1 00:00:00,920 --> 00:00:04,280 Speaker 1: Hi. This is Laura Vanderkamp. I'm a mother of four, 2 00:00:04,600 --> 00:00:08,440 Speaker 1: an author, journalist, and speaker. And this is Sarah hart Unger. 3 00:00:08,800 --> 00:00:11,800 Speaker 1: I'm a mother of three, practicing physician and blogger. On 4 00:00:11,840 --> 00:00:14,600 Speaker 1: the side, we are two working parents who love our 5 00:00:14,640 --> 00:00:17,920 Speaker 1: careers and our families. Welcome to best of both worlds. 6 00:00:18,280 --> 00:00:21,520 Speaker 1: Here we talk about how real women manage work, family, 7 00:00:21,760 --> 00:00:25,360 Speaker 1: and time for fun, from figuring out childcare to mapping 8 00:00:25,360 --> 00:00:28,240 Speaker 1: out long term career goals. We want you to get 9 00:00:28,240 --> 00:00:33,159 Speaker 1: the most out of life. Welcome to best of both worlds. 10 00:00:33,320 --> 00:00:36,320 Speaker 1: This is Laura. This is episode forty one. We'll be 11 00:00:36,400 --> 00:00:39,199 Speaker 1: talking to doctor Ellen Goldstein on this one, who will 12 00:00:39,240 --> 00:00:42,880 Speaker 1: be talking about fertility. She runs a fertility clinic on 13 00:00:42,920 --> 00:00:44,880 Speaker 1: the West Coast, and so we're very excited to hear 14 00:00:44,880 --> 00:00:47,920 Speaker 1: from her both about how she manages her busy life 15 00:00:48,000 --> 00:00:52,760 Speaker 1: as a physician and mother, but also questions of fertility, 16 00:00:53,400 --> 00:00:57,800 Speaker 1: timing children, the process of going through fertility treatments. If 17 00:00:57,800 --> 00:01:01,240 Speaker 1: that becomes something that people need, we're very excited about that. 18 00:01:02,200 --> 00:01:05,759 Speaker 1: In the meantime, this episode is airing in mid May, 19 00:01:06,520 --> 00:01:10,240 Speaker 1: and my book Off the Clock is coming out May 20 00:01:10,280 --> 00:01:13,560 Speaker 1: twenty nine, so two weeks from now, so really encourage 21 00:01:13,600 --> 00:01:17,279 Speaker 1: people to check that out. I enjoyed writing it, hopefully 22 00:01:17,280 --> 00:01:19,000 Speaker 1: you'll enjoy reading it. But we know that a lot 23 00:01:19,040 --> 00:01:23,000 Speaker 1: of you listen to this podcast in the car while 24 00:01:23,040 --> 00:01:26,039 Speaker 1: you are commuting to work, and off the Clock is 25 00:01:26,040 --> 00:01:28,240 Speaker 1: going to be available on audiobook as well, and it 26 00:01:28,280 --> 00:01:31,319 Speaker 1: turns out that audiobooks are a great way to spend 27 00:01:31,319 --> 00:01:34,400 Speaker 1: the commute. Sarah, you don't listen to audiobooks though, right, 28 00:01:34,400 --> 00:01:37,360 Speaker 1: you're don't. I don't. Before we dove in, I want 29 00:01:37,360 --> 00:01:39,360 Speaker 1: to hear what is it like to record an audiobook? 30 00:01:39,440 --> 00:01:45,639 Speaker 1: Is it fun's work? You have to like definitely work. 31 00:01:46,200 --> 00:01:50,000 Speaker 1: So I have recorded most of my own audio books. 32 00:01:50,320 --> 00:01:52,480 Speaker 1: I did not record one hundred and sixty eight Hours, 33 00:01:52,480 --> 00:01:54,680 Speaker 1: which was my first time management book. And it was 34 00:01:54,680 --> 00:01:56,840 Speaker 1: really funny because I actually heard from someone the other day. 35 00:01:56,840 --> 00:01:59,440 Speaker 1: They sent me an email that said, you know, I 36 00:01:59,720 --> 00:02:01,720 Speaker 1: really thought you had a lot more energy in you're 37 00:02:01,760 --> 00:02:03,560 Speaker 1: recording of one hundred and sixty eight hours than you 38 00:02:03,680 --> 00:02:05,920 Speaker 1: do any other You know, you have to just like 39 00:02:06,040 --> 00:02:11,920 Speaker 1: laugh at yourself when this stuff like this happens, like okay, 40 00:02:11,960 --> 00:02:15,079 Speaker 1: all right, But anyway, so that was read by an actress, 41 00:02:15,120 --> 00:02:16,800 Speaker 1: So if you are into that, you can go listen 42 00:02:16,800 --> 00:02:19,160 Speaker 1: to her. She does a great job. But I have 43 00:02:19,280 --> 00:02:21,880 Speaker 1: read the other ones, which if you're listening to this podcast, 44 00:02:21,880 --> 00:02:24,079 Speaker 1: you're already familiar with my voice, so you have made 45 00:02:24,080 --> 00:02:27,560 Speaker 1: your piece with it, one way or the other. But 46 00:02:28,200 --> 00:02:31,360 Speaker 1: I go into this studio. It's called Milk Boy Studio 47 00:02:31,480 --> 00:02:33,560 Speaker 1: and it's in downtown Philly, and it's like a serious 48 00:02:33,600 --> 00:02:38,720 Speaker 1: recording studio. There are occasional groups of musicians hanging out there. 49 00:02:38,760 --> 00:02:41,600 Speaker 1: There were during the time I was recording this, doing 50 00:02:41,639 --> 00:02:44,680 Speaker 1: their musician thing, because they record a lot of real stuff, 51 00:02:44,720 --> 00:02:46,680 Speaker 1: like they have Grammys on the wall there, which is 52 00:02:46,680 --> 00:02:49,160 Speaker 1: a really cool thing too. But I go into a booth. 53 00:02:49,720 --> 00:02:52,760 Speaker 1: I have a technician there who is recording. In this 54 00:02:52,800 --> 00:02:57,720 Speaker 1: particular case, my producer phone was on the phone. She's 55 00:02:57,760 --> 00:02:59,359 Speaker 1: been in there in the past. I've worked with the 56 00:02:59,400 --> 00:03:02,800 Speaker 1: same lady at times. And I just read through the book, 57 00:03:03,360 --> 00:03:07,679 Speaker 1: and you know, there's certain things of pacing. I've recognized 58 00:03:07,680 --> 00:03:10,679 Speaker 1: that I say the word conversation wrong. Apparently the conversation 59 00:03:11,400 --> 00:03:14,560 Speaker 1: there could z instead of and they had to stop 60 00:03:14,639 --> 00:03:17,959 Speaker 1: me every single time until I didn't ever notice that. Yeah, 61 00:03:18,000 --> 00:03:22,120 Speaker 1: well I didn't either, apparently, So and you realize that 62 00:03:22,160 --> 00:03:24,720 Speaker 1: there are words you've been saying wrong your whole life, 63 00:03:25,480 --> 00:03:29,880 Speaker 1: but you read through it. I find it. We go 64 00:03:30,000 --> 00:03:34,520 Speaker 1: relatively fast online because when I write my books, I 65 00:03:34,680 --> 00:03:37,800 Speaker 1: actually think about saying them aloud, and I have usually 66 00:03:37,960 --> 00:03:40,600 Speaker 1: as part of the editing process, read the book out 67 00:03:40,600 --> 00:03:44,200 Speaker 1: loud before because one of the best writing tips I 68 00:03:44,240 --> 00:03:47,120 Speaker 1: ever got is that when people are reading something, they 69 00:03:47,120 --> 00:03:50,320 Speaker 1: are actually saying it in their heads, and so it 70 00:03:50,400 --> 00:03:55,560 Speaker 1: will read better if you write for the ear. So 71 00:03:55,840 --> 00:03:57,280 Speaker 1: I try to write for the ear, so I've already 72 00:03:57,280 --> 00:03:59,520 Speaker 1: read it through, so I actually have practice by the 73 00:03:59,520 --> 00:04:02,000 Speaker 1: time I go in to record it. I definitely think 74 00:04:02,000 --> 00:04:04,440 Speaker 1: you right for the year. So yeah, that's a compliment. 75 00:04:04,480 --> 00:04:07,400 Speaker 1: Like your books, like they they you feel like someone's 76 00:04:07,400 --> 00:04:09,960 Speaker 1: talking to you. So if anybody hasn't read Laura stuff 77 00:04:10,000 --> 00:04:12,120 Speaker 1: she she does, it's very very readable. It sounds like 78 00:04:12,120 --> 00:04:16,320 Speaker 1: she's talking or listen, yeah, listenable. I am a much 79 00:04:16,400 --> 00:04:19,520 Speaker 1: more podcast person. So I guess my question to you 80 00:04:19,560 --> 00:04:22,360 Speaker 1: about audiobooks would be like, what is the best book 81 00:04:22,360 --> 00:04:26,240 Speaker 1: you've ever heard on audio? And in particular any good 82 00:04:26,279 --> 00:04:28,320 Speaker 1: like celebrity ones, because I've kind of heard that's a 83 00:04:28,320 --> 00:04:31,080 Speaker 1: good gateway. Yeah, I would. I would recommend if you 84 00:04:31,160 --> 00:04:33,599 Speaker 1: have not done the audiobook thing, yet why don't you 85 00:04:33,680 --> 00:04:36,240 Speaker 1: check out like some of the comedians who do it. 86 00:04:36,240 --> 00:04:39,080 Speaker 1: So if you think about someone like Amy, that was 87 00:04:39,080 --> 00:04:42,880 Speaker 1: a polar polar Ammy Polar. So she narrates her own 88 00:04:42,920 --> 00:04:46,760 Speaker 1: audiobook and she will riff off stuff and improv stuff, 89 00:04:46,839 --> 00:04:50,560 Speaker 1: which is an experience that makes it unique to the 90 00:04:50,600 --> 00:04:52,839 Speaker 1: audiobook that you're not going to get just reading the book. 91 00:04:53,200 --> 00:04:55,000 Speaker 1: And of course she is a performer, so that's a 92 00:04:55,600 --> 00:04:58,920 Speaker 1: good thing to have, and so something like that. She's 93 00:04:58,920 --> 00:05:01,720 Speaker 1: won many awards for that one. I would recommend trying 94 00:05:01,760 --> 00:05:03,719 Speaker 1: something like that because then you say, oh, this is 95 00:05:03,920 --> 00:05:07,000 Speaker 1: I enjoy it. Once you realize like you do enjoy 96 00:05:07,400 --> 00:05:10,719 Speaker 1: listening to somebody read a book while you're in your car, 97 00:05:11,240 --> 00:05:13,160 Speaker 1: then you can branch off into other stuff that you 98 00:05:13,240 --> 00:05:15,440 Speaker 1: might be interested in the book, but if not necessarily 99 00:05:15,520 --> 00:05:19,680 Speaker 1: the narrator that you are seeking out or or something 100 00:05:19,760 --> 00:05:24,080 Speaker 1: like that. But it really if you've got a long commute, 101 00:05:24,680 --> 00:05:27,400 Speaker 1: this is a great way to put more reading time 102 00:05:27,720 --> 00:05:32,680 Speaker 1: into your life, because you know audios are going to 103 00:05:32,720 --> 00:05:34,440 Speaker 1: be slower than just reading it on your own because 104 00:05:34,440 --> 00:05:37,240 Speaker 1: the speaking pace is slower than most adults reading pace. 105 00:05:37,839 --> 00:05:39,960 Speaker 1: So but you use this time and you can turn 106 00:05:40,000 --> 00:05:42,440 Speaker 1: it into something that would would be wasted time. And 107 00:05:42,760 --> 00:05:45,320 Speaker 1: so I found out. I mean, one of the reasons 108 00:05:45,360 --> 00:05:47,680 Speaker 1: I really wanted to do a podcast, and I'm so 109 00:05:47,760 --> 00:05:49,400 Speaker 1: glad that Sarah put on her blog that she was 110 00:05:49,440 --> 00:05:52,279 Speaker 1: looking to do a podcast, is because I know that 111 00:05:52,680 --> 00:05:55,680 Speaker 1: a higher proportion of my books sales have been audio 112 00:05:55,720 --> 00:06:01,040 Speaker 1: sales than a regular nonfiction and type book. And partly 113 00:06:01,080 --> 00:06:04,480 Speaker 1: it's because I'm speaking for busy women right Busy women 114 00:06:04,520 --> 00:06:07,159 Speaker 1: are trying to read, and they're reading stuff in their cars, 115 00:06:07,200 --> 00:06:09,200 Speaker 1: and so I know that, you know, I want to 116 00:06:09,240 --> 00:06:10,760 Speaker 1: give people something they can do in their car, and 117 00:06:10,760 --> 00:06:13,440 Speaker 1: that's one of the reasons we're doing this podcast. But 118 00:06:13,680 --> 00:06:15,560 Speaker 1: audiobook's a great way to spend the time too, So 119 00:06:16,360 --> 00:06:18,560 Speaker 1: Off the Clock will be out in two weeks. If 120 00:06:18,560 --> 00:06:20,400 Speaker 1: you want to pre order it, that'd be great. The 121 00:06:20,440 --> 00:06:22,440 Speaker 1: audiobook should be around pretty close to the time of 122 00:06:22,480 --> 00:06:24,080 Speaker 1: the actual launch too, so if you'd like to check 123 00:06:24,080 --> 00:06:25,919 Speaker 1: that out, that would be great. You can listen to 124 00:06:25,920 --> 00:06:27,520 Speaker 1: that a couple of days and listen to the podcast 125 00:06:27,600 --> 00:06:29,839 Speaker 1: the rest of the days and hopefully keep you entertaining 126 00:06:29,839 --> 00:06:32,200 Speaker 1: the whole time, and you can tell us what you think. 127 00:06:32,279 --> 00:06:34,320 Speaker 1: Tell us what you think all right, so we'll move 128 00:06:34,320 --> 00:06:38,120 Speaker 1: on to Ellen. Well, we're excited to welcome Ellen Goldstein 129 00:06:38,160 --> 00:06:41,359 Speaker 1: to the program. Ellen, why don't you introduce yourself? Well, Hello, 130 00:06:41,480 --> 00:06:44,080 Speaker 1: my name is Ellen Goldstein. I am thirty six years old. 131 00:06:44,160 --> 00:06:45,760 Speaker 1: I live in Los Angeles. I have a two and 132 00:06:45,800 --> 00:06:49,480 Speaker 1: a half year old and I am a fertility specialist. 133 00:06:49,640 --> 00:06:53,120 Speaker 1: Fertility doctors start out as general obiguns. That's four years 134 00:06:53,120 --> 00:06:57,599 Speaker 1: of general obijuyn residency, and then we go into a subspecialty, 135 00:06:57,600 --> 00:07:01,040 Speaker 1: which is another three years of training in productive endochronology 136 00:07:01,080 --> 00:07:03,640 Speaker 1: and infertility, which means that we are experts in disorders 137 00:07:03,640 --> 00:07:07,960 Speaker 1: of menopause, disorders of puberty, and infertility. I'm really really 138 00:07:07,960 --> 00:07:09,880 Speaker 1: happy to be here on this program. I think that 139 00:07:10,000 --> 00:07:12,760 Speaker 1: I have a lot of information I can offer to 140 00:07:13,200 --> 00:07:15,560 Speaker 1: all of you. And Laurence Sarah, I just think you 141 00:07:15,600 --> 00:07:17,520 Speaker 1: guys are doing a great job with your podcast. And 142 00:07:17,920 --> 00:07:20,120 Speaker 1: I was introduced to best of both worlds by one 143 00:07:20,160 --> 00:07:24,040 Speaker 1: of my very best friends from college, and she I have. 144 00:07:24,160 --> 00:07:26,880 Speaker 1: I have this group that we were all rowers together 145 00:07:27,000 --> 00:07:30,880 Speaker 1: on the Brown Women's crew team, and we are still 146 00:07:31,000 --> 00:07:33,240 Speaker 1: very much in each other's lives and we really Your 147 00:07:33,280 --> 00:07:36,120 Speaker 1: episode on Friendship really resonated with us, and so I'd 148 00:07:36,120 --> 00:07:38,200 Speaker 1: like to say, hid all my friends, did you make 149 00:07:38,240 --> 00:07:41,000 Speaker 1: it amount of your names? Like, did you guys decide 150 00:07:41,000 --> 00:07:42,960 Speaker 1: to make an acrony amount of your name? You did? Okay, 151 00:07:43,280 --> 00:07:50,040 Speaker 1: we did? And that I love it. That was That 152 00:07:50,120 --> 00:07:51,960 Speaker 1: was a surprising thing that I've heard from a number 153 00:07:51,960 --> 00:07:53,960 Speaker 1: of people about the friendship episode. They're like, let's make 154 00:07:53,960 --> 00:07:57,400 Speaker 1: an acrony amount of our friends' names. Yeah, we loved it. 155 00:07:58,240 --> 00:08:02,640 Speaker 1: That's awesome. And usually you've had an exciting recent career development, right, 156 00:08:02,680 --> 00:08:06,240 Speaker 1: you want to tell us about that? Yeah, So you know, basically, 157 00:08:06,560 --> 00:08:08,720 Speaker 1: I think that the future of fertility care is going 158 00:08:08,760 --> 00:08:11,080 Speaker 1: to be in networks of larger practices that are all 159 00:08:11,160 --> 00:08:16,200 Speaker 1: kind of run with very highly standardized quality assurance controls 160 00:08:16,280 --> 00:08:18,320 Speaker 1: for the embryology lab, because if you think about it, 161 00:08:18,320 --> 00:08:21,400 Speaker 1: we're taking care of like future babies in embryo form. 162 00:08:22,320 --> 00:08:25,480 Speaker 1: And so I really when I was looking at what 163 00:08:25,600 --> 00:08:28,560 Speaker 1: kind of job I wanted out of Fellowship, I had 164 00:08:28,600 --> 00:08:31,120 Speaker 1: this dream that I was going to work with one 165 00:08:31,160 --> 00:08:33,320 Speaker 1: of the best practices in the world. But they're on 166 00:08:33,360 --> 00:08:36,360 Speaker 1: the East Coast, and I knew they had some plans 167 00:08:36,400 --> 00:08:38,560 Speaker 1: to start expanding, but they had no plans to expand 168 00:08:38,600 --> 00:08:41,080 Speaker 1: on the West Coast, and I called them up and 169 00:08:41,160 --> 00:08:43,240 Speaker 1: asked if I could be their first Los Angeles, first 170 00:08:43,280 --> 00:08:47,040 Speaker 1: West Coast branch, and they said yes, because they are 171 00:08:47,240 --> 00:08:49,760 Speaker 1: just really you know, I've found that working with these people, 172 00:08:50,160 --> 00:08:53,079 Speaker 1: they're really into cultivating relationships and working with the people 173 00:08:53,080 --> 00:08:55,840 Speaker 1: that they want to work with. And over the last 174 00:08:55,840 --> 00:08:59,000 Speaker 1: three years, we have worked on building a brand new 175 00:08:59,080 --> 00:09:01,600 Speaker 1: practice that's going to be up to the minute, state 176 00:09:01,600 --> 00:09:04,080 Speaker 1: of the art. You know, our laboratory techniques are going 177 00:09:04,120 --> 00:09:06,760 Speaker 1: to be all you know, check with checks and balances 178 00:09:06,760 --> 00:09:08,320 Speaker 1: compared to the other labs that we run in the 179 00:09:08,320 --> 00:09:10,079 Speaker 1: country and even around the world. Actually it's a global 180 00:09:10,160 --> 00:09:14,560 Speaker 1: enterprise now. And it's just been a very very exciting 181 00:09:15,000 --> 00:09:17,760 Speaker 1: couple of years, and it's really brought out this entrepreneurial 182 00:09:17,800 --> 00:09:20,000 Speaker 1: streak that I didn't know that I had. That I've 183 00:09:20,000 --> 00:09:23,720 Speaker 1: been able to, you know, be really independent and be 184 00:09:23,800 --> 00:09:26,040 Speaker 1: really self assured that I could do this, and then 185 00:09:26,120 --> 00:09:28,720 Speaker 1: I've also had to I've also been very lucky to 186 00:09:28,840 --> 00:09:31,680 Speaker 1: find some temporary jobs in the meantime that I thought 187 00:09:31,679 --> 00:09:33,840 Speaker 1: were going to be really hard to come by, but actually, 188 00:09:33,880 --> 00:09:36,000 Speaker 1: just with some legwork, I was able to get a 189 00:09:36,040 --> 00:09:39,640 Speaker 1: lot of experience even before the clinic opened working in 190 00:09:39,679 --> 00:09:41,719 Speaker 1: my field. But also I've had to be much more 191 00:09:41,760 --> 00:09:43,880 Speaker 1: independent than I think most doctors right out of training 192 00:09:43,920 --> 00:09:45,520 Speaker 1: have had to be. I've learned a lot about the 193 00:09:45,559 --> 00:09:48,720 Speaker 1: business side of medicine, a lot about you know, putting 194 00:09:48,720 --> 00:09:51,480 Speaker 1: on my big girl pants and being an independent doctor 195 00:09:52,720 --> 00:09:54,960 Speaker 1: that I think a lot of that has really helped 196 00:09:54,960 --> 00:09:56,520 Speaker 1: me grow and change a lot in the last couple 197 00:09:56,520 --> 00:09:58,800 Speaker 1: of years. Yeah, so you guys are open now, right, 198 00:09:58,840 --> 00:10:02,640 Speaker 1: your see patients in Los Angeles. Yeah, if this episode 199 00:10:02,720 --> 00:10:05,920 Speaker 1: airs on May fifteenth, we are open. We are open. 200 00:10:06,160 --> 00:10:08,560 Speaker 1: So if you are in the area and are in 201 00:10:08,600 --> 00:10:10,880 Speaker 1: need of such services, please give it all on a call. 202 00:10:11,080 --> 00:10:16,560 Speaker 1: So yeah, and then you're obviously this is a you know, 203 00:10:16,800 --> 00:10:19,280 Speaker 1: big thing to you know, obviously be a practicing physician 204 00:10:19,320 --> 00:10:22,280 Speaker 1: and opening a clinic and you have a two and 205 00:10:22,320 --> 00:10:24,800 Speaker 1: a half year old, so what are how do you 206 00:10:25,280 --> 00:10:27,880 Speaker 1: figure out your schedule with all this stuff going on? 207 00:10:28,640 --> 00:10:30,880 Speaker 1: You know? I think the biggest problem for most people 208 00:10:31,080 --> 00:10:33,920 Speaker 1: is like the transition times, like the early morning in 209 00:10:33,960 --> 00:10:35,800 Speaker 1: the late afternoon, like if you're going to have a 210 00:10:35,880 --> 00:10:38,960 Speaker 1: nanny your childcare, especially for a doctor where we don't 211 00:10:39,000 --> 00:10:41,200 Speaker 1: really have that much control over our schedules and if 212 00:10:41,200 --> 00:10:42,920 Speaker 1: something happens at work, like you really you need to 213 00:10:42,960 --> 00:10:44,240 Speaker 1: be able to stay late, you need to be able 214 00:10:44,240 --> 00:10:47,760 Speaker 1: to go early. And actually we have this crazy situation 215 00:10:47,840 --> 00:10:50,000 Speaker 1: where my parents lived down the hall from us in 216 00:10:50,040 --> 00:10:53,840 Speaker 1: our condo building. We I grew up in Jacksonville, Florida, 217 00:10:53,920 --> 00:10:55,520 Speaker 1: and then I moved all the way up the East 218 00:10:55,520 --> 00:10:57,880 Speaker 1: coast for my training, and then my my husband actually 219 00:10:57,920 --> 00:10:59,440 Speaker 1: is from Los Angeles, and we met when we were 220 00:10:59,440 --> 00:11:02,520 Speaker 1: in training on the coast, and then I moved here 221 00:11:02,559 --> 00:11:06,880 Speaker 1: for a fellowship and my parents initially thought they might 222 00:11:06,920 --> 00:11:09,440 Speaker 1: move to LA part time at some point, and then 223 00:11:09,559 --> 00:11:12,480 Speaker 1: all this stuff happened all at once. A second condo 224 00:11:12,559 --> 00:11:16,520 Speaker 1: opened up in our building, and my father, who's a 225 00:11:16,720 --> 00:11:21,960 Speaker 1: very academically minded pathologist who doesn't want to retire, you know. Ever, 226 00:11:22,760 --> 00:11:25,920 Speaker 1: his hospital restructured and they weren't going they were going 227 00:11:26,000 --> 00:11:28,280 Speaker 1: to discontinue. They were going to fire his entire group 228 00:11:28,360 --> 00:11:31,000 Speaker 1: and hire all new doctors. And he got a job 229 00:11:31,040 --> 00:11:35,720 Speaker 1: at UCLA back in academic medicine and training residents and fellows. 230 00:11:36,240 --> 00:11:38,600 Speaker 1: And then also I got pregnant right around the same time. 231 00:11:39,000 --> 00:11:42,120 Speaker 1: So my parents made this huge move in their sixties 232 00:11:42,559 --> 00:11:45,640 Speaker 1: and we really joke that, like we're we're a total 233 00:11:45,760 --> 00:11:48,760 Speaker 1: New York Times cliche. There's a there's a complete there's 234 00:11:48,760 --> 00:11:51,959 Speaker 1: a there's a series of articles that are like baby 235 00:11:52,000 --> 00:11:56,080 Speaker 1: boomers moving to the city, baby boomers downside, baby boomers, 236 00:11:56,120 --> 00:11:58,880 Speaker 1: you know, taking care of their grandchildren, like and why 237 00:11:58,920 --> 00:12:01,240 Speaker 1: are grandchildren closer to their mother's parents than they are 238 00:12:01,280 --> 00:12:03,920 Speaker 1: to their father's parents. Like it's it's all like all 239 00:12:04,000 --> 00:12:06,560 Speaker 1: of these articles that just like make like telling the 240 00:12:06,640 --> 00:12:09,199 Speaker 1: story of like our recent lives and how we're a 241 00:12:09,240 --> 00:12:12,040 Speaker 1: cliche in the New York Times. But you're just let's 242 00:12:12,080 --> 00:12:15,400 Speaker 1: let's put it that way, you're on trend, right. And 243 00:12:15,480 --> 00:12:18,160 Speaker 1: so every morning, actually every morning, I have to leave 244 00:12:18,160 --> 00:12:21,000 Speaker 1: the house usually around six forty five, and my daughter 245 00:12:21,480 --> 00:12:24,840 Speaker 1: walks down the hall and rings grandma's doorbell and says, Grandma, 246 00:12:24,840 --> 00:12:29,000 Speaker 1: I'm ready for breakfast. And it's amazing, it's amazing. And 247 00:12:29,000 --> 00:12:31,200 Speaker 1: then then nanny comes at eight, and so it really 248 00:12:31,280 --> 00:12:34,000 Speaker 1: makes the nanny's life much easier because she gets flexed, 249 00:12:34,000 --> 00:12:35,840 Speaker 1: you know, like because it's so much easier to employ 250 00:12:35,920 --> 00:12:39,560 Speaker 1: somebody if they can have flexibility too. And I mean 251 00:12:39,600 --> 00:12:41,959 Speaker 1: I know that that very few people get this kind 252 00:12:42,000 --> 00:12:46,120 Speaker 1: of amazing gift from the heavens. But it's been really 253 00:12:46,280 --> 00:12:49,120 Speaker 1: really amazing for us. Is your husband a physician too, 254 00:12:49,160 --> 00:12:51,560 Speaker 1: You mentioned training for him. Yeah, you know, he is. 255 00:12:51,600 --> 00:12:54,920 Speaker 1: He's an ophthalmologist, but you know, medicine is in it 256 00:12:55,120 --> 00:12:57,320 Speaker 1: is kind of in a crisis these days. He had 257 00:12:57,320 --> 00:12:59,440 Speaker 1: a really hard time coming back to LA and finding 258 00:12:59,440 --> 00:13:03,040 Speaker 1: a clinical job, and he actually, you know, he's got 259 00:13:03,080 --> 00:13:04,720 Speaker 1: a lot of talents. He's got a PhD. He's got 260 00:13:04,720 --> 00:13:08,000 Speaker 1: a business mind, and so he really left clinical medicine 261 00:13:08,080 --> 00:13:10,480 Speaker 1: and has been working in pharmacy, in the pharmaceutical industry 262 00:13:10,480 --> 00:13:12,320 Speaker 1: ever since we got back to LA and he worked 263 00:13:12,320 --> 00:13:14,240 Speaker 1: for a couple, he worked for a big company, and 264 00:13:14,240 --> 00:13:16,320 Speaker 1: then he worked for a small startup and now he 265 00:13:16,360 --> 00:13:18,800 Speaker 1: actually has his own startup. He has a drug that 266 00:13:18,800 --> 00:13:23,600 Speaker 1: he's developing. So it's been we've both kind of really 267 00:13:23,640 --> 00:13:29,560 Speaker 1: been following our dreams in that are entrepreneurial dreams, very 268 00:13:29,600 --> 00:13:33,160 Speaker 1: cool within medicine. That's that's pretty cool. Well, I know, 269 00:13:33,200 --> 00:13:36,679 Speaker 1: we want to definitely talk about the whole you know, 270 00:13:36,800 --> 00:13:39,400 Speaker 1: fertility world. And I was kind of hoping that Sarah 271 00:13:39,440 --> 00:13:44,600 Speaker 1: would lead the questions on this, and so I will 272 00:13:44,679 --> 00:13:47,400 Speaker 1: let you to take it from here. Yeah, and I'm 273 00:13:47,480 --> 00:13:49,960 Speaker 1: lucky enough I do get to clinically interface with you 274 00:13:50,000 --> 00:13:52,640 Speaker 1: guys every once in a while. I'm a pdiendo and 275 00:13:52,679 --> 00:13:54,559 Speaker 1: my my husband's a doctor too. That's why I was like, 276 00:13:54,600 --> 00:13:56,480 Speaker 1: I have a special, you know, soft spot for those 277 00:13:56,480 --> 00:13:58,800 Speaker 1: two physician couples. Although you guys, you guys are living 278 00:13:58,800 --> 00:14:02,040 Speaker 1: the dream over there. But yeah, why did you? I 279 00:14:02,040 --> 00:14:03,920 Speaker 1: will tell you that I actually, for a hot minute 280 00:14:03,920 --> 00:14:06,400 Speaker 1: was thinking about reproductive interprenology and fertility just because I 281 00:14:06,440 --> 00:14:09,200 Speaker 1: thought it was super interesting, but quickly realized that A 282 00:14:09,400 --> 00:14:11,640 Speaker 1: I could not survive in ob residency because I hate 283 00:14:11,679 --> 00:14:14,320 Speaker 1: the O R, and B I could not handle the clientele. 284 00:14:14,440 --> 00:14:18,800 Speaker 1: So tell me how how did you come upon that specialty? 285 00:14:19,160 --> 00:14:21,640 Speaker 1: You know, this was absolutely not what I expected to 286 00:14:21,640 --> 00:14:23,520 Speaker 1: go into when I was in medical school. I actually 287 00:14:23,640 --> 00:14:27,280 Speaker 1: was very interested in pediatric genetics because I'm a very 288 00:14:27,440 --> 00:14:29,960 Speaker 1: I really like to get to the root problem of 289 00:14:30,040 --> 00:14:32,920 Speaker 1: things and understand how everything works, and I love molecular 290 00:14:32,960 --> 00:14:37,400 Speaker 1: biology genetics and so. But then I found that, you know, Sarah, 291 00:14:37,440 --> 00:14:39,840 Speaker 1: I think this is tell me how you feel about this. 292 00:14:39,960 --> 00:14:42,360 Speaker 1: I feel like I feel like the hospital is there's 293 00:14:42,440 --> 00:14:45,120 Speaker 1: like these packs of animals and they're all like totally 294 00:14:45,240 --> 00:14:48,760 Speaker 1: different species and so yes, yes, and when you're in 295 00:14:48,840 --> 00:14:50,720 Speaker 1: and when you're going through your rotations and third year 296 00:14:50,760 --> 00:14:53,160 Speaker 1: of medical school, I mean, honestly, medical school is kind 297 00:14:53,160 --> 00:14:56,680 Speaker 1: of like it's a lot of an attack on your personality, 298 00:14:56,760 --> 00:14:58,640 Speaker 1: you know, because like you're not going to fit in 299 00:14:58,680 --> 00:15:01,040 Speaker 1: with every group of people, and when you're working for 300 00:15:01,120 --> 00:15:02,720 Speaker 1: six or eight weeks with a group of people that 301 00:15:02,720 --> 00:15:05,880 Speaker 1: you don't fit in with, it's very difficult. And for me, 302 00:15:06,000 --> 00:15:08,720 Speaker 1: that's really how I felt on like internal medicine, like 303 00:15:08,760 --> 00:15:11,920 Speaker 1: I just didn't get how it worked. I felt stupid. 304 00:15:12,000 --> 00:15:14,480 Speaker 1: They thought I was stupid, Like I just couldn't like 305 00:15:14,600 --> 00:15:16,520 Speaker 1: and I had never been stupid before, right, like you know, 306 00:15:16,520 --> 00:15:20,080 Speaker 1: we're all very successful people, and so that I just 307 00:15:20,240 --> 00:15:23,920 Speaker 1: didn't fit in. And then on with pediatrics, I mean 308 00:15:23,960 --> 00:15:27,760 Speaker 1: I liked pediatrics but also didn't really fit in. But 309 00:15:27,800 --> 00:15:29,840 Speaker 1: also things can you know, it's really interesting how the 310 00:15:29,840 --> 00:15:32,040 Speaker 1: people that you work with in one short rotation can 311 00:15:32,120 --> 00:15:33,520 Speaker 1: really have such an effect. And I just didn't work 312 00:15:33,520 --> 00:15:36,040 Speaker 1: with such great people on my initial pediatrics rotation. And 313 00:15:36,120 --> 00:15:38,880 Speaker 1: then when I was on when I went to OBI, 314 00:15:39,480 --> 00:15:41,800 Speaker 1: I was like jumping out of bed at four o'clock 315 00:15:41,840 --> 00:15:45,040 Speaker 1: every morning, dying to go to the hospital, loving every 316 00:15:45,080 --> 00:15:48,800 Speaker 1: minute of it, and they thought I was smart, and 317 00:15:48,840 --> 00:15:51,360 Speaker 1: so it was like, you go, it's really it was 318 00:15:51,440 --> 00:15:56,000 Speaker 1: really about like finding this place where I really really 319 00:15:56,000 --> 00:15:58,280 Speaker 1: fit in. It's just and it's just been incredible because 320 00:15:58,760 --> 00:16:00,600 Speaker 1: I felt that way throughout my train that these are 321 00:16:00,640 --> 00:16:03,720 Speaker 1: all very we're kind of very similar people in many ways, 322 00:16:04,160 --> 00:16:06,400 Speaker 1: in many fundamental ways, and in how we care for 323 00:16:06,440 --> 00:16:11,240 Speaker 1: our particular very you know, specialized group of patients and 324 00:16:11,520 --> 00:16:14,680 Speaker 1: an obgun residency really is crazy, and I loved all 325 00:16:14,680 --> 00:16:17,240 Speaker 1: of it. You know, we don't just catch babies. We 326 00:16:17,280 --> 00:16:21,200 Speaker 1: take care of very sick gynecologic cancer patients and that's 327 00:16:21,200 --> 00:16:25,960 Speaker 1: like real medicine and so but it's tough. It's for 328 00:16:26,320 --> 00:16:29,360 Speaker 1: very grueling years. And I know exactly what you mean 329 00:16:29,400 --> 00:16:32,160 Speaker 1: about kind of finding your people. Were there any other 330 00:16:32,280 --> 00:16:36,680 Speaker 1: considerations in choosing ARII reproductive under chronology and infertility, Like, 331 00:16:36,680 --> 00:16:39,040 Speaker 1: did you think about General OBI at all? Yeah? I mean, 332 00:16:39,960 --> 00:16:45,800 Speaker 1: I definitely I love General ob certainly this specialty really 333 00:16:46,200 --> 00:16:50,440 Speaker 1: brought me back to my initial interest in genetics and 334 00:16:50,480 --> 00:16:53,080 Speaker 1: molecular biology because that's what we do all day actually, 335 00:16:53,560 --> 00:16:57,880 Speaker 1: And also I found that even within obqu I n 336 00:16:57,960 --> 00:17:02,720 Speaker 1: there are different subpopulations of patients, and the infertile population 337 00:17:02,880 --> 00:17:05,920 Speaker 1: was a group that I really worked very well with. 338 00:17:05,960 --> 00:17:09,199 Speaker 1: And I think that, you know, the anxiety and the 339 00:17:09,240 --> 00:17:13,480 Speaker 1: tensions can run really high with understandably with women that 340 00:17:13,520 --> 00:17:17,520 Speaker 1: are dealing with infertility, and it's never really bothered me. 341 00:17:17,640 --> 00:17:20,000 Speaker 1: You know, like sometimes the general obs will be like, wow, 342 00:17:20,040 --> 00:17:21,760 Speaker 1: I don't know how you deal with that level of 343 00:17:21,800 --> 00:17:23,920 Speaker 1: stress all day long, you know, just and it's like 344 00:17:24,160 --> 00:17:26,000 Speaker 1: it doesn't it doesn't really feel that way to me, 345 00:17:26,040 --> 00:17:28,240 Speaker 1: and so I guess it just it's it's lucky that 346 00:17:28,240 --> 00:17:31,080 Speaker 1: it doesn't feel that way to me. And also, you know, 347 00:17:31,680 --> 00:17:33,879 Speaker 1: general ob g I N and also g I N 348 00:17:33,920 --> 00:17:39,080 Speaker 1: oncology are are some of the toughest toughest fields for 349 00:17:39,080 --> 00:17:41,399 Speaker 1: for work life balance, since that's what you guys talk about, 350 00:17:41,400 --> 00:17:43,640 Speaker 1: and you you really we'd all need to give our 351 00:17:44,000 --> 00:17:48,480 Speaker 1: our ob g I n's like major props for make 352 00:17:48,520 --> 00:17:51,640 Speaker 1: their lives work around their work exactly right exactly, their 353 00:17:51,680 --> 00:17:54,719 Speaker 1: lives work around their work exactly. And so you know, 354 00:17:55,040 --> 00:17:59,399 Speaker 1: with this field we have we have much more predictable hours. 355 00:17:59,400 --> 00:18:01,080 Speaker 1: You know, we start early in the morning, but we're 356 00:18:01,080 --> 00:18:04,720 Speaker 1: done earlier in the afternoon. We have very few emergencies. 357 00:18:04,800 --> 00:18:06,680 Speaker 1: You know, I have to admit somebody to the hospital, 358 00:18:06,760 --> 00:18:10,800 Speaker 1: like you know, less than once a year, and so 359 00:18:11,240 --> 00:18:14,480 Speaker 1: it's really it's it's a it's really kind of back 360 00:18:14,480 --> 00:18:18,280 Speaker 1: to office hours. No, I totally understand that, and you know, 361 00:18:18,400 --> 00:18:21,760 Speaker 1: medicine and work in general, it's about finding your passion, 362 00:18:21,800 --> 00:18:24,280 Speaker 1: but it's also about finding a career that fits the 363 00:18:24,320 --> 00:18:26,040 Speaker 1: way you like to do life. And some people love 364 00:18:26,080 --> 00:18:28,680 Speaker 1: shiftwork and working at night, and other people find that 365 00:18:28,680 --> 00:18:30,720 Speaker 1: that that doesn't work for that. I think you talked 366 00:18:30,720 --> 00:18:34,600 Speaker 1: about that in one of your previous podcasts. Yeah, shift 367 00:18:34,720 --> 00:18:38,680 Speaker 1: staying up all night is torture. Some people, I think 368 00:18:38,720 --> 00:18:41,920 Speaker 1: biologically also handle it better than others, Like I don't 369 00:18:41,960 --> 00:18:45,600 Speaker 1: handle it well. And that's okay. We all figure out 370 00:18:45,600 --> 00:18:48,720 Speaker 1: where our talents lie, and you know everybody's also, but 371 00:18:48,720 --> 00:18:51,080 Speaker 1: I would point out that, like clearly I mean obgy 372 00:18:51,160 --> 00:18:52,560 Speaker 1: and this is Laura and I'm just going to pipe 373 00:18:52,600 --> 00:18:56,960 Speaker 1: in here and then I'll shut up. Has changed too, 374 00:18:57,040 --> 00:18:59,359 Speaker 1: as it's become a specialty that it used to be 375 00:19:00,000 --> 00:19:03,040 Speaker 1: percent men and now it's ninety percent women, and many 376 00:19:03,040 --> 00:19:05,879 Speaker 1: of them are moms. And what has happened is just 377 00:19:06,280 --> 00:19:08,720 Speaker 1: moving to more of the group practice model. Sure you 378 00:19:08,760 --> 00:19:11,439 Speaker 1: get you know, there's eight of you physicians and so 379 00:19:11,520 --> 00:19:14,160 Speaker 1: you're on one night a week as opposed to like, yes, 380 00:19:14,320 --> 00:19:16,040 Speaker 1: you know, but it doesn't change the fact that on 381 00:19:16,160 --> 00:19:20,600 Speaker 1: that night you were right. My baby born in middle night. 382 00:19:20,760 --> 00:19:24,119 Speaker 1: So some people deal better with that sort of thirty 383 00:19:24,160 --> 00:19:26,119 Speaker 1: hours straight of work. I mean it sounds like not 384 00:19:26,200 --> 00:19:27,919 Speaker 1: that bad, but then if you're doing it, actually some 385 00:19:28,119 --> 00:19:30,199 Speaker 1: I mean some again, some people handle that. But I 386 00:19:30,200 --> 00:19:32,399 Speaker 1: agree with you, Laura, like it's gotten better, but I 387 00:19:32,440 --> 00:19:35,159 Speaker 1: still think it's pretty grueling for a lot of people. 388 00:19:36,240 --> 00:19:39,480 Speaker 1: So okay, so I will give you you know, we 389 00:19:39,480 --> 00:19:41,199 Speaker 1: we have a lot of listeners I'm sure that are 390 00:19:41,240 --> 00:19:44,800 Speaker 1: dealing just because infertility is so incredibly common, that are 391 00:19:44,800 --> 00:19:47,000 Speaker 1: dealing with various aspects of it. We've gotten a lot 392 00:19:47,040 --> 00:19:49,840 Speaker 1: of questions about when it makes sense to see a 393 00:19:49,840 --> 00:19:51,920 Speaker 1: specialist or people talking about like when they want to 394 00:19:51,960 --> 00:19:54,199 Speaker 1: start their family. I will tell you I've seen an 395 00:19:54,240 --> 00:19:56,760 Speaker 1: ARII physician. Because it took me almost two years to 396 00:19:56,800 --> 00:19:59,159 Speaker 1: have my first I think I probably had like I 397 00:19:59,200 --> 00:20:02,200 Speaker 1: think I'm super scent to like even though I've always 398 00:20:02,200 --> 00:20:04,359 Speaker 1: had a normal BMI to like exercise an activity, and 399 00:20:04,400 --> 00:20:06,640 Speaker 1: I think I was actually misdiagnosed with PCUS and really 400 00:20:06,640 --> 00:20:09,600 Speaker 1: had hypothlomic gamin area. But that's a story for another day. 401 00:20:09,960 --> 00:20:12,000 Speaker 1: And I have my daughter and ever since I've been 402 00:20:12,040 --> 00:20:14,840 Speaker 1: like no problems whatsoever. But it actually took me like 403 00:20:14,880 --> 00:20:17,160 Speaker 1: a year and a half to even bother seeing anyone, 404 00:20:17,240 --> 00:20:20,240 Speaker 1: and I've had zero periods. So I look back and 405 00:20:20,240 --> 00:20:25,400 Speaker 1: I'm like, that was dumb. So talk to our listeners about, 406 00:20:25,640 --> 00:20:28,680 Speaker 1: you know, when it makes sense to see someone, and 407 00:20:29,200 --> 00:20:31,440 Speaker 1: also a little bit about like how long is too 408 00:20:31,480 --> 00:20:34,000 Speaker 1: long to wait, and we don't want to get people anxious, 409 00:20:34,800 --> 00:20:38,000 Speaker 1: but sort of some real facts around that. Since that's right, Yeah, thanks, No, 410 00:20:38,080 --> 00:20:40,200 Speaker 1: I mean you're absolutely right in what you're speaking about 411 00:20:40,200 --> 00:20:42,160 Speaker 1: with there was something that was that was clearly abnormal 412 00:20:42,200 --> 00:20:46,160 Speaker 1: with your cycles. And so you know, on the one hand, 413 00:20:46,280 --> 00:20:48,800 Speaker 1: if you if you think and you've always been been 414 00:20:49,240 --> 00:20:52,160 Speaker 1: told that you were totally normal, if you have regular, 415 00:20:52,480 --> 00:20:56,040 Speaker 1: predictable periods, if you've never been diagnosed with any kind 416 00:20:56,040 --> 00:20:58,680 Speaker 1: of major gynecologic problem, if you don't have any concerns 417 00:20:58,720 --> 00:21:02,399 Speaker 1: about your husband or have any pelvic infections, then if 418 00:21:02,440 --> 00:21:04,680 Speaker 1: you're under thirty five, you should try for about a year, 419 00:21:05,080 --> 00:21:07,000 Speaker 1: and if you're over thirty five, you should try for 420 00:21:07,040 --> 00:21:09,760 Speaker 1: about six months. And if you're over, if you're forty 421 00:21:09,840 --> 00:21:12,600 Speaker 1: or above, you really should see an RII sooner rather 422 00:21:12,680 --> 00:21:16,800 Speaker 1: than later, like proactively, like don't even try so the 423 00:21:18,000 --> 00:21:21,720 Speaker 1: and but that all that being said, that you know 424 00:21:22,080 --> 00:21:25,280 Speaker 1: you're if you have any issue, if your periods are 425 00:21:25,359 --> 00:21:28,879 Speaker 1: not regular, if you've ever been diagnosed with endometriosis or fibroids, 426 00:21:28,920 --> 00:21:31,560 Speaker 1: or if you've ever had sexually transmitted infections like chlamydia 427 00:21:31,640 --> 00:21:34,040 Speaker 1: or pelvic inflammatory disease, or if you have any concern 428 00:21:34,080 --> 00:21:36,439 Speaker 1: about your husband with like you know, sex drive or 429 00:21:36,440 --> 00:21:39,520 Speaker 1: rectile function, all that stuff actually can be real problems. 430 00:21:39,680 --> 00:21:41,639 Speaker 1: And you can actually even have more than one problem 431 00:21:41,640 --> 00:21:44,320 Speaker 1: in the same couple, And so like why and we 432 00:21:44,320 --> 00:21:46,119 Speaker 1: can we can address more than one problem in the 433 00:21:46,119 --> 00:21:48,400 Speaker 1: same couple as long as we find all of the problems. 434 00:21:48,640 --> 00:21:52,119 Speaker 1: And so why wait, if you have those kinds of issues, 435 00:21:52,720 --> 00:21:56,600 Speaker 1: let's talk about normal fertility. So let's there's also you know, 436 00:21:56,760 --> 00:22:00,919 Speaker 1: there are couples who don't have any abnormal testing but 437 00:22:01,080 --> 00:22:05,080 Speaker 1: still have an unexplained you know, obviously some kind of 438 00:22:05,640 --> 00:22:08,560 Speaker 1: like molecular issue for why their egg and their sperm 439 00:22:08,640 --> 00:22:10,879 Speaker 1: or not meeting properly, or their embryos are not getting 440 00:22:10,880 --> 00:22:13,800 Speaker 1: into their uterus properly. And so if you had a 441 00:22:13,840 --> 00:22:16,399 Speaker 1: crystal ball and you knew that you had you had 442 00:22:16,400 --> 00:22:18,359 Speaker 1: one hundred couples, and you knew actually that all of 443 00:22:18,400 --> 00:22:22,679 Speaker 1: their testing was going to be normal, then actually, monthly 444 00:22:22,720 --> 00:22:26,960 Speaker 1: fertility rates are actually much lower than most people think. So, 445 00:22:27,000 --> 00:22:30,679 Speaker 1: oh interesting, Yeah, So when you when those hundred couples 446 00:22:30,680 --> 00:22:32,719 Speaker 1: first starts trying to get pregnant, let's say they're young, 447 00:22:32,800 --> 00:22:35,680 Speaker 1: let's say they're thirty five or under. In the first month, 448 00:22:35,720 --> 00:22:39,040 Speaker 1: only twenty five percent will get pregnant. In the second month, 449 00:22:39,080 --> 00:22:41,560 Speaker 1: another twenty five percent of the remaining group will get pregnant, 450 00:22:41,840 --> 00:22:43,639 Speaker 1: and then the numbers start to go down. In the 451 00:22:43,720 --> 00:22:46,639 Speaker 1: third month, it's only about twenty percent, fourth month twenty percent, 452 00:22:46,680 --> 00:22:48,840 Speaker 1: with fifteen percent ten percent by the end of the year. 453 00:22:49,280 --> 00:22:52,160 Speaker 1: Towards the latter half of the year, the remaining group 454 00:22:52,240 --> 00:22:55,200 Speaker 1: only has a five percent chance of getting pregnant per month. 455 00:22:55,480 --> 00:22:57,840 Speaker 1: And what because what's happening is you're kind of the 456 00:22:57,880 --> 00:23:01,879 Speaker 1: group that's left standing is a group group that has 457 00:23:01,960 --> 00:23:05,359 Speaker 1: some subfertility factors, even if we're never going to know 458 00:23:05,400 --> 00:23:07,840 Speaker 1: what they are. And by the end of the year, 459 00:23:08,119 --> 00:23:11,199 Speaker 1: fifteen percent of all couples will not be pregnant. So 460 00:23:11,240 --> 00:23:14,000 Speaker 1: it's really really common. It's like about one in eight 461 00:23:14,000 --> 00:23:16,600 Speaker 1: couples will not be pregnant. So always be careful when 462 00:23:16,600 --> 00:23:19,840 Speaker 1: you're talking to your friends, like because probably you know 463 00:23:20,240 --> 00:23:23,199 Speaker 1: multiple people who are dealing with this, and so by 464 00:23:23,240 --> 00:23:25,840 Speaker 1: the end of that year, that remaining group only you know, 465 00:23:25,880 --> 00:23:28,320 Speaker 1: we always have miracles, for sure. I mean, we have 466 00:23:28,400 --> 00:23:31,040 Speaker 1: people who are struggling or we're taking care of them 467 00:23:31,080 --> 00:23:32,280 Speaker 1: and then they take a break for a couple months 468 00:23:32,320 --> 00:23:34,159 Speaker 1: and they get pregnant, and we're so excited about that. 469 00:23:34,200 --> 00:23:37,080 Speaker 1: Like I never I never say never. But your chance 470 00:23:37,119 --> 00:23:40,720 Speaker 1: after a year, even if all of your testing is normal, 471 00:23:40,840 --> 00:23:43,800 Speaker 1: is only about two percent per month. Does that include 472 00:23:43,960 --> 00:23:47,119 Speaker 1: patients who get pregnant and then have like recurrent miscarriages 473 00:23:47,280 --> 00:23:49,879 Speaker 1: or has that actually a different problem? Unfortunately, it's a 474 00:23:49,920 --> 00:23:52,960 Speaker 1: horrible problem that we deal with. That's a great overview. 475 00:23:53,040 --> 00:23:56,600 Speaker 1: So I guess you would recommend, if you if you're 476 00:23:56,680 --> 00:24:00,159 Speaker 1: questioning it, for people to get help sooner and later, basically, 477 00:24:00,280 --> 00:24:04,280 Speaker 1: and especially the older There you are one question that 478 00:24:04,400 --> 00:24:06,760 Speaker 1: I am curious about, having never gone through it myself, 479 00:24:06,800 --> 00:24:08,879 Speaker 1: but having heard friends kind of talk about it is 480 00:24:09,240 --> 00:24:11,960 Speaker 1: you know, let's say one of those couples does, you know, 481 00:24:12,040 --> 00:24:15,520 Speaker 1: fail everything and they're up to the point of considering IVF. 482 00:24:16,240 --> 00:24:18,760 Speaker 1: Some people talk about IVF like it's nothing, like, oh, 483 00:24:19,240 --> 00:24:21,560 Speaker 1: just get IVF, but then those who are going through 484 00:24:21,560 --> 00:24:25,520 Speaker 1: it clearly it entails a lot. Logistically, What is that 485 00:24:25,600 --> 00:24:28,280 Speaker 1: like and especially what is that like for professional couples 486 00:24:28,520 --> 00:24:31,240 Speaker 1: who obviously are not just sitting at home and you know, 487 00:24:31,640 --> 00:24:33,520 Speaker 1: waiting for the next step. They've got stuff going on. 488 00:24:33,800 --> 00:24:38,040 Speaker 1: So what is an IVF cycle? So basically, IVF is 489 00:24:38,040 --> 00:24:40,760 Speaker 1: our way of taking over for as many of the 490 00:24:40,800 --> 00:24:43,880 Speaker 1: steps of the process as we possibly can. The one 491 00:24:43,960 --> 00:24:46,920 Speaker 1: thing we can't do is make make a good egg 492 00:24:47,560 --> 00:24:50,080 Speaker 1: and as you get older, you have fewer and fewer 493 00:24:50,119 --> 00:24:53,680 Speaker 1: good eggs, and even rarely, rarely, rarely, some young women 494 00:24:53,760 --> 00:24:55,600 Speaker 1: don't have good eggs, but that's rare, so it's usually 495 00:24:55,680 --> 00:24:58,240 Speaker 1: more a problem of age. So what IVF does is 496 00:24:58,280 --> 00:25:02,000 Speaker 1: take over for everything else side egg quality. And so 497 00:25:02,080 --> 00:25:06,880 Speaker 1: what we're doing is you take medications for usually between 498 00:25:07,000 --> 00:25:09,760 Speaker 1: nine and twelve days, and those are injectable medications to 499 00:25:09,800 --> 00:25:11,960 Speaker 1: stimulate your ovaries. The goal is to grow as many 500 00:25:12,040 --> 00:25:15,320 Speaker 1: eggs as we can to increase the chance of getting 501 00:25:15,560 --> 00:25:18,879 Speaker 1: at least one good egg that cycle. And so during 502 00:25:18,960 --> 00:25:22,320 Speaker 1: those nine to twelve days, you do need appointments for 503 00:25:22,480 --> 00:25:24,919 Speaker 1: monitoring so that we can see how your medications are 504 00:25:24,960 --> 00:25:27,760 Speaker 1: working for you and make sure that we're adjusting things 505 00:25:27,760 --> 00:25:29,760 Speaker 1: that we need to and that we're timing everything properly. 506 00:25:30,320 --> 00:25:32,399 Speaker 1: And those appointments are quick. You only need to be 507 00:25:32,440 --> 00:25:35,400 Speaker 1: seen for you know, fifteen minutes, you know, a total 508 00:25:35,480 --> 00:25:39,680 Speaker 1: of four to five times ish over those so it's 509 00:25:39,680 --> 00:25:42,960 Speaker 1: like every other day. It's usually like a fewer appointments 510 00:25:42,960 --> 00:25:45,679 Speaker 1: at the beginning and more at the end. And really, 511 00:25:45,760 --> 00:25:48,000 Speaker 1: you know, you should find a doctor's office that has 512 00:25:48,160 --> 00:25:50,560 Speaker 1: early morning appointments because if you can get in and 513 00:25:50,560 --> 00:25:53,200 Speaker 1: get out between six thirty and seven thirty am, nobody 514 00:25:53,240 --> 00:25:55,159 Speaker 1: ever has to know that you're doing this. At the 515 00:25:55,240 --> 00:25:57,960 Speaker 1: end of that time, you have to do your egg retrieval. 516 00:25:57,960 --> 00:25:59,600 Speaker 1: And so that egg retrieval is a procedure. It's not 517 00:25:59,600 --> 00:26:02,280 Speaker 1: a surgery where we actually use a long, skinny needle 518 00:26:02,280 --> 00:26:05,480 Speaker 1: attached to an ultrasound probe to take all of the 519 00:26:05,480 --> 00:26:08,080 Speaker 1: eggs out of your body. You do need one day 520 00:26:08,080 --> 00:26:10,080 Speaker 1: off of work for that, and we always we can't 521 00:26:10,119 --> 00:26:12,080 Speaker 1: always predict exactly which day that's going to be, So 522 00:26:12,119 --> 00:26:14,560 Speaker 1: we do need a little window of flexibility from your 523 00:26:14,640 --> 00:26:16,440 Speaker 1: job where you know you're going to take one day 524 00:26:16,440 --> 00:26:20,000 Speaker 1: off of work. Are there practices that I mean, it's 525 00:26:20,000 --> 00:26:22,080 Speaker 1: okay if it's not because work life balance and all, 526 00:26:22,119 --> 00:26:24,080 Speaker 1: but are there practices that are open on weekends that 527 00:26:24,240 --> 00:26:26,280 Speaker 1: kind of make that a little bit easier. So we're 528 00:26:26,280 --> 00:26:29,360 Speaker 1: always open on weekends because we have to be able 529 00:26:29,400 --> 00:26:32,200 Speaker 1: to see people because everything is dependent on the day 530 00:26:32,200 --> 00:26:36,320 Speaker 1: of the cycle. We do timing, okay, but we have 531 00:26:36,359 --> 00:26:38,639 Speaker 1: a little bit of leeway where we can try to 532 00:26:38,640 --> 00:26:40,119 Speaker 1: put your appointment on a weekend if we can, but 533 00:26:40,320 --> 00:26:44,480 Speaker 1: we can't exactly aim for weekends. We can get it's 534 00:26:44,520 --> 00:26:46,920 Speaker 1: off feet what happens to the thay. We can aim 535 00:26:46,920 --> 00:26:48,879 Speaker 1: for weekends for egg retrievals if we you know, as 536 00:26:48,880 --> 00:26:52,000 Speaker 1: long as you know that your window includes you know, Friday, Saturday, Sunday, 537 00:26:52,080 --> 00:26:55,520 Speaker 1: hopefully we uh will land on that Saturday. Got it. 538 00:26:55,560 --> 00:26:58,040 Speaker 1: But I sense that the trouble with the professional women 539 00:26:58,200 --> 00:27:00,880 Speaker 1: run into is that bit of unpredictably because if I'm 540 00:27:00,880 --> 00:27:02,320 Speaker 1: trying to figure out when I need to clear my 541 00:27:02,359 --> 00:27:05,680 Speaker 1: schedule for patients and I'm hoping, yeah, I can see that. 542 00:27:05,680 --> 00:27:08,040 Speaker 1: That's that's that's although I get it. I get it. 543 00:27:08,080 --> 00:27:09,480 Speaker 1: If you go if you aim for weekend and you 544 00:27:09,480 --> 00:27:12,000 Speaker 1: block off the Monday, for example, that's probably like you're 545 00:27:12,000 --> 00:27:14,560 Speaker 1: stick back with that. And then actually, you know, we 546 00:27:14,600 --> 00:27:18,520 Speaker 1: are moving more and more to frozen embryo transfers because 547 00:27:19,080 --> 00:27:20,679 Speaker 1: once you get the eggs out of your body, we 548 00:27:20,760 --> 00:27:24,960 Speaker 1: then actually ensure that fertilization happens in the lab and 549 00:27:24,960 --> 00:27:27,640 Speaker 1: then we watch the embryos growing in the in the lab, 550 00:27:28,080 --> 00:27:31,639 Speaker 1: and then old school IVF used to be putting embryos 551 00:27:31,720 --> 00:27:33,920 Speaker 1: back into your body either on day three or day 552 00:27:33,960 --> 00:27:36,800 Speaker 1: five after the egg retrieval, and that's when sort of 553 00:27:36,840 --> 00:27:38,679 Speaker 1: the uterus is ready and the embryos are ready to 554 00:27:38,720 --> 00:27:41,600 Speaker 1: implant in the uterus, and it's called like a fresh cycle, right, 555 00:27:41,600 --> 00:27:44,400 Speaker 1: I've heard people. And so the thing is is that 556 00:27:44,440 --> 00:27:46,680 Speaker 1: we actually have a number of reasons why frozen transfers 557 00:27:46,720 --> 00:27:49,720 Speaker 1: work better. Number one is that your hormone levels are 558 00:27:49,760 --> 00:27:54,600 Speaker 1: actually much more normal if you come back after you've 559 00:27:54,640 --> 00:27:57,919 Speaker 1: had a period and everything has reset to normal, and 560 00:27:57,920 --> 00:27:59,680 Speaker 1: that we actually think that that leads to both higher 561 00:27:59,720 --> 00:28:05,360 Speaker 1: SIXS rates and healthier pregnancies. And then also nowadays we're really, 562 00:28:05,600 --> 00:28:09,320 Speaker 1: we really are very excited about genetic testing of embryos 563 00:28:09,680 --> 00:28:12,360 Speaker 1: because you can't always tell which are the best embryos 564 00:28:12,440 --> 00:28:15,560 Speaker 1: under the microscope. And instead, what we do is we 565 00:28:15,600 --> 00:28:19,480 Speaker 1: take little biopsies from embryos at day five of development 566 00:28:19,640 --> 00:28:21,639 Speaker 1: for just a few cells, and we actually can count 567 00:28:21,640 --> 00:28:24,840 Speaker 1: the chromosomes in the embryos so that we know which 568 00:28:24,960 --> 00:28:28,359 Speaker 1: ones have a chance of making a baby. So you 569 00:28:28,359 --> 00:28:31,240 Speaker 1: guys are actually looking at the embryos and seeing which 570 00:28:31,280 --> 00:28:33,919 Speaker 1: one has the best chance of making a baby so 571 00:28:33,960 --> 00:28:37,399 Speaker 1: that you can selectively choose which one to implant, and 572 00:28:37,440 --> 00:28:39,240 Speaker 1: after the person has gone back to sort of a 573 00:28:39,280 --> 00:28:41,640 Speaker 1: normal level, right, And so what that does is it 574 00:28:41,680 --> 00:28:45,400 Speaker 1: actually gives us, it actually allows us to prevent multiple 575 00:28:45,400 --> 00:28:49,680 Speaker 1: pregnancy because if you you know, why why does everybody 576 00:28:49,760 --> 00:28:52,760 Speaker 1: think that IVF makes twins and triplets, Well that's because 577 00:28:52,840 --> 00:28:57,640 Speaker 1: it's such an expensive, you know, arduous process that doctors 578 00:28:57,880 --> 00:29:00,360 Speaker 1: want to increase the best chance of success, and patients 579 00:29:00,400 --> 00:29:02,360 Speaker 1: pressure us to give us the best to give them 580 00:29:02,400 --> 00:29:04,120 Speaker 1: the best chance of success. And so we used to 581 00:29:04,160 --> 00:29:06,280 Speaker 1: put in multiple embryos at a time to kind of 582 00:29:06,360 --> 00:29:09,360 Speaker 1: let the embryos, you know, by natural selection, figure out 583 00:29:09,400 --> 00:29:12,200 Speaker 1: which one is the best, and then if some many 584 00:29:12,240 --> 00:29:14,320 Speaker 1: people would get too lucky and have twins and triplets. 585 00:29:14,560 --> 00:29:17,120 Speaker 1: If you do a genetic testing on your embryos and 586 00:29:17,160 --> 00:29:20,000 Speaker 1: you know that your normal ones have a seventy percent 587 00:29:20,080 --> 00:29:22,480 Speaker 1: chance of making a baby, but if you put two 588 00:29:22,520 --> 00:29:24,360 Speaker 1: of those in there's a fifty percent chance you're going 589 00:29:24,440 --> 00:29:26,760 Speaker 1: to have twins, you're going to feel a lot better 590 00:29:26,800 --> 00:29:29,920 Speaker 1: about only putting one embryo in at a time. And 591 00:29:29,960 --> 00:29:33,840 Speaker 1: that's what we really strive for. And so we come 592 00:29:33,920 --> 00:29:36,520 Speaker 1: back a month later once we have the genetic testing, 593 00:29:36,920 --> 00:29:39,520 Speaker 1: and then we can actually plan when we do your 594 00:29:39,520 --> 00:29:42,160 Speaker 1: embryo transfer, and actually the kinds of regimens that we 595 00:29:42,200 --> 00:29:45,360 Speaker 1: have for hormone replacement. I mean, there's different ways of 596 00:29:45,400 --> 00:29:47,000 Speaker 1: doing it, but there are ways that we can do 597 00:29:47,040 --> 00:29:49,600 Speaker 1: it that we can make things fall in a certain 598 00:29:49,640 --> 00:29:52,960 Speaker 1: day that works for your schedule. So when people are 599 00:29:52,960 --> 00:29:55,400 Speaker 1: going through this, I mean if they've tried for a 600 00:29:55,520 --> 00:29:58,680 Speaker 1: year and they're not able to get pregnant, I mean, 601 00:29:58,960 --> 00:30:01,040 Speaker 1: of those people who then help, I mean, what what 602 00:30:01,720 --> 00:30:05,480 Speaker 1: sort of success odds do you see? Well, it really 603 00:30:05,520 --> 00:30:08,480 Speaker 1: depends on your age. So if you look at the 604 00:30:08,760 --> 00:30:13,160 Speaker 1: so first of all, a genetically normal embryo tested normal 605 00:30:13,200 --> 00:30:16,440 Speaker 1: embryo has over a seventy percent chance of making a 606 00:30:16,440 --> 00:30:19,640 Speaker 1: live born baby, no matter how old the mom is. 607 00:30:20,240 --> 00:30:24,880 Speaker 1: And the issue is that getting that normal embryo gets 608 00:30:24,920 --> 00:30:27,920 Speaker 1: harder and harder as you get older. So that's that's 609 00:30:28,040 --> 00:30:31,120 Speaker 1: when the question of potential donor eggs or as we've 610 00:30:31,160 --> 00:30:33,320 Speaker 1: been hearing about in the news a lot, but the 611 00:30:33,320 --> 00:30:37,400 Speaker 1: potential of having frozen your own eggs years ago is 612 00:30:37,440 --> 00:30:40,080 Speaker 1: that I'm curious what your thoughts are on that. I mean, 613 00:30:40,080 --> 00:30:42,680 Speaker 1: we certainly, I swear like I get a pitch from 614 00:30:42,680 --> 00:30:48,080 Speaker 1: a new like egg freezing related something every every year. 615 00:30:48,160 --> 00:30:51,320 Speaker 1: Don't they know you already have for me? Not for me, 616 00:30:52,040 --> 00:30:55,360 Speaker 1: okay to write about them? Right? Want me to write 617 00:30:55,360 --> 00:30:59,240 Speaker 1: about that? I do not well, my should not be 618 00:30:59,280 --> 00:31:01,959 Speaker 1: present at this point forty years old. They'd be useless 619 00:31:02,000 --> 00:31:07,080 Speaker 1: for anyone. But now to write about it, like, what 620 00:31:07,360 --> 00:31:11,000 Speaker 1: do you think about that? Egg freezing is a really 621 00:31:11,000 --> 00:31:14,840 Speaker 1: fantastic option. So basically, an egg freezing cycle is everything 622 00:31:14,880 --> 00:31:17,160 Speaker 1: that I just described to you, up until the point 623 00:31:17,160 --> 00:31:21,320 Speaker 1: of fertilizing the eggs. We use medications for nine to 624 00:31:21,320 --> 00:31:23,560 Speaker 1: twelve days, we monitor you by ultrasound, and then we 625 00:31:23,600 --> 00:31:27,400 Speaker 1: do egg that egg retrieval. Now, everybody's body is different, 626 00:31:27,480 --> 00:31:29,520 Speaker 1: and some women are going to get more eggs and 627 00:31:29,560 --> 00:31:32,479 Speaker 1: some are going to get fewer from a stimulation cycle. 628 00:31:32,920 --> 00:31:35,800 Speaker 1: But the thing that really matters as far as ultimate 629 00:31:35,880 --> 00:31:38,680 Speaker 1: chance of success is how old you are when you 630 00:31:38,720 --> 00:31:43,200 Speaker 1: went through it. And so one statistic, one article that 631 00:31:43,240 --> 00:31:45,560 Speaker 1: I really like that came out that was really is 632 00:31:45,600 --> 00:31:49,200 Speaker 1: really showing a projected chance of live birth no matter 633 00:31:49,560 --> 00:31:51,520 Speaker 1: at whatever age you are that you freeze your eggs. 634 00:31:51,800 --> 00:31:55,840 Speaker 1: So to give you some perspective, when you're thirty five 635 00:31:56,200 --> 00:31:59,920 Speaker 1: or below, if you freeze eggs for ten mature eggs, 636 00:32:00,080 --> 00:32:02,520 Speaker 1: that's about a seventy percent chance of making a baby. 637 00:32:03,200 --> 00:32:05,640 Speaker 1: And most thirty five year olds will get at least 638 00:32:05,680 --> 00:32:08,240 Speaker 1: ten eggs in an egg freezing cycle. And the numbers 639 00:32:08,240 --> 00:32:10,640 Speaker 1: really matter because if you happen to get twenty mature eggs, 640 00:32:10,640 --> 00:32:12,640 Speaker 1: you're up at a ninety percent chance of having a 641 00:32:12,640 --> 00:32:17,440 Speaker 1: baby from that group of eggs if you are forty. However, 642 00:32:17,560 --> 00:32:20,040 Speaker 1: when you do your egg freezing cycle, that same ten 643 00:32:20,120 --> 00:32:22,400 Speaker 1: eggs only gives you about a twenty to twenty five 644 00:32:22,440 --> 00:32:24,760 Speaker 1: percent chance of having a live birth from that group 645 00:32:24,800 --> 00:32:28,320 Speaker 1: of eggs. And it's Also, the number of eggs you 646 00:32:28,360 --> 00:32:30,040 Speaker 1: can get in a cycle goes down as you get lower, 647 00:32:30,080 --> 00:32:31,840 Speaker 1: so you might as you get older, so you may 648 00:32:31,960 --> 00:32:34,520 Speaker 1: actually not even be able to get ten mature eggs 649 00:32:34,560 --> 00:32:36,720 Speaker 1: in one cycle. You may have to do lots of 650 00:32:36,720 --> 00:32:38,560 Speaker 1: cycles even to get that group of ten eggs to 651 00:32:38,560 --> 00:32:40,200 Speaker 1: give you that twenty five percent chance of having a 652 00:32:40,200 --> 00:32:43,040 Speaker 1: baby in the future. So things really go down quickly 653 00:32:43,080 --> 00:32:48,520 Speaker 1: after age thirty five. Well, Sarah, you and I both 654 00:32:49,320 --> 00:32:53,200 Speaker 1: you know, got out there. We're done, last kid just 655 00:32:53,240 --> 00:32:57,680 Speaker 1: in time, age thirty six, thirty seven, right. And I 656 00:32:57,680 --> 00:32:59,640 Speaker 1: also don't want to scare people. I mean not everybody 657 00:32:59,720 --> 00:33:01,800 Speaker 1: is going to have trouble, you know, like there was 658 00:33:01,840 --> 00:33:04,360 Speaker 1: there was this very there was this article I'm sure 659 00:33:04,400 --> 00:33:06,160 Speaker 1: you guys have read it in The Atlantic a couple 660 00:33:06,200 --> 00:33:09,600 Speaker 1: of years ago where a woman talks about how, you know, 661 00:33:09,680 --> 00:33:12,040 Speaker 1: all the fertility doctors want to do is scare you. Well, 662 00:33:12,080 --> 00:33:14,320 Speaker 1: I had babies at you know, thirty eight, thirty nine, 663 00:33:14,360 --> 00:33:17,080 Speaker 1: and forty one with no problem at all. Well great, 664 00:33:17,280 --> 00:33:19,280 Speaker 1: that's you know, your end of one. You didn't have 665 00:33:19,280 --> 00:33:25,960 Speaker 1: any trouble, you know, like called or data. Yeah, thanks 666 00:33:25,960 --> 00:33:29,000 Speaker 1: for your personal story. Is not a reviewed study, and 667 00:33:29,000 --> 00:33:31,200 Speaker 1: we had you know, and we have friends who like, 668 00:33:31,240 --> 00:33:33,000 Speaker 1: they got married when when she was thirty eight, I said, 669 00:33:33,080 --> 00:33:35,080 Speaker 1: don't you wait one second, and they got pregnant on 670 00:33:35,120 --> 00:33:36,800 Speaker 1: their first try, and the husband got so mad at me. 671 00:33:37,080 --> 00:33:41,120 Speaker 1: He was like, waiting, it could have gone differently. So 672 00:33:41,560 --> 00:33:43,920 Speaker 1: the thing is is that the older you get, it's 673 00:33:43,960 --> 00:33:47,160 Speaker 1: really any issue that you have just gets harder and 674 00:33:47,200 --> 00:33:49,760 Speaker 1: harder to treat. Like if you're starting to have trouble 675 00:33:49,800 --> 00:33:52,200 Speaker 1: at thirty eight, it's probably not going to get better 676 00:33:52,240 --> 00:33:56,479 Speaker 1: at thirty nine. Or no, no, we well there was. 677 00:33:56,600 --> 00:33:59,360 Speaker 1: I mean you you weren't very scary there at age 678 00:33:59,400 --> 00:34:01,240 Speaker 1: thirty five. I mean, I think people are aware of 679 00:34:01,280 --> 00:34:04,680 Speaker 1: the fact that as one gets toward forty one's fertility 680 00:34:04,720 --> 00:34:06,680 Speaker 1: might decline. I think the more scary stuff for people, 681 00:34:06,720 --> 00:34:09,720 Speaker 1: of course, is seeing that like age twenty seven or something. 682 00:34:09,719 --> 00:34:11,520 Speaker 1: I think there was an article that was out about 683 00:34:11,560 --> 00:34:14,400 Speaker 1: that is I don't know what happens at twenty seven. 684 00:34:14,680 --> 00:34:17,160 Speaker 1: You clearly don't shrivel up at age twenty seven, so 685 00:34:17,640 --> 00:34:21,560 Speaker 1: I think I don't know, I forget what exactly that was, 686 00:34:21,600 --> 00:34:23,600 Speaker 1: but maybe that's the peak. Maybe that's I don't know, 687 00:34:23,680 --> 00:34:25,520 Speaker 1: fertility that could be I always thought would be like 688 00:34:25,640 --> 00:34:28,960 Speaker 1: nineteen or something, but maybe Ellen, can I can tell 689 00:34:29,040 --> 00:34:32,960 Speaker 1: us the answer around that, so that even in your 690 00:34:33,000 --> 00:34:37,160 Speaker 1: early thirties there's not really any real difference. I wouldn't 691 00:34:37,200 --> 00:34:39,640 Speaker 1: really worry about the years between twenty seven and thirty five. 692 00:34:39,920 --> 00:34:42,880 Speaker 1: There's also there's also been a very interesting cost effective 693 00:34:42,880 --> 00:34:46,200 Speaker 1: analysis for like optimal timing for elective egg freezing that 694 00:34:46,239 --> 00:34:49,160 Speaker 1: I think people might be interested in. And basically what 695 00:34:49,200 --> 00:34:51,359 Speaker 1: it said was that if you're looking at it from 696 00:34:51,360 --> 00:34:54,560 Speaker 1: a personal standpoint for when is this most likely to 697 00:34:54,680 --> 00:34:57,680 Speaker 1: work for me, then the best age to freeze eggs 698 00:34:57,680 --> 00:35:00,399 Speaker 1: is around thirty three thirty four, because if you because 699 00:35:00,400 --> 00:35:03,480 Speaker 1: there's still an excellent, excellent chance of it working for you, 700 00:35:03,920 --> 00:35:06,720 Speaker 1: like only marginally better than if you were twenty seven, honestly, 701 00:35:07,320 --> 00:35:09,680 Speaker 1: And so why do it at twenty seven when you 702 00:35:09,760 --> 00:35:11,720 Speaker 1: know you may very well not ever have any trouble 703 00:35:11,719 --> 00:35:13,480 Speaker 1: getting pregnant, or you may find a partner when you're 704 00:35:13,520 --> 00:35:15,239 Speaker 1: twenty nine and get pregnant thirty one and not have 705 00:35:15,239 --> 00:35:17,960 Speaker 1: any problem at all. The cost effective in this analysis 706 00:35:17,960 --> 00:35:20,200 Speaker 1: said that people really shouldn't be freezing eggs until age 707 00:35:20,239 --> 00:35:24,600 Speaker 1: thirty seven because that was when the greatest probability of 708 00:35:24,680 --> 00:35:29,080 Speaker 1: live birth compared with egg freezing versus no action was 709 00:35:29,760 --> 00:35:32,560 Speaker 1: when the there was the greatest improvement with egg freezing. 710 00:35:32,800 --> 00:35:35,440 Speaker 1: But the problem was, Yeah, the problem was because the 711 00:35:35,440 --> 00:35:38,880 Speaker 1: thing is that if you freeze too early, then plenty 712 00:35:38,880 --> 00:35:41,200 Speaker 1: of people are not going to need their eggs and 713 00:35:41,239 --> 00:35:43,040 Speaker 1: there's going to be like this, They're going to have 714 00:35:43,200 --> 00:35:45,400 Speaker 1: paid all this money and never need their eggs. But 715 00:35:45,480 --> 00:35:48,279 Speaker 1: the thing is is that at thirty seven in this analysis, YEAT, 716 00:35:48,440 --> 00:35:50,960 Speaker 1: the probability of life birth was still only fifty percent. 717 00:35:51,360 --> 00:35:54,719 Speaker 1: So like, if that's not acceptable to you as yourself, 718 00:35:54,960 --> 00:35:57,120 Speaker 1: what do you care about a population based you know, 719 00:35:57,600 --> 00:36:03,640 Speaker 1: cost effective. Wow, you've just made me feel so lucky 720 00:36:04,080 --> 00:36:06,880 Speaker 1: about my third kid. Well, you know, it's interesting, we 721 00:36:07,400 --> 00:36:10,120 Speaker 1: I mean, because sometimes we do get questions from young 722 00:36:10,160 --> 00:36:13,560 Speaker 1: women who are sort of considering like when they should 723 00:36:13,640 --> 00:36:16,880 Speaker 1: have their kids, which of course I say is entirely 724 00:36:16,960 --> 00:36:21,040 Speaker 1: personal to them. But let's say that they do have 725 00:36:21,520 --> 00:36:25,640 Speaker 1: a partner relatively early in the grand scheme of things. 726 00:36:25,680 --> 00:36:28,840 Speaker 1: So let's say they have met, you know, mister or 727 00:36:28,920 --> 00:36:31,839 Speaker 1: miss wright, depending on what they're going for in their 728 00:36:31,880 --> 00:36:34,600 Speaker 1: mid twenties, Like, so they've got some time to play 729 00:36:34,640 --> 00:36:37,960 Speaker 1: around with Are there reasons to be starting earlier or 730 00:36:38,120 --> 00:36:40,759 Speaker 1: is it? Are most people okay if they wait till, 731 00:36:40,800 --> 00:36:42,920 Speaker 1: you know, mid thirties, I mean what I honestly, I 732 00:36:42,960 --> 00:36:45,600 Speaker 1: don't think people should wait till mid thirties. I think 733 00:36:45,640 --> 00:36:47,760 Speaker 1: if you, if you're lucky and you have a partner, 734 00:36:47,840 --> 00:36:51,000 Speaker 1: and you can start around thirty two or thirty three, 735 00:36:51,040 --> 00:36:53,440 Speaker 1: it really is a much better time to start, so 736 00:36:53,480 --> 00:36:55,960 Speaker 1: that if you have a problem, it gets uncovered a 737 00:36:56,000 --> 00:36:59,360 Speaker 1: little earlier, and that probably also gives you an option 738 00:36:59,440 --> 00:37:03,880 Speaker 1: in terms of the size of family more so. And 739 00:37:03,960 --> 00:37:06,239 Speaker 1: I guess if at thirty two you're like, I know, 740 00:37:06,320 --> 00:37:08,160 Speaker 1: I do not want a baby right now, I really 741 00:37:08,160 --> 00:37:10,959 Speaker 1: want to push my career five years, then that would 742 00:37:10,960 --> 00:37:14,680 Speaker 1: be a perfect Kennedy personally for egg freezing. Right yeah, 743 00:37:15,760 --> 00:37:18,320 Speaker 1: all right, well cool, this is This has been very 744 00:37:18,360 --> 00:37:20,560 Speaker 1: interesting for you know, I'm sure a lot of food 745 00:37:20,560 --> 00:37:24,120 Speaker 1: for thought for people thinking about and it's good to 746 00:37:24,160 --> 00:37:26,120 Speaker 1: know what the what the schedules were, like, what people 747 00:37:26,160 --> 00:37:29,040 Speaker 1: are looking at when they're they're looking at fertility treatments, 748 00:37:29,080 --> 00:37:31,759 Speaker 1: like what that's going to involve with their lives. It 749 00:37:31,840 --> 00:37:34,600 Speaker 1: sounds from you like it's you know, difficult for a bit, 750 00:37:35,040 --> 00:37:38,120 Speaker 1: you know, it's it's sort of a time limited for 751 00:37:38,160 --> 00:37:40,640 Speaker 1: at least for each cycle that you're attempting, and the 752 00:37:40,640 --> 00:37:43,399 Speaker 1: odds have gotten better right over over the years, we've 753 00:37:43,400 --> 00:37:46,239 Speaker 1: really made lots of you know, huge strides in the 754 00:37:46,320 --> 00:37:49,440 Speaker 1: chance of success with that. You well, that's happy news, 755 00:37:49,840 --> 00:37:52,480 Speaker 1: all right, Well, Sarah, do you have any other questions 756 00:37:52,520 --> 00:37:55,040 Speaker 1: on this? No, but we should definitely get a love 757 00:37:55,080 --> 00:37:57,120 Speaker 1: of the Yes, let's do our love of the week, 758 00:37:57,200 --> 00:38:00,319 Speaker 1: so every week we talk about something that is really 759 00:38:00,400 --> 00:38:02,520 Speaker 1: rock in our worlds at the moment. Sarah, what do 760 00:38:02,560 --> 00:38:04,520 Speaker 1: you have this week? It doesn't have to be related 761 00:38:04,560 --> 00:38:06,840 Speaker 1: to the rest of the episode at all, so it 762 00:38:06,840 --> 00:38:09,920 Speaker 1: could be anything you want. Mine is so I think 763 00:38:09,920 --> 00:38:12,200 Speaker 1: I talked about I used to say I was reading 764 00:38:12,200 --> 00:38:14,279 Speaker 1: The Atlantic to get my news because it was nice 765 00:38:14,280 --> 00:38:17,520 Speaker 1: and cerebral and it was, you know, not panic inducing, 766 00:38:17,600 --> 00:38:19,360 Speaker 1: like looking at CNN all the time or something. But 767 00:38:19,800 --> 00:38:21,320 Speaker 1: I don't have time to do that right now, or 768 00:38:21,320 --> 00:38:24,560 Speaker 1: at least it's not a priority party. So I have 769 00:38:24,640 --> 00:38:27,839 Speaker 1: been enjoying nprs up first, which is about twelve minutes long, 770 00:38:27,840 --> 00:38:30,040 Speaker 1: but I played at one point five speed, so it's 771 00:38:30,080 --> 00:38:32,319 Speaker 1: like eight minutes a day, and I feel like that's enough. 772 00:38:32,440 --> 00:38:35,120 Speaker 1: I know, what's going around in the world enough for me, 773 00:38:35,360 --> 00:38:38,160 Speaker 1: and that's like a nice little new routine. Like when 774 00:38:38,160 --> 00:38:40,000 Speaker 1: I get in my car, that's my first podcast, and 775 00:38:40,000 --> 00:38:43,560 Speaker 1: then I usually move on to something more fun. That's fun. Yeah, 776 00:38:43,600 --> 00:38:46,759 Speaker 1: so mine is this is I'm you know, people who 777 00:38:46,760 --> 00:38:48,560 Speaker 1: listen to this podcast have probably figured out, like my 778 00:38:48,640 --> 00:38:50,879 Speaker 1: ability to figure out how things work and where things 779 00:38:50,920 --> 00:38:54,080 Speaker 1: are is like completely limited. So I didn't even know 780 00:38:54,200 --> 00:38:56,000 Speaker 1: on my phone I had Apple Music. Apparently I was 781 00:38:56,040 --> 00:39:00,840 Speaker 1: paying for it, but you're the perfect cut of my customer. 782 00:39:00,880 --> 00:39:02,600 Speaker 1: I was playing for it, wasn't using it that I realized, 783 00:39:02,600 --> 00:39:05,120 Speaker 1: like I can download all these albums like all this. 784 00:39:05,480 --> 00:39:07,680 Speaker 1: So I've been listening to all these albums that I had, 785 00:39:07,719 --> 00:39:10,279 Speaker 1: you know, probably on CD and like nineteen ninety two, 786 00:39:12,120 --> 00:39:14,759 Speaker 1: but and then then that was like my big CD 787 00:39:14,880 --> 00:39:17,680 Speaker 1: buying age, and then I never did afterwards. But I've 788 00:39:17,680 --> 00:39:20,239 Speaker 1: been listening to all these albums from that time, and 789 00:39:20,440 --> 00:39:22,719 Speaker 1: I am somewhat of an anxious fire. So when I 790 00:39:22,760 --> 00:39:25,160 Speaker 1: get on the airplane, I listened to the music, and 791 00:39:25,200 --> 00:39:27,560 Speaker 1: I just listened to these albums from like high school, 792 00:39:27,600 --> 00:39:30,640 Speaker 1: give us at least one example album. I've been listening 793 00:39:30,719 --> 00:39:37,879 Speaker 1: to Indigo Girls stuff, like and write some perfect there 794 00:39:37,960 --> 00:39:41,760 Speaker 1: hadn't been some Dave Matthews stuff, the Whole Crash album 795 00:39:42,000 --> 00:39:45,879 Speaker 1: and Under the Table and Dreaming or whatever that one is. Yeah, 796 00:39:45,960 --> 00:39:50,680 Speaker 1: so those whole high school albums are really they really 797 00:39:50,760 --> 00:39:53,960 Speaker 1: take you back. Love listening to those. Yeah, for sure, 798 00:39:54,040 --> 00:39:58,680 Speaker 1: check you back. You know. I've doing at social media 799 00:39:58,760 --> 00:40:01,799 Speaker 1: this week, just the like I think it scares like 800 00:40:02,320 --> 00:40:05,040 Speaker 1: technology kind of scares me, like our kids growing up 801 00:40:05,040 --> 00:40:06,960 Speaker 1: in this world, and like we really I think that 802 00:40:06,960 --> 00:40:08,880 Speaker 1: that we all. I've heard you guys talk a lot 803 00:40:08,880 --> 00:40:11,360 Speaker 1: about being in this generation where like we're not. I 804 00:40:11,640 --> 00:40:13,759 Speaker 1: don't feel like a millennial because I remember growing up 805 00:40:13,760 --> 00:40:16,320 Speaker 1: without the internet, but I hate that they call me 806 00:40:16,360 --> 00:40:19,040 Speaker 1: a millennial. But at the same so I'm nervous about 807 00:40:19,120 --> 00:40:20,440 Speaker 1: what this is going to do to our kids. But 808 00:40:20,480 --> 00:40:23,200 Speaker 1: at the same time, like the connectedness has just been 809 00:40:23,320 --> 00:40:26,200 Speaker 1: so cool. The fact that like you guys found each 810 00:40:26,239 --> 00:40:28,960 Speaker 1: other and started this podcast, and that like my friend 811 00:40:29,040 --> 00:40:31,040 Speaker 1: found your podcast and sent it to me. And then 812 00:40:31,320 --> 00:40:33,960 Speaker 1: you know, also like my husband is really like gregarious 813 00:40:33,960 --> 00:40:36,040 Speaker 1: on the internet, and he like has all these friends 814 00:40:36,040 --> 00:40:38,000 Speaker 1: and he was on Facebook that he doesn't really know 815 00:40:38,120 --> 00:40:40,680 Speaker 1: and he was able to like like hook me up 816 00:40:40,719 --> 00:40:42,800 Speaker 1: with like other groups of women who are also interested 817 00:40:42,840 --> 00:40:44,759 Speaker 1: in talking to me about fertility that like I never 818 00:40:44,760 --> 00:40:47,560 Speaker 1: would have found And it's just really cool the world 819 00:40:47,640 --> 00:40:51,200 Speaker 1: we live in. If we if we use it for good, yeah, 820 00:40:51,280 --> 00:40:54,600 Speaker 1: let's use it. Love it. Yes, Well, thank you so 821 00:40:54,680 --> 00:40:57,120 Speaker 1: much for being on the program. It's really a pleasure. 822 00:40:57,120 --> 00:41:01,040 Speaker 1: I love talking to you guys. That was good, good interview. 823 00:41:01,880 --> 00:41:04,560 Speaker 1: So bringing us to our Q and a part of 824 00:41:04,880 --> 00:41:09,799 Speaker 1: the episode, we got a question on Sarah's blog that 825 00:41:10,239 --> 00:41:12,440 Speaker 1: if people aren't reading that you should. It's the shoe 826 00:41:12,440 --> 00:41:16,560 Speaker 1: box dot com. The shoe Sahu like Sarah's initials box 827 00:41:16,600 --> 00:41:20,160 Speaker 1: dot com and Sarah has been blogging about her lack 828 00:41:20,239 --> 00:41:26,040 Speaker 1: of sleep because Genevieve is just monstrously cute, but also 829 00:41:26,880 --> 00:41:29,600 Speaker 1: eating like a fiend and up in the night and 830 00:41:29,680 --> 00:41:32,680 Speaker 1: all that, And of course Sarah is seeing patients all day, 831 00:41:32,719 --> 00:41:35,879 Speaker 1: which requires a lot of energy as well, and so 832 00:41:36,040 --> 00:41:40,840 Speaker 1: one of her commenters asked, how do you function during 833 00:41:40,880 --> 00:41:43,719 Speaker 1: the day when you are up at night feeding a 834 00:41:43,760 --> 00:41:46,319 Speaker 1: baby and then need to be on during the hours 835 00:41:46,360 --> 00:41:49,000 Speaker 1: you're at the office. What are some tips you have 836 00:41:49,160 --> 00:41:52,279 Speaker 1: for other sleep deprived new moms on how they can 837 00:41:52,320 --> 00:41:55,960 Speaker 1: power through too. It's such lovely timing because we had 838 00:41:55,960 --> 00:42:00,239 Speaker 1: a wonderful night last night where Miss Genevieve unfortunately has 839 00:42:00,280 --> 00:42:02,920 Speaker 1: a little bit of croup and there was not a 840 00:42:02,920 --> 00:42:05,879 Speaker 1: lot of sleep, and I was finishing up a call week, 841 00:42:06,040 --> 00:42:08,920 Speaker 1: so I got a lovely you know, finally got her 842 00:42:08,960 --> 00:42:10,919 Speaker 1: down again at ten thirty, and then the er calls 843 00:42:11,000 --> 00:42:12,799 Speaker 1: me like eleven thirty, and then she was anyway, So 844 00:42:13,080 --> 00:42:16,160 Speaker 1: good timing for this question. I think, well, first of all, 845 00:42:16,640 --> 00:42:19,200 Speaker 1: I say, don't focus on it too much. I almost 846 00:42:19,239 --> 00:42:22,399 Speaker 1: wonder if maybe, and this is totally non scientific, maybe 847 00:42:22,440 --> 00:42:26,280 Speaker 1: there's a little bit of a hormonal ability to function 848 00:42:26,360 --> 00:42:29,560 Speaker 1: on less sleep for new moms. I mean it sort 849 00:42:29,600 --> 00:42:33,200 Speaker 1: of would make evolutionary sense. And sometimes if I don't 850 00:42:33,320 --> 00:42:37,040 Speaker 1: fixate on how poorly and how caught up my lack 851 00:42:37,080 --> 00:42:39,000 Speaker 1: of sleep was the night before, I find that the 852 00:42:39,080 --> 00:42:41,279 Speaker 1: day actually goes okay. So I guess my number one 853 00:42:41,280 --> 00:42:44,120 Speaker 1: thought is maybe don't think about it too much. Also 854 00:42:44,520 --> 00:42:46,959 Speaker 1: not sanctioning this in any medical sort of way, but man, 855 00:42:46,960 --> 00:42:52,799 Speaker 1: does coffee help because I've been getting up every day 856 00:42:52,840 --> 00:42:54,920 Speaker 1: and I'm again not saying everybody needs to do this, 857 00:42:55,000 --> 00:42:58,000 Speaker 1: but in order to match my supply to her demand, 858 00:42:58,000 --> 00:42:59,640 Speaker 1: I get up at five am and do a morning 859 00:42:59,680 --> 00:43:03,880 Speaker 1: pump and I usually feel utterly miserable when I start it, 860 00:43:03,920 --> 00:43:05,959 Speaker 1: but I drink coffee while I'm doing it, and usually 861 00:43:06,000 --> 00:43:07,319 Speaker 1: by the end I don't even feel like I need 862 00:43:07,400 --> 00:43:09,200 Speaker 1: to go back to bed. I can kind of put 863 00:43:09,200 --> 00:43:11,440 Speaker 1: her around and get some stuff done before she wakes up, 864 00:43:11,520 --> 00:43:14,839 Speaker 1: and that makes all the difference. I don't think I 865 00:43:14,880 --> 00:43:18,120 Speaker 1: could really have that lucid feeling so early in the 866 00:43:18,160 --> 00:43:20,680 Speaker 1: morning without it, So you know, take advantage of the 867 00:43:20,719 --> 00:43:23,560 Speaker 1: fact that you're not pregnant. It doesn't seem to affect 868 00:43:23,600 --> 00:43:26,200 Speaker 1: her at least during the day. She naps fine, even 869 00:43:26,239 --> 00:43:28,560 Speaker 1: if I've just drank a cup and fed her, So 870 00:43:28,840 --> 00:43:32,600 Speaker 1: that is another way. And then my third thought is 871 00:43:32,640 --> 00:43:35,799 Speaker 1: to just go to bed as early as you possibly can. 872 00:43:35,880 --> 00:43:38,800 Speaker 1: I do. There is scientific evidence that the early hours 873 00:43:39,160 --> 00:43:41,840 Speaker 1: of the night's sleep matter. They're deeper sleep, so missing 874 00:43:41,880 --> 00:43:45,040 Speaker 1: out on those is more detrimental to missing out on 875 00:43:45,200 --> 00:43:47,520 Speaker 1: the late in the night sleep. So if you're able, 876 00:43:47,560 --> 00:43:50,240 Speaker 1: and you probably experienced this, you know, if you're able 877 00:43:50,280 --> 00:43:52,480 Speaker 1: to kind of go to bed early and sleep from 878 00:43:52,480 --> 00:43:54,560 Speaker 1: maybe nine to one, sometimes you feel so good at 879 00:43:54,560 --> 00:43:57,040 Speaker 1: one that you're like, oh my god, I'm like insomniac 880 00:43:57,080 --> 00:43:59,760 Speaker 1: at this point because you've gotten that nice deep sleep. 881 00:43:59,800 --> 00:44:02,759 Speaker 1: So when you're in a period of deficit, as much 882 00:44:02,760 --> 00:44:05,120 Speaker 1: as you possibly can, force yourself to go to bed, 883 00:44:05,160 --> 00:44:07,200 Speaker 1: get off your phone, get off the TV. And I've 884 00:44:07,239 --> 00:44:10,080 Speaker 1: definitely been doing this as much as I can. Yeah, 885 00:44:10,160 --> 00:44:13,480 Speaker 1: and then during the day, because obviously you have to 886 00:44:13,520 --> 00:44:17,600 Speaker 1: be on and you're dealing with difficult situations. What do 887 00:44:17,640 --> 00:44:20,520 Speaker 1: you do to sort of maintain your energy during the 888 00:44:20,560 --> 00:44:24,000 Speaker 1: work day. Maybe it's because I'm an extrovert, or maybe 889 00:44:24,040 --> 00:44:26,560 Speaker 1: it's from the coffee, but it's not like I like, 890 00:44:27,360 --> 00:44:29,600 Speaker 1: you know, the only thing that I find challenging during 891 00:44:29,640 --> 00:44:34,279 Speaker 1: the work day on less sleep is charting. And sometimes 892 00:44:34,320 --> 00:44:36,440 Speaker 1: I've said to myself, you know, I'm so inefficient on 893 00:44:36,480 --> 00:44:39,240 Speaker 1: the computer. I'm not inefficient with the patients like I somehow, 894 00:44:39,560 --> 00:44:42,760 Speaker 1: I guess enough adrenaline kicks in when when you're actively 895 00:44:42,800 --> 00:44:45,040 Speaker 1: like in the room and giving them advice and answering questions. 896 00:44:45,080 --> 00:44:46,640 Speaker 1: It's when you have to type that all out what 897 00:44:46,680 --> 00:44:48,879 Speaker 1: you did that's hard. So sometimes I just say I'm 898 00:44:48,880 --> 00:44:50,680 Speaker 1: not writing it out right now. I'm just gonna like 899 00:44:50,760 --> 00:44:53,840 Speaker 1: zone out whatever and I'll batch this for you know, 900 00:44:53,880 --> 00:44:56,000 Speaker 1: the weekend when I can do it right after I've 901 00:44:56,040 --> 00:44:58,280 Speaker 1: had my coffee. So you know, this isn't a forever 902 00:44:58,360 --> 00:45:00,680 Speaker 1: thing for me. I don't really enjoy doing a lot 903 00:45:00,719 --> 00:45:03,560 Speaker 1: of work on weekends or at nights or early mornings. 904 00:45:03,600 --> 00:45:06,080 Speaker 1: It's not really a goal of how I want to 905 00:45:06,120 --> 00:45:08,799 Speaker 1: have my job right now, But right now it's it's 906 00:45:08,840 --> 00:45:12,960 Speaker 1: survival and that seems to work. So yeah, that's that's hard. 907 00:45:13,000 --> 00:45:14,840 Speaker 1: I mean, if I had a job, I guess it 908 00:45:14,880 --> 00:45:17,520 Speaker 1: was a little more passive. I think I'd run into 909 00:45:17,600 --> 00:45:19,239 Speaker 1: two more problems. So I would do what you can 910 00:45:19,320 --> 00:45:21,160 Speaker 1: to keep it as active and as exciting as you 911 00:45:21,200 --> 00:45:23,040 Speaker 1: can in the chunks that you can. And then if 912 00:45:23,080 --> 00:45:25,720 Speaker 1: there are parts that really require a lot of focus 913 00:45:25,760 --> 00:45:29,960 Speaker 1: but are kind of boring, maybe save those for for 914 00:45:30,000 --> 00:45:32,560 Speaker 1: the you know, your brightest times of the day, whether 915 00:45:32,600 --> 00:45:35,120 Speaker 1: that's right after you've had the coffee or a chunking 916 00:45:35,160 --> 00:45:38,200 Speaker 1: it on the weekend during during a free period. You 917 00:45:38,280 --> 00:45:41,000 Speaker 1: have tracked your sleep, right, So I have a little 918 00:45:41,000 --> 00:45:43,800 Speaker 1: bit of wisdom to impart on this topic as well. Well. 919 00:45:43,960 --> 00:45:46,759 Speaker 1: I mean, I you know, working from home, if it 920 00:45:46,800 --> 00:45:48,879 Speaker 1: was ever too bad of a night, I would try 921 00:45:48,920 --> 00:45:51,160 Speaker 1: to nap for a little bit during the day, which 922 00:45:51,200 --> 00:45:53,080 Speaker 1: is a luxury that I know a lot of people 923 00:45:53,160 --> 00:45:58,319 Speaker 1: do not have. So I did. I did that. But 924 00:45:58,360 --> 00:46:00,640 Speaker 1: I think you also mentioned that like the fact that 925 00:46:00,680 --> 00:46:02,760 Speaker 1: you see that your average is pretty much the same 926 00:46:03,160 --> 00:46:05,400 Speaker 1: allows you to not stress up, because I think sometimes 927 00:46:05,440 --> 00:46:07,399 Speaker 1: people just like they fixate, oh my god, I only 928 00:46:07,440 --> 00:46:09,279 Speaker 1: got six hours, and like by thinking of that, it 929 00:46:09,320 --> 00:46:11,279 Speaker 1: actually makes it worse. I think. I think that is 930 00:46:11,280 --> 00:46:15,400 Speaker 1: definitely true. I can see from my time logs that I, 931 00:46:15,480 --> 00:46:18,480 Speaker 1: over the long haul hit around, you know, between seven 932 00:46:18,520 --> 00:46:21,360 Speaker 1: and seven and a half hours per day again average 933 00:46:21,400 --> 00:46:23,200 Speaker 1: over the long haul. That doesn't meet and I sleep 934 00:46:23,320 --> 00:46:26,880 Speaker 1: you know, fifty one point five hours per week or 935 00:46:26,880 --> 00:46:30,319 Speaker 1: whatever it is. It just means that over the long haul, 936 00:46:30,400 --> 00:46:32,400 Speaker 1: that is what my body is aiming for. And so 937 00:46:32,480 --> 00:46:36,120 Speaker 1: now that I know that, I don't feel as worried 938 00:46:36,200 --> 00:46:38,520 Speaker 1: about a short night, Like I know, if I get 939 00:46:38,640 --> 00:46:42,439 Speaker 1: six and a half hours on a day, like, yeah, 940 00:46:42,480 --> 00:46:46,319 Speaker 1: I'm not in perfect shape, but I'm not bad. And 941 00:46:46,360 --> 00:46:50,120 Speaker 1: I know that I will probably hit eight hours another 942 00:46:50,239 --> 00:46:55,000 Speaker 1: night by going to bed earlier or you know, purpose 943 00:46:55,200 --> 00:46:57,320 Speaker 1: like my little guy won't wake up some other and 944 00:46:57,680 --> 00:46:59,560 Speaker 1: he still does occasionally. It's really you know, it's been 945 00:46:59,560 --> 00:47:01,520 Speaker 1: a rough thing with him, but he's better now, but 946 00:47:01,600 --> 00:47:08,120 Speaker 1: still and so knowing that that there is that catch 947 00:47:08,200 --> 00:47:13,040 Speaker 1: up impulse really removes some of the psychological torment from 948 00:47:13,080 --> 00:47:15,240 Speaker 1: the whole, like oh no, I'm up at three am. 949 00:47:15,360 --> 00:47:18,640 Speaker 1: It's the end of the world because it's that comforting 950 00:47:18,680 --> 00:47:21,040 Speaker 1: to think, you know what your body will Yeah, well, 951 00:47:21,160 --> 00:47:24,640 Speaker 1: that can astrophic mindset is what makes it worse than 952 00:47:24,640 --> 00:47:27,279 Speaker 1: anything else. It's like, yes, I will get back to 953 00:47:27,640 --> 00:47:30,080 Speaker 1: my average over the long haul, so I'm not going 954 00:47:30,120 --> 00:47:33,000 Speaker 1: to worry about it. And yes there is there is coffee, 955 00:47:33,239 --> 00:47:37,279 Speaker 1: and coffee is a beautiful thing, so we stick with 956 00:47:37,320 --> 00:47:40,520 Speaker 1: that too. All right, Well, this has been best of 957 00:47:40,560 --> 00:47:43,680 Speaker 1: both worlds. We've been talking to Ellen Goldstein most of 958 00:47:43,719 --> 00:47:47,120 Speaker 1: this time about fertility questions. If you have comments on 959 00:47:47,160 --> 00:47:50,479 Speaker 1: the podcast, please do share. You can go to either 960 00:47:50,560 --> 00:47:53,319 Speaker 1: of our websites. I'm Laura Vandercam dot com. As we said, 961 00:47:53,360 --> 00:47:56,560 Speaker 1: the Shoe Box the Shoe s h u box dot com. 962 00:47:56,880 --> 00:47:59,360 Speaker 1: You can always email me el vanderkamat yahoo dot com. 963 00:47:59,400 --> 00:48:02,600 Speaker 1: Please rate this podcast, review it, share it with a friend. 964 00:48:03,080 --> 00:48:05,920 Speaker 1: We are trying to reach as broad an audience as possible, 965 00:48:06,560 --> 00:48:08,839 Speaker 1: and we really appreciate when we hear from people like, oh, 966 00:48:08,880 --> 00:48:10,400 Speaker 1: my friend told me I should check it out. That 967 00:48:10,400 --> 00:48:14,320 Speaker 1: means a lot. We are flattered to have those recommendations. 968 00:48:14,360 --> 00:48:16,719 Speaker 1: So if you feel you can recommend this podcast, we 969 00:48:16,719 --> 00:48:19,239 Speaker 1: would really appreciate you doing so and that will help 970 00:48:19,320 --> 00:48:25,640 Speaker 1: us grow our audience. Thanks so much, Thanks for listening. 971 00:48:25,880 --> 00:48:29,000 Speaker 1: You can find me Sarah at the shoebox dot com 972 00:48:29,120 --> 00:48:32,680 Speaker 1: or at the Underscore shoe Box on Instagram, and you 973 00:48:32,719 --> 00:48:36,960 Speaker 1: can find me Laura at Laura vandercam dot com. This 974 00:48:37,040 --> 00:48:40,279 Speaker 1: has been the best of both worlds podcasts. Please join 975 00:48:40,360 --> 00:48:43,080 Speaker 1: us next time for more on making work and life 976 00:48:43,239 --> 00:48:43,920 Speaker 1: work together.