1 00:00:01,320 --> 00:00:04,600 Speaker 1: Hey lady, is doctor Dim here. If you like this 2 00:00:04,720 --> 00:00:07,240 Speaker 1: show and you want to make your own, let me 3 00:00:07,280 --> 00:00:10,840 Speaker 1: tell you about the free platform Anchor. It's a creation 4 00:00:11,000 --> 00:00:13,800 Speaker 1: tool that allows you to record and edit your podcast 5 00:00:13,920 --> 00:00:17,280 Speaker 1: right from your phone or computer. You can add songs 6 00:00:17,280 --> 00:00:21,000 Speaker 1: from Spotify and create any type of content that you 7 00:00:21,079 --> 00:00:24,360 Speaker 1: are looking for. Anchor will distribute it all for you 8 00:00:24,760 --> 00:00:28,440 Speaker 1: so it can be heard on Spotify, Apple Podcasts, and more. 9 00:00:29,160 --> 00:00:32,040 Speaker 1: Download the free Anchor app or go to anchor dot 10 00:00:32,159 --> 00:00:33,360 Speaker 1: fm to get started. 11 00:00:33,880 --> 00:00:36,599 Speaker 2: Hey lady, it's Terry here. Before you tune into the episode, 12 00:00:36,600 --> 00:00:38,440 Speaker 2: I wanted to give you a quick disclaimer to let 13 00:00:38,440 --> 00:00:42,519 Speaker 2: you know that we faced some very serious technical difficulties 14 00:00:42,560 --> 00:00:45,839 Speaker 2: as we were recording, but the content is so valuable, 15 00:00:46,000 --> 00:00:48,160 Speaker 2: so good, that we didn't want to wait to put 16 00:00:48,159 --> 00:00:51,559 Speaker 2: it out and re record. We really wanted to capture 17 00:00:51,560 --> 00:00:54,240 Speaker 2: the moment and just share with you all the amazing 18 00:00:54,320 --> 00:00:57,080 Speaker 2: gems that our guests share today. So bear with us. 19 00:00:57,120 --> 00:00:59,520 Speaker 2: We know it's not the best audio. It was really 20 00:00:59,520 --> 00:01:01,520 Speaker 2: out of our control. The Internet was not trying to 21 00:01:01,560 --> 00:01:03,480 Speaker 2: let us be great. But we'll make sure to get 22 00:01:03,520 --> 00:01:06,640 Speaker 2: a better episode out to you very soon. On this 23 00:01:06,680 --> 00:01:08,800 Speaker 2: week's episode, in her Space. 24 00:01:10,120 --> 00:01:14,560 Speaker 3: Specific about her boundaries allowed her to be liberated, I 25 00:01:14,560 --> 00:01:16,760 Speaker 3: would say, in her sex life. And I think, to me, 26 00:01:16,880 --> 00:01:19,759 Speaker 3: I think she does an excellent job of like negotiating 27 00:01:19,800 --> 00:01:22,520 Speaker 3: for herself and telling people like, oh, no, you know, 28 00:01:22,560 --> 00:01:24,679 Speaker 3: I only make love and my love bed, or you know, 29 00:01:24,800 --> 00:01:26,960 Speaker 3: having her own rules and like, look, you just gonna 30 00:01:26,959 --> 00:01:28,920 Speaker 3: have to deal with it. And I really love that 31 00:01:29,000 --> 00:01:32,360 Speaker 3: because I think it's it made it okay. And it 32 00:01:32,480 --> 00:01:34,360 Speaker 3: was also you know, like it was when the men 33 00:01:34,520 --> 00:01:36,800 Speaker 3: did not listen and she had to give them negativegy 34 00:01:36,800 --> 00:01:38,240 Speaker 3: and be like, oh, I got to go, this is 35 00:01:38,280 --> 00:01:40,640 Speaker 3: not for me. And so I think that's the key too, 36 00:01:40,680 --> 00:01:47,400 Speaker 3: is I think sometimes we have to be honest at Welcome. 37 00:01:45,280 --> 00:01:50,360 Speaker 1: To her Space, a podcast dedicated to uplifting women like you. 38 00:01:50,520 --> 00:01:56,640 Speaker 1: We're your hosts Doctor Dominique Brussard, a college professor and psychologist. 39 00:01:56,120 --> 00:02:00,600 Speaker 4: And Terry Lomax, a techie and a motivational speaker. In 40 00:02:00,640 --> 00:02:04,640 Speaker 4: a world where black women are often misrepresented and misunderstood, 41 00:02:05,080 --> 00:02:09,840 Speaker 4: please join us as we initiate authentic conversations on everything 42 00:02:09,919 --> 00:02:13,440 Speaker 4: from fibroids to fake friends, and create a safe space 43 00:02:13,440 --> 00:02:15,600 Speaker 4: where black women can just be. 44 00:02:21,760 --> 00:02:24,920 Speaker 1: Hey, lady, is doctor dom here From the herspace podcast. 45 00:02:25,480 --> 00:02:27,520 Speaker 1: Do you have a burning question you're dying to get 46 00:02:27,520 --> 00:02:31,200 Speaker 1: feedback on. Do you want an unbiased perspective on a 47 00:02:31,240 --> 00:02:36,760 Speaker 1: situation you're facing. If so, visit herspacepodcast dot com and 48 00:02:36,800 --> 00:02:41,560 Speaker 1: click ask doctor Dom under the start here option. Every Tuesday, 49 00:02:41,600 --> 00:02:46,560 Speaker 1: I'll choose a few questions and answer them at random. Okay, lady, 50 00:02:46,800 --> 00:02:51,040 Speaker 1: if you tuned into our episode The Burden of Five 51 00:02:51,160 --> 00:02:56,160 Speaker 1: Roids for Black Women, then you know this next guest. 52 00:02:56,520 --> 00:02:59,840 Speaker 1: Doctor Joy Cooper is a Philadelphia native and an i 53 00:03:00,080 --> 00:03:05,480 Speaker 1: Catrician gynecologists at Highland Hospital in Oakland, California. She completed 54 00:03:05,520 --> 00:03:09,040 Speaker 1: her residency at the Hospital of the University of Pennsylvania. 55 00:03:09,800 --> 00:03:11,119 Speaker 5: She earned her MD. 56 00:03:11,240 --> 00:03:16,080 Speaker 1: From Howard University, completed a master's and sexually transmitted Infections 57 00:03:16,080 --> 00:03:20,800 Speaker 1: in HIV at University College of London, London School of 58 00:03:20,880 --> 00:03:24,840 Speaker 1: Hygiene and Tropical Medicine, and earned an AB in African 59 00:03:24,919 --> 00:03:29,320 Speaker 1: and African American Studies at Harvard College. When she is 60 00:03:29,360 --> 00:03:32,839 Speaker 1: not on call, catching babies or traveling the globe, she's 61 00:03:32,840 --> 00:03:36,240 Speaker 1: fulfilling her mission to impact women of the African diaspora 62 00:03:36,760 --> 00:03:42,120 Speaker 1: through her organization, Daughters of the Diaspora Incorporated and startup 63 00:03:42,560 --> 00:03:45,960 Speaker 1: Culture care Welcome back to the show, Doctor Joy. 64 00:03:46,400 --> 00:03:47,680 Speaker 5: Thank you so much for having me. 65 00:03:48,160 --> 00:03:50,880 Speaker 1: We are so excited to have you here today. And 66 00:03:51,680 --> 00:03:55,920 Speaker 1: on your previous appearance, you talked about fibroids. Today we're 67 00:03:55,960 --> 00:03:59,520 Speaker 1: talking about a completely different topic, so we are going 68 00:03:59,600 --> 00:04:02,560 Speaker 1: to kind of dive right in our quote of the day. 69 00:04:03,000 --> 00:04:06,080 Speaker 1: I called my best friend to tell her we made 70 00:04:06,120 --> 00:04:08,680 Speaker 1: a nickname up for it so we wouldn't have to 71 00:04:08,800 --> 00:04:13,680 Speaker 1: use the words. We called it Clouds, and that's. 72 00:04:13,480 --> 00:04:17,680 Speaker 2: By now, Doctor Joy. This reminds me of a conversation 73 00:04:17,760 --> 00:04:20,880 Speaker 2: that I had with someone years ago, and it was 74 00:04:20,920 --> 00:04:24,440 Speaker 2: a friend that confided in me right after they got 75 00:04:24,480 --> 00:04:27,240 Speaker 2: their diagnosis at the doctor's office. They were going for 76 00:04:27,279 --> 00:04:30,560 Speaker 2: an STD check and found out that they had heard 77 00:04:30,600 --> 00:04:32,920 Speaker 2: bees and it was a very devastating moment for them 78 00:04:32,920 --> 00:04:35,520 Speaker 2: in their life. I remember this friend crying on the 79 00:04:35,520 --> 00:04:37,279 Speaker 2: phone with me, and I was just trying to support 80 00:04:37,360 --> 00:04:39,560 Speaker 2: and kind of figure out, you know, what I could 81 00:04:39,640 --> 00:04:42,200 Speaker 2: do to just offer some type of hope and comfort 82 00:04:42,279 --> 00:04:44,440 Speaker 2: for them. So I'd love it to start off with, 83 00:04:44,960 --> 00:04:48,160 Speaker 2: you know, when someone does get diagnosed with an STD 84 00:04:48,279 --> 00:04:51,080 Speaker 2: or STDI, what should their next step be and how 85 00:04:51,120 --> 00:04:53,039 Speaker 2: can they be comforted in that time? 86 00:04:53,400 --> 00:04:56,320 Speaker 3: I actually have been through the same exact thing with 87 00:04:56,360 --> 00:04:59,359 Speaker 3: the same exact STD as well. I would say the 88 00:04:59,400 --> 00:05:01,840 Speaker 3: best thing you can and be it's just supportive and listen. 89 00:05:02,080 --> 00:05:04,760 Speaker 3: I think it's you know, as black women, I think 90 00:05:04,800 --> 00:05:06,120 Speaker 3: we are like, you know, everyone looks to us for 91 00:05:06,160 --> 00:05:07,320 Speaker 3: our stage advice. 92 00:05:07,080 --> 00:05:09,840 Speaker 5: And you know, we give great advice. 93 00:05:09,880 --> 00:05:12,080 Speaker 3: But I think in this situation, it's a very personal 94 00:05:12,160 --> 00:05:15,919 Speaker 3: situation and it has implications for so many things in 95 00:05:16,000 --> 00:05:20,159 Speaker 3: terms of future partners, future children, all these different things, 96 00:05:20,160 --> 00:05:23,120 Speaker 3: and honestly, and that situation, I think it's just best 97 00:05:23,160 --> 00:05:26,440 Speaker 3: to be listened, to be a listener, and to like honestly, 98 00:05:26,600 --> 00:05:28,160 Speaker 3: and I just this is my own advice for my 99 00:05:28,200 --> 00:05:30,520 Speaker 3: own experiences, like to not feel like there's no fix, 100 00:05:30,560 --> 00:05:31,839 Speaker 3: you know. I feel like for a lot of STDs 101 00:05:31,880 --> 00:05:34,240 Speaker 3: that there are no cures for it's hard to say like, 102 00:05:34,279 --> 00:05:34,840 Speaker 3: oh just do. 103 00:05:34,839 --> 00:05:37,200 Speaker 5: This and it'll be over or it's no big deal. 104 00:05:37,279 --> 00:05:39,520 Speaker 3: It's just honestly, like let them vent to you and 105 00:05:39,560 --> 00:05:41,760 Speaker 3: be an open door, an open ear. 106 00:05:42,080 --> 00:05:44,200 Speaker 2: I love that. So it sounds like, don't try to 107 00:05:44,600 --> 00:05:47,760 Speaker 2: offer advice, don't try to maybe not even like pry 108 00:05:47,800 --> 00:05:50,200 Speaker 2: into the situation. Just listen, just be quiet and be 109 00:05:50,279 --> 00:05:51,640 Speaker 2: a listening ear for them. 110 00:05:51,520 --> 00:05:55,200 Speaker 3: Right, Yes, it's super intimate, Like I think it's you know, 111 00:05:55,560 --> 00:05:57,440 Speaker 3: even the details. I feel like, I know in my 112 00:05:57,600 --> 00:06:00,480 Speaker 3: one friend's situation, I honestly like, you know, you feel 113 00:06:00,480 --> 00:06:03,400 Speaker 3: sometimes too close and you know you never want you know, 114 00:06:03,400 --> 00:06:05,320 Speaker 3: I feel like the world does enough of like throwing 115 00:06:05,839 --> 00:06:08,360 Speaker 3: different details and facts in your face, you know, And 116 00:06:08,400 --> 00:06:10,479 Speaker 3: I feel like, you know, as a girlfriend, as a friend, 117 00:06:10,520 --> 00:06:11,320 Speaker 3: you should not do that. 118 00:06:11,360 --> 00:06:13,400 Speaker 5: I feel like that's not your role. Your role is 119 00:06:13,480 --> 00:06:15,320 Speaker 5: just to be a sounding board. 120 00:06:15,520 --> 00:06:19,480 Speaker 1: I wonder if some of that kind of plays into 121 00:06:20,080 --> 00:06:25,760 Speaker 1: a stigma, and like just this level of stigma and 122 00:06:25,920 --> 00:06:30,159 Speaker 1: shame that people experience around STIs. 123 00:06:30,440 --> 00:06:34,240 Speaker 3: I guess stigma is very complicated because I think you know, 124 00:06:34,400 --> 00:06:36,120 Speaker 3: like you know, typically when I you know, when we 125 00:06:36,120 --> 00:06:38,039 Speaker 3: talk about stigma, and I'm so glad you guys are 126 00:06:38,080 --> 00:06:39,919 Speaker 3: having me to talk about this topic because you know, 127 00:06:40,000 --> 00:06:42,320 Speaker 3: this is what I got a whole master's in. And 128 00:06:42,680 --> 00:06:46,000 Speaker 3: we remember in that program, we had like a class 129 00:06:46,040 --> 00:06:51,280 Speaker 3: about stigma and HIV and you know, stigma just needs 130 00:06:51,279 --> 00:06:53,600 Speaker 3: so many different things different people. Sigma has, like I 131 00:06:53,600 --> 00:06:55,760 Speaker 3: would say, just like everything else, there's levels to it. 132 00:06:56,279 --> 00:06:59,760 Speaker 3: And I think I remember in that class Caucasian woman 133 00:07:00,080 --> 00:07:02,400 Speaker 3: as like, you know, this is back in the Bush era, 134 00:07:02,880 --> 00:07:06,680 Speaker 3: like I feel stigmatized against because you know, people know 135 00:07:06,720 --> 00:07:08,400 Speaker 3: I'm from America and they. 136 00:07:08,240 --> 00:07:11,000 Speaker 5: Don't like my president. And I think that's so. 137 00:07:11,080 --> 00:07:14,840 Speaker 3: Different from I have HIV and I have to take 138 00:07:14,880 --> 00:07:15,560 Speaker 3: beds every. 139 00:07:15,440 --> 00:07:17,120 Speaker 5: Day and hope I don't die like you know. 140 00:07:17,640 --> 00:07:20,760 Speaker 3: But that was her experience, and it was like, you know, 141 00:07:20,960 --> 00:07:23,280 Speaker 3: she got you know, she was really like, oh, I 142 00:07:23,320 --> 00:07:25,920 Speaker 3: have a struggle, and it was just very interesting to me. 143 00:07:25,960 --> 00:07:28,280 Speaker 5: That this is example you want to use a stigma. 144 00:07:28,440 --> 00:07:32,160 Speaker 3: Okay, fine, It's like when it comes to stigma, it's 145 00:07:32,160 --> 00:07:34,520 Speaker 3: hard to you know, it's you know, it's very easy 146 00:07:34,560 --> 00:07:35,840 Speaker 3: to say like you know, you can put it all 147 00:07:35,840 --> 00:07:39,440 Speaker 3: in one box or one bag or you know, compile it. 148 00:07:39,760 --> 00:07:42,760 Speaker 3: You really can't because I think stigma it really works 149 00:07:42,760 --> 00:07:45,480 Speaker 3: within different societies and just like you know, being an 150 00:07:45,480 --> 00:07:48,119 Speaker 3: American here is no like it's no shame or no stain. 151 00:07:48,480 --> 00:07:50,320 Speaker 3: But in the UK at that time and probably now 152 00:07:50,320 --> 00:07:53,000 Speaker 3: because our president isn't so great, you know, it has 153 00:07:53,040 --> 00:07:55,200 Speaker 3: a stigma to it, you know, and so I think 154 00:07:55,280 --> 00:07:57,600 Speaker 3: it's really like it takes shapes and bounds, like you 155 00:07:57,640 --> 00:07:59,920 Speaker 3: can't really compile it and can't contain it because it's 156 00:08:00,000 --> 00:08:03,440 Speaker 3: depends on who's the listening ear, who is the. 157 00:08:03,360 --> 00:08:06,200 Speaker 5: Person who's talking about it, and what is their experience. 158 00:08:06,720 --> 00:08:09,280 Speaker 3: And I think the problem especially I think, you know, 159 00:08:09,360 --> 00:08:12,520 Speaker 3: herpes to me, I think is an HSVING is you know, 160 00:08:12,680 --> 00:08:16,480 Speaker 3: a huge I think misnomer to me because like, honestly. 161 00:08:16,120 --> 00:08:18,680 Speaker 5: It's super common amongst black women in the US. 162 00:08:19,000 --> 00:08:21,680 Speaker 3: So it's really hard to and I'm seeing people do 163 00:08:21,880 --> 00:08:24,480 Speaker 3: very you know, I've seen lots of brothers break up 164 00:08:24,520 --> 00:08:25,520 Speaker 3: with women because of. 165 00:08:25,720 --> 00:08:28,600 Speaker 5: HSV both, you know, and I've just seen it a lot. 166 00:08:28,960 --> 00:08:31,320 Speaker 3: But it's like it's so common, So how do you 167 00:08:31,320 --> 00:08:33,320 Speaker 3: you know, make this like a thing that like you 168 00:08:33,400 --> 00:08:37,319 Speaker 3: can't be wifey because you have herpes? And so I 169 00:08:37,679 --> 00:08:40,160 Speaker 3: you know, like the stigma. I understand the medical side 170 00:08:40,200 --> 00:08:43,080 Speaker 3: of like okay, there are implications for this, but also 171 00:08:43,200 --> 00:08:45,839 Speaker 3: just the human side, you know, like how do we 172 00:08:46,320 --> 00:08:48,880 Speaker 3: you know, what does it mean to put myself at 173 00:08:48,960 --> 00:08:51,439 Speaker 3: risk as an individual versus you know, like as I 174 00:08:51,480 --> 00:08:53,640 Speaker 3: think as a position, as a public health concern? 175 00:08:53,760 --> 00:08:55,840 Speaker 5: You know, like what are those concerned? 176 00:08:55,960 --> 00:08:58,240 Speaker 3: So I think it's really hard because it's just really 177 00:08:58,280 --> 00:09:02,240 Speaker 3: like it just knows like fluid I was like it 178 00:09:02,280 --> 00:09:03,080 Speaker 3: can go anywhere. 179 00:09:03,120 --> 00:09:05,959 Speaker 5: It can could be anything to any individual, honestly, if 180 00:09:06,000 --> 00:09:07,040 Speaker 5: that makes sense. 181 00:09:07,280 --> 00:09:09,520 Speaker 2: Yes, doctor Joy. And the other thing that it makes 182 00:09:09,559 --> 00:09:12,920 Speaker 2: me think about is the difference between and STI and STD. 183 00:09:13,080 --> 00:09:16,400 Speaker 2: I feel like people use them interchangeably. I see STI 184 00:09:16,520 --> 00:09:18,800 Speaker 2: more often these days, but I was always taught it's 185 00:09:18,840 --> 00:09:21,520 Speaker 2: just STD, you know, So like, what is the difference 186 00:09:21,520 --> 00:09:23,280 Speaker 2: between that? And is there a term that we should 187 00:09:23,360 --> 00:09:24,160 Speaker 2: be using now? 188 00:09:24,559 --> 00:09:26,880 Speaker 3: I guess the thing is, it's funny because I started 189 00:09:26,880 --> 00:09:28,760 Speaker 3: saying STI is because that was my training, But I 190 00:09:28,840 --> 00:09:32,120 Speaker 3: say STDs now interchangeably because I think people don't know 191 00:09:32,120 --> 00:09:33,240 Speaker 3: what I mean by STO. 192 00:09:34,880 --> 00:09:36,679 Speaker 5: Really, infection means just because. 193 00:09:36,400 --> 00:09:38,360 Speaker 2: You have an infection of the meaning you have a disease. 194 00:09:38,720 --> 00:09:41,400 Speaker 3: So if I have I'm living with an infection and 195 00:09:41,480 --> 00:09:44,000 Speaker 3: I can treat it and it goes away, then fine. 196 00:09:44,280 --> 00:09:46,240 Speaker 3: But if you look at something like HIV, you can 197 00:09:46,360 --> 00:09:49,640 Speaker 3: have HIV and not have like AIDS, which is the 198 00:09:49,640 --> 00:09:52,880 Speaker 3: acquired immune official immune efficiency, the disease that has its 199 00:09:52,920 --> 00:09:55,439 Speaker 3: own or syndrome rather in addition to that that has 200 00:09:55,480 --> 00:09:57,320 Speaker 3: its own specific. 201 00:09:57,200 --> 00:09:59,640 Speaker 5: Set of categories that you have to fulfill in order 202 00:09:59,720 --> 00:10:00,840 Speaker 5: to have diagnosis. 203 00:10:01,200 --> 00:10:03,120 Speaker 3: So it's more so, just to have an infection is 204 00:10:03,160 --> 00:10:05,240 Speaker 3: to say I've been infected with something and that's it. 205 00:10:05,520 --> 00:10:08,319 Speaker 3: So I think it's just that it's usually more accurate 206 00:10:08,360 --> 00:10:10,840 Speaker 3: to say STI because most people aren't living with a 207 00:10:10,920 --> 00:10:14,920 Speaker 3: disease like that's secondary to an infection basically. 208 00:10:14,640 --> 00:10:17,560 Speaker 1: Okay, so that's okay. It's so I'm trying to think 209 00:10:17,600 --> 00:10:21,080 Speaker 1: back to like my sex education classes, and so that's 210 00:10:21,160 --> 00:10:25,600 Speaker 1: kind of like the difference between a bacterial infection and 211 00:10:25,640 --> 00:10:29,240 Speaker 1: a virus, Like a virus is something that would stay 212 00:10:29,559 --> 00:10:33,720 Speaker 1: in you forever, whereas a bacterial infection can go away. 213 00:10:34,400 --> 00:10:35,760 Speaker 5: They both actually can be treated. 214 00:10:35,800 --> 00:10:37,520 Speaker 3: So now that I think probably it's also just that 215 00:10:37,559 --> 00:10:39,959 Speaker 3: we went to school back in the nineties when there 216 00:10:39,960 --> 00:10:42,480 Speaker 3: weren't a lot of viral treatments, but we do have 217 00:10:42,520 --> 00:10:46,240 Speaker 3: anti virals for a lot a number of viruses, even 218 00:10:46,280 --> 00:10:48,440 Speaker 3: like the flu. Currently, you know, there's like, you know, 219 00:10:48,480 --> 00:10:50,720 Speaker 3: medications for the flu, even which is a virus. 220 00:10:50,800 --> 00:10:53,120 Speaker 5: The difference between bacteria infection is is that there are 221 00:10:53,120 --> 00:10:55,040 Speaker 5: different ways that they've developed. 222 00:10:55,080 --> 00:10:56,960 Speaker 3: Basically, it's kind of like just like you know, if 223 00:10:57,000 --> 00:10:58,640 Speaker 3: there's like you know, you have a fish and then 224 00:10:58,640 --> 00:11:01,840 Speaker 3: you have a mammal from different you know genuses all 225 00:11:01,880 --> 00:11:05,199 Speaker 3: those different things, shall we say, But an infection can 226 00:11:05,240 --> 00:11:07,959 Speaker 3: be different things. It can be like we talked about bactam, 227 00:11:08,080 --> 00:11:10,120 Speaker 3: can be a virus. It can be you know, a 228 00:11:10,240 --> 00:11:12,880 Speaker 3: yeast or fungus, or it could be a parasite. There's 229 00:11:12,880 --> 00:11:15,199 Speaker 3: a lot of different ways to be infected by something. 230 00:11:15,600 --> 00:11:18,480 Speaker 3: And so the disease portion is just more so what 231 00:11:18,520 --> 00:11:20,880 Speaker 3: the body does with the infection, how they incite, how 232 00:11:20,880 --> 00:11:24,439 Speaker 3: the body is affected, and how it reacts. And sometimes 233 00:11:24,440 --> 00:11:26,800 Speaker 3: that can turn into a more permanent situation or it 234 00:11:26,840 --> 00:11:28,280 Speaker 3: can be a transient situation. 235 00:11:28,600 --> 00:11:31,880 Speaker 1: Okay, so then I guess what would be the examples 236 00:11:32,200 --> 00:11:36,480 Speaker 1: of what are the transient situations that someone may encounter. 237 00:11:36,880 --> 00:11:39,679 Speaker 3: I would say the best example is my favorite thing 238 00:11:39,679 --> 00:11:43,439 Speaker 3: to talk about because I think it's like the invisible STIs. 239 00:11:43,559 --> 00:11:45,560 Speaker 5: Gonnery and chlamydia are very common. 240 00:11:45,559 --> 00:11:48,720 Speaker 3: I would say committee obviously is more common, especially amongst 241 00:11:48,760 --> 00:11:51,920 Speaker 3: women who are ages fifteen to twenty four. We generically 242 00:11:51,960 --> 00:11:55,080 Speaker 3: just screened all women between those that age group just 243 00:11:55,120 --> 00:11:56,479 Speaker 3: for STIs in general. 244 00:11:56,200 --> 00:12:00,040 Speaker 5: If we ever come to the doctor. But the main disease. 245 00:11:59,679 --> 00:12:02,640 Speaker 3: That calls that most people don't know they have until 246 00:12:02,840 --> 00:12:05,720 Speaker 3: it's too late and they have other things is called 247 00:12:05,760 --> 00:12:09,960 Speaker 3: public inflammatory disease, which is usually when you get gnawi 248 00:12:10,040 --> 00:12:12,439 Speaker 3: committee and affects your cervice and it just stays there 249 00:12:12,640 --> 00:12:15,440 Speaker 3: because that's obviously what's the you know, the closest thing 250 00:12:15,520 --> 00:12:17,040 Speaker 3: to the vagina where. 251 00:12:16,880 --> 00:12:20,000 Speaker 5: You can get infected from a sexual work in lethipenis. 252 00:12:20,360 --> 00:12:23,640 Speaker 3: So what happens is if that infection lingers and you 253 00:12:23,679 --> 00:12:27,560 Speaker 3: don't get it treated, it can ascend so up from 254 00:12:27,600 --> 00:12:31,280 Speaker 3: the service to the uterus, to the two fallopian tubes, 255 00:12:31,320 --> 00:12:35,400 Speaker 3: to the ovaries, and sometimes even out into your whole publics. 256 00:12:35,559 --> 00:12:38,559 Speaker 3: So I've definitely even seen a case where someone had gonorrhea. 257 00:12:39,480 --> 00:12:41,240 Speaker 3: It actually were like, you know, like a forty to 258 00:12:41,240 --> 00:12:43,960 Speaker 3: fifty year old woman was actually having an extra matter 259 00:12:44,000 --> 00:12:46,040 Speaker 3: off there. But she was like this church young lady, 260 00:12:46,200 --> 00:12:48,840 Speaker 3: so you know, we didn't like press you hard. And 261 00:12:48,920 --> 00:12:51,920 Speaker 3: it turned out she had gunorrhea. And when they want 262 00:12:52,000 --> 00:12:55,160 Speaker 3: to do like, she had so much public pain from 263 00:12:55,200 --> 00:12:58,920 Speaker 3: her pide of public inflammatory disease that we honestly had 264 00:12:58,920 --> 00:13:01,720 Speaker 3: to do surgery just because you know, it was just 265 00:13:01,760 --> 00:13:04,840 Speaker 3: not getting better with antibiotics. When they went to do 266 00:13:05,320 --> 00:13:08,360 Speaker 3: the surgery, and usually do like what's called laparoscopy, which 267 00:13:08,360 --> 00:13:10,080 Speaker 3: are like small little holes and avenue. 268 00:13:10,080 --> 00:13:11,840 Speaker 5: It's not like a big you know, decision. 269 00:13:12,440 --> 00:13:14,800 Speaker 3: When they put in an decision into her asmen, puss 270 00:13:14,880 --> 00:13:17,800 Speaker 3: started coming out from all the infection that had like 271 00:13:18,160 --> 00:13:22,960 Speaker 3: literally built up her abdomant, so that infection can go 272 00:13:23,000 --> 00:13:26,000 Speaker 3: as far up to your liver, up to your diaphragm, 273 00:13:26,080 --> 00:13:28,560 Speaker 3: like all that's within your abdomen, because your accent is 274 00:13:28,600 --> 00:13:31,720 Speaker 3: just this pre open place, and your collopian tube and 275 00:13:31,760 --> 00:13:33,800 Speaker 3: all that kind of like that condoit out to that. 276 00:13:33,800 --> 00:13:36,160 Speaker 5: That's all you know, we have your pregnant things like that. 277 00:13:36,720 --> 00:13:39,480 Speaker 3: So I say all that to say is that, you know, 278 00:13:39,600 --> 00:13:41,760 Speaker 3: it could just be what we call service sitis, which 279 00:13:41,800 --> 00:13:44,920 Speaker 3: is just an infection or like an aerception of the service, 280 00:13:44,920 --> 00:13:47,760 Speaker 3: which is like you know, just a very limited thing and. 281 00:13:47,760 --> 00:13:50,000 Speaker 5: Can be treated and cured easily. 282 00:13:50,000 --> 00:13:53,920 Speaker 3: Whereas if it sends to like essentially like you know, 283 00:13:54,000 --> 00:13:56,640 Speaker 3: great heights, shall we say, it can go as far. 284 00:13:56,559 --> 00:13:59,160 Speaker 5: As your diaphragm. And that's why I really. 285 00:13:59,080 --> 00:14:00,600 Speaker 3: Like, you know, with the work I do with daughters 286 00:14:00,600 --> 00:14:03,520 Speaker 3: a diastera, we work so hard to teach girls to 287 00:14:03,679 --> 00:14:06,240 Speaker 3: like protect their bodies, and I think, you know, my 288 00:14:06,280 --> 00:14:08,800 Speaker 3: message a little bit differently to young adult women is 289 00:14:08,840 --> 00:14:10,679 Speaker 3: to make sure that you know. I think the sexiest 290 00:14:10,679 --> 00:14:13,679 Speaker 3: thing you can do is get an asy test when 291 00:14:13,720 --> 00:14:15,760 Speaker 3: you're you know, first, when you first meet someone, or 292 00:14:15,880 --> 00:14:17,800 Speaker 3: go through like those the last time you're tested. I 293 00:14:17,800 --> 00:14:20,840 Speaker 3: feel like most of our doctor you know, doctor's officers 294 00:14:20,880 --> 00:14:23,240 Speaker 3: have all these apps with your results, like show your 295 00:14:23,240 --> 00:14:25,920 Speaker 3: part your partner or your results and say I haven't 296 00:14:25,920 --> 00:14:27,920 Speaker 3: had anything partner since this result? 297 00:14:28,240 --> 00:14:31,040 Speaker 5: You ready, you know? I think that's the way you 298 00:14:31,040 --> 00:14:31,880 Speaker 5: protect yourself. 299 00:14:32,560 --> 00:14:34,960 Speaker 2: That's a really good point. And I was gonna ask, 300 00:14:35,040 --> 00:14:36,920 Speaker 2: and I think you kind of answered this, well, you 301 00:14:37,000 --> 00:14:38,560 Speaker 2: answered it for me personally, but I was going to 302 00:14:38,640 --> 00:14:41,560 Speaker 2: ask if we have someone out there that you know 303 00:14:41,680 --> 00:14:43,520 Speaker 2: how it is when I don't know if you all 304 00:14:43,600 --> 00:14:46,240 Speaker 2: ladies remember this, but like you think you had an 305 00:14:46,280 --> 00:14:49,440 Speaker 2: experience and you're like, oh man, I think something may 306 00:14:49,480 --> 00:14:51,360 Speaker 2: be up, but I'm really scared to go get tested. 307 00:14:51,480 --> 00:14:54,080 Speaker 2: I feel like the story you just told that would 308 00:14:54,120 --> 00:14:56,760 Speaker 2: inspire anyone to go get tested because of how far 309 00:14:56,800 --> 00:14:59,000 Speaker 2: I can go. But like, do you often hear that 310 00:14:59,040 --> 00:15:01,040 Speaker 2: people are scared to get tested because of what the 311 00:15:01,040 --> 00:15:03,880 Speaker 2: test might reveal? And if so, how do you encourage 312 00:15:03,920 --> 00:15:05,520 Speaker 2: folks to get that done? 313 00:15:05,880 --> 00:15:07,440 Speaker 3: I think it kind of works the same thing as 314 00:15:07,440 --> 00:15:09,320 Speaker 3: like stigma. I think you have to take the stigma 315 00:15:09,320 --> 00:15:11,120 Speaker 3: away from it, Like I think you have to look 316 00:15:11,160 --> 00:15:13,360 Speaker 3: at it. It's just like I am a sexually active 317 00:15:13,960 --> 00:15:16,400 Speaker 3: young person. I should be getting tested regularly. So I 318 00:15:16,440 --> 00:15:19,400 Speaker 3: think to really honestly take I think the problem is 319 00:15:19,440 --> 00:15:21,640 Speaker 3: that we really box ourselves then when we think you 320 00:15:21,720 --> 00:15:23,920 Speaker 3: get tested, if you've been out here doing something, you know, 321 00:15:24,040 --> 00:15:27,360 Speaker 3: you're being a responsible person. You know, I think you're paying, 322 00:15:27,480 --> 00:15:29,920 Speaker 3: you know, you're doing your debt to society, to public health, 323 00:15:30,360 --> 00:15:31,200 Speaker 3: all these things. 324 00:15:31,240 --> 00:15:33,120 Speaker 5: You know, everyone's running around here with these masks on 325 00:15:33,240 --> 00:15:35,720 Speaker 5: for the coronavirus. But why aren't we like. 326 00:15:35,720 --> 00:15:38,040 Speaker 3: Running around here like trying to ask our partners one 327 00:15:38,040 --> 00:15:40,240 Speaker 3: the last they got tested, or having common like you 328 00:15:40,240 --> 00:15:41,200 Speaker 3: have to consider your. 329 00:15:41,040 --> 00:15:42,960 Speaker 5: Whole body, you know, like you can die from SuDS 330 00:15:43,000 --> 00:15:43,400 Speaker 5: as well. 331 00:15:43,800 --> 00:15:47,320 Speaker 3: So I think, really, if if you just get tested 332 00:15:47,400 --> 00:15:50,240 Speaker 3: rec and just make sure like oh I'll do, it 333 00:15:50,280 --> 00:15:52,120 Speaker 3: takes away the whole thing like oh my gosh, I'm 334 00:15:52,120 --> 00:15:54,320 Speaker 3: scared I might have something. It's like, really that you're 335 00:15:54,360 --> 00:15:55,280 Speaker 3: not scared you have something. 336 00:15:55,280 --> 00:15:56,280 Speaker 5: You're confirming that you do not. 337 00:15:57,840 --> 00:16:00,600 Speaker 1: I like that that approach of like I'm to confirm 338 00:16:00,640 --> 00:16:04,120 Speaker 1: that I don't have something. And one of the things 339 00:16:04,120 --> 00:16:05,960 Speaker 1: that you were talking that I thought about, like you 340 00:16:06,000 --> 00:16:10,040 Speaker 1: mentioned condoms, and I know that frequently or what's most 341 00:16:10,120 --> 00:16:17,480 Speaker 1: readily available are male condoms. So how easily accessible is 342 00:16:17,520 --> 00:16:21,480 Speaker 1: it for us to get dental dams and the female condom. 343 00:16:21,920 --> 00:16:24,760 Speaker 3: That's funny, honestly, I don't even know, because I think 344 00:16:25,400 --> 00:16:28,400 Speaker 3: when I've like known how to get those easily are 345 00:16:28,480 --> 00:16:31,000 Speaker 3: really from like STD type clinics and all of that 346 00:16:31,040 --> 00:16:35,200 Speaker 3: community clinics. It's usually not like a medical type environment. 347 00:16:35,240 --> 00:16:36,960 Speaker 3: And I've been in such a medical environment for so 348 00:16:37,040 --> 00:16:39,600 Speaker 3: long now that it's hard. I just know that from 349 00:16:39,600 --> 00:16:41,640 Speaker 3: the community that ours raised and ability, there are a 350 00:16:41,680 --> 00:16:45,240 Speaker 3: lot of like community clinics that are geared towards decreasing 351 00:16:45,400 --> 00:16:48,800 Speaker 3: sits in our community, I would say in terms of 352 00:16:48,920 --> 00:16:51,240 Speaker 3: and honestly, in my residency clinical we did have the 353 00:16:51,320 --> 00:16:55,280 Speaker 3: female condom. The female condom has its like pluses and 354 00:16:55,440 --> 00:16:57,920 Speaker 3: minuses and stuff. I just kind of feel like the 355 00:16:58,120 --> 00:17:00,640 Speaker 3: evidence does it show that it's you know, it's definitely 356 00:17:01,040 --> 00:17:05,400 Speaker 3: efflication as it gets preventing sees, but in terms of usage, 357 00:17:05,440 --> 00:17:08,080 Speaker 3: people don't tend to enjoy it as much. It does 358 00:17:08,200 --> 00:17:11,440 Speaker 3: make noises like farting noises, things like that. 359 00:17:11,560 --> 00:17:13,000 Speaker 5: I honestly could do a paper on it when I 360 00:17:13,080 --> 00:17:14,360 Speaker 5: was in my program. 361 00:17:14,280 --> 00:17:17,000 Speaker 3: And it is kind of a little bit more cumborsome 362 00:17:17,080 --> 00:17:20,560 Speaker 3: to put in and it's not as attractive. Like visually, 363 00:17:20,960 --> 00:17:22,639 Speaker 3: I feel like the you know, I feel like a 364 00:17:22,720 --> 00:17:25,360 Speaker 3: condom on a male penis looks the same, whereas once 365 00:17:25,400 --> 00:17:28,119 Speaker 3: you put that on, it's like, you know, it's just 366 00:17:28,160 --> 00:17:29,840 Speaker 3: like hanging out and looking. 367 00:17:29,520 --> 00:17:31,439 Speaker 5: Like you know, it looks just kind of weird. And 368 00:17:31,520 --> 00:17:33,680 Speaker 5: so some of the studies that look at you. 369 00:17:33,640 --> 00:17:36,680 Speaker 3: Know, the uptake of just even amongst women who were 370 00:17:36,680 --> 00:17:39,080 Speaker 3: like sex workers, you know who this is their living, 371 00:17:39,440 --> 00:17:40,440 Speaker 3: their partners. 372 00:17:40,080 --> 00:17:42,000 Speaker 5: Were not happy, they weren't happy. 373 00:17:42,520 --> 00:17:44,879 Speaker 3: But that said, I think in a different setting, you know, 374 00:17:44,880 --> 00:17:46,560 Speaker 3: this is why again I say, like it depends on 375 00:17:46,600 --> 00:17:47,720 Speaker 3: what is your contents. 376 00:17:47,960 --> 00:17:50,920 Speaker 5: You know, in places where women did not have. 377 00:17:51,000 --> 00:17:53,360 Speaker 3: Access to like, you know, condoms, you don't use one, 378 00:17:53,520 --> 00:17:56,800 Speaker 3: but someone were watching these, like you know, female condoms 379 00:17:56,840 --> 00:17:59,199 Speaker 3: in the middle of like you know, rural Africa to 380 00:17:59,320 --> 00:18:02,320 Speaker 3: like survive so that they could prevent themselves from getting STDs, 381 00:18:02,600 --> 00:18:05,880 Speaker 3: which has its own you know, like that is controversial, 382 00:18:05,920 --> 00:18:08,120 Speaker 3: not recommending that to anybody, but it's really. 383 00:18:07,960 --> 00:18:08,640 Speaker 5: Just their concepts. 384 00:18:08,720 --> 00:18:08,960 Speaker 1: That is. 385 00:18:09,000 --> 00:18:10,680 Speaker 5: The one beauty of it is that it's not as 386 00:18:10,720 --> 00:18:11,679 Speaker 5: like one and done. 387 00:18:11,880 --> 00:18:14,560 Speaker 3: You can actually reuse it for multiple encounters with the 388 00:18:14,600 --> 00:18:15,080 Speaker 3: same person. 389 00:18:15,119 --> 00:18:16,480 Speaker 5: I would say, not like, you know. 390 00:18:17,040 --> 00:18:19,520 Speaker 3: Go and like, you know, that's not good public health 391 00:18:19,600 --> 00:18:22,160 Speaker 3: service to like use with multiple people. But yeah, I mean, 392 00:18:22,200 --> 00:18:25,800 Speaker 3: I think we dental dams, I think are another good 393 00:18:25,840 --> 00:18:27,920 Speaker 3: thing that we probably need and probably decrease the rate 394 00:18:27,960 --> 00:18:31,680 Speaker 3: of herpes that we have. But I honestly, you know, 395 00:18:31,920 --> 00:18:34,400 Speaker 3: but honestly two is twenty twenty, so really we can 396 00:18:34,480 --> 00:18:37,560 Speaker 3: just probably find it on Amazon or something, if I 397 00:18:37,600 --> 00:18:41,320 Speaker 3: could really be honest, I was thinking and just to say, like, 398 00:18:41,359 --> 00:18:42,840 Speaker 3: you know, I just wanted to because I said that 399 00:18:42,880 --> 00:18:45,920 Speaker 3: about like, you know, herpes. I think the hard part 400 00:18:45,960 --> 00:18:48,680 Speaker 3: that you know is the thing that we're trying kind 401 00:18:48,680 --> 00:18:50,680 Speaker 3: of honestly really from from the nineties is I think 402 00:18:50,720 --> 00:18:53,439 Speaker 3: the nineties made it seem like condoms were voluble and 403 00:18:53,520 --> 00:18:56,520 Speaker 3: like all you need are condoms. But really what we've 404 00:18:56,520 --> 00:19:00,560 Speaker 3: found is that with the rights of the condoms honestly 405 00:19:00,600 --> 00:19:05,520 Speaker 3: still come the persistence of things like herpes and human 406 00:19:05,560 --> 00:19:08,359 Speaker 3: paploma virus or HPV, which is a virus that causes 407 00:19:08,440 --> 00:19:12,119 Speaker 3: cervical cancer just because those are infections that are transmitted 408 00:19:12,160 --> 00:19:16,240 Speaker 3: through skin. So you know, the difference between the condom 409 00:19:16,800 --> 00:19:18,639 Speaker 3: is the thing that the kind of protects against is 410 00:19:18,760 --> 00:19:21,840 Speaker 3: exchange of bodily fluids. And so that's why you're able 411 00:19:21,880 --> 00:19:26,360 Speaker 3: to block out syphilis and sometimes and gonnery a committee 412 00:19:26,400 --> 00:19:29,400 Speaker 3: an HIV because most of those times are carried through 413 00:19:29,520 --> 00:19:34,679 Speaker 3: bodily fluids like semen and vaginal fluids. But when you 414 00:19:34,840 --> 00:19:37,760 Speaker 3: are so having sex that does not cover your whole 415 00:19:38,240 --> 00:19:42,280 Speaker 3: skin area, genitals are still like you know, couming in contact, 416 00:19:42,359 --> 00:19:45,000 Speaker 3: and so what can happen is you can still very 417 00:19:45,080 --> 00:19:49,159 Speaker 3: much so transmit herpes even without an actual like lesion. 418 00:19:49,680 --> 00:19:52,600 Speaker 3: There's something called viral shedding, where you know your body 419 00:19:52,640 --> 00:19:57,000 Speaker 3: is giving off virus without you even knowing. And that 420 00:19:57,160 --> 00:19:59,040 Speaker 3: is kind of where I think sometimes it's kind of 421 00:19:59,080 --> 00:20:01,000 Speaker 3: hard with a stigma, but it's hard to tell, you know, 422 00:20:01,080 --> 00:20:03,320 Speaker 3: to say like oh heart Bass, it's not that you're dirty, 423 00:20:03,359 --> 00:20:06,200 Speaker 3: but you honestly could affect me one day. 424 00:20:06,800 --> 00:20:07,800 Speaker 5: So I think. 425 00:20:07,640 --> 00:20:09,680 Speaker 3: That's the kind of the hard part is that it's 426 00:20:09,840 --> 00:20:12,080 Speaker 3: very easy to get and I think that skin to 427 00:20:12,160 --> 00:20:15,040 Speaker 3: skin part is that that's the hard part is because 428 00:20:15,640 --> 00:20:18,040 Speaker 3: really like, the only thing that really especially with like 429 00:20:18,040 --> 00:20:20,440 Speaker 3: if you look at like HPV, the only thing that 430 00:20:20,520 --> 00:20:23,040 Speaker 3: limits the risk of HPV and like cervical cancer is 431 00:20:23,080 --> 00:20:25,639 Speaker 3: actually limiting the number of partners. And I think in 432 00:20:25,680 --> 00:20:30,639 Speaker 3: our sexual liberal are liberal much more sexual liberal environment. 433 00:20:30,760 --> 00:20:34,119 Speaker 3: Now it's hard to let even preacher say that because 434 00:20:34,440 --> 00:20:37,080 Speaker 3: that's not being sex positive. But at the same time, 435 00:20:37,119 --> 00:20:38,920 Speaker 3: I just feel like it's also a reality. 436 00:20:39,320 --> 00:20:41,600 Speaker 2: That's a really good point. Can we talk about how 437 00:20:41,640 --> 00:20:46,680 Speaker 2: it impacts pregnancy and childbirth if you do have one 438 00:20:46,720 --> 00:20:49,520 Speaker 2: of these STDs, Like, are there certain? 439 00:20:50,960 --> 00:20:51,280 Speaker 5: I don't know. 440 00:20:51,359 --> 00:20:52,600 Speaker 2: Look what does that even look like? 441 00:20:53,080 --> 00:20:57,000 Speaker 3: So I mean, honestly, they all affect the fetus in 442 00:20:57,040 --> 00:21:01,320 Speaker 3: different ways, different times. Let me try and mentally organize 443 00:21:01,320 --> 00:21:03,280 Speaker 3: this so it sounds correct, and that sounds correct, it 444 00:21:03,600 --> 00:21:05,879 Speaker 3: sounds makes sense. I'm just going to go through the 445 00:21:05,920 --> 00:21:08,000 Speaker 3: different entities that come to mind. So a case in 446 00:21:08,040 --> 00:21:10,840 Speaker 3: point HIV. HIV is a classic example of what we 447 00:21:10,880 --> 00:21:14,840 Speaker 3: call vertical transmission. So a vertical transmission means that it's 448 00:21:14,840 --> 00:21:17,720 Speaker 3: an infection that can go from mother to child, and 449 00:21:17,840 --> 00:21:21,800 Speaker 3: even HIV can be transmitted during actual jest, dating or 450 00:21:21,800 --> 00:21:24,000 Speaker 3: when the baby is in the mold. But it also 451 00:21:24,040 --> 00:21:27,840 Speaker 3: can be transmitted during labor through different sharing of blood 452 00:21:27,960 --> 00:21:30,080 Speaker 3: and you know, mixing of things at the time of 453 00:21:30,119 --> 00:21:32,919 Speaker 3: delivery so different. You know, there's you know, with the 454 00:21:32,920 --> 00:21:35,200 Speaker 3: onset of like great HIV mets. Most of the time, 455 00:21:35,560 --> 00:21:38,120 Speaker 3: you know, we don't have to, you know, do se 456 00:21:38,200 --> 00:21:42,080 Speaker 3: sections for women to prevent this exchange of bodily fluids 457 00:21:42,359 --> 00:21:42,800 Speaker 3: or blood. 458 00:21:43,119 --> 00:21:44,480 Speaker 5: But if your a biral load. 459 00:21:44,359 --> 00:21:46,800 Speaker 3: Is too high, sometimes you have to go see section 460 00:21:46,960 --> 00:21:49,040 Speaker 3: instead of going to the birth to now because there's 461 00:21:49,040 --> 00:21:51,399 Speaker 3: a lot of mixing of that can affect the baby. 462 00:21:51,720 --> 00:21:54,879 Speaker 3: And then also vertical transmission is very limited now because 463 00:21:54,880 --> 00:21:57,040 Speaker 3: we do have these antibo au medications. 464 00:21:57,400 --> 00:21:59,240 Speaker 5: That's like just a classic example. 465 00:22:00,200 --> 00:22:01,840 Speaker 3: One more thing with HIV is that it can be 466 00:22:01,840 --> 00:22:06,280 Speaker 3: transferred through breast milk, and so that's also another as concern, 467 00:22:06,359 --> 00:22:09,520 Speaker 3: and so in the developing the developed world, we recommend 468 00:22:09,640 --> 00:22:12,720 Speaker 3: no breast milk at all. In terms of like something 469 00:22:12,720 --> 00:22:16,439 Speaker 3: like syphilis, which actually is really contitital syphilis is actually 470 00:22:16,560 --> 00:22:19,760 Speaker 3: really i was you know into my reading for today, 471 00:22:20,119 --> 00:22:22,520 Speaker 3: actually is pretty high amongst black women. 472 00:22:23,000 --> 00:22:24,800 Speaker 5: So conteneral syphilis is basically a. 473 00:22:24,760 --> 00:22:28,960 Speaker 3: Condition where a baby is born with different malformations or 474 00:22:29,000 --> 00:22:30,720 Speaker 3: different like some things are external. 475 00:22:30,800 --> 00:22:34,640 Speaker 5: Some things are internal, like affects the liver, the swing 476 00:22:34,800 --> 00:22:35,720 Speaker 5: can affect the brain. 477 00:22:36,160 --> 00:22:39,840 Speaker 3: The baby is actually born with different defects that there 478 00:22:40,080 --> 00:22:42,560 Speaker 3: to have been exposed to syphilist while in the womb. 479 00:22:43,359 --> 00:22:47,240 Speaker 3: And honestly, the rate amongst black women is actually like 480 00:22:47,280 --> 00:22:50,000 Speaker 3: ten point three times the rate of white women in 481 00:22:50,040 --> 00:22:53,919 Speaker 3: this country. So it's actually like a huge concern, and 482 00:22:53,960 --> 00:22:56,600 Speaker 3: it really, you know, is really the reason why a 483 00:22:56,720 --> 00:22:59,840 Speaker 3: lot of clinics will do test for simpless not only 484 00:22:59,880 --> 00:23:01,919 Speaker 3: the beginning of the pregnancy, but also towards the end, 485 00:23:02,320 --> 00:23:04,400 Speaker 3: just to make sure our mom doesn't have that. Some 486 00:23:04,440 --> 00:23:07,280 Speaker 3: of the more simple ones like gallery and chamythia, they're 487 00:23:07,280 --> 00:23:09,960 Speaker 3: really exposed. My babies can be exposed coming through the 488 00:23:09,960 --> 00:23:12,879 Speaker 3: birth canal. So if we actually have Donnery comedy at 489 00:23:12,920 --> 00:23:15,960 Speaker 3: the time of delivery and can get into the baby's eyes, 490 00:23:16,640 --> 00:23:19,320 Speaker 3: so and it could cause blindness. So honestly, you know, 491 00:23:19,400 --> 00:23:21,639 Speaker 3: when you first go see a baby viewer into a 492 00:23:21,720 --> 00:23:24,639 Speaker 3: hospital the first day a baby's born, it might have 493 00:23:24,680 --> 00:23:25,000 Speaker 3: this like. 494 00:23:24,960 --> 00:23:28,280 Speaker 5: Cookie stuff in its eyes. That's to like treat like 495 00:23:28,400 --> 00:23:30,160 Speaker 5: potential infection that a baby. 496 00:23:30,000 --> 00:23:32,239 Speaker 3: Could have picked up in the vagina. And it's just 497 00:23:32,600 --> 00:23:34,800 Speaker 3: we do it to everybody. We don't assume anybody you 498 00:23:34,840 --> 00:23:37,680 Speaker 3: know has donnery chlymythia. It's more so just like if 499 00:23:37,680 --> 00:23:40,360 Speaker 3: we didn't catch it, it'd be pretty jamming because the. 500 00:23:40,320 --> 00:23:41,320 Speaker 5: Baby would be blind. 501 00:23:41,760 --> 00:23:45,920 Speaker 3: And then herpes lastly is so the thing about herpes 502 00:23:46,119 --> 00:23:49,159 Speaker 3: is that it actually is super super dangerous to a fetus. 503 00:23:49,359 --> 00:23:52,640 Speaker 3: So if a mom has or a birthing person has 504 00:23:52,720 --> 00:23:56,960 Speaker 3: an actual lesion on their perennium or on their leg 505 00:23:57,480 --> 00:24:00,679 Speaker 3: or close to the birth canal, then we actually do 506 00:24:00,760 --> 00:24:02,560 Speaker 3: not allow them to labor. 507 00:24:02,920 --> 00:24:05,240 Speaker 5: We just do a sea section because the risk of 508 00:24:05,359 --> 00:24:09,560 Speaker 5: the baby even being exposed and the sequila or what 509 00:24:09,560 --> 00:24:11,000 Speaker 5: can happen after that is so severe. 510 00:24:11,080 --> 00:24:15,600 Speaker 3: So there's something called encephalitis, which is inflammation of the brain, 511 00:24:16,760 --> 00:24:19,840 Speaker 3: and herpes could actually cause that aneal needs or infants, 512 00:24:19,880 --> 00:24:22,120 Speaker 3: and so that is so severe where a baby could 513 00:24:22,160 --> 00:24:25,600 Speaker 3: actually die that we don't take any chances with that basically, 514 00:24:26,040 --> 00:24:26,960 Speaker 3: but it's an easy fix. 515 00:24:27,080 --> 00:24:28,879 Speaker 5: If you have an actual legion, then we do a 516 00:24:28,880 --> 00:24:31,679 Speaker 5: sea section. And it's so important so much that like 517 00:24:31,680 --> 00:24:33,160 Speaker 5: at the end the pregnancy, anyone who has. 518 00:24:33,160 --> 00:24:36,520 Speaker 3: Ensue herpes, just give me prophylaxis, which is like something 519 00:24:36,560 --> 00:24:38,720 Speaker 3: like biltracks or that severe that you can take. 520 00:24:38,600 --> 00:24:40,720 Speaker 5: Every day to prevent you from having an outbreak. 521 00:24:40,960 --> 00:24:42,840 Speaker 1: And is that safe for the bake? Oh well, I'm 522 00:24:42,880 --> 00:24:47,119 Speaker 1: assuming then that it's safe for the base. Wow. And 523 00:24:47,160 --> 00:24:50,360 Speaker 1: so you started talking as you were sharing this information, 524 00:24:50,480 --> 00:24:54,440 Speaker 1: you were in terms of transmission to the fee is. 525 00:24:54,960 --> 00:24:58,359 Speaker 1: You were also giving us some stats, particularly as it 526 00:24:58,440 --> 00:25:02,560 Speaker 1: relates to pregnant parents. But what are some of the 527 00:25:02,640 --> 00:25:07,080 Speaker 1: other statistics that we should be aware of regarding STIs. 528 00:25:07,280 --> 00:25:10,440 Speaker 3: I would say to keep it simple, honestly, the main 529 00:25:10,480 --> 00:25:12,640 Speaker 3: thing that anyone between fifteen and twenty. 530 00:25:12,400 --> 00:25:14,240 Speaker 5: Four should know is that you have a high risk 531 00:25:14,359 --> 00:25:15,040 Speaker 5: of chlamydia. 532 00:25:15,560 --> 00:25:18,119 Speaker 3: So you should always I mean, I think people in 533 00:25:18,160 --> 00:25:21,040 Speaker 3: general should always just be getting sc testing regularly, but 534 00:25:21,080 --> 00:25:23,919 Speaker 3: you should definitely if you're in that age range. That 535 00:25:24,080 --> 00:25:28,760 Speaker 3: is the age when a people get chlamydia and don't 536 00:25:28,800 --> 00:25:31,280 Speaker 3: know it, and so when it festers it can affect 537 00:25:31,400 --> 00:25:34,000 Speaker 3: you know, your tubes and all that stuff I talked 538 00:25:34,000 --> 00:25:36,960 Speaker 3: about with PID or public inflammatory disease, and there are 539 00:25:36,960 --> 00:25:38,800 Speaker 3: a lot of like things that can happen. 540 00:25:38,520 --> 00:25:39,800 Speaker 5: Down the line because of that. 541 00:25:39,840 --> 00:25:41,800 Speaker 3: So I think that's the best thing to protect yourself 542 00:25:41,840 --> 00:25:43,359 Speaker 3: phone is to just get tested regularly. 543 00:25:43,359 --> 00:25:45,399 Speaker 5: If you're in that age fifteen twenty four. That's like 544 00:25:45,440 --> 00:25:46,040 Speaker 5: all comers. 545 00:25:46,520 --> 00:25:49,080 Speaker 3: Any woman who is a young women between fifteen twenty 546 00:25:49,080 --> 00:25:51,600 Speaker 3: four will always have a high risk of lymydia. Once 547 00:25:51,640 --> 00:25:55,359 Speaker 3: you start extrapolating all the seds, black women are like 548 00:25:55,800 --> 00:25:56,440 Speaker 3: our high risk. 549 00:25:56,520 --> 00:25:57,800 Speaker 5: We have all the disparities. 550 00:25:57,840 --> 00:26:00,879 Speaker 3: We you know, we get worse, just like from you 551 00:26:00,880 --> 00:26:02,639 Speaker 3: know my talk with the five words if you know, 552 00:26:02,960 --> 00:26:05,000 Speaker 3: when it comes to black anything, I just feel like 553 00:26:05,040 --> 00:26:07,760 Speaker 3: we have the worst statistics and we get it worse. 554 00:26:08,119 --> 00:26:10,640 Speaker 3: So I think keep that in mind, and I think, honestly, 555 00:26:10,680 --> 00:26:14,320 Speaker 3: the thing that I remember about my STI training was 556 00:26:14,359 --> 00:26:15,240 Speaker 3: that I learned. 557 00:26:15,000 --> 00:26:16,600 Speaker 5: That the difference of team, Like, you know, people can 558 00:26:16,640 --> 00:26:17,280 Speaker 5: get pregnant. 559 00:26:17,600 --> 00:26:22,439 Speaker 3: You can prevent a pregnancy with you know, birth control pills, IUD, 560 00:26:22,640 --> 00:26:25,400 Speaker 3: whatever you want. The thing about s CDs is, yes, 561 00:26:25,480 --> 00:26:28,399 Speaker 3: you can prevent it from with condoms and you know, 562 00:26:28,600 --> 00:26:31,600 Speaker 3: safe sex practices and limited partners. But the real question 563 00:26:31,680 --> 00:26:34,000 Speaker 3: is who are you having sex with? And the thing 564 00:26:34,160 --> 00:26:38,439 Speaker 3: is that STIs are all about your network, and the 565 00:26:38,560 --> 00:26:41,359 Speaker 3: problem is that I really feel like, you know, black 566 00:26:41,400 --> 00:26:43,639 Speaker 3: sexual network for the most partners are very tight and 567 00:26:43,720 --> 00:26:47,040 Speaker 3: confined space. And if it were to be an actual 568 00:26:47,040 --> 00:26:50,120 Speaker 3: physical space, but basically, I think it's just that your 569 00:26:50,320 --> 00:26:54,000 Speaker 3: network really when it comes to s s cis. 570 00:26:53,600 --> 00:26:55,440 Speaker 5: De termagent network. 571 00:26:55,960 --> 00:26:59,200 Speaker 3: If you are having sex with the maybe the person 572 00:26:59,240 --> 00:27:02,240 Speaker 3: who is a let's let's say future of the group 573 00:27:02,640 --> 00:27:05,760 Speaker 3: or of the crew or the other, that person is 574 00:27:05,800 --> 00:27:09,440 Speaker 3: not brought around having unprotected sex with lots of different people. 575 00:27:09,160 --> 00:27:10,960 Speaker 5: As noted by their multiple children. 576 00:27:11,359 --> 00:27:13,480 Speaker 3: So to have sex with a person like that, you're 577 00:27:13,520 --> 00:27:16,040 Speaker 3: putting us off at risk for things. Basically, So it's 578 00:27:16,080 --> 00:27:18,080 Speaker 3: not just how you have sex with, you have sex 579 00:27:18,119 --> 00:27:18,920 Speaker 3: with just. 580 00:27:19,800 --> 00:27:24,520 Speaker 1: That, right, right, And so then it's and so then 581 00:27:24,560 --> 00:27:26,080 Speaker 1: it's also about getting tested. 582 00:27:26,160 --> 00:27:26,440 Speaker 6: Now. 583 00:27:27,280 --> 00:27:32,479 Speaker 1: I remember once I had a doctor tell me I 584 00:27:32,520 --> 00:27:35,800 Speaker 1: went in and I was like, okay, I want STI 585 00:27:35,920 --> 00:27:40,360 Speaker 1: testing And when I looked at the paperwork, the only 586 00:27:40,640 --> 00:27:45,080 Speaker 1: tests that they ordered were for chlamydia, gnneria and HIV. 587 00:27:45,760 --> 00:27:48,760 Speaker 1: And when I inquired, because my guess is that most 588 00:27:48,760 --> 00:27:50,439 Speaker 1: of us would go in and we just you know, 589 00:27:50,480 --> 00:27:53,199 Speaker 1: we'll say to the doctor we want we want testing 590 00:27:53,200 --> 00:27:57,199 Speaker 1: for s CI STDs, right, and don't think anything of it, 591 00:27:57,240 --> 00:28:00,720 Speaker 1: and then we get the results. But I I decided 592 00:28:00,720 --> 00:28:03,160 Speaker 1: to inquire. I wanted to see like what were they 593 00:28:03,240 --> 00:28:07,760 Speaker 1: actually testing for? And it was just those three. And 594 00:28:07,840 --> 00:28:12,080 Speaker 1: so when I inquired about getting tested for everything, the 595 00:28:12,119 --> 00:28:15,359 Speaker 1: response that I got was, well, in particular when it 596 00:28:15,400 --> 00:28:20,320 Speaker 1: comes to herpes, that it's so common and so many 597 00:28:20,320 --> 00:28:24,240 Speaker 1: people have it, and that it may not pick up 598 00:28:24,840 --> 00:28:28,400 Speaker 1: if you do have it, or it may pick up 599 00:28:28,800 --> 00:28:31,040 Speaker 1: and say you like, it may pick up and say 600 00:28:31,040 --> 00:28:33,560 Speaker 1: that you have it, and you might not be having 601 00:28:33,560 --> 00:28:34,200 Speaker 1: any symptoms. 602 00:28:34,240 --> 00:28:35,800 Speaker 2: And I was so confused by that. 603 00:28:36,400 --> 00:28:38,880 Speaker 3: That's a really good question. And I will say this 604 00:28:38,960 --> 00:28:41,800 Speaker 3: is just my own way of practice. I don't want 605 00:28:41,800 --> 00:28:43,240 Speaker 3: to say that my way is the right way. I 606 00:28:43,280 --> 00:28:46,760 Speaker 3: would just say that my way is very informed by data, 607 00:28:47,000 --> 00:28:49,160 Speaker 3: just because I feel like, when you it's good that 608 00:28:49,200 --> 00:28:52,320 Speaker 3: your doctor did not just banket blanketly just order that, 609 00:28:52,360 --> 00:28:55,320 Speaker 3: because in a lot of private practices they will order 610 00:28:55,640 --> 00:28:56,320 Speaker 3: herpees just. 611 00:28:56,320 --> 00:28:57,280 Speaker 5: Because people want it. 612 00:28:57,600 --> 00:29:00,200 Speaker 3: And so my thing, my thesis is a doctor, is 613 00:29:00,200 --> 00:29:03,000 Speaker 3: if I'm ordering something, what do I expect to get 614 00:29:03,000 --> 00:29:05,479 Speaker 3: from this and how will it change my management? And 615 00:29:05,480 --> 00:29:08,120 Speaker 3: the problem with herpee's screening shall be said, is that 616 00:29:08,440 --> 00:29:11,160 Speaker 3: there really is no good screening test for herpes. 617 00:29:11,600 --> 00:29:14,680 Speaker 5: There's two different herpees. There's HIV one and HSV two. 618 00:29:15,120 --> 00:29:16,920 Speaker 5: So back in the day, back when I was in 619 00:29:17,000 --> 00:29:17,800 Speaker 5: high school. I'mber rough. 620 00:29:17,880 --> 00:29:20,440 Speaker 3: So HSV one is the one that's like the cold 621 00:29:20,520 --> 00:29:23,240 Speaker 3: source on your mouth, and then HSV two is the 622 00:29:23,320 --> 00:29:28,760 Speaker 3: general herpes, so the scary type. Because of sex, HSB 623 00:29:28,920 --> 00:29:32,040 Speaker 3: one and two are interchangeable. They're both everywhere. It's just 624 00:29:32,080 --> 00:29:36,000 Speaker 3: really matters where it manifests and if you have symptoms. 625 00:29:36,280 --> 00:29:41,440 Speaker 3: So given that fact, I don't tell patients to get 626 00:29:41,520 --> 00:29:44,520 Speaker 3: zology because if you come back as HIV one or 627 00:29:44,600 --> 00:29:47,840 Speaker 3: two positive, it means nothing. You can honestly have either 628 00:29:47,840 --> 00:29:50,520 Speaker 3: one either place. The main thing that you would know 629 00:29:50,720 --> 00:29:52,840 Speaker 3: is if you ever had an outbreak. And let me 630 00:29:52,880 --> 00:29:56,000 Speaker 3: tell you that herpees' primary outbreaks are the worst thing 631 00:29:56,080 --> 00:29:58,800 Speaker 3: that can happen to you. It really is very painful, 632 00:29:59,120 --> 00:30:02,920 Speaker 3: and people remember very few people don't remember their first 633 00:30:03,200 --> 00:30:07,880 Speaker 3: herpes oupreak. People deny it, but they don't forget it. 634 00:30:08,200 --> 00:30:10,440 Speaker 3: And so I think the key thing is that when 635 00:30:10,600 --> 00:30:13,480 Speaker 3: if you feel like you have herpes or you have 636 00:30:13,560 --> 00:30:16,640 Speaker 3: a lesion, that is when a doctor will actually swab 637 00:30:17,040 --> 00:30:20,200 Speaker 3: with the actual like Q tip type swab and we 638 00:30:20,320 --> 00:30:23,200 Speaker 3: send it for PCR, and PCR is actually looking for 639 00:30:23,240 --> 00:30:27,040 Speaker 3: the actual like DNA strand of herpes basically not just 640 00:30:27,040 --> 00:30:29,200 Speaker 3: looking to see if your immune system has interacted with it. 641 00:30:29,480 --> 00:30:34,040 Speaker 2: Wow, I'm just processing all of this, Oh my goodness. 642 00:30:34,520 --> 00:30:38,080 Speaker 1: And so then so you're saying your recommendation then is 643 00:30:38,120 --> 00:30:42,440 Speaker 1: that it's okay to not get tested specifically for herpes 644 00:30:42,520 --> 00:30:46,400 Speaker 1: unless you were having symptoms. So then what are the 645 00:30:46,600 --> 00:30:50,520 Speaker 1: STIs that we should be advocating for when we visit 646 00:30:50,560 --> 00:30:51,400 Speaker 1: our doctors. 647 00:30:51,800 --> 00:30:52,400 Speaker 5: Good question. 648 00:30:52,480 --> 00:30:55,920 Speaker 3: I would say, definitely got our kennedia, Definitely HIV, And 649 00:30:55,920 --> 00:30:58,600 Speaker 3: then I would say simpless. I would just say simpliss 650 00:30:58,600 --> 00:31:00,920 Speaker 3: just because it's just so high risk our community that 651 00:31:01,000 --> 00:31:03,440 Speaker 3: it's just you know, most likely do not have a 652 00:31:03,480 --> 00:31:07,160 Speaker 3: symphilus is so rare, but you know, it's it's definitely 653 00:31:07,160 --> 00:31:09,280 Speaker 3: seeing a resurgence in our community, and I think it 654 00:31:09,440 --> 00:31:11,400 Speaker 3: just makes sense just to rule that out. And we 655 00:31:11,520 --> 00:31:14,760 Speaker 3: always and I think also like I'm ustatistic, simplist, because 656 00:31:14,760 --> 00:31:17,040 Speaker 3: we always do the pregnancy, so it's not like out. 657 00:31:16,960 --> 00:31:19,120 Speaker 5: The bounds to be tested. 658 00:31:19,160 --> 00:31:21,080 Speaker 3: And I also think, like you always tell people like 659 00:31:21,120 --> 00:31:24,840 Speaker 3: pregnant women are diagnosed with things because they get tested 660 00:31:24,880 --> 00:31:25,480 Speaker 3: and screened. 661 00:31:25,800 --> 00:31:28,400 Speaker 5: The only time people really like in their lives, male. 662 00:31:28,320 --> 00:31:30,880 Speaker 3: Or female, come in contact with the healthcare system by 663 00:31:30,960 --> 00:31:32,560 Speaker 3: force is because they have a baby. 664 00:31:33,080 --> 00:31:35,400 Speaker 5: And so that's the reason why a lot. 665 00:31:35,240 --> 00:31:37,240 Speaker 3: Of men go unchecked, because they don't go to the 666 00:31:37,280 --> 00:31:41,320 Speaker 3: doctor because there's never something that forces them, whereas just 667 00:31:41,560 --> 00:31:43,720 Speaker 3: being pregnant forces us to do a lot of things. 668 00:31:43,760 --> 00:31:46,480 Speaker 3: So my charge to everyone is like, don't wait until 669 00:31:46,520 --> 00:31:48,800 Speaker 3: you're I think we have this thing around pregnancy where 670 00:31:48,800 --> 00:31:50,440 Speaker 3: if I'm carrying someone else is like their life is 671 00:31:50,440 --> 00:31:52,080 Speaker 3: more important than mine, and then I can take care 672 00:31:52,080 --> 00:31:55,080 Speaker 3: of myself. But you should definitely take care of yourself 673 00:31:55,120 --> 00:31:57,320 Speaker 3: before you get pregnant, before you are giving life. 674 00:31:57,120 --> 00:31:57,760 Speaker 5: To someone else. 675 00:31:58,040 --> 00:31:59,760 Speaker 1: That's an excellent, excellent point. 676 00:32:00,040 --> 00:32:03,239 Speaker 2: Now, doctor Jordy, are you familiar with doctor Sabie I 677 00:32:03,240 --> 00:32:07,240 Speaker 2: know who you're talking about yet, Yes, Honduran rbalist who 678 00:32:08,080 --> 00:32:11,280 Speaker 2: is on record. Let me see, I'm trying to find 679 00:32:11,320 --> 00:32:15,360 Speaker 2: the actual post. But he said to have cured HIV 680 00:32:15,520 --> 00:32:18,840 Speaker 2: and cancer and certain patients and even other STDs through 681 00:32:18,960 --> 00:32:22,320 Speaker 2: diet and some of his herbs. Is that something that 682 00:32:21,680 --> 00:32:26,640 Speaker 2: you're that folks that are in your practice are like practicing. 683 00:32:26,800 --> 00:32:29,280 Speaker 2: Is it something that you've seen to work as far 684 00:32:29,280 --> 00:32:31,320 Speaker 2: as like diet and things like that. 685 00:32:31,680 --> 00:32:33,800 Speaker 5: Honestly, I always just tell people that I'm. 686 00:32:33,600 --> 00:32:36,520 Speaker 3: Not trained and I'm trained, trained. 687 00:32:36,240 --> 00:32:39,160 Speaker 5: In Western medicine, So that's what I know. 688 00:32:39,800 --> 00:32:42,080 Speaker 3: I mean, could I say that one or two or 689 00:32:42,240 --> 00:32:44,080 Speaker 3: how many people have been cured by. 690 00:32:43,960 --> 00:32:45,840 Speaker 5: Something, Yeah, I can believe it. 691 00:32:45,960 --> 00:32:49,000 Speaker 3: I think the thing is that the vast majority people 692 00:32:49,000 --> 00:32:51,280 Speaker 3: will not be cured by certain things. 693 00:32:51,320 --> 00:32:54,400 Speaker 5: The way that it works, the way that it divides. 694 00:32:54,440 --> 00:32:55,880 Speaker 3: That's why we don't even have a vaccine, you know, 695 00:32:56,120 --> 00:32:58,520 Speaker 3: like you know, everyone so anti vaccine these days, but 696 00:32:58,640 --> 00:33:00,680 Speaker 3: you know, I bet it that there was an. 697 00:33:00,680 --> 00:33:02,440 Speaker 5: HIV vaccine people will be signing up for. 698 00:33:02,640 --> 00:33:06,440 Speaker 3: But it's so hard to produce because HIV replicates, and 699 00:33:06,480 --> 00:33:08,960 Speaker 3: when it replicates, it makes a new version of itself 700 00:33:08,960 --> 00:33:11,000 Speaker 3: and a mutass so often that it's hard to like 701 00:33:11,080 --> 00:33:13,680 Speaker 3: keep up with it. So I guess I'm just trying 702 00:33:13,680 --> 00:33:15,200 Speaker 3: and say, like, yeah, I'm saying this all to say that, 703 00:33:15,240 --> 00:33:18,200 Speaker 3: like it's hard to cure, and I wish it was 704 00:33:18,200 --> 00:33:18,680 Speaker 3: as simple. 705 00:33:19,000 --> 00:33:20,160 Speaker 5: I think you can, you know. 706 00:33:20,200 --> 00:33:21,920 Speaker 3: I think also the thing is when it comes to cure, 707 00:33:21,960 --> 00:33:24,400 Speaker 3: I think the cure level in medicine, in terms of 708 00:33:24,840 --> 00:33:27,640 Speaker 3: the Western medicine way, is a very high threshold. 709 00:33:28,440 --> 00:33:30,920 Speaker 5: That means you don't have any virus in your body. 710 00:33:30,920 --> 00:33:34,080 Speaker 3: That means you don't have any you know, any other 711 00:33:34,280 --> 00:33:38,120 Speaker 3: like lasting effects of having that infection, which is you know, 712 00:33:38,280 --> 00:33:40,840 Speaker 3: really we just don't kind of believe it. You know, 713 00:33:40,880 --> 00:33:43,320 Speaker 3: it's hard. I mean, you know, trust me. I'm like, 714 00:33:43,360 --> 00:33:45,200 Speaker 3: I'm a positioning who takes care of a lot of 715 00:33:45,600 --> 00:33:48,920 Speaker 3: black women, So I do get these questions. But I'm 716 00:33:48,960 --> 00:33:51,160 Speaker 3: always like, you know, I leave people to try whatever 717 00:33:51,440 --> 00:33:51,960 Speaker 3: so they want. 718 00:33:51,840 --> 00:33:54,360 Speaker 5: To, so long as it doesn't like interfere. 719 00:33:53,880 --> 00:33:56,760 Speaker 3: With the care that has to give them. Because there 720 00:33:56,800 --> 00:33:58,800 Speaker 3: are some urgs that you have, some averse effects that 721 00:33:59,080 --> 00:34:00,960 Speaker 3: aren't always advertise. 722 00:34:01,080 --> 00:34:04,240 Speaker 2: Right, that makes sense. And after j before we move 723 00:34:04,280 --> 00:34:07,000 Speaker 2: into our next segment and change up the energy, I 724 00:34:07,040 --> 00:34:09,239 Speaker 2: just kind of want to ask a few questions. Do 725 00:34:09,360 --> 00:34:11,320 Speaker 2: you already know what's coming? I want to ask a 726 00:34:11,400 --> 00:34:14,839 Speaker 2: few questions about advocating for ourselves now. I remember when 727 00:34:14,880 --> 00:34:16,880 Speaker 2: I first started having sex, I was not in a 728 00:34:16,880 --> 00:34:20,960 Speaker 2: place where I was comfortable advocating for myself in the bedroom. 729 00:34:21,600 --> 00:34:24,120 Speaker 2: It's taken time for me to you know, evolve, to 730 00:34:24,120 --> 00:34:25,439 Speaker 2: get to a place where I know what I want, 731 00:34:25,480 --> 00:34:27,080 Speaker 2: I say what I want and all that. So I 732 00:34:27,120 --> 00:34:30,120 Speaker 2: want to know for women or men who are out 733 00:34:30,160 --> 00:34:34,160 Speaker 2: there and they are with someone who you know, they 734 00:34:34,200 --> 00:34:35,839 Speaker 2: spit in that game and they're like, oh, I can't 735 00:34:35,840 --> 00:34:38,560 Speaker 2: feel anything with the condom, or you know, they're just 736 00:34:38,600 --> 00:34:41,279 Speaker 2: trying to pressure them to do certain things. How like, 737 00:34:41,280 --> 00:34:43,480 Speaker 2: what advice do you have as far as like advocating 738 00:34:43,520 --> 00:34:46,360 Speaker 2: for yourself in those moments where someone doesn't want to 739 00:34:46,360 --> 00:34:48,719 Speaker 2: pull out a condom or maybe they're being kind of 740 00:34:48,760 --> 00:34:51,000 Speaker 2: weird where you're asking me about STD testing? 741 00:34:51,480 --> 00:34:52,640 Speaker 5: What advice do you have for that? 742 00:34:53,160 --> 00:34:55,360 Speaker 3: So a couple of things. One I always tell people 743 00:34:55,480 --> 00:34:59,040 Speaker 3: is like just being realistic. I have this big thing 744 00:34:59,080 --> 00:35:01,400 Speaker 3: like everyone likes to talk about, Oh it's different with 745 00:35:01,440 --> 00:35:05,400 Speaker 3: the condom, but it is like, you know, it feels different. 746 00:35:05,480 --> 00:35:07,320 Speaker 5: That's just how it is. I'd rather protect myself. 747 00:35:07,360 --> 00:35:09,800 Speaker 3: I think you just have to really, like, honestly, I 748 00:35:09,840 --> 00:35:12,600 Speaker 3: would say, make an exercise of like what your boundaries are, 749 00:35:12,640 --> 00:35:15,200 Speaker 3: and what are your key things that are your non 750 00:35:15,200 --> 00:35:17,880 Speaker 3: negotiables and why so you have like a follow up 751 00:35:17,880 --> 00:35:20,960 Speaker 3: answer to whatever someone throws at you, because they are 752 00:35:21,000 --> 00:35:23,799 Speaker 3: because everyone wants their way, and the key thing is 753 00:35:23,840 --> 00:35:25,520 Speaker 3: just to be able to spin it back and then 754 00:35:25,560 --> 00:35:28,040 Speaker 3: also be prepared to walk away and say, actually this 755 00:35:28,120 --> 00:35:30,560 Speaker 3: is not I'm not feeling this, you know, I think 756 00:35:30,960 --> 00:35:32,919 Speaker 3: you have to. Really, I think that's the best part 757 00:35:32,960 --> 00:35:35,320 Speaker 3: I think for me of the thirties is really learning 758 00:35:35,360 --> 00:35:38,440 Speaker 3: how to erect boundaries. It's like like this, not like this, 759 00:35:39,040 --> 00:35:42,200 Speaker 3: because if you don't, then you'll realize every time you 760 00:35:42,280 --> 00:35:44,600 Speaker 3: make a concession, by the end of it, the product 761 00:35:44,680 --> 00:35:46,480 Speaker 3: you end up with is vastly different than what. 762 00:35:46,480 --> 00:35:48,360 Speaker 5: You actually entered into the agreement for. 763 00:35:48,880 --> 00:35:50,799 Speaker 3: And so I think one of the I love that 764 00:35:50,840 --> 00:35:53,840 Speaker 3: show She's Got to Have It from like Lee, just 765 00:35:53,880 --> 00:35:56,360 Speaker 3: because I feel like her being so sex positive and 766 00:35:56,440 --> 00:36:01,000 Speaker 3: being very like specific about her boundaries allowed her to 767 00:36:01,040 --> 00:36:03,279 Speaker 3: be liberated, I would say, in her sex life. And 768 00:36:03,320 --> 00:36:05,600 Speaker 3: I think, to me, I think she does an excellent 769 00:36:05,680 --> 00:36:09,239 Speaker 3: job of like negotiating for herself and telling people like 770 00:36:09,280 --> 00:36:10,960 Speaker 3: oh no, you know, I only make love and my 771 00:36:11,000 --> 00:36:14,200 Speaker 3: love bed, or you know, having her own rules and like, look. 772 00:36:14,000 --> 00:36:15,160 Speaker 5: You just gonna have to deal with it. 773 00:36:15,440 --> 00:36:17,680 Speaker 3: And I really love that because I think it's it 774 00:36:17,880 --> 00:36:21,000 Speaker 3: made it okay. And it was also you know, like 775 00:36:21,080 --> 00:36:23,200 Speaker 3: it was when the men did not listen and she 776 00:36:23,239 --> 00:36:24,840 Speaker 3: had been giving the negative to be like, oh, I 777 00:36:24,840 --> 00:36:26,960 Speaker 3: got to go this is not for me. And so 778 00:36:27,040 --> 00:36:29,000 Speaker 3: I think that's the key too, is I think sometimes 779 00:36:29,000 --> 00:36:32,839 Speaker 3: we have to be honest that we sometimes make concessions 780 00:36:32,840 --> 00:36:36,239 Speaker 3: because we so long for intimacy that we don't care 781 00:36:36,280 --> 00:36:39,120 Speaker 3: about our rules. We care more about having the intimacy. 782 00:36:39,440 --> 00:36:41,640 Speaker 3: And so that's why it's important to go into all 783 00:36:41,640 --> 00:36:44,759 Speaker 3: your intimate encounters knowing exactly what you went out of it. 784 00:36:45,080 --> 00:36:48,680 Speaker 3: Because if intimacy is number one and not protecting your 785 00:36:48,680 --> 00:36:52,239 Speaker 3: body isn't, then what's you know, what's what's the point? 786 00:36:52,440 --> 00:36:55,320 Speaker 3: Because you know you might be putting he might be 787 00:36:55,400 --> 00:36:57,840 Speaker 3: honestly vastly changing your sex life, you know, for the 788 00:36:57,840 --> 00:36:58,720 Speaker 3: rest of your life. 789 00:36:58,880 --> 00:37:03,560 Speaker 2: Potentially you better preach okay, hate it. And on that note, 790 00:37:04,000 --> 00:37:07,680 Speaker 2: we're just gonna shift it up and change up the energy. Okay, 791 00:37:08,200 --> 00:37:10,919 Speaker 2: that was a word right there. All writing and doctor Joy, 792 00:37:10,960 --> 00:37:14,440 Speaker 2: you already know what's coming now because we recognize, appreciate, 793 00:37:14,480 --> 00:37:17,720 Speaker 2: and celebrate the multifaceted woman and believe that it's okay 794 00:37:17,719 --> 00:37:20,120 Speaker 2: to be classy and ratchet and you can still be 795 00:37:20,200 --> 00:37:23,520 Speaker 2: elegant and dance to strip club music. We want to 796 00:37:23,560 --> 00:37:27,440 Speaker 2: invite you too for the second time, the oh you 797 00:37:27,600 --> 00:37:31,319 Speaker 2: clash it segment? Do you take on the challenge once again? 798 00:37:31,400 --> 00:37:33,680 Speaker 2: Doctor Joy? I think I have no options about to 799 00:37:33,760 --> 00:37:37,000 Speaker 2: take it out. You know you excited about the Oh 800 00:37:37,080 --> 00:37:38,640 Speaker 2: you know. 801 00:37:39,120 --> 00:37:41,160 Speaker 5: I'm like, I don't know what the classic think on me. 802 00:37:41,280 --> 00:37:47,080 Speaker 6: So I was like, okay, okay, well our first question, 803 00:37:47,800 --> 00:37:50,200 Speaker 6: which song gets you on the dance floor at the 804 00:37:50,200 --> 00:37:52,120 Speaker 6: club or party currently? 805 00:37:52,960 --> 00:37:53,479 Speaker 5: I just can't. 806 00:37:53,520 --> 00:37:57,799 Speaker 3: So I went to Ghana's Your Return Ho Litleus for Christmas. 807 00:37:58,160 --> 00:38:01,000 Speaker 3: So I'm like, I feel like lately I've honestly been 808 00:38:01,080 --> 00:38:05,080 Speaker 3: more into afro beats, So I would say number one 809 00:38:05,120 --> 00:38:07,080 Speaker 3: honestly would be toasted by coffee. 810 00:38:07,320 --> 00:38:08,799 Speaker 5: And they're like, I don't know that song. 811 00:38:09,840 --> 00:38:12,040 Speaker 1: I think about it for a second. I think, if 812 00:38:12,120 --> 00:38:15,040 Speaker 1: I hear it, I know it. I'm bad with remembering titles, 813 00:38:15,120 --> 00:38:17,640 Speaker 1: but I think, if I hear it, I don't know 814 00:38:17,680 --> 00:38:18,239 Speaker 1: exactly what. 815 00:38:18,160 --> 00:38:19,240 Speaker 5: You talk about reggae. 816 00:38:19,480 --> 00:38:21,799 Speaker 3: She actually just was the youngest person to ever win 817 00:38:21,880 --> 00:38:24,640 Speaker 3: a Reggae Grammy, basically Best Reggae Grammy. 818 00:38:24,760 --> 00:38:26,520 Speaker 2: Okay, I'm gonna check. I'm gonna check it out right 819 00:38:26,520 --> 00:38:27,719 Speaker 2: after this. I'm gonna check it out. 820 00:38:27,800 --> 00:38:31,000 Speaker 3: But if you really if to make it easier in terms, yeah, 821 00:38:31,040 --> 00:38:32,840 Speaker 3: Like I feel like I've just been on because even. 822 00:38:32,680 --> 00:38:34,440 Speaker 5: My other song is burn a Boy. Anybody? 823 00:38:34,840 --> 00:38:35,839 Speaker 2: Oh yeah, there we go. 824 00:38:35,920 --> 00:38:36,480 Speaker 5: There we go. 825 00:38:37,440 --> 00:38:39,320 Speaker 3: Yeah, I've just been on Like I'm like, what's sounds. 826 00:38:39,320 --> 00:38:41,440 Speaker 3: I'm like, yes, I've been afrobeats. It's been hard to 827 00:38:41,440 --> 00:38:42,360 Speaker 3: tear myself away. 828 00:38:42,880 --> 00:38:44,279 Speaker 2: That's what's some afrobeats. 829 00:38:44,320 --> 00:38:47,640 Speaker 1: So we're gonna we will put those song titles and 830 00:38:47,719 --> 00:38:50,400 Speaker 1: artists in the show notes so that all the ladies 831 00:38:50,440 --> 00:38:52,040 Speaker 1: listening can get up on game. 832 00:38:52,280 --> 00:38:57,279 Speaker 2: Okay, yes, now for the culture. What's your favorite hairstyle 833 00:38:57,360 --> 00:38:58,000 Speaker 2: on yourself? 834 00:38:58,960 --> 00:39:01,799 Speaker 5: That's easy? Actually, no, it's hard. So can I say 835 00:39:01,840 --> 00:39:02,440 Speaker 5: it's a tie? 836 00:39:02,760 --> 00:39:03,439 Speaker 2: Yes, you can. 837 00:39:04,120 --> 00:39:06,040 Speaker 5: Honestly, when I was sixteen. 838 00:39:05,719 --> 00:39:08,040 Speaker 3: I cut all my hair off and I guess before 839 00:39:08,080 --> 00:39:10,200 Speaker 3: it's called the big chop. It was a big chop, yes, 840 00:39:11,200 --> 00:39:12,520 Speaker 3: And honestly I love my. 841 00:39:12,480 --> 00:39:13,120 Speaker 5: Hair like that. 842 00:39:13,280 --> 00:39:15,040 Speaker 3: Every couple of years I do a reset and just 843 00:39:15,080 --> 00:39:17,440 Speaker 3: go back to that. But then my other one is 844 00:39:17,480 --> 00:39:21,520 Speaker 3: like classic like Mike Rossen a galice twists that are 845 00:39:21,680 --> 00:39:24,000 Speaker 3: like down to the middle of my back like number 846 00:39:24,040 --> 00:39:26,920 Speaker 3: one Jet Black, Like that is like my favorite hairstyle. 847 00:39:27,400 --> 00:39:29,960 Speaker 3: And I shout out to my vibration and Kenya, who 848 00:39:29,960 --> 00:39:31,759 Speaker 3: messaged me for a New Years like I didn't see 849 00:39:31,760 --> 00:39:35,400 Speaker 3: you this year. My god children live at Kenya, and 850 00:39:35,400 --> 00:39:38,239 Speaker 3: I go annually to Kenya, and she was like, I 851 00:39:38,239 --> 00:39:38,840 Speaker 3: didn't see you this. 852 00:39:39,040 --> 00:39:41,000 Speaker 5: I was like, I know, trust me, I feel the pain. 853 00:39:43,719 --> 00:39:44,640 Speaker 2: She was turning up. 854 00:39:45,680 --> 00:39:51,520 Speaker 1: Yes, Okay, what's the best compliment you've ever received? 855 00:39:52,360 --> 00:39:54,880 Speaker 2: I I'm sorry, I feel like so, you know, you 856 00:39:54,960 --> 00:39:58,200 Speaker 2: got some compliments in Ghana. Don't be fronting now, right, 857 00:40:00,000 --> 00:40:00,319 Speaker 2: you have. 858 00:40:00,360 --> 00:40:07,640 Speaker 3: No idea with door, You're not gonna Honestly, the best 859 00:40:07,640 --> 00:40:11,320 Speaker 3: compliment I've gotten, honestly was for my grandmother, just because 860 00:40:11,360 --> 00:40:14,000 Speaker 3: you know, like our were just such a different generation. 861 00:40:14,160 --> 00:40:17,400 Speaker 3: My grandmother got married in nineteen fifty five at the 862 00:40:17,400 --> 00:40:21,040 Speaker 3: age of like twenty three or so, and you know, 863 00:40:21,200 --> 00:40:23,360 Speaker 3: all she knew was marriage, you know, like she was 864 00:40:23,360 --> 00:40:25,719 Speaker 3: married fifty two and a half years until my grandfather died. 865 00:40:26,280 --> 00:40:29,319 Speaker 3: And it's funny because when I was moving out to California, 866 00:40:29,800 --> 00:40:32,359 Speaker 3: she gave me money towards my apartment and I was like, oh, 867 00:40:32,719 --> 00:40:34,520 Speaker 3: I'll pay you back, just so I can pay my 868 00:40:34,880 --> 00:40:38,279 Speaker 3: apartment security deposit. And she was like, no, you're doing 869 00:40:38,320 --> 00:40:40,239 Speaker 3: great things, like don't worry about it. 870 00:40:40,280 --> 00:40:41,520 Speaker 5: Consider it a wedding gift. 871 00:40:42,120 --> 00:40:45,640 Speaker 3: And it was just the biggest, like just that my 872 00:40:45,680 --> 00:40:47,680 Speaker 3: grandma felt like the things that I were doing was 873 00:40:47,719 --> 00:40:49,680 Speaker 3: on the level in our society of like marriage, because 874 00:40:49,719 --> 00:40:52,080 Speaker 3: you know, if you get married, everyone's willing to like 875 00:40:52,120 --> 00:40:55,359 Speaker 3: throw out all they money, do everything. And the fact 876 00:40:55,400 --> 00:40:57,840 Speaker 3: that it was like, oh, like you're doing big things, 877 00:40:57,920 --> 00:40:59,840 Speaker 3: just you're doing great things. I felt like that was 878 00:41:00,160 --> 00:41:02,360 Speaker 3: a moment where I was like, Wow, my grandmother sees me. 879 00:41:02,440 --> 00:41:05,680 Speaker 3: We are two different generations, we're two different generations removed, 880 00:41:05,920 --> 00:41:08,800 Speaker 3: but she saw me as this millennial woman who's actually 881 00:41:08,840 --> 00:41:10,640 Speaker 3: doing her thing, and that, like I think, was probably 882 00:41:10,880 --> 00:41:12,560 Speaker 3: the best like comments I've ever gotten. 883 00:41:12,719 --> 00:41:14,319 Speaker 2: Oh, I'm glad you dug DP for that. 884 00:41:14,320 --> 00:41:15,320 Speaker 5: That is beautiful. 885 00:41:15,400 --> 00:41:17,239 Speaker 2: Why are you so beautiful? 886 00:41:17,360 --> 00:41:19,799 Speaker 1: I'm like, oh, my heart is singing right now, Like 887 00:41:19,880 --> 00:41:21,600 Speaker 1: that's so beautiful. 888 00:41:22,520 --> 00:41:25,640 Speaker 2: Right now. Our last question for you is are you 889 00:41:25,800 --> 00:41:27,160 Speaker 2: going twork or two step? 890 00:41:27,480 --> 00:41:28,480 Speaker 5: Why can't I do both? 891 00:41:29,120 --> 00:41:32,480 Speaker 2: Yeah? All right, all right, she's saying, why can't I 892 00:41:32,520 --> 00:41:32,879 Speaker 2: do both? 893 00:41:32,960 --> 00:41:33,440 Speaker 5: I love it. 894 00:41:33,719 --> 00:41:36,920 Speaker 2: Doctor Joy, Thank you so much for sharing your gems, 895 00:41:37,000 --> 00:41:40,279 Speaker 2: your insight, your gifts with us again for the second time. 896 00:41:40,320 --> 00:41:43,800 Speaker 2: We appreciate you, and we want to know where can 897 00:41:43,920 --> 00:41:45,359 Speaker 2: our listeners find you? 898 00:41:46,200 --> 00:41:49,759 Speaker 5: Okay, so you can find me personally at th h E. 899 00:41:50,080 --> 00:41:50,400 Speaker 5: D R. 900 00:41:50,560 --> 00:41:54,600 Speaker 3: Joy at the doctor Joel on Instagram In terms of 901 00:41:54,800 --> 00:42:02,760 Speaker 3: my startup, it's at our Culture Care on all different Twitter, Facebook, IG, 902 00:42:03,360 --> 00:42:07,080 Speaker 3: all of that. And then for my nonprofit at Deo Diaspora, 903 00:42:07,440 --> 00:42:09,360 Speaker 3: we're doing some great things and Goanna this year and 904 00:42:09,520 --> 00:42:12,680 Speaker 3: in Houston this fall and in Philadelphia excuse me the 905 00:42:12,760 --> 00:42:15,680 Speaker 3: spring and in Philadelphia, so just check us out. 906 00:42:15,760 --> 00:42:17,760 Speaker 5: Thank you, ladies, Well, we. 907 00:42:17,760 --> 00:42:20,920 Speaker 1: Thank you so much for all the knowledge that you 908 00:42:21,040 --> 00:42:24,160 Speaker 1: shared with us today. And I know that our listeners 909 00:42:24,320 --> 00:42:27,920 Speaker 1: are so appreciative and they probably will be hitting you 910 00:42:28,080 --> 00:42:31,920 Speaker 1: up with all the extra questions that they have after listening. 911 00:42:32,360 --> 00:42:34,719 Speaker 5: Oh lord, well, like then let me put another plug in. 912 00:42:35,520 --> 00:42:35,920 Speaker 5: Go ahead. 913 00:42:35,960 --> 00:42:39,000 Speaker 3: If you have a specific question that's medical and you 914 00:42:39,080 --> 00:42:43,839 Speaker 3: live in California, I'm willing to do a discounted our 915 00:42:43,920 --> 00:42:47,719 Speaker 3: Culture Care consult for you. If you dm us at 916 00:42:47,880 --> 00:42:52,480 Speaker 3: oh you culture Care on Instagram, then we will reply 917 00:42:52,840 --> 00:42:55,279 Speaker 3: get you said with our platform only if you live 918 00:42:55,320 --> 00:42:55,880 Speaker 3: in California. 919 00:42:55,920 --> 00:42:59,160 Speaker 5: For now, we are expanding other states soon though, all right, 920 00:42:59,320 --> 00:43:02,120 Speaker 5: Thank you, oh look you so much, doctor Jorge. 921 00:43:04,000 --> 00:43:07,640 Speaker 2: Hey girl, Hey, it's Terry here from the Heirspace podcast. 922 00:43:08,080 --> 00:43:11,800 Speaker 2: Every Wednesday I release a Wisdom Wednesday mini episode that'll 923 00:43:11,840 --> 00:43:14,640 Speaker 2: give you the quick boost you need to get you 924 00:43:14,760 --> 00:43:18,600 Speaker 2: through hump Day. Visit herspacepodcast dot com and click the 925 00:43:18,680 --> 00:43:22,440 Speaker 2: Wisdom Wednesday with terrylink under start here to get your 926 00:43:22,440 --> 00:43:23,240 Speaker 2: weekly gems. 927 00:43:23,600 --> 00:43:24,600 Speaker 5: I hope to see you there. 928 00:43:25,200 --> 00:43:30,000 Speaker 1: Thanks for joining us today in her Space. Please note 929 00:43:30,040 --> 00:43:34,440 Speaker 1: that our show may contain conversations about self health, advice, 930 00:43:34,920 --> 00:43:38,239 Speaker 1: self empowerment, and mental health, but it is by no 931 00:43:38,400 --> 00:43:41,680 Speaker 1: means meant to be a substitute for an ongoing formal 932 00:43:41,800 --> 00:43:46,480 Speaker 1: relationship with a trained mental health provider. If you are 933 00:43:46,520 --> 00:43:49,399 Speaker 1: someone you know is in need of mental health care, 934 00:43:49,920 --> 00:43:54,080 Speaker 1: please visit the Therapy for Black Girls directory Psychology today 935 00:43:54,600 --> 00:43:56,520 Speaker 1: or contact your insurance provider. 936 00:43:57,040 --> 00:43:58,759 Speaker 2: If you liked what you heard and want to keep 937 00:43:58,760 --> 00:44:02,160 Speaker 2: the conversation going, connect with us on Facebook, Instagram, and 938 00:44:02,239 --> 00:44:07,239 Speaker 2: Twitter at Herspace podcast, or check out our website at 939 00:44:07,280 --> 00:44:11,880 Speaker 2: herspacepodcast dot com. And before we meet again, repeat after me, 940 00:44:13,360 --> 00:44:16,719 Speaker 2: There's something inside of me that's bigger than any obstacle. 941 00:44:17,680 --> 00:44:19,120 Speaker 1: We'll see you next week, lady,