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Transcript

Strength in the Struggle: The Fight against Flare-Ups · Skinquiries

0:03
Speaker 1: Growing up, Janelle Rodriguez always felt a disconnect between the
0:06
Speaker 1: life that she wanted and the life she was living,
0:09
Speaker 1: all because of a chronic skin condition.
0:12
Speaker 2: I would have played sports in high school, like I have,
0:14
Speaker 2: like this competitive nature to me.
0:15
Speaker 3: Probably would have joined a dance team.
0:16
Speaker 2: I love to dance, but I wouldn't do these things
0:19
Speaker 2: because I was so afraid of showing my skin having
0:22
Speaker 2: to wear a certain uniform. And so as the years
0:25
Speaker 2: were passing and I keep missing out on opportunities, missing
0:28
Speaker 2: out on things. Eventually, when I finished high school, I
0:31
Speaker 2: felt like those years kind of passed by and I
0:34
Speaker 2: experienced a lot of the things I would have wanted to.
0:36
Speaker 1: Plaque siasis is not just a skin condition. It's a
0:40
Speaker 1: visible barrier that can hold you back from living your
0:42
Speaker 1: life to the fullest. But as we'll hear from Janelle,
0:45
Speaker 1: with the right mindset, treatments and lifestyle adjustments, it doesn't
0:49
Speaker 1: have to Hi, guys, and welcome. I'm so glad you're here.
0:56
Speaker 1: I'm Nicole Berry and this is Skin Queries, a show
1:00
Speaker 1: all about our skin and its health as.
1:02
Speaker 4: We grow in age.
1:03
Speaker 1: Our skin is really a record of a life well lived,
1:06
Speaker 1: because there isn't one body part that I could think
1:08
Speaker 1: of that reflects our well being as clearly as our skin.
1:11
Speaker 1: So let's go on this journey together to really understand
1:14
Speaker 1: what's going on with our skin. Let's unravel the mysteries
1:17
Speaker 1: happening inside and out. Today we're talking about an inflammatory condition, placksoriasis.
1:30
Speaker 1: I can't believe this is the last episode of this
1:32
Speaker 1: season of Skin Queries. We've talked so much about the skin,
1:36
Speaker 1: whether it's nutrition, extreme temperatures, aging the sun, even my
1:40
Speaker 1: own husband's story about how stress has affected him physically.
1:44
Speaker 1: As you know, Nick has placksoriasis and it flares when
1:47
Speaker 1: he gets stressed. And one of the biggest things I
1:50
Speaker 1: learned about our journey together is that it's so important
1:53
Speaker 1: to empathize, be present, and listen.
1:56
Speaker 4: So that's what we're going to do today.
1:58
Speaker 1: Listen because Janelle read Vegas has a story to tell.
2:01
Speaker 1: It's about what it was like growing up with severe
2:04
Speaker 1: psoriasis and how she learned to cope through acceptance and
2:08
Speaker 1: community building. We're also going to hear from doctor Memina
2:11
Speaker 1: to Regano about placksoriasis and how to treat it. According
2:15
Speaker 1: to the National Psoriasis Foundation, placsoriasis affects about eight million
2:20
Speaker 1: people in the United States alone. It's one of the
2:23
Speaker 1: most common autoimmune diseases out there. First, here's Janelle. She
2:28
Speaker 1: was diagnosed with psoriasis at just four years old.
2:32
Speaker 2: I think the first place was my cheek, and I
2:35
Speaker 2: don't have too much of a memory of what that
2:38
Speaker 2: was like. Once it started to surface on my skin.
2:42
Speaker 2: I think my mother had to take action very quickly
2:44
Speaker 2: to meet with a dermatologist, especially because it surfaced around
2:48
Speaker 2: the time that I was starting school and with it
2:51
Speaker 2: kind of looking like chicken pox, for example, because of
2:54
Speaker 2: all the spots, there was always a concern even if
2:57
Speaker 2: they would say, like, it's not contagious, but they needed
3:00
Speaker 2: like some sort of medical record to prove.
3:02
Speaker 1: That, and so were they able to diagnose you with plaxorisis.
3:07
Speaker 2: I know at some point they did have to get
3:10
Speaker 2: like a piece of my skin, and I can't forget
3:13
Speaker 2: that because it was so painful when they removed like
3:16
Speaker 2: a chunk of it.
3:17
Speaker 3: I still have like the scar on my leg.
3:18
Speaker 5: Wow.
3:19
Speaker 2: And I think from there it was like a for
3:22
Speaker 2: sure it's placorisis. And with plaxorisis, it surfaces kind of everywhere,
3:28
Speaker 2: at least for me, like I got it on my elbows, knees,
3:32
Speaker 2: and the spots they appeared very small, but they started
3:34
Speaker 2: to kind of grow in time, and you know, they
3:36
Speaker 2: get very flaky. So I think with just seeing it visibly,
3:39
Speaker 2: you can tell what it is, but then having that
3:42
Speaker 2: biopsy was kind of like confirming its psoriasis.
3:45
Speaker 1: Janelle was given a prescription, but having a visible condition
3:48
Speaker 1: put her in a lot of uncomfortable situations.
3:51
Speaker 2: I got a lot of attention in elementary school where
3:56
Speaker 2: my pleasorisis it's also on my scalp as well, so
4:00
Speaker 2: I had some experiences where a teacher would like pull
4:03
Speaker 2: me out of class so that I could see the nurse,
4:06
Speaker 2: and if they didn't have like a letter from the doctor,
4:09
Speaker 2: they would send me home. So very early on, I
4:11
Speaker 2: started to have experiences where I just noticed it brought
4:14
Speaker 2: some sort of attention to me. It wasn't always positive,
4:17
Speaker 2: and little by little I started to take it very
4:20
Speaker 2: personally as I started getting older, and you know, growing
4:23
Speaker 2: up in New York, a lot of times like we
4:25
Speaker 2: would go to public pools and I was getting ready
4:28
Speaker 2: to go to a pool. Then when they saw me,
4:30
Speaker 2: they kind of started to question, you know, was this contagious.
4:34
Speaker 2: Can she come into the pool and swim with other people?
4:36
Speaker 2: And I remember my oldest sister getting like upset, and
4:39
Speaker 2: my sisters would always come to my defense of this
4:41
Speaker 2: would happen, So I kind of always felt very protected.
4:45
Speaker 1: According to a study in the Journal of the American
4:48
Speaker 1: Academy of Dermatology, sarria sis carries such a huge amount
4:52
Speaker 1: of stigma, and many people have the misconception that it's
4:55
Speaker 1: contagious and infectious, which of course it is not. Thankfully,
4:59
Speaker 1: Janelle had her older sisters to protect her and look
5:01
Speaker 1: out for her, but that didn't last long. When she
5:04
Speaker 1: started in middle school, Janelle was left to face that
5:07
Speaker 1: judgment and stigma on her own.
5:10
Speaker 2: So I moved to Florida when I was about almost
5:13
Speaker 2: twelve years old. And I'm living in a state now
5:15
Speaker 2: where it's hot every day.
5:17
Speaker 3: Right, But now I'm.
5:19
Speaker 2: Going to school wearing like short sleeves, capris, maybe a skirt.
5:22
Speaker 2: And now I'm realizing I'm more conscious, like I'm more
5:25
Speaker 2: aware of my surroundings. And I would notice how kids
5:29
Speaker 2: would look at me. I would get a lot of
5:30
Speaker 2: comments about what is that, or it would be compared
5:34
Speaker 2: to something, and little by little I started to get
5:38
Speaker 2: very insecure about my skin.
5:40
Speaker 1: I think we're so self consciousnessed teeths regardless of what's
5:43
Speaker 1: going on, you know. And to add that on top
5:45
Speaker 1: of it, how did that affect your confidence?
5:48
Speaker 2: I just remember I wanted to the best way I
5:52
Speaker 2: can explain it is like I want to blend in.
5:54
Speaker 2: I don't want to draw too much attention to me
5:57
Speaker 2: where people can see my skin and ask me questions.
6:00
Speaker 2: And here in Florida, when we experienced a cold front
6:04
Speaker 2: and I wore like a sweater to school and long pants,
6:08
Speaker 2: I remember how safe I felt. And that's like the
6:11
Speaker 2: best way that I can describe how I started to
6:14
Speaker 2: kind of isolate and hide my skin. It was because
6:17
Speaker 2: for the first time, like I could sit on my
6:19
Speaker 2: desk and not not be afraid to show my arms
6:22
Speaker 2: and things like that. And over the years that affected
6:25
Speaker 2: my confidence because I started to really hide myself and
6:29
Speaker 2: isolate and I was hiding something that's a big part
6:33
Speaker 2: of who I am.
6:34
Speaker 4: And this insecurity made her miss out on a lot.
6:38
Speaker 2: Like I would have been someone that I would have
6:40
Speaker 2: played sports in high school, like I have like this
6:42
Speaker 2: competitive nature to me, probably would have joined a dance
6:44
Speaker 2: team I love to dance, but I wouldn't do these
6:47
Speaker 2: things because I was so afraid of showing my skin
6:49
Speaker 2: having to wear a certain uniform. And so as the
6:53
Speaker 2: years were passing and I keep missing out on opportunities,
6:56
Speaker 2: missing out on things. Eventually, when I finished high school,
6:59
Speaker 2: I felt like those years kind of passed by and
7:02
Speaker 2: I didn't.
7:03
Speaker 3: Experience a lot of the things I would have wanted.
7:05
Speaker 1: To got to today. And Janelle is so much more
7:08
Speaker 1: comfortable in her skin. But funny enough, that did not
7:11
Speaker 1: come from any improvement to her skin. It was the
7:13
Speaker 1: determination to change her mindset.
7:17
Speaker 2: So when I was twenty and I remember I was
7:20
Speaker 2: getting ready to move. I was moving to New York,
7:23
Speaker 2: and I was like really looking forward to the summer,
7:25
Speaker 2: like my skin was clearing up. I was thinking about
7:28
Speaker 2: all the things I was going to wear, and I
7:29
Speaker 2: was so excited for that. I was waiting for like
7:31
Speaker 2: that clear skin moment to like finally show up in
7:34
Speaker 2: the world as I wanted to.
7:36
Speaker 3: And right before I moved, I went through one of.
7:39
Speaker 2: The worst flares that I've ever had, and it was
7:42
Speaker 2: just like such a letdown for me, and I felt
7:44
Speaker 2: like defeated in a way, like I was really looking
7:46
Speaker 2: forward to that, and I remember that's kind of when
7:49
Speaker 2: I had my AHA moment, was because I was just
7:52
Speaker 2: so devastated by that and I felt defeated and that
7:56
Speaker 2: I kind of questioned myself, like I reflected on like
7:59
Speaker 2: the past six years and how I've lived, and I
8:02
Speaker 2: kind of asked myself, like do I want to continue
8:04
Speaker 2: living this way?
8:05
Speaker 3: And I kind of made myself a promise.
8:06
Speaker 2: I'm like, I can't keep living like this, Like I
8:08
Speaker 2: can't keep hiding and waiting for the perfect moment to
8:11
Speaker 2: dress the way that I want to do the things
8:13
Speaker 2: that I want. So when I moved I started to
8:16
Speaker 2: kind of challenge myself then to really just take it
8:19
Speaker 2: as a fresh start and to wear the things that
8:22
Speaker 2: I want.
8:22
Speaker 3: And it was hard.
8:24
Speaker 2: I had so many triggers, as you can imagine, like
8:26
Speaker 2: sitting in a train and you know, my legs are
8:28
Speaker 2: covered in it, my face and people could just stare
8:31
Speaker 2: at you.
8:31
Speaker 3: But it was like the.
8:33
Speaker 2: Best decision because that kind of helped me to then
8:35
Speaker 2: kind of move forward to where I am today.
8:38
Speaker 1: It's so inspiring to hear this revelation because Janelle made
8:42
Speaker 1: the decision to not let her skin hold her back.
8:45
Speaker 4: Anymore. And what's even more, she now helps.
8:47
Speaker 1: Others who are going through the same thing by sharing
8:50
Speaker 1: her experience with psoriasis online. In fact, Janelle has cultivated
8:54
Speaker 1: a whole community, which, as my next guest will tell you,
8:57
Speaker 1: is so important when it comes to feeling better.
9:00
Speaker 4: I can't wait for you to hear.
9:01
Speaker 1: What she has to say right after this break, Welcome
9:13
Speaker 1: back to skin Qureise. Earlier, Janelle shared her journey with
9:16
Speaker 1: plaxoriasis and how she learned to feel comfortable within her
9:20
Speaker 1: own skin even when she's going through a flara. Now
9:23
Speaker 1: let's get into the science behind soriasis treatments and therapies.
9:27
Speaker 1: I'd like to introduce doctor Mamina to Regano.
9:30
Speaker 6: Hi.
9:30
Speaker 5: They're nice to meet you.
9:32
Speaker 4: Thank you for taking the time to chat with us.
9:35
Speaker 1: I would love for you to kick it off and
9:37
Speaker 1: introduce yourself and tell us a little bit about your practice.
9:41
Speaker 6: I am a triple board certified dermatologist, internist, and dermatic pathologist.
9:46
Speaker 5: I am based in New Orleans, Louisiana.
9:49
Speaker 6: I see the full gamut, including medical dermatology and some
9:54
Speaker 6: cosmetic dermatology as well.
9:56
Speaker 4: So let's start with plaquorisis.
10:00
Speaker 1: Can you explain what that is, and how does that
10:04
Speaker 1: differ from other types of psoriasis.
10:06
Speaker 6: Yes, well, placksoriasis is probably what we traditionally know as psoriasis,
10:12
Speaker 6: and it shows up on the skin as these usually
10:16
Speaker 6: like thick, scaly, pinkish red plaques. They love the elbows
10:21
Speaker 6: and knees, but they also can certainly occur everywhere on
10:26
Speaker 6: the body. The scalp is another common area I see
10:29
Speaker 6: off it on the back, like lower back, like above
10:31
Speaker 6: the buttock area. It can be pretty debilitating for a
10:34
Speaker 6: lot of people in terms of its appearance. It can
10:37
Speaker 6: be itchy, but I think the appearance is what really
10:40
Speaker 6: affects people the most.
10:41
Speaker 4: So is plackariasis.
10:44
Speaker 1: Is it a symptom of something else or is it
10:47
Speaker 1: something that stands alone.
10:48
Speaker 6: Yeah, I almost look at psoriasis as kind of like
10:51
Speaker 6: the canary in the coal mine, and so in a way,
10:54
Speaker 6: and this might sound crazy to people, but in a
10:57
Speaker 6: way could almost be a blessing if you have psoriasis,
11:01
Speaker 6: you notice any sort of psoriasis forming on your body,
11:04
Speaker 6: because it can be an indication that there is internal inflammation.
11:09
Speaker 6: So internal inflammation that potentially can transform into concerning cardiometabolic
11:14
Speaker 6: conditions like heart disease, stroke, diabetes, and it's almost like
11:20
Speaker 6: a warning sign when you see zoriasis, like, hey, your
11:23
Speaker 6: body's inflamed. Let's try to Let's try to do what
11:27
Speaker 6: we can to decrease that inflammatory load so that bad
11:30
Speaker 6: things don't happen in the future.
11:32
Speaker 1: According to the National Library of Medicine, inflammation is your
11:36
Speaker 1: body's response to an irritant. It's trying to fight something
11:39
Speaker 1: foreign in your body. Some sides of inflammation could be redness, swelling, overheating, even.
11:46
Speaker 4: Loss of function.
11:47
Speaker 1: Think about when you have a fever or can't smell,
11:50
Speaker 1: when you have a cold. When you have psoriasis, your
11:52
Speaker 1: T cells, which is a type of white blood cell,
11:55
Speaker 1: can become overactive and actually attack.
11:58
Speaker 4: Your skin by mistake.
12:00
Speaker 1: Amina says that there are certain things that you can
12:02
Speaker 1: do to try and decrease that inflammatory load.
12:06
Speaker 6: So if somebody has psoriasis, I do some counseling, and
12:10
Speaker 6: there's like certain lifestyle changes with your diet, exercise. There
12:14
Speaker 6: are certain supplements that can be helpful when it comes
12:16
Speaker 6: to diet. The most compelling evidence that is out there
12:20
Speaker 6: is with a Mediterranean based diet that has been shown
12:23
Speaker 6: to be helpful for people with psoriasis.
12:27
Speaker 1: I'm actually wondering at what point should someone actually go
12:31
Speaker 1: see a dermatologist. Is seeing a dermatologist the best place
12:34
Speaker 1: to start.
12:35
Speaker 6: I think that if the rash is pretty minimal, if
12:38
Speaker 6: it's if it's one or two plaques and you are
12:41
Speaker 6: using an over the counter hydrocortisone it resolves, you know,
12:46
Speaker 6: and nothing recurs, you can probably lay low. But if
12:50
Speaker 6: it resolves and it recurs, or if it's not resolving,
12:53
Speaker 6: or if you're getting more plaques or patches on the body,
12:57
Speaker 6: definitely something to see a dermatologist. And psoriasis can be
13:02
Speaker 6: a pretty easy diagnosis to make visually, but there are
13:05
Speaker 6: some subtleties to it, and if it doesn't fully fit
13:09
Speaker 6: with psoriasis, oftentimes dermatologists will do a biopsy. And that's
13:14
Speaker 6: important because there are a lot of other skin conditions
13:17
Speaker 6: out there not as common, but there are skin conditions
13:20
Speaker 6: out there that can look like zoriasis, and you would
13:23
Speaker 6: want to make sure that you have the right diagnosis.
13:26
Speaker 1: What are some of the treatments conventionally that someone can
13:29
Speaker 1: address their psoriasis?
13:30
Speaker 6: So for very mild soriasis, we will all these treatments
13:34
Speaker 6: are like anti inflammatory, So when it comes to creams,
13:37
Speaker 6: we do a lot of topical steroid creams. They're anti inflammatory, okay,
13:41
Speaker 6: and they're fine for intermittent use, but they're not long term.
13:44
Speaker 6: When people start to get more extensive psoriasis or if
13:47
Speaker 6: it's just hard to manage, like when it's in the scalp,
13:49
Speaker 6: it gets to be a pain to put creams or
13:51
Speaker 6: solutions in the scalp and shampoos consistently, so that's when
13:55
Speaker 6: systemic therapies will play a big role. There are newer
13:59
Speaker 6: oral betas which are considered more immunomodulatory, so not immunosuppressive.
14:05
Speaker 6: So in a way, I like those for people who
14:07
Speaker 6: need systemic therapy, but they're concerned about like the immune
14:09
Speaker 6: suppressing effects of some of these systemic agents, so this
14:13
Speaker 6: one is kind of like a nice like stepping stone.
14:16
Speaker 6: And then there's the injectibles, which we call biologics, and
14:21
Speaker 6: these are essentially like antibodies that bind to certain inflammatory
14:26
Speaker 6: markers or receptors that play a role in psoriasis, and
14:30
Speaker 6: you know, once again considered immune suppressive. And now there's
14:34
Speaker 6: just been a whole slew of newer ones that are
14:36
Speaker 6: I would say, more specific for people with I would
14:38
Speaker 6: say at least ten percent body surface area or higher
14:41
Speaker 6: or really bad scalp or palmer plant orsoriasis.
14:45
Speaker 5: They would be good candidates.
14:51
Speaker 1: How do your patients usually react when you finally diagnose
14:54
Speaker 1: them and get them on a treatment plan.
14:56
Speaker 5: I think people feel hope.
15:00
Speaker 2: Hmm.
15:01
Speaker 5: They are like there's a sense of relief.
15:03
Speaker 6: There's a sense of hope, And I think that that's
15:07
Speaker 6: really important too, to like take that mental burden, that
15:10
Speaker 6: stress of dealing with the disease on their own, telling
15:14
Speaker 6: them we got you. There's so many great treatments for it.
15:17
Speaker 6: Because the stress surrounding the disease can also aggravate the disease.
15:23
Speaker 6: We do have legitimate studies that show that stress increase psoriasis.
15:27
Speaker 6: Just having a plan, an action plan, I think relieves
15:31
Speaker 6: that stress. And then when the patients return and their
15:33
Speaker 6: psoriasis is better, and like could just see the confidence shift.
15:38
Speaker 5: Yeah, you could see that they're just like.
15:40
Speaker 6: Beaming with more joy and they're enjoying life more, which
15:44
Speaker 6: is so fulfilling. But yeah, there's definitely a big mental
15:47
Speaker 6: aspect when it comes to treating psoriasis.
15:50
Speaker 1: I know firsthand that stress can be a common trigger
15:53
Speaker 1: when it comes to psoriasis. In a recent episode about
15:56
Speaker 1: stress and skin, we talked about how it affects my
15:59
Speaker 1: husband with his flare ups. So managing stress is actually
16:03
Speaker 1: such an important part of the treatment plan.
16:05
Speaker 6: So just setting aside like sixty seconds and just noticing
16:09
Speaker 6: your breath for those like sixty seconds, like setting up
16:12
Speaker 6: timer and just noticing your breath work. And then the
16:15
Speaker 6: other thing is community, like making sure that you are
16:20
Speaker 6: in touch with those loved ones around you, staying in
16:23
Speaker 6: communication with them, whether it's family, friends, but being involved
16:27
Speaker 6: in community.
16:29
Speaker 1: And what would your message be to someone who is
16:31
Speaker 1: feeling isolated or discouraged because of their skin condition.
16:35
Speaker 6: I first want to encourage people that it's it's not
16:39
Speaker 6: their fault, and also want to encourage people that they're
16:42
Speaker 6: not alone.
16:43
Speaker 5: It's so common.
16:44
Speaker 6: And there are so many great treatments, even like just
16:48
Speaker 6: from when I started practicing, over the last ten years,
16:52
Speaker 6: the amount of new treatment options there are for crisis
16:55
Speaker 6: has been amazing, And you don't have to live with
16:58
Speaker 6: this condition on your skin.
17:00
Speaker 1: Thank you, Mamina, Thank you so much for taking the
17:03
Speaker 1: time to chat.
17:04
Speaker 5: Oh my gosh, thank you so much for having me.
17:06
Speaker 5: I love talking about this.
17:08
Speaker 1: I love that doctor Mamina mentions the importance of community
17:11
Speaker 1: and support as we heard it's something that Janelle relied
17:14
Speaker 1: on when growing up.
17:16
Speaker 2: When I was a teenager, I did find a blog
17:19
Speaker 2: called Sarisis Secrets, and people would anonymously share experiences that
17:24
Speaker 2: they were having with crisis, for example, like the isolation,
17:28
Speaker 2: wearing sweaters in the summer, having to like dust off
17:30
Speaker 2: the scalp flakes that fall on your shoulder. That helped
17:34
Speaker 2: me so much to know I wasn't doing some of
17:36
Speaker 2: these things like on my own, that there were other
17:39
Speaker 2: people out there in the world that were experiencing the
17:41
Speaker 2: same thing and also dealing with it in the same way.
17:45
Speaker 2: I would definitely say that's top is really reaching out
17:49
Speaker 2: and talking about what you're experiencing and getting help if needed,
17:53
Speaker 2: and to really give yourself grace in this journey because
17:57
Speaker 2: it is difficult. Flares can really in a way impact
18:01
Speaker 2: you a lot, not just the physical but mentally, So
18:04
Speaker 2: it's so important to be graceful with yourself while you're
18:08
Speaker 2: in the process of figuring out what medication works for you,
18:12
Speaker 2: what lifestyle is going to look like.
18:14
Speaker 4: I love this advice.
18:15
Speaker 1: I'm sure that a lot of people are going to
18:17
Speaker 1: find that so helpful. Well, that is a wrap on
18:24
Speaker 1: this season of skin Queries. Thank you so much for
18:27
Speaker 1: joining me throughout all these episodes. I don't know about you,
18:31
Speaker 1: but I've learned so much so to really feel the
18:34
Speaker 1: most confident and at home in my skin, it's essential
18:37
Speaker 1: first to be present and accept everything that is happening
18:41
Speaker 1: to it. But that doesn't mean we are left to
18:43
Speaker 1: our own devices. On the contrary, we have so many
18:46
Speaker 1: resources to help our skin glow and be the best
18:49
Speaker 1: it can be. As always, it's important to care for
18:52
Speaker 1: our bodies inside and out.
18:54
Speaker 4: It means eat.
18:55
Speaker 1: Well, take care of ourselves, find resources to relax, find
18:59
Speaker 1: peace and enjoy. But if there's something specific that our
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Speaker 1: skin is calling for attention, never hesitate to reach out
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Speaker 1: and ask for help. Follow your intuition, be your own
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Speaker 1: advocate so you can feel your best, whatever that means
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Speaker 1: for you. Skin Queries is hosted by myself Nicole Berry,
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Speaker 1: An executive produced by Evon Sheehan.
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Speaker 4: Our senior producer is Tory Weldon.
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Speaker 1: Our junior producer is reem Al mcgrabi, with help from
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Speaker 1: Austin Johnson. The show is mixed and features original music
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Speaker 1: by Sam Sagan. The entire first season of skin Queries
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Speaker 1: is now available to binge on America's number one podcast network,
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Speaker 1: iHeart Listen in on the iHeartRadio app, Apple podcasts, or.
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Speaker 4: Wherever you get your podcasts, and we'd
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Speaker 1: Love to know what you think, so make sure to
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Speaker 1: leave a review until next time.