WEBVTT 1 00:00:00.200 --> 00:00:02.960 Do you know what real power is? It's knowing you're 2 00:00:03.000 --> 00:00:05.719 on the same rate for energy all day, every day 3 00:00:05.719 --> 00:00:08.640 with a smart all day plan from board Gosh Energy, 4 00:00:08.839 --> 00:00:11.039 save up to eight hundred and eighty euro on dual 5 00:00:11.119 --> 00:00:13.519 fuel plus get A two hundred and thirty five. You're 6 00:00:13.560 --> 00:00:17.440 a welcome bonus switch today at Boardgosh Energy dot Ie 7 00:00:17.559 --> 00:00:20.519 Board Gosh Energy. Know your power. 8 00:00:20.440 --> 00:00:22.600 Estimated anuel bill A twenty six hundred and twenty nine. 9 00:00:22.600 --> 00:00:25.039 Your new customers only thursch of centis Kentov Smart all 10 00:00:25.079 --> 00:00:27.679 day electricity unit rates in twenty nine percent of gas. 11 00:00:27.719 --> 00:00:29.800 See pocash energy dot E for fulltiesncies. 12 00:00:30.440 --> 00:00:34.200 Hey, hello ologites. So I put this in the show description, 13 00:00:34.600 --> 00:00:36.560 but I'm also adding it up top just in case 14 00:00:36.600 --> 00:00:39.960 you're driving a car, or your working a forklift, or 15 00:00:40.000 --> 00:00:42.479 you're freeding your chickens or I don't know, if you 16 00:00:42.520 --> 00:00:44.320 listen to on a high wire, you should not be 17 00:00:44.359 --> 00:00:47.960 reading text. This is just a pre roll linguistics alert. 18 00:00:48.200 --> 00:00:51.479 So in this episode, we talk about transgender healthcare and 19 00:00:51.520 --> 00:00:53.960 we touch on the history of the trans community in 20 00:00:54.000 --> 00:00:58.880 the US. And when I recorded this episode, in considering 21 00:00:59.000 --> 00:01:02.560 the inclusion of trans women, I opted for use of 22 00:01:02.600 --> 00:01:06.640 the term women's health and women as gynecology is currently 23 00:01:06.840 --> 00:01:12.159 technically but antiquatedly defined. So I thought, okay, I'm making 24 00:01:12.200 --> 00:01:15.359 sure to include everyone who identifies as a woman. We 25 00:01:15.480 --> 00:01:21.000 are golden great. No, in so doing, I fucked up, 26 00:01:21.079 --> 00:01:25.159 and I overlooked and excluded non binary and trans men 27 00:01:25.280 --> 00:01:29.359 friends in that language, and I'm super, super super sorry. 28 00:01:29.400 --> 00:01:34.359 I'm so sorry. Some really amazing and compassionate ologites alerted 29 00:01:34.400 --> 00:01:36.000 me to this, and I just want to say, I'm 30 00:01:36.079 --> 00:01:39.920 so so sorry that the language I used, like women, lady, 31 00:01:40.079 --> 00:01:45.120 lady machine made anyone feel unseen. Please know that trans 32 00:01:45.200 --> 00:01:48.680 inclusion was totally on my mind, but I'm just super 33 00:01:48.719 --> 00:01:52.040 embarrassed to have missed the mark and overlooked the non 34 00:01:52.079 --> 00:01:55.359 binary community and trans men community who also rely on 35 00:01:55.400 --> 00:01:59.640 gynecology for vital healthcare. I thought I had my basis covered, 36 00:01:59.640 --> 00:02:02.480 and I did. I'm an idiot, So my ologites, each 37 00:02:02.599 --> 00:02:04.920 and every one of you, I see you, I love you, 38 00:02:05.040 --> 00:02:07.159 I care about you a bunch, and I will strive 39 00:02:07.200 --> 00:02:10.919 to do better when it comes to inclusionary language. As 40 00:02:10.960 --> 00:02:14.560 you know, I'm all about asking smart people dumb questions, 41 00:02:14.639 --> 00:02:16.800 and even when I think okay, I got this, I'll 42 00:02:16.800 --> 00:02:19.599 do my best to just double check, triple check. So 43 00:02:19.680 --> 00:02:22.360 thank you for tipping me off to that that I 44 00:02:22.400 --> 00:02:24.520 could have been more in the loop about gender versus 45 00:02:24.599 --> 00:02:27.560 Jenny's and for your patients with me and with each other, 46 00:02:27.800 --> 00:02:30.120 just as we all learn new things and we evolve 47 00:02:30.240 --> 00:02:36.719 into an even more inclusive and better linguistically equipped society. Now, 48 00:02:36.719 --> 00:02:38.960 if you don't encounter it often, it may seem like, well, 49 00:02:38.960 --> 00:02:41.199 what's the big deal? But I think these are some 50 00:02:41.400 --> 00:02:44.319 new and really exciting steps towards breaking down a lot 51 00:02:44.360 --> 00:02:47.360 of gender roles that hold all kinds of people back, 52 00:02:47.400 --> 00:02:52.199 from CIS to trans to non binary, Like wearing pants 53 00:02:52.639 --> 00:02:57.280 was illegal for half the population until that was challenged 54 00:02:57.319 --> 00:03:00.960 and reframed. So if you're dope that you don't have 55 00:03:01.000 --> 00:03:03.960 to drag a bustle on the subway or fit a 56 00:03:04.000 --> 00:03:07.599 petticoat into your Nissan CenTra, then we have some brave 57 00:03:07.680 --> 00:03:11.280 folks who said this sucks and it's impractical to think. 58 00:03:11.719 --> 00:03:14.479 So likewise with gender and labels and the trans and 59 00:03:14.520 --> 00:03:19.719 non binary community for undoing some super stark gender expectations 60 00:03:19.759 --> 00:03:24.560 and roles that don't really fit anyone completely. So thank you, 61 00:03:24.639 --> 00:03:27.439 I see you. Let's all be super kind and compassionate 62 00:03:27.479 --> 00:03:30.280 to each other and keep our minds open to learning 63 00:03:30.319 --> 00:03:34.240 new things, whether it's about snake butts or be dancing, 64 00:03:34.479 --> 00:03:37.680 or the origins of the universe or another person's perspective. 65 00:03:37.840 --> 00:03:41.919 So learning shit is cool. I stand by that. Okay, Jino, 66 00:03:42.159 --> 00:03:46.439 here we go. Oh hi, it's your guidance counselor aliy Ward, 67 00:03:47.560 --> 00:03:50.439 it's me. First things First, I think I have my 68 00:03:50.520 --> 00:03:52.400 contacts in the wrong eyes, but I'm just gonna go 69 00:03:52.479 --> 00:03:56.319 for this. I'm gonna change them later. Let's blaze through. OBG. 70 00:03:56.599 --> 00:04:00.879 Why not. Let's get into it. Vagina's talk about them. 71 00:04:01.280 --> 00:04:04.120 Maybe you have one, maybe you want one, Maybe you 72 00:04:04.159 --> 00:04:09.000 love them, maybe you came straight out of one. They're everywhere, 73 00:04:09.000 --> 00:04:11.599 they're all around you, and they're pretty handy in terms 74 00:04:11.599 --> 00:04:14.599 of shooting out humans to continue the survival of our species. 75 00:04:14.960 --> 00:04:17.360 But how well do you know vaginas? How well do 76 00:04:17.399 --> 00:04:19.600 you really know them? It's kind of like when you've 77 00:04:19.600 --> 00:04:22.680 met someone a bunch of times at parties and you're like, 78 00:04:22.759 --> 00:04:24.959 oh my god, I love her, but you don't want 79 00:04:24.959 --> 00:04:27.040 to admit that. Like you've never had a real one 80 00:04:27.079 --> 00:04:29.959 on one and like you don't even text each other. 81 00:04:30.040 --> 00:04:31.920 You've just hung out like a few times when people 82 00:04:31.959 --> 00:04:34.920 are drunk. So consider this episode just a deep ass 83 00:04:34.959 --> 00:04:39.600 dive into the world of vaginas, birth, women's health, mental health, 84 00:04:39.759 --> 00:04:44.319 self care, hygiene, all things that are happening in parts 85 00:04:44.319 --> 00:04:47.120 of your body that you only care about when they're 86 00:04:47.120 --> 00:04:51.360 causing you either great pleasure or great pain. So let's 87 00:04:51.439 --> 00:04:55.879 talk about gynecology first off, before we celebrate Croutch doctors, 88 00:04:56.199 --> 00:05:00.439 let's celebrate you. This engine of ologies runs total on 89 00:05:00.519 --> 00:05:04.680 listener support. It's one hundred percent Indie, so your Patreon 90 00:05:04.720 --> 00:05:07.279 pledges keep it running from month to month. Thank you 91 00:05:07.399 --> 00:05:09.800 so so much for doing it. Patroons also get, in 92 00:05:09.839 --> 00:05:12.879 return to ask the ologists questions, and they get to 93 00:05:12.920 --> 00:05:16.319 walk around knowing that they're helping cocktail parties everywhere be 94 00:05:16.399 --> 00:05:20.279 way less vapid. So thanks to everyone who buys shirts 95 00:05:20.319 --> 00:05:24.480 and dad hats and pins and tots at ologiesmirch dot com. 96 00:05:24.560 --> 00:05:27.680 You're totally helping to but mice tight. I get that 97 00:05:27.800 --> 00:05:30.879 you can also support so much by just subscribing and 98 00:05:30.959 --> 00:05:34.199 reviewing on iTunes, which is free. It takes two seconds, 99 00:05:34.439 --> 00:05:36.720 and I'm a creep and I read every review and 100 00:05:36.800 --> 00:05:41.360 this week's warmed my heart so much. It confused my 101 00:05:41.439 --> 00:05:45.720 soul a little bit TBH. Moneywalk says, just listen to 102 00:05:45.720 --> 00:05:49.759 the podcast on ichthyology, and I realized that Ali sounds 103 00:05:49.920 --> 00:05:52.879 very similar to Ellen DeGeneres. What could be better than 104 00:05:52.920 --> 00:05:56.120 listening to Dory tell you about fish? Do I sound 105 00:05:56.160 --> 00:06:00.120 like Ellen de Generes? Yes, I am, that's me. Okay, 106 00:06:00.399 --> 00:06:03.560 back to gynecology. Now, before we dive into where babies 107 00:06:03.600 --> 00:06:06.360 come from, let's look at the birth of the word. 108 00:06:06.519 --> 00:06:09.480 So gynecology it means a science that deals with the 109 00:06:09.480 --> 00:06:12.439 health and diseases of women. It comes from a Greek 110 00:06:12.480 --> 00:06:16.879 word jina, which comes from Gwen, which has the same route. 111 00:06:16.879 --> 00:06:19.800 Are you ready for this as a queen Gwen, Queen 112 00:06:20.199 --> 00:06:25.480 Jine boom, so just think yes, her majesty y'all rfe jai. 113 00:06:26.279 --> 00:06:29.480 So let's bow to your queens with a discussion with 114 00:06:29.600 --> 00:06:32.800 a gynecologist. Now, I had gone to Portland to record 115 00:06:32.839 --> 00:06:36.120 a few episodes beer Bees, and now this interview with 116 00:06:36.160 --> 00:06:39.560 a medical doctor who grew up in the Philippines, South Africa. 117 00:06:39.839 --> 00:06:42.399 She grew up in Argentina, the Netherlands all over. She's 118 00:06:42.439 --> 00:06:45.920 now based in Portland. She's been in obgyn since nineteen 119 00:06:46.000 --> 00:06:49.800 ninety seven and she's worked several medical missions in Ethiopia. 120 00:06:50.040 --> 00:06:52.759 She's a total badass. She spent an hour on a 121 00:06:52.800 --> 00:06:56.519 Saturday morning getting peppered with questions for me. Now she 122 00:06:56.839 --> 00:07:00.000 arrived in my hotel lobby, I think a bit confused. 123 00:07:00.120 --> 00:07:02.160 I'm gonna be honest. I think she was like, what 124 00:07:02.279 --> 00:07:04.560 am I getting myself into? And I have a dear 125 00:07:04.759 --> 00:07:07.519 high school friend, Hypaul, and he had put us in touch. 126 00:07:07.720 --> 00:07:10.560 And I think she's like, who is this redheaded chick 127 00:07:10.800 --> 00:07:13.399 in a three star Portland hotel? And why am I 128 00:07:13.439 --> 00:07:15.639 talking to her on a Saturday morning? And side note, 129 00:07:15.759 --> 00:07:18.240 I had booked it on a hot wire where they 130 00:07:18.319 --> 00:07:22.600 tell you like it's probably a Shardan or like a Marriott, 131 00:07:22.920 --> 00:07:25.079 and you're like okay, and then after you pay for it, 132 00:07:25.120 --> 00:07:27.439 they're like, psych, we gave you a creepy place that 133 00:07:27.560 --> 00:07:30.600 someone would stay if they're going through a divorce on 134 00:07:30.680 --> 00:07:35.000 a budget. So this amazingly brilliant doctor shows up and 135 00:07:35.120 --> 00:07:37.040 on the way to my room she offers that the 136 00:07:37.079 --> 00:07:39.480 place has a bit of a Motel six vibe, and 137 00:07:39.519 --> 00:07:42.560 I was gently mortified. I was like, m girl, you 138 00:07:42.639 --> 00:07:45.959 are not wrong. Please forgive me. I have been foolishly 139 00:07:46.000 --> 00:07:48.759 caffish by hall wire Anyway, we got to my room, 140 00:07:49.120 --> 00:07:53.680 and she has the calmest bedside voice of anyone I 141 00:07:53.720 --> 00:07:57.399 have ever met. I imagine hone from literal decades coaching 142 00:07:57.680 --> 00:08:03.240 live human births. If a screaming rotisserie chicken made out 143 00:08:03.279 --> 00:08:05.879 of my own blood were to work its way out 144 00:08:05.879 --> 00:08:08.279 of an orifice, I would want someone with her calm, 145 00:08:08.600 --> 00:08:12.319 intelligent disposition calling the fucking shots here. Likewise, if I 146 00:08:12.319 --> 00:08:16.160 found a rash somewhere delicate or needed my holes probed 147 00:08:16.199 --> 00:08:21.360 by imaging equipment, her voice, her coolness are goals. So 148 00:08:21.399 --> 00:08:24.639 she pulled up a chair and we chatted about what 149 00:08:24.680 --> 00:08:30.240 your gynecologist thinks of your bikini wax, unusual birthing strategies, 150 00:08:30.759 --> 00:08:35.559 self care, and even like warning, some super sobering statistics 151 00:08:35.559 --> 00:08:39.639 about assault, how you can help victims, how to wash yourself, 152 00:08:39.799 --> 00:08:42.200 how to touch yourself, all kinds of great stuff. So 153 00:08:42.360 --> 00:08:44.840 feel free to recommend this episode to anyone who's a 154 00:08:44.840 --> 00:08:47.799 woman or whose life has been affected by a woman, 155 00:08:47.840 --> 00:08:50.759 which is like all of us. So please scoot just 156 00:08:50.840 --> 00:08:53.840 a little further down the table. It's just a little more. Okay, 157 00:08:53.840 --> 00:09:17.679 that's too much, okay for gynecologist doctor Philippa Ribbink, So 158 00:09:18.159 --> 00:09:22.960 here's your microphone, that's yours, and we just talked into it, 159 00:09:23.200 --> 00:09:26.960 doctor Ribbink, Doctor Ribink. Was there a particular day where 160 00:09:26.960 --> 00:09:28.919 they're like, we can you can call yourself a doctor. 161 00:09:28.679 --> 00:09:32.799 Now after you graduate from medical school. The day you graduate, 162 00:09:32.840 --> 00:09:33.960 you can call yourself doctor. 163 00:09:34.200 --> 00:09:38.320 Did you no? 164 00:09:38.320 --> 00:09:39.200 No? No? 165 00:09:39.399 --> 00:09:42.799 Did it take a minute to like get settle in 166 00:09:42.840 --> 00:09:43.679 to your identity? 167 00:09:45.399 --> 00:09:47.840 Yeah, it took a while. It took a while. I 168 00:09:47.919 --> 00:09:50.480 mean I did in residency, I think from day one, 169 00:09:50.919 --> 00:09:53.759 so that was a month after I graduated, so it 170 00:09:53.840 --> 00:09:58.600 wasn't didn't take that long, but yeah, it felt like 171 00:09:58.759 --> 00:10:02.080 I was acting in the beginning. Really, I didn't feel 172 00:10:02.080 --> 00:10:04.919 like a real doctor for quite a while. It actually 173 00:10:04.919 --> 00:10:09.279 took quite probably several years before I stopped feeling like 174 00:10:09.320 --> 00:10:10.000 I was acting. 175 00:10:10.679 --> 00:10:15.480 That's really common though, in doctors, especially doctors with a 176 00:10:15.519 --> 00:10:17.799 lot of empathy. Is that feeling of imposter syndrome. 177 00:10:18.679 --> 00:10:21.919 It's very common. Yeah, it's very common. I'm not quite 178 00:10:21.960 --> 00:10:25.279 sure why, but I did a lot of acting in college, 179 00:10:25.320 --> 00:10:27.919 so it kind of like I was okay with it, 180 00:10:28.000 --> 00:10:28.879 but I felt like I was. 181 00:10:28.879 --> 00:10:32.279 Acting quick aside on imposter syndrome because I feel like 182 00:10:32.440 --> 00:10:35.879 so many smart capable people have it, including so many 183 00:10:35.919 --> 00:10:39.000 ologists that I meet. First, It's not a syndrome or 184 00:10:39.000 --> 00:10:42.399 a disease at all. It's just an experience identified by 185 00:10:42.440 --> 00:10:46.480 two psychologists, doctor Paulineklants and doctor Suzanne IIMs Now. They 186 00:10:46.559 --> 00:10:51.240 observe that many intelligent, high achieving people, especially women and 187 00:10:51.279 --> 00:10:54.360 people in ethnic minorities, tend to think that they are 188 00:10:54.399 --> 00:10:59.120 not intelligent. It's common across so many fields, people like 189 00:10:59.240 --> 00:11:03.240 my Angelo in Cheryl Sandberg and even Tom Hanks being 190 00:11:03.279 --> 00:11:05.720 like man Man, I do not belong here. I suck. 191 00:11:06.480 --> 00:11:09.960 So a lot of people with imposter syndrome don't know 192 00:11:10.000 --> 00:11:12.440 that other people worried that they don't belong in the 193 00:11:12.519 --> 00:11:16.440 high ranks that they've achieved. But admitting and talking about 194 00:11:16.440 --> 00:11:19.240 it tends to really help, if not solve the problem. So, 195 00:11:19.360 --> 00:11:21.559 by the way, the opposite of this is called the 196 00:11:21.679 --> 00:11:26.440 Dunning Krueger effect, when people of low ability think that 197 00:11:26.519 --> 00:11:29.919 they are the best, which can also happen in a 198 00:11:29.960 --> 00:11:34.039 lot of fields, such as, for example politics. As for 199 00:11:34.080 --> 00:11:37.720 imposter syndrome, no matter if you're a doctor or a dancer, 200 00:11:38.159 --> 00:11:41.720 you may have felt like do I belong here? At 201 00:11:41.720 --> 00:11:45.559 what point did you kind of decide to nurture the 202 00:11:45.600 --> 00:11:49.360 medical side of your talents, if you are if you're 203 00:11:49.360 --> 00:11:51.559 also doing arts and acting, Like, was there a moment 204 00:11:51.600 --> 00:11:53.200 where you're like, I gotta choose. 205 00:11:55.240 --> 00:11:56.679 I always wanted to be a doctor. When I was 206 00:11:56.679 --> 00:12:01.080 a little kid, I had I had I had a 207 00:12:01.080 --> 00:12:03.559 heart apperishon when I was a little kid, and after that, 208 00:12:03.759 --> 00:12:05.919 I always I kind of felt like, well, I have 209 00:12:06.000 --> 00:12:08.879 to do this when I grow up. And my grandfather, 210 00:12:09.000 --> 00:12:11.200 who I was very close to, was also a doctor, 211 00:12:11.240 --> 00:12:14.360 so I kind of wanted to be like him. And 212 00:12:14.399 --> 00:12:15.840 I always thought I was going to be a doctor. 213 00:12:15.879 --> 00:12:18.600 And then I went to college and I discovered acting 214 00:12:18.639 --> 00:12:20.440 and I loved acting, and then I thought, well, maybe 215 00:12:20.440 --> 00:12:22.879 I'll be an actress in New York City. And then 216 00:12:22.960 --> 00:12:26.399 I was waiting tables in New York City and kind 217 00:12:26.399 --> 00:12:29.519 of thinking, wow, I don't really want to do this. 218 00:12:30.000 --> 00:12:34.159 And I was very good at science, so I didn't. 219 00:12:34.399 --> 00:12:37.559 In my last year in college, I was like, I 220 00:12:37.600 --> 00:12:39.759 need to rethink this. I need to do what I'm 221 00:12:39.759 --> 00:12:42.039 good at and applied to medical school and I got 222 00:12:42.039 --> 00:12:47.320 in and I ever since that, i've I'm I love medicine. 223 00:12:47.799 --> 00:12:52.879 It's just it's it's it's the only job I can 224 00:12:52.919 --> 00:12:57.159 imagine doing. It's the only I don't think there's a 225 00:12:57.159 --> 00:12:59.960 lot of jobs except for maybe what you do, where 226 00:13:00.120 --> 00:13:03.360 you can really you can hear stories, people's stories. You 227 00:13:03.399 --> 00:13:07.279 can listen, you can you can get really intimate details 228 00:13:07.279 --> 00:13:11.879 about people's lives. And a friend of mine said, you know, 229 00:13:12.000 --> 00:13:14.840 I don't read literature because I listened to patients all 230 00:13:14.919 --> 00:13:17.399 day long, and you can't make up this stuff. You 231 00:13:17.440 --> 00:13:20.879 can't make up this stuff. The degree of kind of 232 00:13:21.080 --> 00:13:24.279 the views in people's lives you get as a physician. 233 00:13:25.480 --> 00:13:28.360 Maybe not all physicians, maybe not if you're a radiologist 234 00:13:28.440 --> 00:13:32.480 or a pathologist, but as an OBGN or a family 235 00:13:32.519 --> 00:13:36.720 practitioner or an internist, it's amazing. I mean, it's an 236 00:13:36.720 --> 00:13:42.679 incredible privilege. You get to like listen to people's intimate details, 237 00:13:42.799 --> 00:13:44.799 and then you get to give them advice. I mean, 238 00:13:45.440 --> 00:13:48.879 you get to change people's lives, and there's very few 239 00:13:48.960 --> 00:13:50.039 jobs where you get to do that. 240 00:13:51.159 --> 00:13:54.000 Do you think that there's something about psychology and stories 241 00:13:54.000 --> 00:13:56.159 that drew you to women's health in particular? 242 00:13:58.399 --> 00:14:03.279 Probably? I mean I've always think I've always found there's 243 00:14:03.279 --> 00:14:07.039 also just something about women's health that's just it's so varied. 244 00:14:07.519 --> 00:14:09.919 What I do as an OBI Julane is so varied. 245 00:14:09.960 --> 00:14:13.600 I'm in general Obi Juane. So I get to deliver babies, 246 00:14:13.639 --> 00:14:16.440 I get to take people to ower, I get to 247 00:14:17.200 --> 00:14:21.639 do c sections, I get to do I get to 248 00:14:21.840 --> 00:14:26.360 know people for twenty years. And that's not you know, 249 00:14:26.519 --> 00:14:29.480 surgeons get to meet someone one day and take out 250 00:14:29.480 --> 00:14:32.759 a gallbladder and then never see them again. And I 251 00:14:32.799 --> 00:14:35.399 get to see people whose kids I've delivered and then 252 00:14:35.639 --> 00:14:40.000 maybe I've taken that they're overari insist or I've you know, 253 00:14:40.440 --> 00:14:43.360 and I take care of their kids. I you know, 254 00:14:44.120 --> 00:14:46.519 I saw yesterday, I saw a patient who was a 255 00:14:46.559 --> 00:14:49.960 Katrina refugee who had nothing when she came here. Now 256 00:14:49.960 --> 00:14:51.919 are kid's going to go to college? I mean it's 257 00:14:51.960 --> 00:14:55.200 like I get to see these stories, and I don't 258 00:14:56.360 --> 00:14:59.240 you know, who gets to have that kind of inside view. 259 00:15:00.120 --> 00:15:02.559 Even as a journalist, you're like, you know, you get 260 00:15:02.559 --> 00:15:05.799 to hear a story and then you're in another town. Yeah, 261 00:15:05.840 --> 00:15:08.480 so you don't get that. You don't get to know 262 00:15:08.639 --> 00:15:09.960 people on that level. 263 00:15:11.399 --> 00:15:13.240 Did you find that when you were first starting out, 264 00:15:13.320 --> 00:15:16.279 was that kind of intimacy was that easy for you 265 00:15:16.399 --> 00:15:19.600 or did that did that become more easy more natural 266 00:15:19.600 --> 00:15:20.639 as you gained experience. 267 00:15:20.799 --> 00:15:22.679 Yeah, I mean, I think it takes time to be 268 00:15:22.759 --> 00:15:26.080 comfortable with people telling you things that may be someone 269 00:15:26.120 --> 00:15:30.679 embarrassing and someone you know a little too much information 270 00:15:31.039 --> 00:15:33.600 or a little bit like, oh my god, I work 271 00:15:33.679 --> 00:15:38.440 with you and you do that. That's interesting. But I 272 00:15:38.480 --> 00:15:40.320 think that you know, it takes a while to ask 273 00:15:40.360 --> 00:15:43.559 the right questions as well. It takes a while to 274 00:15:43.600 --> 00:15:48.519 ask questions about people's sex lives. It takes a while 275 00:15:48.559 --> 00:15:51.200 to ask and to learn how to do it without 276 00:15:51.279 --> 00:15:54.200 judgment and where people are actually comfortable and they're going 277 00:15:54.240 --> 00:15:56.240 to tell you details, they are important for you to know. 278 00:15:57.799 --> 00:15:59.679 If you don't ask the question, you're not going to 279 00:15:59.679 --> 00:16:02.279 get the answer, You're not going to look for the 280 00:16:02.279 --> 00:16:05.080 the you're not going to be able to make the diagnosis. 281 00:16:05.759 --> 00:16:11.320 You know, there's people make silly choices sometimes when it 282 00:16:11.399 --> 00:16:15.399 comes to sex, and you don't you don't find out 283 00:16:15.440 --> 00:16:18.440 that they've made those silly choices until you've actually asked 284 00:16:18.440 --> 00:16:21.759 the really specific question. Or there make silly choices when 285 00:16:21.799 --> 00:16:25.039 it comes to drugs or other things. And again, you know, 286 00:16:25.720 --> 00:16:28.840 unless you're very specific and you learn how to ask 287 00:16:28.919 --> 00:16:35.200 questions very specifically without without judgment, and that takes quite 288 00:16:35.200 --> 00:16:37.960 a while I think that in the beginning, I wasn't 289 00:16:38.000 --> 00:16:38.480 that good at that. 290 00:16:38.639 --> 00:16:40.000 Do you have to do a lot of guests work 291 00:16:40.039 --> 00:16:43.120 with women's health. Are there any cases that you feel 292 00:16:43.159 --> 00:16:46.320 like really confuse both you and the patient. I feel 293 00:16:46.320 --> 00:16:50.360 like as as a person with a vagina and someone 294 00:16:50.360 --> 00:16:54.279 who has friends with them, there's a lot of times 295 00:16:54.639 --> 00:16:58.600 women's health can absolutely confuse us and say why does 296 00:16:58.639 --> 00:17:02.320 this hurt? Why is this happening? And do you find 297 00:17:02.360 --> 00:17:05.559 that that that it's Sometimes diagnoses are difficult to make. 298 00:17:07.039 --> 00:17:09.599 Yeah, I mean probably Pelvic pain is one of the 299 00:17:09.640 --> 00:17:12.920 hardest subjects for us all because people come in with 300 00:17:12.960 --> 00:17:15.599 complaints of pain, and there's so many different things that 301 00:17:15.640 --> 00:17:19.319 can cause pain in the pelvis because all these you know, 302 00:17:19.359 --> 00:17:22.480 there's so many different organs in the pelvis and all 303 00:17:22.519 --> 00:17:25.559 the nerves travel together, so you can have you know, 304 00:17:25.599 --> 00:17:27.920 you could you could have a hairline fracture in the 305 00:17:27.960 --> 00:17:31.559 tip of your you know, in the tip of your 306 00:17:31.559 --> 00:17:34.680 femur in that in your fhemeral head, and that could hurt, 307 00:17:35.480 --> 00:17:37.799 it could make you hurt kind of in the mid 308 00:17:37.839 --> 00:17:40.119 line as if you've got, you know, something wrong with 309 00:17:40.160 --> 00:17:44.000 your ovary, and so the pain, all these pain fibers 310 00:17:44.000 --> 00:17:46.799 travel together. I've had people with atopic pregnancies on the 311 00:17:46.880 --> 00:17:49.240 left side and come in with intense pain on the 312 00:17:49.279 --> 00:17:49.839 right side. 313 00:17:50.000 --> 00:17:53.559 Side note topic means out of place literally, and it 314 00:17:53.599 --> 00:17:57.079 refers to an egg instead of implanting in the uterus 315 00:17:57.319 --> 00:18:00.240 deciding to just like attach to your full opium too 316 00:18:00.720 --> 00:18:02.880 or elsewhere. So it was like moving into a new house, 317 00:18:03.440 --> 00:18:06.200 but setting up your bedroom in the driveway. It's like, 318 00:18:06.680 --> 00:18:11.519 is here good? No, No, that's not good. And sadly, 319 00:18:12.160 --> 00:18:15.079 topic pregnancies usually do not have a good outcome, and 320 00:18:15.119 --> 00:18:17.640 they can be super dangerous for both the fetus and 321 00:18:17.680 --> 00:18:20.759 the mom and they hurt a lot, sometimes in the 322 00:18:20.799 --> 00:18:21.400 wrong spot. 323 00:18:21.680 --> 00:18:25.519 It's hard to locate pain just by where people point 324 00:18:25.599 --> 00:18:29.839 or people say it hurts on this side. And I've 325 00:18:30.240 --> 00:18:33.880 you know, I remember taking a patient to the ore 326 00:18:33.960 --> 00:18:36.240 because she had intense pain on the left side and 327 00:18:36.799 --> 00:18:38.400 she had a cyst on the left side, and she 328 00:18:38.480 --> 00:18:41.200 was postman a puzzle and she shouldn't have a cyst 329 00:18:41.240 --> 00:18:43.920 on the left over and we took out our ovary 330 00:18:43.960 --> 00:18:45.720 and she still had this pain on the left side. 331 00:18:45.759 --> 00:18:47.559 And then I kind of scratched my head and didn't 332 00:18:47.599 --> 00:18:49.599 know what to do with her and send her to 333 00:18:49.799 --> 00:18:52.799 a friend of mine who's a fantastic physical therapist who's 334 00:18:52.839 --> 00:18:56.160 also a really fantastic diagnostician, and who just kind of 335 00:18:56.920 --> 00:18:59.519 figured out that she had started playing the flute and 336 00:18:59.640 --> 00:19:04.559 was hold her body. Really funny, what Emma's just contracting 337 00:19:04.599 --> 00:19:06.720 her left side of her body and that's why she 338 00:19:06.759 --> 00:19:09.720 had this intense pain on the left side. So there's 339 00:19:10.640 --> 00:19:15.720 all this. You know, people people hold their you know, 340 00:19:15.799 --> 00:19:20.119 hold tension in their iliosois muscles. Huh, they'll hold tension 341 00:19:20.200 --> 00:19:21.960 in their muscles, So. 342 00:19:22.319 --> 00:19:26.319 Come again, Okay, those are both part of your pelvic floor, 343 00:19:26.519 --> 00:19:30.599 which is kind of like a trampoline of muscles holding 344 00:19:30.640 --> 00:19:34.680 your bowel and bladder and uterus in the right spots. 345 00:19:34.960 --> 00:19:38.160 So this basin of muscles. Make sure your guts and 346 00:19:38.279 --> 00:19:42.440 gonads are well supported. Some of us don't even realize 347 00:19:42.440 --> 00:19:44.599 we've strained them, or don't even know we have them. 348 00:19:44.640 --> 00:19:47.960 We've never even thanked them once. If you're feeling bad 349 00:19:48.079 --> 00:19:50.559 about it, just do like a little keegel squeeze right now, 350 00:19:51.200 --> 00:19:52.920 like a high five, like boop. 351 00:19:53.200 --> 00:19:56.119 They'll hold tension in some of their muscles and it 352 00:19:56.160 --> 00:19:59.359 will be and it will feel like pain from thereover 353 00:19:59.400 --> 00:20:02.480 it will feel pain from their dress and it's really 354 00:20:02.519 --> 00:20:03.200 referred pain. 355 00:20:03.599 --> 00:20:05.799 Wow, I didn't even know that could happen. I can't imagine. 356 00:20:05.799 --> 00:20:08.279 You're like, I played the flute. Let's get this over 357 00:20:08.319 --> 00:20:11.680 yet here, Like who would have That's that's not something 358 00:20:11.759 --> 00:20:13.799 you're going to find in a medical textbook, Like. 359 00:20:14.000 --> 00:20:19.799 No, definitely, it is just kind of you know, I mean, 360 00:20:19.839 --> 00:20:22.960 sometimes you can get it out through the history. You 361 00:20:22.960 --> 00:20:25.799 you know, you finding out what kind of work people do, 362 00:20:26.079 --> 00:20:30.759 whether they stand a lot, and sometimes people have a 363 00:20:30.759 --> 00:20:33.200 lot of women have had a history of sexual abuse, 364 00:20:33.279 --> 00:20:36.160 and a lot of times when you've been raped or 365 00:20:36.200 --> 00:20:41.400 you've been hurt, you'll hold you know, your body remembers 366 00:20:41.400 --> 00:20:45.559 the pain and it manifests itself later on in life, 367 00:20:45.759 --> 00:20:47.799 so in various different ways. 368 00:20:48.160 --> 00:20:53.200 So, having practiced now over twenty years, have you seen 369 00:20:53.319 --> 00:20:58.559 any attitudes toward women's health or being their own advocates 370 00:20:58.599 --> 00:21:00.920 for their health, or their attitude it's toward their own 371 00:21:01.000 --> 00:21:04.039 sexual relationships change it all over the last couple decades. 372 00:21:04.200 --> 00:21:09.200 Unfortunately, I think women are still somewhat mystified by their 373 00:21:09.240 --> 00:21:11.359 body more so than they need to be. I think 374 00:21:11.440 --> 00:21:13.880 there's a lot of information out there on the internet 375 00:21:14.559 --> 00:21:18.640 that's very helpful, but I don't know how many people 376 00:21:18.680 --> 00:21:24.000 are actually accessing it. There's an amazing website called oh 377 00:21:24.039 --> 00:21:29.240 my God yes about that basically talks about female sexuality. Uh. 378 00:21:29.720 --> 00:21:32.400 Yes, I went to oh mygodyes dot com. Okay, so 379 00:21:32.480 --> 00:21:35.200 this is a site that raises money for women's sexuality 380 00:21:35.240 --> 00:21:41.440 research by providing in exchange informative, beautifully shot instructional videos 381 00:21:41.559 --> 00:21:44.400 behind a paywall. I was like, do I pay thirty 382 00:21:44.480 --> 00:21:46.079 nine dollars in the name of science to see what 383 00:21:46.079 --> 00:21:47.759 this is all about? And hell yeah, I used my 384 00:21:47.799 --> 00:21:50.319 business card and it did it. So let me just say, whoa, dude, 385 00:21:51.119 --> 00:21:56.880 whoa whoa? Okay, it's this gorgeously shot catacomb of videos 386 00:21:57.079 --> 00:22:03.519 you can go down about orgasmic tactics such as edging, layering, signaling, orbiting, 387 00:22:03.680 --> 00:22:07.319 and it's just right up in there. You see it all. Honestly, 388 00:22:07.960 --> 00:22:11.720 the most striking thing was like, whoa. I have never 389 00:22:11.759 --> 00:22:14.680 seen someone that you'd work in an office with talking 390 00:22:14.880 --> 00:22:17.480 or doing sexual things on camera like this. There's like 391 00:22:17.599 --> 00:22:21.599 no performative moaning, there's no painful looking high heels or 392 00:22:21.680 --> 00:22:25.359 weird KOI eye contact with the camera. It's just women 393 00:22:25.400 --> 00:22:29.079 teaching women how to use their anatomy for pleasure. Men 394 00:22:29.160 --> 00:22:31.440 might be thinking, like, you need a video for that. 395 00:22:32.039 --> 00:22:34.880 We don't need videos for that, because our bodies are 396 00:22:34.960 --> 00:22:38.400 human factories with a lot of real complicated parts. Most 397 00:22:38.440 --> 00:22:41.559 of sex ed that women get focuses on, like mechanics 398 00:22:41.599 --> 00:22:45.000 like periods, pats, tampons, ovulation, how to make sure dude 399 00:22:45.000 --> 00:22:46.480 does not put a baby in us when we don't 400 00:22:46.480 --> 00:22:48.920 want one, et cetera, et cetera. As we learned about 401 00:22:48.920 --> 00:22:51.759