February 10, 2025 • 29 mins
Navigating the often daunting world of medical appointments, especially as we hit our 40s, can feel like a nostalgic journey with modern challenges. Remember the days when seeing a doctor didn't come with a side of anxiety? We chat about how those long-standing relationships with trusted doctors provide comfort and how self-advocacy in healthcare is more important than ever. With over 6,000 downloads, we're grateful for our community and eager to hear your thoughts as we wrap up season four. Join us as we candidly explore the tightrope walk of having enough information to make informed decisions without falling into the trap of misinformation, particularly when it comes to complex topics like perimenopause.
Please be sure to checkout our website for previous episodes, our psych-approved resource page, and connect with us on social media! All this and more at www.thelylaspodcast.com
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Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:16):
Welcome to LILAS.
If you grew up in the 80s and90s, you probably know what
LILAS stands for, and thispodcast is for you.
Speaker 2 (00:24):
Ladies, you probably know what Lila stands for, and
this podcast is for you, ladies.
Hey, right, right.
So we're an all inclusive grouphere, reaching out to all of
our audience, and thank you allso much.
We are well over 6,000downloads, by the way, so thank
you everybody who tunes in everysingle week.
Remember, we want suggestions.
We're getting ready to closeout season four, so I'm going to
(00:44):
go ahead and plant that seed.
Now give us some ideas, somethings you want us to kind of
talk about.
We feel like we're kind of onpar with what we're listening to
, um, from other podcasts andmedia outlets, but we also want
to make sure that we're stayingin touch.
Yeah, we also want to make surewe're staying in touch with you
guys, so remember you can textthe show at any time and we'll
text back and we'll give yousome swag yeah, like oprah has a
(01:05):
podcast and she just did anepisode on the.
Speaker 1 (01:08):
What is it?
Like glp1, I was like, oh, wedid an episode on that season
four.
But I think you're right, likewe're right on par.
You know, the stuff we'redealing with is what a lot of
people are dealing with andtalking about, and so we just
get on here and kind of rift andtoday will be no different
Because we didn't really have atopic in mind when we got on
(01:30):
here to record and then, just aswe do a lot of times, we start
talking about what's going on inour lives.
Sarah and I are pretty in syncwith our well, with lots of
things, but with all of ourmedical appointments, somehow
they all line up.
We're like, oh, I'm, I mean, weliterally go for, like our
mammogram on the same day.
Like, totally, you're in WestVirginia, I'm in South Carolina,
(01:51):
and it just sort of works out,um, that we have back-to-back OB
appointments this week orgynecologists don't actually our
yearly check your lady partsappointments.
And so we started talking aboutjust what that's like and with
providers and how it's changedas we've gotten older and like
(02:11):
I'm going in tomorrow and I waslistening to some things Sarah's
going to share today and like,oh, that's a good idea, I'm
going to ask her.
You know what her background isin this and so, yeah, we just
kind of want to talk about.
I have lots of feelings andthoughts about doctors, I think,
because you seem the same way,sarah.
Like a lot of my appointments.
My yearly appointments arebetween December, january and
(02:33):
February, usually like eyedoctor, all the teeth you know
my teeth your dentalappointments, your OB, your
mammogram.
You could go to yourendocrinologist.
I see my primary care physicianfour times a year.
You know, one of those isusually sprinkled in, so it's
just a lot.
And then yearly blood work, allthat kind of stuff, kind of all
(02:54):
lumps around this time of yearfor both of us and for me I
don't know about for you you'reso used to doctors and hospitals
and all the things, but thatfor me brings like a little bit
of its own anxiety in itself.
Right, because you're gettinglike that one yearly screening
(03:15):
and, like you know, we alwayshope that they say you're good
and see you next year.
But like what if they don't?
I think that goes througheverybody's mind at some point
when you're in your 40s andyou're going for these yearly
kind of visits.
Does that happen to you?
Speaker 2 (03:30):
Do you have those same sort of Well, I think what
you said is fair.
I mean, my entire training andcareer was in medicine.
It just happened to bebehavioral medicine, but I was
always working around medicaldoctors and providers and so,
whether that be in a hospital orin a primary care center, in a
specialty clinic, I think that,and my training, my training,
was with medical residents.
(03:52):
So it was.
It was not.
There was not a big differencebetween the two, except what it
came down to, what we were doinginside the actual room.
So I think that my comfortlevel is a little bit different
with it.
But I also know that I mean, weknow, white cuff syndrome is
actually something that happens.
People's blood pressure tends to, you know, increase before they
(04:12):
go into even just a regularphysician.
That they've known for years.
That people tend to have arough time sleeping before they
go into different appointments.
The thought of having somethingwrong and then learning about
it None of this stuff is verycomforting.
And then, what about missingsomething?
That was always a concern thatsometimes I would hear from some
(04:34):
patients, especially if theyfelt rushed with their annual
appointment, whether that betheir annual check-in with their
primary care provider, obgyn,or whatever it was like.
Well, I've got, you know, a 10to 15 minute slot that's really
eight minutes, and I don't.
What are we missing?
That could be going on withinourselves, and I think that
(04:55):
whenever that happens, we tendto look towards outside sources
for information or what cansometimes turn into
misinformation.
And so, yeah, I think that it's100% common, but I think that's
where we have to kind of pivotourselves, as being the patient,
to taking a very proactivestance in the relationships that
(05:21):
we form with our providers andin building our own knowledge
base about what's going on withourselves, but also what, what,
what should be happening, youknow.
Speaker 1 (05:33):
I think it's so interesting because I loved my
OB the one that you know, bothmy pregnancies that I went to,
loved her and I think you kindof get attached or at least I do
, I get attached, I'm a creatureof habit and uh, you know it's
super convenient and I just Iloved her.
But then when I went in it waslike 38 or 39 and I was having
panic attacks and you know Ihave a background in mental
(05:57):
health, I understand I knew whatit was and so when I explained
it to her, you know hersuggestions were for me to
change my medications or go offof them altogether or to hire a
nanny, because it sounded like Icould use some assistance
working full time with two smallchildren.
And you know, and now lookingback, I'm like never once was it
(06:20):
.
Oh hey, you're 38, 39.
Like this is actually prettynormal, like symptom of
perimenopause.
And let me tell you about someof the other symptoms you might
experience and let's figure out.
You know, maybe we need to dosome testing.
Like that was never aconversation and I adore her and
I think she's a great OB, butit's got me thinking.
(06:41):
After you were telling me aboutyour experience and your doctor
.
I'm like I need to find adoctor that really specializes
in perimenopause, like that'swhere my body is at this point
and I need somebody that reallyunderstands what's going on and
can help guide me through thistime in life, because it's going
to be a little tricky, I think,just from the symptoms that
(07:05):
I've already experienced, and soit's totally changed my, you
know, I think about.
You know, I've been going to thedoctor for a long time, I've
been on controlled substance fora very long time and you have
to go every four months or everythree months, four times a year
.
And you know, I had a reallyattractive young doctor for many
(07:26):
years and I loved going to thedoctor, right, you know it was
like we'd catch up talk somesports, your pulse is racing
when it comes over to take your,you know, listen to your heart
rate and all that stuff.
I mean it was just such adifferent experience.
You know it used to be likebloop, I'm in out, like just
(07:47):
here because I have to, but nowyou're going in and you're like,
OK, here's what I'mexperiencing.
It's just different, like youknow.
I feel like you know it's justit's a different vibe altogether
, yeah, and it's more seriousand it's got a more serious tone
to it and I think reallyfinding people that specialize
(08:10):
in a woman's body, because somuch research wasn't done with
women included and I thinkthat's part of the problem, and
everybody specializes indifferent things.
I don't mean to like soundnegative about my previous
doctor, that just clearly shedidn't specialize in
perimenopause, you know, and shewas young too and so she
(08:33):
probably maybe hadn'texperienced those symptoms.
I don't know, but it's justtotally changed in my head.
Like I go in now almost with anagenda of some sort of like
okay, here's some things that Iexperience.
I don't know if these arenormal.
I need you to tell me that.
(08:55):
And you know my husbandrecently had some melanoma
removed off of his back and youknow it's just things like that,
like going to you know he's gotthis gnarly scar like down his
back.
Now like it's kind of not a bigdeal because it was like in and
out and margins are all clearand everything's you know best
you could hope for, but I meanlike he got a chunk cut out of
his back, shoulder and um, Idon't know.
(09:17):
It's just so many doctors and Ithink I always struggle with,
like, what symptoms do I eventell them about?
Because I don't have symptomsevery day, um, but but you know
it's same thing, like when yourkids get sick, you're always
like, are they sick enough totake them to the doctor?
Like, for me, if they don't havea fever over like 102, I'm
probably not going to take themto the doctor unless they're
(09:37):
like not eating, not drinking,um, but other like my kids both,
I'm 99% sure, just had the fluin the last couple of weeks and
you know I don't take either oneof them to the doctor because
I'm like it's the flu, like Iknow what this looks like, right
, but I think we sometimesstruggle with the same thing now
as adults being like, what'sworth noting to the doctor Is it
(10:00):
that I have like some weirdstomach pain once a month that's
unrelated to my cycle, I thinkI don't know.
I think I don't know, you know.
So that's sort of one of thethings that I've been thinking a
lot about, like cause you doonly get that window of time and
you've got to, like you got toask all your questions,
especially if it's those yearlyappointments, you know Well yeah
(10:22):
, and I would also say that wedo know that.
Speaker 2 (10:25):
you know, every time that you have with any type of
provider is it is a time based,whatever session, so to speak,
or appointment.
I would also say, though, thatif you feel like you were being
rushed, you're not with theright provider.
Speaker 1 (10:41):
Yeah.
Speaker 2 (10:43):
And if you feel like that you've requested labs or
that you've wanted referrals forother services and there's been
a ball drop that's happenedwithin that, you're also not
with the right provider.
And I know that that can betough, especially if you live in
, you know different, you knowareas or different types of
insurance or whatever.
But it really does take youbeing a good advocate for
(11:06):
yourself and finding what works.
And so for me, the way thatI've kind of navigated through
some of this is that my primarycare doctor has a very unique
and unusual type of practice andI love it because I would
always feel when I would go intoand I worked in primary care
(11:28):
clinics, so no shame.
And I love it because I wouldalways feel when I would go into
and I worked in primary careclinics so no shame.
And I think everybody needs aprimary care doctor.
But I always felt like it waskind of a rushed appointment and
I didn't feel I know thechecklist is supposed to be
happening because I had to writethe manuals that did it.
So that way people come from abehavioral standpoint that
promoted compliance.
So from a medical standpoint, Ihad to write the manuals that
did it.
So that way.
People come from a behavioralstandpoint that promoted
compliance.
So from a medical standpoint Ihad to understand it.
(11:50):
But I had to know how to makepeople do stuff, and so that's
where it all kind of cametogether.
But his practice is one that youpay for monthly.
So every month I get $80 takenout of my checking account so
it's not being billed to anyinsurance or anything else like
that but I have access to himanytime I want.
I can go to an appointment.
(12:13):
If I have something that popsup anytime, then I can go
straight in with him, and thenhe'll give me a slip to go get
labs ran.
And now it's in a differentplace, which is a little bit
inconvenient, but I'm still.
I'm paying for the fact I cansee him that day and I'm seeing
my doctor instead of like astand in.
Speaker 1 (12:26):
Right or go into like an urgent care or something
like that, right.
Speaker 2 (12:30):
Right, yeah, and so I have that.
I can communicate with himthrough an app.
If anything kind of comes up, ifI end up sick or something else
, I can always drop off my labsand then I see him once a year,
(12:51):
usually for a full-on, likelet's go through the checklist,
and that's important because Iknow that if I'm missing a dot
or a check, then he's going tomake sure that it gets met with
an appropriate referral or he'lleven sit there and coach me on.
Well, these are some things youmight want to talk to with this
provider.
This is my reach in terms of myscope of practice, but I think
that this person would be ableto help to fill in the gaps more
and I'm going to help to kindof coordinate that care with you
(13:13):
and make sure that there's goodcommunication between the two.
Yeah, he's really really really, really great and very
accessible and I really likethat type of care.
But the relationships that Ihave like with my OBGYN that we
kind of mentioned today- she wasa good friend of mine that I
worked with in a primary careclinic Love.
(13:35):
So we were friends first and sothat just kind of made it
natural, also somewhat awkwardbecause we're two providers who
you know what I mean it's.
It's hard in some ways, but Ilove her.
And you know we've been talkingabout perimenopause and one of
her colleagues just gotcertified in it and I mentioned
that to her and I was likethat's really cool.
And she was like, well, I'mgoing through the certification
(13:55):
process too, uh yeah, and I waslike, oh my God, girl, let's
talk.
And so she was like definitely,let's go through.
And, um, tell me what you'reexperiencing right now.
And in doing so you have toknow that we're just now, we're
behind the eight ball.
She kind of just said it rightout, like we didn't talk about
perimenopause and that was ourfault and that was because we're
(14:18):
an evidence-based practice as aprofession and we didn't have a
lot of really good informationor research on perimenopause,
yeah, yeah.
And so she was like so, fromthat kind of professional
context, you know we have topractice within our bounds and
the research hadn't come up,hadn't met with what we were
(14:40):
seeing in ourselves or withinour patients, but now it has,
and so she was like that's wherewe're now trying to shift.
She said, because I have somany people who come in, you
know, rightly or wrongly,everybody's searching for
information.
If they go into their OBGYN,like you did, and they're just
kind of dismissive, then you'regoing to listen to what somebody
says on Instagram or you'regoing to listen to you know, a
(15:02):
podcast that's talking aboutlike us, like what happened to
us in our you know appointments.
Again, all fair, but that'sprobably not the best place for
even here, this may not be thebest place for information.
It needs to come from yourprovider.
Speaker 1 (15:17):
Well, we're also not given like specifics.
We're not like here's yoursymptoms.
We're just talking about likefinding a provider that listens
to you and is knowledgeablereally about the subject.
I think that's what it boilsdown to.
Is it's no more about?
Does this match my insurance?
And, yes, all of these thingsare important because being able
to pay for health care isimportant, but if you are true,
(15:38):
if you're somebody who has themeans and is seeking out some
support for these types ofsymptoms, you know, I think it's
a really.
I think it's important thatwe're finding people
knowledgeable about women'sbodies in their 30s, late 30s
and 40s.
Speaker 2 (15:54):
Yes.
Speaker 1 (15:55):
Because there's just doesn't appear to be a ton of
people and again, I'm not likeI've done, I haven't done a ton
of research or anything like II'm going to start with my
current provider and see whather kind of knowledge is on the
subject before I go shoppingaround, because she, you know,
like you said, like she may beuncertified too, and I think
(16:17):
there's some real you know,validity in that they wanted to
wait until there was someresearch before they start
putting out these suggestions.
I had not thought of that, andso I think that's a really valid
point and that they probablydidn't know the research and and
you know you're not going to gospouting something you don't
have some evidence on, Right.
But now I feel like at somepoint somebody did some research
(16:41):
in the last 10 years, becausenow I feel like there is an
overload and it's prettyconsistent, I don't.
I mean, there might be somechange, but like the, the, I see
the same symptoms and some ofthem come from pretty reputable
sources.
Mm-hmm, you know, enough to meand I'm experiencing these
symptoms and I am this enoughfor me to think there's
(17:04):
something to this.
Oh yeah, definitely.
Speaker 2 (17:07):
And and that's what she says too.
And so what we basically didwas we talked through, like, um,
different things that I waskind of like noticing in terms
of like change withirregularities, or you know,
maybe this is TMI, but like itseems like I'm like urinary
tract infections are like, oh,how.
Or maybe this is TMI, but itseems like urinary tract
infections are like why is thishappening all the time?
(17:27):
Now it may not be as severe aswhat it used to be, but then for
me that can go into a bladderinfection, into a kidney
infection.
Next thing, you know, I'm inthe hospital getting two IVs of
fluid, dr Amy Moore, right, drTina Jones, but whatever.
So, talking about thosedifferent types of things,
energy levels, she went throughthe normal labs that I get and
so as part of this, they wouldcheck all of your hormones,
which include thyroid and stufflike that.
(17:49):
My endo takes care of that, soshe's going to stay in her lane.
So what she focused on wasreally looking at estrogen,
progesterone, testosterone Nope,progesterone, just progesterone
, okay, progesterone.
(18:12):
And then she was doing anotherone, that's LH, and then a FSH,
and so we're going to just do abaseline of those types of labs
and see how things are going.
Because she also said that eventhough your labs may be normal,
that doesn't mean that you maynot be having, you know,
experiences because right, orsymptoms, and that's because,
just like with any hormone, it'sgoing to fluctuate based upon
time of the month or whateverelse.
And so she wanted to reallyfocus on.
(18:34):
What we want to kind of do isget a baseline of data, and that
also includes, like how youfeel, things that are within you
that you notice like levels ofchange with, and then we can
kind of take it from a symptommanagement or, you know, if it
turns out that we have some youknow abnormalities or whatever,
then we can talk about specifichormone replacements or options
(18:55):
that we can use.
Speaker 1 (18:57):
And you know, I was like, well, this is fantastic,
you know, felt like a lot ofoptions, right, and it felt like
somebody really was trying tounderstand you specifically,
which is all we really want, andfor as much as we pay for
medical care.
Like I feel like you know, likeit's no different than if a kid
(19:19):
is in school and they came tome as a school psychologist and
wanted to know why they couldn'tread, right, I ran a bunch of
tests so I figured out what theproblem was.
There you go, it's no differentand I think that that's I'm
excited for you and I'm inspired.
I'm like I want.
I want to kind of do the wholegamut and just see I do.
(19:46):
You know, I think there's justso much that I don't know about
hormones.
Like you know, I track my cycleand I know, like when to expect
certain hormones to drop andthings like that related to my
cycle and try to support withwhat I'm eating and how I
exercise.
But I'll be honest, I have notlooked into hormone replacement
at all.
Like I know nothing, absolutelynothing about it, um other than
like what I've heard throughgirlfriends that tried it.
(20:08):
You know, I don't want to tryto speak on that, cause I
literally I don't even thinkI've ever Googled it.
Speaker 2 (20:15):
Fair, fair and there's different things that
could be whatever scary oranything else about it.
But to know that you know we'regoing to work through this
together and we're going to haveoptions on it and something
else that we address and maybe,I don't know, this is really on
my mind a whole lot lately, justbecause I my form of birth
control is I use a Paragard,which is that beautiful copper
(20:37):
thing that releases no hormoneswhatsoever.
It's just a piece of copperthat gets oh my God, I loved it
Goes in your uterus.
You don't have to worry aboutanything and I'd be just fine if
I was buried with this guy,like we're buddies at this point
.
He's almost been in there nineyears.
He's happy, he's in his nicelittle place.
You know, been very effective,doing his thing.
(20:57):
But supposedly they got to comeout in 10 years and I don't know
what's going to happen.
I did not know that.
Yeah, I mean I argued with herabout it.
I told her I was going to go towar with her about it, but then
, whenever we were discussing it, I was like I don't want this
thing to come out, I don't wantanother one to have to go in, I
(21:23):
don't want to have to deal withputting something in my arm just
for numerous reasons or takinga chance on getting pregnant.
I'll be 43 with type 1 diabetes,which smells disaster, because
you know what the first time ithappened, when I was in my 20s,
also spelled disaster, so thisis a complete no-go.
And she mentioned oh, we can doa tubal, like a whole
tubalectomy.
And I was like when Tomorrow,which I had never heard of
before you told me that I know.
(21:44):
So this is just what I'mtalking about.
So me actually sitting thereand being like, look, we got to
have a conversation because youknow time's ticking and I don't
know what's going to happen.
But she was like, well, and Iwas like what do you mean?
Like a tube's time?
Because I don't want thateither, cause I don't want to
(22:05):
have to deal with, like theectopic pregnancy or whatever
however you pronounce it.
I was like I don't want anypregnancy whatsoever and she was
like we'll just take out allyour tubes and leave your
ovaries so you don't have toworry about anything else.
Like the whole things arecoming out, so there's no
possibility.
And she was like, yeah, and Iwas like what are you doing
tonight?
I mean, are you available thisafternoon?
Yeah, but again, by beingwilling to sit there and have
these conversations, I now havea whole list of solutions or
(22:27):
options that I'm able to nowtake and utilize with data, with
a good provider, to justcontinue to, you know, work on
enhancing or preserving whathealth you have, what health you
have.
So and I mean this providerthat I go to she takes private
insurance, but it's mostly likea Medicaid based program, so
it's available to all people,that's amazing.
Speaker 1 (22:50):
Yeah, it's really amazing.
Speaker 2 (22:52):
So I really encourage that.
Speaker 1 (23:10):
Well, I would say I'm excited to go tomorrow, but you
know it's never fun.
I mean, going to the doctor isnever fun, especially the OB,
right, it's never fun, um, butI'm always excited to kind of
cross it off the list each yearand feel safe.
You know, I will say I started.
You know I've been with my newjob one year.
Um, I mentioned my husband hadsome melanoma on his back
removed a couple weeks ago, bothof those things.
If you remember from my readingwith Tyler Henry, he predicted
(23:32):
what I didn't know that.
The melanoma too.
He did Remind me of that.
He said your husband needs toget his skin checked.
He needs to make sure that heneeds to get his skin checked.
He needs to like make sure thathe goes and gets his skin
checked.
And he told me that I need togo to the make sure that I don't
delay OB appointments.
My gynecologist he was like Ineed to make sure I get a pap
(23:54):
every year and like check forlike cervical um, you know
cancers and things.
So I think it just it like likewhen Jeff's melanoma when it
came back and it was melanoma, Iwas like fuck, because I'm like
now it feels like impendingdoom a little bit too.
But you know, just like Jeff,he got it done, got it cleared,
(24:18):
his margins are good, he's goodand that's why we do this,
that's why we don't delay theseappointments, because even
though they're scary, you knowyou'd rather find something than
not know it's there.
Speaker 2 (24:31):
Right, Right and again, seek out a specialist in
things too, Like I just.
But maybe I had providers thatwere like you're too much of a
train wreck to have to deal with, which is 100% possible.
I mean, I had a primary caredoctor tell me because I was at
whatever type 1 diabetes.
They're like, well, we can'tmanage your general health and
(24:52):
that you have to go to aspecialist for the diabetes.
Speaker 1 (24:54):
I was like, oh, and I was under control but whatever.
Speaker 2 (24:59):
But by doing so you really are able to make sure
that your body is full ofdifferent systems and, with that
being the case, these providersare experts within those
different systems.
Go to somebody who's an expertwithin that system to help to
make sure that, again,everything is functioning to the
best level that it can be.
(25:20):
And I know it's a lot ofappointments we were just
talking, we had our eyeappointments, we have our
mammoths, we have our OBGYN, Ihave my endo, I mean all the
things, and I think that it ispreventative from problems
happening later.
I think it is corrective tothings that are happening right
(25:44):
now.
That could be improved and Ithink it just sets up a good
example for our kids that we'reactually going through and
taking care of ourselves.
And you know we're going, we'redoing like the work, as we kind
of say it, and I don't knowit's just got to do it.
Speaker 1 (26:01):
That's actually probably the most important
thing is showing your kids thatit's equally important to take
care of yourself and not todelay and go and get checked out
.
And I kind of like that myappointments all fall this time
of year.
You know it's like top of theyear, you get it checked.
It's like I think that'shelpful to have certain like
(26:22):
yearly reminders.
Like I know come in january, Iknow what's coming, I'm gonna
get my boobs squished, check outmy hooves, but uh.
But you know like there's it'slike you know I think it's
easier if you're a forgetfulperson like myself, it's easier
to remember to make theseappointments.
Speaker 2 (26:46):
So take care of yourself.
Be your own advocate.
Yeah.
Speaker 1 (26:49):
Right, Be your own advocate.
I'll report back on how myappointment goes tomorrow.
So yeah, hopefully all clearfor another year.
All clear for another year.
All clear for another year,that's a fun one.
Yeah, and put that up.
Speaker 2 (27:05):
Manifest that, right, that's yeah, we got to be
working on something, so that'sit.
Well, hopefully this washelpful again.
Maybe it's just kind of whatwe're going through in this day,
but everybody we kind of talkto seems like they're going
through the same type of thing,and so, yeah, I don't know.
Here we are.
Speaker 1 (27:28):
If you've been putting something off, schedule
it today, whatever it is.
Skin check I'll be honest, I'venever been to a dermatologist.
That's probably something Ishould add to the list of
appointments, just to get abaseline, like you said.
Speaker 2 (27:37):
Oh yeah, and that's a fun appointment.
Those are as invasive as anOBGYN one.
Speaker 1 (27:42):
Yeah, I didn't realize they get like all up in
your reel, yeah.
Speaker 2 (27:47):
Yeah, that one's coming up at the end of February
here.
Speaker 1 (27:51):
So See, I, yeah, that's hard If you're some like
I'm a pretty modest person.
I'm not like I go in and likedrop my drawer, like I, you know
it's uncomfortable for me.
I I feel like you're probablypretty good at those types of
appointments.
You're like, eh, check it out,like whatever.
Yeah, like I am like, ooh, it'sdifferent.
Speaker 2 (28:15):
It is.
It's all awkward, but at theend of the day it's just.
Everybody's a body like this.
I'll text Seth and be like Sethsorry we're talking about like
OBGY stealth again and he'll belike hey that's talking about
our new boss Right.
And he'll be like hey,everybody's got one, or you know
, real sweet and understandingand nonjudgmental, and I'm still
sitting here.
I'm like oh my God, this is myson.
God bless him.
Speaker 1 (28:39):
God bless him.
God bless him, All right y'all.
Well, that's all we got forthis week.
Until next week, Lylas Out you.
Welcome to LILAS.
If you grew up in the 80s and90s, you probably know what
LILAS stands for, and thispodcast is for you.
Speaker 2 (00:24):
Ladies, you probably know what Lila stands for, and
this podcast is for you, ladies.
Hey, right, right.
So we're an all inclusive grouphere, reaching out to all of
our audience, and thank you allso much.
We are well over 6,000downloads, by the way, so thank
you everybody who tunes in everysingle week.
Remember, we want suggestions.
We're getting ready to closeout season four, so I'm going to
(00:44):
go ahead and plant that seed.
Now give us some ideas, somethings you want us to kind of
talk about.
We feel like we're kind of onpar with what we're listening to
, um, from other podcasts andmedia outlets, but we also want
to make sure that we're stayingin touch.
Yeah, we also want to make surewe're staying in touch with you
guys, so remember you can textthe show at any time and we'll
text back and we'll give yousome swag yeah, like oprah has a
(01:05):
podcast and she just did anepisode on the.
Speaker 1 (01:08):
What is it?
Like glp1, I was like, oh, wedid an episode on that season
four.
But I think you're right, likewe're right on par.
You know, the stuff we'redealing with is what a lot of
people are dealing with andtalking about, and so we just
get on here and kind of rift andtoday will be no different
Because we didn't really have atopic in mind when we got on
(01:30):
here to record and then, just aswe do a lot of times, we start
talking about what's going on inour lives.
Sarah and I are pretty in syncwith our well, with lots of
things, but with all of ourmedical appointments, somehow
they all line up.
We're like, oh, I'm, I mean, weliterally go for, like our
mammogram on the same day.
Like, totally, you're in WestVirginia, I'm in South Carolina,
(01:51):
and it just sort of works out,um, that we have back-to-back OB
appointments this week orgynecologists don't actually our
yearly check your lady partsappointments.
And so we started talking aboutjust what that's like and with
providers and how it's changedas we've gotten older and like
(02:11):
I'm going in tomorrow and I waslistening to some things Sarah's
going to share today and like,oh, that's a good idea, I'm
going to ask her.
You know what her background isin this and so, yeah, we just
kind of want to talk about.
I have lots of feelings andthoughts about doctors, I think,
because you seem the same way,sarah.
Like a lot of my appointments.
My yearly appointments arebetween December, january and
(02:33):
February, usually like eyedoctor, all the teeth you know
my teeth your dentalappointments, your OB, your
mammogram.
You could go to yourendocrinologist.
I see my primary care physicianfour times a year.
You know, one of those isusually sprinkled in, so it's
just a lot.
And then yearly blood work, allthat kind of stuff, kind of all
(02:54):
lumps around this time of yearfor both of us and for me I
don't know about for you you'reso used to doctors and hospitals
and all the things, but thatfor me brings like a little bit
of its own anxiety in itself.
Right, because you're gettinglike that one yearly screening
(03:15):
and, like you know, we alwayshope that they say you're good
and see you next year.
But like what if they don't?
I think that goes througheverybody's mind at some point
when you're in your 40s andyou're going for these yearly
kind of visits.
Does that happen to you?
Speaker 2 (03:30):
Do you have those same sort of Well, I think what
you said is fair.
I mean, my entire training andcareer was in medicine.
It just happened to bebehavioral medicine, but I was
always working around medicaldoctors and providers and so,
whether that be in a hospital orin a primary care center, in a
specialty clinic, I think that,and my training, my training,
was with medical residents.
(03:52):
So it was.
It was not.
There was not a big differencebetween the two, except what it
came down to, what we were doinginside the actual room.
So I think that my comfortlevel is a little bit different
with it.
But I also know that I mean, weknow, white cuff syndrome is
actually something that happens.
People's blood pressure tends to, you know, increase before they
(04:12):
go into even just a regularphysician.
That they've known for years.
That people tend to have arough time sleeping before they
go into different appointments.
The thought of having somethingwrong and then learning about
it None of this stuff is verycomforting.
And then, what about missingsomething?
That was always a concern thatsometimes I would hear from some
(04:34):
patients, especially if theyfelt rushed with their annual
appointment, whether that betheir annual check-in with their
primary care provider, obgyn,or whatever it was like.
Well, I've got, you know, a 10to 15 minute slot that's really
eight minutes, and I don't.
What are we missing?
That could be going on withinourselves, and I think that
(04:55):
whenever that happens, we tendto look towards outside sources
for information or what cansometimes turn into
misinformation.
And so, yeah, I think that it's100% common, but I think that's
where we have to kind of pivotourselves, as being the patient,
to taking a very proactivestance in the relationships that
(05:21):
we form with our providers andin building our own knowledge
base about what's going on withourselves, but also what, what,
what should be happening, youknow.
Speaker 1 (05:33):
I think it's so interesting because I loved my
OB the one that you know, bothmy pregnancies that I went to,
loved her and I think you kindof get attached or at least I do
, I get attached, I'm a creatureof habit and uh, you know it's
super convenient and I just Iloved her.
But then when I went in it waslike 38 or 39 and I was having
panic attacks and you know Ihave a background in mental
(05:57):
health, I understand I knew whatit was and so when I explained
it to her, you know hersuggestions were for me to
change my medications or go offof them altogether or to hire a
nanny, because it sounded like Icould use some assistance
working full time with two smallchildren.
And you know, and now lookingback, I'm like never once was it
(06:20):
.
Oh hey, you're 38, 39.
Like this is actually prettynormal, like symptom of
perimenopause.
And let me tell you about someof the other symptoms you might
experience and let's figure out.
You know, maybe we need to dosome testing.
Like that was never aconversation and I adore her and
I think she's a great OB, butit's got me thinking.
(06:41):
After you were telling me aboutyour experience and your doctor
.
I'm like I need to find adoctor that really specializes
in perimenopause, like that'swhere my body is at this point
and I need somebody that reallyunderstands what's going on and
can help guide me through thistime in life, because it's going
to be a little tricky, I think,just from the symptoms that
(07:05):
I've already experienced, and soit's totally changed my, you
know, I think about.
You know, I've been going to thedoctor for a long time, I've
been on controlled substance fora very long time and you have
to go every four months or everythree months, four times a year
.
And you know, I had a reallyattractive young doctor for many
(07:26):
years and I loved going to thedoctor, right, you know it was
like we'd catch up talk somesports, your pulse is racing
when it comes over to take your,you know, listen to your heart
rate and all that stuff.
I mean it was just such adifferent experience.
You know it used to be likebloop, I'm in out, like just
(07:47):
here because I have to, but nowyou're going in and you're like,
OK, here's what I'mexperiencing.
It's just different, like youknow.
I feel like you know it's justit's a different vibe altogether
, yeah, and it's more seriousand it's got a more serious tone
to it and I think reallyfinding people that specialize
(08:10):
in a woman's body, because somuch research wasn't done with
women included and I thinkthat's part of the problem, and
everybody specializes indifferent things.
I don't mean to like soundnegative about my previous
doctor, that just clearly shedidn't specialize in
perimenopause, you know, and shewas young too and so she
(08:33):
probably maybe hadn'texperienced those symptoms.
I don't know, but it's justtotally changed in my head.
Like I go in now almost with anagenda of some sort of like
okay, here's some things that Iexperience.
I don't know if these arenormal.
I need you to tell me that.
(08:55):
And you know my husbandrecently had some melanoma
removed off of his back and youknow it's just things like that,
like going to you know he's gotthis gnarly scar like down his
back.
Now like it's kind of not a bigdeal because it was like in and
out and margins are all clearand everything's you know best
you could hope for, but I meanlike he got a chunk cut out of
his back, shoulder and um, Idon't know.
(09:17):
It's just so many doctors and Ithink I always struggle with,
like, what symptoms do I eventell them about?
Because I don't have symptomsevery day, um, but but you know
it's same thing, like when yourkids get sick, you're always
like, are they sick enough totake them to the doctor?
Like, for me, if they don't havea fever over like 102, I'm
probably not going to take themto the doctor unless they're
(09:37):
like not eating, not drinking,um, but other like my kids both,
I'm 99% sure, just had the fluin the last couple of weeks and
you know I don't take either oneof them to the doctor because
I'm like it's the flu, like Iknow what this looks like, right
, but I think we sometimesstruggle with the same thing now
as adults being like, what'sworth noting to the doctor Is it
(10:00):
that I have like some weirdstomach pain once a month that's
unrelated to my cycle, I thinkI don't know.
I think I don't know, you know.
So that's sort of one of thethings that I've been thinking a
lot about, like cause you doonly get that window of time and
you've got to, like you got toask all your questions,
especially if it's those yearlyappointments, you know Well yeah
(10:22):
, and I would also say that wedo know that.
Speaker 2 (10:25):
you know, every time that you have with any type of
provider is it is a time based,whatever session, so to speak,
or appointment.
I would also say, though, thatif you feel like you were being
rushed, you're not with theright provider.
Speaker 1 (10:41):
Yeah.
Speaker 2 (10:43):
And if you feel like that you've requested labs or
that you've wanted referrals forother services and there's been
a ball drop that's happenedwithin that, you're also not
with the right provider.
And I know that that can betough, especially if you live in
, you know different, you knowareas or different types of
insurance or whatever.
But it really does take youbeing a good advocate for
(11:06):
yourself and finding what works.
And so for me, the way thatI've kind of navigated through
some of this is that my primarycare doctor has a very unique
and unusual type of practice andI love it because I would
always feel when I would go intoand I worked in primary care
(11:28):
clinics, so no shame.
And I love it because I wouldalways feel when I would go into
and I worked in primary careclinics so no shame.
And I think everybody needs aprimary care doctor.
But I always felt like it waskind of a rushed appointment and
I didn't feel I know thechecklist is supposed to be
happening because I had to writethe manuals that did it.
So that way people come from abehavioral standpoint that
promoted compliance.
So from a medical standpoint, Ihad to write the manuals that
did it.
So that way.
People come from a behavioralstandpoint that promoted
compliance.
So from a medical standpoint Ihad to understand it.
(11:50):
But I had to know how to makepeople do stuff, and so that's
where it all kind of cametogether.
But his practice is one that youpay for monthly.
So every month I get $80 takenout of my checking account so
it's not being billed to anyinsurance or anything else like
that but I have access to himanytime I want.
I can go to an appointment.
(12:13):
If I have something that popsup anytime, then I can go
straight in with him, and thenhe'll give me a slip to go get
labs ran.
And now it's in a differentplace, which is a little bit
inconvenient, but I'm still.
I'm paying for the fact I cansee him that day and I'm seeing
my doctor instead of like astand in.
Speaker 1 (12:26):
Right or go into like an urgent care or something
like that, right.
Speaker 2 (12:30):
Right, yeah, and so I have that.
I can communicate with himthrough an app.
If anything kind of comes up, ifI end up sick or something else
, I can always drop off my labsand then I see him once a year,
(12:51):
usually for a full-on, likelet's go through the checklist,
and that's important because Iknow that if I'm missing a dot
or a check, then he's going tomake sure that it gets met with
an appropriate referral or he'lleven sit there and coach me on.
Well, these are some things youmight want to talk to with this
provider.
This is my reach in terms of myscope of practice, but I think
that this person would be ableto help to fill in the gaps more
and I'm going to help to kindof coordinate that care with you
(13:13):
and make sure that there's goodcommunication between the two.
Yeah, he's really really really, really great and very
accessible and I really likethat type of care.
But the relationships that Ihave like with my OBGYN that we
kind of mentioned today- she wasa good friend of mine that I
worked with in a primary careclinic Love.
(13:35):
So we were friends first and sothat just kind of made it
natural, also somewhat awkwardbecause we're two providers who
you know what I mean it's.
It's hard in some ways, but Ilove her.
And you know we've been talkingabout perimenopause and one of
her colleagues just gotcertified in it and I mentioned
that to her and I was likethat's really cool.
And she was like, well, I'mgoing through the certification
(13:55):
process too, uh yeah, and I waslike, oh my God, girl, let's
talk.
And so she was like definitely,let's go through.
And, um, tell me what you'reexperiencing right now.
And in doing so you have toknow that we're just now, we're
behind the eight ball.
She kind of just said it rightout, like we didn't talk about
perimenopause and that was ourfault and that was because we're
(14:18):
an evidence-based practice as aprofession and we didn't have a
lot of really good informationor research on perimenopause,
yeah, yeah.
And so she was like so, fromthat kind of professional
context, you know we have topractice within our bounds and
the research hadn't come up,hadn't met with what we were
(14:40):
seeing in ourselves or withinour patients, but now it has,
and so she was like that's wherewe're now trying to shift.
She said, because I have somany people who come in, you
know, rightly or wrongly,everybody's searching for
information.
If they go into their OBGYN,like you did, and they're just
kind of dismissive, then you'regoing to listen to what somebody
says on Instagram or you'regoing to listen to you know, a
(15:02):
podcast that's talking aboutlike us, like what happened to
us in our you know appointments.
Again, all fair, but that'sprobably not the best place for
even here, this may not be thebest place for information.
It needs to come from yourprovider.
Speaker 1 (15:17):
Well, we're also not given like specifics.
We're not like here's yoursymptoms.
We're just talking about likefinding a provider that listens
to you and is knowledgeablereally about the subject.
I think that's what it boilsdown to.
Is it's no more about?
Does this match my insurance?
And, yes, all of these thingsare important because being able
to pay for health care isimportant, but if you are true,
(15:38):
if you're somebody who has themeans and is seeking out some
support for these types ofsymptoms, you know, I think it's
a really.
I think it's important thatwe're finding people
knowledgeable about women'sbodies in their 30s, late 30s
and 40s.
Speaker 2 (15:54):
Yes.
Speaker 1 (15:55):
Because there's just doesn't appear to be a ton of
people and again, I'm not likeI've done, I haven't done a ton
of research or anything like II'm going to start with my
current provider and see whather kind of knowledge is on the
subject before I go shoppingaround, because she, you know,
like you said, like she may beuncertified too, and I think
(16:17):
there's some real you know,validity in that they wanted to
wait until there was someresearch before they start
putting out these suggestions.
I had not thought of that, andso I think that's a really valid
point and that they probablydidn't know the research and and
you know you're not going to gospouting something you don't
have some evidence on, Right.
But now I feel like at somepoint somebody did some research
(16:41):
in the last 10 years, becausenow I feel like there is an
overload and it's prettyconsistent, I don't.
I mean, there might be somechange, but like the, the, I see
the same symptoms and some ofthem come from pretty reputable
sources.
Mm-hmm, you know, enough to meand I'm experiencing these
symptoms and I am this enoughfor me to think there's
(17:04):
something to this.
Oh yeah, definitely.
Speaker 2 (17:07):
And and that's what she says too.
And so what we basically didwas we talked through, like, um,
different things that I waskind of like noticing in terms
of like change withirregularities, or you know,
maybe this is TMI, but like itseems like I'm like urinary
tract infections are like, oh,how.
Or maybe this is TMI, but itseems like urinary tract
infections are like why is thishappening all the time?
(17:27):
Now it may not be as severe aswhat it used to be, but then for
me that can go into a bladderinfection, into a kidney
infection.
Next thing, you know, I'm inthe hospital getting two IVs of
fluid, dr Amy Moore, right, drTina Jones, but whatever.
So, talking about thosedifferent types of things,
energy levels, she went throughthe normal labs that I get and
so as part of this, they wouldcheck all of your hormones,
which include thyroid and stufflike that.
(17:49):
My endo takes care of that, soshe's going to stay in her lane.
So what she focused on wasreally looking at estrogen,
progesterone, testosterone Nope,progesterone, just progesterone
, okay, progesterone.
(18:12):
And then she was doing anotherone, that's LH, and then a FSH,
and so we're going to just do abaseline of those types of labs
and see how things are going.
Because she also said that eventhough your labs may be normal,
that doesn't mean that you maynot be having, you know,
experiences because right, orsymptoms, and that's because,
just like with any hormone, it'sgoing to fluctuate based upon
time of the month or whateverelse.
And so she wanted to reallyfocus on.
(18:34):
What we want to kind of do isget a baseline of data, and that
also includes, like how youfeel, things that are within you
that you notice like levels ofchange with, and then we can
kind of take it from a symptommanagement or, you know, if it
turns out that we have some youknow abnormalities or whatever,
then we can talk about specifichormone replacements or options
(18:55):
that we can use.
Speaker 1 (18:57):
And you know, I was like, well, this is fantastic,
you know, felt like a lot ofoptions, right, and it felt like
somebody really was trying tounderstand you specifically,
which is all we really want, andfor as much as we pay for
medical care.
Like I feel like you know, likeit's no different than if a kid
(19:19):
is in school and they came tome as a school psychologist and
wanted to know why they couldn'tread, right, I ran a bunch of
tests so I figured out what theproblem was.
There you go, it's no differentand I think that that's I'm
excited for you and I'm inspired.
I'm like I want.
I want to kind of do the wholegamut and just see I do.
(19:46):
You know, I think there's justso much that I don't know about
hormones.
Like you know, I track my cycleand I know, like when to expect
certain hormones to drop andthings like that related to my
cycle and try to support withwhat I'm eating and how I
exercise.
But I'll be honest, I have notlooked into hormone replacement
at all.
Like I know nothing, absolutelynothing about it, um other than
like what I've heard throughgirlfriends that tried it.
(20:08):
You know, I don't want to tryto speak on that, cause I
literally I don't even thinkI've ever Googled it.
Speaker 2 (20:15):
Fair, fair and there's different things that
could be whatever scary oranything else about it.
But to know that you know we'regoing to work through this
together and we're going to haveoptions on it and something
else that we address and maybe,I don't know, this is really on
my mind a whole lot lately, justbecause I my form of birth
control is I use a Paragard,which is that beautiful copper
(20:37):
thing that releases no hormoneswhatsoever.
It's just a piece of copperthat gets oh my God, I loved it
Goes in your uterus.
You don't have to worry aboutanything and I'd be just fine if
I was buried with this guy,like we're buddies at this point
.
He's almost been in there nineyears.
He's happy, he's in his nicelittle place.
You know, been very effective,doing his thing.
(20:57):
But supposedly they got to comeout in 10 years and I don't know
what's going to happen.
I did not know that.
Yeah, I mean I argued with herabout it.
I told her I was going to go towar with her about it, but then
, whenever we were discussing it, I was like I don't want this
thing to come out, I don't wantanother one to have to go in, I
(21:23):
don't want to have to deal withputting something in my arm just
for numerous reasons or takinga chance on getting pregnant.
I'll be 43 with type 1 diabetes,which smells disaster, because
you know what the first time ithappened, when I was in my 20s,
also spelled disaster, so thisis a complete no-go.
And she mentioned oh, we can doa tubal, like a whole
tubalectomy.
And I was like when Tomorrow,which I had never heard of
before you told me that I know.
(21:44):
So this is just what I'mtalking about.
So me actually sitting thereand being like, look, we got to
have a conversation because youknow time's ticking and I don't
know what's going to happen.
But she was like, well, and Iwas like what do you mean?
Like a tube's time?
Because I don't want thateither, cause I don't want to
(22:05):
have to deal with, like theectopic pregnancy or whatever
however you pronounce it.
I was like I don't want anypregnancy whatsoever and she was
like we'll just take out allyour tubes and leave your
ovaries so you don't have toworry about anything else.
Like the whole things arecoming out, so there's no
possibility.
And she was like, yeah, and Iwas like what are you doing
tonight?
I mean, are you available thisafternoon?
Yeah, but again, by beingwilling to sit there and have
these conversations, I now havea whole list of solutions or
(22:27):
options that I'm able to nowtake and utilize with data, with
a good provider, to justcontinue to, you know, work on
enhancing or preserving whathealth you have, what health you
have.
So and I mean this providerthat I go to she takes private
insurance, but it's mostly likea Medicaid based program, so
it's available to all people,that's amazing.
Speaker 1 (22:50):
Yeah, it's really amazing.
Speaker 2 (22:52):
So I really encourage that.
Speaker 1 (23:10):
Well, I would say I'm excited to go tomorrow, but you
know it's never fun.
I mean, going to the doctor isnever fun, especially the OB,
right, it's never fun, um, butI'm always excited to kind of
cross it off the list each yearand feel safe.
You know, I will say I started.
You know I've been with my newjob one year.
Um, I mentioned my husband hadsome melanoma on his back
removed a couple weeks ago, bothof those things.
If you remember from my readingwith Tyler Henry, he predicted
(23:32):
what I didn't know that.
The melanoma too.
He did Remind me of that.
He said your husband needs toget his skin checked.
He needs to make sure that heneeds to get his skin checked.
He needs to like make sure thathe goes and gets his skin
checked.
And he told me that I need togo to the make sure that I don't
delay OB appointments.
My gynecologist he was like Ineed to make sure I get a pap
(23:54):
every year and like check forlike cervical um, you know
cancers and things.
So I think it just it like likewhen Jeff's melanoma when it
came back and it was melanoma, Iwas like fuck, because I'm like
now it feels like impendingdoom a little bit too.
But you know, just like Jeff,he got it done, got it cleared,
(24:18):
his margins are good, he's goodand that's why we do this,
that's why we don't delay theseappointments, because even
though they're scary, you knowyou'd rather find something than
not know it's there.
Speaker 2 (24:31):
Right, Right and again, seek out a specialist in
things too, Like I just.
But maybe I had providers thatwere like you're too much of a
train wreck to have to deal with, which is 100% possible.
I mean, I had a primary caredoctor tell me because I was at
whatever type 1 diabetes.
They're like, well, we can'tmanage your general health and
(24:52):
that you have to go to aspecialist for the diabetes.
Speaker 1 (24:54):
I was like, oh, and I was under control but whatever.
Speaker 2 (24:59):
But by doing so you really are able to make sure
that your body is full ofdifferent systems and, with that
being the case, these providersare experts within those
different systems.
Go to somebody who's an expertwithin that system to help to
make sure that, again,everything is functioning to the
best level that it can be.
(25:20):
And I know it's a lot ofappointments we were just
talking, we had our eyeappointments, we have our
mammoths, we have our OBGYN, Ihave my endo, I mean all the
things, and I think that it ispreventative from problems
happening later.
I think it is corrective tothings that are happening right
(25:44):
now.
That could be improved and Ithink it just sets up a good
example for our kids that we'reactually going through and
taking care of ourselves.
And you know we're going, we'redoing like the work, as we kind
of say it, and I don't knowit's just got to do it.
Speaker 1 (26:01):
That's actually probably the most important
thing is showing your kids thatit's equally important to take
care of yourself and not todelay and go and get checked out
.
And I kind of like that myappointments all fall this time
of year.
You know it's like top of theyear, you get it checked.
It's like I think that'shelpful to have certain like
(26:22):
yearly reminders.
Like I know come in january, Iknow what's coming, I'm gonna
get my boobs squished, check outmy hooves, but uh.
But you know like there's it'slike you know I think it's
easier if you're a forgetfulperson like myself, it's easier
to remember to make theseappointments.
Speaker 2 (26:46):
So take care of yourself.
Be your own advocate.
Yeah.
Speaker 1 (26:49):
Right, Be your own advocate.
I'll report back on how myappointment goes tomorrow.
So yeah, hopefully all clearfor another year.
All clear for another year.
All clear for another year,that's a fun one.
Yeah, and put that up.
Speaker 2 (27:05):
Manifest that, right, that's yeah, we got to be
working on something, so that'sit.
Well, hopefully this washelpful again.
Maybe it's just kind of whatwe're going through in this day,
but everybody we kind of talkto seems like they're going
through the same type of thing,and so, yeah, I don't know.
Here we are.
Speaker 1 (27:28):
If you've been putting something off, schedule
it today, whatever it is.
Skin check I'll be honest, I'venever been to a dermatologist.
That's probably something Ishould add to the list of
appointments, just to get abaseline, like you said.
Speaker 2 (27:37):
Oh yeah, and that's a fun appointment.
Those are as invasive as anOBGYN one.
Speaker 1 (27:42):
Yeah, I didn't realize they get like all up in
your reel, yeah.
Speaker 2 (27:47):
Yeah, that one's coming up at the end of February
here.
Speaker 1 (27:51):
So See, I, yeah, that's hard If you're some like
I'm a pretty modest person.
I'm not like I go in and likedrop my drawer, like I, you know
it's uncomfortable for me.
I I feel like you're probablypretty good at those types of
appointments.
You're like, eh, check it out,like whatever.
Yeah, like I am like, ooh, it'sdifferent.
Speaker 2 (28:15):
It is.
It's all awkward, but at theend of the day it's just.
Everybody's a body like this.
I'll text Seth and be like Sethsorry we're talking about like
OBGY stealth again and he'll belike hey that's talking about
our new boss Right.
And he'll be like hey,everybody's got one, or you know
, real sweet and understandingand nonjudgmental, and I'm still
sitting here.
I'm like oh my God, this is myson.
God bless him.
Speaker 1 (28:39):
God bless him.
God bless him, All right y'all.
Well, that's all we got forthis week.
Until next week, Lylas Out you.
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