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Speaker 1: You're listening to I Choose Me with Jenny Garth. Hi, everyone,

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Speaker 1: welcome to I Choose Me. This podcast is all about

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Speaker 1: the choices we make and where they lead us. As women.

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Speaker 1: One of the most important things we can do is

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Speaker 1: advocate for ourselves, and it is not always easy, you guys,

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Speaker 1: which is why I wanted to dedicate the entire panel

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Speaker 1: at the event about health and this is wild. Someone

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Speaker 1: at our event ended up going home after hearing this

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Speaker 1: discussion and decided to listen to her body instead of

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Speaker 1: ignoring it. Turns out she was suffering from a heart attack.

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Speaker 1: That's right, she was having a heart attack, you guys.

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Speaker 1: These conversations are so important and I am so glad

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Speaker 1: we helped Amy save her life that day. Ah Amy,

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Speaker 1: I hope you're listening. I am sending you love love

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Speaker 1: love right now. Okay. Today's panel is a powerhouse first

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Speaker 1: up known for her role in Pretty Little Liars and

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Speaker 1: being the CEO of Hippie Water. Sasha petersa cardiologist, doctor

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Speaker 1: Michelle Kittleson and Our Incredible Event MC. She's an author,

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Speaker 1: a TV host, and two time breast cancer thriver. Samantha Harris.

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Speaker 1: But before we jump into the panel. I just want

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Speaker 1: to take a quick second to thank some of the

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Speaker 1: amazing sponsors from the day. Let's see Toast they make

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Speaker 1: my favorite sparkling non alcoholic beverage. It is so delicious,

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Speaker 1: you need to try it. And my friends at Marrow

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Speaker 1: Fine Jewelry. They specialize in crafting modern yet timeless pieces,

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Speaker 1: so so beautiful. Okay, let's get into this conversation.

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Speaker 2: Let's get started with our choose to take care of

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Speaker 2: Myself panel, So please welcome.

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Speaker 3: First up, an actor known for her role on Pretty

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Speaker 3: Little Liars.

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Speaker 2: She's the CEO of Hippie Water and the host of

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Speaker 2: her podcast.

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Speaker 3: Women in the Nude. Please welcome show Peterson.

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Speaker 2: I mean I told you.

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Speaker 4: All right.

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Speaker 2: Next up, we have the professor of medicine at Smittheart Institute,

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Speaker 2: Cedar Side, and the author of Mastering the Art of

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Speaker 2: Patient Care, doctor Michelle Ketelson.

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Speaker 3: All right, and Jenny, Oh that's me.

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Speaker 4: Wait.

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Speaker 1: I want you to join us because you are a

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Speaker 1: badass and I need you. You have so much to

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Speaker 1: say about taking care of yourself. Join this panel. Okay,

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Speaker 1: we need.

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Speaker 3: You so now. I prefer organic coffee. We'll get into

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Speaker 3: that later.

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Speaker 1: Why okay, Okay, I'm going to start with you, my

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Speaker 1: lovely friends, Sasha. It's so good to see It's so

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Speaker 1: nice to see you two.

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Speaker 4: It's been a minute. A thank you for having me.

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Speaker 1: Yes, yes, okay, So you were on pretty Little Liars

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Speaker 1: for those of you. The Job an amazing show that

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Speaker 1: basically broke the Twitter, right it did.

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Speaker 5: Yeah, we were really lucky. We were, you know, premiering

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Speaker 5: when Twitter was starting to get really popular, and we

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Speaker 5: were kind of the first show to incorporate it into

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Speaker 5: you know, live television. That was a thing we had

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Speaker 5: to wait for an episode.

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Speaker 1: Right those days.

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Speaker 5: So live tweeting was a thing for us, and that

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Speaker 5: was that was lucky. I don't know if we would

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Speaker 5: have had the same success without those two things coming together.

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Speaker 1: But the interesting thing about that you were so young,

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Speaker 1: I was you started that show when you were twelve.

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Speaker 5: I did the pilot when I was twelve, that I

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Speaker 5: did the first season when I was thirteen.

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Speaker 1: Yeah, how old was your character that you were playing?

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Speaker 4: She was about fifteen sixteen.

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Speaker 1: Oh my goodness, such a baby. You were struggling, though

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Speaker 1: you were silently struggling.

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Speaker 4: I was not quite a twelve.

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Speaker 5: So the show ran for about seven seasons, but it

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Speaker 5: was over twenty episodes a season, so as you can

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Speaker 5: relate to this, it actually felt like fourteen seasons. And

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Speaker 5: you know, I grew up over the course of seven years.

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Speaker 4: I became a woman. In the course of seven years.

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Speaker 5: I graduated high school, I started driving, met the man

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Speaker 5: that was going to be my husband. I did a

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Speaker 5: lot of life in those seven years. And while all

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Speaker 5: of that was happening, my body was changing, not just

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Speaker 5: because women's bodies naturally changed in those seven years, as

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Speaker 5: they do, but also because I was having some severe

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Speaker 5: health issues that I couldn't figure out. It took me

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Speaker 5: seventeen kind of call egists and about five years to

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Speaker 5: figure out that I have pc US.

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Speaker 1: And so can you explain about for those of you

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Speaker 1: that don't know.

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Speaker 4: Yeah, absolutely so.

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Speaker 5: A lot of the signs are we gain hormonal fluctuations,

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Speaker 5: lack of a period.

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Speaker 4: Or too long of a period. A lot of people

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Speaker 4: have cysts in their ovaries.

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Speaker 5: It can be a lot of different things, but it

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Speaker 5: can also be misdiagnosed a lot. And what ends happening

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Speaker 5: to women, which I'm sure a lot of you can

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Speaker 5: relate to this. You go to the doctor and you

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Speaker 5: say I'm stressed, my period isn't regular, I'm gaining weight,

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Speaker 5: I have anxiety. I think I might be a little depressed.

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Speaker 5: And they say, here's some birth control, or you're too young,

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Speaker 5: it'll regulate eventually, or are you eating things that you

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Speaker 5: shouldn't be. You know, we get I feel like we

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Speaker 5: get dismissed more than we get listened to. Still, and

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Speaker 5: so when I was around fifteen or sixteen seventeen, I

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Speaker 5: gained seventy pounds in one year with no explanation.

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Speaker 4: I could not figure it out.

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Speaker 1: Oh wait, wait, go back. You just said you gained

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Speaker 1: seventy pounds in one year, and.

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Speaker 3: I also want to just sorry. All of a sudden,

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Speaker 3: my journalists have back on.

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Speaker 2: But PCOS stands for polystytistic ovary syndrome, just in case

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Speaker 2: anyone doesn't know.

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Speaker 3: It's very common and a lot of people are misdiagnosed.

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Speaker 5: A lot of people are misdiagnosed. And what's really sad

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Speaker 5: about that is that it can turn into other things.

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Speaker 5: If you have PCOS, it can turn into ovarian cancer,

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Speaker 5: it can turn into nymetriosis, It can turn into type

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Speaker 5: two diabetes. It might not be you know, it might

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Speaker 5: not happen to you, but if you don't catch it

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Speaker 5: in time, those things, when they're uncontrolled can develop into

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Speaker 5: things that are not.

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Speaker 3: And also it can make it challenging for some to

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Speaker 3: get pregnant.

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Speaker 5: You have infertility issues or yes, infertility issues are a

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Speaker 5: big sign. And I think you know, we were told this.

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Speaker 4: Is how you lose weight. You have to do a

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Speaker 4: lot of cardio.

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Speaker 5: You can only eat vegetables, don't eat any fats, don't

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Speaker 5: eat any you know our snow carbs.

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Speaker 4: Yeah, exactly.

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Speaker 5: So you get told, Okay, well I'm gonna not I'm

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Speaker 5: going to hardly eat anything. I can barely eat an almond.

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Speaker 5: I'm gonna, you know, have a salad, and I'm going

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Speaker 5: to run my entire life. And that doesn't work for

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Speaker 5: most women. Everybody's body is different. It might work for some,

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Speaker 5: but you know, low carb, high protein diet is what

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Speaker 5: worked for me, and that took me years upon years

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Speaker 5: to figure out. Pilates is better for me than running

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Speaker 5: on the treadmill. And every single body is different. There

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Speaker 5: is a diet for everybody. It's not a trend. You

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Speaker 5: got to figure out what works for you, and that

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Speaker 5: might mean trying on a lot of different diets. Diet

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Speaker 5: is not a fab word. It should be a way

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Speaker 5: of life, uh, and something that is attainable. But to

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Speaker 5: hop back really quick to that period in my life,

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Speaker 5: I was growing up on camera and my character, in

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Speaker 5: particular I'm pretty old Liars was the it girl, and

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Speaker 5: so you know, I was supposed to look a certain way.

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Speaker 5: But we were also doing a lot of flashbacks to

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Speaker 5: the night that I disappeared very mysterious, and so in

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Speaker 5: seven years you see me becoming lots of different people

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Speaker 5: going back to that same night, and it is a

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Speaker 5: constant comparison to what I look like as a.

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Speaker 3: Twelve year old.

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Speaker 5: Yeah, and so it's naturally confusing for everybody, to be honest,

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Speaker 5: Fans all across the world were seeing this character that

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Speaker 5: they love to hate not look like the character that

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Speaker 5: they initially loved to hate.

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Speaker 4: And I couldn't give them an answer.

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Speaker 5: Not that I necessarily owed anybody one, but I couldn't

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Speaker 5: even figure it out.

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Speaker 4: And as Twitter.

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Speaker 5: And Instagram we're turning into what we turned to on

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Speaker 5: a daily basis.

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Speaker 4: It gave people a.

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Speaker 5: Platform to talk to us across the world, which is amazing,

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Speaker 5: but also a double edged sword, and so I was

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Speaker 5: I felt very trapped I bet and I had an

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Speaker 5: amazing support system, thank goodness at home, But because of that,

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Speaker 5: I don't I don't think that I would be where

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Speaker 5: I am now. So I'm actually very thankful for it,

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Speaker 5: and because of that, I've been able to help so

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Speaker 5: many other women just advocate for themselves. They might not

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Speaker 5: have PCUS, but they might have something else.

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Speaker 1: Go for it. I was going to ask you, being

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Speaker 1: in that environment on the set of Pretty Little Liars

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Speaker 1: with a lot of young women around you, how did

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Speaker 1: that feel like? Did you feel seen and heard? Did

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Speaker 1: you feel misunderstood?

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Speaker 5: We have We had a great cast and a great crew,

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Speaker 5: and you know, we were very lucky, especially considering how

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Speaker 5: many how much estrogen was on set.

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Speaker 4: You know, there's a lot of estrogen there.

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Speaker 5: We were very lucky. Everybody became like a family. Our

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Speaker 5: crew was incredible. But I was also the youngest, so

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Speaker 5: you know, I was twelve when I started, but the

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Speaker 5: rest of our cast was I think Lucy was turning

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Speaker 5: nineteen as the youngest, so I was very we were

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Speaker 5: all playing the same age, but I was very much

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Speaker 5: in a different part of my life now. I've always

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Speaker 5: felt like I was older. I always had older friends.

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Speaker 5: You know I connected with adultsmore than I did people

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Speaker 5: my own age, but there are certain things that are

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Speaker 5: going on in our lives that are just not the same. Uh.

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Speaker 4: And they were so kind.

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Speaker 5: And so lovely, and as I got older, obviously that

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Speaker 5: that gap just becomes smaller. But I felt supportive, but

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Speaker 5: at the same time I knew that it was an

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Speaker 5: It was a very frustrating situation, I think for for everybody.

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Speaker 1: But you had the support of your handsome husband. I did,

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Speaker 1: and I do.

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Speaker 4: Yes.

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Speaker 5: I have known my husband for for so long, way

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Speaker 5: before we started dating, and so we had a level

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Speaker 5: of friendship that was so supportive beforehand, and so when

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Speaker 5: it turned into something romantic, it not only felt natural,

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Speaker 5: but it was also the sense of I see you,

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Speaker 5: I know what you've gone through, I know what you

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Speaker 5: can be and that's really cool.

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Speaker 1: Yeah, that's support is so important. How do you think

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Speaker 1: people should show up for other people that are suffering

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Speaker 1: with pcos? Like, how can they support young women?

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Speaker 4: I think ultimately it's.

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Speaker 5: It's ultimately about being heard, because we can't fix something overnight.

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Speaker 5: It's a journey for everybody, specifically with pcos. You know,

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Speaker 5: I feel like I'm in a good path right now,

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Speaker 5: but my body might change in a little bit, my

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Speaker 5: hormones might fluctuate, and I might have to figure out

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Speaker 5: a different solution. Again, it is a constant journey. There

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Speaker 5: is no cure, and it's all about balance. And as

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Speaker 5: a woman, we know that that's not easy. We feel

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Speaker 5: that way in every part of our lives. And you know,

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Speaker 5: when you have a baby, your hormones fluctuate.

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Speaker 4: Again.

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Speaker 5: I was really lucky that when I had my son,

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Speaker 5: I was in a very very very small percentage of

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Speaker 5: women where it actually almost resets your hormones.

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Speaker 1: Hendrick saved you, Hendrick.

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Speaker 5: Saved me in so many ways, but that was something

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Speaker 5: that I was totally shocked by. So for the first

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Speaker 5: time in my life, I've had a regular period after

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Speaker 5: having him, and that has been life changing in itself

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Speaker 5: because now my body clock is more centered and I

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Speaker 5: can really navigate my health much better.

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Speaker 4: But often that's.

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Speaker 5: The opposite when you have a baby, you know, because

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Speaker 5: those hormone fluctuations happen. You could go the other way

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Speaker 5: and you could, you know, be dealing with.

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Speaker 1: The plethora of other issues. You're talking about that fluctuation.

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Speaker 1: I mean, we all have experienced that. I know I

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Speaker 1: have an on camera. It's always fun. The criticism is hard.

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Speaker 1: How did you handle that? I know how I deal

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Speaker 1: with it, but how did you internalizing.

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Speaker 5: That's not the right way? You know, a couple of

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Speaker 5: different ways. I think for a while I hid. I

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Speaker 5: got to the point where, you know, where I should

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Speaker 5: have been, what should have been the greatest platform, became

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Speaker 5: really scary, and I started having designers say that they

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Speaker 5: can't dress me, and so it was like, well, what's

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Speaker 5: the point? And so I hibernated for a while and

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Speaker 5: that helped because I had a strong support system, but

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Speaker 5: it wasn't really solving the issue.

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Speaker 4: And so that it takes work. It takes work on yourself.

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Speaker 5: You have to be you have to choose yourself before

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Speaker 5: any of that can really develop on like a confidence

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Speaker 5: side when it comes to like facing the world publicly

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Speaker 5: or not.

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Speaker 1: Right, we're gonna we're gonna talk a lot later about menopause,

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Speaker 1: But do you feel like PCOS needs to be talked

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Speaker 1: about more openly?

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Speaker 4: Absolutely? I mean all of our health issues do.

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Speaker 5: We're so understudied, and PCUS is one of those things

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Speaker 5: where because it affects women in so many different ways.

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Speaker 5: Long term being proactive about your hormones and your insulin

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Speaker 5: resistance and everything that comes along with it. It's a

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Speaker 5: it's a lifetime journey. It's something that you can to

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Speaker 5: keep working on. And so the sooner we catch it,

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Speaker 5: the faster we catch it, the better our chances are

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Speaker 5: going to be. And so ultimately, yes, it's about awareness.

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Speaker 5: We need to keep talking about it. We need to

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Speaker 5: keep asking our doctors to listen to us and really

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Speaker 5: get to a place where it's easier to be diagnosed.

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Speaker 5: The signs are actually very clear if you've.

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Speaker 1: Just got a food panel for all time.

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Speaker 5: Seventeen gynecologists told me that I was too young, lying

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Speaker 5: flat out somebody flat out told me that I must

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Speaker 5: be lying about what I'm eating, that I must just

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Speaker 5: be eating terribly.

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Speaker 4: Yeah.

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Speaker 5: I mean I got everything and nothing from gynecologists, and

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Speaker 5: I had a friend recommend going to an endocrinologist. I

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Speaker 5: sat down with an endochronologist.

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Speaker 4: I told her what I.

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Speaker 5: Was experiencing, and she was like, well, I mean it

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Speaker 5: sounds like you pcus. I can't be sure until we

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Speaker 5: take a blood panel, but let's figure it out.

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Speaker 4: But that was what you're saying, It's this is what

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Speaker 4: it sounds.

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Speaker 1: Like as simple as that.

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Speaker 2: Well, will you just again for everybody, hammer it down?

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Speaker 2: What were your symptoms? And was it the blood test?

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Speaker 2: And can you just say to.

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Speaker 3: An undercanologist or a gynocologist, I.

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Speaker 2: Want you to test me for pcos and is it

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Speaker 2: that definitive?

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Speaker 5: Yes, I mean you The answers are yeah, all the above.

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Speaker 5: So most commonly, which was what happened with me? I

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Speaker 5: had a severe vitamin ded efficiency. I my testosterone was

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Speaker 5: through the roof way higher than normal, and I was

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Speaker 5: obviously gaining weight. I had a really inconsistent period. I

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Speaker 5: would go six months, nine months without having a period,

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Speaker 5: and so I wasn't sure if I was even ovulating. Uh,

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Speaker 5: that's a really big sign. A lot of women have.

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Speaker 4: A lot of gastro issues.

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Speaker 5: And you know, struggling to lose weight even though you're

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Speaker 5: gaining weight, struggling not being able to to lose any weight.

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Speaker 5: A lot of women have depression and brain fog and fatigue,

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Speaker 5: and they don't realize that it's also connected. So if

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Speaker 5: you have any of those things, a combination of those things,

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Speaker 5: definitely ask. It does look different on everybody. I have

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Speaker 5: a really good friend who genetically is just she just

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Speaker 5: looks like a model, and she didn't have any clue

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Speaker 5: that she had PCOS until she started trying to get pregnant.

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Speaker 4: She had infertility.

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Speaker 5: Issues, and she always thought that her gas or issues

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Speaker 5: were like you know, sense reality, he's allergic, yeah, gluten free.

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Speaker 5: She was always changing her diet. Can never figure it out,

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Speaker 5: and it was actually PCOS. And so she went in

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Speaker 5: for a blood test and that was how it was diagnosed.

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Speaker 4: And so a full.

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Speaker 1: Blood panel, just a blood test.

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Speaker 5: Your cholesterol is a huge trigger if you've got high cholesterol,

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Speaker 5: and so yeah, your main ones are your estrogen, your testosterone.

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Speaker 5: A full blood panel, you will see all of these things.

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Speaker 2: So it's not like, hey, here's the it's not here's

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Speaker 2: the PCOS test. It's let's look at your cholesterol, your

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Speaker 2: vitamin D, you look at your testosterol, or look at

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Speaker 2: your different estrogens and other hormones, and then paint the

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Speaker 2: picture from that.

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Speaker 5: Yes, and if you are experiencing any pain in your

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Speaker 5: ovaries yet, good job.

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Speaker 3: Thank you.

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Speaker 5: If you're experiencing any like pain in your ovaries, something

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Speaker 5: that seems maybe abnormal, or stomach pains, if you think

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Speaker 5: you have PCOS, you should also ask for an ultrasound. Now,

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Speaker 5: I actually don't have any system my ovaries, So honestly,

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Speaker 5: it's kind of a silly name for the for the

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Speaker 5: disease because you might not have.

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Speaker 4: Any system your ovaries.

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Speaker 5: But most women who have pcos have system they're ovaries,

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Speaker 5: and a lot of women find out they have pcos

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Speaker 5: when a cyst ruptures, which is not fun. And so

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Speaker 5: just because you don't have cysts doesn't mean you don't

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Speaker 5: have it. And it's kind of a game of like

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Speaker 5: what on the list do I have? What don't I have?

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Speaker 5: But the fixes aren't simple, but they are easy to implement,

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Speaker 5: and so I think that's important. Is like there's there

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Speaker 5: is more and more research on it, but ultimately it's

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Speaker 5: like figuring out what works for your body, and like

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Speaker 5: most things in our lives, it's the right type of

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Speaker 5: diet for you, the right fitness for you, and figuring

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Speaker 5: out what little things.

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Speaker 4: That you can do.

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Speaker 5: Medication might be something it doesn't It could be I

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Speaker 5: always try and not get on medication, but it but

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Speaker 5: it's always something that I look to, which is Western

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Speaker 5: and Eastern medicine together. I think they always go together,

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Speaker 5: and I don't think we should hide from either one.

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Speaker 5: I think they need to support each other. And so, yes,

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Speaker 5: it's a mixed bag, right.

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Speaker 4: It's like, what's going to work for you?

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Speaker 5: You're going to have to go on that journey and

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Speaker 5: find out for yourself.

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Speaker 4: But it is rewarding to know what's wrong with you.

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Speaker 1: I love it that you've been so open about it

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Speaker 1: and such a great voice for the condition, and so

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Speaker 1: many young girls are aware of it because of you

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Speaker 1: sharing your story. So thank you, Hi, thank you, so brave, Samantha.

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Speaker 1: I want to talk to you because people have loved

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Speaker 1: watching you throughout your career. I'm one of me big fans.

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Speaker 1: Big We're big fans up here, Samantha Harris. Thanks and

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Speaker 1: now your podcast and your book, Your Healthiest Healthy.

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Speaker 2: Which you all have in your gift bag. By the way,

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Speaker 2: thank you to iHeartRadio. iHeartRadio got happy.

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Speaker 1: Yes, but if we could just go back to the

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Speaker 1: beginning for you, Does breast cancer run in your family?

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Speaker 6: No?

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Speaker 2: The biggest shock that I had, because I was looking

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Speaker 2: for answers at forty, being as fit and healthy as

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Speaker 2: I had ever been, Right, was okay?

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Speaker 3: My dad died of colon cancer when he was fifty.

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Speaker 2: His mom and there's a breast colon connection hereditarily.

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Speaker 4: I didn't know that.

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Speaker 2: Yeah, yeah, you can test for that for the genetic link.

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Speaker 2: His mom my grandmother was a breast cancer survivor postman

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Speaker 2: apostles diagnosis, so they don't connect that. To mind, this

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Speaker 2: was just premaopausal but lived to ninety five, God bless her.

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Speaker 2: But I was certain I.

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Speaker 3: Must have a genetic link.

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Speaker 2: And I did the battery one hundred and eighty different

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Speaker 2: or maybe more than that. Now genetic tests for breast

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Speaker 2: cancer and no genetic link. And so I'm a national

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Speaker 2: ambassador for Susan g Coman an American cancer Society, And

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Speaker 2: the biggest mind blowing stat to me was that for

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Speaker 2: breast cancer, now one in eight women will be diagnosed

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Speaker 2: with invasive breast cancer over the course of her lifetime,

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Speaker 2: and yet only five to ten percent of those breast

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Speaker 2: cancers are actually genetic. And here I was, I had

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Speaker 2: no hereditary link. And I remember when I got that news,

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Speaker 2: which is really good news to celebrate at first, and

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Speaker 2: only for a moment, I was disappointed.

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Speaker 3: I was disappointed because then I thought, well, what the heck,

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Speaker 3: why me?

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Speaker 2: Why am I eating egg white onlets, skinless, boneless.

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Speaker 3: Chicken dresss.

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Speaker 2: Why am I eating jeesus freaking pizza?

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Speaker 3: All right? Now?

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Speaker 2: Of course here I was, you know, growing up in

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Speaker 2: the eighties and nineties and early two thousands with the

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Speaker 2: fat free, low fat generation, eating my rows of those

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Speaker 2: sandwich cookies I won't name my name, you know, the

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Speaker 2: ones that are white with the white cream in the middle.

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Speaker 3: I would eat an.

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Speaker 2: Entire row, or or the licorice that I also won't

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Speaker 2: name that's full of red dye forty and high fructose scorns.

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Speaker 2: But nobody'm looking at all of that. So that was

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Speaker 2: the biggest shock, and that's what sent me on my journey.

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Speaker 2: I thought I was my health you know, I was

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Speaker 2: thought I was healthy, but I realized I needed to

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Speaker 2: be my healthiest healthy, which is why the book is

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Speaker 2: called Your Healthiest Healthy?

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Speaker 3: Can you?

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Speaker 4: Okay?

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Speaker 1: So when you first got your first diagnosis, was that

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Speaker 1: something that you discovered or was did a doctor discover it?

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Speaker 2: The biggest lesson I learned is we have to be

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Speaker 2: our own health advocate. And you guys are all here

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Speaker 2: live or listening to this, and you know you have

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Speaker 2: to choose yourself.

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Speaker 3: I choose me. So I didn't realize how much I

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Speaker 3: had to.

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Speaker 2: So the fast answer to that was I had my

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Speaker 2: fortieth birthday a month in the future, and I thought

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Speaker 2: I should get a mammogram, because that's what you do

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Speaker 2: at forty. Had them squished and pushed an ouch and

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Speaker 2: it was clear.

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Speaker 3: I mean it should be clear.

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Speaker 2: I'm so healthy and eleven Jenny, eleven days after clear

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Speaker 2: mammogram results, I was changing after a workout and you

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Speaker 2: know how tight those sports bras are, so I'm like

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Speaker 2: moving them to the left, moving them to the right,

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Speaker 2: little rotation going on. I called the soft tissoe tango

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Speaker 2: and uh the ten ten yes.

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Speaker 3: And there it was.

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Speaker 2: There was a slump and I mean it was sizey.

445
00:22:40,560 --> 00:22:42,560
Speaker 2: Like I said to my husband, Am I crazy? Like

446
00:22:42,960 --> 00:22:43,560
Speaker 2: do you feel this?

447
00:22:43,640 --> 00:22:43,840
Speaker 5: Yeah?

448
00:22:43,840 --> 00:22:46,480
Speaker 3: I feel it. Do you see it? Yeah? No, I

449
00:22:46,480 --> 00:22:49,160
Speaker 3: can see it. And I'm thinking, how did they miss

450
00:22:49,160 --> 00:22:50,760
Speaker 3: that on the mammogram.

451
00:22:51,200 --> 00:22:53,399
Speaker 2: I could have stuck my head in the sand and

452
00:22:53,440 --> 00:22:54,679
Speaker 2: I could have just said, you know what, I just

453
00:22:54,720 --> 00:22:55,520
Speaker 2: had clear results.

454
00:22:55,520 --> 00:22:55,960
Speaker 3: I'm good.

455
00:22:56,359 --> 00:22:58,840
Speaker 2: But I thought, you know, I'll call the doctor who's

456
00:22:58,880 --> 00:23:01,120
Speaker 2: the only doctor who ever does a breast exam when

457
00:23:01,119 --> 00:23:02,520
Speaker 2: I'm in the you know, And that's of course the

458
00:23:02,520 --> 00:23:04,680
Speaker 2: guy I know. So there I was at my obigu

459
00:23:04,760 --> 00:23:07,000
Speaker 2: i N. I trusted her more than any doctor. She

460
00:23:07,080 --> 00:23:09,600
Speaker 2: delivered both my kids. I mean I was seeing her

461
00:23:09,640 --> 00:23:10,120
Speaker 2: before I'd.

462
00:23:10,080 --> 00:23:10,800
Speaker 3: Even had sex.

463
00:23:10,840 --> 00:23:12,320
Speaker 2: Okay, I was like, and I was really old when

464
00:23:12,359 --> 00:23:17,480
Speaker 2: that happened. So tmi, Oh, my kids aren't listening to this.

465
00:23:17,520 --> 00:23:21,400
Speaker 2: Actually hopefully they are, so they wait, any teenage girls,

466
00:23:21,440 --> 00:23:22,240
Speaker 2: it's fun, okay.

467
00:23:22,480 --> 00:23:24,840
Speaker 3: So anyhow, so there I was. I went to see

468
00:23:24,840 --> 00:23:25,639
Speaker 3: my obig i N.

469
00:23:25,800 --> 00:23:28,639
Speaker 2: She did a quick clinical exam and Jenny's same thing.

470
00:23:28,680 --> 00:23:31,119
Speaker 2: It's like, nope, it's nothing, don't worry about it, and

471
00:23:31,160 --> 00:23:34,640
Speaker 2: sent me on my way. Months later, lump's still there.

472
00:23:34,640 --> 00:23:36,800
Speaker 2: I thought, yeah, I should probably get a second opinion.

473
00:23:37,600 --> 00:23:39,960
Speaker 2: So then I well, again, not cancer because I just

474
00:23:40,040 --> 00:23:41,119
Speaker 2: had that clear mammogram.

475
00:23:41,119 --> 00:23:42,359
Speaker 3: I've Ghino said it's nothing.

476
00:23:42,400 --> 00:23:45,840
Speaker 2: So I saw my internest he did a quick feel,

477
00:23:46,359 --> 00:23:51,720
Speaker 2: said it was nothing. Four months later, lumps still there.

478
00:23:52,280 --> 00:23:53,960
Speaker 2: Now that inner voice and this is where we have

479
00:23:54,040 --> 00:23:56,119
Speaker 2: to get quiet. Sometimes we really have to listen to

480
00:23:56,160 --> 00:24:00,320
Speaker 2: that inner voice. And it was screaming at me, Antha,

481
00:24:00,800 --> 00:24:03,440
Speaker 2: you need to see an expert who looks at breasts

482
00:24:03,480 --> 00:24:06,640
Speaker 2: every day as a specialty. Little did I know there's

483
00:24:06,680 --> 00:24:09,240
Speaker 2: only one specialty that does that. Now, that's a breastoncologist.

484
00:24:09,359 --> 00:24:12,600
Speaker 2: So here I was in a cancer center and she

485
00:24:12,720 --> 00:24:14,879
Speaker 2: did two ultrasounds, a needle biopsy.

486
00:24:15,119 --> 00:24:17,840
Speaker 3: We did a subsequent MRI, not one.

487
00:24:17,880 --> 00:24:19,840
Speaker 2: And this is not to scare you, but this is

488
00:24:19,920 --> 00:24:21,800
Speaker 2: just to again implore you to be your own best

489
00:24:21,800 --> 00:24:24,600
Speaker 2: health advocate and push for answers. I didn't think it

490
00:24:24,640 --> 00:24:27,879
Speaker 2: was cancer, but I pushed for answers. Not one diagnostic

491
00:24:27,920 --> 00:24:31,520
Speaker 2: test showed that it was cancer, to the point that

492
00:24:31,560 --> 00:24:34,680
Speaker 2: she came back in with the results after the needle biopsy.

493
00:24:34,800 --> 00:24:36,720
Speaker 2: Pathology came back and she said, Samantha, I have good

494
00:24:36,720 --> 00:24:38,840
Speaker 2: news and bad news. The good news is it's not cancer.

495
00:24:39,240 --> 00:24:40,160
Speaker 1: But the bad news is.

496
00:24:40,160 --> 00:24:43,680
Speaker 2: I don't know what it is. Let me do a

497
00:24:43,720 --> 00:24:46,480
Speaker 2: lump back to me. I'll just take the lump out. Figured, okay, look,

498
00:24:46,520 --> 00:24:48,320
Speaker 2: the moves did what they had to do. They got me,

499
00:24:48,359 --> 00:24:49,879
Speaker 2: my husband, they fed my kids.

500
00:24:51,840 --> 00:24:52,880
Speaker 3: I'll have a scar now.

501
00:24:54,320 --> 00:24:56,960
Speaker 2: And so a month after a week after that, pathology

502
00:24:57,000 --> 00:24:58,240
Speaker 2: for the lumpeck to me came back.

503
00:24:58,280 --> 00:25:01,199
Speaker 3: I told my husband, it's a beautiful day, go golf.

504
00:25:01,320 --> 00:25:03,040
Speaker 3: Why don't you, honey, go golf?

505
00:25:03,119 --> 00:25:06,000
Speaker 2: So nice enough you Sasha's like, yeah, we both had

506
00:25:06,000 --> 00:25:07,720
Speaker 2: golf widows, so we understand the golf thing.

507
00:25:09,160 --> 00:25:11,360
Speaker 3: And so he was, which I sent him on his way.

508
00:25:11,359 --> 00:25:12,840
Speaker 2: The three and six year old are playing at home,

509
00:25:12,960 --> 00:25:17,040
Speaker 2: and I sat in the dark, dank doctor's office as

510
00:25:17,080 --> 00:25:22,080
Speaker 2: she's feverishly drawing diagrams of boobs and dots of cancer.

511
00:25:22,320 --> 00:25:25,280
Speaker 2: And you have ductal carconoma insight too, and it's invasive.

512
00:25:26,320 --> 00:25:32,320
Speaker 1: Wow, that's that is a crazy story. And if it

513
00:25:32,359 --> 00:25:37,800
Speaker 1: wasn't for your persistence, your tenacity in wanting to know

514
00:25:38,680 --> 00:25:42,440
Speaker 1: about your body, you would have never known, and who

515
00:25:42,480 --> 00:25:43,679
Speaker 1: knows where you would be.

516
00:25:44,359 --> 00:25:45,360
Speaker 3: And that's, you know, that's.

517
00:25:45,160 --> 00:25:47,919
Speaker 2: The scary thing I think about is if I had

518
00:25:48,400 --> 00:25:51,360
Speaker 2: taken the doctor's advice, or had I stuck my head

519
00:25:51,359 --> 00:25:53,440
Speaker 2: in the sand and not. And again, I really didn't

520
00:25:53,440 --> 00:25:55,720
Speaker 2: think I had cancer, you guys, I did not think.

521
00:25:55,520 --> 00:25:56,240
Speaker 3: I had cancer.

522
00:25:56,640 --> 00:25:59,640
Speaker 2: So it was really shocking when I had that diagnosis.

523
00:26:00,640 --> 00:26:04,040
Speaker 2: And then that just you know, started my cancer journey

524
00:26:04,040 --> 00:26:06,560
Speaker 2: and cancer versity. As you're having like you know, trying

525
00:26:06,560 --> 00:26:08,080
Speaker 2: to take a sip from the fire hose and all

526
00:26:08,119 --> 00:26:11,359
Speaker 2: the information's coming and you're collecting information and you know,

527
00:26:12,000 --> 00:26:16,120
Speaker 2: multiple opinions. I always encourage with any type of health diagnosis,

528
00:26:16,560 --> 00:26:18,720
Speaker 2: if you have the opportunity, if your.

529
00:26:18,560 --> 00:26:21,040
Speaker 3: Insurance allows or your own finances.

530
00:26:20,560 --> 00:26:22,640
Speaker 1: Allowed, get a second opinion, get.

531
00:26:22,440 --> 00:26:26,160
Speaker 2: A third opinion, and then make your decision. But gather

532
00:26:26,240 --> 00:26:28,280
Speaker 2: the information and don't always, as I'm sitting next to

533
00:26:28,280 --> 00:26:32,280
Speaker 2: an incredible cardiologist right now, don't always take the first

534
00:26:32,320 --> 00:26:35,280
Speaker 2: bit of advice that comes. And a good doctor, and

535
00:26:35,320 --> 00:26:37,000
Speaker 2: I know doctor Kilson will second.

536
00:26:37,040 --> 00:26:40,200
Speaker 3: This will not be offended if you get a second opinion.

537
00:26:40,240 --> 00:26:49,960
Speaker 1: Right They want you to Okay, So talk to us

538
00:26:50,080 --> 00:26:52,960
Speaker 1: about the moment you found out that your cancer had returned.

539
00:26:53,280 --> 00:26:55,240
Speaker 1: What was going through your mind then?

540
00:26:56,640 --> 00:26:57,960
Speaker 3: So in the in.

541
00:26:57,880 --> 00:26:59,679
Speaker 2: Between, by the way, So twenty fourteen was when I

542
00:26:59,720 --> 00:27:03,520
Speaker 2: was dyingnosed. After lots of information gathering, I opted for

543
00:27:03,600 --> 00:27:04,280
Speaker 2: a double.

544
00:27:04,000 --> 00:27:05,800
Speaker 3: Mestectomy with two stage reconstruction.

545
00:27:06,280 --> 00:27:08,880
Speaker 2: I was on an endocrine therapy so at estrogen blocker

546
00:27:09,080 --> 00:27:12,320
Speaker 2: for seven and a half years. Celebrated my tenure cancer

547
00:27:12,400 --> 00:27:15,560
Speaker 2: versary and my twentieth wedding anniversary with an amazing trip.

548
00:27:15,320 --> 00:27:20,160
Speaker 3: With the family, and then came back to knowing.

549
00:27:19,960 --> 00:27:25,840
Speaker 2: That I needed to have a biopsy because about a

550
00:27:25,920 --> 00:27:30,280
Speaker 2: year before my second diagnosis, I again found a little

551
00:27:30,359 --> 00:27:32,640
Speaker 2: lump and I went to Now I have my doc

552
00:27:32,760 --> 00:27:35,760
Speaker 2: squad stacked, so I was going to the right experts.

553
00:27:36,720 --> 00:27:40,399
Speaker 2: But even they said this tiny little it was like

554
00:27:40,640 --> 00:27:42,760
Speaker 2: smaller than the size of a pe. But it was

555
00:27:42,800 --> 00:27:47,040
Speaker 2: in the same exact location of my original tumor, so

556
00:27:47,080 --> 00:27:48,240
Speaker 2: that gave me pause.

557
00:27:49,000 --> 00:27:51,040
Speaker 3: But they all said it's not anything. We're not worried

558
00:27:51,080 --> 00:27:54,320
Speaker 3: about it. We had an ultrasound, but ultrasound came back

559
00:27:54,359 --> 00:27:54,920
Speaker 3: looked great.

560
00:27:55,600 --> 00:27:59,680
Speaker 2: But finally, my stepfather is a retired surgeon, not he's

561
00:27:59,680 --> 00:28:01,639
Speaker 2: a pediatric surgeon, but he kept saying, you need to

562
00:28:01,640 --> 00:28:04,160
Speaker 2: get a surgeon's hands on this. So I went back

563
00:28:04,160 --> 00:28:08,040
Speaker 2: to my best ectomy surgeon. They did another ultrasound, still

564
00:28:08,080 --> 00:28:09,560
Speaker 2: said it was fine, so I want to see you

565
00:28:09,600 --> 00:28:10,160
Speaker 2: in six months.

566
00:28:10,200 --> 00:28:12,720
Speaker 3: We'll check it out. Then I said, no, I'm not

567
00:28:12,720 --> 00:28:14,600
Speaker 3: comfortable with that. How about in a month?

568
00:28:15,440 --> 00:28:17,440
Speaker 2: They said a month, we're not going to notice any difference,

569
00:28:17,720 --> 00:28:19,879
Speaker 2: but well how about this three months?

570
00:28:19,880 --> 00:28:21,480
Speaker 3: Like, oh deal, I'll see you in three months.

571
00:28:21,520 --> 00:28:24,800
Speaker 2: So every three months I was looking at that ultrasound

572
00:28:24,880 --> 00:28:28,320
Speaker 2: result again and it was staying the same until it

573
00:28:28,520 --> 00:28:31,000
Speaker 2: changed shape, to.

574
00:28:30,960 --> 00:28:32,760
Speaker 3: Which we then needed that biopsy.

575
00:28:32,840 --> 00:28:36,000
Speaker 2: So I returned from this amazing celebration of twenty years married,

576
00:28:36,040 --> 00:28:40,600
Speaker 2: ten years cancerversary cancer free and got those results, and

577
00:28:40,680 --> 00:28:42,400
Speaker 2: I remember the nurse practitioner called and she.

578
00:28:42,400 --> 00:28:45,920
Speaker 3: Said, Samantha, I cannot believe it. It's cancer again.

579
00:28:48,000 --> 00:28:51,520
Speaker 1: Believable And your family was there for you through this

580
00:28:51,560 --> 00:28:54,760
Speaker 1: whole journey. And you know, you have two beautiful daughters.

581
00:28:56,640 --> 00:29:01,080
Speaker 1: How do you guide them moving forward early detection in tests?

582
00:29:01,200 --> 00:29:03,840
Speaker 1: What do you tell your daughters in such.

583
00:29:03,640 --> 00:29:06,240
Speaker 2: A different conversation than when I was diagnosed and they

584
00:29:06,240 --> 00:29:08,360
Speaker 2: were three and six now they were thirteen and sixteen.

585
00:29:08,480 --> 00:29:12,560
Speaker 2: And the hardest part of this journey, besides, of course,

586
00:29:12,600 --> 00:29:15,080
Speaker 2: waiting to make sure after the bone scans and the

587
00:29:15,080 --> 00:29:18,560
Speaker 2: CT scans that it hadn't metastasized, with thank goodness it

588
00:29:18,600 --> 00:29:22,720
Speaker 2: did not, was having to sit across for my daughters

589
00:29:22,760 --> 00:29:25,280
Speaker 2: with my husband and tell them that mommy has cancer

590
00:29:25,520 --> 00:29:26,440
Speaker 2: again again.

591
00:29:26,800 --> 00:29:28,440
Speaker 3: They were very well versed.

592
00:29:28,200 --> 00:29:30,840
Speaker 2: In the fact that I had cancer, but they saw

593
00:29:30,880 --> 00:29:32,800
Speaker 2: me as the survivor who was thriving and doing an

594
00:29:32,840 --> 00:29:35,360
Speaker 2: amazing you know, I was killing it in the workouts

595
00:29:35,360 --> 00:29:37,320
Speaker 2: and the hikes, and I was, you know, running them,

596
00:29:37,360 --> 00:29:39,480
Speaker 2: and I'm eating healthily, and I changed up all my makeup,

597
00:29:39,520 --> 00:29:39,840
Speaker 2: my skin.

598
00:29:39,880 --> 00:29:41,560
Speaker 3: Garrett got all the talks I've amid.

599
00:29:41,480 --> 00:29:45,160
Speaker 2: All these sweeping changes to be my healthiest healthy, and

600
00:29:45,200 --> 00:29:47,200
Speaker 2: I share and guide others to do that. I went

601
00:29:47,240 --> 00:29:50,320
Speaker 2: back to school to become a certified health coach. I've

602
00:29:50,320 --> 00:29:53,720
Speaker 2: been a certified trainer for like forever. And so this

603
00:29:53,800 --> 00:29:57,040
Speaker 2: is the line I walk, this is the world I

604
00:29:57,120 --> 00:30:00,920
Speaker 2: live in, and here I was with this diagnosis. So

605
00:30:01,120 --> 00:30:03,840
Speaker 2: explain to them that this is what was happening, and

606
00:30:03,880 --> 00:30:07,160
Speaker 2: they just of course wanted to know, Mommy, are you

607
00:30:07,200 --> 00:30:08,480
Speaker 2: going to be okay?

608
00:30:10,280 --> 00:30:13,880
Speaker 3: That was crushing. Yeah, but yes, I'm going to be okay,

609
00:30:14,880 --> 00:30:15,800
Speaker 3: and I have to believe that.

610
00:30:18,120 --> 00:30:23,080
Speaker 1: So that is a wild story. And it's so valuable

611
00:30:23,120 --> 00:30:26,280
Speaker 1: that you're sharing that with all of us because sometimes

612
00:30:26,440 --> 00:30:29,040
Speaker 1: we don't want to know the truth, and I think

613
00:30:29,080 --> 00:30:32,880
Speaker 1: in your situation, you kept fighting for the truth because

614
00:30:32,880 --> 00:30:37,720
Speaker 1: you knew instinctually and that's just so inspiring.

615
00:30:38,240 --> 00:30:38,600
Speaker 3: Thank you.

616
00:30:38,680 --> 00:30:40,920
Speaker 2: And to answer your question in a short form because

617
00:30:40,920 --> 00:30:44,280
Speaker 2: I know I like to talk, sorry, is that if

618
00:30:44,320 --> 00:30:46,400
Speaker 2: you have a cancer diagnosis in your family with a

619
00:30:46,440 --> 00:30:49,840
Speaker 2: first degree relative. So, for instance, my dad was diagnosed

620
00:30:49,840 --> 00:30:52,400
Speaker 2: at forty eight died at fifty of colon cancer. I've

621
00:30:52,400 --> 00:30:55,800
Speaker 2: been getting colonoscopy since thirty five every three years, not

622
00:30:55,880 --> 00:30:56,360
Speaker 2: every five.

623
00:30:56,440 --> 00:30:58,200
Speaker 3: I push for every little.

624
00:30:58,120 --> 00:30:59,920
Speaker 2: And I had followed out that I actually even had

625
00:31:00,560 --> 00:31:02,320
Speaker 2: some of those times and didn't realize that I would

626
00:31:02,320 --> 00:31:05,640
Speaker 2: have had them so important. So for my daughters, they

627
00:31:05,680 --> 00:31:09,680
Speaker 2: will also start about ten years before with their breast detection.

628
00:31:10,160 --> 00:31:13,080
Speaker 1: Only those screenings get further and further apart as I've

629
00:31:13,080 --> 00:31:15,760
Speaker 1: gotten older. It used to be the four years, Now

630
00:31:15,760 --> 00:31:18,800
Speaker 1: it's six years. And for the you know the check

631
00:31:18,960 --> 00:31:23,440
Speaker 1: thank you insurance. Yeah, I guess so. So your persistence

632
00:31:23,720 --> 00:31:26,000
Speaker 1: really paid off and you're able to teach your daughters

633
00:31:26,040 --> 00:31:30,200
Speaker 1: that which is going to keep them healthy. Yes, it's incredible.

634
00:31:30,240 --> 00:31:33,440
Speaker 1: I hope you were talking about your dad. My father

635
00:31:33,520 --> 00:31:38,480
Speaker 1: suffered from a massive heart attack when he was thirty seven.

636
00:31:38,920 --> 00:31:39,680
Speaker 1: I think, is that right?

637
00:31:39,720 --> 00:31:41,520
Speaker 3: Mom?

638
00:31:41,560 --> 00:31:47,760
Speaker 1: Thirty seven? And so I got curious when I hit

639
00:31:47,800 --> 00:31:50,959
Speaker 1: my thirties and I thought, I I want to get

640
00:31:50,960 --> 00:31:53,040
Speaker 1: a cardiologist. Is this crazy? And one day I was

641
00:31:53,040 --> 00:31:56,080
Speaker 1: on Larry King Live speaking on behalf of the American

642
00:31:56,080 --> 00:31:59,480
Speaker 1: Heart Association, on behalf of my father and I. After

643
00:31:59,520 --> 00:32:02,320
Speaker 1: we quit, I went to doctor P. K. Shaw and

644
00:32:02,360 --> 00:32:05,720
Speaker 1: I said, please, will you be my cardiologist? He looked

645
00:32:05,760 --> 00:32:07,680
Speaker 1: at me so oddly, and he's like, you're so young.

646
00:32:08,040 --> 00:32:10,480
Speaker 1: But Okay, come and see me. And everybody thought I

647
00:32:10,520 --> 00:32:12,720
Speaker 1: was crazy. They thought I was being dramatic by getting

648
00:32:12,760 --> 00:32:15,560
Speaker 1: a cardiologist at that age. But I did not want

649
00:32:15,600 --> 00:32:17,960
Speaker 1: to go down the road that my dad had gone down.

650
00:32:18,560 --> 00:32:21,920
Speaker 1: So I went in and I asked for certain tests,

651
00:32:22,200 --> 00:32:26,200
Speaker 1: and I stepped right up as my own heart health advocate.

652
00:32:28,080 --> 00:32:33,120
Speaker 1: I want to talk to you, doctor Kittelsen, about health

653
00:32:33,160 --> 00:32:40,840
Speaker 1: and the fact that women who are hospitalized are less

654
00:32:40,960 --> 00:32:44,720
Speaker 1: likely to get the treatment they need and more likely

655
00:32:44,960 --> 00:32:46,479
Speaker 1: to die from heart disease.

656
00:32:48,800 --> 00:32:53,760
Speaker 6: There's no question there are these very disturbing sex related

657
00:32:53,880 --> 00:32:57,040
Speaker 6: trends and outcomes for heart disease, and I just want

658
00:32:57,080 --> 00:33:00,640
Speaker 6: to echo it's such a gift for me sits on

659
00:33:00,720 --> 00:33:03,320
Speaker 6: the other side most of the time as the physician

660
00:33:03,400 --> 00:33:06,960
Speaker 6: and not the patient, to hear these such powerful stories.

661
00:33:07,280 --> 00:33:09,160
Speaker 4: One of the things I do is medical.

662
00:33:08,960 --> 00:33:13,280
Speaker 6: Education, trying to teach trainees how to listen the art

663
00:33:13,280 --> 00:33:16,120
Speaker 6: of diagnosis, and so much of that on the physician

664
00:33:16,280 --> 00:33:21,479
Speaker 6: end is embracing the uncertainty, understanding the uncertainty, not feeling

665
00:33:21,520 --> 00:33:23,360
Speaker 6: confident you always have the right answer.

666
00:33:23,480 --> 00:33:26,520
Speaker 4: So I want to thank you both for those stories, and.

667
00:33:26,440 --> 00:33:30,200
Speaker 6: I would yes, please clap because they're amazing.

668
00:33:30,600 --> 00:33:31,840
Speaker 3: And then I also want.

669
00:33:31,720 --> 00:33:32,680
Speaker 4: To make it actionable.

670
00:33:32,720 --> 00:33:34,840
Speaker 6: Not something I'll take back to my medical students, but

671
00:33:34,920 --> 00:33:38,120
Speaker 6: something you and the audience can also take back. How

672
00:33:38,160 --> 00:33:42,160
Speaker 6: can you prevent perhaps these episodes of misdiagnosis or not

673
00:33:42,280 --> 00:33:44,600
Speaker 6: being heard? And I think there's two very important, three

674
00:33:44,680 --> 00:33:47,640
Speaker 6: very important things. Number one, go in with your agenda.

675
00:33:47,760 --> 00:33:49,160
Speaker 6: When do you ever go to a meeting and not

676
00:33:49,200 --> 00:33:51,720
Speaker 6: have an agenda with your action items and priorities. Women

677
00:33:51,800 --> 00:33:54,440
Speaker 6: always have a list, So have a list of the

678
00:33:54,520 --> 00:33:58,320
Speaker 6: things you want to accomplish, things you want answered. Number two,

679
00:33:58,440 --> 00:34:01,520
Speaker 6: it's so important to say, I know you think it's X,

680
00:34:02,040 --> 00:34:05,040
Speaker 6: but is there any way it could be wires?

681
00:34:05,040 --> 00:34:05,120
Speaker 4: It?

682
00:34:05,120 --> 00:34:07,320
Speaker 6: You don't have to know what wires rsay is there

683
00:34:07,360 --> 00:34:10,480
Speaker 6: something outside of the box we're not thinking of? And

684
00:34:10,600 --> 00:34:14,920
Speaker 6: number three, never be afraid to get a second opinion.

685
00:34:15,040 --> 00:34:18,080
Speaker 6: If your doctor is one hundred percent confident, but you're

686
00:34:18,120 --> 00:34:21,120
Speaker 6: not buying what they're selling because there's always some uncertainty

687
00:34:21,200 --> 00:34:25,080
Speaker 6: involved in and I think a good physician will recognize

688
00:34:25,080 --> 00:34:27,520
Speaker 6: that uncertainty and make a plan to deal with it.

689
00:34:28,560 --> 00:34:31,120
Speaker 1: Our heart attack symptoms the same for men and women.

690
00:34:32,120 --> 00:34:36,120
Speaker 6: It's the short answer is no. This is the general

691
00:34:36,200 --> 00:34:40,000
Speaker 6: teaching is this. Any symptom between your nose and your

692
00:34:40,080 --> 00:34:43,640
Speaker 6: navel could be your heart. It's not always going to

693
00:34:43,719 --> 00:34:46,880
Speaker 6: be the classic crushing chest discomfort. It's not going to

694
00:34:46,880 --> 00:34:48,600
Speaker 6: be on the left side of your chest because the

695
00:34:48,640 --> 00:34:50,880
Speaker 6: heart's on the left side of your chest. For me,

696
00:34:51,160 --> 00:34:55,240
Speaker 6: the huge red flag is going to be not necessarily

697
00:34:55,400 --> 00:34:59,600
Speaker 6: how you describe it, but often when it happens. The

698
00:34:59,640 --> 00:35:02,280
Speaker 6: heart is a muscle. It's going to get into trouble

699
00:35:02,320 --> 00:35:05,640
Speaker 6: when you use the muscle. So any symptom that tends

700
00:35:05,680 --> 00:35:09,080
Speaker 6: to get worse when you exert yourself gets better when

701
00:35:09,120 --> 00:35:12,200
Speaker 6: you rest is a huge red flag. I don't care

702
00:35:12,239 --> 00:35:15,080
Speaker 6: if it's in the right side of your chest or

703
00:35:15,120 --> 00:35:17,359
Speaker 6: the left side of your jaw. If it happens in

704
00:35:17,400 --> 00:35:20,319
Speaker 6: that sense, that is a huge red flag. Be very

705
00:35:20,320 --> 00:35:21,800
Speaker 6: mindful of triggers.

706
00:35:21,560 --> 00:35:24,080
Speaker 1: Right, and the numbers are rising, isn't that correct?

707
00:35:24,160 --> 00:35:24,360
Speaker 4: You know?

708
00:35:24,400 --> 00:35:27,360
Speaker 6: I think it's a blessing and a curse that we

709
00:35:27,400 --> 00:35:29,560
Speaker 6: all live longer. And if you live longer, you're more

710
00:35:29,640 --> 00:35:31,800
Speaker 6: likely today something's going to happen to you, and it

711
00:35:31,880 --> 00:35:33,799
Speaker 6: might as well be heart disease. And I think the

712
00:35:33,840 --> 00:35:37,960
Speaker 6: other epidemic we're dealing with, of course, is overweight and

713
00:35:38,000 --> 00:35:40,239
Speaker 6: that is a risk factor. So I think we have

714
00:35:40,320 --> 00:35:43,080
Speaker 6: to all recognize no one wants to happen, but if

715
00:35:43,080 --> 00:35:45,359
Speaker 6: it's going to be there, you'd rather know about it

716
00:35:45,400 --> 00:35:46,440
Speaker 6: than not know about it.

717
00:35:47,160 --> 00:35:52,319
Speaker 1: Absolutely. Do you think that stress, because we all have

718
00:35:52,480 --> 00:35:56,480
Speaker 1: that thing called stress, does that play into our risks

719
00:35:56,480 --> 00:35:57,240
Speaker 1: for heart disease?

720
00:35:57,680 --> 00:36:00,600
Speaker 6: You know, I'm a big believer in we don't worry,

721
00:36:00,640 --> 00:36:02,920
Speaker 6: we make a plan. Okay, So we're never going to

722
00:36:02,960 --> 00:36:06,280
Speaker 6: get rid of stress, right, And there's no scientific study

723
00:36:06,320 --> 00:36:08,479
Speaker 6: where you can dose humans with stress like you dose

724
00:36:08,480 --> 00:36:11,360
Speaker 6: a lab rat and actually sees what happens. So yes,

725
00:36:11,400 --> 00:36:13,359
Speaker 6: probably stress isn't good for you, but we're never going

726
00:36:13,360 --> 00:36:15,440
Speaker 6: to get rid of it, so we have to figure

727
00:36:15,480 --> 00:36:16,480
Speaker 6: out better ways to.

728
00:36:16,480 --> 00:36:17,000
Speaker 3: Deal with it.

729
00:36:17,040 --> 00:36:21,360
Speaker 6: And conferences like this that give you so many amazing

730
00:36:21,440 --> 00:36:24,080
Speaker 6: tools through all these sessions are going to be huge.

731
00:36:24,239 --> 00:36:25,880
Speaker 6: But if there's one thing that we can all do

732
00:36:26,000 --> 00:36:28,160
Speaker 6: that's going to help, it's going to be exercise. Whether

733
00:36:28,200 --> 00:36:30,840
Speaker 6: you're running up and down the stairs at the CBS

734
00:36:30,880 --> 00:36:33,600
Speaker 6: studios or wherever you make it work. That will be

735
00:36:33,800 --> 00:36:38,120
Speaker 6: a one two punch win win of stress relief and

736
00:36:38,360 --> 00:36:39,160
Speaker 6: good for your heart.

737
00:36:40,440 --> 00:36:43,960
Speaker 1: Do you think that a diet plays a factor.

738
00:36:44,520 --> 00:36:47,279
Speaker 6: You know. I love so much, Sasha, I love so

739
00:36:47,440 --> 00:36:49,719
Speaker 6: much about what you said. It resonates with me one

740
00:36:49,800 --> 00:36:52,200
Speaker 6: thousand percent when you talked about there is no one

741
00:36:52,320 --> 00:36:55,040
Speaker 6: right diet. Every book will tell you that their diet

742
00:36:55,080 --> 00:36:57,880
Speaker 6: is the right diet, but you can't really dose humans

743
00:36:57,880 --> 00:37:00,279
Speaker 6: with diets and do scientific studies the same where you

744
00:37:00,320 --> 00:37:04,279
Speaker 6: can dose labrats. So honestly, one hundred percent, the right

745
00:37:04,320 --> 00:37:06,759
Speaker 6: answer is what works. There is one rule I give

746
00:37:06,800 --> 00:37:09,000
Speaker 6: all my patients, which is, if you have to open

747
00:37:09,040 --> 00:37:11,000
Speaker 6: it and stick your hand in to eat it, it's

748
00:37:11,080 --> 00:37:15,080
Speaker 6: probably not good for you. But short of that, you

749
00:37:15,280 --> 00:37:18,160
Speaker 6: just have to take the common sense approaches. Grandma told

750
00:37:18,239 --> 00:37:21,080
Speaker 6: you lean meat's, whole grains, fruits and vegetables. If you

751
00:37:21,120 --> 00:37:23,480
Speaker 6: have to make it yourself, it's probably better.

752
00:37:23,400 --> 00:37:24,120
Speaker 4: And I try to.

753
00:37:24,200 --> 00:37:26,480
Speaker 6: And then patients will often come to me and say, well,

754
00:37:26,520 --> 00:37:28,960
Speaker 6: should I become a vegan? I've heard the vegan diet's

755
00:37:28,960 --> 00:37:31,800
Speaker 6: the best, and I say nothing against the vegan diet,

756
00:37:31,880 --> 00:37:34,400
Speaker 6: but are you going to live longer or just feel

757
00:37:34,520 --> 00:37:38,319
Speaker 6: like you're living longer because it's so unsustainable? So really

758
00:37:38,320 --> 00:37:41,120
Speaker 6: you have to pick what makes sense. It's healthy, but

759
00:37:41,160 --> 00:37:42,440
Speaker 6: it's sustainable for you.

760
00:37:44,000 --> 00:37:46,280
Speaker 1: Did you guys, know that heart disease is the number

761
00:37:46,280 --> 00:37:50,360
Speaker 1: one killer of American women. I didn't know that. I

762
00:37:50,760 --> 00:37:53,879
Speaker 1: thought for sure it was cancer, but it over. If

763
00:37:53,880 --> 00:37:56,719
Speaker 1: you combine all the cancers, heart disease is still the

764
00:37:56,800 --> 00:38:00,440
Speaker 1: number one killer of American women. Just so you know,

765
00:38:01,040 --> 00:38:04,520
Speaker 1: just do take it seriously, not to scare you, just

766
00:38:04,560 --> 00:38:06,759
Speaker 1: to give you the knowledge so you can take care

767
00:38:06,800 --> 00:38:09,040
Speaker 1: of yourself better. I want to open it up to

768
00:38:09,080 --> 00:38:12,400
Speaker 1: all of you. Okay, growing up, did you have a

769
00:38:12,520 --> 00:38:16,040
Speaker 1: maternal figure in your life that you talked to about

770
00:38:16,960 --> 00:38:18,320
Speaker 1: women's health in general.

771
00:38:22,320 --> 00:38:23,480
Speaker 4: I'll go first, I guess.

772
00:38:23,360 --> 00:38:23,759
Speaker 1: Yes, go.

773
00:38:24,840 --> 00:38:27,880
Speaker 5: I mean I was really I am really close with

774
00:38:27,920 --> 00:38:30,800
Speaker 5: my mom, so yes, I mean I was an only child,

775
00:38:31,080 --> 00:38:33,160
Speaker 5: so I didn't have a sister or an older sister

776
00:38:33,280 --> 00:38:36,319
Speaker 5: to maybe talk to about that. I feel like I

777
00:38:36,360 --> 00:38:39,080
Speaker 5: was really open with my mom. I do remember when

778
00:38:39,320 --> 00:38:42,920
Speaker 5: I got my period, which was when I was like

779
00:38:44,160 --> 00:38:46,279
Speaker 5: I think I was either just turning ten or right

780
00:38:46,280 --> 00:38:49,440
Speaker 5: before I turned ten, which is also very early early bloomer.

781
00:38:49,760 --> 00:38:50,400
Speaker 3: Yes I was.

782
00:38:50,719 --> 00:38:54,879
Speaker 5: In anyways, I remember that was the only time.

783
00:38:54,920 --> 00:38:56,839
Speaker 4: I feel like she didn't know what to do.

784
00:38:58,000 --> 00:39:00,880
Speaker 5: I think she was so taken off guard that it

785
00:39:00,920 --> 00:39:05,520
Speaker 5: had happened so quickly, and she just she gave me

786
00:39:05,560 --> 00:39:06,359
Speaker 5: a tampon and.

787
00:39:06,239 --> 00:39:08,000
Speaker 4: She closed the door and I was like, I don't

788
00:39:08,040 --> 00:39:09,719
Speaker 4: know what to do. She's like, you'll figure it out.

789
00:39:09,760 --> 00:39:10,319
Speaker 4: We all do.

790
00:39:12,280 --> 00:39:14,879
Speaker 5: And I think that's about as closed off as she's

791
00:39:14,920 --> 00:39:18,920
Speaker 5: ever been. She definitely got more open after that when

792
00:39:18,920 --> 00:39:21,600
Speaker 5: I had more questions, but he had to work. I did.

793
00:39:21,640 --> 00:39:22,359
Speaker 3: I had to ease her.

794
00:39:22,880 --> 00:39:23,080
Speaker 6: Yeah.

795
00:39:23,200 --> 00:39:27,200
Speaker 5: Yeah, I think ultimately, my mom had a lot of

796
00:39:27,280 --> 00:39:30,880
Speaker 5: her own health issues. She was a dancer and so

797
00:39:31,760 --> 00:39:34,560
Speaker 5: when she was growing up, her mom was kind of

798
00:39:34,560 --> 00:39:37,719
Speaker 5: emotionally abusive and she ended up becoming bolliemic because of it,

799
00:39:39,560 --> 00:39:43,719
Speaker 5: and then she got hyper thyritism, so her body was

800
00:39:43,760 --> 00:39:46,640
Speaker 5: working over time. She was losing a ton of weight

801
00:39:46,680 --> 00:39:50,320
Speaker 5: and could not figure out why. She had seen every

802
00:39:50,360 --> 00:39:53,400
Speaker 5: single specialist you could think of, and it was a

803
00:39:53,480 --> 00:39:56,320
Speaker 5: nose and foot doctor that figured out that she had

804
00:39:56,560 --> 00:40:00,200
Speaker 5: a thyrite issue. That is what people were still making

805
00:40:00,280 --> 00:40:02,200
Speaker 5: tubes down her throat, which by the way, only made

806
00:40:02,239 --> 00:40:06,520
Speaker 5: her thyroid worse. It was just tons of inflammation. I mean,

807
00:40:06,600 --> 00:40:10,040
Speaker 5: she had every test and this was back in South Africa,

808
00:40:10,080 --> 00:40:13,239
Speaker 5: which is where I'm from, and nobody could figure it out.

809
00:40:13,280 --> 00:40:14,600
Speaker 4: Now, this was before I was born.

810
00:40:15,000 --> 00:40:18,719
Speaker 5: She was losing weight rapidly to the point where she

811
00:40:18,920 --> 00:40:20,080
Speaker 5: was really really sick.

812
00:40:20,120 --> 00:40:22,319
Speaker 4: She was losing her hair. They could not figure it out.

813
00:40:23,000 --> 00:40:26,880
Speaker 5: They had a dance contract in America that they had

814
00:40:26,920 --> 00:40:30,200
Speaker 5: already agreed to. My parents were a speciality act, and

815
00:40:30,280 --> 00:40:33,400
Speaker 5: so they got on the plane and you know, this

816
00:40:33,560 --> 00:40:38,360
Speaker 5: was before we all had cell phones, and my grandma

817
00:40:38,400 --> 00:40:41,399
Speaker 5: knew where she was, where they were staying, and she

818
00:40:41,480 --> 00:40:43,880
Speaker 5: just kept getting all of like, she just kept calling

819
00:40:43,920 --> 00:40:46,040
Speaker 5: and they weren't there yet. By the time she finally

820
00:40:46,080 --> 00:40:48,880
Speaker 5: got my mom on the phone, she was like, you

821
00:40:48,920 --> 00:40:51,280
Speaker 5: have hyperthyroidism and you need to get to a doctor

822
00:40:51,360 --> 00:40:53,240
Speaker 5: immediately otherwise.

823
00:40:52,800 --> 00:40:55,160
Speaker 4: You could literally die any second.

824
00:40:56,280 --> 00:40:59,280
Speaker 5: And so she had to take the radiation pill. Now she's,

825
00:40:59,440 --> 00:41:03,960
Speaker 5: you know, on a lifelong thyroid pill medication for it,

826
00:41:04,920 --> 00:41:08,399
Speaker 5: and so, you know, I think, I think with all

827
00:41:08,440 --> 00:41:11,560
Speaker 5: of my issues, it was like, well, we've got diabetes

828
00:41:11,560 --> 00:41:14,400
Speaker 5: in the family on both sides, both type one and

829
00:41:14,560 --> 00:41:21,200
Speaker 5: type two. We have thyroid issues on my mom's side,

830
00:41:21,440 --> 00:41:24,919
Speaker 5: we have random cancers on both sides. And I think

831
00:41:26,080 --> 00:41:28,719
Speaker 5: it was like I was determined to find what was

832
00:41:28,719 --> 00:41:31,359
Speaker 5: wrong with me because I knew that there were lots

833
00:41:31,400 --> 00:41:33,640
Speaker 5: of different things, got lots of different risks. My mom

834
00:41:34,120 --> 00:41:36,440
Speaker 5: had struggled so hard to find her diagnosis.

835
00:41:37,440 --> 00:41:38,920
Speaker 4: But I think it was also.

836
00:41:40,400 --> 00:41:42,000
Speaker 5: It's also one of those things where and I would

837
00:41:42,120 --> 00:41:45,319
Speaker 5: never blame this on her. I think it's one of

838
00:41:45,320 --> 00:41:46,960
Speaker 5: those things where her and I were both in an

839
00:41:47,000 --> 00:41:51,360
Speaker 5: industry where what you looked like mattered. Yeah, and so

840
00:41:51,600 --> 00:41:56,760
Speaker 5: it's like, I don't think there being an actual issue

841
00:41:56,920 --> 00:41:59,120
Speaker 5: or disease was her first thought.

842
00:41:59,239 --> 00:41:59,480
Speaker 6: For me.

843
00:42:00,280 --> 00:42:02,120
Speaker 5: I think it was like, well, we got to just

844
00:42:02,160 --> 00:42:05,280
Speaker 5: figure out what's happening with your weight, and it wasn't

845
00:42:05,280 --> 00:42:09,000
Speaker 5: the connection because that wasn't something that had happened to her.

846
00:42:09,280 --> 00:42:13,320
Speaker 5: And so I think ultimately it's knowledge, right, Knowledge is power,

847
00:42:13,360 --> 00:42:15,680
Speaker 5: And like you had said before, which is a real

848
00:42:15,840 --> 00:42:16,480
Speaker 5: real thing.

849
00:42:17,200 --> 00:42:19,440
Speaker 4: Sometimes we just don't want to know what it is.

850
00:42:19,760 --> 00:42:24,640
Speaker 5: We put it off because that's very scarier. Yeah, but

851
00:42:24,680 --> 00:42:27,799
Speaker 5: at the end of the day, you need to know,

852
00:42:27,880 --> 00:42:30,440
Speaker 5: you need to make what's happening to you. It's not

853
00:42:30,480 --> 00:42:35,080
Speaker 5: worth living with that, it's not worth that you know,

854
00:42:35,560 --> 00:42:38,799
Speaker 5: it could it literally could be life and death. And

855
00:42:38,920 --> 00:42:43,840
Speaker 5: so that mother relationship that I had with her definitely

856
00:42:44,239 --> 00:42:47,200
Speaker 5: definitely made it easier. But I think we are all

857
00:42:47,640 --> 00:42:51,200
Speaker 5: ill equipped in some way. We don't always have all

858
00:42:51,200 --> 00:42:54,719
Speaker 5: the answers. And so you know, you have daughters, we

859
00:42:54,800 --> 00:42:58,600
Speaker 5: have sons, And if I had a daughter, I think

860
00:42:58,640 --> 00:43:00,160
Speaker 5: that is the thing where it would be like like,

861
00:43:01,120 --> 00:43:02,680
Speaker 5: you know, I'm gonna do this with my son too,

862
00:43:02,760 --> 00:43:05,520
Speaker 5: but those risks. It's like, if I had a daughter,

863
00:43:05,600 --> 00:43:06,759
Speaker 5: all I would want to do is want to make

864
00:43:06,800 --> 00:43:09,480
Speaker 5: sure that we're at every checkup, that we're caught, you know,

865
00:43:09,680 --> 00:43:14,600
Speaker 5: making sure that everything is on the right track, that

866
00:43:14,640 --> 00:43:16,239
Speaker 5: we can as far as we can help it. And

867
00:43:16,280 --> 00:43:21,160
Speaker 5: also you know, cross off those things earlier. It doesn't

868
00:43:21,200 --> 00:43:23,879
Speaker 5: the heart dizzy thing like you. It's happening to women

869
00:43:23,920 --> 00:43:25,360
Speaker 5: in their twenties and their thirties.

870
00:43:25,440 --> 00:43:26,239
Speaker 4: You know, it's not you.

871
00:43:26,280 --> 00:43:29,320
Speaker 5: There's no like age that you get to where it's like, okay,

872
00:43:29,360 --> 00:43:32,200
Speaker 5: well now I've been safe for it or from it

873
00:43:32,280 --> 00:43:36,120
Speaker 5: up until now. That doesn't really exist anymore. Tell me

874
00:43:36,120 --> 00:43:36,640
Speaker 5: if I'm wrong.

875
00:43:37,000 --> 00:43:39,640
Speaker 1: I have a daughter who thinks she's eighteen. Now you

876
00:43:39,680 --> 00:43:43,200
Speaker 1: know who you are over there, She is eighteen, but

877
00:43:43,280 --> 00:43:45,240
Speaker 1: she thinks that she should just go to the doctor

878
00:43:45,239 --> 00:43:47,440
Speaker 1: by herself. I'm like, I know you don't want to

879
00:43:47,480 --> 00:43:49,400
Speaker 1: hang out with me, but I'm gonna go with you

880
00:43:49,920 --> 00:43:51,480
Speaker 1: because I know a thing or two about a thing

881
00:43:51,520 --> 00:43:52,759
Speaker 1: or two, and I want to make sure that we're

882
00:43:52,800 --> 00:43:56,719
Speaker 1: getting all of our questions answered. So that's really important too.

883
00:43:57,000 --> 00:43:59,800
Speaker 1: Did you who is it in your life that taught

884
00:43:59,800 --> 00:44:01,200
Speaker 1: you to choose yourself?

885
00:44:02,719 --> 00:44:05,919
Speaker 2: I think it definitely comes back to the moms. You know,

886
00:44:05,960 --> 00:44:09,160
Speaker 2: we hope we do for our kids. And my mom's

887
00:44:09,200 --> 00:44:10,880
Speaker 2: always in my ear, I mean with both of my

888
00:44:11,040 --> 00:44:12,839
Speaker 2: you know, now I'm fifty one and she's still in

889
00:44:12,880 --> 00:44:13,239
Speaker 2: my ear.

890
00:44:13,560 --> 00:44:14,280
Speaker 3: You know, I'll forget.

891
00:44:14,360 --> 00:44:17,840
Speaker 2: I'll literally go to an appointment now as active and

892
00:44:18,000 --> 00:44:20,759
Speaker 2: this is my whole jam, right, I'm all about wellness

893
00:44:20,800 --> 00:44:23,040
Speaker 2: and all of the things that I'm talking and I'm

894
00:44:23,040 --> 00:44:25,640
Speaker 2: sharing with other people. And yet she'll be like, hey,

895
00:44:25,680 --> 00:44:27,279
Speaker 2: by the way, did you ever get results for that.

896
00:44:27,320 --> 00:44:29,280
Speaker 3: MRI you had or did you get oh?

897
00:44:29,960 --> 00:44:31,000
Speaker 4: Not about for guys?

898
00:44:31,040 --> 00:44:31,920
Speaker 3: Should check up on that.

899
00:44:33,640 --> 00:44:38,239
Speaker 1: Are so important? So important? I love you mom, So

900
00:44:38,520 --> 00:44:41,640
Speaker 1: you guys, this has been such a valuable conversation. I

901
00:44:41,680 --> 00:44:43,759
Speaker 1: think that I feel like I've learned a lot and

902
00:44:43,800 --> 00:44:47,640
Speaker 1: I feel validated by you, doctor Kittelsen, to know that

903
00:44:47,760 --> 00:44:50,360
Speaker 1: I have the option to go out there and find

904
00:44:50,440 --> 00:44:53,000
Speaker 1: the help that I need. Ask the questions that I

905
00:44:53,040 --> 00:44:56,360
Speaker 1: have on my list. It's so important also just listening

906
00:44:56,440 --> 00:45:01,600
Speaker 1: to your instincts, Sasha, and for you persistence in knowing

907
00:45:01,960 --> 00:45:07,000
Speaker 1: and listening to your body and not taking oh everything's fine.

908
00:45:07,239 --> 00:45:10,600
Speaker 1: For an answer, can I ask a quick question? Yeah,

909
00:45:10,680 --> 00:45:12,759
Speaker 1: why did you choose cardiology?

910
00:45:14,320 --> 00:45:17,000
Speaker 6: I'm the fifth generation of doctors in my family, an

911
00:45:17,080 --> 00:45:21,000
Speaker 6: only child and the child of Indian immigrants, so it's

912
00:45:21,040 --> 00:45:23,200
Speaker 6: pretty incis then that I would be a doctor. But

913
00:45:23,280 --> 00:45:25,080
Speaker 6: it's the greatest privileged job in the world. I became

914
00:45:25,120 --> 00:45:28,279
Speaker 6: a cardiologist for three reasons. Number one, talking to a

915
00:45:28,320 --> 00:45:31,200
Speaker 6: patient actually matters when you're a cardiologist. You can't diagnose

916
00:45:31,239 --> 00:45:34,919
Speaker 6: everything with a blood test. I enjoy that interaction. Number two,

917
00:45:35,040 --> 00:45:39,000
Speaker 6: there's a beautiful pathophysiology about how the heart works, and

918
00:45:39,040 --> 00:45:43,200
Speaker 6: I love the science. And number three, there's a pantheon

919
00:45:43,239 --> 00:45:46,120
Speaker 6: of clinical trials that show treatments work, and I love

920
00:45:46,280 --> 00:45:47,600
Speaker 6: bringing those to patients.

921
00:45:47,800 --> 00:45:50,920
Speaker 1: I love your enthusiasm. It's so great to meet a

922
00:45:50,960 --> 00:45:53,279
Speaker 1: doctor like this. Thank you, thank you, thank you for

923
00:45:53,360 --> 00:45:54,440
Speaker 1: sharing your stories.

924
00:45:54,719 --> 00:45:56,360
Speaker 3: Before we get this is such a fun lot. We

925
00:45:56,400 --> 00:45:57,160
Speaker 3: need to do a photo.

926
00:45:57,360 --> 00:45:57,879
Speaker 1: Oh my god.

927
00:45:57,880 --> 00:46:00,239
Speaker 2: Okay, you guys can get on your phones first, and.

928
00:46:00,239 --> 00:46:02,080
Speaker 3: If you want to. You don't have to, I mean,

929
00:46:02,160 --> 00:46:04,319
Speaker 3: but if you want all right? Ready, all right?

930
00:46:05,600 --> 00:46:06,200
Speaker 1: Yeah? Nice?

931
00:46:07,040 --> 00:46:07,160
Speaker 5: One?

932
00:46:07,560 --> 00:46:10,120
Speaker 3: Two three?

933
00:46:10,239 --> 00:46:13,240
Speaker 1: Good? We got it, We got it. Thank you so much, ladies,

934
00:46:14,719 --> 00:46:16,520
Speaker 1: I love you. Thank you so much. It was so

935
00:46:16,560 --> 00:46:18,680
Speaker 1: great to meet you. I'll be calling you though.

936
00:46:19,600 --> 00:46:20,160
Speaker 4: I can't wait.

937
00:46:22,600 --> 00:46:26,800
Speaker 1: You guys them a round of a past Thank you everybody.

938
00:46:26,200 --> 00:46:30,200
Speaker 3: Sasha and doctor Kennelson. Thank you very very much, and

939
00:46:30,280 --> 00:46:32,279
Speaker 3: thank you Jenny for let me be part of the conversation.

940
00:46:32,760 --> 00:46:33,360
Speaker 6: Is so fun.