1 00:00:01,920 --> 00:00:05,359 Speaker 1: Wind Down with Janet Kramer and I'm Heeart Radio podcast. 2 00:00:06,480 --> 00:00:10,320 Speaker 1: All right, girl, this week's guest. We've got an explant 3 00:00:10,360 --> 00:00:14,680 Speaker 1: doctor on. You know, I've been kind of debating wanting to, 4 00:00:15,040 --> 00:00:18,640 Speaker 1: you know, talk through that a bit. You're obviously talking 5 00:00:18,680 --> 00:00:20,919 Speaker 1: about your boobs a lot. I'm in the lift business, 6 00:00:20,960 --> 00:00:23,680 Speaker 1: That's what I'm looking for. So he's a boob doctor, 7 00:00:23,920 --> 00:00:27,240 Speaker 1: so let's get him on. Richard Whitfield, Well, thank you 8 00:00:27,280 --> 00:00:29,639 Speaker 1: for taking the time to speak with us. We really 9 00:00:29,640 --> 00:00:33,240 Speaker 1: appreciate it. I just want to clarify one thing too, 10 00:00:33,280 --> 00:00:38,720 Speaker 1: before we get into to all things boobs. Do you actually, 11 00:00:38,760 --> 00:00:41,960 Speaker 1: because I know you you do a lot about the breast? 12 00:00:43,120 --> 00:00:47,199 Speaker 1: Was it BII is the breast implant ellus? Do you 13 00:00:47,240 --> 00:00:49,160 Speaker 1: only take out or do you do you put into? 14 00:00:50,080 --> 00:00:53,559 Speaker 2: So I stopped taking I stopped placing implants for cosmetic 15 00:00:53,640 --> 00:00:56,600 Speaker 2: purposes about five years ago, and I stopped doing breast 16 00:00:56,600 --> 00:01:01,360 Speaker 2: reconstruction with implants probably in two thousand, eighteen nineteen when 17 00:01:01,400 --> 00:01:04,080 Speaker 2: I stopped doing cancer reconstruction, and that was the last 18 00:01:04,120 --> 00:01:07,520 Speaker 2: time we used them for cancer patients. And then we'll 19 00:01:07,560 --> 00:01:11,279 Speaker 2: say like in the last five you know, like twenty 20 00:01:11,319 --> 00:01:14,800 Speaker 2: one is ish I stopped placing them for cosmetics, but 21 00:01:14,880 --> 00:01:18,000 Speaker 2: I only traditionally took care of I'm sure you may 22 00:01:18,080 --> 00:01:21,360 Speaker 2: or may not have friends who had problems with their 23 00:01:21,840 --> 00:01:24,360 Speaker 2: breast procedure and needed a revision, so I would do 24 00:01:24,520 --> 00:01:28,040 Speaker 2: revision procedures. I didn't really do a bunch of what 25 00:01:28,240 --> 00:01:31,760 Speaker 2: we'd call primaries because one, young people can't afford me, 26 00:01:31,920 --> 00:01:33,880 Speaker 2: and two I don't like to deal with young people 27 00:01:33,880 --> 00:01:36,760 Speaker 2: because they can't really make informed decisions very well because 28 00:01:36,760 --> 00:01:38,640 Speaker 2: they don't have a life experience to making them. On 29 00:01:38,800 --> 00:01:43,240 Speaker 2: typically they're getting taken advantage of by folks who are 30 00:01:43,400 --> 00:01:45,800 Speaker 2: setting the floor on pricing, So like a breast dog 31 00:01:45,880 --> 00:01:48,560 Speaker 2: for like three thousand dollars with saline implants or something 32 00:01:48,640 --> 00:01:53,200 Speaker 2: like that. So my person was always like someone older 33 00:01:53,240 --> 00:01:56,280 Speaker 2: who'd probably had surgery already and had a problem, or 34 00:01:56,320 --> 00:01:59,520 Speaker 2: somebody who had cancer and had a problem. So typically 35 00:01:59,560 --> 00:02:02,400 Speaker 2: my experts would come in and that would be the 36 00:02:02,440 --> 00:02:05,960 Speaker 2: best use of my experience was to help them. 37 00:02:06,400 --> 00:02:09,000 Speaker 3: So it's not because you don't maybe believe in implants, 38 00:02:09,080 --> 00:02:11,799 Speaker 3: it's just because your line of work has gotten you 39 00:02:11,840 --> 00:02:13,880 Speaker 3: into this kind of like a little bit more of 40 00:02:13,880 --> 00:02:17,080 Speaker 3: a tunnel. Does that seem accurate or do we like 41 00:02:17,120 --> 00:02:19,400 Speaker 3: implants doctor, I just want to maybe I just need 42 00:02:19,400 --> 00:02:20,760 Speaker 3: to ask it as boldly as I want to. 43 00:02:21,960 --> 00:02:24,480 Speaker 2: So breast and plants, hip and plants, and the implants, 44 00:02:24,560 --> 00:02:28,960 Speaker 2: dental implants, cardak implants, all implants that surgeon's place can 45 00:02:29,000 --> 00:02:33,359 Speaker 2: get infected. So the risk you take, like when you 46 00:02:33,400 --> 00:02:37,840 Speaker 2: do cancer reconstruction, is if I'm repairing, say a jaw cancer, 47 00:02:38,080 --> 00:02:41,480 Speaker 2: I'm taking a bone out of your leg to reconstruct 48 00:02:41,480 --> 00:02:44,440 Speaker 2: your jaw, and then I'm putting a metal plate across 49 00:02:44,520 --> 00:02:46,600 Speaker 2: it to hold it still so you can have a 50 00:02:46,600 --> 00:02:50,720 Speaker 2: stable jaw. So all of those things are very high risk, 51 00:02:51,720 --> 00:02:54,200 Speaker 2: especially when you're putting a piece of metal in somebody. 52 00:02:54,760 --> 00:02:58,400 Speaker 2: So it doesn't really matter what implant you use. You 53 00:02:58,480 --> 00:03:01,000 Speaker 2: just have to have a healthy respect for them. And 54 00:03:01,080 --> 00:03:04,240 Speaker 2: they are tools with which you use to get outcomes. 55 00:03:04,320 --> 00:03:07,480 Speaker 2: So if it's somebody with new arthritis, you're using a 56 00:03:07,600 --> 00:03:11,079 Speaker 2: knee prosthesis, a total knee prosthesis to help prepare their 57 00:03:11,160 --> 00:03:14,160 Speaker 2: joints so they can walk without paying. If you're doing 58 00:03:14,280 --> 00:03:18,560 Speaker 2: a shoulder replacement, if you're doing a breast reconstruction, a 59 00:03:18,560 --> 00:03:22,000 Speaker 2: breast augmentation, you're doing it to change that you know 60 00:03:22,400 --> 00:03:26,200 Speaker 2: place if you will and try to improve it or 61 00:03:26,680 --> 00:03:30,640 Speaker 2: you know, make it from a psychological standpoint better for 62 00:03:30,680 --> 00:03:34,760 Speaker 2: the patient. There's there's reasons to do it, and I'm 63 00:03:34,800 --> 00:03:38,360 Speaker 2: not against implants. I use them during cancer reconstruction and 64 00:03:38,360 --> 00:03:40,640 Speaker 2: cosmetic surgery for a number of years. I just don't 65 00:03:40,720 --> 00:03:44,360 Speaker 2: use them anymore because I end up taking uh, you know, 66 00:03:44,560 --> 00:03:48,840 Speaker 2: ultimately I've taken thousands of them out, probably more than 67 00:03:49,520 --> 00:03:51,480 Speaker 2: quite quite a few more than I put in. Now. 68 00:03:51,840 --> 00:03:54,080 Speaker 3: Well, I think that's why that that's really why I wondered, 69 00:03:54,120 --> 00:03:57,640 Speaker 3: because it felt like to me, with the breast, the 70 00:03:57,760 --> 00:04:01,280 Speaker 3: breast implant illness research done, the books that you've published, 71 00:04:01,280 --> 00:04:03,680 Speaker 3: the podcasting, all of that, like you're just so well 72 00:04:03,800 --> 00:04:05,640 Speaker 3: versed that I wondered at some point if you're like, 73 00:04:05,760 --> 00:04:08,480 Speaker 3: I'd rather just not go that route if we can. 74 00:04:09,360 --> 00:04:11,200 Speaker 2: Well, eventually they're all going to have a problem. That's 75 00:04:11,200 --> 00:04:14,000 Speaker 2: why I stop taking care of everybody else's problem patients, 76 00:04:14,040 --> 00:04:16,040 Speaker 2: because they became my problem patients. 77 00:04:16,400 --> 00:04:18,919 Speaker 1: I can't wait till i'm your problem patients. I actually 78 00:04:19,160 --> 00:04:22,240 Speaker 1: soon to type location near you well. 79 00:04:22,160 --> 00:04:25,720 Speaker 2: For revision breast surgery, you know, with doing exchanges and 80 00:04:27,320 --> 00:04:30,559 Speaker 2: trying to help somebody who's got like a malposition, maybe 81 00:04:30,600 --> 00:04:33,960 Speaker 2: one implants lower when it plants higher, one's out in 82 00:04:33,960 --> 00:04:38,680 Speaker 2: the armpit. One's not like all those things you know, 83 00:04:40,480 --> 00:04:46,200 Speaker 2: I had done, you know, probably ten thousand cases for 84 00:04:46,360 --> 00:04:50,160 Speaker 2: just reconstructive purposes and all these things over years. So 85 00:04:50,640 --> 00:04:52,520 Speaker 2: you know, you feel like you can. You want to 86 00:04:52,560 --> 00:04:55,400 Speaker 2: help always, that's always the goal. We're trying to help 87 00:04:55,440 --> 00:05:01,000 Speaker 2: solve a problem. And eventually that problem just got to 88 00:05:01,000 --> 00:05:04,200 Speaker 2: be one that I didn't want to solve anymore for 89 00:05:04,320 --> 00:05:08,440 Speaker 2: other you know, providers. Basically I was taking care of 90 00:05:08,680 --> 00:05:12,119 Speaker 2: another provider's problem. I wouldn't take care of my problem. Sure, 91 00:05:12,440 --> 00:05:13,960 Speaker 2: they weren't my revision cases. 92 00:05:14,400 --> 00:05:16,159 Speaker 1: Yeah, this is the lord's revision case. 93 00:05:16,200 --> 00:05:18,320 Speaker 3: So I have never had implants, but they are so 94 00:05:18,520 --> 00:05:20,400 Speaker 3: low and I would love to come talk to you 95 00:05:20,520 --> 00:05:22,479 Speaker 3: about a lift because I feel. 96 00:05:22,200 --> 00:05:26,040 Speaker 2: Like, yeah, so that's the one of the reasons I 97 00:05:26,080 --> 00:05:28,760 Speaker 2: wrote the thing about holistic mommy make of her is 98 00:05:28,800 --> 00:05:31,159 Speaker 2: because you don't have to use a device to get 99 00:05:31,560 --> 00:05:33,280 Speaker 2: a result, right. 100 00:05:33,320 --> 00:05:36,880 Speaker 1: And I think that's where So I'll just straight up 101 00:05:36,960 --> 00:05:39,720 Speaker 1: say people know this. I've shared them on the internet. 102 00:05:40,720 --> 00:05:45,120 Speaker 1: I have breast implants. I got them post divorce, and 103 00:05:45,360 --> 00:05:49,440 Speaker 1: I but I remember bringing up breast implant illness to 104 00:05:49,560 --> 00:05:51,120 Speaker 1: the doctor and I'm like, hey, like this kind of 105 00:05:51,120 --> 00:05:56,760 Speaker 1: worries me a bit, and he made it sound more like, well, 106 00:05:57,279 --> 00:05:59,120 Speaker 1: do you have brain fog right now? And I'm like, well, yeah, 107 00:05:59,120 --> 00:06:00,960 Speaker 1: I'm a mom, I'm tired, I've you know, I'm sure 108 00:06:01,000 --> 00:06:03,560 Speaker 1: my levels are off. So he, you know, he's like, 109 00:06:03,600 --> 00:06:05,080 Speaker 1: do you have this. I'm like, well, yeah, I blow 110 00:06:05,200 --> 00:06:07,599 Speaker 1: like you know, So he made it seem like it's 111 00:06:07,680 --> 00:06:10,960 Speaker 1: more of a psychologue, like what we make up in 112 00:06:11,000 --> 00:06:14,040 Speaker 1: our brains, and you know, from just talking to other 113 00:06:14,040 --> 00:06:16,360 Speaker 1: people that have actually had it, and then when they've 114 00:06:16,400 --> 00:06:20,920 Speaker 1: gotten their implants out, it's not just something that women go, oh, 115 00:06:20,920 --> 00:06:22,280 Speaker 1: well I have that, and I have that, and I 116 00:06:22,279 --> 00:06:24,159 Speaker 1: have that, and there's like because there's a checklist of 117 00:06:24,200 --> 00:06:27,320 Speaker 1: like thirty things of symptoms of breast implant illness, so 118 00:06:27,440 --> 00:06:28,760 Speaker 1: it's like when I look at it and I'm like, well, yeah, 119 00:06:28,760 --> 00:06:31,560 Speaker 1: I've got like thirteen of those without even breast in. 120 00:06:31,720 --> 00:06:34,120 Speaker 2: Well that's the point. So the way I think about 121 00:06:34,320 --> 00:06:38,279 Speaker 2: rest implant illness is very simple. It's a chronic inflammatory process. 122 00:06:38,279 --> 00:06:42,120 Speaker 2: So you can have all the same symptoms for lime mold, 123 00:06:43,000 --> 00:06:49,800 Speaker 2: any kind of chronic inflammatory process without implants. But when 124 00:06:49,839 --> 00:06:54,480 Speaker 2: you add implants into the environment. Think of it like this. 125 00:06:54,800 --> 00:06:58,600 Speaker 2: So your body is already maybe having a little bit 126 00:06:58,720 --> 00:07:02,240 Speaker 2: of a difficult time handling all the different things that 127 00:07:02,320 --> 00:07:05,200 Speaker 2: you either put on your skin, put in your mouth, drink, 128 00:07:05,440 --> 00:07:09,400 Speaker 2: breathe where whatever it is, whatever the thing is, right, 129 00:07:09,440 --> 00:07:14,720 Speaker 2: you get all these different exposures, and genetically you inherent 130 00:07:14,920 --> 00:07:17,880 Speaker 2: a set of genes from each biologic parent that helps 131 00:07:17,920 --> 00:07:22,600 Speaker 2: you detoxify that set of exposures. And when you exceed capacity, 132 00:07:23,200 --> 00:07:27,679 Speaker 2: you become more and more symptomatic. You probably have more reserve, 133 00:07:28,160 --> 00:07:30,600 Speaker 2: we'll just say, when you're younger, because you haven't had 134 00:07:30,680 --> 00:07:33,280 Speaker 2: that much life exposure of all those things. But then 135 00:07:33,320 --> 00:07:37,360 Speaker 2: you see some young people get very sick or they 136 00:07:37,400 --> 00:07:42,280 Speaker 2: have trouble early. Now that's probably a combination of all 137 00:07:42,280 --> 00:07:47,920 Speaker 2: those things exceeding their capacity very early. So one of 138 00:07:47,920 --> 00:07:52,000 Speaker 2: the things we wrote and I feel very strongly about, 139 00:07:52,120 --> 00:07:54,720 Speaker 2: is you know, you can't pick your parents, and you 140 00:07:54,760 --> 00:07:58,680 Speaker 2: can outrun a bad diet if you don't concentrate on 141 00:07:58,800 --> 00:08:01,200 Speaker 2: the things you put in your mouth food and fluid. 142 00:08:02,160 --> 00:08:05,000 Speaker 2: And I am a big person on air quality. I 143 00:08:05,000 --> 00:08:07,760 Speaker 2: live in Austin. We have tons of trouble with mold 144 00:08:07,880 --> 00:08:11,600 Speaker 2: and cedar and oak, and I am particularly sensitive to mold, 145 00:08:11,800 --> 00:08:14,760 Speaker 2: So when the mold counts high, I get these kind 146 00:08:14,760 --> 00:08:18,120 Speaker 2: of like hay fever symptoms and so like in my 147 00:08:18,200 --> 00:08:21,080 Speaker 2: clinic in Austin, I think that we have eleven separate 148 00:08:21,120 --> 00:08:24,480 Speaker 2: air filters running in different rooms. There's always one next 149 00:08:24,520 --> 00:08:26,320 Speaker 2: to me here and if it's too loud, I'll turn 150 00:08:26,360 --> 00:08:30,320 Speaker 2: it off because like, air quality is a huge deal. 151 00:08:30,600 --> 00:08:34,120 Speaker 2: You have four minutes of life without air and then 152 00:08:34,200 --> 00:08:38,480 Speaker 2: you're cooked. Now, if you breathe crappy air your whole life, 153 00:08:38,520 --> 00:08:41,160 Speaker 2: you're not going to feel very good wake when you 154 00:08:41,200 --> 00:08:44,360 Speaker 2: wake up, you're gonna have brain far right. Or if 155 00:08:44,400 --> 00:08:47,840 Speaker 2: you have something that I think is really underappreciated for 156 00:08:48,040 --> 00:08:53,960 Speaker 2: women especially is obstructive sleep apnea OHSA. That's a big 157 00:08:54,200 --> 00:08:58,720 Speaker 2: reason why more women will have Alzheimer's. You don't snore, 158 00:08:59,440 --> 00:09:03,000 Speaker 2: but you're having an obstructive sleep appening. One of our 159 00:09:03,040 --> 00:09:06,040 Speaker 2: patients recently came to me and just having a difficult 160 00:09:06,080 --> 00:09:10,760 Speaker 2: time with a post surgical situation, and you know, none 161 00:09:10,760 --> 00:09:13,240 Speaker 2: of it made sense. She was really young, otherwise healthy, 162 00:09:13,720 --> 00:09:15,440 Speaker 2: did a really good job with her diet, really good 163 00:09:15,559 --> 00:09:18,640 Speaker 2: job with you know. We recommend certain types of exercise 164 00:09:18,760 --> 00:09:22,880 Speaker 2: like walking or weight training at the times release patient. 165 00:09:22,920 --> 00:09:25,680 Speaker 2: She was doing all the things. I was like, nothing 166 00:09:25,800 --> 00:09:32,400 Speaker 2: made sense. And I I asked her, you know about sleeping, 167 00:09:32,480 --> 00:09:35,120 Speaker 2: and how does she feel when she was getting up 168 00:09:35,160 --> 00:09:37,520 Speaker 2: in the morning, just trying to get an understanding of like, 169 00:09:37,559 --> 00:09:40,960 Speaker 2: you only recover when you sleep, when you're upright doing 170 00:09:41,000 --> 00:09:44,840 Speaker 2: all your things, your your body's working. It only recovers, 171 00:09:45,320 --> 00:09:48,080 Speaker 2: you know, when you're you know, quote unquote horizontal at 172 00:09:48,160 --> 00:09:52,280 Speaker 2: night resting. And she said, well, sometimes I wake up 173 00:09:52,280 --> 00:09:57,120 Speaker 2: in the middle night gasping. And I was like, what, okay, 174 00:09:57,480 --> 00:10:02,560 Speaker 2: So that's the synequona, right, that's obstructively Like she doesn't snore, 175 00:10:03,000 --> 00:10:09,040 Speaker 2: so her partner husband nobody like adjusts her like guys 176 00:10:09,080 --> 00:10:11,520 Speaker 2: typically make this like auditory noise. 177 00:10:12,280 --> 00:10:15,000 Speaker 1: They sure do. I am constantly pushing my husband, go 178 00:10:15,200 --> 00:10:17,120 Speaker 1: on your side, I mouth state my night. 179 00:10:18,240 --> 00:10:20,720 Speaker 2: Well that's right though, So I have to wear seatpap. 180 00:10:21,080 --> 00:10:23,480 Speaker 2: So for many, many years of operating, I would grind 181 00:10:23,520 --> 00:10:25,920 Speaker 2: my teeth and I've browned down my teeth, so that 182 00:10:26,040 --> 00:10:28,080 Speaker 2: changed the height. And then I have a little bit 183 00:10:28,080 --> 00:10:30,640 Speaker 2: of a narrow airway in the back and I don't 184 00:10:30,640 --> 00:10:35,680 Speaker 2: have a real like short neck or a fat neck 185 00:10:35,840 --> 00:10:37,480 Speaker 2: or a short jaw or anything. Like that. It's just 186 00:10:37,559 --> 00:10:40,080 Speaker 2: kind of average, but it's just enough because you just 187 00:10:40,120 --> 00:10:43,000 Speaker 2: need to change it like a millimeter to really reduce 188 00:10:43,040 --> 00:10:46,440 Speaker 2: the amount of airflow. So I have to wear like 189 00:10:46,800 --> 00:10:50,040 Speaker 2: the seapap and I have the mouthguard thing. So it's 190 00:10:50,120 --> 00:10:52,480 Speaker 2: all in an effort for your brain to get enough 191 00:10:52,480 --> 00:10:55,080 Speaker 2: oxygen throughout the night. That's what you're trying to get, 192 00:10:55,679 --> 00:10:57,760 Speaker 2: and then the rest of the things that your body needs. 193 00:10:58,600 --> 00:11:02,120 Speaker 2: They talk about glymphatic system, which is like the lymphatic 194 00:11:02,160 --> 00:11:07,040 Speaker 2: system for your brain. Your overall emphatic system drains and 195 00:11:07,080 --> 00:11:09,280 Speaker 2: so in the morning when you wake up, you should 196 00:11:09,320 --> 00:11:13,679 Speaker 2: feel rested and ready to go. If you don't, you know, 197 00:11:13,760 --> 00:11:17,560 Speaker 2: then you probably have to think about things like a 198 00:11:17,559 --> 00:11:19,800 Speaker 2: whoopstrap or something. Try to see like what's off. Are 199 00:11:19,800 --> 00:11:21,880 Speaker 2: you not getting enough sleep? Are you not getting deep 200 00:11:21,960 --> 00:11:25,280 Speaker 2: enough sleep? Or you're having these other disturbances. Is your 201 00:11:25,640 --> 00:11:29,240 Speaker 2: oxygen saturation dropping? Like these are all really important things 202 00:11:29,240 --> 00:11:32,520 Speaker 2: that are not quote unquote like probably said out loud 203 00:11:32,640 --> 00:11:37,240 Speaker 2: enough for patients, because you know, if you operate for 204 00:11:37,280 --> 00:11:40,280 Speaker 2: almost thirty years like I have, I know what I'm 205 00:11:40,280 --> 00:11:43,160 Speaker 2: doing in terms of surgery, and the only thing that 206 00:11:43,240 --> 00:11:47,560 Speaker 2: keeps changing is y'all you're the change in the environment 207 00:11:47,640 --> 00:11:49,600 Speaker 2: that you know. We have the same operating room, we 208 00:11:49,720 --> 00:11:51,920 Speaker 2: use the same instruments, we have the same technicians, we 209 00:11:51,920 --> 00:11:55,360 Speaker 2: have the same anesthesia providers. My experience is, you know, 210 00:11:55,440 --> 00:11:58,920 Speaker 2: over time getting better, but like what keeps changing is 211 00:11:58,960 --> 00:12:01,520 Speaker 2: the patient, Right, So the patient has a certain number 212 00:12:01,520 --> 00:12:05,319 Speaker 2: of exposures, a certain body habitusts. I do a lot 213 00:12:05,320 --> 00:12:09,440 Speaker 2: of things with fat transfers, so I'm very well. That 214 00:12:09,559 --> 00:12:13,640 Speaker 2: was like how you eat and how you take care 215 00:12:13,679 --> 00:12:15,599 Speaker 2: of yourself, what you do for exercise. 216 00:12:29,200 --> 00:12:31,760 Speaker 1: I take very good care of myself at exercise. I 217 00:12:31,880 --> 00:12:36,719 Speaker 1: eat extremely well. I rarely drink. I cannot remember the 218 00:12:36,760 --> 00:12:39,920 Speaker 1: last time I had a drink. And the one thing 219 00:12:40,000 --> 00:12:42,640 Speaker 1: that is the probably the most unhealthy thing in my 220 00:12:42,679 --> 00:12:44,400 Speaker 1: body is my breast and plants. And I've talked to 221 00:12:44,440 --> 00:12:47,160 Speaker 1: my husband, my now husband, I'm like, I don't really 222 00:12:47,240 --> 00:12:49,800 Speaker 1: know if I want these anymore. I said, but my 223 00:12:49,960 --> 00:12:52,120 Speaker 1: fear is, you know, obviously I would need a lyft. 224 00:12:52,120 --> 00:12:53,800 Speaker 1: And I ended up having another kid, which I didn't 225 00:12:53,800 --> 00:12:56,319 Speaker 1: think I was going to have post my last divorce. 226 00:12:56,400 --> 00:13:00,200 Speaker 1: And I'm in my forties and I'm like, I I 227 00:13:00,280 --> 00:13:02,640 Speaker 1: really I don't know. I just don't really think I 228 00:13:02,679 --> 00:13:05,680 Speaker 1: want them anymore. And I said, I don't want something 229 00:13:05,920 --> 00:13:08,679 Speaker 1: inside of me that could be causing certain things. You know, 230 00:13:08,720 --> 00:13:12,480 Speaker 1: I'm going into perimuntopause. I'm I already have these hormone 231 00:13:12,480 --> 00:13:14,560 Speaker 1: and fluctuations, and I don't want this adding to everything. 232 00:13:14,559 --> 00:13:16,760 Speaker 1: And then I read things like I sauna every day. Well, 233 00:13:16,760 --> 00:13:19,080 Speaker 1: I see how bad saunas are for breast implants, and like, 234 00:13:19,520 --> 00:13:21,080 Speaker 1: you know, I'm just like, I really should he's laughing. 235 00:13:21,120 --> 00:13:23,280 Speaker 2: Did you hear the show I did with Lauren Bostick 236 00:13:23,320 --> 00:13:23,640 Speaker 2: about that? 237 00:13:24,280 --> 00:13:26,360 Speaker 1: Oh? God no. And I don't know if I want to. 238 00:13:26,320 --> 00:13:29,360 Speaker 2: Now, but like that got me in a lot of trouble. 239 00:13:29,600 --> 00:13:31,079 Speaker 1: Do you want to get in trouble again, because I'd 240 00:13:31,120 --> 00:13:34,800 Speaker 1: love to know. I literally I'm like, I sauna every 241 00:13:34,840 --> 00:13:37,320 Speaker 1: single day for twenty minutes, you know, and again breast implants. 242 00:13:37,360 --> 00:13:39,360 Speaker 1: I'm like, I'm hearing that that's not is that correct? 243 00:13:39,400 --> 00:13:39,960 Speaker 1: It's not good? 244 00:13:40,360 --> 00:13:44,200 Speaker 2: So the thing with sauna, and so Lauren brought this 245 00:13:44,240 --> 00:13:47,880 Speaker 2: to my attention, you know, she said, her and Mike Lore, 246 00:13:47,920 --> 00:13:52,440 Speaker 2: her husband, came in and she's like, you know, uh, 247 00:13:52,559 --> 00:13:56,079 Speaker 2: I feel terrible after I go into sauna and Michael 248 00:13:56,120 --> 00:13:58,520 Speaker 2: sitting there and he's like, yeah, man, she'd go in 249 00:13:58,520 --> 00:14:01,760 Speaker 2: there for like sixty to ninety minute over to lose fahrenheit. 250 00:14:02,120 --> 00:14:04,480 Speaker 1: Well that's not they say that's way too long and 251 00:14:04,520 --> 00:14:07,760 Speaker 1: too hot. They say, my doctor said one one forty hottest, 252 00:14:07,880 --> 00:14:10,679 Speaker 1: no longer than twenty minutes, right, So she. 253 00:14:10,960 --> 00:14:15,320 Speaker 2: Was the process is leachy, right. So think of the 254 00:14:15,320 --> 00:14:19,040 Speaker 2: plastic water bottle, plastic hast thalates in it. You overheat 255 00:14:19,040 --> 00:14:20,880 Speaker 2: the water bottle, thalates go in the water, you drink 256 00:14:20,880 --> 00:14:24,160 Speaker 2: the water and messes up your integrine system. Similarly, if 257 00:14:24,200 --> 00:14:30,320 Speaker 2: you are doing this, she was the example of causing 258 00:14:30,400 --> 00:14:34,920 Speaker 2: leeching from the device, which has a number of heavy 259 00:14:34,920 --> 00:14:39,560 Speaker 2: metals in the shell, into your system. And so she 260 00:14:39,680 --> 00:14:42,160 Speaker 2: used to joke with me and say, hey, I'm just 261 00:14:42,280 --> 00:14:44,800 Speaker 2: melting my implants. And I used to in the office. 262 00:14:44,840 --> 00:14:46,880 Speaker 2: I'm like, yeah, I are melting them. And we said 263 00:14:46,920 --> 00:14:51,160 Speaker 2: that on our show not to be like silly here. Yeah, 264 00:14:51,320 --> 00:14:53,240 Speaker 2: and then it got taken out of context and I 265 00:14:53,280 --> 00:14:55,920 Speaker 2: was accused of an ethics violation for saying that on 266 00:14:56,520 --> 00:14:56,920 Speaker 2: the show. 267 00:14:57,600 --> 00:15:00,400 Speaker 1: Whoops, we don't know anything about being to out of 268 00:15:00,400 --> 00:15:01,000 Speaker 1: context here. 269 00:15:01,280 --> 00:15:05,520 Speaker 2: Yeah, So the concept for the listeners is leaching. So 270 00:15:05,560 --> 00:15:07,960 Speaker 2: think of the plastic water bottle. The fact come out 271 00:15:07,960 --> 00:15:09,640 Speaker 2: of the plastic in the water you drink the water. 272 00:15:09,760 --> 00:15:12,880 Speaker 2: So here overheating of the device, if you want to 273 00:15:12,880 --> 00:15:15,320 Speaker 2: think of it like that, you're not reaching it's melting point. 274 00:15:15,840 --> 00:15:18,600 Speaker 2: But leaching is different than melting. 275 00:15:18,600 --> 00:15:20,600 Speaker 1: Okay, I get Yeah, I get that piece of it, 276 00:15:21,080 --> 00:15:24,080 Speaker 1: and I think, what you know, kind of having the conversation, 277 00:15:24,160 --> 00:15:25,600 Speaker 1: and my husband's like, I don't care. He's like he 278 00:15:25,640 --> 00:15:28,040 Speaker 1: likes natural anyways, Like he doesn't like the botox or 279 00:15:28,040 --> 00:15:29,760 Speaker 1: the fillers, and I don't do any of that. Really. 280 00:15:30,000 --> 00:15:31,880 Speaker 1: It's been a while since I've done bowtox, but I've 281 00:15:31,920 --> 00:15:33,880 Speaker 1: never touched a filler, and like, you know, he's so 282 00:15:33,920 --> 00:15:37,200 Speaker 1: he likes the natural look, right, So I feel more comfortable, 283 00:15:37,200 --> 00:15:40,800 Speaker 1: But my fear is if I get them out, I 284 00:15:40,840 --> 00:15:43,000 Speaker 1: still like to have a little bit of, you know, 285 00:15:43,280 --> 00:15:44,880 Speaker 1: some boobs, and I don't know what's going to be 286 00:15:44,960 --> 00:15:48,560 Speaker 1: left after they take him out. So the fat transfer 287 00:15:49,280 --> 00:15:51,320 Speaker 1: is that. But I've also been told that if you 288 00:15:51,360 --> 00:15:53,800 Speaker 1: do fat transfer then it could leave lumps or you know, 289 00:15:53,840 --> 00:15:57,560 Speaker 1: so it's like, what what is that natural approach that 290 00:15:57,680 --> 00:16:00,920 Speaker 1: you you know for the mom make over love? 291 00:16:01,000 --> 00:16:04,120 Speaker 2: Yeah, I had this patient the other day who has 292 00:16:04,280 --> 00:16:07,320 Speaker 2: not heard me discuss this, So she said, you know 293 00:16:07,360 --> 00:16:10,840 Speaker 2: what makes you, meaning me, capable of a fat transfer 294 00:16:10,920 --> 00:16:13,720 Speaker 2: when other doctors say they can't do it, especially on 295 00:16:13,880 --> 00:16:16,640 Speaker 2: smaller patients like you low would be of my patients. 296 00:16:17,040 --> 00:16:19,480 Speaker 2: And I said, well, my whole career was spent with 297 00:16:19,520 --> 00:16:23,400 Speaker 2: cancer patients initially, so they have the lowest amount of 298 00:16:23,760 --> 00:16:28,280 Speaker 2: tissue over the reconstruction, right, So if you're a cancer 299 00:16:28,280 --> 00:16:31,040 Speaker 2: survivor after a astectomy, there's only a thin layer of 300 00:16:31,120 --> 00:16:35,280 Speaker 2: tissue left, and so we would routinely put fat in 301 00:16:35,360 --> 00:16:39,080 Speaker 2: that thin layer to help either cosmetically with an implant 302 00:16:39,080 --> 00:16:44,960 Speaker 2: reconstruction or cosmetically with a what's called a deep flap reconstruction. 303 00:16:45,440 --> 00:16:48,240 Speaker 2: So for you know, like a decade, all I did 304 00:16:48,440 --> 00:16:49,960 Speaker 2: was one hundred to one hundred and fifty of those 305 00:16:50,000 --> 00:16:53,400 Speaker 2: a year, So I got very used to taking care 306 00:16:53,520 --> 00:16:56,200 Speaker 2: of a very if you want to think of it, 307 00:16:56,360 --> 00:17:00,440 Speaker 2: thin layer of tissue that's just really fat. So what 308 00:17:00,480 --> 00:17:03,560 Speaker 2: I try to do is I parse it out this way. 309 00:17:04,000 --> 00:17:06,800 Speaker 2: If you put fat in someone's face, it needs to 310 00:17:06,800 --> 00:17:08,959 Speaker 2: be very small amounts, and it's usually got to be 311 00:17:08,960 --> 00:17:11,840 Speaker 2: placed deeper because if you put it superficially, it'll be 312 00:17:11,880 --> 00:17:16,800 Speaker 2: seen easily Conversely, if you're doing a Brazilian butt lift, 313 00:17:17,200 --> 00:17:19,520 Speaker 2: you need a large amount of fat placed in the 314 00:17:19,560 --> 00:17:23,119 Speaker 2: fatty layer to get a visible change because the amount 315 00:17:23,119 --> 00:17:26,480 Speaker 2: of real estate is much bigger. Now men and women 316 00:17:26,520 --> 00:17:30,439 Speaker 2: both have chest skin, chest fat, and a big muscle. 317 00:17:30,840 --> 00:17:33,040 Speaker 2: It's different than the buttock because the buttock has the 318 00:17:33,080 --> 00:17:38,200 Speaker 2: gluten max the chest has the peck majure. The differences 319 00:17:38,560 --> 00:17:40,760 Speaker 2: then are the amount of breast tissue that men and 320 00:17:40,800 --> 00:17:44,280 Speaker 2: women have between the fatty layer and the muscle. That's 321 00:17:44,280 --> 00:17:48,080 Speaker 2: the difference. So everybody's worried about placing it in the breast, 322 00:17:48,840 --> 00:17:51,840 Speaker 2: so well, you're not supposed to be in the breast. 323 00:17:51,840 --> 00:17:55,000 Speaker 2: I don't ever intentionally put anything in the breast because 324 00:17:55,000 --> 00:17:58,600 Speaker 2: that will cause problems with surveillance. So if you think 325 00:17:58,640 --> 00:18:00,480 Speaker 2: back to what I just said, my whole career was 326 00:18:00,480 --> 00:18:04,959 Speaker 2: split with cancer patients. You can't overt with fat a 327 00:18:04,960 --> 00:18:07,359 Speaker 2: cancer patient because it will lead to lumps and bumps 328 00:18:07,359 --> 00:18:09,680 Speaker 2: and problems. And if you do that in a cancer patient, 329 00:18:09,720 --> 00:18:11,040 Speaker 2: what do you think is going to happen? They're going 330 00:18:11,080 --> 00:18:12,720 Speaker 2: to think they have cancer again. So you have to 331 00:18:12,760 --> 00:18:16,520 Speaker 2: be very careful with what you're doing. And I would 332 00:18:16,600 --> 00:18:19,400 Speaker 2: say I have a very conservative nature. Because of that, 333 00:18:20,200 --> 00:18:22,800 Speaker 2: my sister passed away from breast cancers. I wouldn't want to, 334 00:18:22,880 --> 00:18:27,640 Speaker 2: so sorry, create a physical problem for any patient much 335 00:18:27,720 --> 00:18:30,800 Speaker 2: less you know, a cancer pation. So it's always going 336 00:18:30,880 --> 00:18:33,359 Speaker 2: to be like the right amount in the right place 337 00:18:33,480 --> 00:18:36,480 Speaker 2: at the right time. So the right amount is I 338 00:18:36,480 --> 00:18:40,639 Speaker 2: don't overgraft anybody. The skin basically shows you what can 339 00:18:40,680 --> 00:18:43,680 Speaker 2: be done. So you have you breastfed, and so your 340 00:18:43,720 --> 00:18:46,359 Speaker 2: skin is changed, so it's a little bit easier because 341 00:18:46,359 --> 00:18:48,399 Speaker 2: the skin stretches a little bit easy. 342 00:18:48,560 --> 00:18:51,280 Speaker 1: I didn't breastfeed, ugh, but they grew anyway. 343 00:18:51,359 --> 00:18:54,040 Speaker 2: They grew so big, right, Yeah, they go up and down. 344 00:18:54,400 --> 00:18:56,159 Speaker 1: It was like a double D. And that's not like 345 00:18:56,480 --> 00:18:57,920 Speaker 1: I'm a small, small, small sea. 346 00:18:58,440 --> 00:19:01,000 Speaker 2: Yeah. So whether you breastfeed or they go up and 347 00:19:01,040 --> 00:19:04,119 Speaker 2: they come back down, So the skin doesn't always go 348 00:19:04,240 --> 00:19:07,040 Speaker 2: back to the way it was before because it can't. Yeah, 349 00:19:07,080 --> 00:19:10,560 Speaker 2: And that leads to you know, the the quote unquote 350 00:19:10,600 --> 00:19:13,840 Speaker 2: Mommy makeover time frame where people are, you know, done 351 00:19:13,920 --> 00:19:18,040 Speaker 2: having children and then like you went and had another child, 352 00:19:18,040 --> 00:19:20,520 Speaker 2: but had had you not that would be like a 353 00:19:20,560 --> 00:19:23,679 Speaker 2: typical time for people to do, you know, tummy surgery, 354 00:19:23,880 --> 00:19:28,280 Speaker 2: rejuvenation of the breast whatever that looks like. Now, when 355 00:19:28,320 --> 00:19:33,479 Speaker 2: you're doing fat transfer, if you're just trying to thicken 356 00:19:33,600 --> 00:19:36,560 Speaker 2: up the fatty layer one, you can never make it 357 00:19:36,600 --> 00:19:40,720 Speaker 2: too big. It's not possible, right, You're just you're adding 358 00:19:40,760 --> 00:19:43,520 Speaker 2: to the fatty layer. And everybody, I think of it 359 00:19:43,640 --> 00:19:46,199 Speaker 2: like this. If you've had friends who've went on a 360 00:19:46,280 --> 00:19:50,320 Speaker 2: diet and their breast sides has really gone down, that 361 00:19:50,480 --> 00:19:53,480 Speaker 2: meant they had a thicker fatty layer to begin with, 362 00:19:54,920 --> 00:19:57,199 Speaker 2: and if they didn't really change that much with a 363 00:19:57,200 --> 00:20:00,520 Speaker 2: fluctuation weight, then they're predominantly breast tissue with a very 364 00:20:00,520 --> 00:20:04,320 Speaker 2: thin fatty layer. So that that just means, like whether 365 00:20:04,359 --> 00:20:07,240 Speaker 2: it's a few millimeters or centimeter thick, you're going to 366 00:20:07,320 --> 00:20:10,040 Speaker 2: fill the fat in that layer and then make that 367 00:20:10,119 --> 00:20:12,960 Speaker 2: layer thicker, so it's going to look natural over the 368 00:20:13,000 --> 00:20:15,520 Speaker 2: top of the existing breast tissue because that's all it 369 00:20:15,560 --> 00:20:19,840 Speaker 2: can be because we're just basically adding to that fatty volume. Now, 370 00:20:19,880 --> 00:20:21,760 Speaker 2: it doesn't go in the breast because that can make 371 00:20:21,840 --> 00:20:25,159 Speaker 2: sists and lumps and cause confusion, and it doesn't go 372 00:20:25,960 --> 00:20:28,040 Speaker 2: you know, think of like where you take an implant 373 00:20:28,040 --> 00:20:31,800 Speaker 2: out of you don't put it in there, right, that's 374 00:20:31,840 --> 00:20:33,720 Speaker 2: just not how it works. It goes with it. My 375 00:20:33,840 --> 00:20:37,600 Speaker 2: joke is it goes with the fatty friends, right. You 376 00:20:37,640 --> 00:20:40,440 Speaker 2: want to put the fat with its friends and then 377 00:20:40,520 --> 00:20:43,520 Speaker 2: give it all the things it needs. So we talked 378 00:20:43,520 --> 00:20:48,439 Speaker 2: about obstructive sleep APNA. You can't have that problem and 379 00:20:48,560 --> 00:20:52,560 Speaker 2: heal properly because you know, if you're having difficulty oxygen 380 00:20:52,640 --> 00:20:55,639 Speaker 2: A at night, all those resources from the rest of 381 00:20:55,680 --> 00:20:57,119 Speaker 2: your body are going to be sent to your brain 382 00:20:57,200 --> 00:21:01,919 Speaker 2: because that you'll die without oxygen to your brain. So 383 00:21:02,000 --> 00:21:05,320 Speaker 2: that whole mechanism is to protect you. And so you 384 00:21:05,359 --> 00:21:09,080 Speaker 2: want to make sure someone eats properly, drinks properly, doesn't 385 00:21:09,080 --> 00:21:12,280 Speaker 2: have things like sleep appnea. I really was going to 386 00:21:12,359 --> 00:21:14,800 Speaker 2: ask you if you're one of the many, many women 387 00:21:14,800 --> 00:21:18,960 Speaker 2: who overtrain. There's this concept in you know. 388 00:21:20,640 --> 00:21:22,080 Speaker 1: A little call out by the doctor. 389 00:21:22,720 --> 00:21:30,359 Speaker 2: So the overtraining problem is it's hard to over emphasize this. 390 00:21:30,440 --> 00:21:32,200 Speaker 2: So when I have somebody call me who wants to 391 00:21:32,240 --> 00:21:35,560 Speaker 2: fat transfer to your size, and I'll let them go 392 00:21:35,600 --> 00:21:37,199 Speaker 2: through their spiel and I was like, okay, so what 393 00:21:37,240 --> 00:21:40,200 Speaker 2: do you do for exercise? Let me know, and it'll 394 00:21:40,200 --> 00:21:43,919 Speaker 2: be like some high interval stuff. And I was like, 395 00:21:44,200 --> 00:21:47,359 Speaker 2: that doesn't even make sense with what I'm going to 396 00:21:47,400 --> 00:21:51,439 Speaker 2: tell you, right, So for resiliency, for longevity, what do 397 00:21:51,480 --> 00:21:56,240 Speaker 2: you need to really maintain strength, lean muscle mass? And 398 00:21:56,480 --> 00:21:59,640 Speaker 2: those things don't go along with running, cycling, hit high rocks, 399 00:21:59,680 --> 00:22:04,960 Speaker 2: an that stuff, because that doesn't maintain muscle mass. So 400 00:22:05,040 --> 00:22:09,359 Speaker 2: strength training does, resistance training does, and walking is a 401 00:22:09,400 --> 00:22:13,280 Speaker 2: much better exercise. It's not going to wear down your joint. Right. 402 00:22:13,320 --> 00:22:15,280 Speaker 2: So people who run in their fifties and sixties and 403 00:22:15,320 --> 00:22:17,080 Speaker 2: do these ultras. I have a friend who does this. 404 00:22:17,680 --> 00:22:20,520 Speaker 2: I you know, she's lost her toenails and all this stuff, 405 00:22:20,520 --> 00:22:22,880 Speaker 2: and I'm like, can you explain to me why you're 406 00:22:22,880 --> 00:22:25,800 Speaker 2: doing this, because this makes no sense to me. You're 407 00:22:25,960 --> 00:22:29,600 Speaker 2: very bright. You should understand that your longevity is linked 408 00:22:29,600 --> 00:22:36,359 Speaker 2: to your strength, not your endurance. So maintaining lean muscle mass, 409 00:22:36,440 --> 00:22:38,520 Speaker 2: Like I tell people, they okay, you know, you have 410 00:22:38,560 --> 00:22:41,000 Speaker 2: a have to have a higher protein diet, a diet 411 00:22:41,400 --> 00:22:44,720 Speaker 2: higher and healthier fats, and don't eat out boxes and 412 00:22:44,800 --> 00:22:48,479 Speaker 2: bags and all this weird junk and you'll you'll be fine. 413 00:22:48,960 --> 00:22:51,919 Speaker 2: And I can do low being my fat transfers because 414 00:22:52,000 --> 00:22:53,879 Speaker 2: one I have a lot of experience doing those for 415 00:22:53,960 --> 00:22:57,600 Speaker 2: cancer patients anyway, And then two, you just follow the 416 00:22:57,640 --> 00:23:02,000 Speaker 2: fundamental principles, like this is a preparation for optimization type campaign. 417 00:23:02,080 --> 00:23:05,720 Speaker 2: This is not a reaction to something we're doing. So 418 00:23:05,800 --> 00:23:09,240 Speaker 2: if you call me or you know, come see me, 419 00:23:10,800 --> 00:23:12,320 Speaker 2: I mean you may not like what I have to 420 00:23:12,359 --> 00:23:14,719 Speaker 2: tell you, which is not my problem. I'm just going 421 00:23:14,760 --> 00:23:15,680 Speaker 2: to tell you what I think. 422 00:23:15,840 --> 00:23:19,000 Speaker 1: I love a direct doctor. Well, I just it makes 423 00:23:19,000 --> 00:23:20,560 Speaker 1: me trust anymore. Well, it's just a. 424 00:23:20,560 --> 00:23:22,520 Speaker 3: Signed to me of like a brilliant brain. You have 425 00:23:22,640 --> 00:23:24,600 Speaker 3: a sharp the sharp method. I don't know if I'm 426 00:23:24,640 --> 00:23:26,639 Speaker 3: if it's a method or a strategy or a motto, 427 00:23:26,680 --> 00:23:29,680 Speaker 3: but that really intrigued me because I feel like in 428 00:23:30,280 --> 00:23:32,480 Speaker 3: I have titanium implants in my back. They were putting 429 00:23:32,520 --> 00:23:36,040 Speaker 3: when I was thirteen for scoliosis, so I'm very used 430 00:23:36,080 --> 00:23:38,480 Speaker 3: to like medical procedures. Part of the reason that I 431 00:23:38,520 --> 00:23:40,280 Speaker 3: never wanted implant and I've never needed one. They were 432 00:23:40,320 --> 00:23:42,119 Speaker 3: high enough, they were big enough, they were beautiful. Now 433 00:23:42,160 --> 00:23:45,080 Speaker 3: at forty four, they are low. They're tired, and they're uneven, 434 00:23:45,160 --> 00:23:47,359 Speaker 3: and it makes me sad to get dressed. 435 00:23:47,359 --> 00:23:48,160 Speaker 1: And I love styling. 436 00:23:48,200 --> 00:23:50,280 Speaker 3: So it's very like it's more of like an emotional 437 00:23:50,280 --> 00:23:51,960 Speaker 3: thing for me, Like I have these moments, I'm my gosh, 438 00:23:52,000 --> 00:23:54,200 Speaker 3: if I could actually get dressed the way I want 439 00:23:54,200 --> 00:23:56,280 Speaker 3: to get dressed, I'm not styling around them or picking 440 00:23:56,280 --> 00:23:58,639 Speaker 3: the one of two bras that fit. You know what 441 00:23:58,720 --> 00:24:01,480 Speaker 3: a life that would be. It's like luxury really, but 442 00:24:01,640 --> 00:24:04,840 Speaker 3: your your brain. And in my experience, even in the 443 00:24:04,840 --> 00:24:08,760 Speaker 3: consultation process with this in Nashville, is that not a 444 00:24:08,800 --> 00:24:11,600 Speaker 3: lot of doctors are in the whole, are in like 445 00:24:11,640 --> 00:24:15,760 Speaker 3: the whole body kind of healing. To your point, your 446 00:24:15,840 --> 00:24:18,239 Speaker 3: environment stays the same, but we keep changing. But you 447 00:24:18,280 --> 00:24:20,359 Speaker 3: are one of the few doctors that I've read about 448 00:24:20,359 --> 00:24:23,000 Speaker 3: that actually cares about the before and the after and 449 00:24:23,040 --> 00:24:26,440 Speaker 3: like the whole you know, nutrition, sleep, all of it 450 00:24:26,800 --> 00:24:30,360 Speaker 3: as a whole. In it should be the recovery process. 451 00:24:30,680 --> 00:24:32,000 Speaker 3: It is how it should be, but it is not 452 00:24:32,040 --> 00:24:32,960 Speaker 3: how it often is. 453 00:24:33,680 --> 00:24:36,760 Speaker 2: Well, I mean a lot of things are you know. 454 00:24:37,000 --> 00:24:41,880 Speaker 2: I I was taught by fabulous mentors. I did an 455 00:24:42,080 --> 00:24:44,919 Speaker 2: entire six year training in general surgery because I initially 456 00:24:44,920 --> 00:24:47,960 Speaker 2: wanted to do heart surgery and then changed when I 457 00:24:48,000 --> 00:24:50,719 Speaker 2: went into the laboratory for a year and got involved 458 00:24:50,720 --> 00:24:53,479 Speaker 2: in doing microsurgery, and then microsurgery became what I became, 459 00:24:54,359 --> 00:24:58,840 Speaker 2: so passionate about and doing for cancer patients. So the 460 00:24:58,920 --> 00:25:01,480 Speaker 2: people who taught me made sure that you are very 461 00:25:01,600 --> 00:25:05,040 Speaker 2: very good doctor. Before you were a good surgeon. Now, 462 00:25:05,119 --> 00:25:08,080 Speaker 2: surgeons typically want to operate, and that's what they're best at. 463 00:25:08,240 --> 00:25:11,000 Speaker 2: And you know, anytime you go to a surgeon and 464 00:25:11,040 --> 00:25:14,960 Speaker 2: you tell them something you want and they say, ah, Like, 465 00:25:15,000 --> 00:25:18,760 Speaker 2: if they're like backpedaling, it's not a good sign, right, right, 466 00:25:18,920 --> 00:25:24,680 Speaker 2: surgeons are are? They're operators right, experience and repetition. And 467 00:25:25,200 --> 00:25:27,120 Speaker 2: you know, I don't do noses anymore. I don't really 468 00:25:27,160 --> 00:25:30,560 Speaker 2: do open facelifts anymore. I don't do uh, what don't 469 00:25:30,560 --> 00:25:32,640 Speaker 2: I don't do microsurgery anymore. There's a lot of things 470 00:25:32,680 --> 00:25:36,160 Speaker 2: I don't do anymore, not because I can't. That time 471 00:25:36,240 --> 00:25:40,440 Speaker 2: is just passed. Right. So the thing that used to 472 00:25:40,480 --> 00:25:44,320 Speaker 2: intrigue me about cancer reconstruction was solving the problem. The 473 00:25:44,400 --> 00:25:48,000 Speaker 2: thing now that intrigues me about patients with these chronic 474 00:25:48,000 --> 00:25:52,359 Speaker 2: complammatory systems and breast implants is why is everybody so different? 475 00:25:53,160 --> 00:25:57,080 Speaker 2: Why are people acting so different? Why has somebody got, 476 00:25:57,280 --> 00:25:59,680 Speaker 2: you know, so many problems versus another person who has 477 00:26:00,280 --> 00:26:03,679 Speaker 2: very few problems? And then why are we so lame 478 00:26:04,359 --> 00:26:05,640 Speaker 2: that we can't understand it. 479 00:26:06,240 --> 00:26:09,040 Speaker 1: Have you found a correlation if with any of those or. 480 00:26:09,400 --> 00:26:12,640 Speaker 2: Yeah, yeah. So we published a big paper in September 481 00:26:12,680 --> 00:26:14,760 Speaker 2: of twenty four that shows that twenty nine percent of 482 00:26:14,800 --> 00:26:17,640 Speaker 2: the xplant specimens, so the scar tissue specimens I take out, 483 00:26:18,040 --> 00:26:21,959 Speaker 2: have bacterial contamination. So bacteria is a big driver of 484 00:26:22,440 --> 00:26:26,760 Speaker 2: immune symptoms, and that's been shown in research studies. So 485 00:26:26,880 --> 00:26:30,400 Speaker 2: there's a fatty acid in the breast called olaic acid, 486 00:26:31,160 --> 00:26:34,800 Speaker 2: and it gets oxidized by this interaction with the bacterial 487 00:26:35,080 --> 00:26:38,320 Speaker 2: contamination and that leads to more symptoms. So that's a 488 00:26:40,600 --> 00:26:47,639 Speaker 2: message that you know, it should be understood. And when 489 00:26:47,760 --> 00:26:53,720 Speaker 2: folks like say it's not a problem or it's not 490 00:26:53,800 --> 00:26:56,639 Speaker 2: a thing, well, I testified in twenty nineteen at the 491 00:26:56,720 --> 00:27:00,240 Speaker 2: FDA hearings about this problem, and then I probably this 492 00:27:00,280 --> 00:27:02,120 Speaker 2: big paper about this problem, and I wrote a book 493 00:27:02,160 --> 00:27:06,239 Speaker 2: about this problem. And the only reason I continue with 494 00:27:06,240 --> 00:27:08,119 Speaker 2: it is because it's not really solved. And things I 495 00:27:08,119 --> 00:27:09,200 Speaker 2: can't solve piss me off. 496 00:27:09,960 --> 00:27:13,040 Speaker 1: I can't tell really freaking like you. 497 00:27:13,400 --> 00:27:15,840 Speaker 3: I mean, I just like get to the problem solved, 498 00:27:15,840 --> 00:27:17,040 Speaker 3: solution based humans. 499 00:27:17,440 --> 00:27:21,440 Speaker 2: Well, but everybody's talking about biohacking and all this shit. 500 00:27:21,600 --> 00:27:24,840 Speaker 1: So basically, now we're talking doctor. 501 00:27:25,080 --> 00:27:30,320 Speaker 2: I'm a traditionally trained surgeon by the people from the 502 00:27:30,440 --> 00:27:31,800 Speaker 2: you know, if you want to think of like the 503 00:27:31,800 --> 00:27:37,240 Speaker 2: fifty sixty seventies type folks would have been your grandparents, right, 504 00:27:37,480 --> 00:27:41,800 Speaker 2: no nonsense people. They didn't care. And back then the 505 00:27:41,840 --> 00:27:43,440 Speaker 2: stuff that was said to me, you couldn't even say. 506 00:27:43,480 --> 00:27:50,760 Speaker 2: Now I was taught extremely well. I would never go 507 00:27:50,800 --> 00:27:54,600 Speaker 2: back and replace my training. It was hard, but I 508 00:27:54,640 --> 00:28:00,359 Speaker 2: was taught about surgical patient care, nutrition, critical care. Like 509 00:28:00,880 --> 00:28:04,399 Speaker 2: all this stuff that like somehow is like going over 510 00:28:04,400 --> 00:28:08,360 Speaker 2: everybody's head is pretty basic stuff. Right, to get enough 511 00:28:08,400 --> 00:28:14,200 Speaker 2: protein in your diet and enough healthy fats. You're half 512 00:28:14,240 --> 00:28:18,880 Speaker 2: the battles solved. Do you sleep enough? You know appropriately, 513 00:28:19,400 --> 00:28:22,480 Speaker 2: half the battles solved? Like you just keep adding you know, 514 00:28:22,560 --> 00:28:26,440 Speaker 2: good habits, and then things are not as complex, the 515 00:28:27,320 --> 00:28:29,920 Speaker 2: kind of you know, I wrote the book about the 516 00:28:29,960 --> 00:28:32,480 Speaker 2: methodology not to be cryptic, but just to say, like, 517 00:28:32,520 --> 00:28:36,600 Speaker 2: your genes matter, your diet matters. All these you know, 518 00:28:36,840 --> 00:28:41,760 Speaker 2: they call them functional medicine testing labs, which is it's 519 00:28:41,840 --> 00:28:45,000 Speaker 2: kind of a stop gap for like the way I 520 00:28:45,160 --> 00:28:48,440 Speaker 2: was taught wasn't effective enough because it didn't address some 521 00:28:48,440 --> 00:28:52,560 Speaker 2: of these other problems through through testing. Right, So now 522 00:28:53,360 --> 00:28:55,760 Speaker 2: everybody can spit in a tube and send it off 523 00:28:55,760 --> 00:28:57,880 Speaker 2: and know your genetics and basically a week or two 524 00:28:57,880 --> 00:29:01,560 Speaker 2: weeks because of the genome probably. I mean, when I 525 00:29:01,600 --> 00:29:05,720 Speaker 2: was training, the entire literature, scientific literature was on like 526 00:29:05,840 --> 00:29:07,880 Speaker 2: six CD ROMs that you had to load into a 527 00:29:07,920 --> 00:29:11,720 Speaker 2: computer and then scan through. They still had books and 528 00:29:11,760 --> 00:29:15,640 Speaker 2: libraries and stuff like. It's not like everything was available online. 529 00:29:16,640 --> 00:29:19,920 Speaker 2: And then over time the genome project finishes and about 530 00:29:20,000 --> 00:29:24,400 Speaker 2: I think three, computers get amazingly faster and you get 531 00:29:24,440 --> 00:29:27,480 Speaker 2: all this much more information. And now we're in this 532 00:29:27,600 --> 00:29:29,520 Speaker 2: age now where I can talk to a computer and 533 00:29:29,520 --> 00:29:33,000 Speaker 2: it can do stuff online, you know, just for you. 534 00:29:33,520 --> 00:29:38,520 Speaker 2: So I guess it's to me it's a little bit 535 00:29:38,640 --> 00:29:40,840 Speaker 2: naive for everybody to sit back and think this is 536 00:29:40,920 --> 00:29:44,960 Speaker 2: not a real problem, and it's in patients' heads when 537 00:29:45,000 --> 00:29:47,600 Speaker 2: i've you know, it's been shown that a third of 538 00:29:47,640 --> 00:29:50,480 Speaker 2: them basically have an infection. All right, So that's a 539 00:29:50,520 --> 00:29:52,800 Speaker 2: third of the problem. Then you're like, all right, what's 540 00:29:52,800 --> 00:29:55,440 Speaker 2: the other two third drop? So the other two thirds, 541 00:29:55,440 --> 00:29:59,480 Speaker 2: of my opinion, are a combination of their genetics, their exposures, 542 00:29:59,760 --> 00:30:02,200 Speaker 2: and all those lifestyle things that nobody wants to deal with. 543 00:30:03,920 --> 00:30:06,400 Speaker 2: All right, So y'all are very careful about what you 544 00:30:06,520 --> 00:30:09,480 Speaker 2: put on your body, I'm sure now, and what you 545 00:30:09,520 --> 00:30:12,080 Speaker 2: put in your body. But you weren't always like that. 546 00:30:12,720 --> 00:30:14,400 Speaker 3: No, it was in a tanning bed with the butterflies, 547 00:30:14,640 --> 00:30:17,040 Speaker 3: getting white cheddar cheese. It's like, yeah, and drinking a 548 00:30:17,080 --> 00:30:18,080 Speaker 3: red Bull in vodka. 549 00:30:18,200 --> 00:30:21,440 Speaker 2: I mean, and you just do that plus overtrained like 550 00:30:21,480 --> 00:30:23,560 Speaker 2: women do, and there's part of your problem. 551 00:30:23,800 --> 00:30:27,080 Speaker 3: Oh I don't do that. No, not anymore. We're talking college. 552 00:30:27,200 --> 00:30:30,280 Speaker 2: Well no, just like in general, like thising with like 553 00:30:30,480 --> 00:30:36,320 Speaker 2: overtraining and you know, creating a more if you want 554 00:30:36,320 --> 00:30:39,720 Speaker 2: to think of it, whether it's an adrenal fatigue state 555 00:30:40,160 --> 00:30:43,440 Speaker 2: or whatever you're creating by like overtraining, you're just adding 556 00:30:43,440 --> 00:30:46,120 Speaker 2: more stress into the situation. Or if you have like 557 00:30:46,160 --> 00:30:49,280 Speaker 2: a loved one pass away, or you know, go through 558 00:30:49,280 --> 00:30:51,600 Speaker 2: a divorce, or you have to remodel a home which 559 00:30:51,680 --> 00:30:54,960 Speaker 2: drives everybody nuts. Like all these things are just additional 560 00:30:55,000 --> 00:30:58,440 Speaker 2: problems that weigh into the equation. The other thing, and 561 00:30:58,480 --> 00:31:01,560 Speaker 2: we needed to say it out loud, is travel history. 562 00:31:01,640 --> 00:31:04,840 Speaker 2: Like if you travel to other countries and start pooping 563 00:31:04,880 --> 00:31:09,080 Speaker 2: your pants and having diarrhea. That's a parasitic infection. Parasitic 564 00:31:09,080 --> 00:31:13,960 Speaker 2: infections are no joke. Yeah, And I live in Austin, 565 00:31:14,040 --> 00:31:16,600 Speaker 2: so a lot of people here go to Mexico, go 566 00:31:16,640 --> 00:31:20,520 Speaker 2: to Cabo, go to Cancun, And you know, all I 567 00:31:20,560 --> 00:31:23,880 Speaker 2: do is ask him, like, Okay, so you don't think 568 00:31:23,880 --> 00:31:26,520 Speaker 2: you have a parasite after going to Mexico And they're 569 00:31:26,560 --> 00:31:29,360 Speaker 2: like no, I'm like, did you go off property? Off 570 00:31:29,440 --> 00:31:33,280 Speaker 2: the property and eat and what do you think? Their 571 00:31:33,320 --> 00:31:38,800 Speaker 2: answer is, yeah, hundred percent. So if you went into 572 00:31:38,840 --> 00:31:42,840 Speaker 2: Cabo nate at the local restaurant, then invariably you have 573 00:31:42,880 --> 00:31:45,360 Speaker 2: a parasite, because there's no way don't. 574 00:31:45,360 --> 00:31:46,800 Speaker 1: We all have parasites though. 575 00:31:47,120 --> 00:31:51,360 Speaker 2: Right, But so to your point, you do, but how 576 00:31:51,400 --> 00:31:54,800 Speaker 2: your body manages it's very different. Right, So if you 577 00:31:54,800 --> 00:31:57,240 Speaker 2: can handle it, you can handle it. If you can't, 578 00:31:57,960 --> 00:32:01,080 Speaker 2: it can make it mentally disturb Like you gat a 579 00:32:01,120 --> 00:32:04,479 Speaker 2: lot of neural inflammation from parasitic infection, not just gut stuff, 580 00:32:05,160 --> 00:32:08,920 Speaker 2: so like you have all these different things that contribute. 581 00:32:08,960 --> 00:32:11,400 Speaker 2: And I go back to my medical training and I'm like, 582 00:32:11,640 --> 00:32:15,200 Speaker 2: I don't even sort of like the basic things about parasites. 583 00:32:15,240 --> 00:32:17,960 Speaker 2: It wasn't a big deal, Like malaria is a parasite, right, 584 00:32:18,080 --> 00:32:21,520 Speaker 2: So they teach you basic things. But because we're not 585 00:32:21,720 --> 00:32:25,600 Speaker 2: in this environment where it's top of mind in front 586 00:32:25,600 --> 00:32:28,360 Speaker 2: of us all the time, we just don't have that 587 00:32:28,480 --> 00:32:31,760 Speaker 2: kind of experience. So I just ask about travel and 588 00:32:31,840 --> 00:32:34,560 Speaker 2: work all the time because I'm trying to figure out 589 00:32:34,560 --> 00:32:37,920 Speaker 2: what are the other things that are not like right 590 00:32:37,960 --> 00:32:40,880 Speaker 2: in front of me. Right, So, your blood work should 591 00:32:40,880 --> 00:32:43,000 Speaker 2: be normal. If your bud work's not normal, don't come 592 00:32:43,040 --> 00:32:45,000 Speaker 2: see me. I'm not going to operate on you, right, 593 00:32:45,000 --> 00:32:46,600 Speaker 2: You're got to get all that taken care of before 594 00:32:46,600 --> 00:32:48,800 Speaker 2: you come to see someone like me. So of course 595 00:32:48,840 --> 00:32:50,880 Speaker 2: the people I see have been worked up seven ways 596 00:32:50,880 --> 00:32:53,959 Speaker 2: from Sundays. They some people come in with like notebooks 597 00:32:53,960 --> 00:32:57,720 Speaker 2: and labs and all this stuff, and I'm like, They're like, 598 00:32:57,720 --> 00:32:59,080 Speaker 2: don't you want to look at my labs? I'm like, 599 00:32:59,160 --> 00:33:02,080 Speaker 2: not really, I'd rather just listen to you and hear 600 00:33:02,120 --> 00:33:06,640 Speaker 2: your history because you'll invariably tell me exactly what is wrong. 601 00:33:20,360 --> 00:33:21,360 Speaker 1: Are you on Instagram? 602 00:33:21,720 --> 00:33:24,200 Speaker 2: Well that's a great question. 603 00:33:24,160 --> 00:33:27,280 Speaker 1: Because I tried to find you. You should be I 604 00:33:27,320 --> 00:33:28,160 Speaker 1: think you'd get a lot. 605 00:33:28,200 --> 00:33:30,080 Speaker 3: Are you willing to take two girls from Nashville to 606 00:33:30,200 --> 00:33:32,680 Speaker 3: an explant? And a lift as our next question, a 607 00:33:32,680 --> 00:33:34,000 Speaker 3: little bestie recovery day. 608 00:33:34,360 --> 00:33:36,280 Speaker 2: The joke is last year, if you asked that question, 609 00:33:36,360 --> 00:33:39,640 Speaker 2: you would have been like, oh, yeah, I found you 610 00:33:39,720 --> 00:33:42,280 Speaker 2: on it, you know. But now I'm not getting shown 611 00:33:42,320 --> 00:33:44,360 Speaker 2: because of what I talk about. I get censored a lot. 612 00:33:44,840 --> 00:33:46,360 Speaker 1: Yeah, because I tried to look you up and I 613 00:33:46,400 --> 00:33:47,000 Speaker 1: didn't find you. 614 00:33:47,360 --> 00:33:49,920 Speaker 2: Isn't that funny? Yeah, it's funny. 615 00:33:49,600 --> 00:33:51,600 Speaker 1: When you're onto something how quiet it makes you. 616 00:33:52,360 --> 00:33:54,920 Speaker 2: Well, well, it depends on how much you want to 617 00:33:54,920 --> 00:33:56,840 Speaker 2: get censored on your show. But do you put this 618 00:33:56,920 --> 00:33:57,600 Speaker 2: up on YouTube? 619 00:33:58,840 --> 00:33:59,280 Speaker 1: We do not. 620 00:34:00,040 --> 00:34:03,360 Speaker 2: There you go now wing talk. So I basically got 621 00:34:03,440 --> 00:34:04,880 Speaker 2: taken off of YouTube last year. 622 00:34:05,440 --> 00:34:06,800 Speaker 1: Okay, there used to be. 623 00:34:06,760 --> 00:34:08,880 Speaker 2: The number one thing going across the feed when you 624 00:34:08,920 --> 00:34:10,920 Speaker 2: typed this in. But you typed that in. 625 00:34:10,960 --> 00:34:12,040 Speaker 1: Now what was it? 626 00:34:12,200 --> 00:34:15,520 Speaker 2: Search brest and plant illness or breast ex plant surgery 627 00:34:15,640 --> 00:34:19,800 Speaker 2: or anything like that. They've made it. They took away 628 00:34:19,880 --> 00:34:25,120 Speaker 2: my licensed US doctor badge for YouTube, and they disapproved 629 00:34:25,560 --> 00:34:28,600 Speaker 2: all of our any kind of ad we made, and 630 00:34:28,640 --> 00:34:31,920 Speaker 2: then they accused me of using sexualized content for the 631 00:34:32,040 --> 00:34:32,760 Speaker 2: term breast. 632 00:34:33,840 --> 00:34:37,800 Speaker 3: Oh wow, it's probably because your truth teller and those 633 00:34:38,320 --> 00:34:39,440 Speaker 3: they like to keep you quiet. 634 00:34:40,440 --> 00:34:43,640 Speaker 1: It's it's all So where can we find you then? 635 00:34:43,960 --> 00:34:46,560 Speaker 1: And yes? And do you give a best friend discount? 636 00:34:46,600 --> 00:34:49,480 Speaker 3: And will you take these two patients that are wildly 637 00:34:49,520 --> 00:34:50,719 Speaker 3: different with their shirts off. 638 00:34:53,000 --> 00:34:54,919 Speaker 2: The best part then is you just need the third 639 00:34:54,920 --> 00:34:56,200 Speaker 2: person to watch YouTube. 640 00:34:56,360 --> 00:34:57,280 Speaker 1: We have our husbands. 641 00:34:58,440 --> 00:35:00,359 Speaker 2: Oh, I don't know if you with them? 642 00:35:00,560 --> 00:35:01,400 Speaker 1: No, we would know. 643 00:35:01,600 --> 00:35:04,120 Speaker 3: My husband can't do that. He'll diagnose himself with something. 644 00:35:04,280 --> 00:35:05,960 Speaker 3: We'll bring Sarah, We'll bring Kat. 645 00:35:06,200 --> 00:35:08,680 Speaker 2: Her husband's a Scottish footballer. What's your husband? 646 00:35:08,880 --> 00:35:11,279 Speaker 1: Mine's a country music artist. He's not coming with me. 647 00:35:11,400 --> 00:35:12,800 Speaker 1: He's got it. He's got a writer. 648 00:35:13,080 --> 00:35:15,400 Speaker 3: He's diagnosing himself with something somewhere right now. He's like, 649 00:35:16,080 --> 00:35:17,480 Speaker 3: we can't, No, he can't come. 650 00:35:17,600 --> 00:35:19,800 Speaker 2: You got to bring a girlfriend or somewhere or widget nurse. 651 00:35:20,560 --> 00:35:22,840 Speaker 1: Yeah, we need that. I would actually love to do 652 00:35:22,880 --> 00:35:26,000 Speaker 1: that with you, Kramer. Okay, let's do it. Doctor. Where 653 00:35:26,040 --> 00:35:27,520 Speaker 1: do we find you? Tell us everything? 654 00:35:28,400 --> 00:35:30,320 Speaker 2: So I do want the audience to know this. I 655 00:35:30,480 --> 00:35:34,200 Speaker 2: made a new website to shed as much light as 656 00:35:34,239 --> 00:35:37,400 Speaker 2: possible about Breston plant illness. So it's Dr Robert Whitfield 657 00:35:37,440 --> 00:35:40,400 Speaker 2: dot com and it is the most comprehensive website about 658 00:35:40,400 --> 00:35:47,480 Speaker 2: Breston plant illness, Diagnosis, Treatment, recovery, breston plant illness like 659 00:35:47,880 --> 00:35:52,319 Speaker 2: supplementation programming, and then we created the I think the 660 00:35:52,360 --> 00:35:56,440 Speaker 2: most comprehensive section to date on breast implant associated cancers. 661 00:35:56,960 --> 00:36:02,399 Speaker 2: There's a lymphoma closely associated with UH textured implants. That's 662 00:36:02,440 --> 00:36:05,840 Speaker 2: why they were recalled in nineteen around the world. And 663 00:36:07,719 --> 00:36:12,120 Speaker 2: then all of our patient stories, podcast appearances, YouTube videos 664 00:36:12,200 --> 00:36:14,640 Speaker 2: are all there as well, so I'm going to send 665 00:36:14,640 --> 00:36:17,799 Speaker 2: everybody there. And then I started a private community so 666 00:36:17,840 --> 00:36:21,360 Speaker 2: I don't get censored on doctor robscircle dot com and 667 00:36:21,400 --> 00:36:23,160 Speaker 2: we live stream from there routinely. 668 00:36:23,880 --> 00:36:26,160 Speaker 1: Okay, great, Well, I feel like I should get them 669 00:36:26,200 --> 00:36:28,360 Speaker 1: out sooner rather than later, because they're going to have 670 00:36:28,360 --> 00:36:30,400 Speaker 1: to come out eventually, and I'd rather recover in my 671 00:36:30,440 --> 00:36:33,239 Speaker 1: forties than in my fifties. I'm just ready to get 672 00:36:33,320 --> 00:36:36,040 Speaker 1: dressed again. But as long as I just I still 673 00:36:36,080 --> 00:36:37,200 Speaker 1: want to have some sort of boob. 674 00:36:37,640 --> 00:36:39,760 Speaker 3: Yeah, we'll have some honey, but we got to let's 675 00:36:39,800 --> 00:36:42,200 Speaker 3: just have what we were given with a little added 676 00:36:42,680 --> 00:36:44,200 Speaker 3: Rob fatty friends. 677 00:36:44,560 --> 00:36:46,560 Speaker 2: Yeah, you gotta put the fat with the fatty friends. 678 00:36:46,840 --> 00:36:50,000 Speaker 1: Yeah all right, Rob, thanks for chatting with us. We 679 00:36:50,120 --> 00:36:52,799 Speaker 1: really appreciate it. Of course you are great. Leave your 680 00:36:52,840 --> 00:36:53,919 Speaker 1: brand doctor. 681 00:36:53,880 --> 00:36:55,600 Speaker 2: Yeah, just hit us up. We'll get you in. 682 00:36:55,920 --> 00:36:56,479 Speaker 1: Thanks Rob. 683 00:36:56,680 --> 00:36:57,040 Speaker 2: All right,