Latest / Libido Lounge / Safer Breast Cancer Screening: Discover the NEW Way Without Radiation or Pain

Transcript

Safer Breast Cancer Screening: Discover the NEW Way Without Radiation or Pain · Libido Lounge

• 0:00
  Welcome to the libido lounge.
• 0:02
  We focus on all things love, lust, and libido.
• 0:05
  We believe that fabulous sex is important to health as exercise and good food.
• 0:20
  Hi, everybody.
• 0:21
  Welcome back to another episode on the lounge.
• 0:24
  I'm your host, libido expert, doctor Diane Mueller, and I am so excited about this
• 0:30
  conversation today.
• 0:31
  I have with me a dear friend, doctor Yvonne Carney, and we are talking today about anxiety,
• 0:37
  libido, breast cancer, and more because one of the things doctor Yvonne and I were talking
• 0:42
  about offline is how much anxiety is such a key thing that can get in the way of a healthy sex
• 0:49
  drive.
• 0:50
  And what causes anxiety?
• 0:52
  So many things, but a huge thing for women is the dreaded mammograms, the dreaded breast
• 0:57
  cancer, the pain, the stress, all the things that come with this.
• 1:02
  And so I'm so excited to have this amazing woman here with me today, the gynecologist
• 1:08
  turned integrative practitioner.
• 1:11
  Welcome.
• 1:11
  Welcome.
• 1:11
  Welcome, my friend.
• 1:12
  I'm happy to be here with you today.
• 1:15
  Thank you, doctor Diane.
• 1:16
  It's my pleasure, and it's so great to be with you and talk to your tribe.
• 1:21
  Thanks.
• 1:22
  So I wanna let's start initially.
• 1:24
  We're gonna link this all to libido and link this all to solutions and imaging and problems
• 1:30
  with mammograms and benefits and gonna break down that whole thing.
• 1:34
  But I think you have a really interesting story of, being very traditional from a standpoint of
• 1:41
  gynecology and then becoming more, like, so holistic and more integrative in your approach.
• 1:46
  So can you tell us a little bit about your story and why you left that real traditional
• 1:53
  gynecological model?
• 1:54
  Absolutely.
• 1:55
  It is a story and it was not an easy leap for me to take.
• 1:59
  I was grounded and I really believed in the traditional approach.
• 2:04
  I was actually in the United States Air Force.
• 2:06
  I was a military doctor.
• 2:07
  So I was used to, you know, follow the rules, say, Yes, ma'am, Yes, sir, and do the
• 2:12
  algorithms, and I could quote all the studies about why we do what we do, randomized clinical
• 2:17
  trials.
• 2:19
  And when I got out of the military and started my own practice, you know, as I started really
• 2:25
  caring for more women, I realized that I didn't have answers for them when they would ask more
• 2:31
  questions.
• 2:32
  And so there was some moments of things that I was doing that, you know, all of a sudden these
• 2:37
  recommendations would change.
• 2:40
  And one of them was with hormone replacement because I was had just started my practice back
• 2:45
  in 02/2003, so I'm dating myself, but that's okay.
• 2:48
  You know, when the Women's Health Initiative came out and all women got off their hormones
• 2:52
  because they were afraid of breast cancer.
• 2:55
  And then I was through that whole debacle of people stopping their hormones and then
• 2:59
  suffering and then is there a better answer.
• 3:02
  I had to go through the question of like, the medicines they use for osteoporosis or
• 3:09
  osteopenia, which then all of a sudden there was this black box warning that came out that
• 3:15
  said, Oh my gosh, you got to stop using them after five years because they increase the risk
• 3:19
  of atypical fractures.
• 3:21
  And I was like, How can they be good for you for four years and eleven months, then all of a
• 3:25
  sudden at five years they have problems?
• 3:26
  So, all these little doubts started rising in my mind.
• 3:30
  And then as I was doing with mammography, you know, as a gynecologist, I would give people
• 3:35
  hundreds and, you know, all my patients 40, right?
• 3:38
  Get your mammogram, get your mammogram, get your screening done, you're trying to take care
• 3:42
  of yourself, you don't want cancer.
• 3:45
  And so I was doing all these things, but in the back of my head was this little, like, well,
• 3:49
  you know, what about radiation from mammography?
• 3:52
  Isn't that a risk for cancer?
• 3:54
  But, you know, I'm following the algorithms.
• 3:56
  I'm doing it right.
• 3:58
  Right?
• 3:59
  Yes.
• 4:00
  But then as I started to really question and look deeper at all of these things, I realized
• 4:05
  that I didn't have the tools in my toolbox to help the women I wanted to help.
• 4:10
  And so that's when I started looking at functional medicine and integrative medicine
• 4:15
  and spending more time with my patients to really get to know them.
• 4:19
  And then I had to leave my practice because we were lined up to do, you know, 25, 30 patients
• 4:24
  a day, fifteen minutes max, you know, run them through.
• 4:28
  And so in 2016, I left and started my own practice.
• 4:31
  And then as I've been learning more and more over time, that's when I started to realize
• 4:37
  this, Wow, women need to know this stuff.
• 4:39
  Women need to be able to make informed decisions on their own.
• 4:44
  And so many women rely on their doctors to tell them the right thing to do because they want to
• 4:49
  be good patients.
• 4:51
  Right?
• 4:51
  And so, yet, one of the key one of the key factors to medicine, any medicine, is informed
• 5:01
  consent.
• 5:02
  Yes.
• 5:03
  And so when you have informed consent, you're relying on the intelligence of the individual
• 5:08
  to make decisions about their own health when you give them information about risks,
• 5:13
  benefits, alternatives, and limitations.
• 5:15
  And so once I once I really started realizing that that's missing in a lot of our healthcare
• 5:22
  for women and particularly with breast cancer screening.
• 5:26
  Yeah.
• 5:27
  I was talking to somebody yesterday about the, you know, the Latin root of the word doctor,
• 5:31
  which is still sharing
• 5:33
  the t's.
• 5:33
  Right?
• 5:35
  Not just hands, doctor.
• 5:36
  Right?
• 5:36
  Do this.
• 5:36
  Do that.
• 5:38
  So it's like that informed consent.
• 5:40
  Right?
• 5:41
  I look at that as, like, well, this is as doctors, this is basically the Hippocratic oath
• 5:45
  we take in part is, like, to actually teach people what is happening and help them make the
• 5:51
  best decision for themselves.
• 5:52
  So and I think this, like, this conversation is so important because what you brought up too
• 5:57
  around hormones, I feel like two of the things that give women the most anxiety, I feel, like
• 6:02
  like, in their health and, like, the midlife ages are, one, do I need to be on HRT?
• 6:08
  Is it safe for me?
• 6:09
  And, two, what do I do about mammograms?
• 6:12
  So it's it's really important.
• 6:14
  Breast cancer in general.
• 6:15
  You know?
• 6:15
  Because it is, you know, it is important to take control of your health.
• 6:19
  So the first thing you have to decide is do you want screening, right?
• 6:23
  And if you want screening, what are your options?
• 6:27
  And there's only one that's traditionally approved and that's the mammogram.
• 6:32
  But a lot of women this is a statistic that was kind of scary is that thirty five percent of
• 6:37
  women in the mammogram age range don't get mammograms.
• 6:41
  Thirty five percent have decided against it.
• 6:44
  And so, what do they do?
• 6:45
  Do they just not do anything and wait or is there something else for them?
• 6:50
  And that's why this conversation, I think, is so important.
• 6:53
  And and so let's break this down one at a time.
• 6:55
  Like, from a standpoint of informed consent, right, so using that as our kind of jumping off
• 7:01
  point, what do you feel from that standpoint are, like, the biggest benefits, risks,
• 7:05
  limitations of the mammogram?
• 7:07
  And then we'll talk about other solutions after.
• 7:10
  Great.
• 7:10
  Okay.
• 7:10
  So benefit, theoretically well, no.
• 7:13
  It has been that the benefit of breast cancer screening is to detect cancer before you feel a
• 7:19
  lump.
• 7:20
  And the thought is that there's a five to ten year gap between when something would first be
• 7:26
  detectable at imaging and when you're going to feel a lump.
• 7:30
  And so, during that five to ten years, things can progress and spread.
• 7:33
  And so, the goal of the screening, the breast cancer screening program, is to detect cancer
• 7:39
  early when it's easier to treat.
• 7:42
  And hopefully, also that will extend the woman's life.
• 7:45
  But that's a little debatable, you know, as to whether or not life expectancy has actually
• 7:50
  increased with mammography or with breast cancer screening.
• 7:54
  But easier to treat is very important.
• 7:57
  Because if you catch it early and you get a lumpectomy, which is just removing the tissue,
• 8:03
  the tumor with a margin around it, versus if it's later and you need, mastectomy, so the
• 8:09
  whole breast removed plus chemotherapy, that's a huge difference.
• 8:13
  Yeah.
• 8:14
  Right?
• 8:14
  And so, there are even if it's not necessarily, lengthening the life, I think the easier
• 8:22
  treatment is crucial.
• 8:23
  And so, that's the goal of the screening.
• 8:26
  And that's the benefit.
• 8:28
  The risk that so then, what a limitation means is it's like what we're we don't really it
• 8:34
  doesn't necessarily cause harm, but it's stuff that it might not do, right?
• 8:39
  So there's a difference between limitation and risk because risk implies the risk of harm.
• 8:45
  Yeah.
• 8:45
  Right?
• 8:46
  So, limitations, there's several.
• 8:48
  One is that for women with dense breasts, mammogram doesn't work very well.
• 8:52
  Because the mammogram is an x-ray of the breast and it's looking for abnormal calcium deposits
• 8:58
  and clusters.
• 8:59
  And that happens because if you, like, picture something that's really disorganized, like,
• 9:05
  that's the way the blood vessels are in a little tiny cancer tumor.
• 9:08
  They're completely disorganized.
• 9:10
  So because of the way they're laying all over each other like this, they cause
• 9:13
  calcifications.
• 9:15
  And not all calcifications are cancer but that's what a mammogram does is it picks up
• 9:19
  calcifications and then it's decided if they're concerning in appearance to get a biopsy.
• 9:26
  But when you have dense breasts, that means you have more fibrous tissue and it turns up white
• 9:31
  and bright also.
• 9:33
  And so, these calcifications can get hidden.
• 9:37
  And mammograms miss fifty percent of cancers in women with dense breasts, up to fifty percent.
• 9:43
  And forty percent of the population has dense breasts, and especially the premenopausal
• 9:48
  patients.
• 9:48
  So, in the age range of 40 to 50, where mammograms are starting at 40, there's a ten
• 9:54
  year period or more where you're going to have more dense breasts.
• 9:57
  And for people with a family history or genetic predisposition to cancer that start their
• 10:03
  screening earlier, they almost always have dense breasts.
• 10:07
  So, it's not ideal for that.
• 10:09
  And so, now we're, the United States Preventative Task Force, the recommendations
• 10:15
  are to include a handheld ultrasound with a mammogram for those women, with dense breasts.
• 10:21
  But, a lot of times insurance doesn't cover that part.
• 10:25
  And and so the and the handheld ultrasound is very grainy.
• 10:30
  It but it's better than we're just looking at what we have available.
• 10:33
  So it's better than just the mammogram which has things missing.
• 10:37
  So, that's a big limitation.
• 10:39
  And then
• 10:39
  a question about that because, in that, I hear, like, okay, a huge limitation is a false
• 10:44
  negative, right, but then I've also read reports of actually a substantial amount of
• 10:49
  false positives.
• 10:50
  That's the
• 10:50
  other limitation.
• 10:51
  Okay.
• 10:52
  Yeah.
• 10:52
  Big limitation.
• 10:53
  In fact, ninety percent of abnormal mammograms are false positive.
• 11:00
  Ninety percent?
• 11:01
  Ninety percent.
• 11:02
  I'm super happy that those ninety percent of the women don't have breast cancer.
• 11:06
  I'm so happy for them.
• 11:07
  Yes.
• 11:08
  Right?
• 11:08
  So and normally, usually, they're so relieved that they don't have cancer, that they don't
• 11:13
  stop to go, jeez, Louise, what did I just go through to prove that I don't have cancer?
• 11:18
  Yeah.
• 11:19
  But but when you have an abnormal mammogram or or or the radiologist just is not sure, right,
• 11:26
  then what happens is you get called back for additional views.
• 11:29
  And it could be another mammogram with with, what they call spot compression views.
• 11:35
  It could be an ultrasound plus a mammogram.
• 11:38
  It could be an MRI with IV contrast using a heavy metal called gadolinium or it could go
• 11:45
  straight to biopsy or it could go down all four of those, right?
• 11:49
  Start at the top and work your way down to the biopsy because the only way to know for sure
• 11:54
  that it's not cancer is with a biopsy tissue sample.
• 11:58
  So think of that though.
• 12:00
  I, I, my first mammogram was abnormal when I was like 40.
• 12:04
  And I was so anxious during that two to three week period before I finally got the all clear.
• 12:12
  Like, oh my gosh, what if it's cancer?
• 12:13
  What am I gonna do with my kids?
• 12:15
  How am I gonna continue working?
• 12:16
  So the anxiety during that period is significant.
• 12:22
  And Yeah.
• 12:23
  You and I, as integrative doctors, realize the stress component affects your health.
• 12:29
  And so it's not just, oh, you're worried.
• 12:32
  I'm sorry.
• 12:32
  You're worried.
• 12:33
  There's health consequences to anxiety.
• 12:35
  Exactly.
• 12:36
  Right?
• 12:36
  Exactly.
• 12:36
  And sometimes we get start down that fear trajectory.
• 12:39
  And even when we get relieved around, Okay.
• 12:42
  Well, that was a false positive, it doesn't mean that that fear hasn't already taken a toll
• 12:47
  on us.
• 12:48
  Yeah.
• 12:48
  And then there's the, you know, the risk of the procedures to prove you don't have cancer,
• 12:54
  which is you know, that I had a patient, in my practice just a few months ago.
• 12:58
  She had her mammogram.
• 12:59
  She had to go back for a biopsy.
• 13:02
  The biopsy came back all clear.
• 13:03
  She was very relieved.
• 13:04
  However, she got a huge breast hematoma, which is a collection of blood where they because
• 13:10
  they hit a little vein where they were trying to get the sample.
• 13:13
  And she required a drain and surgery to get rid of the hematoma.
• 13:18
  So, yeah, she's glad she doesn't have cancer, but she went through a two month process of
• 13:23
  pain, surgery.
• 13:24
  Now she's got all the scar tissue inside from the hematoma and all to prove she didn't have
• 13:30
  cancer.
• 13:31
  So then I appreciate too the differentiate between risk and limitations.
• 13:36
  I'm also curious, though, like, do you feel like the radiation is a risk as far as do you
• 13:42
  think that's It's proven.
• 13:44
  Yes.
• 13:44
  Unfortunately, it's proven.
• 13:45
  So there is a study because, you know, we know that radiation causes cancer.
• 13:52
  Yeah.
• 13:53
  Now, you know, this is where risk and benefit comes in, right?
• 13:57
  So Yes.
• 13:58
  I believe that the traditional doctor that is following the algorithm in their heart, they're
• 14:04
  saying, Yes, but the benefit of early detection outweighs the risk of the radiation.
• 14:09
  I know they wouldn't in my heart, I don't believe they're doing something that they would
• 14:12
  cause harm.
• 14:13
  But the problem is the system does not educate the woman that there is risk.
• 14:19
  Right.
• 14:19
  I never knew it.
• 14:21
  Right?
• 14:21
  I didn't educate women about, yes, there is a small amount of radiation, and it does have a
• 14:28
  risk.
• 14:29
  But here's why we want you to do it anyway.
• 14:31
  I just handed women prescriptions.
• 14:33
  And and and the doctors now, it's like women are almost sheamed or coerced if they don't get
• 14:39
  their mammogram.
• 14:40
  Right?
• 14:40
  Like, you fool.
• 14:42
  You're inviting advanced cancer.
• 14:43
  Don't you care about your family?
• 14:45
  Don't you care about your children?
• 14:46
  You know?
• 14:47
  And and nowhere, I would challenge the listeners to say, Last time I got a mammogram,
• 14:55
  or Any time I've been given a prescription for a mammogram, did the doctor handing you the
• 15:00
  prescription discuss potential risks with you?
• 15:03
  I would have I would guess no.
• 15:05
  And I didn't even know about this.
• 15:07
  Once I started researching it, I got mad because I've been a gynecologist for twenty
• 15:12
  five years and how could I not know this?
• 15:15
  But there's even a study and it was out in the early 2000s and they looked at, atomic bomb
• 15:20
  survivors and they calculated the risk that for every 100,000 mammograms done, there will be
• 15:28
  eighty eight induced, radiation induced cancers and eleven cancer deaths.
• 15:35
  Yeah.
• 15:36
  And so that's small per one hundred thousand, but it's not negative.
• 15:41
  It's not, it's not, it's not negligible.
• 15:44
  And there was another study that came out afterwards which was very disturbing that said
• 15:49
  it's probably higher than that.
• 15:51
  Because this was done looking at atomic bomb survivors and it's a different type of
• 15:55
  radiation from an atomic bomb than the lower the lower frequency radiation from a mammogram.
• 16:01
  And, this study said that the lower frequency radiation or the lower energy radiation from a
• 16:08
  mammogram is four to six times more likely to cause DNA damage and mutations than the gamma
• 16:14
  radiation from nuclear bombs.
• 16:16
  So, if you take 88 and times it by four to six, now you're in the hundreds.
• 16:21
  Or it's in 200.
• 16:22
  And that's that is not insignificant.
• 16:26
  So, why not let the women know this and let them make their informed decision?
• 16:30
  If you want your mammogram, I support you.
• 16:33
  You know, we'll do what you need to do.
• 16:35
  Get your mammogram.
• 16:36
  Get your peace of mind.
• 16:37
  But at least be given the option to weigh things.
• 16:42
  Yeah.
• 16:43
  I know that it's not just this no problem, no side effects, no liposneas, and any of that.
• 16:49
  Know that you're going into it making the best decision because you have that full rounded
• 16:55
  knowledge.
• 16:56
  So And
• 16:57
  it also depends on if there is other modalities.
• 17:00
  Right?
• 17:00
  Because, you know, up until recently, there hasn't been a lot of choice.
• 17:05
  It's, okay, wait until you fill a lump, which is five to ten years later, and by then, it's
• 17:10
  about a centimeter in size, which is significant, or someone will get thermography.
• 17:16
  And that is you know, that's the study of heat, which in the physiology of cancer, it is gonna
• 17:24
  find abnormalities because because of the rate that cancer grows and because cancer is
• 17:31
  inflammatory, it will show up heat around an abnormal area, but so will a mosquito bite, so
• 17:38
  will a pimple, so will a upper respiratory infection or a sore throat.
• 17:42
  I mean, so it's it's not it's it's sensitive, which means it picks up everything, but it's
• 17:48
  not specific, which means, yes, it's concerning for cancer.
• 17:52
  So it that and it's not really looking at the structure of the breast.
• 17:57
  It's just the outline looking at heat.
• 18:00
  And so Amazing.
• 18:01
  It's very helpful.
• 18:02
  But when we're trying to decide of, oh my God, I'm not gonna get a mammogram and I don't wanna
• 18:06
  do nothing.
• 18:07
  Okay, so I'll do a thermogram.
• 18:09
  But now there's the new technology.
• 18:11
  Which I'm so excited about.
• 18:14
  It's gonna change breast cancer screening.
• 18:16
  So tell us about this.
• 18:18
  So this new technology is not actually that new.
• 18:22
  A little history on the on on it, is called QT imaging which stands for quantitative
• 18:27
  transmission.
• 18:28
  It's undergoing a name change right now.
• 18:30
  So pretty soon, it's gonna be called breast acoustic CT.
• 18:34
  But it was developed by a very brilliant doctor in the, like, twenty fourteen, twenty fifteen.
• 18:39
  He was given a grant from the National Institute of Health, over time of over
• 18:43
  $20,000,000 to try to find an imaging modality with with less risk that was very reliable and
• 18:51
  cost effective.
• 18:52
  And so this is using the speed of sound through tissue.
• 18:56
  So it's more than just traditional ultrasound.
• 18:58
  It actually uses both traditional ultrasound and the speed of sound through tissue.
• 19:03
  And it looks similar to an MRI, so it gives you actual structure but also functional evalu
• 19:11
  physiologic evaluation of the tissue.
• 19:13
  It can look at things a few cells, a few cell stacked cells will show up on this QT scan.
• 19:21
  And it can tell the difference between fibrous tissue, fat tissue, fluid and very good at even
• 19:28
  up to predicting what the histology would look like on biopsy.
• 19:32
  There's no compression, no radiation, no IV contrast.
• 19:35
  You lay on your belly, and there's a little hole in the table, and you're lowered into a
• 19:42
  warm water bath that's body temperature, so it's not uncomfortable.
• 19:46
  The only discomfort that people sometimes have is because the way the ribs hit the the circle
• 19:52
  and you have to turn your head.
• 19:54
  So people, honestly, I can't say it's no pain at all because if you have neck issues and it's
• 19:58
  hard to turn your head for ten minutes, you might feel a little uncomfort a little bit of
• 20:03
  discomfort, but there's not the squish, right, that you get with the mammogram.
• 20:08
  Yeah.
• 20:08
  So it's really And there's no for women who have implants, there's no risk of rupture of
• 20:12
  the implant, which can happen with the mammography.
• 20:15
  Right.
• 20:16
  And then it sounds like it's much more specific, right?
• 20:18
  So it takes place that problem too.
• 20:20
  They actually show you know, it's true three d imaging.
• 20:23
  It's the only true three d imaging that we have for breasts.
• 20:26
  All the other stuff that they say, Well, I had a three d mammogram.
• 20:29
  That's not really d.
• 20:31
  What they're doing is they're stacking images on top of one another and approximating a three
• 20:36
  d, but there's gaps that are computer generated to fill in the gaps.
• 20:41
  Just like pixels on a screen, you know, the higher the pixels, the less gaps.
• 20:46
  But these, you know, those three d images, are approximate.
• 20:50
  This is true three d imaging, and they can actually measure the volume of the breast.
• 20:54
  And so it's used to, they're using it to monitor, like, treatment response to tumors
• 21:01
  because it's so good at measuring volume that within two to six weeks, they can tell if
• 21:06
  something's growing or shrinking.
• 21:08
  Oh, it's such an amazing Yeah.
• 21:10
  Yeah.
• 21:11
  It really is.
• 21:11
  It's gonna completely change how we both test, monitor, treat, scare, like, you know, the
• 21:18
  fear, all of it.
• 21:19
  I think it's, like, the level of change from this modality is just phenomenal.
• 21:23
  And I know you have one in your practice now.
• 21:25
  Right?
• 21:26
  Yes.
• 21:26
  Yes.
• 21:26
  I've been on a mission for the last two years to bring it because, you know, it got its FDA,
• 21:35
  devices are FDA cleared.
• 21:37
  So, it's not FDA approved.
• 21:39
  I learned this.
• 21:39
  Drugs and medicines are FDA approved.
• 21:42
  Medical devices are FDA cleared.
• 21:44
  So, this is FDA cleared.
• 21:47
  And it's particularly got an indication for women with dense breasts because it's very
• 21:52
  good.
• 21:53
  And they did some of what they call non inferiority studies comparing it to mammogram
• 21:57
  for women with dense breasts and it excelled.
• 22:00
  It was very good at that.
• 22:02
  It so, it the company right now, they're saying that we're not intending for it to replace
• 22:09
  mammogram.
• 22:10
  Because that mammogram industry is very solid.
• 22:15
  Right.
• 22:15
  But my perspective is, what about the thirty five percent of women that have already decided
• 22:20
  against mammogram?
• 22:22
  Absolutely.
• 22:22
  Now they have something.
• 22:23
  And then over time, we'll see what happens, you know.
• 22:27
  We had to bring this to the women from a grassroots level.
• 22:31
  The hospitals and radiology centers are not interested.
• 22:35
  And so when there's a few doctors around the country who have become passionate about this
• 22:40
  and we're like, we're getting it and we're offering it to women.
• 22:43
  And so in my practice, we were like, you don't even have to be a member of my practice.
• 22:48
  We will bring We will bring women from wherever and they can just book a scan and we'll send
• 22:53
  the results, to their doctor, which, unfortunately, their doctor may not know what
• 23:00
  to do with them because we're trailblazing.
• 23:02
  But at least the woman has the report to say, concern, not concern, you know.
• 23:08
  And over time, we will develop that relationship.
• 23:11
  We will develop the ability.
• 23:13
  And through war and war women having the studies, the relationship to say, oh, yeah.
• 23:20
  Look at this.
• 23:20
  It's I think over time, it will be much more accepted.
• 23:24
  But I didn't wanna wait ten years for radiology centers to offer this.
• 23:28
  Oh, it's women need now.
• 23:29
  Important.
• 23:30
  Well, and we start the change.
• 23:31
  Right?
• 23:32
  We start by change by actually becoming the change, by making the change, not by waiting
• 23:36
  for it.
• 23:37
  So Right.
• 23:38
  It's just such a invaluable resource.
• 23:40
  I know we are out of time, and I know so many people are gonna have questions for you and be
• 23:46
  curious about about getting a QT scan.
• 23:49
  So we're gonna make sure we have your information as far as your clinic, how to get
• 23:54
  ahold of you.
• 23:55
  All of that will be in the show notes.
• 23:56
  And I also wanna make sure that another way that people can connect and just learn from you
• 24:00
  is by taking your hormone quiz.
• 24:02
  Yeah.
• 24:03
  Now we'll put that in the show notes as well.
• 24:05
  I believe that's totally free.
• 24:06
  Correct?
• 24:07
  Yes.
• 24:07
  It is.
• 24:07
  It's it's a kind of a robust quiz, so it's not like, Answer these six questions and I'll tell
• 24:13
  you what hormone imbalance is.
• 24:14
  Because we really wanna give you valuable information.
• 24:17
  There are 64 questions.
• 24:19
  Good.
• 24:20
  But then, what you really get is you're honing in on which symptoms of how many different
• 24:24
  imbalances you have, and then it's an education process that goes afterwards.
• 24:29
  So that's completely free and it's on my website.
• 24:32
  And for the breast imaging, we tried to make it easy.
• 24:34
  So I'm in the Chicago Suburbs.
• 24:37
  They can either find it on my website or or I actually bought the URL,
• 24:41
  chicagobreastimaging.com so that WebEx is Perfect.
• 24:44
  Just remember that and find the QT Imaging, link to get eventually, we'll have the ability
• 24:51
  to book online.
• 24:52
  But right now, we're just, requesting an appointment, and then my team is calling to get
• 24:57
  them arranged.
• 24:58
  Perfect.
• 24:58
  Yeah.
• 24:59
  Chicagobreastimaging.com.
• 25:00
  What a great URL and easy to remember and all of that.
• 25:04
  Well, thank you so much for being here.
• 25:06
  It's such a pleasure, and just it's so good to have you as a resource, you know, in the
• 25:12
  community to to help educate other docs like myself as well as so many people.
• 25:17
  I think it's just the number of lives that are gonna say be saved and the fear and the anxiety
• 25:21
  that's gonna be reduced by this technology and your offerings is just so huge.
• 25:27
  So thank you so much.
• 25:29
  Thank you.
• 25:30
  And, everybody, this is another episode of The Lounge.
• 25:34
  Remember that in 2024, what we are doing is the person that has the most downloads, the most
• 25:41
  likes, the most shares, we're gonna invite them back at the end of the year for a super duper
• 25:45
  deep dive.
• 25:46
  So I hope to have doctor Yvonne back with us, so please do download.
• 25:50
  Share this with your friends.
• 25:52
  Spread the word.
• 25:53
  So many people need this information, and I am now signing off, reminding you to stay sexy,
• 25:59
  stay classy, always be a little badassy.
• 26:02
  See you next time.
• 26:06
  Thank you for listening to the Libido Lounge.
• 26:09
  Please don't keep me a secret.
• 26:10
  Please share this with your friends.
• 26:12
  You can find me on YouTube, on Instagram, as well as how to work with me at mylibidodoc.com.