Episode Transcript
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Speaker 1 (00:00):
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Speaker 2 (00:09):
Welcome to a Moment of Zen. Time to sit back
and relax. As model, actress, mentor and super mom, Zen
SAMs takes you on a sexy and wild ride covering
the latest in film, fashion, pop culture, cryptocurrency, fintech, cannabis,
and entertainment from the millennial mom's perspective. Here's your host,
(00:29):
Zen SAMs.
Speaker 3 (00:30):
Welcome back, beautiful Tri State area. You're listening to a
Moment of Zen right here on seven ten wo R,
the voice of New York iHeartRadio. I'm your host, Zen SAMs.
Welcome to episode two hundred and eighteen, celebrating five years
on the air. Here's to another exciting episode. It's such
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Thank you for tuning in every Saturday night and then
(00:53):
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That's Zen with an X, not a z X E
N S A MS, and remember that all of our
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check us out on your home TV platform at mox
(01:16):
dot your home tv dot com. In the Hydration with
Hard segment, proudly brought to you by One Spat a Coconut,
today we're featuring People Magazine cover girl Felicia le Bounty,
currently facing breast cancer for the second time, she was
denied a mammogram. Now she's leading a movement to save lives.
In our Going Deep segment, brought to you by Co
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two Lift. In our Expert on the Microphone series, we're
joined by the Plastics Doc, doctor Samuel Salcedo. He's a
Board certified plastic surgeon and the founder of the Plastics
Doc medspot in Corona, California. He's going to join us
to chat all about the top trends in plastic surgery
and his thoughts on the future of esthetics. In the
Polish Beauty segment with co contributor doctor Daisieme Triple, Board
(01:59):
certified cosmetic surgeon and obgin, today we're featuring doctor Dmitri Yaranov.
He's a Board certified heart failure and transplant cardiologist based
in Memphis, Tennessee. He's on the front lines of treating
some of the most critical ill cardiac patients. Today, we're
unpacking the emotional toll of being a healer, the quiet
(02:19):
mental health crisis in medicine, and why vulnerability and not
detachment might just be the future of compassionate care in
our health tip brought to you by Sispera. Today, we're
chatting about an overlooked skincare essential sunglasses. Stay tuned. We're
featuring People Magazine cover girl Felicia Labounty and a Hydration
with Hard segment brought to you by One Spawned Coconut.
(02:41):
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York Welcome back, beautiful Tri State Area. You're listening to
a Moment of Zen right here on seven to ten
war the Voice of New York iHeartRadio. I'm your host,
Zen Sam's Welcome back to the Hydration with Heart segment
brought to you by One supon a Coconut. Today's guest
is someone whose story stopped me in my tracks. She
is living a breathing proof of what happens when women
(03:48):
are told no and choose to say yes to themselves anyway.
Feliciolbounty was just twenty nine years old when she found
a lump in her breast, But despite her instincts and
despite asking for help, she was denied a mammograd twice.
She had no family history, no genetic predisposition, and no
insurance at the time. The system failed her. By the
time she was finally diagnosed, the cancer had already spread
(04:10):
to her lungs, sternum, and lymph nodes. She was told
it was stage four and she might not live to
see her thirty fifth birthday. But she's here. She beat
the odds once and now after a recent reoccurrence of
a more aggressive, her too positive breast cancer, that's the
strange she has. She's back in the ring, using her
voice to fight for herself and for every woman who's
(04:31):
been dismissed, delayed, and disbelieved. In this conversation, we're going
to talk about why breast cancer can be so aggressive
in younger women, how social media is becoming a lifeline
for modern advocacy, what changes are desperately needed in screening guidelines,
and how Felicia is redefining what survival looks on her terms.
She was denied a mammogram, now she's leading a movement
(04:53):
to save lives. Welcome to the show, Superstar.
Speaker 4 (04:56):
Thank you for having me. I really appreciate it forgiving
me such another amazing platform to do what I love doing.
So thank you, thank you, thank you.
Speaker 3 (05:03):
Okay, so let's dive right in. Breast cancer is often
framed as something that happens to women over fifty, but
about ten percent of all new breast cancer cases occur
in women under forty five, and those cases tend to
be more aggressive and more fatal, particularly in women of color. Now,
when you first felt the lump and were told you
were too young to be at risk, what was your
(05:23):
gut telling you? And how did you find the strength
to advocate for yourself in a system that was clearly
not built to protect you.
Speaker 4 (05:30):
So I the first time they denied my mamogram, it
just didn't sit right with me. I had had my
cycle since I was twelve. I never had a cyst
in my breast before I was twenty nine, almost thirty.
It just didn't sit right, and so I asked again.
I said, I'd really feel more comfortable if we did
a little bit more testing, and they just reassured me.
The ultrasound showed it was just as cysts. Your blood
(05:51):
work is great, you feel and look great, You're totally fine.
And when the cysts just kept growing, I kept pushing
away the thought that it was cancer, but just something
inside was like, Okay, we need to go get this
looked at. Whether it's just for esthetics or just for
my peace of mind. I need to go back in,
and that's when I said, hey, it's growing. It's pretty large.
(06:13):
Now I still feel fine. I had no other symptoms.
You would never know that I had that much cancer
in my body. But I just went back in and
I said, it's really starting to bother me and I
would like to get this taken out. And then it
was mammograms, MRIs, CT scans, PET scans, biopsies and everything
in between, and all of a sudden, two weeks later,
I was diagnosed with stage four breast cancer.
Speaker 3 (06:35):
I'm so sorry, Thank you, And that right there is
the emotional cost of systemic gaps and care. You knew
your body and you were right. And I hope every
listener takes that as a reminder to trust their gut.
Right nice please, So, stage four breast cancer, what the
medical community calls metastatic, means that cancer has already spread
beyond the breast. For many, it's considered terminal. Yet here
(06:58):
you are. What was the emotional and mental process like
after receiving that diagnosis and what helped you pivot from
despair to determination?
Speaker 4 (07:09):
When I so I actually got the diagnosis that I
had cancer in my lungs, I went to the er.
I was having a ton of anxiety. I knew that
something was wrong waiting for all the tests to come back.
I'd never had a panic attack or anxiety attack before.
And I told my boyfriend at the time, I said,
I'm going to go to the er. Everything is closed,
it's eight pm, but I just I feel like I
(07:29):
can't breathe. I feel like there's a weight on my
chest and maybe they can just give me something to
get through until we get all the documentation. And after
being in the er for a few hours, the doctor
came in and said, well, you can't breathe because of
all the tumors in your lungs. And I just dropped
and started crying and he, my boyfriend at the time,
said we didn't know that yet. We've been waiting for
(07:49):
the tests. And the doctor just left the room. The
nurse came in said we're calling your surgeon and your
team that you've been talking to and they'll reach out
to and they discharged me. But I just immediately knew
that I would do everything in my power to fight
and fight for my life and fight for the life
the future that I dreamt of and wanted. And you
(08:10):
say ten percent it feels much much larger with the
women reaching out to me on social media, and I
feel like I don't even know any women above the
age of forty five being diagnosed. They're all diagnosed below
forty and it's just an epidemic that we're dealing with
right now.
Speaker 3 (08:28):
Wow, it's incredible how trauma can birth clarity. I mean,
you're very very specific on your intent, and I think
your story is a reminder that mindset is not just emotional,
it's medicinal, right, Absolutely, your thoughts can heal you. Now,
after years of remission, your cancer return. So we're currently
(08:49):
talking about this time her too positive AUBT, a subtype
known for being fast growing but also highly targetable with
newer therapies. Yeah, how did this second diagnosis reshape your
understanding of your own health and how are you navigating
treatment differently this time?
Speaker 4 (09:08):
It was definitely a punch in the face. I was
actually two weeks out from my double mask dec to
me when the state assistant insurance I was on dropped
me and I had two weeks to figure out what
I was going to do, and they just told me, oh,
just postpone the double mass deck to me figure out
your insurance, and I just my heart was like no.
(09:30):
So I called my mom and my cousin. I said,
find me insurance. I need help. We all need to
be on this. I don't care how much it costs
every month, I will we will all help pay for it. Well,
I'll get the third job. I don't care. Got me insurance.
We did the double mask deec to me and that's
when they found her too positive breast cancer. Had I
not done that, I guarantee I would not be sitting
here today because I wasn't due for another scan for
(09:53):
another six months.
Speaker 3 (09:54):
Wow.
Speaker 4 (09:55):
And it was a punch in the gut. I was like,
oh my god, another type of breast cancer, Like how
is this happening when I've been getting scans and going
through chemo and I'm on immunotherapy. And I just entrusted
in my doctors, my amazing oncologist that has truly saved
my life. And she is just always told aefly show,
(10:16):
we think decades, decades and decades, so we just regroup, reconsider,
and we continue forward. And I just put my trust
in her and her team and in myself, knowing that
I'm not done here on this earth, that this is
not going to take.
Speaker 3 (10:29):
Me your transparency on social media. I saw you on Instagram,
but I know you're active on TikTok as well. You've
reached millions. You've shown the pain, the ports, the scars,
and the strength, and that kind of storytelling really matters.
Has sharing your journey online been more cathartic or vulnerable
(10:49):
for you? And how do you balance healing while being
so public with your pain?
Speaker 4 (10:55):
Thank you for that. And there's times where I just
don't like any comments. I just post what I feel
that I need to get out. It's almost like a therapeutic,
one sided journal therapy session that I can kind of
just get out what I'm feeling. I don't have to
converse about it. I can just get everything out.
Speaker 3 (11:13):
And move on.
Speaker 4 (11:13):
But I know that I would never want anybody to
be in my position. But had I seen just one
woman as young as myself or anywhere close to my
age dealing with breast cancer, I wouldn't have listened to them.
I would have called my mom and had her put
a mammogram on her credit card, or I would have
gotten to Susan g Coman or what have you. And
(11:36):
so I know it's really important to do that. And
although I never wanted to be known for crying on
the internet and showing the most vulnerable traumatic experiences my life,
I know that it's greater than myself and we have
a duty to serve others and to help our communities.
And that really is what fuels me. Is when I
(11:57):
get a message saying I have a lump and I
wasn't going to go to the doctor.
Speaker 3 (12:00):
I saw your.
Speaker 4 (12:00):
Video and now I'm going in, thank you. Or my
mom had been talking about a symptom and I showed
her your page. She went in and she's only stage one.
You saved her life. Thank you?
Speaker 3 (12:09):
Oh?
Speaker 4 (12:10):
Like yeah, Like those are the moments when I know
that although it's I don't want to cry on the internet,
I don't want to show myself in ways that make
me uncomfortable and vulnerable. But if I can save other
people's lives, how do I not do that? Like there's
days I don't want to do it and I want
(12:31):
to stop, and I want to stop crying and talking
about how what a nightmare I live every day. It's
that's not a fun feeling to continually tell people how
bad you feel in the trials and tribulations, you're going through.
But when I save other people's lives, it's just something
so much greater than myself.
Speaker 3 (12:50):
That authenticity is rare and so powerful. You're helping people
feel seen in their silence, and you're saving lives, and
your story is transforming perspectives, and that's real advocacy, and
that's definitely something to cry tears of joy for, right
And you got me all all cheering. Now, Now let's
(13:11):
dive into some statistics. According to the American Cancer Society,
the five year relative survival rate for women with metastatic
breast cancer is just thirty percent, but access to early
detection drastically improves outcomes when you can get it. What
changes do you think need to happen in the healthcare system,
especially around screening guidelines, insurance denial, and how we listen
(13:36):
to younger women.
Speaker 4 (13:37):
This is I was just speaking to somebody about this,
and I just don't understand how if anyone has anything
abnormal happened to their body. I had never had a
cyst in my breast. I had never had anything even
remotely close. Why was that not a trigger for me
to be allowed to get every test a biopsy? I
had an ultrasound, but biopsy, mammogram, pet scan like that
(13:59):
should be the number one, Like, oh my gosh, something
is not right, we need to test immediately. The thought
behind it is, oh, it's probably nothing. You've never ever
had anything wrong with you. You're great, like you'll be fine.
That's not the mentality that needs to be had. It
needs to be something abnormal is happening in your body.
We need to figure out what's happening right now. And
(14:20):
I mean, I get it in the pharmaceutical world having
a sick person is much more profitable than a healthy person.
But just to give someone two extra scans to kind
of figure out what's going on in their body. And
I mean, I could have been stage four when I
went in the first time. We have no idea. Well,
(14:41):
we will never know, but I would like to think
that I wasn't And I could be a Stage one,
stage two and I would still be advocating, but I
wouldn't be living a nightmare every single day of my life.
And you know, not knowing if I'm going to be
a mother, or knowing if I'm ever going to see
my nieces and nephew get married or graduate, and every
day is such a blessing and to live that way
(15:04):
is very eye opening and in a way I appreciate it,
but it's just it's unacceptable that we are so brushed aside,
especially as women and healthcare, when our bodies are so
much more complex than the male body. Why are we
so okay dismissing women when they're coming to anybody doctor's programs,
(15:25):
foundations saying this isn't normal for me? Can we figure
it out? And they just dismiss you.
Speaker 3 (15:30):
You're turning your lived experience into a legislative call to action, right,
and honestly, excuse me that you're your lived experience into
what I call this legislative call to action, And honestly,
that's what public health needs. We need more patients turned
policymakers because only when you start advocating for change and
really start advocating it will change happen. Otherwise the insurance
(15:54):
companies will never listen. Now, beyond treatment and advocacy, you've
shared dreams returning, modeling, exploring acting, and maybe even becoming
a mom through surrogacy you just mentioned and hope like
that isn't just emotional, it's chemical. Yes, what are you
most excited about? Right? Now and how do you hold
onto that vision when life throws so many curveballs.
Speaker 4 (16:16):
I think right now, the opportunities like this that I'm
giving and I have some opportunities I can't speak upon
just yet. And it's just I'm finding ways to live
my dreams in a different capacity than I ever thought.
I never everything that I'm doing is not for the
reasons I dreamt of when I was a little girl,
the publicity and the magazine covers, and but I know
(16:37):
it's so much greater than myself, and it truly is
just the community and the support that I have from
so millions of people telling me that what I'm doing
is important, that this is giving me a purpose in
life that I never knew I would have, and I'm
just leaning into it and I'm allowing it to bring
me opportunities that I'm excited for that I know will
(16:59):
bring change. And when you speak about politics and legislation,
that's kind of where I'm kind of throwing my energy
at and hoping that I can connect with those that
will help me in that capacity and we can make changes,
real changes. So it's just I just dream and I
just follow those dreams, and just that my vision boards,
(17:23):
the secret books, just everything. I'm just manifesting the future
that I always wanted for myself, despite being handed a
diagnosis that I am a terminal cancer patient. I do
have a disease that I may not be here next year,
and it's just the reality of the situation. But I
choose to look beyond that and to just know that
I deserve to live my dreams and go after them
(17:46):
just as anybody else does. And just because I'm a
sick person doesn't mean that I can't have all of that.
It's just a lot harder for me, but it means
it's that much sweeter when I get to those end goals.
Speaker 3 (17:58):
You're a light, Felicia, not because not because you haven't
been through the darkness, but because you bring others with you.
Speaker 5 (18:04):
Toward the light. That's your whole spirit is just gorgeous.
Thank you all right, Well we are at the end
of our date, my dear. I can't thank you enough
for being opened and transparent.
Speaker 3 (18:15):
Thank you for showing us that survival isn't just about
staying alive, It's about reclaiming your voice, your story, and
your power.
Speaker 4 (18:22):
Thank you so much. I appreciate the opportunity and the support.
It just means the absolute world. We're just going to
touch more lives than I ever could have dreamt. So
thank you, Thank you.
Speaker 3 (18:30):
To follow Felicia's journey, head over to her Instagram page
at Felicia P h I L E c I A.
This has been the Hydration with Heart segment brought to
you by Once Upon a Coconut. Because hydration is healing,
and every story that hydrates the soul deserves to be heard.
You're listening to a moment of Zen right here on
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(19:17):
dot Com. Welcome back, Beautiful Chi State area. You're listening
to a moment of Zen right here on seven ten WR,
the voice of New york iHeartRadio. I'm your host, Zen
Sam's Welcome back to the Polish Beauty segment with our
co contributor, doctor Daisyiim. She's a triple Board certified cosmetic
surgeon and obgin and founder of the Polish Beauty Podcast.
(19:38):
Today's conversation may stop your heart, but in the best
way possible, because we're joined by someone who doesn't just
treat heart failure. He walks the fine line between hope
and heartbreak every single day. Doctor Dmitri Yaranov is a
Board certified heart failure and transplant cardiologist based in Memphis, Tennessee.
He's on the front lines of treating some of the
(19:59):
most critically ill cardiac patients, individuals whose survival often depends
on lvad's left ventricular assist devices or full heart transplants.
But this isn't just a story about science or technology,
It's about humanity. In a viral post that took the
medical community and the Internet by storm, doctor Yaranov wrote
(20:20):
a truth that took me sixteen years in medicine to
say out loud. I step out of the room, give
a quiet nod to the nurse, then walk into the
next room, like I didn't just lose someone I was
fighting to save. But later, when no one's watching, I
fall apart in my car, in the call room, sometimes
in the supply closet, I cry. I go over every detail.
(20:41):
I blame myself, I blame the system. I wonder if
I miss something, if I'm still good enough, if I
ever was, And I carry that loss not just in
my mind, but in my body, in my chest, my
gut quietly. You don't just carry a stethoscope, you carry ghosts.
That kind of transparency is rare in medad. But the
truth is, physician grief is very real and vastly under addressed.
(21:05):
A twenty twenty three JAMMA Internal Medicine study found that
nearly one in three physicians experience symptoms of depression, and
among those who experienced patient death, up to eighty percent
report prolonged emotional impact. And yet the culture of medicine
demands that they compartmentalize to continue doing the jobs. Welcoming
(21:25):
now to the show is the amazing doctor Dmitri Yaranov
and triple Board certified cosmetic surgeon, doctor Daisy Aim, Welcome
to the show, Superstars. Thanks so much for having me
excited to be here, so Doctr Jaranov. Your words stopped
so many of us in our tracks. You don't just
carry a stethoscope, you carry ghosts. It was haunting and
beautifully honest. What was the tipping point that made you
(21:48):
share this particular side of your story and what has
the response revealed about the silent epidemic of unprocessed grief
in medicine.
Speaker 6 (21:56):
No, just like it reads Sev, I've lost a patient,
a recent loss. It was burned in me for a while,
and that patient was became a friend through the years
of me taking care of him. And you know, just
like I said in the post, I walked out of
the room, I nodded to the nurse and I had
to go straight back into the next room. And it
(22:16):
just I kept awake with me the whole day. And
then I got into the car and as just you,
I broke down. That's the time when I realized that, uh,
you know, just like you said, this part of medicine,
you know, the grief we carry around is is not
being talked about. And I do have this social media
outlet and It took me about four months to really
(22:37):
uh get the guts to put it out there and
start talking about and when I shared it, you know,
I didn't expect much at first, but response was so overwhelming.
I had my colleagues, colleagues that I work with right
now calling me offering missupport, some of them saying that hey,
(22:58):
I felt that too, and I just didn't have enough
words to express it and then take it in step forward.
Patients started writing to me, and I think that's what
mattered the most. Patients started telling me that, Wow, I
never thought you would feel something like this. I never
thought you you feel this way. And that's you know,
that's when I knew that, you know, the grief we
(23:20):
carries not just you know, personal grief, it's you know,
it's universal. And that's where that phrase came, you know,
comes really you know up to life where you we
just don't care stetoscopes with care ghosts, and that.
Speaker 3 (23:33):
Kind of honesty not only humanizes you, but it dignifies
your patients. Like you just said, you're giving voice to
every doctor who's been taught to bury their sorrow and
just keep moving. So thank you for being so transparent Soper.
Speaker 7 (23:47):
Yeah, so, doc, you treat patients with very advanced heart
conditions or heart failures that we mentioned from let friendship
assist devices to transplant and is it's very tough being
an off situation. You know, I'm in that acute setting,
so understand a split decision can change the outcome and
for the good or for the bad.
Speaker 8 (24:09):
How do you remain emotionally grounded while navigating such high
stakes life and death situations every day?
Speaker 6 (24:17):
Yeah, it's it's for sure never easy.
Speaker 9 (24:19):
You know.
Speaker 6 (24:20):
I don't think you ever get used to losing someone.
It's just to learn to give yourself a space. And
that's what I have to teach myself how to do,
because certainly that's not the skill they gave me a
medical school on my training. I give myself space, whether
it's in a walk or it's in my car, and
while I wake back home, which sometimes even like a
(24:41):
deep breath before I walk into the next room. You know,
Sometimes I talk to those patients, those that pass. Sometimes
I whisper their names, you know, just to you know,
get the strength to be grounded. You know, I remind
myself all the time, and I think that's what keeps
me going is that grief that we the grief the
(25:02):
process is It's true price of compassion and I would not,
you know, ever give it away or attempt to lose it.
You know, if you feel it deeply, it means you
care and that grounds you. That means you keep your
purpose absolutely.
Speaker 3 (25:17):
Now, in your post, you mentioned blaming the system. I
want to unpack that. So the US is facing a
projected shortage of over one hundred and twenty thousand phycisions
by the year twenty thirty four, and burnout is now
classified as a workplace syndrome by the WHO. From your perspective,
what systemic failures are contributing to this emotional and more importantly,
operational breakdown, and what do you think needs to change?
Speaker 6 (25:39):
You know, we are expected to be perfect. We're expected
to be fast, efficient, emotionally detached. That's the system expectation
from us, you know, and we try to leave up
to those expectations under a man's pressure, you know, And
it comes from multiple different sources. There's definitely no space
(25:59):
in the system them for processing grief or even trauma.
You know, there's a culture, and I would characterize this
culture as a culture of silence. You know, you lose
a patient, you move on. If you're saying I'm not okay,
it's it makes you weak. That's not sustainable. You know,
we need to have a shift in this culture. We
need to understand that all the healthcare workers, not just doctors,
(26:22):
all the people that work in at first people they
need time to reflect and I think that can be
the first step into, you know, fixing the burnout.
Speaker 7 (26:32):
I totally agree with you, you know, being in a position,
I couldn't have said it any more beautifully.
Speaker 8 (26:37):
I think one of the problems also is just the
fact that.
Speaker 7 (26:40):
You know, if a position was to take a certain
time off just to do exactly what you've stated, you
have to explain yourself and in some way you're feeling
like you're being reprimanded for just taking time to do
exactly what you've just sounded off. So thank you for
saying that.
Speaker 3 (26:55):
It's heartbreaking the two of you just it hits so
close to home with what you both just said, because
you're trained to save lives, not navigate bureaucracy. But the
system keeps asking doctors to be heroes without giving them capes.
And that's a big problem. Right.
Speaker 7 (27:12):
So, Douc you've expanded your outreach across underserved regions in Tennessee, Arkansas,
and Mississippi. What are the key access issues you're seen
and how are you working to overcome them on the ground.
Speaker 6 (27:27):
That's a great question. You know, Unfortunately in MySpace, many
patients come extremely late, and it's not because they didn't
want care. It's just because our system failed them. They
never reached them, and they weren't either referred at the time,
they weren't educated the time, and they.
Speaker 3 (27:45):
Just didn't have access.
Speaker 6 (27:47):
You know, there is such a notion of cardiology deserts
in this country and you'd be surprised, but more than
fifty percent of Americans living cardiology deserts.
Speaker 9 (27:57):
What does that mean. It means that.
Speaker 6 (28:00):
You do not have access to a cardiologists. I'm not
even talking about advanced heart failure cardiologists. I'm talking about
a regular cardiologist in your county. So we are building
a network. We already built a large network across our
tri state area. And this network is truly the goal
for it is to bring care to the patients just
(28:21):
more like to collapse the distance and not just physical distance,
but more so educational distance, informational distance between the rural
community and the life saving procedures, especially in those with
a very advanced disease. You know, to me in a sense,
that's also like kring ghosts too, you know, making sure
that those that don't you know, we don't repeat the
(28:43):
same mistake and missus and those patients who come and
I cannot help anymore, that doesn't happen again.
Speaker 8 (28:50):
You know, there's a growing emphasis on physician wellness.
Speaker 7 (28:53):
In fact, you know, there is a current as we know,
being a physician is one of the highest suic type
rate in the US, and that's something that's not being spoken.
Speaker 8 (29:02):
About out loud or clearly, that positions are actually taking
them lives.
Speaker 7 (29:08):
So for you, what does that look like to have
this emotional support, given that the root cause analysis for
why physicians are commune in Souciet's not really being addressed
publicly or privately.
Speaker 8 (29:21):
In our local system, how does that look like to
help us?
Speaker 6 (29:24):
You know, we need a cultural shift, a culture we're
saying I'm not okay actually does not mean you're weak.
It means you're human. And I also do think we
need for leadership to recognize that emotional labor is a labor,
it's not just you know, a human, you know weakness.
(29:47):
And I like the systems that already start popping out
there who do not just pride themselves by checking the
box saying that, hey, you know, we got a yoga
class every quarter, or like we're handing out I don't
know those chocolate pars. You know, system that actually, you know,
restructures the expectations from healthcare workers that they're humans primarily,
(30:11):
and you know, just not a highly functioned machines, whether
it's a nurse, whether it's a nurse, petitioner, physician assistance
or a physician. Again, I think recognition of the fact
that emotional labor is a labor and you know it's
not something to ignore. Again, I feel like that on
Healed grief in medicine is what drives the burnout, and
(30:33):
I need we start talking about more and more and more.
Speaker 3 (30:36):
And I love how you earlier on you said your mentees,
you lead by guidance in the sense that they are
watching your every move and your vulnerability is going to
help a great deal in framing what's expected and what's not.
And that's what creates legacy, not just teaching technique, but
(30:56):
showing young doctors how to feel and survive the weight
of what they do. And you're doing such a good job.
Speaker 9 (31:02):
Thank you.
Speaker 8 (31:03):
You know, losing a patient is very hard.
Speaker 7 (31:06):
I think that's one thing for us position we never
really want to experience. But depending on the specialty you're in,
at some point it is going to happen. I just
wanted to know, if you care to share that audience,
what sort of personal rituals or beliefs or thoughts or
things you do to overcome yourself so that you can
keep going and not get way down.
Speaker 9 (31:28):
Absolutely, you know, I always come back to this.
Speaker 6 (31:30):
This job isn't about control, It's about presence.
Speaker 9 (31:33):
You know.
Speaker 6 (31:33):
I couldn't change the outcome in this patient. It didn't
matter what I did. You know, I try real harder,
fought for him, and that matters, and that matters to me.
And reflection on this daily reflection, you know, breathing techniques.
I breathe, I reset, I remind myself. You know, I care,
I still do, and that, you know, helps me stay grounded.
You know, I take care of myself. I take care
(31:54):
of my mind, I take care of my body. And
those are you know, those are daily minor stones that
you know, build into this you know, big big wall
of you know, uh that that keeps me going. You know,
I think that's why I keep showing up every day.
Speaker 8 (32:10):
Thank you so much for sharing.
Speaker 3 (32:13):
Yeah, what was the patient's name that you lost?
Speaker 6 (32:17):
I think it'd be fairer to just say because of
the patient, you know, uh information, you know, uh.
Speaker 3 (32:23):
Oh, but the person has just a name. We keep
saying the patient. I just wanted to honor their name.
But you don't have to chiss Mike, Mike, that's all
I needed to know.
Speaker 10 (32:31):
Sorry, but yeah, it was in many respects, it's it's
for Mike, because honestly, you know, that post really conveyed
a message that allowed me to say, wait, we need
to talk about.
Speaker 3 (32:42):
This, We need to share this with the world. Absolutely so,
Doctor Yarronell, thank you so much for reminding us that
behind every transplant and every diagnosis and every code blue
is a human being doing the impossible and still choosing
to care. And you're setting a great example. Your vulnerability
and more important to your advocacy and the relentless pursuit
of equitable care are not just healing hearts, right, You're
(33:06):
healing the culture of medicine itself. I think for talking
about it.
Speaker 6 (33:09):
I really appreciate it.
Speaker 3 (33:10):
For those listening. You can follow his incredible journey and
so much more on the Gram, on TikTok, on YouTube,
and on Facebook at Heart Underscore Transplant, Underscore Doc. And
that wraps this beautiful edition of Polish Beauty with the
incredible doctor Daisiime Triple Board Certified Cosmetic Surgeon and obgin.
You can find her directly on the Gram at Doctor
(33:32):
dais Aim and at the Polish Beauty Podcast. Stick around.
We'll be right back after the break with more on
seven ten WR The Voice of New York. You're listening
to a moment of Zen. I'm your host, Zen Sam's
We'll be right back after this. A moment of.
Speaker 8 (33:44):
Zen is brought to you by the Polish Beauty Podcast.
Speaker 3 (33:47):
But Doctor Daisy Aim, Hey, ambitious women ready to shine
on the inside and out. Tune into the Polish Beauty Podcast,
where we talk about business, beauty, brains and body all
in one spot. Meet to Daisy IIM Triple Board certified
cosmetic surgeon, proaging advocate, fitness enthusiast and your go to
for real talk on leveling up every part of your life.
(34:10):
The Polish Beauty Podcast is your dose of ambition meets empowerment.
For more information at the Polished Beauty podcast dot com.
Welcome back, beautiful Tri State area. You're listening to a
moment of Zen right here on seven to ten war
the voice of New york iHeartRadio. I'm your host, Zenzam's
Welcome back to the Going Deep segment, brought to you
by Co two Lift and our expert on the microphone series. Today,
(34:32):
we're joined by the Plastic stock doctor Samuel Salcedo. He's
a Board certified plastic surgeon and the founder of the
Plastic Stocks medspot in Corona, California. Renowned for his expertise
and aesthetics plastic surgery, He's dedicated to delivering personalized care
and achieving natural looking results for his patients. He's highly
respected in his field, presenting at national and international conferences,
(34:55):
training other surgeons and surgical techniques, and publishing studies in
the high strated plastic surgery journals. He joins us today
to chat all about the top trends in plastic surgery
and his thoughts on the future of esthetics. Welcome to
the show, Superstar.
Speaker 9 (35:09):
Thanks Enn, Thanks for having me again. Happy to be
here so.
Speaker 3 (35:12):
Excited to have you back on. So let's chat natural results.
Quote unquote, Right, you're praised for delivering natural looking results.
I look at your page, I look at the results
of your surgeries, and that's an approach that stands in
contrast from the dramatic, overdone look of the past. Many
patients they once wanted that write that dramatic impact. But
(35:33):
in recent years, there's been like a noticeable shift, especially
in the aesthetics industry, with patients prioritizing the subtle and
natural looking enhancement enhancements, right, making it more than just
a trend, but it's almost like a standard now. So
what do you believe is driving this shift and how
do you ensure that your work looks as natural as possible.
Speaker 11 (35:52):
Yeah, so I would say talking about current trends in
plastic surgery and aesthetics in general, natural results are now
the thing that people are done with. They're done with
overdone and like anything else in kind of our culture,
and especially here in the US, is a lot of
our trends are driven by celebrities. So what you'll notice
(36:13):
is you see people like Chris Jenner, Lindsay Lohan.
Speaker 9 (36:16):
Everybody's wondering what are.
Speaker 11 (36:17):
They doing because these patient, these people, they look natural,
they look refreshed, And that is what's driving that push
is people see these celebrities that are in the limelight
and they're looking better and better, They're looking younger. You're
no longer seeing the overdone, overfilled look, the overstretched you know, facelift.
Speaker 9 (36:36):
That's that's a thing of the past.
Speaker 11 (36:37):
Now everybody wants to move to natural results and natural,
natural regenerative options for enhancing their looks.
Speaker 9 (36:46):
So that's what's driving it.
Speaker 3 (36:47):
Right.
Speaker 11 (36:47):
We're seeing people that are in front of the camera,
people like yourself, who are just looking better and better,
and everyone's asking how are they doing that? How are
they managing to look younger as they age? So that's
what's pushing the trend.
Speaker 3 (36:59):
I know, even with breast implants, more patients are choosing
to go smaller. So I'm going to stick on this
more natural trend, but let's lower it down from the
face to the breast. Right, they're choosing to go smaller.
I recently explanted my breast implants and just got a
natural lift. So whether it's choosing a B over a
D or explanting altogether and a new breast implant Motiva
(37:21):
hit the US market, gaining FD approval just last fall,
which many patients are gravitating towards because of its natural
feel and movement. Now, I know you're offering these implants
in your practice now and you see your patients gravitate
towards the Motiva implants. I mean, is that where it's going?
Do you see that happening or smaller implants in general
(37:41):
as well? What are your thoughts?
Speaker 11 (37:42):
Yeah, Traditionally, implant sizes have varied across the US, so
in the Midwest and the East Coast New York, some
of those areas, they've tended to gravitate towards smaller implants.
I would say, on an average size of two hundred
to two fifty to three fifty ccs, which is somewhere
around a year a C. Whereas in California West Coast
(38:03):
we gravitate three fifty to four to fifty and bigger.
Speaker 9 (38:05):
Which is that seat right?
Speaker 11 (38:06):
You know everybody says that that C to D range
in Vegas D to a double D. But what I'm
seeing here in California especially, is we are seeing that
trend where patients are actually moving towards smaller implants. Something
that matches their lifestyle and their body better. With people
taking more care of themselves, exercising more, regenerative medicine gop
(38:30):
ones like ozempic and mandreau, everyone's getting into better shape.
They're feeling better, they want to work out more, and
they want an implant that reflects that lifestyle, an implant
that fits their lifestyle and fits their body. So even
in California, I am seeing a trend. For the first
time in probably two or three years. I had someone
coming for a console and wanted an implant size from one.
Speaker 9 (38:51):
Eighty to two fifty ccs, which is a B or
a C.
Speaker 11 (38:54):
My average is somewhere around four hundred CC's, which is
a good C or a D.
Speaker 9 (38:58):
Now I'm seeing patients in asking.
Speaker 11 (39:00):
For that B cup size because they want to be
able to do yoga, pilates, jogging, all the things that
fit with an active lifestyle. And with that being said,
not only are they asking for smaller implants, they are
coming and asking for Motiva by name. We haven't seen
this in the plastic surgery industry in quite some time,
where patients come in and ask for a specific implant.
(39:23):
There's been kind of the three big manufacturers that have
dominated the market for decades and there hasn't been much
innovation or change until Motiva came around. And Motiva is
taking the implant world by storm with their smooth silk
implant and their ergonomic design where you have an implant
that moves naturally with you, that takes on more of
(39:43):
a tear drop shape, which is very appealing to the
patients who are coming in and wanting a more natural look. Again,
everything shifting towards natural, natural enhancements in the face, natural
enhancements in the body.
Speaker 3 (39:54):
Perfect let's pivot to regenitive medicine. This is the perfect time.
Another fascinating trend that every doc practitioner who comes on
the show brings up. Regenitive medicine and regendaive medicine is
rapidly transforming the aesthetics field, allowing doctors like yourself to
harness and support the body's biological healing process to restore
and rejuvenate that tissue at a cellular level, which is
(40:15):
exactly where it should have been from the beginning. Now,
whether it's exosomes or stem cells, or growth factors, peptides,
or even treatments like the CO two lift mask, regenerative
medicine seems to be at the forefront of what everyone's
talking about right now. So what are your most what
are you most excited about in this space as it
relates to plastic surgery, And why do you think so
(40:36):
many doctors like you are embracing this regenitive medicine.
Speaker 11 (40:39):
We could call this a regenerative revolution, meaning everything is
shifting in that direction, right And there's a lot of
different things that we can do in regenerative medicine that
I'm super excited about. So let me start with from
the surgical perspective that I'm being that I'm a surgeon, right,
fat crafting. Fat grafting is absolutely amazing. So now we
have this. We've always had this option, but it's gaining
(41:01):
more popularity where people understand I can use my own
tissue to enhance myself. I can use fat that we
can lip instruction from an area and then reinject it
into the face, into the breast. Obviously, we all know
about buttocks enhancement with fat grafting, which is the BBL
that's been around for quite some time. But now people
understand I can enhance my breast with my own fat.
(41:22):
I can enhance my face, I can do fat grafting
under the eyelids into the cheeks rather than using a
hyaluronic acid filler or botox or other things. There is
a product that just came out this year. It's not
widely available yet, but trust.
Speaker 9 (41:36):
Me it will be.
Speaker 11 (41:37):
It's called aloclay. So what this is is it's donated fat.
So it's a structural at a post allographt is what
we call it. Meaning that's a fancy term for saying
we can take donated fat, process it, purify it, and
use it as an injectable and off the shelf injectable
for patients. So for patients like you or other fit
(41:58):
patients who have been told you don't have enough fat,
you're too thin, I can't get it, we have this
as an option now that doesn't even require surgery. So
we like to say it's a non surgical fat crafting,
a non surgical BBL, non surgical breast enhancement, which basically
takes this donated fat.
Speaker 3 (42:15):
So wait, let's go back. So I had a breast
lift done, yes, and so now you're so without going
under the knife, we can use the fat to restore
and regenerate my current.
Speaker 11 (42:28):
Breasts absolutely, it's exciting, right, I know, well is this
is going to take the industry plus storm.
Speaker 9 (42:35):
This is the hottest product of the year.
Speaker 3 (42:37):
Now, let's talk about GLP one meds. So your practice
encompasses a wide range of procedures including that high deff
breast and body conjuring. And with the rise of GLP
one medication such as ozetic being used for weight loss,
I'm sure this has changed the game for plastic surgeons.
I mean, as patients shed significant weight, not just a
little bit, they often turn to plastic surgeons to fix
(42:59):
the shoes left behind no unintended it's such as loose
skin and volume loss. And as someone who specializes in
body conjuring, how have you seen these weight loss drugs
impact what patients are asking for? And then how do
you guide patients on the best timeline for aesthetic procedures
when they're using GLP ones.
Speaker 11 (43:20):
There's a lot of intricacies of it, right, because now
we have patients who are improving their health, they're getting
into a better health state in general, so they're also
better surgical candidates. So it's a whole spectrum of things.
Before I used to see patients who were overweight not
well optimized medically, and we'd have to turn them away
for surgery and say, hey, you know, we need you
(43:41):
to lose x amount of weight. We need you to
get this much improvement in.
Speaker 9 (43:44):
Your cardiac health and in your fitness.
Speaker 11 (43:46):
And they would go and never come back, right because
we all know how hard it is to lose weight,
so they would try and try, and they would never
make any gains, and we just lost that whole patient population.
Whereas now we see those patients, we put them on
gop one medications, they lose the weight. Usually I give
them about three to six months to be on those
medications because through a span of six months on a
(44:08):
gop one you can lose anywhere from thirty to sixty pounds.
Speaker 9 (44:11):
So whereas before you were a poor.
Speaker 11 (44:13):
Surgical candidate, you become an excellent surgical candidate in the
span of three to six months. So we have this
new patient population that we can help get healthier, help
get optimized, and then help them get their surgery. And yeah,
we're seeing a huge shift in patients who now need
skin resection surgery. So they need breastlifts, they need tummy tucks,
they need arm lifts, they need thy lifts. If you
(44:35):
weren't someone who liked doing weight loss surgery, you're going
to have to completely shift your practice because we're going
to see a huge boom in skin excision surgeries and
post weight loss patients.
Speaker 9 (44:45):
And it's huge, it's huge, it's booming, it's huge.
Speaker 3 (44:48):
Yeah, billion dollar market. So this is the perfect time
to talk about no time for downtime because with all
of the surgery, you know, let's talk a bit about
recovery post procedures. So today's patients are busier than ever
and many have little to no tolerance for the downtime
commonly associated with the plastic surgery procedures. But the good
(45:08):
thing is there are so many new innovations that can
help speed up the recovery process and even improve results
by reducing scarring, which is exactly what it should be
all about, right, downtime, less scarring, increased increased blood flow.
So I'm curious to know how has this demand for
minimal or no downtime changed your treatment approach.
Speaker 11 (45:28):
Yeah, so I need a whole another segment to talk
about postop recovery, but we'll keep it short today, Right,
So I've always instituted an enhanced recovery protocol, which means
how do we get our patients back to full functioning
as quickly as possible. Part of that protocol and I
hate to share it because it's like we think we're
the best and we've got the best techniques, but.
Speaker 9 (45:46):
Let's share it, right, Let's share that knowledge for me
an enhance.
Speaker 11 (45:50):
Recovery protocol involves steps pre op and postops.
Speaker 9 (45:55):
So for our protocol, share our protocol.
Speaker 11 (45:57):
We get patients optimized obviously, like we just talked about
golp one to get them to an optimal weight status,
optimal cardiac status. We also give them juven which is
a nutritional supplement that has amino acids, collagen, and protein.
We start them on that preoperatively so that they are
nutritionally enhanced before surgery. Not only that, we do red
(46:18):
light therapy before surgery as well, so they're getting nutritionally optimized.
We're optimizing their skin, increasing blood flow into the area.
CO two lift again our carboxy gel mask to bring
in oxygenated blood flow. That's a preconditioning before surgery. This
is something that hasn't been done before, and a lot
of people overlook the preconditioning before surgery, not us. Obviously,
(46:40):
that's something that we think is extremely important. So we
do the preconditioning, then we do surgery. At the time
of surgery, I always do CO two lift, right, that's
part of my recovery process. Bring in oxygenated blood flow
to the newly created incisions. I use a product called bridgets,
which are forced modulating tissue bridges. It's like a little
device that goes on the incision, pinches the incision so
(47:03):
there's no tension on the wound. It's phenomenal.
Speaker 9 (47:06):
Right.
Speaker 11 (47:07):
We know that scars are worse when there's tension on
the wound, So what can I do to reduce tension?
So bringing oxygenated blood flow with CO two lift, using
the bridgets to reduce tension, and then as a post
stop protocol, we continue the juven We continue CO two
LYFT for two weeks post procedure, and we do red
light therapy. All those things combined help our patients recover quicker,
(47:29):
and I fail to mention at the time of surgery. Also,
we offer long acting numbing medication so that patients don't
have to take things like norco or opioid pain medications.
They recover quickly, they don't feel the pain and a
postop recovery iv So as the patients roll out from
the operating room, they're getting an IVY that has vitamins, minerals,
amino acids and all the things you need to recover.
Speaker 3 (47:52):
All right, we have just a minute left, but before
we wrap up, looking to the future, whether it's one
of the trends we discussed today or something new your
seeing emerge. I know we talked about the fat in
addition to that, is there a trend that you think
that's here to stay and that's going to become the
new norm in the aesthetics and plastic surgery field.
Speaker 11 (48:10):
Absolutely, so natural enhancements is here to stay. Everybody wants it,
and that's the direction that we're moving in. So one
of our mottos is on our website we put naturally enhanced.
That's what people want. They want to use their own
tissues to enhance themselves. They want to use natural products
like peptides, gop ones. We want to use things that
(48:30):
optimize our body's ability to heal faster, to repair ourselves.
Speaker 9 (48:35):
And that's not going to go away. Right.
Speaker 11 (48:37):
These are technologies and improvements in medicine and particularly aesthetic medicine.
That are here to stay, and I'm here for it, right.
I'm glad that we have these options now to enhance
our patient's lives, and we're big proponents of it.
Speaker 9 (48:51):
I love it.
Speaker 11 (48:52):
They're here to stay, and I'm glad they are. I'm
glad we have them now. Like you said, we're not
doing surgery that was done ten fifteen years ago. This
is a whole new age of medicine, of regenerative medicine,
of aesthetic medicine that is a huge benefit for everyone,
including myself. By the way, I don't I don't think
I mentioned in the last segment. I'm on GOP once.
I'm gonna start peptides, right. This is something we can
(49:13):
all benefit from. And I'm such a believer. I do
it myself.
Speaker 3 (49:16):
Wow, I love it. I The fact that you do
it yourself puts them more that reinforcement in patient trust
because I often ask my practitioners and doctors that you
know I'm talking to about you know what my next
steps would be for whatever it is, And I've said,
would you do this or have you tried this? And
if the answer is yes, that makes me feel so
much better. So I'm glad you shared that with us. Yeah, absolutely,
(49:37):
that was the Plastic Stock himself, doctor Samuel Salcedo. Definitely
check him out on Instagram at the Plastic Stock and
head to the Plastic Stocks Medspa and learn more about
his practice. Head directly to the website at dplastics doc
dot com. You're listening to a moment of Zen right
here on seven to ten WR the Voice of New
york iHeartRadio. That was our Going Deep segment brought to
(49:58):
you by Co two Lift. We'ill bere at back after this.
Speaker 12 (50:00):
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Speaker 3 (52:21):
Well that's rat, my dear friends. Remember to join me
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(52:42):
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remember that happiness is the only thing that multiplies when
(53:02):
you share it. We'll be back next week.
Speaker 1 (53:04):
The proceeding was a paid podcast. iHeartRadio's hosting of this
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Speaker 2 (00:09):
Welcome to a Moment of Zen. Time to sit back
and relax. As model, actress, mentor and super mom, Zen
SAMs takes you on a sexy and wild ride covering
the latest in film, fashion, pop culture, cryptocurrency, fintech, cannabis,
and entertainment from the millennial mom's perspective. Here's your host,
(00:29):
Zen SAMs.
Speaker 3 (00:30):
Welcome back, beautiful Tri State area. You're listening to a
Moment of Zen right here on seven ten wo R,
the voice of New York iHeartRadio. I'm your host, Zen SAMs.
Welcome to episode two hundred and eighteen, celebrating five years
on the air. Here's to another exciting episode. It's such
a pleasure to spend my time with you on the airwaves.
Thank you for tuning in every Saturday night and then
(00:53):
engaging with me on social media. That truly does make
it all worthwhile. Please continue to follow me at Zen Sam.
That's Zen with an X, not a z X E
N S A MS, and remember that all of our
episodes are available on our YouTube channel. We upload Sundays
at two pm via digital streaming, and you can also
check us out on your home TV platform at mox
(01:16):
dot your home tv dot com. In the Hydration with
Hard segment, proudly brought to you by One Spat a Coconut,
today we're featuring People Magazine cover girl Felicia le Bounty,
currently facing breast cancer for the second time, she was
denied a mammogram. Now she's leading a movement to save lives.
In our Going Deep segment, brought to you by Co
(01:36):
two Lift. In our Expert on the Microphone series, we're
joined by the Plastics Doc, doctor Samuel Salcedo. He's a
Board certified plastic surgeon and the founder of the Plastics
Doc medspot in Corona, California. He's going to join us
to chat all about the top trends in plastic surgery
and his thoughts on the future of esthetics. In the
Polish Beauty segment with co contributor doctor Daisieme Triple, Board
(01:59):
certified cosmetic surgeon and obgin, today we're featuring doctor Dmitri Yaranov.
He's a Board certified heart failure and transplant cardiologist based
in Memphis, Tennessee. He's on the front lines of treating
some of the most critical ill cardiac patients. Today, we're
unpacking the emotional toll of being a healer, the quiet
(02:19):
mental health crisis in medicine, and why vulnerability and not
detachment might just be the future of compassionate care in
our health tip brought to you by Sispera. Today, we're
chatting about an overlooked skincare essential sunglasses. Stay tuned. We're
featuring People Magazine cover girl Felicia Labounty and a Hydration
with Hard segment brought to you by One Spawned Coconut.
(02:41):
You're listening to a Moment of Zen right here on
seven ten w R, the voice of New york iHeartRadio.
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Tune into a Moment of Zen Saturday nights from nine
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of New.
Speaker 3 (03:27):
York Welcome back, beautiful Tri State Area. You're listening to
a Moment of Zen right here on seven to ten
war the Voice of New York iHeartRadio. I'm your host,
Zen Sam's Welcome back to the Hydration with Heart segment
brought to you by One supon a Coconut. Today's guest
is someone whose story stopped me in my tracks. She
is living a breathing proof of what happens when women
(03:48):
are told no and choose to say yes to themselves anyway.
Feliciolbounty was just twenty nine years old when she found
a lump in her breast, But despite her instincts and
despite asking for help, she was denied a mammograd twice.
She had no family history, no genetic predisposition, and no
insurance at the time. The system failed her. By the
time she was finally diagnosed, the cancer had already spread
(04:10):
to her lungs, sternum, and lymph nodes. She was told
it was stage four and she might not live to
see her thirty fifth birthday. But she's here. She beat
the odds once and now after a recent reoccurrence of
a more aggressive, her too positive breast cancer, that's the
strange she has. She's back in the ring, using her
voice to fight for herself and for every woman who's
(04:31):
been dismissed, delayed, and disbelieved. In this conversation, we're going
to talk about why breast cancer can be so aggressive
in younger women, how social media is becoming a lifeline
for modern advocacy, what changes are desperately needed in screening guidelines,
and how Felicia is redefining what survival looks on her terms.
She was denied a mammogram, now she's leading a movement
(04:53):
to save lives. Welcome to the show, Superstar.
Speaker 4 (04:56):
Thank you for having me. I really appreciate it forgiving
me such another amazing platform to do what I love doing.
So thank you, thank you, thank you.
Speaker 3 (05:03):
Okay, so let's dive right in. Breast cancer is often
framed as something that happens to women over fifty, but
about ten percent of all new breast cancer cases occur
in women under forty five, and those cases tend to
be more aggressive and more fatal, particularly in women of color. Now,
when you first felt the lump and were told you
were too young to be at risk, what was your
(05:23):
gut telling you? And how did you find the strength
to advocate for yourself in a system that was clearly
not built to protect you.
Speaker 4 (05:30):
So I the first time they denied my mamogram, it
just didn't sit right with me. I had had my
cycle since I was twelve. I never had a cyst
in my breast before I was twenty nine, almost thirty.
It just didn't sit right, and so I asked again.
I said, I'd really feel more comfortable if we did
a little bit more testing, and they just reassured me.
The ultrasound showed it was just as cysts. Your blood
(05:51):
work is great, you feel and look great, You're totally fine.
And when the cysts just kept growing, I kept pushing
away the thought that it was cancer, but just something
inside was like, Okay, we need to go get this
looked at. Whether it's just for esthetics or just for
my peace of mind. I need to go back in,
and that's when I said, hey, it's growing. It's pretty large.
(06:13):
Now I still feel fine. I had no other symptoms.
You would never know that I had that much cancer
in my body. But I just went back in and
I said, it's really starting to bother me and I
would like to get this taken out. And then it
was mammograms, MRIs, CT scans, PET scans, biopsies and everything
in between, and all of a sudden, two weeks later,
I was diagnosed with stage four breast cancer.
Speaker 3 (06:35):
I'm so sorry, Thank you, And that right there is
the emotional cost of systemic gaps and care. You knew
your body and you were right. And I hope every
listener takes that as a reminder to trust their gut.
Right nice please, So, stage four breast cancer, what the
medical community calls metastatic, means that cancer has already spread
beyond the breast. For many, it's considered terminal. Yet here
(06:58):
you are. What was the emotional and mental process like
after receiving that diagnosis and what helped you pivot from
despair to determination?
Speaker 4 (07:09):
When I so I actually got the diagnosis that I
had cancer in my lungs, I went to the er.
I was having a ton of anxiety. I knew that
something was wrong waiting for all the tests to come back.
I'd never had a panic attack or anxiety attack before.
And I told my boyfriend at the time, I said,
I'm going to go to the er. Everything is closed,
it's eight pm, but I just I feel like I
(07:29):
can't breathe. I feel like there's a weight on my
chest and maybe they can just give me something to
get through until we get all the documentation. And after
being in the er for a few hours, the doctor
came in and said, well, you can't breathe because of
all the tumors in your lungs. And I just dropped
and started crying and he, my boyfriend at the time,
said we didn't know that yet. We've been waiting for
(07:49):
the tests. And the doctor just left the room. The
nurse came in said we're calling your surgeon and your
team that you've been talking to and they'll reach out
to and they discharged me. But I just immediately knew
that I would do everything in my power to fight
and fight for my life and fight for the life
the future that I dreamt of and wanted. And you
(08:10):
say ten percent it feels much much larger with the
women reaching out to me on social media, and I
feel like I don't even know any women above the
age of forty five being diagnosed. They're all diagnosed below
forty and it's just an epidemic that we're dealing with
right now.
Speaker 3 (08:28):
Wow, it's incredible how trauma can birth clarity. I mean,
you're very very specific on your intent, and I think
your story is a reminder that mindset is not just emotional,
it's medicinal, right, Absolutely, your thoughts can heal you. Now,
after years of remission, your cancer return. So we're currently
(08:49):
talking about this time her too positive AUBT, a subtype
known for being fast growing but also highly targetable with
newer therapies. Yeah, how did this second diagnosis reshape your
understanding of your own health and how are you navigating
treatment differently this time?
Speaker 4 (09:08):
It was definitely a punch in the face. I was
actually two weeks out from my double mask dec to
me when the state assistant insurance I was on dropped
me and I had two weeks to figure out what
I was going to do, and they just told me, oh,
just postpone the double mass deck to me figure out
your insurance, and I just my heart was like no.
(09:30):
So I called my mom and my cousin. I said,
find me insurance. I need help. We all need to
be on this. I don't care how much it costs
every month, I will we will all help pay for it. Well,
I'll get the third job. I don't care. Got me insurance.
We did the double mask deec to me and that's
when they found her too positive breast cancer. Had I
not done that, I guarantee I would not be sitting
here today because I wasn't due for another scan for
(09:53):
another six months.
Speaker 3 (09:54):
Wow.
Speaker 4 (09:55):
And it was a punch in the gut. I was like,
oh my god, another type of breast cancer, Like how
is this happening when I've been getting scans and going
through chemo and I'm on immunotherapy. And I just entrusted
in my doctors, my amazing oncologist that has truly saved
my life. And she is just always told aefly show,
(10:16):
we think decades, decades and decades, so we just regroup, reconsider,
and we continue forward. And I just put my trust
in her and her team and in myself, knowing that
I'm not done here on this earth, that this is
not going to take.
Speaker 3 (10:29):
Me your transparency on social media. I saw you on Instagram,
but I know you're active on TikTok as well. You've
reached millions. You've shown the pain, the ports, the scars,
and the strength, and that kind of storytelling really matters.
Has sharing your journey online been more cathartic or vulnerable
(10:49):
for you? And how do you balance healing while being
so public with your pain?
Speaker 4 (10:55):
Thank you for that. And there's times where I just
don't like any comments. I just post what I feel
that I need to get out. It's almost like a therapeutic,
one sided journal therapy session that I can kind of
just get out what I'm feeling. I don't have to
converse about it. I can just get everything out.
Speaker 3 (11:13):
And move on.
Speaker 4 (11:13):
But I know that I would never want anybody to
be in my position. But had I seen just one
woman as young as myself or anywhere close to my
age dealing with breast cancer, I wouldn't have listened to them.
I would have called my mom and had her put
a mammogram on her credit card, or I would have
gotten to Susan g Coman or what have you. And
(11:36):
so I know it's really important to do that. And
although I never wanted to be known for crying on
the internet and showing the most vulnerable traumatic experiences my life,
I know that it's greater than myself and we have
a duty to serve others and to help our communities.
And that really is what fuels me. Is when I
(11:57):
get a message saying I have a lump and I
wasn't going to go to the doctor.
Speaker 3 (12:00):
I saw your.
Speaker 4 (12:00):
Video and now I'm going in, thank you. Or my
mom had been talking about a symptom and I showed
her your page. She went in and she's only stage one.
You saved her life. Thank you?
Speaker 3 (12:09):
Oh?
Speaker 4 (12:10):
Like yeah, Like those are the moments when I know
that although it's I don't want to cry on the internet,
I don't want to show myself in ways that make
me uncomfortable and vulnerable. But if I can save other
people's lives, how do I not do that? Like there's
days I don't want to do it and I want
(12:31):
to stop, and I want to stop crying and talking
about how what a nightmare I live every day. It's
that's not a fun feeling to continually tell people how
bad you feel in the trials and tribulations, you're going through.
But when I save other people's lives, it's just something
so much greater than myself.
Speaker 3 (12:50):
That authenticity is rare and so powerful. You're helping people
feel seen in their silence, and you're saving lives, and
your story is transforming perspectives, and that's real advocacy, and
that's definitely something to cry tears of joy for, right
And you got me all all cheering. Now, Now let's
(13:11):
dive into some statistics. According to the American Cancer Society,
the five year relative survival rate for women with metastatic
breast cancer is just thirty percent, but access to early
detection drastically improves outcomes when you can get it. What
changes do you think need to happen in the healthcare system,
especially around screening guidelines, insurance denial, and how we listen
(13:36):
to younger women.
Speaker 4 (13:37):
This is I was just speaking to somebody about this,
and I just don't understand how if anyone has anything
abnormal happened to their body. I had never had a
cyst in my breast. I had never had anything even
remotely close. Why was that not a trigger for me
to be allowed to get every test a biopsy? I
had an ultrasound, but biopsy, mammogram, pet scan like that
(13:59):
should be the number one, Like, oh my gosh, something
is not right, we need to test immediately. The thought
behind it is, oh, it's probably nothing. You've never ever
had anything wrong with you. You're great, like you'll be fine.
That's not the mentality that needs to be had. It
needs to be something abnormal is happening in your body.
We need to figure out what's happening right now. And
(14:20):
I mean, I get it in the pharmaceutical world having
a sick person is much more profitable than a healthy person.
But just to give someone two extra scans to kind
of figure out what's going on in their body. And
I mean, I could have been stage four when I
went in the first time. We have no idea. Well,
(14:41):
we will never know, but I would like to think
that I wasn't And I could be a Stage one,
stage two and I would still be advocating, but I
wouldn't be living a nightmare every single day of my life.
And you know, not knowing if I'm going to be
a mother, or knowing if I'm ever going to see
my nieces and nephew get married or graduate, and every
day is such a blessing and to live that way
(15:04):
is very eye opening and in a way I appreciate it,
but it's just it's unacceptable that we are so brushed aside,
especially as women and healthcare, when our bodies are so
much more complex than the male body. Why are we
so okay dismissing women when they're coming to anybody doctor's programs,
(15:25):
foundations saying this isn't normal for me? Can we figure
it out? And they just dismiss you.
Speaker 3 (15:30):
You're turning your lived experience into a legislative call to action, right,
and honestly, excuse me that you're your lived experience into
what I call this legislative call to action, And honestly,
that's what public health needs. We need more patients turned
policymakers because only when you start advocating for change and
really start advocating it will change happen. Otherwise the insurance
(15:54):
companies will never listen. Now, beyond treatment and advocacy, you've
shared dreams returning, modeling, exploring acting, and maybe even becoming
a mom through surrogacy you just mentioned and hope like
that isn't just emotional, it's chemical. Yes, what are you
most excited about? Right? Now and how do you hold
onto that vision when life throws so many curveballs.
Speaker 4 (16:16):
I think right now, the opportunities like this that I'm
giving and I have some opportunities I can't speak upon
just yet. And it's just I'm finding ways to live
my dreams in a different capacity than I ever thought.
I never everything that I'm doing is not for the
reasons I dreamt of when I was a little girl,
the publicity and the magazine covers, and but I know
(16:37):
it's so much greater than myself, and it truly is
just the community and the support that I have from
so millions of people telling me that what I'm doing
is important, that this is giving me a purpose in
life that I never knew I would have, and I'm
just leaning into it and I'm allowing it to bring
me opportunities that I'm excited for that I know will
(16:59):
bring change. And when you speak about politics and legislation,
that's kind of where I'm kind of throwing my energy
at and hoping that I can connect with those that
will help me in that capacity and we can make changes,
real changes. So it's just I just dream and I
just follow those dreams, and just that my vision boards,
(17:23):
the secret books, just everything. I'm just manifesting the future
that I always wanted for myself, despite being handed a
diagnosis that I am a terminal cancer patient. I do
have a disease that I may not be here next year,
and it's just the reality of the situation. But I
choose to look beyond that and to just know that
I deserve to live my dreams and go after them
(17:46):
just as anybody else does. And just because I'm a
sick person doesn't mean that I can't have all of that.
It's just a lot harder for me, but it means
it's that much sweeter when I get to those end goals.
Speaker 3 (17:58):
You're a light, Felicia, not because not because you haven't
been through the darkness, but because you bring others with you.
Speaker 5 (18:04):
Toward the light. That's your whole spirit is just gorgeous.
Thank you all right, Well we are at the end
of our date, my dear. I can't thank you enough
for being opened and transparent.
Speaker 3 (18:15):
Thank you for showing us that survival isn't just about
staying alive, It's about reclaiming your voice, your story, and
your power.
Speaker 4 (18:22):
Thank you so much. I appreciate the opportunity and the support.
It just means the absolute world. We're just going to
touch more lives than I ever could have dreamt. So
thank you, Thank you.
Speaker 3 (18:30):
To follow Felicia's journey, head over to her Instagram page
at Felicia P h I L E c I A.
This has been the Hydration with Heart segment brought to
you by Once Upon a Coconut. Because hydration is healing,
and every story that hydrates the soul deserves to be heard.
You're listening to a moment of Zen right here on
seven to ten wo R, the voice of New York iHeartRadio.
We'll be right back after this.
Speaker 4 (18:51):
A moment of Zen is brought to you by Once
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Speaker 3 (18:54):
Discover the refreshing taste of one hundred percent pure coconut
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Nature's Gatorade, Visit Once Upon a Coconut or Nature's Gatorade
(19:17):
dot Com. Welcome back, Beautiful Chi State area. You're listening
to a moment of Zen right here on seven ten WR,
the voice of New york iHeartRadio. I'm your host, Zen
Sam's Welcome back to the Polish Beauty segment with our
co contributor, doctor Daisyiim. She's a triple Board certified cosmetic
surgeon and obgin and founder of the Polish Beauty Podcast.
(19:38):
Today's conversation may stop your heart, but in the best
way possible, because we're joined by someone who doesn't just
treat heart failure. He walks the fine line between hope
and heartbreak every single day. Doctor Dmitri Yaranov is a
Board certified heart failure and transplant cardiologist based in Memphis, Tennessee.
He's on the front lines of treating some of the
(19:59):
most critically ill cardiac patients, individuals whose survival often depends
on lvad's left ventricular assist devices or full heart transplants.
But this isn't just a story about science or technology,
It's about humanity. In a viral post that took the
medical community and the Internet by storm, doctor Yaranov wrote
(20:20):
a truth that took me sixteen years in medicine to
say out loud. I step out of the room, give
a quiet nod to the nurse, then walk into the
next room, like I didn't just lose someone I was
fighting to save. But later, when no one's watching, I
fall apart in my car, in the call room, sometimes
in the supply closet, I cry. I go over every detail.
(20:41):
I blame myself, I blame the system. I wonder if
I miss something, if I'm still good enough, if I
ever was, And I carry that loss not just in
my mind, but in my body, in my chest, my
gut quietly. You don't just carry a stethoscope, you carry ghosts.
That kind of transparency is rare in medad. But the
truth is, physician grief is very real and vastly under addressed.
(21:05):
A twenty twenty three JAMMA Internal Medicine study found that
nearly one in three physicians experience symptoms of depression, and
among those who experienced patient death, up to eighty percent
report prolonged emotional impact. And yet the culture of medicine
demands that they compartmentalize to continue doing the jobs. Welcoming
(21:25):
now to the show is the amazing doctor Dmitri Yaranov
and triple Board certified cosmetic surgeon, doctor Daisy Aim, Welcome
to the show, Superstars. Thanks so much for having me
excited to be here, so Doctr Jaranov. Your words stopped
so many of us in our tracks. You don't just
carry a stethoscope, you carry ghosts. It was haunting and
beautifully honest. What was the tipping point that made you
(21:48):
share this particular side of your story and what has
the response revealed about the silent epidemic of unprocessed grief
in medicine.
Speaker 6 (21:56):
No, just like it reads Sev, I've lost a patient,
a recent loss. It was burned in me for a while,
and that patient was became a friend through the years
of me taking care of him. And you know, just
like I said in the post, I walked out of
the room, I nodded to the nurse and I had
to go straight back into the next room. And it
(22:16):
just I kept awake with me the whole day. And
then I got into the car and as just you,
I broke down. That's the time when I realized that, uh,
you know, just like you said, this part of medicine,
you know, the grief we carry around is is not
being talked about. And I do have this social media
outlet and It took me about four months to really
(22:37):
uh get the guts to put it out there and
start talking about and when I shared it, you know,
I didn't expect much at first, but response was so overwhelming.
I had my colleagues, colleagues that I work with right
now calling me offering missupport, some of them saying that hey,
(22:58):
I felt that too, and I just didn't have enough
words to express it and then take it in step forward.
Patients started writing to me, and I think that's what
mattered the most. Patients started telling me that, Wow, I
never thought you would feel something like this. I never
thought you you feel this way. And that's you know,
that's when I knew that, you know, the grief we
(23:20):
carries not just you know, personal grief, it's you know,
it's universal. And that's where that phrase came, you know,
comes really you know up to life where you we
just don't care stetoscopes with care ghosts, and that.
Speaker 3 (23:33):
Kind of honesty not only humanizes you, but it dignifies
your patients. Like you just said, you're giving voice to
every doctor who's been taught to bury their sorrow and
just keep moving. So thank you for being so transparent Soper.
Speaker 7 (23:47):
Yeah, so, doc, you treat patients with very advanced heart
conditions or heart failures that we mentioned from let friendship
assist devices to transplant and is it's very tough being
an off situation. You know, I'm in that acute setting,
so understand a split decision can change the outcome and
for the good or for the bad.
Speaker 8 (24:09):
How do you remain emotionally grounded while navigating such high
stakes life and death situations every day?
Speaker 6 (24:17):
Yeah, it's it's for sure never easy.
Speaker 9 (24:19):
You know.
Speaker 6 (24:20):
I don't think you ever get used to losing someone.
It's just to learn to give yourself a space. And
that's what I have to teach myself how to do,
because certainly that's not the skill they gave me a
medical school on my training. I give myself space, whether
it's in a walk or it's in my car, and
while I wake back home, which sometimes even like a
(24:41):
deep breath before I walk into the next room. You know,
Sometimes I talk to those patients, those that pass. Sometimes
I whisper their names, you know, just to you know,
get the strength to be grounded. You know, I remind
myself all the time, and I think that's what keeps
me going is that grief that we the grief the
(25:02):
process is It's true price of compassion and I would not,
you know, ever give it away or attempt to lose it.
You know, if you feel it deeply, it means you
care and that grounds you. That means you keep your
purpose absolutely.
Speaker 3 (25:17):
Now, in your post, you mentioned blaming the system. I
want to unpack that. So the US is facing a
projected shortage of over one hundred and twenty thousand phycisions
by the year twenty thirty four, and burnout is now
classified as a workplace syndrome by the WHO. From your perspective,
what systemic failures are contributing to this emotional and more importantly,
operational breakdown, and what do you think needs to change?
Speaker 6 (25:39):
You know, we are expected to be perfect. We're expected
to be fast, efficient, emotionally detached. That's the system expectation
from us, you know, and we try to leave up
to those expectations under a man's pressure, you know, And
it comes from multiple different sources. There's definitely no space
(25:59):
in the system them for processing grief or even trauma.
You know, there's a culture, and I would characterize this
culture as a culture of silence. You know, you lose
a patient, you move on. If you're saying I'm not okay,
it's it makes you weak. That's not sustainable. You know,
we need to have a shift in this culture. We
need to understand that all the healthcare workers, not just doctors,
(26:22):
all the people that work in at first people they
need time to reflect and I think that can be
the first step into, you know, fixing the burnout.
Speaker 7 (26:32):
I totally agree with you, you know, being in a position,
I couldn't have said it any more beautifully.
Speaker 8 (26:37):
I think one of the problems also is just the
fact that.
Speaker 7 (26:40):
You know, if a position was to take a certain
time off just to do exactly what you've stated, you
have to explain yourself and in some way you're feeling
like you're being reprimanded for just taking time to do
exactly what you've just sounded off. So thank you for
saying that.
Speaker 3 (26:55):
It's heartbreaking the two of you just it hits so
close to home with what you both just said, because
you're trained to save lives, not navigate bureaucracy. But the
system keeps asking doctors to be heroes without giving them capes.
And that's a big problem. Right.
Speaker 7 (27:12):
So, Douc you've expanded your outreach across underserved regions in Tennessee, Arkansas,
and Mississippi. What are the key access issues you're seen
and how are you working to overcome them on the ground.
Speaker 6 (27:27):
That's a great question. You know, Unfortunately in MySpace, many
patients come extremely late, and it's not because they didn't
want care. It's just because our system failed them. They
never reached them, and they weren't either referred at the time,
they weren't educated the time, and they.
Speaker 3 (27:45):
Just didn't have access.
Speaker 6 (27:47):
You know, there is such a notion of cardiology deserts
in this country and you'd be surprised, but more than
fifty percent of Americans living cardiology deserts.
Speaker 9 (27:57):
What does that mean. It means that.
Speaker 6 (28:00):
You do not have access to a cardiologists. I'm not
even talking about advanced heart failure cardiologists. I'm talking about
a regular cardiologist in your county. So we are building
a network. We already built a large network across our
tri state area. And this network is truly the goal
for it is to bring care to the patients just
(28:21):
more like to collapse the distance and not just physical distance,
but more so educational distance, informational distance between the rural
community and the life saving procedures, especially in those with
a very advanced disease. You know, to me in a sense,
that's also like kring ghosts too, you know, making sure
that those that don't you know, we don't repeat the
(28:43):
same mistake and missus and those patients who come and
I cannot help anymore, that doesn't happen again.
Speaker 8 (28:50):
You know, there's a growing emphasis on physician wellness.
Speaker 7 (28:53):
In fact, you know, there is a current as we know,
being a physician is one of the highest suic type
rate in the US, and that's something that's not being spoken.
Speaker 8 (29:02):
About out loud or clearly, that positions are actually taking
them lives.
Speaker 7 (29:08):
So for you, what does that look like to have
this emotional support, given that the root cause analysis for
why physicians are commune in Souciet's not really being addressed
publicly or privately.
Speaker 8 (29:21):
In our local system, how does that look like to
help us?
Speaker 6 (29:24):
You know, we need a cultural shift, a culture we're
saying I'm not okay actually does not mean you're weak.
It means you're human. And I also do think we
need for leadership to recognize that emotional labor is a labor,
it's not just you know, a human, you know weakness.
(29:47):
And I like the systems that already start popping out
there who do not just pride themselves by checking the
box saying that, hey, you know, we got a yoga
class every quarter, or like we're handing out I don't
know those chocolate pars. You know, system that actually, you know,
restructures the expectations from healthcare workers that they're humans primarily,
(30:11):
and you know, just not a highly functioned machines, whether
it's a nurse, whether it's a nurse, petitioner, physician assistance
or a physician. Again, I think recognition of the fact
that emotional labor is a labor and you know it's
not something to ignore. Again, I feel like that on
Healed grief in medicine is what drives the burnout, and
(30:33):
I need we start talking about more and more and more.
Speaker 3 (30:36):
And I love how you earlier on you said your mentees,
you lead by guidance in the sense that they are
watching your every move and your vulnerability is going to
help a great deal in framing what's expected and what's not.
And that's what creates legacy, not just teaching technique, but
(30:56):
showing young doctors how to feel and survive the weight
of what they do. And you're doing such a good job.
Speaker 9 (31:02):
Thank you.
Speaker 8 (31:03):
You know, losing a patient is very hard.
Speaker 7 (31:06):
I think that's one thing for us position we never
really want to experience. But depending on the specialty you're in,
at some point it is going to happen. I just
wanted to know, if you care to share that audience,
what sort of personal rituals or beliefs or thoughts or
things you do to overcome yourself so that you can
keep going and not get way down.
Speaker 9 (31:28):
Absolutely, you know, I always come back to this.
Speaker 6 (31:30):
This job isn't about control, It's about presence.
Speaker 9 (31:33):
You know.
Speaker 6 (31:33):
I couldn't change the outcome in this patient. It didn't
matter what I did. You know, I try real harder,
fought for him, and that matters, and that matters to me.
And reflection on this daily reflection, you know, breathing techniques.
I breathe, I reset, I remind myself. You know, I care,
I still do, and that, you know, helps me stay grounded.
You know, I take care of myself. I take care
(31:54):
of my mind, I take care of my body. And
those are you know, those are daily minor stones that
you know, build into this you know, big big wall
of you know, uh that that keeps me going. You know,
I think that's why I keep showing up every day.
Speaker 8 (32:10):
Thank you so much for sharing.
Speaker 3 (32:13):
Yeah, what was the patient's name that you lost?
Speaker 6 (32:17):
I think it'd be fairer to just say because of
the patient, you know, uh information, you know, uh.
Speaker 3 (32:23):
Oh, but the person has just a name. We keep
saying the patient. I just wanted to honor their name.
But you don't have to chiss Mike, Mike, that's all
I needed to know.
Speaker 10 (32:31):
Sorry, but yeah, it was in many respects, it's it's
for Mike, because honestly, you know, that post really conveyed
a message that allowed me to say, wait, we need
to talk about.
Speaker 3 (32:42):
This, We need to share this with the world. Absolutely so,
Doctor Yarronell, thank you so much for reminding us that
behind every transplant and every diagnosis and every code blue
is a human being doing the impossible and still choosing
to care. And you're setting a great example. Your vulnerability
and more important to your advocacy and the relentless pursuit
of equitable care are not just healing hearts, right, You're
(33:06):
healing the culture of medicine itself. I think for talking
about it.
Speaker 6 (33:09):
I really appreciate it.
Speaker 3 (33:10):
For those listening. You can follow his incredible journey and
so much more on the Gram, on TikTok, on YouTube,
and on Facebook at Heart Underscore Transplant, Underscore Doc. And
that wraps this beautiful edition of Polish Beauty with the
incredible doctor Daisiime Triple Board Certified Cosmetic Surgeon and obgin.
You can find her directly on the Gram at Doctor
(33:32):
dais Aim and at the Polish Beauty Podcast. Stick around.
We'll be right back after the break with more on
seven ten WR The Voice of New York. You're listening
to a moment of Zen. I'm your host, Zen Sam's
We'll be right back after this. A moment of.
Speaker 8 (33:44):
Zen is brought to you by the Polish Beauty Podcast.
Speaker 3 (33:47):
But Doctor Daisy Aim, Hey, ambitious women ready to shine
on the inside and out. Tune into the Polish Beauty Podcast,
where we talk about business, beauty, brains and body all
in one spot. Meet to Daisy IIM Triple Board certified
cosmetic surgeon, proaging advocate, fitness enthusiast and your go to
for real talk on leveling up every part of your life.
(34:10):
The Polish Beauty Podcast is your dose of ambition meets empowerment.
For more information at the Polished Beauty podcast dot com.
Welcome back, beautiful Tri State area. You're listening to a
moment of Zen right here on seven to ten war
the voice of New york iHeartRadio. I'm your host, Zenzam's
Welcome back to the Going Deep segment, brought to you
by Co two Lift and our expert on the microphone series. Today,
(34:32):
we're joined by the Plastic stock doctor Samuel Salcedo. He's
a Board certified plastic surgeon and the founder of the
Plastic Stocks medspot in Corona, California. Renowned for his expertise
and aesthetics plastic surgery, He's dedicated to delivering personalized care
and achieving natural looking results for his patients. He's highly
respected in his field, presenting at national and international conferences,
(34:55):
training other surgeons and surgical techniques, and publishing studies in
the high strated plastic surgery journals. He joins us today
to chat all about the top trends in plastic surgery
and his thoughts on the future of esthetics. Welcome to
the show, Superstar.
Speaker 9 (35:09):
Thanks Enn, Thanks for having me again. Happy to be
here so.
Speaker 3 (35:12):
Excited to have you back on. So let's chat natural results.
Quote unquote, Right, you're praised for delivering natural looking results.
I look at your page, I look at the results
of your surgeries, and that's an approach that stands in
contrast from the dramatic, overdone look of the past. Many
patients they once wanted that write that dramatic impact. But
(35:33):
in recent years, there's been like a noticeable shift, especially
in the aesthetics industry, with patients prioritizing the subtle and
natural looking enhancement enhancements, right, making it more than just
a trend, but it's almost like a standard now. So
what do you believe is driving this shift and how
do you ensure that your work looks as natural as possible.
Speaker 11 (35:52):
Yeah, so I would say talking about current trends in
plastic surgery and aesthetics in general, natural results are now
the thing that people are done with. They're done with
overdone and like anything else in kind of our culture,
and especially here in the US, is a lot of
our trends are driven by celebrities. So what you'll notice
(36:13):
is you see people like Chris Jenner, Lindsay Lohan.
Speaker 9 (36:16):
Everybody's wondering what are.
Speaker 11 (36:17):
They doing because these patient, these people, they look natural,
they look refreshed, And that is what's driving that push
is people see these celebrities that are in the limelight
and they're looking better and better, They're looking younger. You're
no longer seeing the overdone, overfilled look, the overstretched you know, facelift.
Speaker 9 (36:36):
That's that's a thing of the past.
Speaker 11 (36:37):
Now everybody wants to move to natural results and natural,
natural regenerative options for enhancing their looks.
Speaker 9 (36:46):
So that's what's driving it.
Speaker 3 (36:47):
Right.
Speaker 11 (36:47):
We're seeing people that are in front of the camera,
people like yourself, who are just looking better and better,
and everyone's asking how are they doing that? How are
they managing to look younger as they age? So that's
what's pushing the trend.
Speaker 3 (36:59):
I know, even with breast implants, more patients are choosing
to go smaller. So I'm going to stick on this
more natural trend, but let's lower it down from the
face to the breast. Right, they're choosing to go smaller.
I recently explanted my breast implants and just got a
natural lift. So whether it's choosing a B over a
D or explanting altogether and a new breast implant Motiva
(37:21):
hit the US market, gaining FD approval just last fall,
which many patients are gravitating towards because of its natural
feel and movement. Now, I know you're offering these implants
in your practice now and you see your patients gravitate
towards the Motiva implants. I mean, is that where it's going?
Do you see that happening or smaller implants in general
(37:41):
as well? What are your thoughts?
Speaker 11 (37:42):
Yeah, Traditionally, implant sizes have varied across the US, so
in the Midwest and the East Coast New York, some
of those areas, they've tended to gravitate towards smaller implants.
I would say, on an average size of two hundred
to two fifty to three fifty ccs, which is somewhere
around a year a C. Whereas in California West Coast
(38:03):
we gravitate three fifty to four to fifty and bigger.
Speaker 9 (38:05):
Which is that seat right?
Speaker 11 (38:06):
You know everybody says that that C to D range
in Vegas D to a double D. But what I'm
seeing here in California especially, is we are seeing that
trend where patients are actually moving towards smaller implants. Something
that matches their lifestyle and their body better. With people
taking more care of themselves, exercising more, regenerative medicine gop
(38:30):
ones like ozempic and mandreau, everyone's getting into better shape.
They're feeling better, they want to work out more, and
they want an implant that reflects that lifestyle, an implant
that fits their lifestyle and fits their body. So even
in California, I am seeing a trend. For the first
time in probably two or three years. I had someone
coming for a console and wanted an implant size from one.
Speaker 9 (38:51):
Eighty to two fifty ccs, which is a B or
a C.
Speaker 11 (38:54):
My average is somewhere around four hundred CC's, which is
a good C or a D.
Speaker 9 (38:58):
Now I'm seeing patients in asking.
Speaker 11 (39:00):
For that B cup size because they want to be
able to do yoga, pilates, jogging, all the things that
fit with an active lifestyle. And with that being said,
not only are they asking for smaller implants, they are
coming and asking for Motiva by name. We haven't seen
this in the plastic surgery industry in quite some time,
where patients come in and ask for a specific implant.
(39:23):
There's been kind of the three big manufacturers that have
dominated the market for decades and there hasn't been much
innovation or change until Motiva came around. And Motiva is
taking the implant world by storm with their smooth silk
implant and their ergonomic design where you have an implant
that moves naturally with you, that takes on more of
(39:43):
a tear drop shape, which is very appealing to the
patients who are coming in and wanting a more natural look. Again,
everything shifting towards natural, natural enhancements in the face, natural
enhancements in the body.
Speaker 3 (39:54):
Perfect let's pivot to regenitive medicine. This is the perfect time.
Another fascinating trend that every doc practitioner who comes on
the show brings up. Regenitive medicine and regendaive medicine is
rapidly transforming the aesthetics field, allowing doctors like yourself to
harness and support the body's biological healing process to restore
and rejuvenate that tissue at a cellular level, which is
(40:15):
exactly where it should have been from the beginning. Now,
whether it's exosomes or stem cells, or growth factors, peptides,
or even treatments like the CO two lift mask, regenerative
medicine seems to be at the forefront of what everyone's
talking about right now. So what are your most what
are you most excited about in this space as it
relates to plastic surgery, And why do you think so
(40:36):
many doctors like you are embracing this regenitive medicine.
Speaker 11 (40:39):
We could call this a regenerative revolution, meaning everything is
shifting in that direction, right And there's a lot of
different things that we can do in regenerative medicine that
I'm super excited about. So let me start with from
the surgical perspective that I'm being that I'm a surgeon, right,
fat crafting. Fat grafting is absolutely amazing. So now we
have this. We've always had this option, but it's gaining
(41:01):
more popularity where people understand I can use my own
tissue to enhance myself. I can use fat that we
can lip instruction from an area and then reinject it
into the face, into the breast. Obviously, we all know
about buttocks enhancement with fat grafting, which is the BBL
that's been around for quite some time. But now people
understand I can enhance my breast with my own fat.
(41:22):
I can enhance my face, I can do fat grafting
under the eyelids into the cheeks rather than using a
hyaluronic acid filler or botox or other things. There is
a product that just came out this year. It's not
widely available yet, but trust.
Speaker 9 (41:36):
Me it will be.
Speaker 11 (41:37):
It's called aloclay. So what this is is it's donated fat.
So it's a structural at a post allographt is what
we call it. Meaning that's a fancy term for saying
we can take donated fat, process it, purify it, and
use it as an injectable and off the shelf injectable
for patients. So for patients like you or other fit
(41:58):
patients who have been told you don't have enough fat,
you're too thin, I can't get it, we have this
as an option now that doesn't even require surgery. So
we like to say it's a non surgical fat crafting,
a non surgical BBL, non surgical breast enhancement, which basically
takes this donated fat.
Speaker 3 (42:15):
So wait, let's go back. So I had a breast
lift done, yes, and so now you're so without going
under the knife, we can use the fat to restore
and regenerate my current.
Speaker 11 (42:28):
Breasts absolutely, it's exciting, right, I know, well is this
is going to take the industry plus storm.
Speaker 9 (42:35):
This is the hottest product of the year.
Speaker 3 (42:37):
Now, let's talk about GLP one meds. So your practice
encompasses a wide range of procedures including that high deff
breast and body conjuring. And with the rise of GLP
one medication such as ozetic being used for weight loss,
I'm sure this has changed the game for plastic surgeons.
I mean, as patients shed significant weight, not just a
little bit, they often turn to plastic surgeons to fix
(42:59):
the shoes left behind no unintended it's such as loose
skin and volume loss. And as someone who specializes in
body conjuring, how have you seen these weight loss drugs
impact what patients are asking for? And then how do
you guide patients on the best timeline for aesthetic procedures
when they're using GLP ones.
Speaker 11 (43:20):
There's a lot of intricacies of it, right, because now
we have patients who are improving their health, they're getting
into a better health state in general, so they're also
better surgical candidates. So it's a whole spectrum of things.
Before I used to see patients who were overweight not
well optimized medically, and we'd have to turn them away
for surgery and say, hey, you know, we need you
(43:41):
to lose x amount of weight. We need you to
get this much improvement in.
Speaker 9 (43:44):
Your cardiac health and in your fitness.
Speaker 11 (43:46):
And they would go and never come back, right because
we all know how hard it is to lose weight,
so they would try and try, and they would never
make any gains, and we just lost that whole patient population.
Whereas now we see those patients, we put them on
gop one medications, they lose the weight. Usually I give
them about three to six months to be on those
medications because through a span of six months on a
(44:08):
gop one you can lose anywhere from thirty to sixty pounds.
Speaker 9 (44:11):
So whereas before you were a poor.
Speaker 11 (44:13):
Surgical candidate, you become an excellent surgical candidate in the
span of three to six months. So we have this
new patient population that we can help get healthier, help
get optimized, and then help them get their surgery. And yeah,
we're seeing a huge shift in patients who now need
skin resection surgery. So they need breastlifts, they need tummy tucks,
they need arm lifts, they need thy lifts. If you
(44:35):
weren't someone who liked doing weight loss surgery, you're going
to have to completely shift your practice because we're going
to see a huge boom in skin excision surgeries and
post weight loss patients.
Speaker 9 (44:45):
And it's huge, it's huge, it's booming, it's huge.
Speaker 3 (44:48):
Yeah, billion dollar market. So this is the perfect time
to talk about no time for downtime because with all
of the surgery, you know, let's talk a bit about
recovery post procedures. So today's patients are busier than ever
and many have little to no tolerance for the downtime
commonly associated with the plastic surgery procedures. But the good
(45:08):
thing is there are so many new innovations that can
help speed up the recovery process and even improve results
by reducing scarring, which is exactly what it should be
all about, right, downtime, less scarring, increased increased blood flow.
So I'm curious to know how has this demand for
minimal or no downtime changed your treatment approach.
Speaker 11 (45:28):
Yeah, so I need a whole another segment to talk
about postop recovery, but we'll keep it short today, Right,
So I've always instituted an enhanced recovery protocol, which means
how do we get our patients back to full functioning
as quickly as possible. Part of that protocol and I
hate to share it because it's like we think we're
the best and we've got the best techniques, but.
Speaker 9 (45:46):
Let's share it, right, Let's share that knowledge for me
an enhance.
Speaker 11 (45:50):
Recovery protocol involves steps pre op and postops.
Speaker 9 (45:55):
So for our protocol, share our protocol.
Speaker 11 (45:57):
We get patients optimized obviously, like we just talked about
golp one to get them to an optimal weight status,
optimal cardiac status. We also give them juven which is
a nutritional supplement that has amino acids, collagen, and protein.
We start them on that preoperatively so that they are
nutritionally enhanced before surgery. Not only that, we do red
(46:18):
light therapy before surgery as well, so they're getting nutritionally optimized.
We're optimizing their skin, increasing blood flow into the area.
CO two lift again our carboxy gel mask to bring
in oxygenated blood flow. That's a preconditioning before surgery. This
is something that hasn't been done before, and a lot
of people overlook the preconditioning before surgery, not us. Obviously,
(46:40):
that's something that we think is extremely important. So we
do the preconditioning, then we do surgery. At the time
of surgery, I always do CO two lift, right, that's
part of my recovery process. Bring in oxygenated blood flow
to the newly created incisions. I use a product called bridgets,
which are forced modulating tissue bridges. It's like a little
device that goes on the incision, pinches the incision so
(47:03):
there's no tension on the wound. It's phenomenal.
Speaker 9 (47:06):
Right.
Speaker 11 (47:07):
We know that scars are worse when there's tension on
the wound, So what can I do to reduce tension?
So bringing oxygenated blood flow with CO two lift, using
the bridgets to reduce tension, and then as a post
stop protocol, we continue the juven We continue CO two
LYFT for two weeks post procedure, and we do red
light therapy. All those things combined help our patients recover quicker,
(47:29):
and I fail to mention at the time of surgery. Also,
we offer long acting numbing medication so that patients don't
have to take things like norco or opioid pain medications.
They recover quickly, they don't feel the pain and a
postop recovery iv So as the patients roll out from
the operating room, they're getting an IVY that has vitamins, minerals,
amino acids and all the things you need to recover.
Speaker 3 (47:52):
All right, we have just a minute left, but before
we wrap up, looking to the future, whether it's one
of the trends we discussed today or something new your
seeing emerge. I know we talked about the fat in
addition to that, is there a trend that you think
that's here to stay and that's going to become the
new norm in the aesthetics and plastic surgery field.
Speaker 11 (48:10):
Absolutely, so natural enhancements is here to stay. Everybody wants it,
and that's the direction that we're moving in. So one
of our mottos is on our website we put naturally enhanced.
That's what people want. They want to use their own
tissues to enhance themselves. They want to use natural products
like peptides, gop ones. We want to use things that
(48:30):
optimize our body's ability to heal faster, to repair ourselves.
Speaker 9 (48:35):
And that's not going to go away. Right.
Speaker 11 (48:37):
These are technologies and improvements in medicine and particularly aesthetic medicine.
That are here to stay, and I'm here for it, right.
I'm glad that we have these options now to enhance
our patient's lives, and we're big proponents of it.
Speaker 9 (48:51):
I love it.
Speaker 11 (48:52):
They're here to stay, and I'm glad they are. I'm
glad we have them now. Like you said, we're not
doing surgery that was done ten fifteen years ago. This
is a whole new age of medicine, of regenerative medicine,
of aesthetic medicine that is a huge benefit for everyone,
including myself. By the way, I don't I don't think
I mentioned in the last segment. I'm on GOP once.
I'm gonna start peptides, right. This is something we can
(49:13):
all benefit from. And I'm such a believer. I do
it myself.
Speaker 3 (49:16):
Wow, I love it. I The fact that you do
it yourself puts them more that reinforcement in patient trust
because I often ask my practitioners and doctors that you
know I'm talking to about you know what my next
steps would be for whatever it is, And I've said,
would you do this or have you tried this? And
if the answer is yes, that makes me feel so
much better. So I'm glad you shared that with us. Yeah, absolutely,
(49:37):
that was the Plastic Stock himself, doctor Samuel Salcedo. Definitely
check him out on Instagram at the Plastic Stock and
head to the Plastic Stocks Medspa and learn more about
his practice. Head directly to the website at dplastics doc
dot com. You're listening to a moment of Zen right
here on seven to ten WR the Voice of New
york iHeartRadio. That was our Going Deep segment brought to
(49:58):
you by Co two Lift. We'ill bere at back after this.
Speaker 12 (50:00):
A moment of Zen is brought to you by Co
two Lift. As we age, our skin loses moisture and elasticity,
causing wrinkled skin. You can reverse this aging process with
CO two Lift. CO two Lift utilizes the powerful benefits
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Speaker 3 (50:27):
For more information or towards CO two Lift, ask your
skincare professional or go to cotwolift dot com. Welcome back,
beautiful Tri State area. You're listening to a Moment of
Zen right here on seven to ten WR, the voice
of New york iHeartRadio. I'm your host, Zenzams. In our
health tip brought to you by Cispera. Today, we're chatting
about an overlooked skincare essential sunglasses. When we think of skincare,
(50:50):
we often think of moisturizers, serums, and cleansers. But did
you know that a good pair of sunglasses can be
just as important in protecting your skin. The thin skin
around your eyes is prone to pigmentation, especially under repeated
sun exposure. Dermatologists recommend wearing oversized UV blocking sunglasses, which
not only protect your vision, but also help prevent darkening
(51:12):
around the eye area caused by chronic squinting and UV damage.
So next time you head out the summer, don't just
reach for your SPF, grab your shades too.
Speaker 13 (51:21):
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Speaker 3 (52:21):
Well that's rat, my dear friends. Remember to join me
right here on seven ten Woar the Voice of New
York every Saturday night from nine to ten pm, or
you could head the seven ten wr dot iHeart dot
com forward slash a moment of Zen. Also remember that
we're live on Traverse TV Sundays at one pm Eastern
on YouTube Sundays at two pm Eastern, and all episodes
(52:42):
of a Moment of Zen are available on your home
TV and Kathy Ireland worldwide streaming platform. You could head
directly to mx dot your hoometv dot com. Thank you
for listening to a Moment of Zen. It's been an
absolute pleasure being your host. Thanks again to all of
our sponsors that continue to make the show possible. And
remember that happiness is the only thing that multiplies when
(53:02):
you share it. We'll be back next week.
Speaker 1 (53:04):
The proceeding was a paid podcast. iHeartRadio's hosting of this
podcast constitutes neither an endorsement of the products offered or
the ideas expressed.
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