sent me pictures of their face and two weeks two weeks later to just supporting their liver. How how much clearer their skin is? And I'm like WHOA. They're women who've shown me things I didn't think was possible for for someone to be able to do with book absolutely down that and so you know I put everything I could potentially. I mean we had to cut some stuff out with everything I could. In the book we also have online programs for women because there are women who their there period problems are going to be as simple as dietary and lifestyle style shifts. If you are someone who's like I'm doing everything right and I'm not getting results is your I like okay. These isn't knee. I'm not broken I need help. I can't go this alone and certainly you're struggling with mood. Symptoms is at all or holistic approaches. But you absolutely need a partner in that. Yeah well I love that. You brought up the prepping three to six months before getting birth control because one thing that a lot of people aren't made aware of is how deficient it makes you in vital nutrients and so a lot of women who are trying to conceive which is a big group group of people I talk to. They're coming off birth control extremely deficient and then trying to see when they're cycles aren't returning back to normal especially if they were on on it to cover symptoms and that it takes the average woman eight months to two years pregnant after birth control versus four months for the average woman. Not On hormonal birth. Control and prepping your body for that three to six months is huge to start to get those nutrients that you need to start to replenish replenish. What birth control is kind of drained from you will in every woman so I appreciate you bring that up? The every woman needs to understand that the Agu become pregnant with those through three months maturation cycle what does not mean the eight. You get pregnant with today was was being matured three months ago three months wants is the minimum it. prepping your body. Because that egg matures it goes through peaks and troughs of methylation and it can be really really vulnerable all to environmental toxins and other factors so we WANNA make sure. That's okay so hormonal birth control cleats. folic acid wait a minute are are you talking about that. Vitamin we are putting in everything because the risk of being deficient in that means baby have spinal and basically have spinal issues brain issues deep formations so And I got something that I can't believe in nineteen that I still get doctors pressing back on leaving like where's your evidence. It depletes that I'm like okay. So once upon a time in the lab bob they actually made a pill with full gossip in it because they recognize this. In addition every sexually active female in or fertile years should be using a multivitamin or prenatal because the reality is is it doesn't matter what form of birth control you're using nature can find a way as my little Jeff Goldblum from Nebraska. Ask Marks Actually said that the other day I have said that so many times waiting for someone to get the job I started my friends like we go drowsy park. Go now back to find a way but in reality the way we typically use the Pill for example it's only ninety one percent effective so nine out of one hundred women are going to get pregnant in in a year using that. And if you're one of those women at a time that pregnancy test is positive. Your baby ardy needed lake. So it's really really important nine nine you are replenishing these nutrient stores for yourself. You can't diet. The depletion of medications weaned and this is something that's really bizarre to me. Rain is when it comes to birth control so I was taught. I can clinical nutrition that worth control as nutrient deficiencies therefore make sure. She's on a multivitamin prenatal and die at some point. However we see like birth control lives in its own bubble is like this weird thing where it's like new but not birth control trek a drug handbook? Yeah when it comes to something like net foreman which in a small percentage of the population this is a diabetic drug commonly used with peace. US Right now. Being investigated for potential carcinogens being found in it That's hot news if anybody's paying attention and and that's we. We need better oversight for sure. Her is not medication. Does serve a purpose. There's a time to place but we're coming to understand the alterations in the microbiome. That's caused by this as well. And because of this we can seem that. Small percentage will become B twelve deficient though wearing people start. METFORMIN doctors often saying Jonah sub lingual B twelve vast swathes or b twelve twelve hundred Under the Chung bypass that got together in with statins statins. Are you know if you know with the audience. We're speaking with probably not using statins. What they probably heard of it because it's used for hyperloop pechiney our high cholesterol and that depletes co Q.? Ten if we give statins we give coq ten when it comes to women birth control. There's like this reflex well no doesn't matter and it really. I think is born out of this idea that if questioned hormonal Mona birth control or we educate women about the potential side effects. They'll choose not to use it then. We'll have unintended pregnancies or women fought so hard have access to their Ford. A question I don't know means we're not grateful or means that we could lose access. I one hundred percent will leave. And we'll continue advocate or Access as well as education women are making an informed decision. I have not come across people that just because I go through all the side effects of birth control. They're like I'm so scared. You scared my pretty high. Just won't use it now. I need people stop treating women like they're dumb. They're not dumb a really really smart but if you know this you know this then you can you can shift your diet. You can also take these nutrients and getting good prenatal or Multivitamin it has to Abi quality guys because there's just oversight when people are like wool supplements are not regulated by the FDA. I kinda as I say this thing about former now I'm kind of Giggling is regulated by FDA Being founded snap but right need to look for that. GMT stamp has good manufacturing practices. That means they're holding holding themselves. Standard of pharmaceutical of Howie. Mar- pharmaceutical will be processed. If it if it is a deal if you get it at a good price is probably probably not good that the to make a supplement that is sourced not just quality sourcing ethical sourcing as as well not just depleting the environment not You know there's there's all kinds of points that I can go into that but you really do. Need a quality multivitamin vitamin or prenatal. If you're on hormonal birth control and this is what I go through the on the pill is really if we know this to be true then this is how you stay safe on birth past. Talk to your doctor about. Here's when to see your doctor is we can do personally. Because health is majority of staying healthy is one hundred percent. Your responsibility right. Healing happens outside the doctor's office and so Your doctors really really important as part of the team. But they can't be with all the time so you know it had There's certainly been some people that it. They read the book and they're like well. You know her attitude. It is obviously anti birth control. I I kinda crack up. I'm like is I think I'm funny and you WanNa you honestly didn't think was funny. 'cause they're like people will like I mean I've had reporters get on the phone. You said this this and this and I started giggling of Mike. I I didn't get you read my book but if I narrated my book you would hear it in my voice. Then you'd probably give too because I was just I would. I was trying to take a really really serious dry topic and funny but also talk to people like I talked to my patients nations like I talked to my patients like there. Are you know they're partners in this and not talking to my patients like I wear the white coat therefore you do what I say and like. Don't question me because you've I. I don't know if you've ever had this but I've had this where I questioned doctrine. Something they literally roll their eyes at me and I am just a personality type. I I don't get passive aggressive behavior. It's my husband laughs because it goes over easily didn't like you and you didn't. You weren't getting it and they don't so I'll just call it out and it'll be like are you going your is in needs I say yeah. It's really fun. It's kind of funny because they husbands like non-confrontational and he sees that is really confrontational. But it's more meeting people. All the time are like Oh oh you're you like you. Just stick it to them now. I just really didn't understand if they were that was intended as being acquired. Because I really didn't understand I mean I've had a doctor roll his eyes at me. It wasn't even like the same doctor. I guess twice because the first time that had extreme clotting it was right when my grandma had passed just as well so then I'm like okay. I feel like my body's just releasing stress this way as well. My hormones are probably super and I haven't had it like that since and and I saw him he was what we can put you on birth control. And I'm like I'd really like to wait and see what my next few cycles are like. Or see you know whatever else is going on. And he rolled his eyes at me and then a year later I go back for an annual checkup and it was right before I got married. So I work as a birth Dula And I didn't know a lot of places in the area I'm newer to this area and And so asking him some questions about birthing in their hospital there and I'm like we'll do allow allow women to give birth in different positions and he rolled his eyes at me and he said No. You have to be on your back and I'm like okay. I won't be giving birth here and like and what is that about is that what about you. Is that personalized you. It's about what's convenient for him right. I'm Sellin okay. So is visualize me say this. I crawled around on my hands and knees nineteen hour in nineteen hours of active labour. And the only way I had to be on the hands in east in the first up at the Brigham. It's beautiful vision. I was like I'm GonNa Birth where my baby's GonNa come. You know why you go ahead. Make your plans growl because it ain't going to go down that way right. It's accused on postpartum autumn health. Because I'm like that's what I should plan for. Should plan for. My postpartum should have had my ideas around birth. And certainly like I did a home birth and but I met with met with great. Ob Gyn at a local hospital. We already knew my hard. This is what I'm going to be. Transferred of anything happened happen. We're going to be transferred. So I even got neonatal resuscitation certified so actually went through. I was like okay if anything happens like like you know. There's there's GonNa be a lot of doctors in this room so I had to doctors attending my birth With my friends. Who are doctors coming in and out? The you know in all event They they tried to get me to push back. They tried to get me to post squatting. I got a stool and like I had no power. They knew how I feel. They had no power our and I had an anterior lip on the cervix. An I'm a worst case scenario. Personally give you just tell me the worst case scenario and I know how bad it can be I can handle I can hang like. I'm the person that you're GonNa cut me open or you're gonNA put something in my vein. I have to look if I know I'm good and I was like what happens of push isis awesome. They're like well my tear Uris in hemorrhage guy and I'm like okay like I was GonNa Push I don't care so but the one thing I birth teaches you so much so much when people are like it's a right of passage It is a shaky way hugh from the universe universe kind of experience and though I was laboring on the toilet you. That's what you do during a home. Bert Newton actually comfortable and I finally looked at my husband at one point and I decide to him. Like I'm coming out there I'M GONNA push I'm going to be on all fours and I. It came out really owned my power in that moment in the midwives were like these are national league midwives to their doctors as you were not comfortable they were like I've never delivered delivered a baby of a woman on all fours and I was like I'm in pushed this baby out you reach in grab that anterior lip my cervix traction it down I wish this Oh there's that it does not hurt when you've been in active Labor for nineteen hours. Oh and by the way of vomited the entire time I do birthing right. Let me tell. Oh Yeah but you know I came in. I was really bossy the whole time I was trying to be Zen pointy three hour and a half hours or something and I'm like I'm going to be then I'm going to go with the flow. I'm GonNa fo the pain down Rican Lotus flower. That's not me as like that was like okay. Well it came out Oldham how he's GonNa do this. I pushed my son out in ten minutes and I I didn't tear. I told my one I was like your jobs to make try. Don't tear and they were at first like our jobs to get the baby out in the I got out. You make sure it didn't tear. They did a really good job at work. We work to them. But you know in that was really i. I don't think I could have gotten him out any other way. And I at the time so I was teaching group fitness like all through college and continued that even while I was pregnant and I was teaching teaching pilates and limitations. On what you can do. When you're nine months pregnant body they could always do like a cat and cow and use my ads in that way? I still you'll had bleak at nine months which is kind of crazy I say no. My sister grew the really cute. Big Bomb was so cute. I wanted one of those. Isn't it funny any whether things that we think about. But I'm like you know. How like on a Subaru? You have those camper hardshell tops. Yeah as essentially what I looked like because I have a really long long torso so I didn't get the ball but you know in that. I couldn't imagine if I had ended up in a hospital and they told me it'd be on my back I probably would have ended up with you. Know all in one of the statistics of the unnecessary C sections. Yes is actions can be necessary Statistics don't lie in the United States. Were abusing thing. Now it's on and there's an I also think there would have been a lot of birth trauma and when is now being termed birth violence against women. which is you know it's been going on forever? I mean there used to be a time where it just knocked us out took babies out of our bodies It's crazy commercial actually the other day talking about how how. The United States is one of the most dangerous will yeah high income nations in the world to give birth in and all the nation right. Yeah people just are which is why. I'm so grateful so I'm employed at a hospital here now and I love working with them because they allow women that space the you know and it's it's so cool to be able to be a part of that say work with the Midwife Group here and they are just so like okay well. Let's try it this way. Are you not comfortable okay. What position do you WANNA be in? And you can just as long as everybody's everybody's healthy and safe they don't care you know and it's just so cool to be a part of that and help help. These women get to decide how they WANNA push their baby out. What positions are? Oh for them they get to be a part of their birthing experience instead of birth happening to them you know so little and let them do what they need to do. Like I saw I cussed very every law a lot I was a lot of pain and it was not pretty and Contractions there were Christmas. My mother-in-law I don't think she's ever cursed once in her life lesser heart husband. My mother-in-law was here the entire time she was awesome. GMI Back. I love her the other times that I saw her face. But I think patients tell me when they've had nurses in the room or providers in the room that are like. I'm not going to help you if you keep heap cussing leave that with an Iud. I had an eugene placed and It was it was really paying fall full there I have patients who get these cakewalk. I walked home. It's fine I'm was that was not me and which was like foreshadowing for birthday thing for me. The provider said to me because I contest and she was like. I'm not going to continue to do this. Clean up your mouth and I was like you right now. Have A SPECULA- mm-hmm you're in in my body you of a probe that you're measuring the debt you guys you know how. They measured the death of a pond with doing that to my uterus and finding the base it is incredibly retain full then. She told me you're not actually having that much Hain I'm like and this is like I was getting this place while I was in medical school and I was like I bow. Never never never to gaslight a woman never to tell a woman then I know what her experiences and that's like I am super grateful grateful for some of the horrible experiences I've had in that is in because it named the a better doctor and from the day I opened up my practice. My mantra was always a not not humid patients. A teach them how to heal themselves like I will give them the roadmap to themselves and I will not own their triumphs and not be like. Oh I did the good job. This is not about me doctor. Patient relationship is not about me. It's about it's about how I support her and how we work together so so you know. I think it's really. I think we're starting to see a whole lot change in. I'm in the birth community as a whole and hospitals now employing dulas aiding. That's amazing unease ing. We still have a long way to go. Yeah 'cause developed nation. We shouldn't be. I mean I've had patients who have gone to Canada or who've Gone Tila the UK they've gone to other countries to birth their baby because they are afraid of birthing in the United States and initially. I was black hospitals. We got great technology as they started to learn more. You know it's just it's just not where it needs to be and we can can do better and that's the thing again just like we don't need to hate on ourselves when we met we don't need to hate on the healthcare system right now. We need to look for the opportunities. -tunities these problems are invitations for us to do better and we have the means to do better. And that's why it's so so important to be educated to know your options going into no what you can't ask for it and if I always say this to if you don't like your health care provider change if you're not comfortable with what they're saying change. That's it's fine like get a different doctor get somebody who literally onboard with your plan. Get somebody who I doubt. I'm sure there's some things that they don't let you know but for the most part I've seen women give birth in hospitals in all different positions places. Whatever you know and and asked for a lot of crazy things and and you can find somebody out there? Who's on board with your plan and you know who will honor it to the best of their ability and I think that that's so so important Horton because going back to what you're getting you're getting put in just I'm so passionate about when women get dismissed of how how they feel? And it's it carries over into motherhood when you're talking about how you feel about your experiences near not listen to. You're not heard you're not made to feel valuable in your own experience that can carry over into motherhood you question yourself you're questioning. Oh my really pain will my big baby. Can I really he goes. Can I really do this. Am I going to be a good mother and my cut out. You know it just carries over and over so do not if you have somebody who is not listening to what you're saying leave. Yeah and it doesn't mean they're about her not it's not a good fit for you and as doctors. We don't or we shouldn't get offended because we have personality right and like we're not always gonNA great fit so I've had people come see me and they're like they've said like I you know. I thought that we were going to be really good. Fit Fit but like you know. I'm feeling like I need someone who's a little more of a hand holder so very forthcoming than. I'm not the the the cheerleader handhold are on the type of personality. I am album solver. I will get in their problems to knowing knowing this. Having this awareness bringing nutritionists and health coaches do have those strengths so that may patients are supported in that way it also had really candid conversations stations at a patient that was like I just forget her sitting in my office saying like adjust of a really hard time with with how much optimism you have an how positive you are in your energy is just so spunky and really it grates knee and I just street dot said to her like it. Sounds like we're miss. Not Because if I'm over here doing sunshine rainbows and unicorns loving that and that's who I am and that to you is challenging the personnel. You go with let me refer you. I've got other colleagues who are not chipper. And it's funny that I say that given that I'm like I'm not like a cheerleader. But I but I am really like I am just seen people be able to do with doctors. Said could be done and prove them wrong. I am optimistic to mistake and realistic. I'm definitely realistic. When people I mean I've had women in their sixty s where like I WANNA get my period back and I'm like I can't do doc? I can't. I can't do that. That's not going to happen but you know for the most part I feel like when I'm diagnosing he's US or Hashi motos immune thyroid disease one of one of the top things I diagnosed. Don't come in is like you've Disease you're GONNA have a chronic disease for the rest of your life. You'RE GONNA be on a medication Asian and this is the end all be all at complement of place of like we finally have an answer. We know what is happening like as not feel good to finally know why and when and happening now yes you have this condition that means some things are going to shift in your life but these shifts are actually going to be towards better health and just because you have this disease these does not mean you're debilitated and in fact you are not your disease and you can put this insurer mission and like I just come from a place of leg I think so. Often we get diagnosis. It becomes label becomes our identity and I refuse so aiysha motives are used to be Hashimoto's. My son as a pediatric autoimmune neuropsychiatric disorder triggered by struck and does is six going on seven. I refuse to let that I child. He came out of his mouth the other day where he's like well mom. I count because pandas and I was like no we are not going to say. We can't because of pandas. Now certainly there is. There are times where it's like. I can't go out and party all night. Because they do have Hachimoto. I know what will happen to me like there. Are Those things there are. Are these things where it's like. You have physical limitations that to you know to to become your diagnosis and then to let it stop you from living your full life af leg that is that is the worst thing that we could be doing to patients and like. Yeah sometimes we have to have real tough conversations like you will get cancer cancer. He will get Alzheimer's but like we also have great medical technology and there's been a lot of evidence to show that if your doctor believes leaves in your ability to heal you will be more successful and that that doctor patient relationship is incredibly therapy vic. Wow that is so cool. That's that's so important before we end I do WANNA touch on prenatal vitamins super-quick only because I had a friend whose doctor prescribed her one that had food is in it and and I was questioning it and she was like well. My doctor prescribed it so it has to be good and I'm like I don't think so. So what are few key things to look for in a good prenatal. Oh by the way I ordered yours and I'm taking it 'cause my husband and I are trying and I mean I love it so far but Um Yeah I love it to take it. I'm not trying to have a baby But we've we've having she motives and needing extra iron and amount. I monitor my ferrets. End as well So let's Talk Greenie okay so first thing yes hecker prenatal if Rajini define it. Now there's food is in and now we have been shown to have negative impact on our neurological health. Are you adjusting. Growing human was nervous. System is very boehner bowl so this is going into. These are the prescription. These are the ones doctors can prescribe. And your doctor may be like. I'd rather know that there's food diet hydrogenated fats and you're taking this and they know what's in it and you go to a big box store and you end up with something that doesn't actually have what it says. It has in it and it like navy. It has house plants or other things. That aren't even tested. This crazy right like this can happen. It's been consumer reports showing herb herbal supplements. They they go into a big box store. They test them. They had nothing they said they had in them. That's why doctors are cautious about items. I actually wrote a huge paper on this when I was an undergrad getting nutrition degree And that's why you know people honestly Whitman. What inspired you to start up on? And I'm like I wanted to know what would I was prescribing patients. Would I was taking myself and what my family was. Taking was exactly what it said didn't and I knew source. I knew all of this so with my supplements especially with the prenatal. That is one that I'm like dome around. We are growing human here. This is the future of the human race so there's not a one if I wouldn't put it in my mouth. It doesn't go to to anyone else. I'm not just our rule in our company is okay. So let's talk about what to look for in prenatal vitamins. So number one yes late we want to be looking for full weight. Method delays not full of acid reason for that is not up to forty percent of the population has a genetic mutation of an enzyme called. MTA Far and folic acid. Does you no favours. Who Go test that or you can? Just you can just swap and go for fully now. Ola Gossip is a came very cheap. Vitamin understand that this was developed but in all the food supply. So it's going to be cheap now. I bet you have a nice car. You know some of you listening listening that you wouldn't put the cheapest gas in new are arguably more valuable than any vehicle ever made on the planet don't put cheap fuel in the tank and expect high perform arm so that's the first thing look for fully look for B twelve. You need to have B twelve as well low level. The B twelve have been associated with miscarriage an infertility fertility. So you want to be mindful of that e six so we want to be looking at all these vitamins but fully B twelve b six berry very important ones along with choline. We Wanna be looking for vitamin A.. Now gives me a Rita Carotene primarily navy a little retinal Paul. I put this thing on instagram. Worm like Danz liked like prenatal with retinal comedy and some people got confused. So let me take an opportunity here to explain. I'm going to throw one more time. Yeah I saw that question I wrote it down. Because that's actually what made me order your prenatal. Because the one I was taking was retinal plummeted and embiid retinal potatoes. Tate is okay but the problem that was coming through those getting a lot of. DM's about a women taking multivitamins or taking different supplements that had high high amounts of retinal plummeting and they were being toned by you. Know sometimes a multilevel marketing sometimes the health coach sometimes on a a friend. This is okay. This replaces your prenatal and it doesn't it. You can't take a multivitamin and get the same out. You need different levels of fully different levels of iron higher levels of calcium so really wanNA make sure that we're looking into perennials and we want the highest all the ingredients who want the good manufacturing practice the GNP's GNP's down there and we wanna make sure and this is what I'm really picky about is iodine and selenium. I absolutely essential but but knowing that twenty seven million Americans are walking around the estimate with IRA disease N.. Band half of them don't know it I. She Motta's does being the number one Hashimoto's unchecked and lead to miscarriage You know high risk pregnancies to there can be complications. There could also be cognitive impact. which is to say that if you don't have enough thyroid hormone up until that second trimester? When babies thyroid takes over that they have done long term cohort studies and found that up to speak at the only way to sixteen years of age at those children or behind luther motor skills and cognitive development impacted? You need iodine. If if you don't have selenium and you're risking an autoimmune flare so you can actually take a high level of iodine in the in the wake of Selenium Deficiency Agency that can actually cause increase in these antibodies increase in the Yanni's is associated with increased risk of miscarriage and complications and in some countries like India If they scream you and they do a full thyroid panel wants. You're pregnant along with those antibodies. If they see those antibodies they start thiry medication regardless the thyroid function panel. Looks like because they want they're so invested in keeping babies safe and we've seen that there can be some negative impacts estate before you got pregnant for sure as soon every woman a standing order the soon as you're pregnant gets in the lab. Get that tested because you may need. You may never have had a thyroid arrayed issue. You may develop on a sooner pre game. You may have a thyroid. Issue may need a fifty percent. Increase your medication. As soon as you become pregnant and I personally went. Screw this where my thyroid was mismanaged. My first trimester and I had a miscarriage just short of twelve weeks which is for women who've never been pregnant. You're trying to get to that twelve week. Mark like twelve weeks when we tell everybody but also that like this going to be a viable pregnancy. And so you know if you've if you've never been in that position you're in law appoint generally speaking you're invested is your baby. You're in love. So it's very heartbreaking thing to go through and so having that personal experience in the work that I do always make sure that women are taking care of not sway with my prenatal you'll see iodine and selenium selenium under micrograms in the research and shown to be yeah we'll put a GPO antibodies in remission. So that's the other reason why you find that in the prenatal so quick as fast as possible. I have a question. So what were you saying that if you are taking dine without selenium that it could cause the thyroid okay. Yeah so on their steadies Denmark does some of this study is because of your healthcare system. They talk everybody and what they did. IS THEY S. People start wearing the introduce iodized saulte sainte staff were all exposed to here in the US. They introduced iodized salt and found that there was an increase. Incidence in the diagnosis of Hashimoto's raise arise is in the antibodies and also hypothyroidism developing right. Why don't we give nine so that we're not hypothyroid? Oh wait a minute in some people actually actually push them in the wrong direction and this is where you know. Understand women's listening in there like all but my doctor understand if your doctor training the United States odds are didn't take any nutrition and if they did it maybe got a couple hours lecture. And that's something that's really unique about me. As I studied nutrition Shen are so. It's really important understand that if your doctor is commenting on supplements nutritional supplements or commenting on your Diet. But they don't have so they're being like Oh doesn't do anything they don't actually have an education. They're not actually expert in it. As just in opinion it's non expert opinion will. They are an expert Gordon Medicine and whatever you're seeing them for potentially not an expert in that arena and I think that's really important understand nats. The part of you know being humble able in medicine that we need is that doctors. We all need to know when it's time to refer we all need to know when it's time to stay in our lane and passed his patient so like you need heart surgery you got cardiovascular issues going on time for me to refer you to someone else at outside my scope. That's not what I do. Yeah I wanted to just ask another question about the thyroid test quick so you recommend women in their first trimester going to get a thyroid test. Is it like a specific specific one because I know so. I worked with somebody with my thyroid when I was twenty six and we were able to heal naturally over the course of a couple of years but I I know the test I did with her was different than the doctor because the one I took with her like broke down everything and I know sometimes they just test is your thyroid working or not basically. Yeah so what. The test is an indirect marker of thyroid function. This is important for people to understand that. HR thyroid stimulating. Hormone is a brain hormone. That tells your thyroid function when we measure only that we're measuring only one part of the communication right. It's like I think about like it's like you know in somebody's on the phone and you can only hear of the conversation like what's happening on the other side so h with the brain says to the fire. We want to see how the thyroid response a t four and she threes specifically re hormones because those are the ones that you actually use end across the placenta now fee force for babies so your doctor might be like yes. Sage from Free G. Four and that's it because baby needs T- four that's what crosses the Placenta T.. Three is for you. It's why you poop while you're warm while you grow hair while you you get out of bed in the morning so we want to get that full picture and then getting the TPAO thyroid Globulin. Antibodies during pregnancy. We may get a roots oh stimulating immunoglobulins to check grave's disease raves is hyperthyroidism much more rare than Hashimoto's which we've hypothyroidism I'd raves income during pregnancy. So that's why we may check that as well. There's also a reverse t three to look on. Most doctors won't order FAI unless they're specifically trained in vibrate is not because they're bad. Doctors is because we as doctors don't order labs that we don't know how to interpret or won't change our recommendations C'mon dacians so if your doctor doesn't know what to do with that or not gonNA order it it's not because they're bad and honestly you oversee three should be up when you're pregnant because reverse t tree At least in the first trimester it slows you down you gain weight hibernates you slow down And then also to understand. Understand that the Beta g which you're measuring so when you have a stick and essential pregnant. That hormone is also a week. I read stimulate. So we WANNA look like is is is that stimulating. The thyroid is what we tell by just his age. Like we wanna see those other hormones. So that's what I like to look at. If we have a woman whose hypothyroidism we will start medication I am always in contact with her midwife or her lovie Gyn and I've never had a situation where they're like. No I'm going to take over the thyroid Vira. It's always been. I'm going to manage the pregnancy. You manage the thyroid and we stay in communication the entire time and then what I usually do is if we need a medication and believe me. You need a medication. This is not a mess around situation. If you're like I want to be one of those people who wear a badge of honor that take no medications suck it up and drop it. Because they're babies. Health is on the line so we started medication. We need to retest in about two weeks. Count has just say the CAN take T. S. H. A.. A good four to six weeks to shift even eight weeks to really shift and accommodate. We need to measure with taking medication. Where are we off because you know the in the average person say six to eight weeks in a pregnant person? Two weeks too much is changing in that time. We've got to have a dial we've gotta make sure she's taking care of because gun and this is the future of the human race. It's not just a baby. You guys this is our future leaders of the human race like I'm very much invested in this. Which is why we need to be taking care of all women right now because they're caretakers of the future of the human race? Amen I just WanNa like clever that it's causing these clamps sailing club. Well I think that's a perfect place to end this. I mean I I couldn't agree with you more and that's why just even having you on and just that's why I'm so passionate about doing this just letting women educated and starting to know their options and start to take control and ask for better we need better and that's just an it's not gonNA happen until we demand it until we step up and be like no we're not gonNA continue to let women die in the United States giving birth. We're not gonNA continue to sit. Turn people away with symptoms. You know or tell them that you're gonNa Miss Women who were having heart attacks or strokes because that's how the record they show up differently in women than men so they're like no no you're fine and medical gender bias. You're a woman it must be in your head you're hysterical. And maybe they're using different terminology. Now maybe they're saying you're you're anxious your natick high strung. I don't know it's it's much the same thing. It's a throwback to hysteria being like he can't possibly be real it's all manufactured factored in your mind. And so you have to advocate for yourself. I mean I was reading a review on Amazon. Like I'm like the right. Now I'm finding myself mcdon- cry but this woman left to review and she wrote me and she she read beyond the pell and she was actually having a stroke. She went in with a headache and she said if I had not read your book would not have push back on. My doctor wouldn't have us. He's like you gave me permission in a way to push back against my doctor in something that society told me. I was not allowed to do. Because she saved her own life. Because Lo and behold there was a lot in her brain had gone home she would have died at another woman right knee that she had a clot in her lung and her mom read my book and her mom was like this. Sounds like a pulmonary. Embolism you've been on birth control you need. And the doctor had sent her away and she went back in her mom went with her and they found it. Owning to twenty five percent of people die when they have caught in their lungs so so lucky. Will these clots are super rare. Statistically speaking there are rare a half a clot. We can screen for this and do better. I do screen for this to my patients who WanNa do use birth control but in addition to that while they are rare. You have to recognize what we're talking about. We're not talking about like getting acne. Nobody dies of that. We're talking about a Clinton your brain a clot in your lungs a heart attack doc. Answer these things not only impact you and your quality of life encounter result in death. They impact your family your entire community. This is community issue. Somebody has a stroke is the financial burden of that alone of caretaking for them. That is a lot of demand we we are not set up in the United States. Support people in that. So what can we do better. We can screen. We can look for factor five light and we can look for 'em teach if are mutations since I have you guys I have the whole list in my book. You know people saying you know. That's not common. We don't screen for that until their symptoms. You can't wait for someone to have a clot and then be like. Oh let screen for that now. No these are among women who have their entire life edit them and as far as I'm concerned we need a lot of change on on this planet and a big part of that getting every single woman stepping into her power. We can afford to lose another sister to a medication that's optional national. Because she was never given the full story about it because her doctor was taught once upon a time at the risk is so minimal. You can say it in passing but don't don't really worry about it and there are these stories. Their foundations being started because of women who've died birth control. There's a family in Canada. Who who are? They ended up suing the hospital not because their daughter died because the hospital denied their daughter twice because the hospital refused to change change their protocols to ensure another woman did not die. And they're like my daughter is not gonNA have died in vain and what really you can tell. I'm not irritating. It really upsets me. When I see doctors or so-called experts coming up against those parents being stop scaring women their their right to have have access? You shouldn't talk about this. This is all fearmongering. And it's like a dare you. Their daughter died. They sent their daughter to college and started birth control so oh she couldn't get pregnant and nobody told not a one of them it she could die or what about these gals dropping out of college because they get sucked severe exciting and depression because they were one of those women for whatever reason birth control led to mood symptoms willing to point and research where we can say association association however for generations. Women have said that pill caused these moon issues and yet Russia on the rug. We don't talk about it and we act like women are are too stupid and emotion basely business seriously. What gets me that we don't share this information? People advocate that. We don't share this information because women will get scared appeared. That is so disempowering. That is you saying you're too emotional. You can't understand this. I cannot without any war. Women in are not dumb. Women deserve the full story and they deserve to know what they're getting into the furthermore. If we don't tell them what the possibilities are they don't know when to see their doctor and we do exactly what you said. You said this earlier on might really pain. Is it really a big deal. Does this really warrant going into the doctor. You guys. I have done this for decades of my life and even still I will catch myself being like her. This little bit off. I wonder if they should go to the doctor or maybe not. I don't WanNa go. Oh wait a minute the first time you think I think maybe I should go to the doctor. Yes yes you should go to the doctor and get it stocks stocks in the United States that we don't have health care to cover that but may on it is much cheaper to eat well. Exercise live this lifestyle. And and see your doctor before it's a problem then to come out the other side and have to pay for chronic disease. Yeah well yeah. That is so good and I don't get how their house. There's this thing around birth control of not telling people when we are in such an age of informed consent rate for everything and it's like take if you WanNa take birth control. Okay here are the risks here is what you're signing up for here. Is You know the things things that it may benefit or whatever and it's like you have to know what you're getting into you have to know what you're putting in your body. Yeah read the package inserts. I mean this this is something where I will. I have people who reach out in there like where you get. Misinformation package insert on the in there. You have to read needed. Please please read it because it was a big long hard fight to even get that disclosed. They were trying to keep that away. From women. As well air is advocacy groups. toget- lack auks warnings are blackhawks worrying on some forms of birth control because of the cardiovascular risk Golota women dying we able to get that so understanding that there have been a lot of women dying or a lot of women. IDING GET US access best this information and then there are people who are fighting not allow US access to this information on the basis that this will scare you out of using hormonal birth control and that is not their place. No that is not their place to decide for you. And that's something that like with my patients we do individualized allies informed consent. We go through if you have family history of depression or you have a personal history of depression. We've got a monitor you tightly if you WANNA be starting birth control if if you have a family history of heart attacks before age fifty. I'm going to run a fool lab handle on you. Start Hormonal varsity phone. And I'M GONNA make sure we we know what's the best choice or you and we are at that place where we can give this individualized informed consent. And that's really not what's happening and I get that like this is super inconvenient to hear the issues with birth control. I did it for ten years. Wrote a book on it and cried pretty ugly ugly cries when I was like. Oh my God I had no idea what I was doing to myself anti prescribed it and I had no idea that I was prescribing. This could happen so it's something that like. I had to move through that as well and I understand that is very inconvenient. Have a doctor come in and saying early issues. We need to talk about it. We don't it is not as safe. We cannot say it's as safe as we ARC's currently saying because we don't have the evidence to truly know. There's no long-term long-term study to show us what happens to a woman's body let alone just to rain when we put her on birth control from the day she starts menstruating all the way through menopause and never once wants. She bathes in her own. Natural gesture on that. Progestin is not the same on so many levels. We don't actually know we don't know so when I see people when I see experts out there being like it's so safe and why would you even question and don't even worry about it and like you. Can you never have to menstruate. Just stay on forever. I cringe because I'm like we may very well be on the wrong side of history and making those statements and this is something that like. I am very tight about my sleep. I I really guard my sleep and I've got to be okay at the end of the day with the things that I sat in the things that I've done in order to get sleep at night and I- imperfect definitely nights I don't sleep. This is something they think about. If I was out dismissing win stories telling them it's totally safe not to worry about. It's been used like this. There's no evidence to show it's dangerous therefore don't worry about it. I wouldn't be able to sleep at night. Has How many times in medicine women's medicine we need these bold strong statements in the absence of evidence and then later to find out. We were totally wrong. Can we please just use caution as we move forward because these are humans lions again ease are the women who will birth. He'd and take care of the future of our human race. The when we think about this in this capacity like our entire species this is impacted by birth control in very good ways and maybe some not so good ways and listen. There is no medical intervention out there. That is perfect To be so great we need to we need to ditch the dogma and we need to get the muzzle off because women. They need to share the other stories. They need to be able to question birth control and we need to be able to provide them. This information or control does too bad. You're not a bad person for using birth control troll. I used it for ten years. I'm first generation college student very grateful for it but I really wish someone had given me all the information and so much of what I put in beyond the pill is what I wish I wish someone would have Hannity on the Pill Day I started my period. I wished I would have had it to console when my doctor was offering me birth control. I wish I had it when it came off of birth control. I wish I had it. You know an all of this information through my whole life cycle. So that's what I put into it and I'm you know I own a lot of health books the majority of which I read once I'm done I designed beyond the Pale to be a choose your own adventure and problem solve through your life cycle so that it isn't just a book at sits there on your shelf. It's something that you get into and you make sure that you can troubleshoot and get to the doctor when you need to go. Yeah Man. I'm I'm just like thinking while you're speaking like there's so many good quotes from this episode. And so thank you so much for coming on. Your book is called beyond the Pill And tell people where else they can find you and get in touch with you. Only so main hub is Dr Brayton Dot Com D. R. B. R.. I G. H.. T. E. N. DOT COM. I'm actually a huge guide on Prenatal Z- There's a huge guide on contraceptives. And all the contraceptives available to you that you can go check out there. Put out a lot of really incredible when health resources and you can also find me on Youtube. They know not everybody learns the same so you can find it on Youtube and then instagram is the main place eh to play on a daily basis. And I'm just at Dr Jolyon Brighton. Thank you again so so much for coming on and cannot wait for our listeners to hear what you shared with with us today. Thank you I love talking with her. I've been somebody who has struggled with PMS For very long time and really heavy periods and I always always knew something was off and the crazy thing is like pms common but it's not normal. It's not something that you have to suffer through and We just have to continue to push for better information from our healthcare providers. 'CAUSE ACOG the American College of Obstetricians and gynecologists has this information on there and they're the ones who give the information to our providers and says. Hey this is the most current up to date information. So why are we not hearing it from our providers providers you can go on their website. They have tons of information on there. But Yeah I'm so excited that she came on she's able to talk to us about P. C. O. US. PMS finding a good prenatal. Everything like that. There's so many options out there. There's so much information and it's good just to be able to start somewhere in. Have something under your belt to be able to move forward with and again I just want to say I am not anti birth control. I am not met like anti a medicine or anything like that. I think that everyone should be able to have more than one option when going in there is not a cure all for anything. Healthcare needs to be individualized there's no one-size-fits-all for everyone and we need to have better options more options when it comes to our health our bodies that's what we're putting in it and how to recover and heal from the issues that we're facing if you guys are listening to this in Europe subscribe. Make sure that you subscribe. Share this episode with somebody who you know would benefit from it and follow us on our instagram page. Miraculous Mama's follow us on twitter. Join Our facebook group group Miraculous Mama's pilots joy. The women. There are just absolutely awesome and I just want to thank you guys so much for being a part of this with me We have some amazing episodes coming up really soon. February's going to be a lot of good stuff coming on you guys. I'm so excited about this year. We have a lot of people lined up to come on. That are just so much to offer you guys and in our community south. I will talk to you next week.
"Merriam Webster's word of the day for September Fifteenth Merriam Webster's Word of the day is brought to you by Capella University at Capella you can make your dream of earning a PhD. A reality taking the first steps can be scary but Capella has built an experience to help you understand every stage of the journey learn more about what it's really like to earn a doctorate step by step at Capella Dot. Edu Slash word. Today's word is is continual spelled C. O. N. T. I N. U. A. L. Continual is an adjective that means continuing indefinitely in time without without interruption it can also mean recurring in steady usually rapid succession. Here's the word used in a sentence. The continual blaring of the Karzai alarm outside made it very difficult for Jane to focus on her work that morning. Since the mid nineteenth century many grammarians have drawn a distinction action between continual and continuous continual should only mean occurring at regular intervals. They insist whereas continuous should mean gene continuing without interruption. This distinction overlooks the fact that continual is the older word was used with both meanings for centuries before or continuous appeared on the scene. Today continual is the more likely of the two to mean recurring but it also continues to be used as it has since the fourteenth century with the meaning continuing without interruption with your word of the day I'm Peter Sokolski visit Merriam Webster Dot com today for definitions wordplay and trending look ups.
"Mary Webster's of the day for September six. INDEED DOT COM is the number one job site in the world because they get you the best people fast right now indeed is offering our listeners a free seventy five dollars credit to boost the visibility of your job post at indeed dot com slash word terms and conditions apply offer valid through September thirtieth. Today's Word is colloquial spelled C. O. L. L. O., Q. U. A. L. Colloquial is an adjective that means used in or characteristic of familiar and informal conversation also, unacceptably informal. Using conversational style. Colloquial also means of or relating to conversation conversational. Here's word used in a sentence from the New York Times by Rosalyn soukous. The show's dialogue is often colloquial and rapid fire however, and you may need to switch on the English subtitles fairly frequently on the other hand. You'll know exactly how to say what an idiot in French after an episode or two. The Noun Colloquy Spelled C. O. L. L. O. Q. U. Y. was first used in English to refer to a conversation or dialogue, and when the adjective colloquial was formed from Colloquy, it had a similar focus over time. However colloquial developed a more specific meaning related to language that is most suited to informal conversation and ultimately garnered an additional disparaging implication of style that seems to informal forest, situation, Colloquy, and colloquial trace back to the Latin verb colloquy meaning to converse call a que- intern was formed by combining the prefix com meaning with and locally meaning to speak other conversational descendants of locally que- in English include circumlocution, eloquent, loquacious Soliloquy and Ventriloquist. Word of the day I'm Peter Lawson. visit. Merriam Webster. Dot. com today for definitions word play and trending word look ups.
"It's Merriam Webster's word of the day for January second. Today's Word is cosmetic CISE SPELLED C. O. S. N. E. I C. is e e cosmetics is is a verb that means to make something unpleasant or ugly superficially actually attractive. Here's the word used in a sentence from the Chicago reader by Andrea Grenville. This time around floor and Henkel funk Donner's mark is striving having to deliver an epic that's palatable to wider audiences but in cosmetic painters life making this more of a love story crossed with wartime wartime intrigue. He has shot his target with a little more. Truth never look away could have been really beautiful. The word cosmetic size first appeared in print in the early nineteenth century as a descendant of the Noun cosmetic originally it was often literal meaning to apply a cosmetic to but today it's more frequently used figuratively cosmetic size does occasionally draw criticism usage. Commentators are sometimes irritated by verbs coined using is e e as. They can sound like silly nonce words. Cosmetics is is fairly well established. However in contrast with the two other rarer verbs that have been derived from cosmetic COZMA ties and the Hama graph cosmetic which often turn up in literal senses as in Cosmas the face or a face cosmetic with bright rouge with your word of the day. I'm Peter Sokolski visit Marian Webster Dot Com. I'm today for definitions. wordplay and trending word look ups.
247: PCOS & Recurrent Loss [SUCCESS]
"Welcome to be infertility a podcast where we get real about infertility empowered you to take back control and provide you with hope for the future ready. Here's your host fellow infertility warrior, Heather whom in. To. Episode two, forty-seven Seven. Today. You hear the success story of a woman named Michelle. She is a thirty eight year old podcast producer who enjoys a wine tasting reading and playing with her kids. Michelle was diagnosed with. P.. C. O. S. years before she and her husband began trying to conceive. However, she became pregnant within three months unfortunately when she went in for her one week ultrasound, they learned that their baby didn't have a heartbeat and had stopped growing at eight weeks. She needed a DNC which was an awful experience. Twelve weeks later she was still bleeding once they started trying again they assumed it would be just as easy as the first time but six months later she still wasn't pregnant. She consulted her Obgyn who prescribed her CLO- mid. She became pregnant again Li thereafter when she went in for her six week ultrasound however, there was baby. She and her husband were leaving the next day for her brother's wedding and a planned vacation. So she decided to let her body miscarry naturally. Lets US know how Michelle returned to her doctor two weeks later shocked to see a baby her son on the ultrasound. I Michele welcome to the show I heather. Thank you so much. Excited to be here with you. Let's introduce you to the audience. How old are you? What do you do for a living at a? What do you do for fun? I am thirty nine and I tend to forget how old I am because I think when I was thirty eight I kept saying I was thirty nine. So I am a podcast production agency and PR I also am the host of my simplified life podcast and for Fun Guinness I. Wish there was more time in the day these days. But besides working I, play with my two young kids quite a bit. We love to swim since we can't get out too much at the moment outside of the house. But we do a lot of swimming walking running I. Love to read in my spare time whenever that can be a think about life before infertility becton. How would you describe yourself as a person? I would say I was really just free going you know life was just easy. The cares in the world to me would have been to ensure that you know I had a job and that finances were fine. I was married life was just good. It was easy. I think that would be the best way to explain it. Tell me about the first time you met your husband we met in Atlanta at a convention I was in corporate aviation for eighteen years and he. was as well and time I lived in Chicago he lived in San Jose. So completely, not even in either of our hometowns and I had been on a plane the day before I had just built a playground with a an organization called Kabua for underprivileged children and I was exhausted I was literally like I'm a shower GonNa go to dinner I'm done and I, met up with a CO worker and he said, Oh, there's a group of people from one of the companies that we work with there at the bar. We should say, hello and I I was just completely over I wanted nothing to do with it. That was how I met my husband we ended up going out as a group every single night and having dinner. There was just something about them. That clicked literally a week later I had given him my business card. I didn't expect anything but one of his workers actually sent me an email and I said oh it's too bad. Your Buddy didn't send me an email like wink wink and he forwarded the email and. He had emailed me but I had so many. Emails in my inbox that I completely missed it. So we ended up a month later actually going to the same conference in the middle of Nowhere Virginia. So once again, we just we traveled and poof there we were and it just went from there for nine months. It was long distance between Chicago and San Jose and eventually I moved back to California I was born and raised in California. So I came back and six years after that we got married and. Here. We are thirteen years later today, how would you describe you and your husband as a couple we are best friends and partners. We complete each other. I am a decisive person I make decisions right away. You know once I get my mind wrapped around something like that's how it's GonNa be he's more thoughtful in the process and kind of ways where pros and cons. So he's slower on it, but that's what makes us complimented each other over thirteen years we've been through. A lot whether it's been deaths in the family with friends, people that we know we've moved houses I have to step kids who are now adults we've gone through infertility. Now we had children we've had multiple layoffs from our careers for that means eighteen years him twenty years with the same company and it's just made us a better partnership. We rely on each other. We are truly best friends and not just husband and wife we've worked together at home from home for. Over five years now. So we're together twenty, four seven I like to say that means we must really like each other and not just love each other because of that. was there a specific moment in your life when he I knew you wanted to be a mom I've always wanted to be a mom when I was younger I thought that I would have ten children and I remember my mom telling me I was out of my mind because ten children is so many. No I want ten kids I babysat from a very young age starting in like fourth grade, and of course, this is thirty years ago where that wasn't as unusual as today but I. Had a child, the night that we moved into our home when I was in fourth grade and I basically babysat her from. Then on I've always had children in my life. I had a goddaughter at the age of sixteen and I was doing weekend overnights of babysitting and stuff because I just had this love for children I've always known that I wanted to be a mom and it was ingrained in me from the the beginning outed this longing to be a mom impact decisions in your life in the beginning I would say it didn't so much I. Think I had in my head though that you were meant to get married and. Have kids in your twenties that was just the way things went you went to college graduated you start career you met the the right person and you got married and had kids I think as I grew older I met my husband I was twenty six. But as I said, it took six years I actually get married in that thought process of Lake I, never really thought Oh as you get older things will get harder it just kind of went I figured it would all play itself out but I think is I also got older I knew I wasn't going to have ten children and that part changed of you know how many kids Do you need to have you know what's realistic in today's Day and age, and what is it that? I, want. I would say those are the things that I thought about I took my early twenties my mid twenties to really be a time for me that I worked in my career really heavily. With the assumption that down the road I probably wouldn't because I had thoughts of you know maybe it'll be a stay at home mom and today I kind of am I am a work from home mom but I was free to take moves in relocations for my job and just kind of did it and I did it because I didn't have an attachment or I always said, I didn't have roots already down that I need to stay in one place. So I freely took a job relocation from La to Houston to Chicago back to California. So I just let it be I did what I wanted to do. Let's dive into the journey to build your family, take us through your infertility timeline. So we decided when we got married, we wanted to have kids and it was pretty much right away that we decided. Let's start trying to have a baby and we got married in March of shoe. Any thirteen we bought a house and closed on the House in July of twenty thirteen right away. I was pregnant September of twenty thirteen I was pregnant. It was like, wow, that was so easy and fantastic, and we went to the doctor. It was everything looked good and since I had two stepchildren we to tell them as well and at the eleven week mark, it was the night before we were going to go for another ultrasound. We told my step kids and they were ecstatic about it. And The next day we found out there was no heartbeat and that the baby had stopped growing right around the eight week mark. And my doctor was very concerned about the fact that from eight weeks to eleven weeks, my body had done nothing. So she scheduled a DNC literally the next morning. I can remember the night before. It did something that never goes away just thinking. You know why? Why did this happen? What did I do? Did I do something wrong and I think I drink a whole bottle of wine that night because I was just so You get depressed and. The INNOC- had called me the night before to check in and she came into the room. The next morning I had taken They gave me appeal to start the whole process and she came in the next morning and I was just a complete mess. It was five am and she said I just want you to know I've been where you are. So you're not alone in this process in the surgery I'm here and I understand what you're going through. The last things that I said to my Obgyn before they put me under was that I wanted a honeymoon we didn't have a honeymoon. And so she went out to my husband said. Whatever you do just give her a honeymoon because. She needs this. Then we celebrated thanksgiving. So my step kids knew that we were pregnant and miscarried, but that was it. We hadn't told anyone else and at Thanksgiving I had a sister-in-law say how come you haven't had kids yet aren't you pregnant and it was just this constant reminder that was there was only a week before that I had had a DNC. I know that myself I. became depressed. There was darkness around it I literally bled. The entire time from. The DNC in November until. Like February. and. We did go on a honeymoon. We went to the Bahamas in December and we had a great time but it wasn't in my head the entire time. Let's get pregnant. Let's get pregnant again. Look I really WanNa, baby, 'cause I had one. and. When I had the DNC, they also did a lab tests to make sure that there were no chromosomal. Issues with the baby you know. So we could dive deeper into it and I remembered the results came through via email and when I opened it, they actually told us the gender of the baby which I didn't know was going to happen just that brings a whole set of new emotions and whatnot and. So. As we continued we tried and tried, and that's when my doctor said. You know what you have. Pecos polycystic. Ovarian. Syndrome and this was the first time that this had been brought to my attention to light. You know I've always had painful periods to the point where I could tell you what I'm ovulating like that minute because it hurts so bad I'd always had cramping mood swings had everything but I was also on birth control for many years before. Nobody, said that one thing had an effect on another but it was now oh, in addition to you know you've had a miscarriage and you're dealing with all of you have Pecos and with that could mean that you're going to have weight gain and there could be you know hair and now it's GonNa be harder to get pregnant and it was just the snowball of more and more and more. My doctor said you know keep trying if something happens than wonderful but if not, then we have infertility specialist here on the staff. It went by now we're talking about probably now may of twenty fourteen I ended up going to the infertility specialists and the talk was a cure, all of the different steps and we'll start with Clo- mid. But from climate, it could go to I e wise in America go to Ivy F. and you know the money that was associated with it and I just felt like now never going to have a child like what of none of this works? And we met with this infertility specialist who was a man who he just passed away this this last year he's brought thousands of babies into the world and he was like in his late Seventies. So we sat down with him, my husband any said well, we can start this climate routine, but you have to be on the first day of your cycle, and that was literally the first day of my cycle that we were sitting there with him. So he said, great let's go. We did an ultrasound to see what everything was looking like I took coma. And then I was to come in for a trigger shot. When. I came back in for the trigger shot and to look at what had my eggs if if there were more there, if they looked good whatnot, he said, you know what? It's really not that great I don't want to get your your expectations, your hopes up because there were maybe any was about six eggs total that he said just didn't look good. They weren't strong they weren't. Just, not what he was wanting to look for by this time, we had already run tests to my husband had gone and been tested and everything looked great on his and we were of like, okay, we're we're doing this. We'll see what happens. He said we would do it another month if that didn't work, then we would go down the. Route. That weekend we knew we had one or two shots to try and get pregnant and. We got pregnant. On the first try with climate and it was amazing. We were so excited and I was still seeing this infertility specialists until you receive the all clear that I was would be able to go back to my Obgyn because I had the miscarriage and I'd been going to these doctors for many years before they were. Okay with me coming in whenever I needed an ultrasound just for reassurance but at the six week mark. We were just about to leave on vacation of we're first going down in. Santa Barbara. So I could officiate my brother's wedding and from there we were fine to Nashville for a vacation. My husband was with me. We were that yeah. We were both together because he came to all the appointments but we went into the room for the ultrasound and it was completely black. It was a blank screen. There was no baby. The doctor said we looked we looked and he said I'm so sorry you're miscarrying again and I can't even see the baby or anything on this ultrasound. So, he said, do you WANNA come in for another DNC and of course, I was leaving the next day. So I said I can't. No I can't and you know we've got these plans and so he said we'll call me when you get back and let me know what's going on with your body. You know where we are and we'll go from there. Again, the depression came of. I just you know how could this be happening again and we've been trying so hard and now you know this is the end of July. So we've been trying for a year and now we're losing our second child. So we went on these vacations we by then my my brother had known. So he and his now wife were very cognizant of me. I'm officiating at their wedding I don't WanNa be Debbie Downer. But at the same time, it's like I have a lot going on in my body and in my mind and I wasn't fully present I don't think. So next we went to Nashville again I'm like I, just, I. Don't know what to do and my body's doing nothing all of this entire time I feel completely normal I, feel a little nauseous like nothing was happening. So we came back on a Thursday and I called the doctor and said nothing's happening and now I'm just angry I am not I'm not just sad now angry that my body is not doing what it's supposed to do, and if this baby has passed than I need to get it out of my body, you know this isn't good for me for. For anything and so he said on the Friday morning, he goes come in and we'll do another ultrasound. We'll go from there and we had my stepdaughter with us at the time. So my husband's I can't come like here she was younger and I said, okay, we know what's going to happen. He's GonNa give me pills it's going to start a process. You know and I'll make a surgery Dayton and it's okay. I know what to expect now and I went in the nurse who was usually always there with this infertility doctor had taken the day off so it was just me and this older man my doctor and he does the ultrasound and there's this little lake baby guppy dancing all around arms moving. Legs moving and he said, well, that's funny. There's the baby and I was just blown away and I told him I go you better print something or show me something because how am I supposed to explain to my husband that this is actually our child is here like two weeks we thought that we miscarried another baby and yet our child is here. So I had pictures Galore that I printed but it was the emotional journey was just so completely incredible and I didn't Wanna I got in the car and I called a girlfriend because by then I joined a miscarriage. Support Group on facebook and. The emotions again, the depression that sadness the hopelessness that was feeling I needed to be surrounded by people who knew what I was going through, and so I had called her before I called by husband because I was just in tears. They said you won't believe it but I'm still pregnant. There is a baby and that I came home and I told my husband we were both completely in shock and. Then, we had a son. In March of Twenty fifteen, and then of course, we thought will book a fertility appointment again for December because by then we're GonNa want another child and my doctor had said because of what we've gone through like we're not GonNa do birth control because we don't want it to mess things up even further we don't know what the hormones are doing to you. So if you get pregnant before December then awesome if not, we've got your point in December and in June I got pregnant again and now we have a little girl as well. Our kids are twelve months and three weeks apart. Complete miracle babies both of them because we worked so hard and and tried so hard to have our son and then our daughter was just. Poof miracle she just happened. It was completely easy. Yeah, that's it. Tell us more about when you were diagnosed with pc us and how you felt in that moment, it was something that I'd heard about but it wasn't something that I was completely familiar with and even now after being done with having kids, my doctor's always have this concern of what is. Going to do to you. What is it that my body might do? She's put me on progesterone. To, regulate my cycles because I was going everywhere from twenty eight days normal to sixty days it was just ridiculous. It became something that was unexpected. I had no idea when it was going to happen I knew that weight gain is something that plays a part both in getting it being diagnosed and then really in it staying around and I gained weight prior to having my son I gained weight after the miscarriage it was all part of the depression and I still have not taken that weight off. She says I do still have P. C. O. s. but I stopped taking the progesterone in February of this year a simply because with covert and everything else they hit I didn't want to leave the house just to go pick up a prescription and so I stopped and yet my cycles of now become regular I wear a fitbit and showing your fertile now your about to get your period and it's actually right. So things are becoming more regular and I've been lucky in the sense that I haven't had outside of the weight too many other symptoms like facial hair growth is a big one and that that was one of the ones that scared me because I didn't want to be I didn't want to have to shave my face because that's something that my doctor was very concerned with. She said, you know you're going to get like facial hair and other hair everywhere and in addition to the weight gain. Having painful periods and I still do. It's to the point where I pop motrin multiple times a day when I'm ovulating and it still is painful. But I think that for me when I heard you know there's And I'm a Google Person I probably to a fault I'm constantly looking things up and you know what does it mean and what's the best case scenario what's the worse case scenario and I thought that this could be like the end we might not get pregnant because of this and the fact that nobody had diagnosed me before and I didn't understand why you know what is it that brought this on it wasn't there before for thirty three years but now it is or was it there before and yet nobody realized recognized it Those were all of the questions that I had, and then there's the question of will can I get rid of it? I still don't know and I think part of it is my weight. I probably should lose fifty pounds which sounds like a lot and it is a lot. But if I lost that fifty then with this diagnosis. And it's something that it just looms over you. Applied for life insurance last year, and because I said that I had P. C., O. S. they actually Mark De dinged it as if this was something that I could die from I pay more now for my rate because of it and they said, well, because people with P. C. O. S. have a tendency to be overweight or have high blood pressure or all of these other things that go with it. That's why then now you have a higher rate, you know it's not something you're going to die from. It's just a female fertility issue it's it's something completely separate. So the stigma that's out there for that it upsets me it and something that I'd like to get rid of. And the emotions just never go away. It's a constant struggle when we talk about the weight. I can work out a ton and things don't change. I probably need to look further into like getting a nutritionist or something to that extent but it feels like it's I'm a hamster on a on a wheel that just continues to spend because I can't do it on my own for some reason. and. It's We talk about emotions. It's just a range of emotions and it's none of its positive. What can I do? It's it's something i. feel like that is known but at the same time, every doctor has a different opinion on it You know it's not like when you have a certain disease in they're like, well, this is going to be the cure for it or this is the treatment for it, and this is what you can do it. Pecos comes in so many different forums and it depends on who you are. You know that I, don't have some of these. Domes that go with it like the excessive hair and things like that that it makes it. More difficult for doctors to look at to decipher what to do i. also think that there needs to be more correlation when it comes to the diagnosis looking at nutrition. And what it is that can be done I. Don't think that taking hormones for regulating your cycle or or whatnot is really the answer in any of it because to regulate your cycle? Yes you need to especially if you're trying to get pregnant but for me now it's like I just want a solution that's going to help me get rid of. Being labeled this, but also to be healthy and to be the proper weight that I should be because having this I believe is what's holding me back from being able to get to that healthier point were you surprised when you conceived on your own after a very short amount of time? Oh surprises like that doesn't even describe. I will say, so I I, said before that I could feel when I was ovulating and we were on a trip to Santa Barbara I told my husband like a I'm in pain we'd walked dinner and I said I think I'm ovulating. But again like nothing happened you before without the help of drugs to have a baby so throw caution to the wind. Nothing's going to happen. Right? It was a complete surprise that. It did happen and I actually, I cried because of the thought my son had reflux he had a floppy larynx which meant that when he drank his milk that it could go down towards his lungs instead of to his stomach and so we had some issues. There was a lot of sleepless nights. My Milk didn't produce right he had a tongue ties so he wasn't breastfeeding. Well, my thought was good nece. He's only a few months old and now we're about to have another baby and I'm so tired. Now what is that GonNa do to us? Yeah. I was completely surprised and let me say that the first year I think is still a blur. But you get through it and I'm actually really happy that they're. So close now they're four and five. But yeah, it was a complete surprise I never in a million years after. Going through a miscarriage, not being able to get pregnant our own after it, you know needing to have the help of an infertility specialist and taking clod and having a trigger shot. I really didn't think that just getting pregnant would be in our cards then she just she did and she ended up having red hair. So she's a fiery little Sassy thing. From the moment of conception, and now you never ended up going to a fertility clinic. Did you know that the specialist was within my Obgyn's office it? They have multiple doctors and he was part of of their clinic what was your experience? There was a good one. It was good and yet at the same time looking back the fact that not seeing the baby on the ultrasound and he went straight for let's talk about a DNC really put a bad taste in my mouth and even my regular Obgyn was completely shocked at that. Prior to that. It was great. He's said gave us options of this is what you can do with the Claw Med, and if this doesn't work, then this is the next step, and then if this doesn't work, this is the next step. But at the same time knowing that there were all of these steps in my head said, you're going to have to take all the steps because it's probably not going to work otherwise, he wouldn't lay out the foundation for this is the road that we could be lying ahead. So I would say it was good except for the fact that once I did get pregnant. I. Should have been able to go right back to my regular doctor because she wouldn't have just taken the. What the picture looks like. So this must be what's happening in your miscarrying again. So it was good and bad and I'm thankful to him that he helped us on this journey because we have our son now I would say it was positive for the most part are timing was perfect with the first appointment being the first day of my cycle and really that was like, Kismet I had no idea that that was when you started. In that sense. It was great and knowing that there were going to be more options was also great. You know in hindsight at the time, it was here the negatives this is what could happen. It could take years it could take thousands upon thousands of dollars but knowing that they were going to do whatever it took to get us to have a baby was comforting and it was a good experience. Hey infertility warrior if heather. This episode of beat infertility is brought to you by me in addition to hosting this podcast, I'm an infertility coach who supports warriors just like you regular listeners know that I struggled during my journey to make good decisions an advocate for myself as a result of took five years, seventy, five, thousand dollars, three retrievals, seven embryo transfers, four miscarriages, and two stillbirths. Before I finally had my daughter in other words, I've been where you are. Now that I've on the other side I, help people like you navigate the complicated World Opportunity Treatments and Pasta parenthood I help people like you make scientifically based well informed decisions about your next steps rather than relying on Dr Google and facebook groups I help people like you prepare for appointments identify opportunities to ask questions an advocate for yourself I help people like you become an active member of utility. Treatment team rather than blindly trusting the decisions that are made for you. I help people like you become apparent faster. I only have a couple of thoughts open and generally Philip fast. So if this is the help you need reach out today, tell me your story and learn more about how I can support you during your infertility journey at beat infertility dot c o Slash Cope now back to the show. You're DNC experience was not a good one. Is there any advice that you give to listeners? They don't prepare you for what's going to happen and? There's never I don't think there's a norm in any of this and for me to be bleeding, they said it could be so many weeks and yet it was months it was and you you couldn't wear a Tampon ad to be a pad and it was just this constant reminder like you're depressed already at what's going on and this was just the constant daily reminder. Don't be surprised if you find out the gender in the lab test results or don't look at them if you don't WanNa know these were all things that really shook me up and here we are how many years later you know this seven years later and I still have vivid memories of these exact moments in time. I don't know if you can't be prepared but surround yourself by people who are supportive. I hadn't told my boss at the time that I was pregnant but I had to tell her that I miscarried because I couldn't go to work you know. I've been. Under an I was completely loopy that day and I needed to rest the rest of the week. So it's one of those. No. Some people say don't share that. You're pregnant with people. The first trimester because these things do happen but at the same time. It's almost better if you share it because then if something does happen, you have the support of people that you need it from. I would say join a group I. There's a wonderful facebook group that I'm part of that. I have been part of for seven years now and literally every single one I think but one has gone on to have a rainbow baby. It's been amazing to see that this has happened and whether that's against the odds or it's with the odds, it's something that can happen in. It's a positivity that you need to know that you're not alone in this struggle and something good cannon will come out of it in the end. Their answers and It's just to me. It's like keep trying keep searching for those answers figure out what's best for your body and Pay attention to your mental state. because. I. Think that's something that's overlooked way too often you know we talk about. Miscarriages being so quiet. The nobody knows about them because we're not talking in our first trimester about being pregnant and then miscarried chaplains and we're not sharing that either and it can be such a lonely time for a woman and for men I think that we don't even we rarely ever pay attention to what happens to the dad and I know that from my husband, he had two children very easily before and this was the first time he was experiencing it to ends and not only experienced that. But then to see me go through what I was going through is really tough. So I would say. Get the support reach out to the people that can help you because there will be people that will help you. And people have gone through it and don't be afraid to speak out and say that you need outbreak you're going through this. I have so many follow up things to save from what you just said. The first is that beat infertility also has a support group. So I encourage people to join that they can go to beat infertility dot co slash APP So you know for folks who WanNa stay off of facebook but then the other thing I want to say is I also had a very odd DNC experience and Nothing was explained to me just like you said, they're like come in and do this thing and afterward I was bleeding caught the size of my fist I thought I was dying I. Thought that something had gone horribly wrong. I of course is panicking because this is like in the middle of the night I'm calling the emergency service and told me that that was totally normal. However, I might need a second DNC continued for twenty four hours so that it was really rough thankfully, I got through the night obviously, I'm here. I really thought I was going to bleed out in my bathroom and I don't remember how long the bleeding last but thankfully, the clotting stopped and I felt a lot better after that. But I agree with you, they don't do a good job of explaining what's going to happen to you after a DNC and I I hope that if any doctors are listening, they take this to heart and do a better job there the third thing that I wanted to. Say is actually focusing on your husband. How did he handle the entire experience? He was a Rockstar and I think this goes back to as being best friends and communicating constantly he laid anything I wanted no problem. We booked Bahamas trip that day I was still loopy and on the computer and I'm like look what we can do for five thousand dollars. Let's book it. He was con constantly there you know and he you know when I look back at. How just sad, I was all the time. He. Let me be you know he didn't say you up to cheer up you have to be something different she allowed me to be and. I think that's what I needed. And to be able to find a support group that was outside of him. I think that also helped because it wasn't just me constantly relying on him to be sounding board my emotional board, my support. But I could tell it changed him. It definitely made him. More cognizant of what we go through to have our children and we still talk about the miscarriage and we we talked about it the other night. Because she's still our child in something that just doesn't go away. And when you talked about the DNC and the expectations. Starting with the pill that I took the night before and they said Oh, there might be some bleeding. No, it was like a crime scene before I even went to get the DNC and it was to the point that like even pad didn't help. They had to remove my hand where they actually told me and it was a male nurse who took me from like the intake to the or and it was embarrassing to say the least that they said you know we were sorry but we had to cut your underwear often. Like. That's it. He just don't expect it and I I honestly, I had no idea that I was going to go under and that I was going to have anesthesia and the next day my throat really hurt I didn't know that they had put a tube down my throat can breathe I had absolutely no clue with this involved at all. Same absolutely, I had pretty much the exact same experience where I I just I went in they told me to come in that was all the information that I was given. So a well, I'm so sorry that you went through that as well and I hope that anyone who's listening at least knows a little bit more about what to expect, and hopefully they ask their doctors more qu so hard to come up with questions in that moment because you're going through so many emotions in so much grief I don't know why you as a patient should be expected to ask these questions in and it happened. So quickly, I mean I found out that there was no heartbeat. The afternoon. It was like in the afternoon and she said, we're going to book you for the DNC first thing in the morning and then suddenly it was like, yeah, five am you're GONNA have to show up? Oh, and then the kicker because things aren't bad enough as they are but I says she wanted it done. So quickly, I was booked at the surgical center that was like two doors down instead of one door down and it became out of network. And so I actually paid more to have a DNC than I did to have my children. By C section Oh. My goodness. That is It was just the Gut Punch I. Think if you lose a child, they shouldn't be able to charge you five thousand dollars and to go through all of this. Completely agree, is there anything you wish you had done differently? It's hard when you. Come forward full circle, and now I have two children who are healthy and wonderful everything is good. But to not know that there's a light at the end of the tunnel, I think not allowing everyone say I allowed myself to be depressed but I wish that I hadn't gone down serve the rabbit hole of like this is the end Like nothing good can happen. It's it's a struggle but at the same time as a woman who wants children like that could be the end like you think there's nothing good. That's going to happen out of any of this. I don't know that there is anything that I could have done differently to be honest with you did with the doctors told me to do. I, went with. The flow per se because I didn't think there was anything else to do I got the support that I needed my husband's supportive and I continue down the path of trying and not giving up and I. think that's really the key in all of it, and then you know miracles do happen with drugs and without drugs. We've talked a lot about the negative aspects of your experience but about a positive moment from your journey, you know I in love with my Obgyn. When I moved to San Jose and I had to find a new obgyn I went with one and I really didn't click I was like she's kind of cold she's not. Know. There was something about the whole experience and I'm like. Like it and when I found this doctor, who is still my doctor I just saw her last week and when I I sat in her office I felt this calm and I said to myself. This is the person who's going to deliver my children and this was. Oh my goodness like years and years and years before we weren't even married. There was like children were not they were on the timeline but nowhere near me having this initial appointment. But I there was something inside of me that said, this is going to be the woman who delivers babies and I felt good and connected and I think that's really important when it comes to your doctor and liking that person we spent between the miscarriage. The pregnancy, the next pregnancy I was literally in her office just about every week for two years. And I knew every staff member. You know you get to a point where you walk in and they just want hi Michelle. Nobody had to say you know who you here to see who's what's your appointment time? That was the positive experienced for me is that I liked my doctor I genuinely Laker as a person I got to know her she got to know me and to share that this is where I am. I think it's really important to communicate with your spouse but also with your doctor. because. She knew that I now had hesitation and fear around everything after miscarrying, and so she was open to you know what? Anytime you WanNa come in whether you want to hear the heartbeat whether you want to see the ultrasound whatever you want. You have free rein to just make these appointments and come as often as you need so that I had that reassurance and I think that's really really important to know that you're in charge. You know just because the doctor says that you have an ultrasound at three months at six months at whatever it is. If you need one, you can demand when you know you're in charge, this is your body. This is your. Baby, it's your medical journey, and so I think it's important that you communicate that and what your wants and your needs are, and if doctor isn't serving you properly than find another one because there are good ones that are out there you've talked a lot about your relationship with your husband. But what about your relationships with friends and family did infertility change any of those? The one comment that I had had from a sister-in-law in which she was like what's wrong with you? She literally said what's wrong with you why aren't you pregnant yet a week after I miscarried and she had five children of her own that she was just you know fertile myrtle they just came. And that relationship changed more. So on my part just because I had this, it's eye opening to know that I've been through this like watch what you say to people like the fact when people will say you know when are you getting married and then you get married and having children you have a child when's your next child? These are stupid questions and we need to stop asking them because we don't know what's going on on the other side of things. So. In that regard I would say that relationship changed but I have dear dear friends who I had actually a client. Who happened to call me for work the night before the DNC and just broke down and told her this is what's going on and she then broke down to tell me that she'd been through it too and we've literally cried for like hour on the phone. Don't think I've ever cried so much on a podcast episode interview. We shared you know what? It was an and we created a new bond that we are now closer and I would say that every other relationship for me has become closer, I try to be very open. This has been our journey and I share it and I'm happy to share it. Because I want people to know that they're not alone and so every other relationship girlfriend has been really great. But as I say that there is one friend that I've known since childhood and I knew her fertility journey involved five miscarriages before she had her first child and I reached out to her because I thought if anyone understands and knows this and what I'm going through, it's going to be her. And she didn't respond and she didn't respond for many many months and when she finally did, she said, why didn't know what to say to you and I. Didn't really want to go down that path again and that really hurt. You know I don't think that you have to be that person that. Says I've been there so I can help you. But you should be able to communicate and say you know even if it's too hard for you say I get what you're going through I'm sorry been there. It's too hard for me to talk about don't go silent on someone because that hurts even more and I think that when you're going through this to have a friend, just not say anything at all whether it's I can't speak to you and it's it's that's it. Just. Say That because silence is worse than being honest that you can't handle it or you don't want to handle it. That would be my reminder for everyone just be honest and communicate. I can't reiterate communication more when it comes to friends your significant other your doctor I think that's the most important thing in all of it. Did you have to advocate for yourself, and if so do you have any tips for listeners are still learning how to do that too certain point yet? Yes, and no because my doctor was so great in understanding where I was and wanted to help me. She wasn't going to give me the referral to see the other doctor until we had tried for so many months and I pushed for that I didn't want to keep going because to me. It was like how many more months can we try and nothing happens and it was to me it felt like a really long time and I know that there are people that are. Out there women who are on a much longer journey than it took me to have my child and I would say keep pushing just push for what you know is right. You know your body better than anyone better than any other doctor you need to push and fight for what you want what you feel what you need because your your best advocate and it may be hard. You may be up against you know a doctor who says, no, you don't need sir. We can't do this. Then find another one because there are good doctors that are out there that will listen but don't stop fighting for what you want. That would be my advice and I was just the broken record of it's not working. It's another month you know it's not working and you. Know I I didn't even mention that in January of twenty fourteen. We also had a chemical. So I got a positive pregnancy test that was very light, and then I got my period a few weeks later and and the doctor said, well, technically, we don't consider that a pregnancy. Well, it turned pink. It just wasn't as a pink you know as as we had hoped for so. There's more things that even go into it but keep fighting that it's not right and you want what you want, and there is a way that you're going to have a child. So keep fighting for what you believe in and and know that it's possible. You don't lose hope even if it takes longer than you would want. Don't give up. How has infertility changed you? I think that in speaking up and Fighting for what I want has been a big deal. It's made me be. More. In touch with what it is I wanted that I knew I wanted a child but I didn't know how badly. I, truly wanted on. It's made me more sympathetic and empathetic to others who are on this journey and to recognize that we're completely blessed that we have two children. And that it was a journey to get care and the others are on even harder journeys but the thing is not to compare your journey. We all don't just get the miracle of getting pregnant and that's it and you know life is good to recognize that other people have struggles and I think it's just made me someone who counselor blessings more and wants to share my story so that others will know that they're not alone in any of it. Knowing what you know. Now, what is one piece of advice that you give to your past self? Don't give up to just trust in who IAM trust in who my husband is trust the together we will figure this out that there is light at the end of the tunnel per se that you know you're stronger than you think to wrap things up what words of hope would you offer someone who's just beginning their infertility journey? Know that it's a journey and it will be a dirty, but it is your journey and stand up for yourself. Stand up for what you believe in know that there are people who have been through what you've been through and even when it seems like there's no way someone has gone through what you have chances are someone else's out there and don't be afraid to share what you're going through because you shouldn't be alone in any of this. It's okay to talk about it I. Really think that's something that needs to be said as we should talk more about this about infertility. About. Miscarriage about the journey that it takes to have a child and to not be afraid of it, and if you need time to yourself if you need to reach out to others to not be afraid to do so and just make sure that you're not alone because I think it can feel like such a lonely thing and it shouldn't be you know we should all get the love and support that we need and you shouldn't be afraid to ask for it. Michelle thank you so much for coming on the show today and share your story. Thank you so much. I appreciate it. Thank you for listening to beat infertility, join our free private support community at beat infertility Dot Co. Ford Slash APP. If you find yourself meeting additional support visit our paid programs that beat infertility dot co Ford Slash Pope you if you'd like your story to be considered for a future episode, please fill out the form at beat infertility dot co Ford slash contact until next time.
Pet Writing Competition
"<music> own stories out in what way did you mind is come instead. He hello this is jonah. Are you ready for a real life story writing competition. We'll get your fingers at your keyboards. We'd like you to send us a mysterious but true story of your extraordinary ordinary pets. We are looking for real life stories involving a strange encounter the experienced with your dog cat <hes> chinchilla halls rabbit pig goat parrot or if you have a pet tiger or bear or any animal <hes>. Do you have a special bond with your pet. Does your dog or cat possess unexplained power or have a sixth sense. Just you treat you differently or appear to be more affectionate when you are unwell. Dogs seem to have a natural faith that human in best friend through hardships sufferings and the best of times and only want to make us happy and protect us. We really do have much to learn from our canine friends. Some believe dogs can see ghosts. What do you think have have you witnessed anything heroic or astounding that your four legged friend has done and what about our feline friends. I've personally never had a cat hat but i hear that they are super intelligent and known for their independence to i've also heard that some cats are the most affectionate of of animals and consensual emotions to do. You have an extraordinary no ordinary cat. Do you share a special bond or language inch with your cherished mark so in connection with our beloved animals. We are holding a competition that involves an exceptionally gifted gift pet in your family. What i'd like is for you to send me a short real life story involving an extraordinary korea vent or special occurrence that happened between you or a family member and you pet write your story down and send it to me at comp story nori dot com. That's c. O. m. p. at story nori dot dot com. All contestants must be aged. Sixteen years old or younger entries must be in by twenty second of september two thousand nineteen and i'm super excited to hear from you all and read your real life stories. Please keep them short. Once we've selected we will read out our top up five favorite amazing stories good luck and get writing for me jonah at story noy dot com for now. Take care jetstar as he's out. What it's all about a is ready you mine <music> discounts natty concerns in no way it is sticking his nita making libya wanna win then then just stories stories the story <music> own and.
Internet of Noises - DTNS 3768
"Coming up on the latest precautions to secure the apple. Google contact tracing platform nintendo fixes a mistake leading to account hijackings and machine learning that can learn the context of what's happening in a room based on sound. This is the daily Tech News for Friday April. Twenty four th twenty twenty in Los Angeles. I'm Tom Merritt and from Studio Redwood. I'm Sarah Lane from Studio Colorado. I'm Shannon Morse drawn the top tech stories from Dave from Cleveland. Ohio emlyn Peralta. And I'm James Shows Pretty Sir man if you WanNa get a lot of talk about banana bread and police radios good day Internet folks. Don't miss that conversation. Good stuff happening over there patriots dot com slash DT NS. Let's start with a few things you should know. It's not every day that Travis Scott gets onto our show but today's the day Travis got drew twelve point three million concurrent fortnight players to a fifteen minute live virtual performance breaking the record of ten point seven million set by marshmallow in February of Twenty nineteen. The number doesn't even count views on youtube or twitter was excess. The event included a preview of the Scots. Which is a new collaboration with kid? Cudi and additional live events with Travis. Scott are planned in fort all weekend L. G. will officially announce its new flagship. Lg Velvet Phone may seven at ten am Korean time. Lj has been teasing the phone for a week or so focusing on the design of the rear camera which has four lenses or in a vertical line. Last Friday we talked about how Western digital shipping discs using shingle magnetic recording disks in. Nasr like the wd Red Shingle magnetic recording lowers performance in continuous use cases and Western digital. Did Not make it clear that sm are was being used. Initially Western digital said didn't cause issues in typical small business or home environments but a lot of people in typical small business or home environments disagreed Western digital so western digital has now posted a list of which of its drives us us. Mr Including not only the one we talked about the two six terabyte wd read but also wd black model and three wd blue models CNBC saw internal emails from Google indicating that the company will cut its marketing budget by as much as half for the second half of this year Google tells CNBC that some areas budgets may indeed be cut by as much as half but others may not as Google recalibrate S-. It's marketing spending the emails. Also mentioned hiring freezes at the company. Google earnings will be announced on Tuesday April. Twenty eighth and it told. Cnbc it will quote to be slowing down the pace of hiring while maintaining momentum a small number of strategic areas and Judge Timothy Kelly of the US District Court for the District of Columbia has approved. A deal reached last that will see facebook. Pay Five Billion Dollars to the Federal Trade Commission over privacy violations. This is the fine that relates to facebook not doing enough to make sure third parties protected user information that includes most famously professor Alexander Kogan who shared some facebook user information. He had obtained with permission with Cambridge. Analytica who he had not obtained permission to share that data with all right. Let's talk a little bit more. Shannon about what's going on with this. Ios Male thing. Yeah let's so. Wednesday Zik ops published a report describing a security exploit for IOS mail. The attack involves sending a specially crafted email and required the target to only open the message. That's all they had to do. Zek Op said that it found evidence of the exploit being used against six high profile targets Jan Horn. Which is who is a researcher over at Google's project. Zero questioned the claim of exploitation in wild now apple has found no evidence that exploits have been used against customers and they don't exploit could be could bypass existing security protections. Apple does say that the issues will be further addressed in the upcoming software update and Zek ops previously said that the issues have been fixed and Beta versions of Apple. Mail so to me. It sounds like these are very targeted attacks because apple has been saying that these are not something that general consumers need to worry about. But they're still going to fix it. Yeah it feels like there's little sniping going on about these really. Aren't that bad no. They haven't been exploited in the wild. You can't prove that they're going to get fixed. That's really all we care about in the exactly is a good than I feel better. So yeah my my guess is that these are technically exploits that probably with the right sophisticated approach. We've seen lots of examples of this. Could in certain situations lead to a breach but it would take a lot of work that kind of stuff which is why you see them talking about particularly high profile targets right. Yeah so so it does. I am happy that they are going to be fixing it. But for general consumer for me and you for folks that are out that do currently use mail on their iphone or the IPAD. Or whatever. You're using it. Sounds like you don't need to worry too much about this but still update. It's smart to update just in case touch patch patch in other security news and an update to something. We've already talked about for the past several weeks. Some nintendo users have reported unauthorized access to their nintendo accounts. Even when they weren't reusing passwords and in some cases they had even changed their password and said still not help. In the hijacks happened to an older account system called Nintendo network idea which was used for the we you and three D. S. if the NFL had a weak password was linked to a main nintendo account. Changing the password on the main account would not affect access through an ID. Nintendo has now disable the ability to log into tuned. Intendo account using an Nintendo says and an ID and passwords of one hundred sixty thousand accounts. Were in fact. Illegally obtained exposing user birthdays email addresses the country that they live in and nicknamed as well as being used to make some fraudulent purchases. Nintendo is resetting passwords for all affected users. Refunding those elicit purchases when they know about them anyway and recommending that all nintendo accounts use two factor authentication. That's probably the the best thing that will come out of. This is Nintendo making sure that people are aware that they have two factor authentication and you should turn it on. So that's good. Otherwise I don't know Shannon. What do you make of this fact that that they kind of left a back door open? Don't mind my camera moving. It's because the temperature monitor icon is going off in freaking out on me. It's just the just the video people but yeah as far as Nintendo goes. I think it's important to note that not just changing your password on the newest version of the Nintendo accounts is going to help you solve this problem. That's why a lot of people are still seeing this hack occur is because they had an. Id connected to their newer accounts. So if you do still have that connected the first thing you should do as soon as you log in is unlinked that old an account because it's deprecated there's absolutely no reason that you need to still have connected because all his doing especially since it's a plain text password is just making you more insecure so highly recommend switching that turning onto a and changing your password. That's all you gotta do and with intendo disconnecting it that that that gives you a little breathing room. Probably it's still a good idea to just get rid of that account anyway Because it can't you it has a maximum of characters in the Password on ninety. And it's just not a good thing but Yes nintendo doing the right thing here by by disconnecting those those two accounts. It is questionable. Why they allowed that to continue rather than just migrating people but intend though as as we've talked all week about this. They do some weird stuff with networking sometimes and the example of one of them. They really do. We've we've seen some news about them in the past about them being slow to fix these kind of problems. In the past there was a old hack on an antenna we way back in the day and they never fixed it so hearing about. This isn't a huge surprise. I wish that they were a little bit more proactive. About how fast they fix the problem because it did take several reports until we actually started seeing an actual published reports from Nintendo saying. Hey this is a problem. This is how many people got hacked and it just felt like they were maybe not disbelieving but wondering if it was really happening isn't this just credentials stuffing and so they. They took their time to get around to it. But they've done the right thing at the end. So I'M NOT GONNA be too hard on them now this. This one's really interesting researchers at apple and Carnegie Mellon University's Human Computer Interaction Institute have teamed up to publish a paper de Tailing. A self supervised convoluted neural network system called. Listen Learner Listen Learner with let the system learn by listening to noises around it in an environment without needing to do any upfront training or put a data set in there or have supervised learning where you tell it what it's hearing none of that. The machine learning system would cluster. Like sounds together so it keeps hearing a door slam. It's GonNa be like okay. That sounds like the same thing. I don't know it's a door slam but it'll be like that always sounds like the same thing I'm going to cluster. Those sounds together and then once it has enough of those it will ask a person in the room so imagine this working on a Smart Speaker. What a representative sound was. So it's had a bunch of door slams it'll say was that and then you'll say oh. That was a door slamming. And then it'll it will then do the labeling itself so it's self supervised it's requiring little bit of input but it's not as burdensome as requiring you to train it on everything now you can speed things up a little by using a pre train model and the researchers. Did that when you do that. Then the system will ask the person he was that a door slam because my pre-trade model says that sounded like a door slam and I've got a cluster of those things so that'll speed stuff up a little bit and it can even do refinement questions. So one example I gave was if a microwave and a faucet or both making a roaring sound and the machine learning says like man those are similar they kind of overlap. Here's one that overlap you can ask. Was that a microwave or a faucet. I know it was one of those two things. And then you again aren't having to do a lot of labeling a lot of work you're just occasionally ask answering a question and the hope. Is that these kinds of systems would give Internet of things at smart home devices. Better contextual sensing capabilities by knowing. What's happening around them by sound? So if it hears the water running or A. Here's the dishwasher running. It can tell you you know we don't. We don't notice a person in here but we hear water you know or there was a knock on the door could send you a text message saying hey. Somebody's at your door. Existing systems of course require manual user training or use pre-trade General clarifiers which have low accuracy. So you can either get high accuracy with the manual training but that takes a lot of work or you use these generalized classified which is really what most of these systems we have now us but as we know. Those aren't terribly accurate at this point. My my frustration mostly with my smart speaker is there's too much ambient noise in the room right now. The week word won't work or we're going to bleed into what I'm actually asking and so I've got it like Pas the TV kind of thing which is the real issue to be able to filter out noise. Is that our background noises That the machine can learn over time. That is helpful. But yeah also yeah. You're not in the room. Microwaves Don or yeah. There's a knock at the door. You're not there but you get a text message that it sounds like someone's at the door and they just knocked kind of thing and periodically the smart device saying is this what I think it is because I'm getting enough data points and it's repetitive. And it's coming from the same place. I think I understand what it is. That's that is definitely the next phase of all of this wanted. This be really useful for folks with disabilities. I was trying to figure out a way that I could use this in the real world and I was like. Oh I think this would be super useful for somebody like if they were blind and trying to figure out what was happening around them or something like that. I mean I it could be useful for for cited an UNSIGHTED PEOPLE. But there's lots of good accessibility uses for this. And tell you some things that are going on around or deaf people to tell them like. Hey here's what we're hearing especially good for that. I think that's really cool I like it. At and T. C. O. Randal Stevenson will step down July first and COO. Johnston key will take over as CEO. Randal Stevenson will remain executive chairman of. At and T.'s. Board until January Stinky Stinky was named president. Nco OF AT and T. in September and gave over control of the Warner Media Division. Two former Hulu CEO Jason Keillor earlier this month. At and T. Recently settled a dispute with some investors over the direction of the company. Agreeing to make no more major acquisitions and separate the rules of CEO and Chairman of the board a T. and T.'s. Hbo Max is set to launch on May twenty seventh. Yes so a couple of interesting things here to to read the tea leaves one is yes we're GONNA see. Stevenson remain executive chairman until January. But the idea is then after January. They'll bring in an outsider to be chairman of the board and I think that was the biggest thing that satisfy the investors but promoting stanky is doubling down on media as the future of. At and T. And that has been controversial with a lot of people including some of these investors that that felt like this was a bad bet but stinky is the guy who was running order media when they developed. Hbo Max at and T. has said that. Hbo Max is one of the most important products for its future it seen declining subscribers in its direct TV units in its at and T. Uber's television units. And they're they're betting the farm on HBO so making Stinky. The CEO is going to put him on the spot. Saying all right you gotTa ride this horse to success or nothing I. I can't help but think may twenty seventh. Couldn't you rush out that launch? This would be the right time to do it instead of a month from today but there's probably a lot of internal reasons and engineers saying well. We're not done yet. That's why But but yeah I mean I think the HBO. Max. There's there's more to it of course but that is a really big launch rate team. Yeah and it and it says a lot about. At and T. being committed. I wouldn't be shocked. Let's let's pretend let's imagine that. Hbo Max Works Warner Media. Becomes strong because of it The the ISP part the Internet part of at and T. A. provides a nice way to market HBO. Max I wouldn't be surprised to see. At and T. start spinning off things. Like even it's phone can you imagine of? At and T. Spun off the phone part of its business in one thousand nine hundred phone company but was really just a media company not in the. There's a lot of rebranding that could happen I mean. Hbo Max Still Sounds to me like oh hbo stuff which it is. That's a lot of other things too. They're just a lot of things named HBO Right now. Facebook announced quite a few new video features including a livestream in during a livestream. Friday That Mark Zuckerberg was in charge of Messenger. Rooms is one of the announcements. It's a tool for starting at virtual hangouts with up to fifty. People launched in candidate and Australia four years ago. So you might be like. I'm familiar with this already. But most of the world didn't have it part of a pilot to let users create topics centered species spaces and availability is coming to the US. In the next few weeks critters start a public or private room from Messenger and facebook. At least at first later on. It'll be from instagram direct. What's APP and Portal as well? Guess don't need a facebook account to join so you can be part of it without being part of the system. If you don't WanNa be room calls are not and an encrypted though. That's going to annoy some people although facebook says it won't listen to calls and it won't view them rest assured what's APP is also expanding its video call tool that one is and an encrypted from four to eight so it's not exactly fifty folks but it's twice as much as it used to be. Facebook dating is also getting a video call capability they're calling virtual dates Using Messenger in the coming weeks facebook events can be made online only. They can also broadcast live video. It's just an event that doesn't have a physical address but it's really a come here at this time and there's going to be something happening page owners and admins can charge for access. They can also raise money using donate buttons in countries. Were fundraisers are available? So you've got some options there as far as People contributing to whatever you're sharing facebook live will bring back a feature called live with that was deprecated last fall that lets users invite another person to stream with them during a stream. Instagram will begin allowing users to post livestream to igt as well as instagram stories. After the Stream is finished somebody misses your livestream but it was really great. They have other options to catch up instagram. Live broadcasts will become available. On the desktop for the first time and facebook portal users will be able to go live to pages and groups that they're associated with in addition to already being able to go live with their own profile. Your facebook portal is having its moment right now. A lot of people using it for Less technologically savvy members of their family to say. You know what we want to keep in touch with you. I'm GonNa send you facebook portal. I'll get on the phone and walk you through setting it up because you already use facebook and that's going to be easy so I could see this becoming something that is used more often than facebook portal now kind of a viable product in a way that it wasn't a couple of months ago. It's so weird. How things change so quickly. I think my biggest concern about the is is just the encryption especially for like the dating platform that is going to work with Messenger so I'm assuming there is going to be at least some type of encryption option there For the privacy of two people that are joining but also how do you how did how are they going to protect people from being harassed because that can sometimes be an issue if you're talking to strangers over video especially you know in a dating type of context so? I'm hoping that they have some kind of reporting functionality. Or something net stems those kind of worries because that would be my biggest concern it is ended it is encrypted messenger just isn't end to end encrypted so it's a worry about somebody doing man in the middle and more worry about like. Oh facebook kept this in. Turn it over to the government or the police. There's like that right For the for the actual messenger rooms a host can lock the room. You Are Elsa so that ran does can't grab it and join it stops zoom bombing type stuff and if you shoot someone out that locks the room automatically so they can't keep trying to come back in so they at least are a couple of of methods to to keep it under under wraps there. Cool all right folks if you want to get all the tech headlines each day in about five minutes be sure to subscribe to daily tech headlines Dot Com apple and Google have released additional details for their joint contact. Tracing system generally epidemiologist believed that intensive testing quick intensive testing combined with the ability to trace who infected people have contacted is one of the ways that we can allow society to get closer to normal so the apple. Google system is one of the ways that has been touted as being able to protect privacy also provide that important contact tracing to catch up. The system does not collect location information or any other information from a user other than a rotating number from other participating phones. If you're near a phone it sends a number. That's all you have. That data is stored locally. It's not stored in a central server. It's just stored on your phone the only time it ever leaves your phone is if you're diagnosed with covert nineteen and you agree. You opt in to let a certified agency. Who's saying yes? You're definitely infected upload those numbers to a centralized system that broadcast it out to all the devices so they can compare and see. What's on your device with that number? This is really being misinterpreted and a lot of places. So that's going through some of these details again. It's very good at saying we're not storing any information about you just whether you're near another device in a way that tries to keep it anonymous which device that even was and they have upped that attempt at protection as well. Here's the new information representatives from apple and Google pledged to disable the service. Like they said it out loud. We will disable the service wants. The outbreak has been sufficiently contained. Somebody from Apple said it. Somebody from Google said it. You may not believe them but at least they said it out loud. These rotating key numbers that are shared between the devices are now going to be randomly generated before they had been proposed to be based off a user's private key and some folks were saying we'll wait then. I might be able to figure out the private key. So they're like no. It's going to be pure random. That'll further protect the anonymity of the numbers. The system will now encrypt the APP version and Power Level Information Transmitted by Bluetooth to protect it from being intercepted in transit. They no longer are calling it contact tracing because that sounds like spying so they want you to refer to it as exposure notification that also differentiates it from manual contact tracing and shows that it's not a replacement for having interviews with people and finding out where they were just supplemental and finally the first phase of the program which will require users to download a health. Agencies APP is going to be distributed through a white listed. Api APPS will only be approved on the API if they are only administered in conjunction with public health authorities. They meet Apple Google's privacy requirements. And they show that they will protect the user data in the APP as well Shannon. What do you think of this whole system? And especially these new things that they've added to it. I Wa- I feel mostly positive about the changes that they made. And also they are stemming quite a bit of those concerns that even I brought up on my own discussions about this. I'm glad that they are finally making it very clear that they're going to be disabling the service after the outbreak. But I am curious how they're going to do that since they are running an API. I'm assuming that it will be a push to all the different public public health agency applications. So that the applications will no longer be able to work or at least they will no longer be able to send kind of data just so that. Google and apple can ensure that all of these applications actually turn them off. Because if there's anything we can be sure of when governments are associated with security and privacy in technology a lot of times very slow to update. I mean look at voting machines for example. So hopefully there's some kind of push to make sure that all these applications do close down after the outbreak. They all agree to that. And I'm also hoping that they're pushing that security and privacy. Mindfulness to the health a the public health officials as well in in response to health servers. So in a way. This is a very decentralized. Api Any of these applications can be used by any of these different you know nations or regions so there has to be some kind of way that apple and Google and they have mentioned that they're going to make sure that these are all agreeing to their security and privacy standards that their servers are also protecting the data since there is some kind of transmission of data going there to ensure that you know people that test positive are being reported like if they choose to opt into that so. That's something that I still have questions about the Bluetooth issues about encryption. That was a big thing for me. Because we've all seen men in the Middle Attacks That happened with Bluetooth. It's fairly easy to do especially with fingerprinting devices. So I'm glad that they're fixing that and I'm also pretty interested in this new encryption specification. I haven't seen any kind of technical analysis of this yet. I'm hoping that I do. From some of my coder developer communities. Because I would be really interested to see how they changed from that. Mathematically generated a key over to something that is completely random so. I'm very intrigued by that but I need to know more. Yeah especially 'cause I mean nothing's ever completely random that's exactly to do but I like that. They're trying to get as close to random as possible to make it more difficult to track back and the fact that these numbers on their own. Don't tell you anything. They have to be associated with other phones. And and so the fact that they're encrypted on your device they're non stored in a central server like that. They really are doing a lot to make it difficult for this to end up with anything. I'm with you. I would like to have more details about how they will turn this off. Presumably they can just shut off the API and the APPs won't work anymore and obviously in the second phase which we didn't talk about here but the second phase. You won't even have to download an APP to participate it'll be built into IOS android. That certainly makes it easier for them to turn it off but more details right like we got more details on these things. It'd be great to have more details on those things as well. I'm with you. In this case. This is one of those things where the more transparency that they offer the more comfortable. I am with the idea of using this to ensure my own safety when it comes to this pandemic especially now that they're saying yes. We are going to turn this off after the outbreak. So that makes me feel a lot more comfortable. Well you know where you can be comfortable or discord. You can join the conversation happening in our discord right now. And all the time you can join by linking to a Patriot account add patriots dot com slash. Dt Ns. Well look at that. There's an audio message in the mail bag. So there is Tom. So there is yeah. We'd love audio messages. And this one comes from big Jim. This is a response of our discussion yesterday on Amazon possibly using Third Party. Ciller data to make informed decisions about its own in house competitor products. Big Jim episode. We talked about Amazon in their private label moves. I guess my question is why. Is this a story? I mean if you look at Walmart or you look at target. They're pushing out brand names as well on their moving more towards their private labels obviously in the grabbed to try and make more revenue off of private label concessions. I guess is this historic because it's Amazon. I'm just confused thanks. Yeah when he sent this. I went and looked because I'm like well do other places like Walmart and target. Do the third party sales and yes they do. Walmart and target also allow third party merchants onto their online platform. So really the only difference is when Walmart and target their in house brands. They are definitely going to look at sales. Data does that sales data include. There are third parties as well in which case it would be the same as Amazon where they are looking at data from third parties on their platform to help inform the decisions about what kind of in house brands to make patrons at our master and grandmaster levels including Paul Reese Markson and Dr Carmine and Bailey. Len Peralta has been busily drawing during the show. What have you created art wise for US Today Lynn? Well I'm sure we're all very excited. Or modulate excited to be to see what the Kobe nineteen exposure notification APPs from an apple and Google both look like And what they'll do but what is it going to look like? This is what I think may look like If you remember the old video game Berserk then you will really enjoy this week's art There's a little you know these little people who rent who apparently may have been infected by the krona virus that is jumping around there and There's a little person. What Ms Suming. Is You When you were trying to figure out who is infected and in saying intruder alert and Trudeau alert. Stay six feet away. Matt was terrible but you know what I'm same viruses that are just floating around in corona virus there in some ways. They're a little bit cute. I hate to use that way because they do. They all have little blue dots. That are their phones. Does phone companies here is pretty apprentice. They all have little phone. So yes This is available right now. If you're one of my patriot patriotic forward slash land. You can get this immediately. Oregon go the old fashioned way when Paul store dot com and download it and You can you know do that kind of fun stuff too. So thank you land. Also thanks to Shannon Morse Shannon. Ubuntu switched up behind the scenes for details. So Nice to have you back on the show. Let folks know where they can keep up with you? I have. Yes if you WANNA follow daily techniques. Oh by the way on instagram and twitter. I've been super active over there. Picks on instagram. That's thank you. Thank you and daily. Tech News S. H. On twitter but you can also search dearly techniques show to find us on twitter instagram. Other than that. I've been really active on my youtube channel. Youtube dot com slash Shannon Morris. I just got to visit the last active Morse Code Station. That's commercially transmitting Morse Code. In the United States. It was so it was so cool so I highly recommend watching that video like my passion comes across. I absolutely loved it so yeah. That's my youtube channel. Go check it out. Youtube dot com slash Shannon Morrison Against Shannon. You'd be doing great. Thank you for for handling the social stuff for us as well. It's been awesome. Thank you you can always support our show at any level you want. If you have the means we highly recommended daily Tech News show dot com slash patriot and our email address is feedback Daily News. Show DOT com. We love your feedback keeps coming. We're also live Monday through Friday four thirty PM eastern It's twenty thirty. Tc and you can find out more at daily tech new show dot com slash lives. Y'All Monday this show is part of the broadband network. Get more at frog pants. Dot Com club enjoyed this bro.
688: Anti Hero
"Guys so you've probably heard me talk about a dental specific. Financial Financial Advisor called dentist advisors. Their founder is a buddy of mine. His name is res. Harper and he's a regular guest on our show so we asked him. If you create an online in continuing education course exclusively for the listeners of the dental podcast and happily he obliged so to take this course for free. All you have to do is visit dentist advisors dot com slash Costas. That's dentist advisors dot com slash. It cost us and that's Spelled C. O. S. T. S. also be sure to check out. The podcast called the dentist money show which helps dentists make smart financial decisions. It's also available at dentist advisors. Dot Com or search the dentist money show on your favorite podcast APP. Hey guys welcome into the dental been podcast this is Joanna content curator over at GSI. Today's Friday clip comes at you from our most recent mastermind meeting this past weekend in Indianapolis and goes over the concept of being a hero versus Anti Hero Q. The hand piece the dental for Noor podcast Okay Dr. It's time to put down that hand piece. You're listening to the show dedicated to helping dentists get their lives back. It's time to decrease your stress. Increase your profitability ability and regained your passion. Now introducing your host Dr Mark Kosta something that little I think concept that I want you guys to take away from just a bigger picture concept except that I want you guys to take away from as far as one of the themes that I want you to remember and embrace as you go through your mastermind journey Ernie and that is the concept of towards goals in a Waigel so when I look at anything I'm looking at this this whole concept of hero and then anti hero. Oh okay so ever since I've been involved with coaching groups and incidentally I've always been involved with the coaching group since I since I graduated waited from from dental school and even before that I was involved with some some free coaching groups because I couldn't afford to pay a coach allister currently as my coach. I have other coaches this in my life right now. Relationship Coach have coaches that helped me with different areas of my life always do but I've always kind of embraced this whole concept of hero zero versus anti hero and a hero is somebody that you kind of aspire to be and it doesn't have to be like I wanna be just like X. Dude you know I don. I want to be just like Dax Shepard because he's funny. He's good looking and he's got a hot wife right. You can at some point create your own hero within your mind and right the best version of yourself can be your hero and hopefully you'll be able to visualize exactly what that Chiro figure looks like in your life. Hopefully hopefully I have a very crystal clear image of what that person looks like now so this is your zero and then there's the anti hero right and and for a while I had this anti hero and I built him up over the years his name was Ted and he was the guy that would drive into my practice empty his cigarette butts on my on my you know parking lot and you can look in his in his car and it was filled with fast food wrappers does he was a hundred and fifty pounds overweight. He was smoking. He was sweating getting out of his car. He was out of breath and he treated his family like shit all right. This is somebody somebody that I had built up in my in my head. That was the anti hero that was super obvious the hero thing super obvious as well but now it's a little a bit more nuanced. This anti hero now for me was mark twelve years ago when I was a little bit overweight when I was super super short with my kids when I when I was a boss whole at work that might might now my anti hero is another version of me so I'm constantly trying to balance this hero and anti hero kind of philosophy a little bit more towards what would ideal mark do and are you looking a little bit more like twelve twelve years ago fourteen years ago mark doc right so I want you to kind of think about that. As you walk through your life. It doesn't have to be this hero. We have ridiculous hero worship shop in our culture. I want your hero to beat the best version that you can possibly imagine that you can become. I want your anti hero to be the person maybe maybe that you are right now or the person that was two years ago that you want to travel a little bit further away from okay that to me makes a lot more sense. It's then elevating these people for random reasons and vilifying people for random reasons okay I was involved with. This is one mastermind my first ever business coach consultants and he was straight up my hero for a lot of different reasons. He had a great relationship. His kids were great in well-adjusted. He was wealthy beyond anything I could ever imagine and I always wanted to be around him and paid him a lot of money. I flew out it's the first time that I ever met him. I flew across country to the East Coast and paid fifteen thousand dollars to have a lunch meeting with him. That's how much I valued this person and how much I wanted to be like this person I still hold this person in really really high regard but being around him more and more the best thing that I got about that interaction was the little things that I noticed and it wasn't what you'd think. It was the little the things that I noticed that I had in common with him not the little things he was doing better than me. It's the little things that he had in in common with me. We've all heard that saying every puts their their pants on one leg at a time the huge realization that I came up with was is that my hero was more like me than I wanted to admit and that realization being around him this person that was wealthier by beyond any measure the realization that he basically was me a little bit further in the timeline with with an intentional path that that just opened up huge huge worlds for me. I stayed in the skies mastermind for years and he had a large group much larger than this and he had his version of black belts. He didn't call it that but in ended up being of probably three hundred and fifty people there were six six people that he personally invited to be part of his what we would call our black belt group and in that Black Belt Group. I was the person several years ago but I was the person that had the smallest amount of net worth. We're talking nine figure guys nine-figure. Several of them had add hundred million dollar businesses. A couple of them had half a billion dollar businesses but there's only six of us now. I was this dentist that owns six external practices and I wasn't that happy of person. I wasn't in great shape. There was nothing all that special about me other than than my hero just gave me a shot and he let me hang out with these people and the one thing that I recognized was the same exact thing that I recognized about him. These people that were worth one hundred million dollars five hundred million dollars that were netting adding three million dollars a month. They weren't all that different from me. They weren't all that different from me. They were a little bit further. The timeline they were super intentional and they knew what about themselves they were trying to travel away from and what about themselves and their potential. They wanted to travel further towards right now. What you guys want from your life. Is Not that far away away. It's GONNA require tiny tiny little modifications and some of you white belts in here. The only thing that differs between when you and some of the black belts in here is they are a little bit further along the timeline now if you are further along in the time line and you've been a white belt for six seven eight years then you've always intended to get up to to be a black belt then we need to reassess and look at what you're doing incorrectly. Maybe it's just a minor tiny tweak but I'll say there are these huge. I don't know if you guys noticed this in your hotseat group but there when when we're trying to get from white belt to blue belt from blue belt to black belt there are big sweeping changes that we need to make like we need to like be able to read a piano. We need to get your overhead overhead from eighty five percent down to sixty first and then down to fifty. Those are big things that we need to do but the closer you get towards an elite level. You'll when when we went us is a black belt group because we have our own coaching calls just the black belts when we have our coaching calls with the black belt group that tiny the little things that we suggest I mean they are miniscule. Their millimeters millimeters make huge differences. When you get to that level you guys are? GonNa must see that so right. Now your task that walking away with all of your commitments all your action items. They may be big things they might be a huge modification in your current lifestyle or they might be tiny miniscule but all. I want you guys to remember. Is I want you to travel towards this person. That is a better version of who you are right now and away from this person who make who it might be who you are right now or somebody in your past towards motivation versus away motivation okay. That's a big big thing that I want you guys to walk away from Walkway with. This episode is being brought to you by Abella aw another company founded by the legendary author Speaker and Dental pure Dr Bruce Baird as you may know Dr Bruce also founded founded compassionate finance a company that has taken the dental profession by store over the last decade. Abella is a completely automated accounts receivable achievable solution that integrates into your practice management software and contacts patients with account balances say goodbye to Ineffective Collection Phone Phone Calls In archaic physical statements that take a significant financial investment to print stuff and send only to be tossed in the trash. I buy your patients for just one hundred ninety nine dollars per month. You could automate the whole process and actually get paid. What's owed to you visit compassionate finance dot com forward slash Costas and get that monthly cost decreased to just one hundred fifty nine dollars per month. Isn't it time you've got your accounts receivables under control compassionate finance dot com forward Slash Costas that at C. O. S. T. S. that wraps it up for another episode of the Dental Poor podcast look forward to reconnecting on the next episode. Thank you so much for joining us today on the dental for Noor podcast check out true dental dental success dot com for full recaps of every show a schedule of our live events free video tutorials and a whole host of practice building resources.