Speaker 1: Wind Down with Janet Kramer and I'm Heart Radio podcast.
Speaker 1: Hey girl, Hi, it's Fall break week. Yeah, so where
Speaker 1: are you headed? Well? Will Will leaving today to go
Speaker 1: to Chicago because I'm going to go do the pernuvo Okay,
Speaker 1: because it's a full body mri scan. Oh that's right,
Speaker 1: that's right. Yeah. I just have had things that I'm like,
Speaker 1: I just want a peace of mind. Yeah yeah, I
Speaker 1: just did this with blood work and feel so much better. Good. Yeah.
Speaker 1: Uh yeah, so very excited for that. Okay, good. And
Speaker 1: then then we come back and we go to Florida. Okay, yeah,
Speaker 1: we feel good about that. We do. It was so
Speaker 1: we had to change the Florida. The sweet girl from
Speaker 1: Airbnb message me and said, hey, I'm so sorry, but
Speaker 1: our place got destroyed in the hurricane. And I'm like, girl,
Speaker 1: I'm so sorry. Remember don't worry about my fall trip.
Speaker 1: I was like, I'm worried about your cottage, you know,
Speaker 1: because it was like the cutest little cottage on the beach.
Speaker 1: I just feel terrible for uh. And you know, I
Speaker 1: was like, is there anything that I can help with
Speaker 1: or do? And she said no, you know, it's just
Speaker 1: it's really sad. So Then I started looking around at
Speaker 1: other places around Tampa because I'm like, what I'd like
Speaker 1: to not be changed the flights. Then I heard that
Speaker 1: there's another hurricane coming in in the direction. So I'm like,
Speaker 1: all right, I just I got to reroute us and
Speaker 1: the kids were so excited about the beach. So I'm like, okay,
Speaker 1: let's just go west and so but it's gonna be
Speaker 1: chilly west. Oh yeah, yeah. So I'm like, yeah, it's
Speaker 1: that time of the year where it starts to it's
Speaker 1: like weird. So we're just doing now thirty A Okay,
Speaker 1: so we have a you know, cute, little small little
Speaker 1: condo right on the No. I don't want to see anybody, okay,
Speaker 1: same human. Yeah, that's why I didn't even want to
Speaker 1: say thirty A. Like I just we're going to the Panhandle. Yeah,
Speaker 1: and here for people that don't know, like Nashville relocates
Speaker 1: to yes, and I've I've only gone to thirty eight once.
Speaker 1: But I'm not the person that's like I want to
Speaker 1: go where everybody goes. I don't want to see anybody.
Speaker 1: I just want my kids and us on a beach
Speaker 1: like cost and that's it. Yeah. I love thirty eight.
Speaker 1: It's really special because I feel like it's not a
Speaker 1: bikini town like that strip isn't bikini towns. Yeah, it's
Speaker 1: more like wear a pretty dresser, hooded sweatshirt, and it's
Speaker 1: kind of like up our alley. I feel, yeah, a
Speaker 1: little Michigan vibe in that way. Yes, yeah, so yeah,
Speaker 1: I'm excited about that. And we're gonna just spend four
Speaker 1: nights there, which is a perfect amount of time. Great,
Speaker 1: and yeah, I'm looking forward to it. But Alan I
Speaker 1: booked a a swim with the dolphins in the ocean,
Speaker 1: and he's not excited about it Allan and I are
Speaker 1: the same person, really, yeah, no way, even in the
Speaker 1: little cove. No, nope, I'm not saying like in the
Speaker 1: middle of like the ocean. Oh it doesn't matter, No,
Speaker 1: really I would. I went to the keys and I
Speaker 1: touched their little snouts or whatever those are called. When
Speaker 1: I what are those called a dolphin? Their nose? I
Speaker 1: suppose anything else that rhymes. Anyways, that was magical because
Speaker 1: they were in their element and I was on land
Speaker 1: in my element, and so I liked that we could
Speaker 1: both respect our habitats and still see each other. But
Speaker 1: I am not interested in being in the water with
Speaker 1: them at all really like negative seven percent. Like I'm
Speaker 1: not going to put the baby in there, but I'm
Speaker 1: like Julie's really excited. Yeah, No, I love that. For
Speaker 1: everybody that's excited, I'm just not that girl. Oh. I
Speaker 1: love them. They're so sweet, aren't they. Yeah, they're also
Speaker 1: like wildly intuitive. I mean, so the ones like horses,
Speaker 1: why do I feel like we're just gonna get bashed
Speaker 1: or with this? Are there though, aren't they? Like? Because
Speaker 1: horses are very intuitive, Yeah, to your emotions and feelings.
Speaker 1: That's why there's a lot of like therapy horses. Yeah,
Speaker 1: this is wild. So I learned when we were in
Speaker 1: the Keys, we stayed at this really awesome resort kind
Speaker 1: of place. And I know people have their own opinions
Speaker 1: about this, but this was like a dolphin rescue you.
Speaker 1: And then they also would like you could swim with them.
Speaker 1: But the dolphins were actually retired navy dolphins because they
Speaker 1: used to go and like they would go and check
Speaker 1: out if there was anything that was dangerous to their
Speaker 1: people and come back and report in their dolphin ways.
Speaker 1: And I just think that's really spectacular. That's really sweet.
Speaker 1: And so I loved that I got to hang out
Speaker 1: with some veterans. Yeah, we've so we've done the swim
Speaker 1: with dolphins in Orlando when Jolie was like three, maybe,
Speaker 1: And I get a lot of hate on that guy,
Speaker 1: and I'm like, yeah, like I am a zoogoer. I like,
Speaker 1: I know, you know what they do on the flip
Speaker 1: side of things in their conservatory ship and yeah, helping
Speaker 1: back animals and extinction extinctions and stuff like that, extinctions
Speaker 1: and stuff. Yeah, And I also think it's worth noting
Speaker 1: that a lot of those places bring in animals that
Speaker 1: wouldn't otherwise survive probably out in the wild, yes, because
Speaker 1: as they have whatever injuries. He is never going to
Speaker 1: be my friend. No, that's fine, that's okay, But I'm
Speaker 1: excited you should be. And then but you guys aren't
Speaker 1: going anywhere. No, we just did like back to back trips.
Speaker 1: So I feel really good about your saying yeah, and
Speaker 1: we actually so. The other half of our duo lives
Speaker 1: near Tampa, and Kate actually drove last night. She packed
Speaker 1: up her house and her kids and her dog and
Speaker 1: made her way. So she's making her way today. She
Speaker 1: evacuated a little earlier to try to like beat the
Speaker 1: rush and the craziness. It's just wild times right now,
Speaker 1: really wild emotional times. And I'm an mpath so I
Speaker 1: feel like I need a hotline. We spent yesterday gutting
Speaker 1: our closets and our home for things like pantry and
Speaker 1: all the things we could send over into the Western
Speaker 1: Carolina's coats because it's going to start to get cold there.
Speaker 1: So they're just sad. It is. It's it's actually it's
Speaker 1: beyond like I don't I don't think. I know. It's
Speaker 1: so widespread and the scope is so huge that I
Speaker 1: think that we can't comprehend it yet. But now it's
Speaker 1: like live feeds are coming in from people like boots
Speaker 1: on the ground. It's really really devastating. I had such
Speaker 1: a wide area. One of my girlfriends waspposed to be
Speaker 1: getting married this past Saturday, and she texted me, and
Speaker 1: you know, the wedding was in New York, and I
Speaker 1: knew her family was from North Carolina. But she texted
Speaker 1: me and she's like, Hey, just FYI, the wedding is
Speaker 1: a no go because we were going to fly there
Speaker 1: and obviously put to her wedding. She's like, we just
Speaker 1: got in contact with my parents after five days because
Speaker 1: they live in Asheville, and I was like, oh my god.
Speaker 1: I was like I thought they lived on like not
Speaker 1: that part of Carolina, but still so sad. Yeah, it's crazy.
Speaker 1: I know what do we do sidebar? My My husband
Speaker 1: just sent me a text message and said move Kristen's car?
Speaker 1: Why is she blocking me? Would you please go on
Speaker 1: a date with me tonight? And then sent me a
Speaker 1: reservation confirmation. That's pretty cute and you ask him to
Speaker 1: text Preston it's really sweet. Mind's driving mine in mine? Okay,
Speaker 1: President and I have this game on the highway. Sounds dangerous,
Speaker 1: I know when when we're passing each other, like we
Speaker 1: know we're coming from opposite directions, so he'll move into
Speaker 1: the fast lane and he waves his hand out the
Speaker 1: window and honks from laughing me. It happened on the
Speaker 1: way here. The bus just pulled in. So he was
Speaker 1: driving home and he's like, maybe I think I'm going
Speaker 1: to Patty such a Rednecks sweet But he's not texting
Speaker 1: me dinner reservation. So how long do you think Preston's
Speaker 1: going to be on the road for. I don't know.
Speaker 1: Have you guys had that conversation like, this is because
Speaker 1: you've been doing road life for five years? Ten ten years? Sorry,
Speaker 1: hold his love? Yeah they had ten ten years. Wait,
Speaker 1: but love's only nine. Yeah, but I met him while
Speaker 1: he was on the road, got it gotta go. Yeah,
Speaker 1: so that's a long time, so longer for him because
Speaker 1: he's been doing it for twenty five right, So when
Speaker 1: it comes to your marriage and long term of things,
Speaker 1: have you guys had that conversation like how much longer
Speaker 1: are are we living this? Yeah? We do often, and
Speaker 1: the four of us actually do often because I think
Speaker 1: our goal is the same. I think it's I think
Speaker 1: for Preston and Chris they will always have to do
Speaker 1: it just because that's who they are. The goal would
Speaker 1: be higher paid shows, less shows, less shows. Yeah, and
Speaker 1: then we could all be together more, which I think
Speaker 1: is it. He's also moved into a really fun chapter
Speaker 1: that you and I have been waiting for. We should
Speaker 1: probably not do this on air, but that's kind of fun.
Speaker 1: He is really excited for me to have a big career. Great, weird, amazing,
Speaker 1: it's strange, it's great. I almost feel like there's times
Speaker 1: where I want to like FaceTime you in and just
Speaker 1: have you be quiet and just like this real life.
Speaker 1: But He's like, I just really think you're good at
Speaker 1: what you do. I think it's time for you to
Speaker 1: like flourish. I want to help you do that. I
Speaker 1: want to use my contacts and help you do that.
Speaker 1: It's weird, foreign and great, great, yeah, good, slow and steady.
Speaker 1: But I think the idea would be kind of like
Speaker 1: handing the baton over. So maybe my work increases, his
Speaker 1: work decreases, and maybe I can take it from here.
Speaker 1: Not anytime soon, right, what do you think the future
Speaker 1: timeline is? Like? Do you for you like? Is it
Speaker 1: like I'd like it to be X? I don't know.
Speaker 1: I mean I would like it in the next five years.
Speaker 1: I just enjoy this so much that I would do
Speaker 1: this all the time, not having like I would always
Speaker 1: want to still homeschool I enjoy, Yeah, but like I
Speaker 1: just enjoy the podcasting space so much. I would do
Speaker 1: it all the time. But it's my radio heart. You know,
Speaker 1: You've always kind of been that way. Speaking of podcasts,
Speaker 1: you have your podcast, Kramer. You're always the supportive one.
Speaker 1: You're the spouse that always has my back. What is
Speaker 1: it's just launched again? You're a new Season, New Season.
Speaker 1: It's called in Kristen we Breast and Christian we Breast
Speaker 1: tell our listeners everything. I have a promo moment you are.
Speaker 1: This season is called Homecoming, which I've said on wind
Speaker 1: Down before, but I did a whole season dedicated to it.
Speaker 1: So it's about coming home to yourself. It's about taking
Speaker 1: time to know your intuition. I think we have a
Speaker 1: really noisy world that distracts us from listening to what
Speaker 1: God gave us, which is discernment. I think we all
Speaker 1: know what we need to do. Sometimes we just don't
Speaker 1: trust ourselves, whether that's because of generational trauma or relationships
Speaker 1: you've been in, or your own self doubt, whatever. So
Speaker 1: it's really just about This whole season is just about
Speaker 1: ways to get back to yourself, coming home to yourself.
Speaker 1: Where do you think you've abandoned yourself the most? I
Speaker 1: think so I'm a solid two on Nyagraham. I don't
Speaker 1: know who all believes in that. I know you and
Speaker 1: I do. You're a solid two. You're a helper. I
Speaker 1: got to yeah, but I have to redo it. Now
Speaker 1: that I've had kids, I might have changed. Oh good.
Speaker 1: I think there's definitely a lot of two in me,
Speaker 1: but I think we're also just healthier right now with
Speaker 1: like Aby and you know, I'm not a two to
Speaker 1: fault anymore. No, I'm not a two to detriment. Yeah myself, Yeah,
Speaker 1: I think I abandoned myself or had abandon myself and
Speaker 1: just allowing people to mute me for a really long time.
Speaker 1: It's tricky. In marrying into country music is tricky. Trying
Speaker 1: to find your place in that is tricky, I think,
Speaker 1: just trying to find your place anywhere, but specifically because
Speaker 1: I didn't want to just I didn't want to fall
Speaker 1: in solely being a wife and a mom, and that's
Speaker 1: what a lot of country music wives do. I think
Speaker 1: there's like a new revival, Like I feel this little
Speaker 1: revolution happening right now where a lot of those women
Speaker 1: are doing their own businesses and like taking charge of
Speaker 1: their own lives again. And that's so great. But for
Speaker 1: a while, it just was kind of like I didn't
Speaker 1: know what to do. But you found me, Kramer, you did.
Speaker 1: You found you, I know, but you also were like, hey,
Speaker 1: so I'm gonna need you. I'm still waiting for open
Speaker 1: mic night. You can do it. I mean, I don't know
Speaker 1: it's too good. I just because I think you should
Speaker 1: and then write a script and then I'll act in it.
Speaker 1: You act in it. I totally will do that. More
Speaker 1: fun when we're together, it's like a I can't even like, gosh,
Speaker 1: what is it? It would just be fun. Oh, we
Speaker 1: would have so much. It would be a lot of fun.
Speaker 1: We're just I mean, we have fun. The thing that
Speaker 1: I really enjoy about us though, is there's like a
Speaker 1: safety that we have for each other, which makes us
Speaker 1: feel like we can be vulnerable in those spaces. But
Speaker 1: like I always know if I give you a look,
Speaker 1: you will halt, and like everyone, I'll get fortressed in
Speaker 1: which makes me feel comfortable to just be like, oh,
Speaker 1: I think I'm gonna share something I shouldn't share, Like
Speaker 1: right now, I probably talk too much. Well, everyone listened
Speaker 1: to in Kristin we Breast be a guest, So I
Speaker 1: actually was gonna ask you that I haven't been asked.
Speaker 1: I actually am just bringing back the guest. So let's
Speaker 1: do that, right. Christine actually just asked me about that.
Speaker 1: She was like, what about Jane coming on? I was like, yeah,
Speaker 1: would she do that? What I do that? Is that
Speaker 1: across pollination? I know it is like a thing. But
Speaker 1: then I also was like, well I heart be mad
Speaker 1: at me. No. Anyways, speaking of October fall break, October
Speaker 1: is also a breast cancer awareness month, and we have
Speaker 1: doctor a Meet Patel. He's an oncologist in Jersey City,
Speaker 1: and he is going to shed some light on things
Speaker 1: that we as women need to look out for and
Speaker 1: he's going to share all of his expertise. Let's take
Speaker 1: a break and then get him on. Do you ever
Speaker 1: be worried about breast cancer? Just now? The last couple
Speaker 1: of weeks from Oh that's right, and you had like
Speaker 1: a something they were not worried about, but not not
Speaker 1: worried about. You had that appointment, which is why you
Speaker 1: missed at one episode? What did they which I was
Speaker 1: going to put off, which is what I would do, right,
Speaker 1: And I was like, I just feel like I needed it.
Speaker 1: Doesn't get there? And what do they say? They think
Speaker 1: everything's fine?
Speaker 2: Right?
Speaker 1: Yeah, irony because I have dense breast tissue, which is
Speaker 1: hysterical because they are flat. Stanley boobs, Doctor Patel, we
Speaker 1: can't we can't see you yet.
Speaker 2: Oh you can't, Okay, let me take care.
Speaker 1: We're talking about dense boobies, and we really need your
Speaker 1: help to finding you. Is dense boobies mean? Because I
Speaker 1: don't believe she has dense boobies. I don't either believe
Speaker 1: that I have dense breast tissue, doctor Batel, because I've
Speaker 1: been like, I think, let these bad boys, baby. Yeah,
Speaker 1: the perception in my brain of what dense breast tissue
Speaker 1: is and the actual result of what I'm dealing with,
Speaker 1: it feels the reality is not matching. You know. It's
Speaker 1: like if guys could only get into our FaceTime because
Speaker 1: she's like, look at these things after the third one
Speaker 1: and I'm like, Jesus girl. And Shanna had her breast surgery,
Speaker 1: she was like flashy on FaceTime. I'm like, there's a
Speaker 1: million dudes that would pay to be on this anyways, Hello,
Speaker 1: how are you? Hi?
Speaker 2: How are you?
Speaker 1: Thanks for adding credibility to this cast. No problem, We
Speaker 1: needed you and your brain and degree in here quick.
Speaker 2: So, actually, dense breast tissue is very, very common in
Speaker 2: young females, especially females under the age of forty. So
Speaker 2: it's not that you are, you know, unique in that
Speaker 2: regard to your unique in many aspects, but in terms
Speaker 2: of having dense breast tissue. It's actually very common, and
Speaker 2: it's so good. It's so good that you're bringing this
Speaker 2: topic up because so many young women need to know
Speaker 2: about it. They need to know that screening mammograms are
Speaker 2: typically not the best when you have breast dense tissues.
Speaker 2: So we don't even recommend that you get a mammogram
Speaker 2: unless you have one at baseline. What we do want
Speaker 2: to monitor and follow up with is ultrasounds of your breast,
Speaker 2: so those are more precise when you have breast debts
Speaker 2: tissue to really look at any even small abnormalities and
Speaker 2: then based on that, if needed, we move on to
Speaker 2: a breast MRI and so that's best under the age
Speaker 2: of forty. So it's not uncommon that you know, it
Speaker 2: doesn't have to do with size of breast. It doesn't
Speaker 2: have to do with previous breast augmentation or any you know,
Speaker 2: treatments that you may have had, for example, you know
Speaker 2: people that use oral contraceptive pills or have had hormonal
Speaker 2: treatments for whatever their other illnesses or conditions are. It
Speaker 2: really is not dependent on that. In fact, it's a
Speaker 2: better way of looking at breast tissue when you're younger.
Speaker 1: What if this person's above forty, what if you you
Speaker 1: keep saying younger, and I gotta tell you my favorite
Speaker 1: guests theo are He's like, well, that doesn't can that
Speaker 1: would be an issue with you under forty? I'm like,
Speaker 1: I really like this guy.
Speaker 2: Well if it's if you're above the age of forty, still,
Speaker 2: even if you have gone through menopause, let's say women
Speaker 2: in their fifties and our screening age is now decreased
Speaker 2: to forty when mammogram should start, you can still have
Speaker 2: breast debt tissue. It's more common in younger females, but
Speaker 2: there are patients that past the age of fifty still
Speaker 2: continue to have dense breast tissue. And that's not really
Speaker 2: an anatomical term. It's more of what we see with
Speaker 2: your breast tissue when we're imaging it with an ultrasound
Speaker 2: or a mammogram. So still we continue to use ultrasounds
Speaker 2: in those patients.
Speaker 1: Do you want to share what they kind of what
Speaker 1: you're because do you want to?
Speaker 2: Or no?
Speaker 1: Because I don't want to know? Oway Yeah, So it's interesting.
Speaker 1: So I had my regular ob yearly appointment, probably like
Speaker 1: a month ago, and in doing that, breast exam. And
Speaker 1: I've always had trouble with self breast exams because they
Speaker 1: just I think, I don't know. I have to be
Speaker 1: really honest with you. This is where this is really
Speaker 1: good that he's on. I can't tell you the last
Speaker 1: time I actually felt my boobs to even check myself.
Speaker 1: And I'm forty and I haven't had a mammogram. So
Speaker 1: if we're being really honest, yeah, I don't. I don't
Speaker 1: do it well. Mine feel a little like uneven anyways.
Speaker 1: And I just had a baby like sixteen months ago
Speaker 1: and so, and they are my natural breast, So the
Speaker 1: tissue has just always been a little tricky for me
Speaker 1: to like feel and go like you know, like I
Speaker 1: don't want to panic, but I also confuse, like it's
Speaker 1: not did you find something or what I didn't find anything.
Speaker 1: But in that visit, they were like, so there's something
Speaker 1: that we feel that isn't concerning, but it isn't not
Speaker 1: concerning and so, and they were like, we need a
Speaker 1: baseline mammogram. And then they scheduled an ultrasound right after.
Speaker 1: So I had back to back really well done.
Speaker 2: And yeah, yeah, and you and it sounds like they
Speaker 2: move quickly, which is great, and so you know why
Speaker 2: we encourage and why we definitely still want our patients
Speaker 2: and everyone to continue your own clinical self breast exam
Speaker 2: is you know, we as physicians.
Speaker 1: She's giving herself one right now.
Speaker 2: I see that.
Speaker 1: Would you like her to put on a paper napkin?
Speaker 1: Does that make you feel more comfortable about what's happening
Speaker 1: in front of us? I think it's good. She's going
Speaker 1: to knock that out real quick off.
Speaker 2: And I'm glad you brought that up because that's a
Speaker 2: whole different discussion, which is what we do when we
Speaker 2: make you change into basically a paper towel.
Speaker 1: Yeah, it's really something what you guys make us do.
Speaker 2: You're in a vulnerable position and a vulnerable state, and
Speaker 2: then we come in and we're poking and prodding at
Speaker 2: your breasts. So that being said, when we encourage and
Speaker 2: talk to patients about breast exams is because what we
Speaker 2: want you to do is to be able to identify
Speaker 2: the obvious.
Speaker 1: Right.
Speaker 2: We are trained, many many years of training to identify
Speaker 2: those subtle abnormalities when we're moving from quadrant to quadrant,
Speaker 2: and that's why we use both of our hands to
Speaker 2: really poke and press into your breast tissue. The obvious
Speaker 2: is what we want you to identify. If you feel
Speaker 2: some sort of irregularity that is not your normal breast,
Speaker 2: If you feel obviously some sort of mass, if you
Speaker 2: feel something under your arm, A lot of patients for
Speaker 2: it's not just your breast. We need you to feel
Speaker 2: under your arms in the accilliary regions as well. Right,
Speaker 2: But that being said, you won't know unless you're doing
Speaker 2: it and you continue to do it at least on
Speaker 2: a monthly basis. Right, So I always say the best
Speaker 2: time to do it is, you know, either before your
Speaker 2: shower or after your shower, because you're already you know,
Speaker 2: you already have your bra off, and you know you're
Speaker 2: already either drying yourself or you know, in the shower
Speaker 2: itself with your body wash, et cetera. So that's the
Speaker 2: best time that you can do it is it's already dedicated.
Speaker 2: It's not like you have to make time to do it.
Speaker 2: You're already in the bathroom showering. So that's when you
Speaker 2: should be doing it at least once a month.
Speaker 1: Let's do this every wind down listener the first of
Speaker 1: every month, because we're going to put ourselves first. Oh,
Speaker 1: I like it toutch your babies in the shower. There
Speaker 1: you're talking out the first of every month, and you
Speaker 1: won't forget we do need to like raise our arm
Speaker 1: when we're doing this.
Speaker 2: Correct, absolutely, And so what you want to do is
Speaker 2: it's usually at about like a right angle you want
Speaker 2: to put Oh, just the best thing you can do
Speaker 2: is touch the back of your head with your hand
Speaker 2: right okay, to the back of your head with your hand,
Speaker 2: and make sure your arm is out right. You don't
Speaker 2: want it forward or you don't want it too you know,
Speaker 2: it too close to your head. You want it completely
Speaker 2: out and that's when you're going to be able to
Speaker 2: really feel it the best. And then I always say
Speaker 2: you want to from the underarm, start in the mid
Speaker 2: arm area here, like in your triceps, and then just
Speaker 2: start poking and move down. And then when you really
Speaker 2: get into the underarm area, you want to go in
Speaker 2: a circular motion and really feel and then put your
Speaker 2: arm down, keep your hand there and poke underneath as well,
Speaker 2: and make sure you don't feel anything that way.
Speaker 1: I mean, it's so good. I just wish I knew more,
Speaker 1: like I wish i'd I think my self doubt trumps
Speaker 1: this or I'm like, I don't think I'm like I
Speaker 1: am in my qualified enough to even notice a change
Speaker 1: in my body. But I feel like most people in
Speaker 1: your position would say you would know it would be
Speaker 1: something you know.
Speaker 2: Your body best, right, Yeah, you can. You can tell
Speaker 2: you just had a child, how your breasts have changed, right,
Speaker 2: are you? May I ask are you breastfeeding or not?
Speaker 1: No? No? And you know it's tricky is because I
Speaker 1: didn't also realize that after breastfeeding, it takes a really
Speaker 1: long time for your breast to kind of like resume
Speaker 1: like coat would be their new normal because there's still
Speaker 1: all sorts of glands and things.
Speaker 2: Correct. Absolutely, there's all sorts of glands that have grown
Speaker 2: and proliferated. Your breast tissue is very different and that
Speaker 2: changes completely after you, you know, do breastfeed or your don't,
Speaker 2: or just with pregnancy itself. Right, And so that's that's
Speaker 2: the best example, is you know your breast the best, right,
Speaker 2: there's yeah. And that's what I tell my patients is
Speaker 2: if you notice anything besides doing a breast exam, you
Speaker 2: come in and you say, you know what, Doc, my
Speaker 2: nipple doesn't look right. Something is wrong, even though it
Speaker 2: may still be the same size or you know, same location.
Speaker 2: It looks like it's you know, indented a little bit,
Speaker 2: or you know, there was a little bit of your drainage,
Speaker 2: or my nippole aiola is very itchy. Things like that.
Speaker 2: Those are not things that we want you to ignore
Speaker 2: and just say, oh, it must have been that I
Speaker 2: was sweating at the gym a little too much, or
Speaker 2: I bought a new bra, or you know, something different
Speaker 2: with my lotion or whatnot. Like you definitely want to
Speaker 2: let us know and give us all of these.
Speaker 1: Details, right, Yeah, I do appreciate how quickly my doctor moved.
Speaker 1: That's awesome. It wasn't panicked, but it was like start
Speaker 1: under that. Yeah, doctor Barrett, Yeah, question for you, and
Speaker 1: I already know your answer, But I guess I just
Speaker 1: would love maybe like a little more insight on this
Speaker 1: because I think the vast majority now, like kind of
Speaker 1: a lot of what we're hearing is mammograms and ultrasounds
Speaker 1: are just so much radiation and this can be detrimental
Speaker 1: to people. And so what I mean, I know you're
Speaker 1: obviously a well educated degree toating doctor with a lot
Speaker 1: of years under your belt, so I know what you
Speaker 1: would recommend But why what could you say that would
Speaker 1: put that to rest? With the mammogram radiation, that's like
Speaker 1: this whole new information that we're just getting like pushed.
Speaker 2: Of course. So you know, in terms of the relative
Speaker 2: risk of radiation, ultrasounds carry the least amount. So that's
Speaker 2: what's good to know, is that really you don't have
Speaker 2: that extreme radiation exposure like you do with let's say
Speaker 2: an MRI, because we do recommend breast MRIs, right, and
Speaker 2: we have, of course, like you said, the scientific evidence.
Speaker 2: We have many, many longitudinal studies that have shown someone's
Speaker 2: relative risk of cancer development based on how many MRIs
Speaker 2: or chest X rays or ultrasounds that they get.
Speaker 1: Done.
Speaker 2: What our newest technology has done, and this is where
Speaker 2: I really reassure my patients is you should all be
Speaker 2: getting three D tomo mammograms. That's the newest technology that
Speaker 2: we have, and those are the types of mammograms that
Speaker 2: carry the least amount of radiation risk. You know, over
Speaker 2: the years, we change our technology, we change our radiation
Speaker 2: exposure to our patients, because we know previously older machines
Speaker 2: and older techniques that we had, let's say in the seventies,
Speaker 2: you did you had cancer that developed because we kept
Speaker 2: putting you through scans, and patients that underwent treatments, let's say,
Speaker 2: for example, that had cancers continued to get scans. So
Speaker 2: it's kind of counterintuitive that we're treating your cancer, but
Speaker 2: we keep putting you through scans and that increases your
Speaker 2: cancer risk, and in fact it did in the past.
Speaker 2: So now our newest technologies are newest ways of developing
Speaker 2: and looking at images through radiation exposure in terms of
Speaker 2: MRIs or CAT scans, really has decreased the way the
Speaker 2: radiation goes into your body, the way the radiation exits
Speaker 2: your body, the way it's metabolized, and it's really focused
Speaker 2: in that organ or that ear of the body. Before,
Speaker 2: what would happen is radiation when you were exposed during
Speaker 2: a scan would disperse, right. That's why when you get
Speaker 2: a chest X ray we put that cover over your
Speaker 2: thyroid gland because we want to make sure that that
Speaker 2: radiation from a chest X ray it's pretty dispersed. It's big,
Speaker 2: so it doesn't expose other organs. Now we have more
Speaker 2: specialized or more precise ways of doing these tests to
Speaker 2: minimize that.
Speaker 1: So I have I had I Haventt had. I have
Speaker 1: fake boobs, got them after my second kid, and then
Speaker 1: I had another child. I obviously didn't know I was
Speaker 1: going to have another child, but I did, and he's
Speaker 1: amazing and all the things, but my boobs. I've heard
Speaker 1: that it's harder to find breast cancer with implants. Is
Speaker 1: that true or not true?
Speaker 2: So it is in one regard in terms of you know,
Speaker 2: developed the post, I would say implant changes to your breast.
Speaker 2: And that's where we sometimes have to use multiple imaging
Speaker 2: techniques to look at and screen for breast cancer. It
Speaker 2: wouldn't just be a mammogram because what happens is in
Speaker 2: that image, the way that those rays of radiation go
Speaker 2: into the implant, it can obscure the picture behind it.
Speaker 2: So what we look for is something that what we
Speaker 2: say enhances or doesn't. And so you having breast augmentation,
Speaker 2: we probably would recommend not just a mammogram, but we'd
Speaker 2: be looking at an ultrasound as well as part of
Speaker 2: your screening.
Speaker 1: I'm about to get an MRI, like a full body MRI.
Speaker 1: Just if you heard a pernuvo I have yes? Okay,
Speaker 1: do you like or not? Like? No? Comment? Oh? Shoot,
Speaker 1: oh great, I'm about to have one too, So I'm like, oh,
Speaker 1: because I've just been having some weird things in the
Speaker 1: brain area that I just want to like check off
Speaker 1: that it's not that what it is. But it's not
Speaker 1: going to be like super Bad film.
Speaker 2: No, No, why I said that, and being completely transparent
Speaker 2: and honest, you know, I practice with evidence and not
Speaker 2: by guidelines, but I need evidence if I'm going to
Speaker 2: subject my patient to tests or subject them to medications,
Speaker 2: I need evidence to back it up because it's not
Speaker 2: benign what I'm doing to patients or recommending. So I
Speaker 2: would say as a scientist, I don't have the evidence
Speaker 2: to support.
Speaker 1: That, right, Okay, got it is there. I feel like
Speaker 1: I've heard this too, that breast having breast augmentation is
Speaker 1: does that cause to cancer? Like what's the implant in there?
Speaker 2: That's a great, great point that you bring up, and
Speaker 2: older implants used to there was actually a type of
Speaker 2: limph that developed in the bread that was associated with
Speaker 2: those implants. We don't see that anymore because our newest
Speaker 2: implants that most plastic surgeons are using don't carry that
Speaker 2: risk as much. So we're happy because that lymphoma that
Speaker 2: used to develop with implants was a very aggressive lymphoma
Speaker 2: and it had, you know, a pretty bad outcome. So
Speaker 2: we're not seeing that as much anymore.
Speaker 1: Okay, well, that's good to know. I and I know
Speaker 1: that this is probably let's just go thirty thousand feet
Speaker 1: when I asked this because I know that there's no
Speaker 1: like recipe for this. But I'm such a I'm a
Speaker 1: little crunchy if I'm honest, So I really believe in
Speaker 1: all the pieces of the puzzle kind of compound interest
Speaker 1: and keeping someone healthy. I'm sure you would agree, But like,
Speaker 1: is there like a cancer fighting if you had? How
Speaker 1: about this? Let me frame it like this, since obviously
Speaker 1: the brain fog is real for me. Still same, if
Speaker 1: you could tell anyone like the most ideal perfect way
Speaker 1: to eat to avoid and lower your risk of any cancer,
Speaker 1: specifically breast cancer, what would that be? Okay? And what supplement?
Speaker 1: I love supplements.
Speaker 2: I'm so glad you're bringing that up because I'm a
Speaker 2: big believer in I have to practice what I preach right,
Speaker 2: because I can't be Let's be honest, I can't be
Speaker 2: a five hundred pound physician who doesn't exercise in smokes
Speaker 2: and I'm giving health information and cancer prevention recommendations to
Speaker 2: my patients. So for the past two and a half years,
Speaker 2: I've become completely pescatarian, gar to the Mediterranean diet because
Speaker 2: that has been proven to show that it reduces your
Speaker 2: risk of cancer, aging, Alzheimer's, diabetes, cardiovascular risks. So I
Speaker 2: mainly eat a very protein based diet with tofu and
Speaker 2: fish fish that does and have a shell, lots of vegetables.
Speaker 2: I exercise, and it's cardio exercise about four to five
Speaker 2: times a week a minimum of twenty to twenty five minutes,
Speaker 2: and that's all you need that will definitely reduce your
Speaker 2: cancer risks. We have many studies that show that and
Speaker 2: supplementation wise, I yes practice Western medicine, but I come
Speaker 2: from an Eastern background. I'm South Asian and Indian, so
Speaker 2: my family there's a lot of iro vedic and homeopathic
Speaker 2: remedies that I grew up with, and so medicine was
Speaker 2: not something from a doctor that I turned to or
Speaker 2: my parents turned to at first as part of our treatment.
Speaker 2: So there's actual good evidence in data that cur turmeric
Speaker 2: it's a huge antioxidant and a benefit in reducing your
Speaker 2: cance risk. So if there's any supplement you can take
Speaker 2: on a daily basis, Anything that's turmeric or curcumin based
Speaker 2: would be the best thing that I could recommend.
Speaker 1: How many milligrams?
Speaker 2: So that's a good question because you know, if it's
Speaker 2: dietary intake.
Speaker 1: Because I take a tumoric supplement every day, just like
Speaker 1: from the tumoric I can never say that other word.
Speaker 1: But yeah, but I don't know what the milligram is
Speaker 1: or what it should be.
Speaker 2: Yeah, I think, you know what, if you take at
Speaker 2: least two hundred milligrams a day, it should be enough.
Speaker 2: There are some that are out there that are a
Speaker 2: lot more, but you know, I think the main thing
Speaker 2: you want to look for is it that it has
Speaker 2: that active ingredient of curricumen in it, because that's what's
Speaker 2: been proven to show that antioxid in cancer fighting property.
Speaker 2: So you definitely want to have that incorporated into part
Speaker 2: of your daily supplements that you can date. Vitamin D
Speaker 2: is another great supplement if you haven't started that already.
Speaker 2: Low levels of vitamin D are associated with increased breast
Speaker 2: cancer risk, and if you know someone that's had breast cancer,
Speaker 2: if their vitamin D levels stay low, it actually has
Speaker 2: been shown to increase the recurrence of breast cancer as well.
Speaker 2: Anything citrus based, folic acid, any anything vitamin C based
Speaker 2: also has great antioxidant in cancer fighting properties as well.
Speaker 1: So D we need to have vitamin K with D.
Speaker 2: Right, you have calcium with vitamin D.
Speaker 1: Okay, Okay, I knew we needed a couple it with
Speaker 1: something or it's less effective. Okay, I need a yes
Speaker 1: or no on red wine for cancer health. That matters
Speaker 1: to the girls on the couch.
Speaker 2: I would say yes, as long as it's less than
Speaker 2: six to eight ounces that you're having per serving. You know,
Speaker 2: you definitely don't want to, you know, go crazy, but
Speaker 2: you know it is something that's part of the Mediterranean
Speaker 2: diet as well, the tannins that are in there in
Speaker 2: the accident antioxidant properties, it's definitely beneficial compared to all
Speaker 2: other types of alcohol.
Speaker 1: We've really calmed down. We don't don't. That's what's the thing.
Speaker 1: I mean, I can't tell you. I mean, I probably
Speaker 1: drink twice a month now, and I used to be
Speaker 1: in every post my divorce, I would I would have
Speaker 1: a glass of one every day. And I think it
Speaker 1: was because in our society at the time, it was like,
Speaker 1: this is my mom juice, and this is my me
Speaker 1: time and my relaxation, and it became such a I
Speaker 1: just think every single day. And now I'm like, I
Speaker 1: don't I enjoyed having an occasional you know, glass with Alan,
Speaker 1: if we have a little date night at the house
Speaker 1: or like we'll have a date night tonight. But I
Speaker 1: mean it's maybe two three the most a month.
Speaker 2: Now, Yeah, And I think that's fine. And even if
Speaker 2: there's moderate, you know, mild to moderate consumption of you know,
Speaker 2: two times a week, that as long as it's that
Speaker 2: small amount is totally fine. But you know, it's definitely
Speaker 2: definitely has been shown to have a health benefits.
Speaker 1: Do you Okay? You said Tofu and I and I
Speaker 1: don't eat meat. So I'm kind of like, I have
Speaker 1: cut Tofu out altogether because it was soy and soy
Speaker 1: was linked to estrogen and is that a myth? Or
Speaker 1: like how do we feel about that? And you don't
Speaker 1: have to go crazy. I just wonder could it would
Speaker 1: give me such an opportunity to add that back in
Speaker 1: would be really beneficial. But I have cut it out
Speaker 1: because it was rumor, you.
Speaker 2: Know, and that's and and that's the perfect way of
Speaker 2: putting that that it's been rumored, there's really no direct
Speaker 2: link of let's say someone that has had hormone replacement
Speaker 2: therapy and we actually have high levels of estrogen and
Speaker 2: progesteron that those patients are exposed to. You're not exposed
Speaker 2: to those high levels when you're consuming food that has
Speaker 2: that kind of hormone derivative like tofu. So and again,
Speaker 2: everything's in moderation, right, so you're not If you're eating
Speaker 2: tofu on a daily basis, multiple meals, that risk is
Speaker 2: different than if it's part of your diet maybe once
Speaker 2: or twice a week. You're having a tofu based dish.
Speaker 1: There's a crispy tofu recipe. I've been mourning, so I'm
Speaker 1: kind of excited to go back get it. To close out, Yeah, seriously, yeah,
Speaker 1: I'm sure because I love tofu, but I can't have
Speaker 1: soy now, which is a bummer. But anyways, to kind
Speaker 1: of close out, what do you wish people knew about
Speaker 1: breast cancer?
Speaker 2: Oh? Wow, there's so much that I wish that people knew.
Speaker 2: But what I wish they knew was that it's preventable.
Speaker 1: That's so hope. Giving that sentence, itself is so hope giving.
Speaker 2: It is it is. There are certain cases, of course,
Speaker 2: in any extreme with any type of cancer, that it's not,
Speaker 2: But that prevention starts at home, and your body is
Speaker 2: your home, and you have to treat your body like
Speaker 2: you would treat your home, and keep it healthy and
Speaker 2: keep it safe and keep it strong, and that prevention
Speaker 2: starts with you.
Speaker 1: That is like the best advice anyone could give anyone
Speaker 1: about anything. Yeah. Absolutely, well, thank you for giving that
Speaker 1: slice of help. So we know a lot of people,
Speaker 1: I mean, you've had breast cancer in your family with
Speaker 1: you know, my mother in law actually just recently went
Speaker 1: through this, it'll be a year ago December. But early
Speaker 1: detection when in for normal mammogram, she's seventy five. They
Speaker 1: found between a zero between stage zero and one. Okay,
Speaker 1: And but by the time from the time she heard
Speaker 1: the words that it was cancer to the time she
Speaker 1: was cancer free according to doctors, six weeks. Yeah, and
Speaker 1: you know, it was crazy to you know, because it
Speaker 1: we have heard so many stories that I think she well,
Speaker 1: my high school sweetheart lost his mom to breast cancer.
Speaker 1: They found it late, it spread, you know, there's it's
Speaker 1: her lymphnodes. Is that is that correct? Yeah, and that's
Speaker 1: what ended up, you know when she it came back
Speaker 1: and it was just you know, and it's just it's
Speaker 1: so sad and there are stories to show both. But
Speaker 1: like you said, there is there is hope.
Speaker 2: There is hope. We have newer treatments right now that
Speaker 2: you know, give even advanced stage breast cancer patients hope.
Speaker 2: We're putting stage four cancer patients into remission, so we're
Speaker 2: not going to stop fighting and we're going to continue
Speaker 2: to keep getting giving our patients more options.
Speaker 1: That's amazing. Well, thank you so much for coming on
Speaker 1: and giving everyone that hope. Appreciate it. Thank you all right, bye, ladies.
Speaker 1: If you're listening to this in the car right now,
Speaker 1: you don't have to lift up your shirt, but just
Speaker 1: start to give it a good old feel. And we
Speaker 1: really need you to get your boobs like your countertops.
Speaker 1: That's what I was thinking. I'm like, I'm comparing my
Speaker 1: boobs to my countertop in my head right now because
Speaker 1: I keep that thing so damn clean and spotless, and
Speaker 1: I'm like, I should be checking my boobs. I know,
Speaker 1: I'm as I can't have my husband because second he touches,
Speaker 1: so we have to just do it ourselves, you know,
Speaker 1: because that's a gateway. It is a gateway. It was
Speaker 1: like the chiropractor was saying, hey, if you could just
Speaker 1: because with my like dis bowld or whatever in my back,
Speaker 1: it's like hitting the nerves so in my butt, like
Speaker 1: if you just apply pressure. So my chiropractor was like,
Speaker 1: can you touch if you touch her butt right there,
Speaker 1: I was like, Jamison, stop it right now, because this
Speaker 1: is just it's he doesn't massage. It's two seconds and
Speaker 1: then it's like hey baby, and I'm like, get off.
Speaker 1: Everything's a gateway hashtag blessed. But also yeah, oh medical,
Speaker 1: but we keep it a little medically focused on give
Speaker 1: me five minutes off. I can't or you try that
Speaker 1: like he's like stretching and your tailbone and I was like, no, no,
Speaker 1: you're not. I am going to go find a professional.
Speaker 1: Oh okay, well god, now I'm scared about the pernuvo thing. No,
Speaker 1: I think I think it's just the radiation exposure, which
Speaker 1: is what he was. I'm such a hypercontract I just
Speaker 1: need I have such a power about something that I
Speaker 1: need to just check off. So this is where I
Speaker 1: went with the mammogram thing, and I had to ask
Speaker 1: him about the radiation exposure because I got to the point,
Speaker 1: Creamer where I was like, the stress hormones going through
Speaker 1: my body, wondering, what if yes is going to be
Speaker 1: more detrimental to me than me getting whatever amount of radiation.
Speaker 1: This is to get the peace of mind that I
Speaker 1: can just move forward. Yeah, agreed, okay, And I would
Speaker 1: agree with that for you one hundred percent. I think
Speaker 1: peace of mind. Well, you're my sweet little hypochondriac I
Speaker 1: love which I'm like a lot of hyper contract with
Speaker 1: my boobs, So now I need to start to be
Speaker 1: I need you to be a little more vibe contact
Speaker 1: with your boobs. But I do think like I think
Speaker 1: you're just gonna feel better. You don't like them be
Speaker 1: in touch, Well, that's interesting. Can we bring Alan back in?
Speaker 1: I think when he touches them, But I don't like
Speaker 1: my nipple being touched. Even with that one, I hate
Speaker 1: my nipple being touched. Wow. One of the reasons my
Speaker 1: dat brestfeed I was like, nothing, get off my nipple.
Speaker 1: And there is a headline for this one, get off
Speaker 1: my nipple is the quote I love my babies, but yeah,
Speaker 1: I just know, it's just like nails on a chalkboard.
Speaker 1: A lot of women have that, like it's not kinky
Speaker 1: to them. It is not fun to not touch my
Speaker 1: breastfeeding is like an actual issue because they don't like
Speaker 1: get touched. Yeah. Yeah, the thought of it is giving
Speaker 1: me the scorms. Okay, sorry about that, go get your
Speaker 1: But I mean, if he wants to grop it, he
Speaker 1: can grow it and he will and he did, and
Speaker 1: that's how we got room and James, everyone, thanks for
Speaker 1: tuning in. So that's the other day. We were making
Speaker 1: out and he goes, that's how you were conceived. I
Speaker 1: don't know how he says, but I was like, okay, alright,
Speaker 1: it's a little lowkward older they get okay, we're done.
Speaker 1: I really don't fight