Latest / Juicy Scoop with Heather McDonald / Dr. Erin Nance on Being Misdiagnosed, AI, Plastic Surgery and Ozempic

Transcript

Dr. Erin Nance on Being Misdiagnosed, AI, Plastic Surgery and Ozempic · Juicy Scoop with Heather McDonald

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Speaker 2: Heather MacDonald has got the Juicy Scoop.
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Speaker 2: Heather MacDonald.
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Speaker 1: Juicy Scoop.
1:01
Speaker 2: Hello and welcome to Juicy Scoop. Well, you guys, I'm
1:04
Speaker 2: so excited. I have such a good Patreon for you
1:06
Speaker 2: happening this weekend. You're going to go to heathermcdonald.net and
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Speaker 2: join that. Also, we just dropped a new video on
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Speaker 2: my YouTube channel. All the links are below of my
1:17
Speaker 2: day of cooking and shopping with Chef Stu. So all
1:21
Speaker 2: that is so fun. But now for my very juicy
1:23
Speaker 2: interview with Dr. Erin Nance, we cover everything about misdiagnosis,
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Speaker 2: how she's used the internet and how people have helped
1:33
Speaker 2: each other diagnose different ailments and things. It's so fascinating
1:38
Speaker 2: how AI helps. And we talk about plastic surgery and
1:42
Speaker 2: everything from Ozempic to why people can't take a dump.
1:46
Speaker 2: It's juicy. It's funny. Get ready to enjoy. Let's go.
1:50
Speaker 2: Hello and welcome to Juicy Scoop. I'm very excited to
1:52
Speaker 2: talk to our next guest. You've done so much for
1:55
Speaker 2: people that don't know what they're diagnosed with, using the
2:00
Speaker 2: community of TikTok to get people to figure it out.
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Speaker 2: I'm talking to Dr. Erin Nance. Her book is Little Misdiagnosed,
2:10
Speaker 2: also the name of her TikTok and social media. And
2:15
Speaker 2: so I've been following you for a while and Just
2:18
Speaker 2: so interesting. Welcome to the show. Thank you for coming on.
2:22
Speaker 4: Thank you so much, Heather. I feel like this is
2:25
Speaker 4: my worlds colliding. You know, my husband, when I was
2:30
Speaker 4: in medical school, he got me a subscription to Us Weekly.
2:34
Speaker 4: And I swear that like this pop culture is my lifeblood.
2:39
Speaker 4: So I'm really, really excited and honored to be on
2:42
Speaker 4: your podcast.
2:44
Speaker 2: Well, I mean, I really like that the worlds collided too,
2:46
Speaker 2: that you have made talking about medicine, you know, something,
2:51
Speaker 2: especially with women, really great and how women do want
2:56
Speaker 2: to help each other. Sometimes we don't need all the comments,
2:58
Speaker 2: but sometimes in those comments, someone does help with the diagnosis.
3:04
Speaker 2: And what made you first as a, you know, a busy,
3:09
Speaker 2: you're a mom, correct? You're married and you're an orthopedic
3:12
Speaker 2: surgeon and you're a young woman. What made you go,
3:15
Speaker 2: I'm going to start talking on TikTok?
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Speaker 4: Well, first, I was just a rabid consumer of TikTok.
3:21
Speaker 4: I thought that people were so clever, so funny. And
3:26
Speaker 4: I think I had this misconception that TikTok was for
3:31
Speaker 4: dancing kids and funny dog videos. But what I very
3:35
Speaker 4: quickly realized that it was an information sharing platform and
3:40
Speaker 4: really the medium through which that was done is through storytelling. Right.
3:45
Speaker 4: Even all those like get ready with me videos. It's
3:47
Speaker 4: not about the makeup. It's a cue that you're going
3:50
Speaker 4: to hear a story. Right. And so I had all
3:53
Speaker 4: these ideas. Great stories kind of just like bottled up
3:57
Speaker 4: in me or, you know, I listen, my husband is
4:00
Speaker 4: in finance and I would just have all his colleagues
4:03
Speaker 4: just waiting on bated breath for like the next crazy
4:07
Speaker 4: thing that happened in the ER. So I knew I
4:09
Speaker 4: was always a great storyteller. I just didn't know that
4:12
Speaker 4: TikTok was the platform that I could do that. So
4:16
Speaker 4: the very first story that I shared was the story
4:19
Speaker 4: of my brother's accident, which went viral and is the
4:22
Speaker 4: introduction for this book. But that really encouraged me to
4:27
Speaker 4: just continue to share.
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Speaker 2: And that story, which got well over two billion views,
4:31
Speaker 2: is so heartbreaking because it's your first day. which happens
4:37
Speaker 2: on July 4th, to work as an actual doctor in
4:41
Speaker 2: the ER. And your mom is calling you and she says,
4:44
Speaker 2: your brother has had an accident and he hit his head.
4:48
Speaker 2: And you did not think at that time that it
4:50
Speaker 2: was the severity of paralysis. He dove into a pool
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Speaker 2: at a party, which is, you know, and there are
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Speaker 2: a lot of those stories on TikTok. And I appreciate
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Speaker 2: the warning because And I, you know, from someone pushing
5:04
Speaker 2: their friend jokingly to not someone not realizing how shallow
5:08
Speaker 2: it is. And once you, you know, realize the severity
5:12
Speaker 2: of it, you know, it's also interesting, like, you know,
5:17
Speaker 2: that your family knew to call you, wanted you there
5:21
Speaker 2: because they knew the severity of it, even though it
5:23
Speaker 2: was like your biggest first day. And How is your
5:28
Speaker 2: brother today? How many years ago was that?
5:30
Speaker 4: This was 15 years ago. It was in 2009, so
5:36
Speaker 4: I guess 16 years. I had just gotten married. Life
5:41
Speaker 4: was great. I was starting at my dream residency in
5:45
Speaker 4: Lenox Hill Hospital in New York City. And so this really,
5:49
Speaker 4: for me, came out of nowhere, which is how almost
5:52
Speaker 4: all accidents are, right? No one prepares that... This is
5:56
Speaker 4: the last day you're going to be able to tie
5:58
Speaker 4: your shoe. So the fact that this happened to one
6:02
Speaker 4: of my own family members and what I write about
6:05
Speaker 4: a lot in the book is this accident could not
6:08
Speaker 4: have happened to a better prepared family. Right. I'm an
6:11
Speaker 4: orthopedic surgeon. My father is a health care attorney. My
6:15
Speaker 4: mother is a nurse. And yet it was so hard
6:19
Speaker 4: for us to manage his accident and the rehabilitation afterwards.
6:24
Speaker 2: And so where is he now in his life?
6:28
Speaker 4: So he is married. He has a one-year-old daughter. He
6:33
Speaker 4: works at a bank. He is a fully functioning member
6:37
Speaker 4: of society. And I'm so proud of him. He a
6:42
Speaker 4: lot of people reach out to him and you know,
6:44
Speaker 4: he was a division one athlete. I mean, this is
6:46
Speaker 4: someone who was about to go to the Olympics, right?
6:50
Speaker 4: Just an incredible, an incredible, you know, perseverance. And that
6:54
Speaker 4: athlete mindset, I think is what really served him well
6:58
Speaker 4: in his recovery and his ability to say like, hey,
7:00
Speaker 4: I didn't hurt my brain. So yeah, I am going
7:02
Speaker 4: to work, but it is not easy. And it's a
7:06
Speaker 4: very small percentage of people who are disabled or able
7:09
Speaker 4: to actually work. Um, so, you know, he's like, listen,
7:14
Speaker 4: I have a degree from Duke university. I am going
7:18
Speaker 4: to work. I'm going to make a life for myself.
7:20
Speaker 4: I'm going to have a family, support my family. And yeah,
7:24
Speaker 4: he's just, he's a great brother. He's a great uncle
7:26
Speaker 4: and inspiration really to everyone.
7:28
Speaker 2: So physically, what is his, um, What are his capabilities
7:32
Speaker 2: and incapabilities?
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Speaker 4: He's in a wheelchair full time, but he does have
7:37
Speaker 4: the ability to stand and even take some steps. As
7:41
Speaker 4: an orthopedic surgeon training, I didn't even realize that was possible.
7:48
Speaker 4: And I write about this in the book about the
7:50
Speaker 4: first day. It was a couple of months after his injury.
7:53
Speaker 4: And I saw his toe just twitch. And I said, Kevin,
7:58
Speaker 4: you just moved your toe. And he looked at me
8:01
Speaker 4: and he said, I know I felt it, but I
8:05
Speaker 4: didn't want to if it wasn't true, I didn't want
8:07
Speaker 4: to believe it and get my hopes up. Right. And
8:10
Speaker 4: so that just small twitch of his toe was a
8:13
Speaker 4: sign that there was going to be some recovery. And
8:17
Speaker 4: it's incredible. He's able to drive now. He has, you know,
8:21
Speaker 4: tools that allow him to drive. That's how he gets
8:24
Speaker 4: to work. I mean, that really is so incredible for
8:27
Speaker 4: his independence. But, you know, simple things like I remember
8:31
Speaker 4: when my parents had moved to California at this point
8:34
Speaker 4: and my youngest brother was helping to take care of him.
8:36
Speaker 4: But he was working his own job in the city commuting.
8:39
Speaker 4: And so Kevin would come home from work and have
8:42
Speaker 4: to wait for someone to undo the buttons on his shirt. Right.
8:46
Speaker 4: And just the simplest things that are a reminder that
8:51
Speaker 4: you are limited and impaired in those ways. Wow.
8:54
Speaker 2: Well, that's wonderful to hear that he persevered and is
8:57
Speaker 2: having a joyful, loving life. Some of the other things
9:02
Speaker 2: that are really interesting that I've seen that you share
9:05
Speaker 2: in the book and you share on little bits on
9:08
Speaker 2: your tick tock. is that you were like, that you
9:12
Speaker 2: said how great AI is for medicine and that, you know,
9:16
Speaker 2: this is not to have robots do the surgery, but
9:20
Speaker 2: for people to, in trying to diagnose, use what's there.
9:24
Speaker 2: And I think that makes so much perfect sense. I mean,
9:29
Speaker 2: when I've just even touched on it a little bit,
9:31
Speaker 2: like asking it a question about, wait, which two people
9:36
Speaker 2: from this crime case were in the documentary and which
9:38
Speaker 2: two weren't? If I was to try to find the
9:40
Speaker 2: article and everything, it would take a longer time, but
9:43
Speaker 2: it's like it just comes right out and tells you.
9:45
Speaker 2: So to have all this information be put in and
9:48
Speaker 2: come out, are some doctors, you know, do they not
9:52
Speaker 2: want to learn this new technology that's so helpful? What's
9:56
Speaker 2: the hang up?
9:57
Speaker 4: Well, I'll give you an example. So I'm... I'm the
10:00
Speaker 4: co-host of a podcast called The Medical Detectives. It's like
10:03
Speaker 4: Dateline meets Grey's Anatomy. And this is patients sharing their stories.
10:08
Speaker 4: Sometimes it's 20 years, okay, of being misdiagnosed. We have
10:14
Speaker 4: put every guest we've ever interviewed, put their symptoms into ChatGPT.
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Speaker 4: It gets it every single time, okay?
10:23
Speaker 5: Now.
10:24
Speaker 4: AI has a lot of things that are going for
10:27
Speaker 4: it and a lot of things that it can't do, right?
10:28
Speaker 4: I made a post saying, AI can't put a cast
10:30
Speaker 4: on you. They can't start an IV. But I think
10:34
Speaker 4: the doctors have to understand that it's a tool, right?
10:38
Speaker 4: And the tool is only as good as the input
10:41
Speaker 4: that we put into it. So even if you say
10:44
Speaker 4: you have a lot of, you don't know what's going on,
10:46
Speaker 4: you say, Jessica, these are like my five symptoms. What
10:49
Speaker 4: could be like three possible, we call it differential diagnoses, right?
10:53
Speaker 4: As a physician using the tool, we would be able
10:56
Speaker 4: to calibrate those questions even further to get an even
11:00
Speaker 4: closer diagnosis. So I think we really, I say this
11:05
Speaker 4: all the time, you know, AI is not going to
11:06
Speaker 4: replace doctors, but doctors who don't use AI are going
11:09
Speaker 4: to be replaced by doctors who do use AI. And
11:12
Speaker 4: I think we have to get with it. All right.
11:15
Speaker 4: And listen, 10 years ago, if someone caught me sneaking
11:18
Speaker 4: on my phone, Googling something, I would have been left
11:22
Speaker 4: out of the hospital. But now it's almost the default.
11:27
Speaker 4: And I think we have to understand that as doctors,
11:32
Speaker 4: we don't necessarily need AI to tell us, say, the answer.
11:35
Speaker 4: But I think it's going to help us narrow down
11:37
Speaker 4: or give us like a more direct pathway to getting
11:41
Speaker 4: a diagnosis sooner for so many people.
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Speaker 5: I'm Darman, and this is What Happens Next. Each week
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Speaker 5: on the show, I sit down with extraordinary people who
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Speaker 4: Life is one long lesson of chaos.
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Speaker 2: I'm heading to the Emmys, and I have police complaints
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Speaker 2: filed against me. When your free will is about to
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Speaker 4: You do if it was given back?
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Speaker 5: Where did that need come from where you thought that
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Speaker 5: you had to succeed in order to feel loved?
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Speaker 2: He said, I have a work dad.
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Speaker 4: I need a home dad. What happens next?
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Speaker 2: When I came in, he started crying.
12:39
Speaker 5: Everybody in life encounters hardships. What defines them is not
12:44
Speaker 5: those hard moments that they go through. It's about what
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Speaker 4: I decided to risk it all.
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Speaker 2: I realized how valuable every day was. You're worth the work. Listen, Dara,
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Speaker 5: The stories are different, but the impact is the same.
13:00
Speaker 5: Only one question matters. What happens next?
13:10
Speaker 2: Now, you know, it's I always I kind of grew
13:13
Speaker 2: up and I knew. I didn't have the mental capability
13:17
Speaker 2: to be in medicine by like seven years old. Okay.
13:21
Speaker 2: I just was like, this is only for the, the
13:24
Speaker 2: one girl in my class. And she did go on
13:26
Speaker 2: to be a doctor. Like, it was just like, oh
13:28
Speaker 2: my God, you know, and my mom too, not being
13:31
Speaker 2: medical people, like just putting doctors on this pedestal. And like,
13:34
Speaker 2: you have to be so incredibly brilliant to know that
13:38
Speaker 2: you could be a doctor. And I do kind of
13:40
Speaker 2: wonder with the help of AI, could people be that
13:45
Speaker 2: maybe don't have that, you know, innate ability to like
13:48
Speaker 2: read really fast or could they, could other people that
13:51
Speaker 2: really have an interest in medicine, but maybe felt like
13:54
Speaker 2: medical school was just, you know, only for the geniuses.
13:57
Speaker 2: I mean, maybe, do you think that with the help
13:59
Speaker 2: of AI and stuff, there could be a way in
14:02
Speaker 2: where people learn it, you know, faster and can execute it.
14:08
Speaker 2: even if they weren't geniuses at six years old.
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Speaker 4: Yeah, listen, we need all the help we can get
14:13
Speaker 4: in the healthcare field. And not to say that, like, oh,
14:19
Speaker 4: AI is going to enable, you know, anyone necessarily to
14:22
Speaker 4: be a doctor. But what I also think is a
14:24
Speaker 4: bigger conversation is that there are other ways to be
14:29
Speaker 4: helpful in the medical field, right? There are physician associates,
14:33
Speaker 4: there are nurse practitioners, there are doctors with physical therapy.
14:37
Speaker 4: And so I think you're absolutely right. And I write
14:40
Speaker 4: about it in a book, the chapter is called the
14:42
Speaker 4: 50% Club, where over 50% of people who are pre-med
14:47
Speaker 4: in college end up dropping out of pre-med by the
14:50
Speaker 4: first year, right? Because they fail their organic chemistry test
14:53
Speaker 4: and they're like, well, I can't be a doctor. And
14:56
Speaker 4: I write in the book how I failed that first test.
14:59
Speaker 4: And I went to my mom and I said, well,
15:00
Speaker 4: I can't be a doctor. And she said, that's ridiculous.
15:03
Speaker 4: You don't not get to be a doctor just because
15:05
Speaker 4: you failed one test. And so I think, yes, utilizing
15:09
Speaker 4: tools that will help support them. There's too much to
15:14
Speaker 4: know for any one person. And I think that's where
15:16
Speaker 4: we can utilize the AI. And I absolutely encourage people
15:21
Speaker 4: who have any interest in doing something where they feel
15:24
Speaker 4: like they their strong suit is right. They're empathetic to people.
15:29
Speaker 4: They're curious. I think curiosity is actually the most important
15:33
Speaker 4: attribute that we're looking for in doctors, because, listen, information
15:37
Speaker 4: changes over time. And all of that work and studying
15:40
Speaker 4: that I did in med school is almost obsolete 15
15:43
Speaker 4: years later. So to me, it's about we want people
15:48
Speaker 4: to go into this field who are empathetic, who are curious,
15:51
Speaker 4: who are lifelong learners and who really see this as
15:55
Speaker 4: a mission.
15:56
Speaker 2: Yeah, I've been saying for well over a decade that
16:00
Speaker 2: I feel like physicians assistants, nurse practitioners should be running
16:04
Speaker 2: more like urgent care type places, right? Like where you just,
16:10
Speaker 2: you know, you have a really bad cold, you know
16:12
Speaker 2: it's probably a sinus infection, but you want to make
16:15
Speaker 2: sure before you take an antibiotic and you get the
16:18
Speaker 2: antibiotic and you can be on your way. You don't
16:20
Speaker 2: have to call your, you know, go get a general,
16:23
Speaker 2: then go. By that time, you know when you're sick
16:26
Speaker 2: and you need to start something that day. And each
16:28
Speaker 2: day that passes, it's going to last longer. And it's like,
16:31
Speaker 2: you know, so I do love that idea. And I
16:34
Speaker 2: do think that could be definitely the way of the
16:36
Speaker 2: future of helping more people in a less expensive way too.
16:40
Speaker 4: Yeah. And I will say that there are currently systems
16:45
Speaker 4: that are really operating outside of the traditional healthcare system,
16:49
Speaker 4: like midi health, especially for women, particularly women like perimenopause
16:54
Speaker 4: and menopause, right? Where you don't necessarily need to go
17:00
Speaker 4: take a day off from work and talk to your
17:01
Speaker 4: doctor about your hair is thinning, right? And so they
17:05
Speaker 4: have kind of I would say bridge the gap for
17:07
Speaker 4: some of these lifestyle treatments and issues that people are
17:12
Speaker 4: interested in. I do like that there are companies that
17:16
Speaker 4: include a medical person in the decision-making process and not
17:20
Speaker 4: just a, well, I want Ozempic, and so I'm going
17:23
Speaker 4: to get it from this ad off a TV, right?
17:25
Speaker 4: I think that we need to be prescribing medications responsibly
17:30
Speaker 4: because it's not just about figuring out who needs the
17:34
Speaker 4: medication or why it's, how are we going to support
17:37
Speaker 4: you when you have a side effect? or if something
17:39
Speaker 4: goes wrong, right? Who are you going to turn to then?
17:42
Speaker 4: And that's my main concern about these, they call it
17:45
Speaker 4: direct-to-consumer pharmaceuticals and companies. It's not so much that we
17:51
Speaker 4: don't believe that patients should, we shouldn't have more access
17:55
Speaker 4: to these medications and these therapies, but it's the supervision
18:00
Speaker 4: part that I think is the missing ingredient.
18:02
Speaker 2: Speaking of Ozempic, Wagovi, those type of things, I feel
18:06
Speaker 2: like there's like this This small community that's just hoping
18:10
Speaker 2: for the day that they open up their phone and
18:13
Speaker 2: see that there's news that there's adverse effects and the
18:16
Speaker 2: people are getting fatter than ever, like a flowers for Algernon.
18:21
Speaker 2: Why can't people just be happy that their friend is
18:24
Speaker 2: looking fit and isn't drinking as much and, you know,
18:29
Speaker 2: looks good? I mean, what do you think the psychological
18:32
Speaker 2: assholeness of that is about? Well.
18:37
Speaker 4: One, I think there's just jealousy in general, right? I
18:40
Speaker 4: think people are jealous and people are judgmental. That's just
18:44
Speaker 4: like human nature. But there's also, you know, like real
18:48
Speaker 4: life scenarios. There's a book about, so in, I think
18:52
Speaker 4: it was, I want to say the 1920s or 30s,
18:55
Speaker 4: it's called The Radium Girls, where radium, like the radioactive, okay,
19:00
Speaker 4: was used as like a tonic. Right. This is going
19:03
Speaker 4: to extend your life. This is going to make you glow. Well,
19:06
Speaker 4: it was actually literally glowing from the inside because you
19:09
Speaker 4: were using nuclear radio nucleotides. And all of these people
19:13
Speaker 4: died from radiation exposure similar to the bombing. And there's
19:18
Speaker 4: a brilliant book. It's called The Radium Girls. So you
19:21
Speaker 4: do have to understand that we should be studying these
19:25
Speaker 4: medications regularly. for very long life cycles right and ozempic
19:30
Speaker 4: as a class of drug these glp-1 drugs have been
19:33
Speaker 4: studied for very long periods of time have they been
19:36
Speaker 4: studied for 50 years no so do we know we
19:40
Speaker 4: don't but we have pretty darn good evidence for i
19:44
Speaker 4: can't even say for exactly how long they've been out
19:46
Speaker 4: but certainly over 10 years that they've been, you know,
19:49
Speaker 4: they're about to reach their expiration on their patent, I think,
19:52
Speaker 4: some of these drugs. So it's been around long enough
19:55
Speaker 4: that we can be fairly confident to say these are
19:59
Speaker 4: the side effects that can be expected in this small
20:02
Speaker 4: population of people. But I think the drug now has
20:06
Speaker 4: been used on so many people and over a pretty
20:10
Speaker 4: long period of time that we're not going to have a,
20:13
Speaker 4: you know, shoe drop on the other side.
20:15
Speaker 5: Of the moment.
20:16
Speaker 2: Well, speaking of being happy that something I've read has
20:21
Speaker 2: turned out to be bad, I will say I did
20:24
Speaker 2: the same thing about cold plunges. I had said, I
20:27
Speaker 2: don't like cold plunges. Everybody's doing the cold plunge. I
20:31
Speaker 2: can handle a sauna. That's kind of nice, like a jacuzzi.
20:34
Speaker 2: And I said, I want the news to come out
20:37
Speaker 2: that the cold plunges aren't that good for you. And
20:39
Speaker 2: then five days later, there was news that said, Especially
20:44
Speaker 2: for women, it does, it kind of shrinks your muscle growth,
20:47
Speaker 2: which we know muscle growth for women is the most
20:50
Speaker 2: important thing more than getting cardio and everything to stay
20:54
Speaker 2: young and fit and healthy osteoporosis, all that kind of stuff.
20:58
Speaker 2: What is your opinion of cold plunging?
21:00
Speaker 4: Well, cold plunging, if you think of it in theory, right?
21:05
Speaker 4: The point is that cold as a therapy is a anti-inflammatory, right?
21:11
Speaker 4: So the point is that you are stopping your own
21:16
Speaker 4: body's inflammatory response. Now, here's something really, really interesting. Forever.
21:23
Speaker 4: We have been telling people who have sprained their ankles, right? Rice, rest, ice, compression, elevation.
21:30
Speaker 4: That is technically no longer the recommendation. Because because what
21:35
Speaker 4: they researched and found was that if you just like
21:40
Speaker 4: don't walk on your ankle for a week, then it
21:43
Speaker 4: gets stiff. And then it's harder to actually recover. So
21:47
Speaker 4: now they recommend like gentle weight bearing, your gentle movement.
21:51
Speaker 4: And then similarly with the ice. Yes, it does help
21:54
Speaker 4: decrease the inflammation. But it's the inflammation that's bringing the
21:59
Speaker 4: reparative function to the injury. So I don't think it's
22:04
Speaker 4: that ice is necessarily a bad thing. It's definitely not
22:08
Speaker 4: a bad thing. But why are we using the ice, right?
22:11
Speaker 4: All right. If we want to use the ice so
22:13
Speaker 4: that your ankle doesn't blow up like a basketball, that's
22:17
Speaker 4: a good thing, right? But if we use the ice
22:19
Speaker 4: for a week at a time, then we're probably actually...
22:23
Speaker 4: stopping some of the positive effects of the inflammatory response.
22:29
Speaker 4: So like anything, I am always wary if a thousand
22:33
Speaker 4: people jump on the bandwagon, right? I don't know how
22:37
Speaker 4: many more videos I have to watch that I need
22:38
Speaker 4: to eat 100 grams of protein. Where did that come from?
22:43
Speaker 4: Who decided that that was some magical number and why
22:48
Speaker 4: we're all jumping on this message? It's not to say
22:51
Speaker 4: that I don't believe that, obviously, protein is a vital
22:55
Speaker 4: part of our diet and what we should be doing,
22:58
Speaker 4: and we should be wanting to build muscle mass. We
23:00
Speaker 4: know that if you get injured, a strong patient... is
23:03
Speaker 4: going to recover better and faster than a patient who
23:06
Speaker 4: was deconditioned or weaker. But yeah, in terms of cold plunge,
23:10
Speaker 4: I think for that moment, yes, you are halting an
23:14
Speaker 4: inflammatory response. So if you just did a long run,
23:18
Speaker 4: you did a triathlon, you did something very physical. That's
23:22
Speaker 4: why all the athletes, they do the cold plunging. But yeah,
23:26
Speaker 4: for me, I'm taking it more as anecdotal advice than
23:29
Speaker 4: necessarily published research.
23:32
Speaker 2: I also think all like the ads and stuff that
23:35
Speaker 2: you get on TikTok and everything out there about gut health,
23:38
Speaker 2: gut health, it's really just code for take this and
23:42
Speaker 2: you'll shit more. And there's nothing more fun than taking
23:46
Speaker 2: a big shit. You feel thin, you feel great. And
23:50
Speaker 2: you're like anything that can make me shit more, I want.
23:53
Speaker 2: And isn't that the same as, and what's the difference between,
23:58
Speaker 2: we'll answer that, but also what is prebiotic and probiotic?
24:02
Speaker 2: I feel like that's on sodas now, that's in yogurt.
24:06
Speaker 2: And you're just like, give me what's going to make
24:08
Speaker 2: me run to that toilet at a target and leave
24:12
Speaker 2: my cart behind.
24:14
Speaker 4: So it's the same thing about these buzzwords, right? How
24:18
Speaker 4: many times have you heard the term gut microbiome? Do
24:22
Speaker 4: you have any idea what that means?
24:23
Speaker 2: No.
24:24
Speaker 4: No, no. And to be honest, I think a lot
24:28
Speaker 4: of these companies are banking on you not exactly knowing
24:32
Speaker 4: you knowing what it is because it sounds important, right?
24:35
Speaker 4: It sounds good. scientific. And there are really great companies
24:40
Speaker 4: that are doing science-based research into these problems and trying
24:45
Speaker 4: to come up with solutions. But, and listen, I am
24:47
Speaker 4: on TikTok all the time. I tell people if there
24:50
Speaker 4: is a buy now button at the end of this post,
24:55
Speaker 4: It's not that necessarily that technology or that medication is
25:00
Speaker 4: bad or harmful. You just have to think twice about
25:03
Speaker 4: the motive behind it. And so there are, you know,
25:07
Speaker 4: it's getting harder and harder to understand who are the
25:10
Speaker 4: credible sources of information online these days. Actually, it's not
25:15
Speaker 4: even publicly launched yet, but I created a physician and
25:20
Speaker 4: expert led social media platform so that all the content
25:23
Speaker 4: would come from credible sources. So you don't have to
25:26
Speaker 4: worry about being filled with misinformation and negative information. But
25:33
Speaker 4: in terms of gut health, it's a major problem. And
25:37
Speaker 4: for too long. the like Western medicine has just brushed
25:42
Speaker 4: it off as, oh, it's IBS. Like, oh, you're constipated.
25:47
Speaker 4: When there are most likely genetic factors that are affecting
25:52
Speaker 4: your ability to have good digestion, there are environmental factors.
25:57
Speaker 4: I mean, for sure, when it comes to like our diet.
26:01
Speaker 4: And so I think more investigation into these factors is
26:05
Speaker 4: really important, but it shouldn't be done in a click-baity
26:08
Speaker 4: way that makes us, well, number one, feel like we're
26:12
Speaker 4: a vulnerable population. Right. People, people like you would do anything. Right.
26:19
Speaker 4: If they told you, OK, you're going to have the
26:21
Speaker 4: best shit of your life. You're like, sign me up.
26:25
Speaker 2: Right. And it's also the other thing I saw was
26:28
Speaker 2: so many big influencer people, you know, that don't need
26:32
Speaker 2: the couple grand. We're pushing this thing called Dose. And
26:37
Speaker 2: it's like an orange bottle and like this cleans out
26:40
Speaker 2: your liver. And, you know, again, if you're a boozer,
26:43
Speaker 2: if you like to drink, you're like, oh, I should
26:46
Speaker 2: I should take care of my liver. Right. And then
26:49
Speaker 2: I saw another thing saying, oh, my God, I had
26:51
Speaker 2: too much turmeric and now I'm screwed. So like, what
26:55
Speaker 2: is that?
26:55
Speaker 1: Yeah.
26:56
Speaker 4: So, for example, the whole liver thing. The liver is
27:01
Speaker 4: your organ, which cleanses and detoxes your blood. OK, that
27:05
Speaker 4: is the actual function of the liver. You don't need
27:09
Speaker 4: a pill to do the function of the liver unless
27:11
Speaker 4: you have cirrhosis of the liver. You have a fatty liver,
27:16
Speaker 4: but your liver does not need any extra help. Um,
27:19
Speaker 4: that's the function of the liver. All right. Um, and
27:23
Speaker 4: I don't follow that like liver King or I, I,
27:27
Speaker 4: I think something terrible happened to me actually. Um, so,
27:30
Speaker 4: so I'm not down that tick tock rabbit hole. Um,
27:34
Speaker 4: but yeah, same thing. I mean, turmeric, right. I think
27:38
Speaker 4: there's a bit of a war right now between big
27:43
Speaker 4: pharma and like supplements. Right. And I think the general
27:48
Speaker 4: public is right to be wary of big pharma, right?
27:53
Speaker 4: Because again, a lot of the research studies that have
27:57
Speaker 4: been done have been funded by those same pharmaceutical companies.
28:03
Speaker 4: As a med student, we were always taught to question
28:07
Speaker 4: the source of the funding behind studies to then analyze
28:11
Speaker 4: the results. But nowadays, studies are so expensive to run that,
28:16
Speaker 4: in essence, they have to be funded. There's no one else.
28:19
Speaker 4: Our government is certainly no longer funding these independent research projects.
28:25
Speaker 4: So we're in essence relying on these companies to say, yeah,
28:29
Speaker 4: it's safe. Right. And I think trust in science is
28:34
Speaker 4: at an all time low. And that has given rise
28:37
Speaker 4: to the influencer led wellness movement. And I don't necessarily think.
28:44
Speaker 4: all of those, that movement is bad, or there's not
28:49
Speaker 4: some actual results and science behind it. But the methods
28:53
Speaker 4: in which they're marketing it, to me, are just untrustworthy.
29:00
Speaker 4: They're not credible. And in my opinion, let's say you
29:04
Speaker 4: are a woman with endometriosis, right? There's no one you
29:08
Speaker 4: trust more than another woman with endometriosis, right? I don't
29:13
Speaker 4: need Alex Earl to sell me something about endometriosis related.
29:18
Speaker 4: So for me, I'd like to see it more be
29:21
Speaker 4: put into the power of the patients who actually have
29:25
Speaker 4: these conditions. And my theory is that every user is
29:29
Speaker 4: an influencer when it comes to your health.
29:31
Speaker 2: Yeah, I totally agree. I mean, and especially women love
29:35
Speaker 2: to share. And if they have knowledge, they want to
29:38
Speaker 2: be like, I know what that's is. So I, speaking of,
29:42
Speaker 2: you know, COVID and the vaccine, which, you know, people
29:46
Speaker 2: didn't want to take because it wasn't tested for decades.
29:50
Speaker 2: So I had a viral moment of when I faded
29:52
Speaker 2: on stage after getting my booster. So I did the
29:57
Speaker 2: two shots, Johnson... What did I do? Wait, what were
30:01
Speaker 2: the ones? There was Johnson & Johnson. Moderna. And what
30:03
Speaker 2: was the other one?
30:05
Speaker 4: Maybe Pfizer?
30:07
Speaker 2: Wait, Pfizer was the one. Okay, it was Pfizer. I
30:10
Speaker 2: think I did the two.
30:12
Speaker 1: Right?
30:12
Speaker 2: And then that had the booster. I don't remember. It
30:14
Speaker 2: seems like so long ago. Anyway, so I got on
30:17
Speaker 2: stage and I fainted. And it went viral because I
30:21
Speaker 2: was joking about how I'd gotten all the shots. And
30:24
Speaker 2: I still had not gotten COVID. And I listed all
30:29
Speaker 2: my shots, which included a flu shot and also the
30:32
Speaker 2: first of the shingles. And I go, and, you know,
30:36
Speaker 2: I still got my period, which is a joke about
30:39
Speaker 2: housewives being mean to each other once someone doesn't need
30:42
Speaker 2: a tampon.
30:43
Speaker 4: Okay.
30:43
Speaker 2: So that wasn't even a joke about like, let me
30:45
Speaker 2: do a hacky joke about my period, you know, which
30:48
Speaker 2: all these men are like, this is why women aren't funny.
30:51
Speaker 2: You know, anyway, so I think, so I start seeing spots.
30:54
Speaker 2: I've never fainted in my life and I faint. And
30:59
Speaker 2: I tell people like, if that had happened at my
31:02
Speaker 2: house or anywhere where I wasn't in standing in front of,
31:06
Speaker 2: you know, 500 people with two shows to do that night,
31:09
Speaker 2: I would have sat down and it might've passed, but
31:12
Speaker 2: I've never fainted. And I've never felt that dizzy before,
31:15
Speaker 2: but because I was doing a show, I was like, Oh,
31:16
Speaker 2: let me walk it off. And then I just fell
31:19
Speaker 2: and I hit my head very hard. And so when
31:21
Speaker 2: I went, I had, you know, some, a doctor friend
31:24
Speaker 2: of ours call my husband and say, when was the
31:27
Speaker 2: last time she got any boosters. And it was two
31:30
Speaker 2: weeks to the day. Now, at that time, if I
31:33
Speaker 2: wanted to, people wanted to hear about it because it
31:35
Speaker 2: went viral. But anytime I did an interview saying, well,
31:38
Speaker 2: it was two weeks a day I had a shot,
31:39
Speaker 2: they wouldn't run the interview. And instead, the last thing
31:44
Speaker 2: I said was, Jesus loves me the most, which is
31:47
Speaker 2: also a joke. Okay. In my act and stuff, because
31:51
Speaker 2: I was Catholic and I'd be like, do your Christian
31:53
Speaker 2: service and spread the word of juicy scoop as you
31:55
Speaker 2: would Jesus Christ, but not in a respectful way. Like
31:58
Speaker 2: all my kids have gone to Catholic school. I'm baptized.
32:01
Speaker 2: I got married in the church, but the super Christians
32:03
Speaker 2: thought I was a libtard and were like, thought that
32:07
Speaker 2: Jesus flicked me because I had gotten the shot and
32:11
Speaker 2: I deserve to have fainted and hit my head because
32:13
Speaker 2: I got the shot. So anyway, it went on for
32:17
Speaker 2: a long time and sometimes it comes back around and
32:19
Speaker 2: no one could tell me what it was because I've
32:22
Speaker 2: never fainted since my head healed. And, and, and then
32:27
Speaker 2: other people said you have pots. Okay. And, but then again,
32:31
Speaker 2: it never happened again. So I'm, I'm just thrilled that
32:35
Speaker 2: I didn't have a brain tumor or something. Cause that's
32:37
Speaker 2: what I thought when I fainted, I was like, Oh,
32:39
Speaker 2: my God, I'm going to get a CAT scan. And
32:41
Speaker 2: I did an MRI in the heart and I tested
32:43
Speaker 2: for everything. And the hospital in Phoenix did everything they could.
32:46
Speaker 2: And I turned out to be OK. But, you know,
32:49
Speaker 2: it's just so weird to like open my phone and
32:53
Speaker 2: see me faint again. The worst part is people saying
32:56
Speaker 2: this chick isn't funny or that's the funniest moment she
32:59
Speaker 2: had is when she fainted. And I've been doing this
33:01
Speaker 2: for like, you know, 30 years. But with all of that,
33:06
Speaker 2: you know, and you're in the medical field, like, is
33:09
Speaker 2: it difficult to answer any questions about the COVID shots?
33:12
Speaker 4: For me, I just talk about coming from a place
33:15
Speaker 4: of the information that I know. So similar to you,
33:19
Speaker 4: I made a TikTok post maybe a year after I
33:24
Speaker 4: had gotten the COVID vaccines. And I started the post saying,
33:28
Speaker 4: I am a physician. I was one of the very
33:32
Speaker 4: first people to get the COVID vaccine in December of 2020.
33:37
Speaker 4: I have gotten every shot. I have gotten every booster.
33:41
Speaker 4: This is not an anti-vaccine post. But I want you
33:45
Speaker 4: to know that I have had severe period bleeding. Ever
33:52
Speaker 4: since my first shot, like out of control. I mean,
33:55
Speaker 4: like golf ball size. And like I have had a
33:58
Speaker 4: period for 20 years before that. And then one month
34:02
Speaker 4: after I get the vaccine, I started having these severe bleeding.
34:07
Speaker 4: And the more and more I would talk to people,
34:09
Speaker 4: they would say, oh, my God, same thing. Like I
34:12
Speaker 4: always had a normal period. And all of a sudden
34:13
Speaker 4: I have this like severe, severe bleeding. So I made
34:17
Speaker 4: this post, again, just to bring up this, whether or
34:21
Speaker 4: not it was caused by it or it's a correlation
34:24
Speaker 4: to it. And that was taken down for community guidelines
34:27
Speaker 4: violation by TikTok. OK, and again, this is not an
34:33
Speaker 4: anti-vaccine post.
34:35
Speaker 2: By the way, I won't be cutting this part of
34:37
Speaker 2: the clip. They'll just have to listen and watch. I've
34:40
Speaker 2: learned that too. I spent all this time cutting a
34:42
Speaker 2: great clip and then it gets taken down because you
34:45
Speaker 2: said a no-no word or something. Okay, continue.
34:48
Speaker 4: Great. So here I am, a board-certified doctor, talking about
34:54
Speaker 4: the realities of sometimes there are side effects. Right. And
34:59
Speaker 4: I am at this point giving a personal experience story.
35:03
Speaker 4: I'm not saying that everyone is going to have heavy
35:06
Speaker 4: periods because of the shot. But I think if we
35:10
Speaker 4: silence those voices and that lessens the trust and the
35:15
Speaker 4: credibility in the vaccine itself. And I think that was
35:18
Speaker 4: a major problem is that people were saying that they
35:22
Speaker 4: had real side effects. I mean, they had a tracker.
35:26
Speaker 4: People did die. OK, this is not something that was
35:29
Speaker 4: made up. Right. It was you know, it's I think
35:33
Speaker 4: the biggest problem is it's a coagulation problem. So people
35:35
Speaker 4: were having blood clots and stroke. But to get COVID
35:40
Speaker 4: is also a coagulation problem. And I knew this because
35:43
Speaker 4: I had cancer. residents who were orthopedic surgery residents who
35:47
Speaker 4: during the worst part of COVID, we weren't doing ACL
35:50
Speaker 4: repairs and rotator cuff, no one was playing soccer, no
35:53
Speaker 4: one was getting injured. And so all of my big
35:56
Speaker 4: beefy guy residents, their job was to go to the
36:00
Speaker 4: ICU and physically flip people from their stomachs to their
36:03
Speaker 4: back so that their lungs could drink. They did this
36:07
Speaker 4: all day long, hour after hour, just flipping people. And
36:10
Speaker 4: what they would tell me is that in their, it
36:13
Speaker 4: sounds gross, but in their Foley bags, the bags that
36:16
Speaker 4: collect the urine, there would be pieces of their kidneys
36:21
Speaker 4: that had physically clotted off because of all of the
36:25
Speaker 4: blood clotting. So I knew very early on that COVID
36:29
Speaker 4: was was a problem with blood clotting. It wasn't the
36:32
Speaker 4: people like, oh, the cough, the loss of smell, the
36:35
Speaker 4: loss of taste. But I knew that it was really
36:38
Speaker 4: a clotting issue. So it didn't surprise me that when
36:42
Speaker 4: you developed a vaccine, there would also be overlap in
36:46
Speaker 4: in some of the issues that you may see in
36:49
Speaker 4: what COVID was doing itself. Because that's what a vaccine is,
36:53
Speaker 4: kind of like mimicking the disease, but you don't actually
36:55
Speaker 4: get the full-blown severity of the disease. That's why when
36:58
Speaker 4: you get the flu shot, sometimes, oh, my arm hurts.
37:01
Speaker 4: Sometimes I feel a little bad the first, second day.
37:04
Speaker 4: You're not getting the flu. You're kind of tricking your
37:06
Speaker 4: body into thinking you got the flu so that it's
37:08
Speaker 4: going to protect you when you really see the flu.
37:12
Speaker 4: So in my opinion, I think we should be doing
37:15
Speaker 4: more to give visibility and elevate the voices of people
37:20
Speaker 4: who have had adverse events, not to scare people, but
37:25
Speaker 4: to give people the full picture. Right. Because I think
37:28
Speaker 4: that really did a big disservice to the vaccine. Listen,
37:33
Speaker 4: I am anyone is listening. I am very concerned. Pro-vaccine,
37:37
Speaker 4: you know, for vaccines that have been, you know, vetted
37:42
Speaker 4: and are science-based. The COVID vaccine is true. It was
37:45
Speaker 4: built in the shortest probably amount of time a vaccine
37:48
Speaker 4: has ever been approved. But the technology had been vetted
37:53
Speaker 4: for decades, right? And we were in a period of
37:58
Speaker 4: time where it was either we act or we die, right?
38:02
Speaker 4: And you can't look back knowing what we know now
38:06
Speaker 4: and say, oh, they should have made these decisions and
38:08
Speaker 4: they should have done that. You make decisions based on
38:11
Speaker 4: the information that you have currently. And then you're supposed
38:15
Speaker 4: to those decisions may evolve because the information you're going
38:19
Speaker 4: to get more information. And so maybe your recommendations evolve
38:23
Speaker 4: and they have evolved. I believe that the latest recommendations
38:26
Speaker 4: are that young, healthy people, Like pregnant women are not
38:30
Speaker 4: supposed to get the vaccine. They've made new recommendations. Right.
38:33
Speaker 2: Right.
38:34
Speaker 4: So because of the information that we have since learned.
38:38
Speaker 4: And so I I think that it was really a
38:41
Speaker 4: case of the two sides just not listening to one another.
38:44
Speaker 4: And if you could step back and understand the. that
38:49
Speaker 4: the people who are anti-vaccine, I think in all honesty,
38:53
Speaker 4: they were scared at their like core element. And so
38:56
Speaker 4: instead of talking to them as if like, you don't
38:59
Speaker 4: know what you're talking about, degrading them, making them feel
39:02
Speaker 4: like they were, you know, idiots and whatnot, actually get
39:05
Speaker 4: to the root of why are you nervous about taking
39:08
Speaker 4: the vaccine? You know, what, what are some things that
39:12
Speaker 4: I can help educate you that may, you know, may
39:15
Speaker 4: give you a bigger picture, right? In the end, it's
39:18
Speaker 4: going to be an individual decision. But I think that's
39:21
Speaker 4: where the narrative should be and not this name calling,
39:24
Speaker 4: you know, other sides.
39:26
Speaker 2: Yeah, I'll never understand the the anger that people had,
39:30
Speaker 2: whether you got it or you didn't. I was like,
39:34
Speaker 2: I'm getting it because I just want to wake up
39:37
Speaker 2: in the morning and not get worried that I have it.
39:39
Speaker 2: And I travel and I'm still doing stand up. I
39:41
Speaker 2: had friends who did it. I had friends who got
39:43
Speaker 2: the fake card so they could go on things and
39:45
Speaker 2: do things. And I was like, OK, like what? I
39:50
Speaker 2: never understood that, but like pointing at someone being like,
39:53
Speaker 2: if you don't wear a mask and get this, then
39:55
Speaker 2: you're killing my grandma. Like, I was just like, it
39:58
Speaker 2: was just such a weird time, but also a time
40:01
Speaker 2: that I want to say, like, never forget. It was
40:04
Speaker 2: like so insane. It was so insane. Glad it's behind us.
40:09
Speaker 2: But I think that's, you know, that's great advice. And again,
40:12
Speaker 2: it's people, it's people, it's humans that we've never faced
40:16
Speaker 2: with this and people make you know, make exactly, you
40:20
Speaker 2: make wrong decisions throughout the history. Like you didn't know
40:23
Speaker 2: about the radioactive, whatever. We didn't know about children of thalidomide.
40:27
Speaker 2: Like there's things, you know, that happened throughout time because
40:31
Speaker 2: doctors and medical people are human. They're not gods. And,
40:35
Speaker 2: you know, and that's why I do think it's so
40:36
Speaker 2: helpful to have people say, I had this too, or,
40:41
Speaker 2: you know, but it's also, it's also kind of crazy.
40:45
Speaker 2: It's good and it's bad when someone, we'll say, you know,
40:49
Speaker 2: someone's doing a video and then, you know, and then
40:52
Speaker 2: it's like, what's that thing behind your ear? You know,
40:55
Speaker 2: like you need to get that checked out and it
40:58
Speaker 2: can be really helpful, but at first it could be like,
41:01
Speaker 2: oh my God, like another criticized criticism, you know, yes,
41:05
Speaker 2: I have a crooked nose and I guess I have
41:07
Speaker 2: a little skin tag behind my ear. It's not a
41:09
Speaker 2: skin tag. You know, and it's like, And I get
41:13
Speaker 2: why people are just like enough or they don't want
41:15
Speaker 2: to be the person that says I would have that
41:17
Speaker 2: mole checked out or whatever, but I appreciate it. You know,
41:21
Speaker 2: and I also think there's some funny moments because I
41:23
Speaker 2: got a letter sent in the mail about someone diagnosing
41:26
Speaker 2: me with a major disease and my son, but not
41:30
Speaker 2: my other son. And my other son opened it and
41:33
Speaker 2: he was like, you and Drake have this disease, but
41:35
Speaker 2: I don't. And I was like, wait, what? And it
41:37
Speaker 2: was like, he sent it to my PO box. And
41:40
Speaker 2: it was like typed out anonymous. And I'm like, I
41:44
Speaker 2: personally think it was a hater that wanted to fuck
41:46
Speaker 2: with me because I don't have it. But it was
41:48
Speaker 2: just like, there's something just so strange about it. It
41:53
Speaker 2: can be so positive, but it can also be negative too.
41:56
Speaker 4: Yeah. I think, again, it goes back to question the
42:00
Speaker 4: source of the information, right? And there are incredible examples
42:05
Speaker 4: of people saving their life. I mean, I think it
42:07
Speaker 4: was Tarek El Moussa was diagnosed with thyroid cancer, right?
42:11
Speaker 4: From a viewer who wrote to him and said, I'm
42:14
Speaker 4: really concerned about you. Um, so yeah, and I'm sure you're,
42:19
Speaker 4: you're a public figure, so you are getting, you know, and,
42:22
Speaker 4: and same thing with me only I get all these messages,
42:25
Speaker 4: people asking me to diagnose them. Like, can you take
42:29
Speaker 4: a look at this picture? And they'll, they'll send me
42:31
Speaker 4: like 20 pictures on an email. Um, and to me,
42:35
Speaker 4: that conversation is best happens, happens in doctor's office. Right. Right.
42:40
Speaker 4: And similar to you may gather information from strangers, from
42:45
Speaker 4: people you watch right on TikTok. And what I tell people, again,
42:50
Speaker 4: who are either struggling to get a diagnosis or trying
42:53
Speaker 4: to figure out like what's no one can figure out
42:55
Speaker 4: what's wrong with me is I tell them to use
42:58
Speaker 4: TikTok to look for information. patterns of similar symptoms that
43:01
Speaker 4: you have. It doesn't mean that you have that same
43:04
Speaker 4: disease that that person in the video has, but then
43:07
Speaker 4: you can have a more educated conversation with your doctor
43:10
Speaker 4: to say, Hey, I have X, Y, and Z. Do
43:13
Speaker 4: you think that I could have POTS? Right. And then
43:16
Speaker 4: when you go to your doctor and they're going to say, well, Heather,
43:19
Speaker 4: you've only had one fainting episode. You don't have any
43:21
Speaker 4: of the other signs and symptoms. So I would say
43:23
Speaker 4: it's low likelihood that That's a productive conversation. It's not
43:29
Speaker 4: your doctor rolling your eyes saying, oh, you saw this
43:31
Speaker 4: on TikTok, right? Like our job is to help educate you.
43:37
Speaker 4: And to not make you feel stupid or silly for
43:41
Speaker 4: bringing something up. I can't change every doctor's opinions about TikTok.
43:46
Speaker 4: And so most of the times I'll tell people not
43:48
Speaker 4: even to mention where they found the information from. But
43:52
Speaker 4: I think a more educated patient is a better patient.
43:56
Speaker 4: I agree.
43:56
Speaker 2: I think even sometimes when I'm talking on my show
43:59
Speaker 2: and I'm like, oh, my God, I saw this thing
44:00
Speaker 2: on TikTok. I know that there's people driving going, enough
44:03
Speaker 2: with the TikTok content. But you're right. You probably should
44:06
Speaker 2: just say, a friend of mine let me know that
44:09
Speaker 2: she read an article saying this. And immediately, you know,
44:13
Speaker 2: someone might be like, oh, well, that is interesting, you know.
44:16
Speaker 2: And a good doctor should never be like, you know,
44:18
Speaker 2: closed off. But that's why the whole thing comes with
44:20
Speaker 2: like second opinions and all that kind of stuff and
44:23
Speaker 2: looking for different things. One of your videos said that
44:26
Speaker 2: you regretted, if I'm recalling it correctly, you regretted getting
44:31
Speaker 2: LASIK eye surgery. Can you speak on that?
44:34
Speaker 4: So for me, I have used contacts since I think
44:37
Speaker 4: I was in maybe the sixth grade and it was
44:40
Speaker 4: never necessarily a problem, but it was the whole like ordeal.
44:45
Speaker 4: If anyone who wears contacts, you know, it's just, you know,
44:47
Speaker 4: your eyes don't feel great at the end of the day.
44:49
Speaker 4: And particularly, I think because I make most of my
44:53
Speaker 4: social media content from 10 p.m. to 2 a.m. That's
44:56
Speaker 4: the time of day that I have free to make
44:58
Speaker 4: these videos. And so my eyes were just, they had
45:02
Speaker 4: reached kind.
45:03
Speaker 2: Of their max.
45:04
Speaker 4: I would say I got pink eye one day and
45:06
Speaker 4: I'm like, you know what? I'm just kind of like
45:08
Speaker 4: done over the contact thing. So my father had had
45:12
Speaker 4: LASIK eye surgery with literally the doctor who invented LASIK
45:17
Speaker 4: eye surgery. He is fantastic. what he does. I think
45:22
Speaker 4: the procedure itself went really well. I have 20-20 vision,
45:26
Speaker 4: but I also have significant eye pain and dryness every
45:31
Speaker 4: day of my life. And I think certainly I knew that.
45:35
Speaker 2: Do you just do drops or what do you do
45:37
Speaker 2: to succumb it?
45:38
Speaker 4: Yeah, I just do drops. I've had a couple of
45:41
Speaker 4: different types of drops like gel drops, other drops, Mybo,
45:46
Speaker 4: which is the latest pharmaceutical commercial on TV. Um, and
45:51
Speaker 4: it's not, I would say during the day, I'm not
45:54
Speaker 4: even thinking about it. Like right now I'm not thinking
45:56
Speaker 4: about my eyes. They don't feel bad for me. It's
45:58
Speaker 4: when I wake up and maybe starting around like 6 PM. Um,
46:02
Speaker 4: I really feel pain, which I had never felt. I
46:06
Speaker 4: pain before. So just knowing what I know now about
46:10
Speaker 4: my how I am living post LASIK, I would never
46:15
Speaker 4: choose to get LASIK. And I think it's very important
46:18
Speaker 4: for people to understand. I don't blame that doctor. I
46:22
Speaker 4: don't think anything went wrong with the procedure. I just
46:26
Speaker 4: don't think I appreciated what that specific side effect could,
46:32
Speaker 4: could be like for me going forward.
46:35
Speaker 2: Also speaking of, I didn't see you talk on this,
46:38
Speaker 2: so I don't know if you can, but like, You know,
46:40
Speaker 2: there's all these plastic surgery options that you can get
46:44
Speaker 2: for less expensive if you go to Turkey, let's say.
46:48
Speaker 2: But I always wonder about unless you're like on botched
46:52
Speaker 2: where they are doing a TV show to fix you.
46:55
Speaker 2: I feel like, you know, it's like when you're getting
46:59
Speaker 2: your kitchen redone and your contract disappears and then the
47:02
Speaker 2: new contractor doesn't want to come and finish it because
47:04
Speaker 2: he doesn't know what mistakes are done. Do you find
47:07
Speaker 2: that like sometimes with doctors, too, like they don't want
47:10
Speaker 2: to fix the mistake of someone? Because they could, you know,
47:14
Speaker 2: it's like a lot such a liability. 100%.
47:16
Speaker 4: And what I'll say about medical tourism, which is what
47:21
Speaker 4: you're describing, is that it's not that the physicians in
47:25
Speaker 4: these other countries are substandard or whatnot. It's about the
47:29
Speaker 4: follow up. It's about the potential side effects. And that's
47:34
Speaker 4: Getting back to the beginning of the show when I
47:36
Speaker 4: talked about getting the Ozempic off of TV, it's not
47:39
Speaker 4: that taking the Ozempic is necessarily a problem. It's what
47:42
Speaker 4: happens if you develop pancreatitis because of it. Who's managing
47:47
Speaker 4: that for you now? And so with these medical tours
47:50
Speaker 4: in places, if you have a side effect, you are–
47:54
Speaker 4: Shit out of luck. All right. And now you're going
47:56
Speaker 4: to have to present to an American ER and they're
48:00
Speaker 4: going to they have no idea what was done to
48:02
Speaker 4: you or the methods that they use. And they're going
48:05
Speaker 4: to be left cleaning up the mess. And I will
48:07
Speaker 4: tell you, as an orthopedic surgeon, many orthopedic surgeons as
48:12
Speaker 4: a policy will say we're not seeing anyone who's had
48:16
Speaker 4: a surgery by someone else in the last year. Right.
48:20
Speaker 4: Because they don't want to clean up. That's that's their
48:23
Speaker 4: job to clean up their own mess. And so it
48:27
Speaker 4: is very difficult to find a doctor who is even
48:30
Speaker 4: willing to take on your case when you have a
48:34
Speaker 4: side effect. And that's why I really stress about the
48:39
Speaker 4: patient doctor relationship. We know that side effects and complications happen.
48:45
Speaker 4: For the vast, vast majority of cases, it is not
48:47
Speaker 4: because of negligence or something wrong that the surgeon or
48:52
Speaker 4: doctor did. It's just, it's part of the numbers game, right?
48:56
Speaker 4: 10% of people are going to get infections. And that
49:00
Speaker 4: is really the test of the relationship between the doctor
49:04
Speaker 4: and the patient is how well you can handle that
49:07
Speaker 4: complication together. And I think a big problem doctors have
49:12
Speaker 4: is a lot of times we put our head in
49:14
Speaker 4: the sand and we don't want to acknowledge that something
49:18
Speaker 4: is wrong, right? Sometimes it's fear of being sued. Sometimes
49:23
Speaker 4: there's a lot of reasons why they may not. But
49:26
Speaker 4: in the end, we're only doing detriment to the patient
49:30
Speaker 4: by not acknowledging it and acting on it. I mean,
49:32
Speaker 4: I just saw a patient who She had surgery on
49:36
Speaker 4: her wrist. She developed something called complex regional pain syndrome
49:40
Speaker 4: or CRPS, which is one, if not the most painful
49:45
Speaker 4: conditions that is known to man. They call it the
49:48
Speaker 4: suicide disease. It's your body. Your brain is telling your
49:52
Speaker 4: or your body's telling your brain that your hand is
49:53
Speaker 4: on fire, but it's not on fire. Right. And this
49:57
Speaker 4: patient had surgery. She had all the classic symptoms. And
50:00
Speaker 4: it wasn't until six months later that they even acknowledged surgery.
50:05
Speaker 4: That she could be having CRPS. Right. When this happened
50:08
Speaker 4: two weeks after surgery. So she and all this time
50:11
Speaker 4: she's thinking she's crazy. Right. I swear I'm having like
50:16
Speaker 4: you don't believe me. And that's, I think, really the
50:20
Speaker 4: biggest problems is getting the patients to be believed by
50:23
Speaker 4: their doctors in some of these cases.
50:25
Speaker 2: And do you feel that women are less believed?
50:28
Speaker 4: One hundred percent. That's one hundred percent. And it's not
50:33
Speaker 4: just even with male doctors. It's female doctors as well.
50:37
Speaker 4: It's it's the it's the system. And part of it
50:40
Speaker 4: is and I use the example all the time. But
50:44
Speaker 4: if you're a 50 year old woman, you go to
50:46
Speaker 4: the ER and you're complaining of some chest tightness and
50:48
Speaker 4: difficulty breathing. They're going to tell you you're having a
50:51
Speaker 4: panic attack and send you home. Versus if you're a
50:54
Speaker 4: 50-year-old man, you come in with chest tightness and chest pain,
50:58
Speaker 4: you're going to get an EKG, you're going to get
51:01
Speaker 4: a troponin level, and they're going to make sure you're
51:03
Speaker 4: not having a heart attack. But in reality, more women
51:07
Speaker 4: die of heart attacks than men. But if you close
51:11
Speaker 4: your eyes and you think, who is someone who's having
51:13
Speaker 4: a heart attack? It's Mr. Big.
51:17
Speaker 2: On the Peloton.
51:18
Speaker 4: Yeah. Right. That's that's who we've been conditioned to think
51:22
Speaker 4: of as who is having a heart attack. And so
51:25
Speaker 4: a part of it is just awareness for the general population.
51:28
Speaker 4: And there are so many symptoms or diseases that present
51:33
Speaker 4: differently in women than in men. like stroke, women are
51:37
Speaker 4: so much more likely, they may complain of like shoulder
51:40
Speaker 4: pain or back pain or a headache, right? They may
51:44
Speaker 4: not present with the classic droopy face and, you know,
51:48
Speaker 4: weakness in the arms and legs. So part of it
51:51
Speaker 4: is educating the general population. Some of it is undoing
51:56
Speaker 4: some of the bias that we as physicians have been taught, right?
52:01
Speaker 4: And this all boils back to women weren't even included
52:05
Speaker 4: in research studies until 1993, in part because of, and
52:09
Speaker 4: you mentioned it, kudos for you for knowing this, but
52:12
Speaker 4: that those thalidomide, you know, debacle, and for your audience
52:17
Speaker 4: who may not know, I believe it was in either
52:19
Speaker 4: the 50s or 60s, they came out with a new
52:21
Speaker 4: medication to help with morning sickness in women. The medication
52:26
Speaker 4: was primarily rolled out in Europe first. And so that's
52:29
Speaker 4: why there's not as many American women. But what happened
52:33
Speaker 4: is that the babies who were born were born with
52:35
Speaker 4: limb deformities. It looks like they have a flipper for
52:39
Speaker 4: their limbs. And this was an unknown, it's called teratogenic
52:44
Speaker 4: side effect, an effect on the fetus. And so because
52:48
Speaker 4: they said, well, we never want to repeat that and
52:51
Speaker 4: have anything that could potentially harm a baby, they just said,
52:55
Speaker 4: no more women. We're not even we're not even putting
52:58
Speaker 4: them in the pool. And unfortunately, that had significant repercussions
53:05
Speaker 4: that we are still dealing with to this day.
53:07
Speaker 2: I mean, correct me if I'm wrong, but I always
53:09
Speaker 2: remember that from years ago when, you know, someone would say,
53:13
Speaker 2: you know, men always say don't get hysterical. And the
53:15
Speaker 2: word hysterical comes from hysterectomy. that's, I don't know if
53:20
Speaker 2: that's right, but that I always thought, yeah, it's, it's,
53:23
Speaker 2: you know, a guy can, you know, get angry or,
53:28
Speaker 2: you know, want to do or stand up for whatever,
53:31
Speaker 2: but a woman it's, oh my God, don't get hysterical.
53:34
Speaker 2: And then you immediately are like, so, I mean, in any, it's,
53:38
Speaker 2: it is that kind of bias and it is that
53:40
Speaker 2: kind of thing of just like, oh, of course, you know,
53:42
Speaker 2: how women react to things differently. And yeah, I mean,
53:45
Speaker 2: when you just think about how much is spent On
53:49
Speaker 2: Viagra and making sure that men in their 60s can
53:54
Speaker 2: still fuck their third wife. That's an important thing. But
53:58
Speaker 2: women going through menopause. I feel only recently, like you said,
54:03
Speaker 2: the MIDI stuff that now people are like, you know,
54:06
Speaker 2: with me there, my friends are like, you know, we
54:08
Speaker 2: had a birthday party and I was like, all we
54:10
Speaker 2: did was talk about AI in our businesses and menopause.
54:14
Speaker 2: And I was like, finally, by the third night, I say,
54:17
Speaker 2: can we just like stop? Cause they were just like, Heather,
54:20
Speaker 2: I can't believe you are not anything like you. How
54:22
Speaker 2: are you sleeping? And how could you not be on
54:24
Speaker 2: the the pellets and the peptides and the blah, blah, blah, blah.
54:27
Speaker 2: And I'm like, well, I don't know. Like right now
54:29
Speaker 2: I feel fine, but no, no, it's more than that.
54:32
Speaker 2: Like it'll protect your heart, your brain and did it.
54:35
Speaker 2: And I was like, it can be really overwhelming too.
54:37
Speaker 2: And I'm like, now I don't even know where to start. Like,
54:40
Speaker 2: I don't even know what to start, you know, of
54:42
Speaker 2: what I'm supposed to be on or take. And like,
54:45
Speaker 2: what's before we conclude, cause I know you've got to go,
54:47
Speaker 2: you're so busy, but like, what is your advice to
54:50
Speaker 2: women who, who maybe are in menopause, but they don't
54:53
Speaker 2: really have any symptoms, but they, by not taking something,
54:57
Speaker 2: it might not be good in the future, which is
54:59
Speaker 2: kind of me. Like I've had a pretty easy, haven't
55:02
Speaker 2: had my period. I was so happy for the period
55:04
Speaker 2: to be over with. Like, I think it's the greatest
55:06
Speaker 2: thing about getting older is that we don't get our
55:08
Speaker 2: periods and we can't get pregnant. I think that is
55:10
Speaker 2: the best thing that is not celebrated enough. And that
55:15
Speaker 2: 60-year-old ex-husband can have to start a whole new family
55:18
Speaker 2: with some OnlyFans bimbo. So I love it and I'm
55:22
Speaker 2: fine with it. But I'm like, oh, my God, I
55:25
Speaker 2: guess I should be taking all this stuff. And then
55:27
Speaker 2: people say, no, don't take that stuff because if you
55:29
Speaker 2: don't need it, then it can cause breast cancer. And like,
55:32
Speaker 2: what's your advice?
55:33
Speaker 4: So I will say something that is– This research has
55:39
Speaker 4: been debunked, which is that taking estrogen causes breast cancer.
55:43
Speaker 4: That is a study that was debunked many years ago.
55:46
Speaker 4: But unfortunately, because that is just in the lexicon of,
55:49
Speaker 4: you know, people still think that that that's number one.
55:53
Speaker 4: Number two is I go back to we just have
55:56
Speaker 4: not dedicated the research dollars and the research manpower or womanpower.
56:02
Speaker 4: to study things that are important to us. So for example,
56:06
Speaker 4: you just talked about the great benefit of not having
56:10
Speaker 4: a period anymore, which is what people think of, like, oh,
56:12
Speaker 4: thank God, I don't have to use a tampon anymore.
56:15
Speaker 4: I'm not gonna get pregnant. But the problem with now
56:20
Speaker 4: not having estrogen is what we are only now kind
56:24
Speaker 4: of really learning about. And this is what your friends
56:26
Speaker 4: were telling you about protecting bone health, protecting brain health. OK,
56:32
Speaker 4: we have known forever that women are affected. I think
56:36
Speaker 4: it's two to one for dementia. All right. Why is that? Why?
56:40
Speaker 4: Why is that? Well, only now are we understanding that
56:45
Speaker 4: there is a protective effect of estrogen. And it makes sense.
56:49
Speaker 4: When we go into menopause, we have lost the ovaries.
56:51
Speaker 4: They're just little estrogen factors, right? So we've lost the
56:55
Speaker 4: protective effect. Same thing. Why are older women at such
57:00
Speaker 4: increased risk for breaking a bone when they fall? It's
57:03
Speaker 4: because they've lost that protective estrogen effect. So- Again, I'm
57:09
Speaker 4: not the expert. I'm an orthopedic surgeon and I'm not
57:12
Speaker 4: the hormonal expert. But I think the problem is that
57:17
Speaker 4: if you just go to your general practitioner or your
57:22
Speaker 4: general OBGYN who is not in the habit and practice
57:26
Speaker 4: of prescribing hormone replacement therapy or other peptides or whatnot,
57:34
Speaker 4: you're never going to get it. Um, so it's kind of,
57:38
Speaker 4: and unfortunately now it's being branded as like longevity. Um,
57:44
Speaker 4: but it's in essence preventative medicine and it's kind of
57:48
Speaker 4: a hard ask for people. You're a perfect example. You're like,
57:52
Speaker 4: I feel great. I feel fine. Why would I mess
57:55
Speaker 4: with this? Why would I add something that's more complex?
57:58
Speaker 4: And it's, we're asking you to take a leap of
58:00
Speaker 4: faith to do something that's going to protect you in
58:03
Speaker 4: the future. But, you know, don't just take it because
58:08
Speaker 4: whoever the influencer of the day showed up on your FYP. Right.
58:13
Speaker 4: I think it's about having going back to that foundational
58:16
Speaker 4: relationship with your primary care provider and ask them. Do
58:23
Speaker 4: you have experience with prescribing hormone replacement therapy? And if
58:27
Speaker 4: they say no, then that's not the right person to
58:31
Speaker 4: talk to about hormone replacement therapy. Anyone who has experience
58:36
Speaker 4: with that, they should be able to tell you whether
58:38
Speaker 4: you are a candidate or if you are not a candidate. Right.
58:42
Speaker 4: You don't want to go somewhere where they're putting everybody
58:45
Speaker 4: on something. OK, that's not right either. So you want
58:48
Speaker 4: to go someone who is reputable, who is board certified. And,
58:54
Speaker 4: you know, this is not an ad for Mitty, but
58:56
Speaker 4: I just I know that that is kind of their
58:58
Speaker 4: wheelhouse for women who are in perimenopause and menopause. And
59:03
Speaker 4: it's at least clinician backed. So for me that I
59:07
Speaker 4: have much more comfort in recommending people to go to
59:10
Speaker 4: those sources than just, you know, whatever you see on
59:14
Speaker 4: on social media.
59:14
Speaker 2: Well, I appreciate this is so great. My last question is,
59:18
Speaker 2: Would you ever want to be like the female Dr.
59:22
Speaker 2: Oz and do like a TV show? Have you been approached?
59:25
Speaker 4: I am filming a pilot next Friday. Um, and yes,
59:30
Speaker 4: so I, but I will, I will say that, um,
59:33
Speaker 4: I the platform that I built to feel better, which
59:36
Speaker 4: isn't launched yet, but it is meant to be that
59:39
Speaker 4: safe and trusted place. And where I think Oz got
59:43
Speaker 4: it right is that he was really distilling complex medical
59:47
Speaker 4: topics into simple, digestible, engaging ways. But where he kind
59:54
Speaker 4: of went wrong was that he got into the recommending
59:58
Speaker 4: the supplements and whatnot and turned it more, I would say,
1:00:01
Speaker 4: into a business plan. proposition. So I tell everyone, question
1:00:06
Speaker 4: the motive of the source. And for right now, my
1:00:09
Speaker 4: focus is on medical education and patient advocacy.
1:00:12
Speaker 2: Well, I hope it goes. And I love where your
1:00:16
Speaker 2: career went and that you, you know, I'm sure you
1:00:19
Speaker 2: still do surgeries and whatnot, but how lovely that like,
1:00:23
Speaker 2: you're able to have this great platform. You're now an
1:00:26
Speaker 2: author and hold up your book again and tell everybody
1:00:29
Speaker 2: where they can get it. Cause it's really juicy. And
1:00:32
Speaker 2: it's fun and it's not dry like your vaginal walls.
1:00:37
Speaker 2: If you're of a certain age, it is a good,
1:00:40
Speaker 2: a good read.
1:00:43
Speaker 4: You know, the quotes by the author, not dry like
1:00:45
Speaker 4: your vaginal walls.
1:00:46
Speaker 5: I love that.
1:00:47
Speaker 4: No, thank you. And that was anyone who has read
1:00:50
Speaker 4: the book tells me that it's such a quick read
1:00:53
Speaker 4: and a fun read. And I wrote it to be
1:00:56
Speaker 4: like chicken soup. suit for the soul style so that
1:00:59
Speaker 4: you could just read one chapter. If you're like me,
1:01:01
Speaker 4: I've got like 20 books in my nightstand where I've
1:01:03
Speaker 4: read one chapter each of all the books. Um, and
1:01:07
Speaker 4: it is, it is juicy in that it is a
1:01:09
Speaker 4: real insider's look, you know, behind the curtain at the hospital. Um,
1:01:14
Speaker 4: you know, fun fact, this has already been optioned for television.
1:01:17
Speaker 4: So hopefully it is your next Grey's Anatomy or pit.
1:01:20
Speaker 2: Who could you see playing you?
1:01:22
Speaker 4: That is a great question.
1:01:24
Speaker 2: Um, Because if you're not watching this, she's very attractive.
1:01:28
Speaker 2: She has blue eyes.
1:01:31
Speaker 4: I'll tell you someone who I spoke to, but we
1:01:33
Speaker 4: ended up not being able to make it work was
1:01:36
Speaker 4: Emma Roberts. So Emma Roberts was interested in playing me.
1:01:41
Speaker 4: But yeah, well, I'll tell you one thing. My husband
1:01:43
Speaker 4: wants Ryan Phillippe to play him. So....
1:01:48
Speaker 2: Well, I also should know when they follow your story
1:01:54
Speaker 2: and you have to do a podcast interview with an
1:01:57
Speaker 2: inappropriate host, I hope that you actually use me and
1:02:01
Speaker 2: I will be available. So there you go.
1:02:04
Speaker 4: 100%.
1:02:04
Speaker 2: Or diagnose my fainting on stage. That could be an episode.
1:02:08
Speaker 2: And I'd like to play myself. They get some young girl.
1:02:12
Speaker 2: Like one time I was on Celebrity Ghost Stories. And
1:02:17
Speaker 2: I'll be honest, I don't really think I had a ghost,
1:02:19
Speaker 2: but they asked me if I had a ghost story
1:02:20
Speaker 2: and they were going to pay me $ 6, 000 and my
1:02:22
Speaker 2: kids were in Catholic school and that's expensive. So I
1:02:26
Speaker 2: kind of exaggerated how scared I was. And as I
1:02:29
Speaker 2: told the story, they had people, they had a person
1:02:32
Speaker 2: like reenacting doing standup who just, I'm sorry, was not
1:02:35
Speaker 2: cute enough, was not cute enough. So if you're not
1:02:39
Speaker 2: going to use the real me, I will send you
1:02:41
Speaker 2: a list of, um, pretty women that I would like
1:02:44
Speaker 2: to play me.
1:02:46
Speaker 4: You've got them on speed dial. Yeah, yeah.
1:02:48
Speaker 2: Thank you so much. And you can follow her at
1:02:51
Speaker 2: Little Miss Diagnosed everywhere and get the book. Thank you
1:02:55
Speaker 2: so much, Erin. I appreciate it.
1:02:57
Speaker 1: Dr.
1:02:58
Speaker 2: Erin, I appreciate it. Thank you.
1:03:00
Speaker 4: Thank you, Heather.
1:03:02
Speaker 3: They think you're done for the day, but they don't
1:03:04
Speaker 3: know about the drawer. The drawer. Just the one square
1:03:10
Speaker 3: before bed.
1:03:12
Speaker 2: Or two, you know.
1:03:15
Speaker 3: Nobody's watching.
1:03:16
Speaker 2: You deserve a treat.
1:03:21
Speaker 3: With eight flavours to choose from, you can choose the
1:03:23
Speaker 3: flavour you favour with Cadbury Dairy Milk.