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Speaker 1: So much.

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Speaker 2: You're listening to a MoMA Maya podcast. Mamma Mayer acknowledges

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Speaker 2: the traditional owners of land and waters that this podcast

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Speaker 2: is recorded.

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Speaker 3: On Hello, no filter listeners. This is the executive producer

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Speaker 3: of this program, Naima Brown, and today I'm bringing you

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Speaker 3: an episode from another Mamma Mia podcast called Well Well

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Speaker 3: is our women's health podcast. It's where we talk about

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Speaker 3: the taboo, the annoying, the embarrassing, and the scary. We

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Speaker 3: cover the concerns you're probably considering seeing a doctor about,

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Speaker 3: from insomnia to weird periods, to how to prevent dementia.

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Speaker 3: And today's episode is about body longevity, from our physical

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Speaker 3: health to our brain health. This is a conversation about

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Speaker 3: how to go the distance as you get older. I

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Speaker 3: hope you enjoy let us know what you think.

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Speaker 2: This is Well Australian women. Welcome to your full body

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Speaker 2: health check. I'm Claire Murphy, your resident journal who will

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Speaker 2: ask you the nosiest questions about your most private parts.

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Speaker 4: And I'm doctor Mariam, the person who will have those

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Speaker 4: answers to those questions and hand you the tools on

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Speaker 4: how you can take that.

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Speaker 5: To your own doctor.

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Speaker 2: Today we're going to be talking about body longevity. Now,

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Speaker 2: before you start thinking about that guy the Kardashian spent

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Speaker 2: time with this season, what's his name, Brian Johnson, we

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Speaker 2: are not talking about tech bro billionaire longevity, and this

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Speaker 2: is not about how we look either. We're talking about

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Speaker 2: all of us women just trying to live our best

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Speaker 2: lives without becoming like frail old ladies who break and

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Speaker 2: fall and can't remember anything. We'll also check in with

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Speaker 2: Briani for a quick consult today. She has a really

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Speaker 2: serious issue that is absolutely life threatening and she knows

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Speaker 2: that it can be fixed. She just can't convince her

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Speaker 2: doctor to actually do the fixing part. But next, I

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Speaker 2: have a shaving tip for you. Yes, this is going

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Speaker 2: to change the way you handle your razor. It is

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Speaker 2: time to go to med school. Welcome to med school.

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Speaker 2: We are discovering some crazy things about our bodies as

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Speaker 2: we do research into this podcast, which I've mentioned in

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Speaker 2: previous episodes, has completely messed up my algorithms. I get

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Speaker 2: served some pretty wax stuff these days, but we do

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Speaker 2: come across some really interesting handy hints sometimes too, which

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Speaker 2: is what I came across this week. Have you ever

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Speaker 2: like when you've gone to shave your legs yep, soaked

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Speaker 2: for a bit first in the bath, or done it

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Speaker 2: as like the last thing you do in the shower,

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Speaker 2: like after you've done your everything top to toe kind

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Speaker 2: of business. Well, I've found out that when you soak

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Speaker 2: in the bath or take a long shower, your skin

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Speaker 2: essentially swells because the outer layers do absorb that water.

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Speaker 2: But what that means is that the hair is essentially

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Speaker 2: getting pulled back into the follicle as your skin expands outwards.

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Speaker 5: It makes sense.

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Speaker 2: Yeah, so when you go and shave at the end,

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Speaker 2: when your skin is all sweat and plump and full

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Speaker 2: of lovely moisture, you're actually shaving less of the hair,

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Speaker 2: which is why you might find after you've dried off

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Speaker 2: and like an hour or so later, when your skin

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Speaker 2: has gone back to normal, you've already got stubble.

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Speaker 5: So don't do that.

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Speaker 2: Do it the first thing you do when you get

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Speaker 2: in the bath, or the first thing you do, i

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Speaker 2: mean gross in the bath, because now you're floating around

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Speaker 2: with a bunch of your little shaven hairs.

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Speaker 4: Don't do it on dry skin either, No, Like you

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Speaker 4: know what, I've just like rushed in and there's just

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Speaker 4: like the patch of hair.

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Speaker 2: Yeah, because then you get like that weird rash. It's

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Speaker 2: not very nice hurts. Also, if you do it after

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Speaker 2: a long socer or long shower, it increases your risk

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Speaker 2: of ingrown hairs and raizor burn. So the moral of

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Speaker 2: the story today is dunk, quick shave first, get it

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Speaker 2: over and done with. Also, Mariam, though, I do understand

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Speaker 2: that the quality of your razor is of concern here

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Speaker 2: because you can actually catch like some nasty stuff from

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Speaker 2: your razor, right, you.

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Speaker 4: Sure can, So they can be a breeding ground for

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Speaker 4: bacteria and infections. Using a rusty razor increases.

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Speaker 5: Your risk of infections.

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Speaker 2: And will admit I have done that before.

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Speaker 4: Yeah, like, and they can like compile a lot of

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Speaker 4: nasty things. And the one thing we think of our

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Speaker 4: staff infections. So if your razor is starting to look

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Speaker 4: a little vintage, it is a time to replace them.

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Speaker 4: So in summary, quicktip, sharp brazer, smooth sailing.

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Speaker 5: Or you don't even need to shave. That's so true.

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Speaker 2: Why are we even bothering with hair removaling.

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Speaker 5: Exactly, especially coming into winter.

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Speaker 2: Oh my god, sasquatch me is about to emerge. Just

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Speaker 2: you wait, okay, shave first non rusty raiser people. All right,

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Speaker 2: it is check up time. We are talking longevity today.

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Speaker 5: It's time for the check up.

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Speaker 2: We know that women in general live longer than men.

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Speaker 2: Although with our friends, the billionaire tech bros that we

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Speaker 2: mentioned earlier, all life hacking and trying to live forever,

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Speaker 2: maybe that will change somewhere down the track. But as

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Speaker 2: we sit today, women live on average to around eighty

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Speaker 2: five years of age compared to men at eighty one

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Speaker 2: here in Australia. That does different where you go in

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Speaker 2: the world, but marrying there is a big difference between

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Speaker 2: living until you're eighty five and like living until you're

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Speaker 2: eighty five. Right, there are so many things we can

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Speaker 2: do to make sure that our bodies hold up better.

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Speaker 4: Yep, it's not just about adding years to your life.

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Speaker 4: It's about adding life to years. And while women may

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Speaker 4: outlive men on paper, we're aiming for more quality years,

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Speaker 4: not just more candles on the cake.

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Speaker 2: So I mean, candles on the cake is nice because

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Speaker 2: it comes with cake.

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Speaker 4: But yes, yeah, but you know, what's the point of

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Speaker 4: making it to eighty five if we can't remember where

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Speaker 4: we put our dentures? So I have a simple formula

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Speaker 4: for vibrant aging. Number one is moving your body, so

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Speaker 4: regular physical activity helping you to stay mobile, strong and

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Speaker 4: independent as we age. Variety is what's key, So you

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Speaker 4: want to be doing moderate aerobic activity like whether walking, dancing, swimming,

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Speaker 4: But you also want to be doing strength training. That's

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Speaker 4: really important, and that's to support the muscle and bone health.

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Speaker 4: And we know that flexibility imbalance training is really really

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Speaker 4: important to stay agile and help prevent falls.

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Speaker 5: You don't need to run.

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Speaker 4: Marathons, but if that's your thing, go for it, but

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Speaker 4: it's about consistent, gentle movements and they can work wonders.

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Speaker 4: The second thing is eating smart and enjoying your food

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Speaker 4: as well, So you want to balanced diet rich in

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Speaker 4: proteins and veggies, healthy fats as well. As you get older,

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Speaker 4: the way your body processes alcohol is very different, so

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Speaker 4: it can take longer to recover. Yeah, absolutely, And then

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Speaker 4: prioritizing your mental wellbeing that's really important. So your mental

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Speaker 4: health is just as important as your physical health. You

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Speaker 4: want to be practicing mindfulness, even if it's just a

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Speaker 4: couple of minutes a day, spending time with your loved ones,

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Speaker 4: staying mentally active with new hobbies, and group activities as well.

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Speaker 4: Talk to your GP about a mental health care plan

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Speaker 4: if needed. There is support out there for you. We

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Speaker 4: know that people with depression and anxiety can have a

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Speaker 4: reduced quality of life and we want to get on

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Speaker 4: top of that as soon as possible. Social connection is

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Speaker 4: so crucial, especially as we age. It proves mood memory

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Speaker 4: and reduces loneliness, which we know is a silent killer.

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Speaker 4: Sleeping that's so important as well, so we're aiming for

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Speaker 4: seven to eight hours of sleep a night. Sleep changes

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Speaker 4: with age, so you're more likely to experience disrupted rest

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Speaker 4: as you age, and if you're struggling to get good

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Speaker 4: quality sleep, please speak to your GP. And staying proactive

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Speaker 4: with your health, going in to see your GP often

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Speaker 4: for health checks. Don't wait till you become unwell. It's

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Speaker 4: about preventive care and then.

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Speaker 5: Getting ahead of things.

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Speaker 4: I do like to have these conversations with people early.

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Speaker 4: They can be uncomfortable, but it's very important. So things

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Speaker 4: like an advanced care directive, having a power of attorney

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Speaker 4: and you know, what does life in the future look

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Speaker 4: for you, and just having that conversation early so when

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Speaker 4: things do happen, it doesn't take you by surprise.

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Speaker 2: I've tried having it with my parents. It is a

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Speaker 2: no go zone right now, so we'll keep working on it.

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Speaker 4: But you know, they're so important, and it's about kind

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Speaker 4: of ensuring that you're treated with the dignity and care

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Speaker 4: that you deserve in the way that you want to

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Speaker 4: if these things were to happen.

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Speaker 2: One hundred percent, Mariam, how do we go about putting

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Speaker 2: a plan in place like this, whether it's for ourselves

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Speaker 2: if we're getting a bit older, or for aging parents,

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Speaker 2: for example, to make sure that we are aging as

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Speaker 2: best that we can.

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Speaker 4: I think as a patient you have a duty to

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Speaker 4: be proactive as well. We can only do so much

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Speaker 4: when you come to visit us. There are a lot

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Speaker 4: of comprehensive health checks that GPS can do as we

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Speaker 4: start to get older, but we need you to get

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Speaker 4: to the door first. It's really important not to wait

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Speaker 4: to your own wealth. We're not saying go in every week,

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Speaker 4: but going every now and again to make sure everything

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Speaker 4: is up to date and that we're getting on top

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Speaker 4: of things before they become a problem.

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Speaker 5: So that's quite important.

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Speaker 4: And if you're living with a chronic disease, you'd be

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Speaker 4: eligible for something we call a chronic disease management plan,

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Speaker 4: and that gives you access to build visits with allied

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Speaker 4: health providers. So linking you in with services like physiotherapists,

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Speaker 4: exercise physiologists, pedietress, all those sorts of things, and it's

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Speaker 4: good because then you start to establish this team around

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Speaker 4: you and we can all the AI's with you to

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Speaker 4: make sure that you're on top of all your conditions.

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Speaker 2: I swear if my mother wasn't committed to my father,

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Speaker 2: I think she was having an affair with her PA

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Speaker 2: diietress with how often she is to visit him. But

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Speaker 2: that's besides the point I always recommend, and I know

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Speaker 2: it's very difficult for people trying to get in, but

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Speaker 2: as we age, having one.

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Speaker 4: GP or seeing GPS within a practice.

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Speaker 5: Is really important.

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Speaker 4: It's important because we have access to your notes, we

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Speaker 4: know what medications you're on. As I see a lot

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Speaker 4: of people who are aging, there are a lot of

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Speaker 4: medications prescribed by other doctors that we don't have access to,

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Speaker 4: and then we're prescribing medications and they can interact with

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Speaker 4: each other. So I do say, as you're getting older,

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Speaker 4: try to find a good GP that you're happy with

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Speaker 4: who knows you really well. Maybe find someone who's not

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Speaker 4: on the verge of retirement, because that does happen.

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Speaker 2: Fortunately, I'm so sad.

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Speaker 4: But yes, you know someone who's going to be with

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Speaker 4: you for the long haul, who knows you really well,

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Speaker 4: who's to pick things up, who is on top of

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Speaker 4: your medication list, and who you can have these active

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Speaker 4: conversations with.

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Speaker 2: Yeah, good advice, all right, Moving on on the way,

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Speaker 2: we're going to hear about Brian's life threatening condition. She's

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Speaker 2: desperately trying to get her doctor to fixed, but just

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Speaker 2: because she hasn't had babies yet, they are not letting her.

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Speaker 2: But next we speak to Gene House for Women's Health

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Speaker 2: endochronologists lead doctor Sonya Davison to see how we can

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Speaker 2: make sure that these bodies of ours hold up the

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Speaker 2: best they can till the very very end. Sonya, thank

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Speaker 2: you so much for joining us and helping us out

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Speaker 2: with this today. I have been seeing this one video

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Speaker 2: everywhere at the moment that says that women who exercise

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Speaker 2: regularly from midlife onwards have an up to ninety percent

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Speaker 2: reduction in Alzheimer's compared to women who don't. And if

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Speaker 2: you are going to get it because there are people

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Speaker 2: who are genetically predisposed to it, that it will in

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Speaker 2: fact hit you some eleven years late that it would

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Speaker 2: have had you not exercised. How much of this is

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Speaker 2: true and proven.

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Speaker 6: There's a lot of different studies out there with exercise

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Speaker 6: and brain function or cognitive function and dementia. I think

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Speaker 6: that particular study is being amplified a little bit. I

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Speaker 6: think it refers to a Swedish study of over fourteen

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Speaker 6: hundred women who were started to be studied when they

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Speaker 6: were thirty eight to sixty years in nineteen sixty eight.

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Speaker 6: They followed them up for forty four years. But what

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Speaker 6: they found was those who had high fitness there was

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Speaker 6: a reduction in the risk of getting Alzheimer's by eighty

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Speaker 6: eight percent. But it was high fitness compared to medium fitness,

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Speaker 6: and I think that there are very few of us

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Speaker 6: who can claim to really having an element of high fitness.

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Speaker 6: The study did suggest there was a delay to the

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Speaker 6: onset of dementia of about nine point five years, and

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Speaker 6: that's amazing, But it's a lot to ask someone at

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Speaker 6: thirty eight or midlife to maintain high fitness just for

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Speaker 6: that purpose. I just don't want people to get disappointed

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Speaker 6: when they try and aim for these really big goals,

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Speaker 6: then have the realities of modern life, lots of other challenges,

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Speaker 6: and then get disappointed in themselves that they can't. I think,

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Speaker 6: on any level, any amount of exercise that you can do,

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Speaker 6: as long as it's good. Making the heart pound exercise,

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Speaker 6: making your sweat a bit, doesn't have to be going

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Speaker 6: to a gym or a program. It can be just

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Speaker 6: a brisk walk, it can be dancing. I think, just

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Speaker 6: make it real for the person and put an effort in.

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Speaker 6: I think that's what I encourage women to do.

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Speaker 2: I'd like to get your take on this too, because

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Speaker 2: there's also a lot of foods that are being pushed

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Speaker 2: that are supposedly beneficial for our brain health in order

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Speaker 2: to avoid dementia and Alzheimer's. I've been reading specifically about fish,

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Speaker 2: which we've always been told is really good for our

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Speaker 2: brain health. Berries, red and purple sweet potato, green vegetables,

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Speaker 2: and herbs and beetrey in particular seemed to be consistently

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Speaker 2: on this list. What do we know about those particular

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Speaker 2: foods and their potential to prevent things like dementia?

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Speaker 6: We started really getting interested because we saw that there

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Speaker 6: were regional differences with regard to diet, for example, a

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Speaker 6: Mediterranean diet. We saw that there were various health benefits

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Speaker 6: to that diet, and that is typically fish and seafood, grains, vegetables, fruit,

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Speaker 6: and olive oil. So we thought when we looked at

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Speaker 6: those studies, those people actually did better with regard to

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Speaker 6: healthy aging and dementia, green leafy vegetables, plant based diet,

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Speaker 6: avoiding processed foods, avoiding lots of carbohydrate, avoiding lots of

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Speaker 6: red meat. But again, it's everything in balance, everything in

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Speaker 6: moderation and trying to do something that will work for

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Speaker 6: your life rather than not trying to achieve something that's

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Speaker 6: really really difficult. But again, yes, I'm all for all

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Speaker 6: of those foods that you mentioned. Berries. It's interesting with

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Speaker 6: regard to fruit they said berries rather than other fruit.

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Speaker 6: And definitely when you're coming to dementia prevention, those foods

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Speaker 6: tend to be more useful compared with high saturated fats,

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Speaker 6: processed foods, takeaway foods, all those sort of things.

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Speaker 2: All right, let's talk about perimenopause, because we know that

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Speaker 2: a lot of change is going on in a woman's

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Speaker 2: body with hormones and various other things at that time.

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Speaker 2: But we also change where we store our fat, and

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Speaker 2: that is something that people are looking into us potentially

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Speaker 2: helping with body longevity because we start to store it

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Speaker 2: around our tummies, in and around our vital organs. There,

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Speaker 2: what is the problem with it being around our tummies

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Speaker 2: rather than being hips and thighs and bums where we

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Speaker 2: would normally And what's the benefit of making sure we

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Speaker 2: limit that.

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Speaker 6: We know that when there's a higher waste circumference, and

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Speaker 6: for women there's a sort of cutoff of eighty eight centimeters,

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Speaker 6: men it's one hundred and two centimeters. We know when

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Speaker 6: there's a higher waste of conference, even with a healthy

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Speaker 6: weight for height. So that's really interesting as well that

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Speaker 6: there tends to be an increase in visceral fat, so

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Speaker 6: that's fat around the organs such as the liver, inside

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Speaker 6: our adoninal cavity. We know that that fat is higher

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Speaker 6: in insulin, and we know that there are certain risks

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Speaker 6: associated with that, such as higher blood pressure, higher diabetes risks,

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Speaker 6: and higher cardiovascular risks, so risks of heart disease and

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Speaker 6: stroke hypertension. It's interesting that that one measure the waste circumference.

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Speaker 6: If we can actually get it to less than eighty

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Speaker 6: eight centimeters, statistically, we're going to do much better with

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Speaker 6: regard to healthy aging and avoiding. Well, when you consider women,

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Speaker 6: thirty two percent of us die of a heart attack

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Speaker 6: or stroke, So if we could get that slightly skinnier waist,

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Speaker 6: that would be very useful.

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Speaker 2: I'm also hearing a lot of rumblings about fasting Sonya

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Speaker 2: and on fasting and its ability to help us age

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Speaker 2: a little better.

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Speaker 6: Well, the studies are pretty convincing, and there's lots of

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Speaker 6: different ways of fasting. We've seen the five two diet,

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Speaker 6: the sixteen eight diet, and all sorts of ways of

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Speaker 6: doing this. I think the important message is to just

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Speaker 6: not be very extreme with regard to this, do it

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Speaker 6: in a safe and healthy way. Don't walk around like

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Speaker 6: a zombie feeling staff the whole time.

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Speaker 5: Just don't pass out.

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Speaker 6: So, yes, there is some good data that it's actually

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Speaker 6: good for the body to fast for a bit, not

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Speaker 6: for a long time. It's good for our insulin levels,

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Speaker 6: it's good for anti inflammatory, it's good for our microbiome,

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Speaker 6: it's good for cleaning up inflammation, and it's certainly good

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Speaker 6: for waste circumference for weight and it's good for reducing

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Speaker 6: our risks of metabolic things such as hypertension, diabetes, cholesterol, etc.

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Speaker 2: I also recently saw a video of a woman who

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Speaker 2: was giving Melbourne radio host a training session on some

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Speaker 2: of the best exercises to do to avoid bone density

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Speaker 2: issues like osteoporosis, and she's big on stomping and her

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Speaker 2: explanation was that you need to exercise in a way

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Speaker 2: that shocks the bones a little so they continue to

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Speaker 2: build and stay strong between that and lifting heavy things.

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Speaker 2: That's the other advice I've been seeing ever at the moment,

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Speaker 2: are those the best exercises when you do reach middle

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Speaker 2: age and beyond to make sure you stay strong and

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Speaker 2: your bones stays strong as you age.

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Speaker 6: We do have a rapid decline in bone density from

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Speaker 6: the time of midlife in women, more so on women

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Speaker 6: than men, and there's a huge amount of bone thinning

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Speaker 6: and osteoporosis, and a quarter of women will die in

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Speaker 6: the year after having a hip fracture. Yes, stomping Greek

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Speaker 6: or Israeli dancing zomba something that's actually using your skeleton

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Speaker 6: in the upright form, a bit of jogging, won't hurt.

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Speaker 6: It can be skipping pretty cheap to get a skipping rope.

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Speaker 6: And the other thing is weight bearing, so weights are

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Speaker 6: very important. There's a beautiful information page on exercise for

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Speaker 6: bone at Healthy Bones Australia. It's a beautiful exercise guide

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Speaker 6: with pictures of women in black exercise gear showing how

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Speaker 6: to do the exercises, showing how to do it healthily,

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Speaker 6: because we just don't want women getting an injury, especially

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Speaker 6: if they're older and have existing injuries, trying to do

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Speaker 6: that wonderful exercise for their bones.

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Speaker 2: Can you actually reverse osteoporosis though once it starts.

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Speaker 6: We can gain bone density. So osteoporosis is when we've

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Speaker 6: lost a lot of bone density and the bones become brittle,

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Speaker 6: and with minimal trauma we can fracture, so you certainly

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Speaker 6: can gain bone density. It's hard to go from osteoporosis

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Speaker 6: to normal and all sorts of things are important. Adequate

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Speaker 6: calcium in diet, adequate vitamin D, weight bearing, exercise, not smoking,

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Speaker 6: not drinking to excess, trying to moderate other things in life.

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Speaker 6: Just keeping a balance again, and sometimes we will need

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Speaker 6: osteoporosis medications. Sometimes we will need hormone therapy, and that's

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Speaker 6: an individual decision as well. But we can all do

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00:19:24,285 --> 00:19:27,405
Speaker 6: something for our bones, and it's brilliant to go from

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Speaker 6: osteoporosis to osteopenia, which is mild thinning and can be

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Speaker 6: normal in some age groups. We can definitely change our

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Speaker 6: bone density and work on it.

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Speaker 2: Can we talk about ovaries for a second, because we

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Speaker 2: know that it's such a big shift in a woman's life.

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Speaker 2: When you essentially start running out of eggs, you start

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Speaker 2: losing your estrogen hormone, window of chaos occurs, we're imperimenopause,

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Speaker 2: Lots of different symptoms come on board. But there's a

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Speaker 2: lot of talk now some research is being done into

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Speaker 2: how to extend the life of your ovary, not for

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Speaker 2: reproductive purposes, but just for health purposes. Do you know

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Speaker 2: where we're at with that.

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Speaker 6: We're not very far along. What we do know, For example,

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Speaker 6: smokers have an earlier menopause, so that's obviously one thing

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Speaker 6: we could avoid. Our real model here is premature menopause.

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Speaker 6: That's menopause before the age of forty years. We know

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Speaker 6: when those women are sort of robbed of the estrogen

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Speaker 6: they were meant to have until average age fifty to

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Speaker 6: fifty one, that they do have a higher rate of

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Speaker 6: cardiovascular disease that's heart attack and stroke, cognitive decline, dementia,

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Speaker 6: and also osteoporosis and fracture. We know when we give

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Speaker 6: those women back estrogen, if we're able to not all

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Speaker 6: can have it, that we actually reverse those things. And

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Speaker 6: also we know in those women who've undergone the earlier

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Speaker 6: menopause that their mortality is increased if we don't give

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Speaker 6: hormone therapy. People have looked at other things. For example,

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Speaker 6: people have said that if you have a high carbohydrate load,

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Speaker 6: you might have an earlier menopause. If you have moderate

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Speaker 6: alcohol rather than extreme alcohol used, you might have a

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Speaker 6: later menopause. So there are some things that can help

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Speaker 6: us a little, but it's possibly only going to help

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Speaker 6: you one or two months or maybe a year. The

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Speaker 6: median age of menopause in Australia is fifty one to

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Speaker 6: fifty two. It's set, it's genetically programmed. You will do

400
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Speaker 6: what your identical twin has done or what mum has done,

401
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Speaker 6: mostly unless something else happens like surgery, radiotherapy, chemotherapy, et cetera.

402
00:21:35,925 --> 00:21:39,445
Speaker 6: All those sort of insults We're not really there yet,

403
00:21:39,965 --> 00:21:43,045
Speaker 6: but I think the main message is if you want

404
00:21:43,085 --> 00:21:47,205
Speaker 6: to maintain a very in function and maybe extend your

405
00:21:47,405 --> 00:21:51,685
Speaker 6: menopause a life a little bit, being healthy, well exercised,

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Speaker 6: don't be too extreme, just do what our body was

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Speaker 6: meant to do.

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Speaker 2: Thank you so much, doctor Davison. That was a great

409
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Speaker 2: conversation about little ways to make our later lives a

410
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Speaker 2: little bit healthier, less painful, and a ton more remembering,

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Speaker 2: which is very helpful. What are your thoughts on that?

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Speaker 4: Well, with what she said, I think I'm in the

413
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Speaker 4: safe zone. I'm Lebanese, I'm already on the Mediterranean.

414
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Speaker 2: Diet, and I just like us Irish potato eaters.

415
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Speaker 4: I just need to make sure that I've got a

416
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Speaker 4: Lebanese wedding every weekend and do the dub gear, which

417
00:22:21,285 --> 00:22:24,605
Speaker 4: won't be hard. I've got thousands of cousins. So I

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Speaker 4: also wanted to add with the dementia prevention, there are

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Speaker 4: a few other things that we really want to focus

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Speaker 4: on for dementia prevention, and that's you know.

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Speaker 5: Sleep quality, cognitive stimulation.

422
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Speaker 4: So doing those crosswords sudokus and that lifelong learning to

423
00:22:40,205 --> 00:22:44,085
Speaker 4: keep that mind active just as crucial is social connection.

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Speaker 5: That's really really important.

425
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Speaker 4: I have cups of teas within your friend, Yeah, finds

426
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Speaker 4: a hobby, group, activities, whatever it might be, that's really

427
00:22:51,245 --> 00:22:56,605
Speaker 4: really important for dementia prevention. One often overlooked yet highly

428
00:22:56,645 --> 00:23:00,565
Speaker 4: modifile risk factor is hearing loss. So you know, getting

429
00:23:00,885 --> 00:23:03,445
Speaker 4: regular hearing checks as we start to age is really

430
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Speaker 4: really important and if needed, getting hearing aids can significantly

431
00:23:07,205 --> 00:23:10,925
Speaker 4: reduce the risk of dementia. And to add some new

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00:23:11,005 --> 00:23:15,045
Speaker 4: research which has just come out, those vaccinated for shingles

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00:23:15,085 --> 00:23:18,445
Speaker 4: have had their risk of dementia diagnosis reduced by twenty

434
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Speaker 4: percent over seven.

435
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Speaker 5: Years, which is really really great research.

436
00:23:23,005 --> 00:23:25,085
Speaker 2: This is really interesting because we're having this discussion like

437
00:23:25,125 --> 00:23:27,005
Speaker 2: it should be for eighty year old ladies, right, But

438
00:23:27,485 --> 00:23:30,325
Speaker 2: to be honest, this should be something we're thinking about,

439
00:23:30,405 --> 00:23:32,845
Speaker 2: especially if you're in that window of like late thirties

440
00:23:32,885 --> 00:23:35,805
Speaker 2: into your forties and fifties. They call it the menopause

441
00:23:35,885 --> 00:23:38,005
Speaker 2: window of chaos. Your hormones are all doing crazy stuff

442
00:23:38,045 --> 00:23:40,805
Speaker 2: and you lose estrogen. This is when these changes start

443
00:23:40,845 --> 00:23:44,365
Speaker 2: to really affect your ability to age well and your longevity.

444
00:23:44,445 --> 00:23:47,205
Speaker 2: So we should be having these discussions and putting these

445
00:23:47,205 --> 00:23:49,925
Speaker 2: things in practice, like from your thirties onwards.

446
00:23:49,685 --> 00:23:53,125
Speaker 4: Right, exactly, you want to implement these changes earlier on,

447
00:23:53,285 --> 00:23:55,605
Speaker 4: make it a part of your lifestyle. If I was

448
00:23:55,605 --> 00:23:57,725
Speaker 4: to have a conversation with a seventy five year old

449
00:23:57,725 --> 00:24:00,045
Speaker 4: and say you need to be exercising this much and

450
00:24:00,045 --> 00:24:01,925
Speaker 4: you need to be doing AB and C, it's much

451
00:24:01,965 --> 00:24:04,365
Speaker 4: harder to implement than someone who's been doing it since

452
00:24:04,405 --> 00:24:05,645
Speaker 4: they have been in their thirties.

453
00:24:05,765 --> 00:24:09,165
Speaker 2: Yeah, get onto it, gals. Next, it's quick consulet time.

454
00:24:09,365 --> 00:24:12,725
Speaker 2: Ryani is really unhappy with advice that she's been given.

455
00:24:12,765 --> 00:24:14,805
Speaker 2: She wants to know if every doctor she goes to

456
00:24:14,925 --> 00:24:17,525
Speaker 2: is essentially going to tell her the same thing about

457
00:24:17,565 --> 00:24:20,365
Speaker 2: a life threatening issue she has which they've said they're

458
00:24:20,365 --> 00:24:23,285
Speaker 2: not going to allow treatment for until she's had babies.

459
00:24:29,805 --> 00:24:30,885
Speaker 6: The doctor will see you now.

460
00:24:30,965 --> 00:24:35,325
Speaker 2: Just through here to consort Room one. If you have

461
00:24:35,325 --> 00:24:39,045
Speaker 2: a question for doctor Mariam. She's a bloody legend. Oh sure,

462
00:24:39,285 --> 00:24:43,445
Speaker 2: she's also answering questions for me, which I'm dming her on.

463
00:24:43,405 --> 00:24:46,925
Speaker 5: A Saturday night about my eye and deficiency lots of rashers. No,

464
00:24:46,965 --> 00:24:47,525
Speaker 5: I'm joking.

465
00:24:49,445 --> 00:24:51,485
Speaker 2: I did tell her that she has that complete permission

466
00:24:51,485 --> 00:24:53,045
Speaker 2: to tell me to piss off if I asking your

467
00:24:53,165 --> 00:24:55,365
Speaker 2: questions on the DMS on a Saturday night. If you

468
00:24:55,365 --> 00:24:56,845
Speaker 2: do have a question, though, you can shoot it through

469
00:24:56,885 --> 00:24:58,525
Speaker 2: to the waiting room. You'll find a link to that

470
00:24:58,645 --> 00:25:00,765
Speaker 2: in our show notes. And if you do it that way,

471
00:25:00,765 --> 00:25:02,685
Speaker 2: it is completely anonymous. So if you have a question

472
00:25:02,725 --> 00:25:04,485
Speaker 2: that you don't want to put your name to, which

473
00:25:04,525 --> 00:25:08,565
Speaker 2: we totally understand, Okay, Mariam, please do your thing.

474
00:25:09,005 --> 00:25:10,925
Speaker 5: Thank you for waiting. How can I help you?

475
00:25:11,645 --> 00:25:13,925
Speaker 2: In the concert room today is Briani. She has a

476
00:25:13,965 --> 00:25:16,565
Speaker 2: problem she thinks she knows the answer to, but cannot

477
00:25:16,605 --> 00:25:18,885
Speaker 2: find someone to help her get there. This is what

478
00:25:18,925 --> 00:25:19,565
Speaker 2: she wrote.

479
00:25:19,725 --> 00:25:23,045
Speaker 1: I'm twenty nine and want hysterectomy, but my new GP

480
00:25:23,165 --> 00:25:26,965
Speaker 1: said I can't have one. I have fibroids that are

481
00:25:27,005 --> 00:25:29,885
Speaker 1: so bad that my husband once found me passed out

482
00:25:29,925 --> 00:25:32,645
Speaker 1: on the bathroom floor from blood loss and had to

483
00:25:32,645 --> 00:25:36,525
Speaker 1: call an ambulance. I've been having regular transfusions and have

484
00:25:36,645 --> 00:25:39,805
Speaker 1: also had several oblations to help, but I can't keep

485
00:25:39,885 --> 00:25:45,285
Speaker 1: going like this. Sometimes I can't leave the house because

486
00:25:45,285 --> 00:25:48,965
Speaker 1: I am bleeding so much. My GP says because I

487
00:25:49,005 --> 00:25:51,805
Speaker 1: don't have any children yet and I'm not even thirty,

488
00:25:51,965 --> 00:25:56,045
Speaker 1: he will not refer me and that it's something that

489
00:25:56,125 --> 00:25:58,765
Speaker 1: my husband needs to be on board as it's something

490
00:25:58,765 --> 00:26:02,245
Speaker 1: that will affect him. Do I just need to find

491
00:26:02,285 --> 00:26:05,165
Speaker 1: another doctor or will all gps just say the same

492
00:26:05,205 --> 00:26:05,645
Speaker 1: thing to me?

493
00:26:06,285 --> 00:26:08,885
Speaker 2: Mariam, I've had friends who had to deal with fibroids.

494
00:26:08,925 --> 00:26:14,565
Speaker 2: It is absolutely debilitating if you've got really bad fibroids,

495
00:26:14,725 --> 00:26:18,885
Speaker 2: and they've since had procedures that have fixed that, including hysterectomy.

496
00:26:19,765 --> 00:26:22,045
Speaker 2: So in this case, when we're talking about GP, who

497
00:26:22,085 --> 00:26:24,805
Speaker 2: says not until you have babies? Is this a social

498
00:26:24,845 --> 00:26:26,645
Speaker 2: issue or is this a medical issue?

499
00:26:27,045 --> 00:26:31,365
Speaker 4: Okay, So I'll just start by explaining what fibroids are

500
00:26:31,565 --> 00:26:34,725
Speaker 4: for the listeners. So they're non cancerous growths in the

501
00:26:34,805 --> 00:26:38,525
Speaker 4: uterus that can vary in size and location and number.

502
00:26:38,605 --> 00:26:40,685
Speaker 4: They can be as small as a pe and larger

503
00:26:40,725 --> 00:26:44,965
Speaker 4: than a watermelon in some cases. They affect seventy percent

504
00:26:45,365 --> 00:26:48,245
Speaker 4: of women under the age of fifty, and they typically

505
00:26:48,285 --> 00:26:51,485
Speaker 4: shrink after menopause, but that's not always the case. While

506
00:26:51,605 --> 00:26:55,405
Speaker 4: many women have fibroids, about forty percent will experience symptoms,

507
00:26:55,405 --> 00:26:59,645
Speaker 4: and that can include heavy menstrual bleeding, painful periods, fatigue,

508
00:26:59,765 --> 00:27:03,085
Speaker 4: shortness of breath due to the irons efficiency, pelvic pain,

509
00:27:03,245 --> 00:27:08,925
Speaker 4: pain during sex or frequent urination, among other signs. Now

510
00:27:09,125 --> 00:27:13,485
Speaker 4: I am furious hearing I can see you are so

511
00:27:13,725 --> 00:27:16,885
Speaker 4: angry hearing this, and I'm so sorry for her experience

512
00:27:16,925 --> 00:27:20,285
Speaker 4: because that is just not acceptable. Essentially, when I have

513
00:27:21,365 --> 00:27:25,765
Speaker 4: a female present with bleeding, we always order some imaging

514
00:27:25,805 --> 00:27:28,245
Speaker 4: and it will tell me about fibroids. It will tell

515
00:27:28,285 --> 00:27:32,445
Speaker 4: me fibroids, this is the cause. When we have the diagnosis,

516
00:27:32,565 --> 00:27:35,765
Speaker 4: my approach is I sit the patient down. I go

517
00:27:35,805 --> 00:27:38,605
Speaker 4: to this website called Ask for UFE and it has

518
00:27:38,645 --> 00:27:41,645
Speaker 4: this beautiful print out which has all the treatment options

519
00:27:41,725 --> 00:27:44,245
Speaker 4: and it goes through the pros and the cons. I

520
00:27:44,405 --> 00:27:47,445
Speaker 4: print it out, we go through it together. I let

521
00:27:47,445 --> 00:27:49,285
Speaker 4: them take it home, have a think about it, and

522
00:27:49,325 --> 00:27:51,565
Speaker 4: they come back and we have a further conversation about

523
00:27:51,565 --> 00:27:55,365
Speaker 4: what they want to do. When I hear stories of

524
00:27:55,445 --> 00:28:01,125
Speaker 4: women being refused referrals or treatments, like my blood boils.

525
00:28:01,405 --> 00:28:04,685
Speaker 4: If a patient is given all options, including the pros

526
00:28:04,725 --> 00:28:07,925
Speaker 4: and cons and risks associated with the treatment and the

527
00:28:07,925 --> 00:28:12,885
Speaker 4: fertility implications, and she makes a decision, that's hers and

528
00:28:12,925 --> 00:28:17,485
Speaker 4: it's our duty as doctors to respect patient autonomy. She's

529
00:28:17,565 --> 00:28:22,245
Speaker 4: clearly symptomatic, she required a referral like yesterday, and she

530
00:28:22,365 --> 00:28:25,365
Speaker 4: needs a full work up and she shouldn't be denied

531
00:28:25,365 --> 00:28:28,325
Speaker 4: that opportunity because she has a GP who has some

532
00:28:28,525 --> 00:28:32,685
Speaker 4: belief structure about fertility. So it's time to say bye

533
00:28:32,685 --> 00:28:36,165
Speaker 4: Felicia to this new GP. You deserve to feel better,

534
00:28:36,645 --> 00:28:39,205
Speaker 4: and you deserve to have a treatment plan that aligns

535
00:28:39,285 --> 00:28:42,645
Speaker 4: with what you want. And I'm so so sorry that

536
00:28:42,845 --> 00:28:46,405
Speaker 4: this is an experience that many, many, many females are

537
00:28:46,445 --> 00:28:48,925
Speaker 4: still experiencing. It's just unacceptable.

538
00:28:49,125 --> 00:28:51,325
Speaker 2: Okay, Briany, it looks like you're on the hunt for

539
00:28:51,325 --> 00:28:54,525
Speaker 2: a new doctor. Good luck friend, because it sounds like

540
00:28:54,565 --> 00:28:55,925
Speaker 2: you really needed that yesterday.

541
00:28:56,005 --> 00:28:56,285
Speaker 5: Yeah.

542
00:28:56,325 --> 00:29:01,565
Speaker 2: Absolutely, Bye Felicia, Bye Felicia. All right, thanks for hanging

543
00:29:01,565 --> 00:29:03,525
Speaker 2: out with us on Well today. Don't forget if you

544
00:29:03,565 --> 00:29:06,445
Speaker 2: do have questions or any concerns or some feedback even

545
00:29:06,725 --> 00:29:08,485
Speaker 2: I mean, we'd love for you to rate and review

546
00:29:08,565 --> 00:29:14,165
Speaker 2: us in your favorite podcast time because it does allow

547
00:29:14,245 --> 00:29:15,845
Speaker 2: us to get into more people's ears, which is the

548
00:29:15,925 --> 00:29:18,405
Speaker 2: idea of this also too, if you want to send

549
00:29:18,445 --> 00:29:20,685
Speaker 2: through a querier a question, email it well at mamma

550
00:29:20,725 --> 00:29:22,965
Speaker 2: mia dot com dot au, leave us a voice note

551
00:29:23,165 --> 00:29:24,885
Speaker 2: or an anonymous story. You can find them in your

552
00:29:24,885 --> 00:29:27,885
Speaker 2: show notes. If you want more info, to sign up

553
00:29:27,885 --> 00:29:30,405
Speaker 2: to the Old World newsletter. There are stacks of really

554
00:29:30,405 --> 00:29:32,885
Speaker 2: great stuff on there from all of us to learn from,

555
00:29:33,245 --> 00:29:35,925
Speaker 2: extra stories, fact sheets, expert advice, and make sure you

556
00:29:35,925 --> 00:29:39,205
Speaker 2: get into that too. Next week we are answering all

557
00:29:39,285 --> 00:29:43,405
Speaker 2: your questions about weight, wall of lost drugs, body longevity.

558
00:29:43,525 --> 00:29:47,085
Speaker 2: Get your questions in people asap before your time runs out.

559
00:29:47,405 --> 00:29:50,325
Speaker 2: Remember again the advice that you've heard here today, it's general.

560
00:29:50,445 --> 00:29:52,725
Speaker 2: It may not suit you one hundred percent, so make

561
00:29:52,725 --> 00:29:54,645
Speaker 2: sure you speak to your own GP or your own

562
00:29:54,685 --> 00:29:57,685
Speaker 2: health specialist about these things. Get that info that is

563
00:29:57,725 --> 00:30:00,445
Speaker 2: correct for you. If you're like Briany, go find yourself

564
00:30:00,485 --> 00:30:02,685
Speaker 2: a new GP if it is not working out for you,

565
00:30:03,085 --> 00:30:05,485
Speaker 2: And of course we will see if your appointment right

566
00:30:05,525 --> 00:30:09,285
Speaker 2: here this time next week. Bye Bye Well is produce

567
00:30:09,525 --> 00:30:12,565
Speaker 2: by Me Claire Murphy and Our Group, Executive Producer Georgie

568
00:30:12,565 --> 00:30:16,125
Speaker 2: Page and senior producer Sasha Tannic, with audio production by

569
00:30:16,125 --> 00:30:16,885
Speaker 2: Scott Stronik,