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February 18, 2025 33 mins

Hey to all of my heart friends. This episode may be a tad cringy at times. Sorry, not sorry.

Curious about what happens after open-heart surgery that no one else seems to talk about? Dr. Kelly Sadauckas takes us on a journey into a post-operative topic that’s often overlooked: pooping. This episode sheds light on the intricate processes involved in digestion and bowel movement and reveals surprising ways to prepare for and recover from surgery more smoothly. We do our best to make the complex world of gut health accessible and—dare we say it—fun!

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**I am not a doctor and this is not medical advice. Be sure to check in with your care team about all the next right steps for you and your heart.**

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Email: Boots@theheartchamberpodcast.com

Instagram: @openheartsurgerywithboots or @boots.knighton

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Boots Knighton

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Transcript

Episode Transcript

Available transcripts are automatically generated. Complete accuracy is not guaranteed.
(00:03):
Poop is significantly and uniquely
correlated to quality of life as we age, and especially as
we have big scary surgical procedures. So
the more that we can make it not so scary and
uncomfortable to talk about, the better. Welcome to open
heart Surgery with Boots, where this February we're

(00:25):
going below the belt. That's right. We're
diving into the surprisingly connected world of heart
surgery and pelvic floor health in this five part
series. Join me and our special guest expert, Dr.
Kelly Sudakis as we talk about everything you're too
embarrassed to ask your cardiologist. From what makes a

(00:47):
happy pelvis, to getting your groove back after
surgery, to yes, even the great post
op debate. With candid
conversations, practical advice and plenty of laughs,
we're exploring the ups and downs of recovery.
Because let's face it, healing happens from top

(01:08):
to bottom. So buckle up for some real talk about the parts
of recovery nobody warned you about. Hi,
Boots Knighton here with Dr. Kelly Sudakis and
we are bringing the pelvis floor
game to you this month for Heart month. I hope you've enjoyed
everything so far. This is episode four. We

(01:30):
released a special one on Friday,
Valentine's Day on sexy time. So if you
missed that, be sure to go back and catch it. We kept it short and
sweet, but if you are able to
get a video of this somehow I know a lot of you just walk around
with me in your ears and thank you. I'm so honored. But Kelly

(01:51):
is rocking a poop hat
in honor of our topic, which is pooping post open
art surgery. I want to do my best to be
professional here and also a human at the same time while I
look at my friend. Yes. So
welcome back, Dr. Kelly. Thank you so much

(02:14):
for having me. Boots. It's an honor to be here. And
part of the reason I'm wearing this hat is
sometimes I don't. I can't believe it. But sometimes people don't like to
talk about poop. I don't know. I don't know. But
it is something that literally everyone poops. You poop, your
parents poop, your friends poop, everybody poops. And so it is something that

(02:36):
we really should feel comfortable and confident talking about.
And poop is significantly and uniquely
correlated to quality of life as we age and especially as
we have big scary surgical procedures. So
the more that we can make it not so scary and
uncomfortable to talk about, the better. So, I mean, me and my silly poo

(02:59):
pat, like, if this helps you be able to think about how often you're pooping
or how much fiber you're eating, like without getting all queasy, then
great. I'm so happy to be able to provide that.
So to set the stage. Love it.
Yes. Like, to set the stage of why pooping is
important. Boots, tell me about your poop experience

(03:22):
post your surgery. Yeah, it was
epic. I couldn't poop
for a minute there. And we hear about that a lot. A lot
of times stool softeners are prescribed post any
surgery. And I went to the hospital expecting
that. So I wanted to be able to have a more natural experience.

(03:44):
So I brought a special tea called I think Smooth
Move. And I. By the time I
drank it, I was. I. And I knew how important it was
to go for like process post open heart surgery. And
so I overdid it. I drank two glasses
of it. So two tea bags. And it. Let's

(04:06):
just say it worked exceptionally well to the point that I needed to
utilize the services of all the CNAs on the floor. And
then what that did was, it was embarrassing. It was in the middle of the
night, which, I mean, they're there to work, but I was so tired, I
needed to be sleeping. I had made a mess. It was just really so
uncomfortable. Mind, body, spirit.

(04:28):
Absolutely, absolutely. And so, you know, I. And we can't
promise, like, oh, had you known this that it would have been different, but. But
it might have been. And you know, there's going to be listeners where this will
make a difference for them, so we are going to have some fun.
Okay, quick question. If I show this to you, is it the
right direction or is it backwards? Boots, it's the right direction. I think it's the

(04:50):
right. Oh my gosh. Cameras are amazing.
So not very many people understand what poop
is. And so we are going to start off just explaining to you how
your amazing, beautiful body makes poop in the first place. And
along that journey, we are going to discover some ways that
we can set ourselves up for success for the best post operative

(05:12):
poop ever. Now, as with most things, the
best time to start preparing your body for the first post operative
poop is two months before your operation. Right. And not
everyone, I mean, or 20 years.
Like, we want to get a poop perfect as soon as our lives as
humanly possible. The second best time to improve our poop

(05:34):
function is right now. So if you're listening to this
and you're 20 years old, medical student. Heck yeah. If you're listening
to this and you're 70 years old after your first surgery and you're terrified
Heck yeah. Welcome. This is going to help everybody. So those of you that are
just listening, I'll, I'll take some amazing pictures of this and boots. We can put
them in the show notes so people can download. But my first

(05:56):
picture is all about poop.
And the first thing that's involved in poop
formation is what food and water go
into the system first. Friends, if you're not eating
enough food, you are not going to be able to poop. Okay?
Food is fuel for your beautiful body. So

(06:19):
we got to get fuel in. If there's no fuel in, you will not have
stuff to push out in the poop. Additionally, we need enough
water. Water. If without water we are going to not have great
cognitive function, our bladder is going to be pissed off and we're going to have
little rabbit turds. Without enough water, we will be
constipated. But I could just interject. Yeah, yeah, yeah,

(06:41):
let's go back. Way to like Super 101.
Like pooping is so important because it
gets toxins out of our body.
So. Yes, so yes. But
more importantly, pooping is a
reflection of how well our

(07:01):
microbiome, and I will take that even back one step further in a
second. How well our microbiome is digesting our food. Food to
actually give us nutrients. So the microbiome is a, is
a biota. It's little tiny bugs, not bad bugs,
good bugs that live inside the tubes in your stomach
and they help digest the food. When they

(07:23):
digest the food, that's what makes these nutrients available for
us to actually receive nourishment. And guess
what? Those good little bugs that live inside of
us, they need fiber. Fiber feed
your microbiome. So if you don't eat any fiber, fiber is not
just the stuff that forms the poop. It feeds your microbiome. If you don't

(07:46):
eat any fiber, there's a chance that food could go through and you're
only pulling out a little bit of the nourishment. So that's not okay
either. Right? Like all of us, I think as I go through this
full thing, that particular part will make a little bit more sense.
So the food that's going in, we need enough food to actually form
poop. So that's the first thing we look at. And as far

(08:09):
as fluid ounces, we take your body weight in pounds
and divide it by two and that is your target
number of baseline ounces of water to take in a
day, 75% of it, preferably non
caffeinated, to make sure that we're actually getting hydrated stuff.
If you live in a high altitude, if you're breastfeeding, exercising, then you actually

(08:30):
need a little bit more than that bare minimum. But that's how you find your
bare minimum for what your body needs. Fiber. We
want 10 grams of fiber at every meal or meal
snack combo for 20 to 30 grams
a day. And most Americans specifically are woefully
inadequate in fiber. But that's the basic that we need.

(08:52):
As we're going to see as we travel down the poop's journey, that fiber is
what's going to actually feed the good bugs that live in the tubes in our
stomach to break down the food for us and get us nourishment.
So food and water go in. We chew it with our very sharp teeth right
here, chewing it and the saliva starts to
break down the food so that those little bio tas, those little

(09:15):
buggies, good buggies, can break, can get us the nutrients.
It goes down the tube into the stomach where it gets all churned up
with acid. Woo hoo. And if we have a gallbladder,
a little extra shot of bile to further break stuff down.
And now it's like a sludge, right? I know, it's, it's very, very fabulous.
The sludge leaves the stomach and goes into your small intestine,

(09:37):
which I have shown is just a little swirly do here. The
small intestine is where those lot of those
microbiome, those good bugs live. And they're going to eat the
fiber. When they eat the fiber they're going to release all sorts of stuff that
helps our body break down the food and absorb the
nutrients. And if we don't have enough fiber, those little

(10:00):
bugs can't do their job. And number one, we're not absorbing
the food. And number two, the speed with which the food is going through
the tubes is going to slow. And that's a problem.
After the food goes through your small intestine,
it goes through something called your cecum to your large
intestine which is where water is

(10:23):
resorbing. Now it's going to switch from sludge to looking more what we
think poop should look like. The very
end of the tube it's going to go through your sigmoid
colon which is not to scale, but it's two 90 degree
turns. Randy, the rectum here, hey.
The poop comes down and then when it's ready to be stored before

(10:46):
we eliminate it, it makes two 90 degree turns and then
pressure of that formed poop
on the internal anal sphincter
tells us if we have to fart poop or if
we're about to have a poop emergency and run to the
bathroom. Holy heck, isn't that crazy pants. Thank you

(11:08):
for the, the amazing drawing. And for those who are only
listening and can't see, I'll make sure I even post some of these back
pictures on Instagram for you. But that's a
really helpful model. And you know, I wonder if that's even covered in
health in high school these days. I don't even know to be
honest. It's certainly not covered. You know, I went to PT school over 20

(11:31):
years ago. We didn't cover functional medicine. Food
is medicine at that point. And so much of that, you know, people think
that it's just fiber to like just form the poop and so they
oh, I'm just going to take this Metamucil and no, it's about so much more
than that. It's about fueling the body, you know, and then there's a
whole nother step. We have another of Dr. Kelly's famous stick figures

(11:52):
here, like that rectum piece that
when the poop's kind of entering in that holding zone, if we
are dehydrated without fiber, that poop is going to spend
way too much time in that tube. I'm going to feel
ucky. And then when the poop comes down, if that
rectum is resting too tight, it's very hard to open

(12:15):
the door and relaxing the rectum. We
talked about this in one of our first videos together. But we're going to recap
because some people are just going to be here for the poop. They want to
get the shiz on the poop. The
pelvic floor muscles are like an elevator that's meant to live
on the ground floor of a four story building. And most

(12:36):
pelvic problems, including constipation. A part of that problem is the
pelvic floor resting too tight. And that too tightness of the
rectum puts the brake on all of this shiz traveling
through the intestine. So it keeps the stuff in the tube more longer than it
should, which makes it harder. Boo. But
additionally, when that pelvic elevator rests on

(12:58):
the ground floor, which is where it's meant to be, and we can do something
called bearing down, which is not straining. It is a gently
blossoming of just your pelvic floor muscles. That dropping
and opening of the rectum is the cue for your colon to
push your poop out. So just like your
bladder pushes your Pee out. We should never strain to pee. Your

(13:20):
colon should push your poop out. You should never strain to have a
poop. And then technically your uterus should push a baby out. So, you
know, talk to, talk to me later about that.
But if someone's dehydrated and they have this tight pelvic floor and they're
sitting, sitting on a toilet that's really high
and their hips are higher than their knees, that actually also makes it

(13:42):
harder for the body to succeed. So shifting
gears. If we didn't know about all of this before
our surgery and now we're really scared about the
first post operative poop, things that can help. Take the stool
softener. Absolutely. In the hospital
bathroom, get a squatty potty or a small stool to put your feet

(14:04):
on so that your knees can be high than
your hips. Relax your pelvic
floor to the best of your ability. Do some of these nice belly breaths
where the belly gets bigger and the pelvic floor softens and
drops down. And if you feel like you have to
push, don't push. That's too much pressure, especially if you've had the

(14:27):
sternotomy. So take a couple of folded sheets
and push them against your
lower belly like so while
you breathe out and try to relax
and blossom the pelvic floor. Those are the things
that you can do to help set yourself up for

(14:48):
success. Does that make sense? Boots. Do you have any questions? And we
also talked about that. The risk of cardiac events if you
bear down. Oh, my gosh. Yeah. Your doctor never wants you
to. Yeah. If we squeeze. And there
have been instances of people having cardiac events on the toilet
when they're just trying to force poop out. And that is something that

(15:11):
is completely avoidable if we just know to talk about it
and know that there's help. And if all of this is feeling a little
overwhelming, like, please don't let it be overwhelming, see this as a blessing
and a gift. That. Oh, wow. I can't believe how much I didn't know. And
seek to learn more. Um, you know, my online courses teach you about relaxing
your pelvic floor. Boots and I, after this, we're going to guide you through a

(15:32):
specific pelvic floor relaxation. There's probably pelvic floor pts
near you. I, I have a great blog, how to find a pelvic floor PT
near me. Go look at it. You know, email me if you have
questions about trying to find someone near you. Because this is something
that beyond just heart clients. This is important for everyone,
but it's especially important. Important for her clients.

(15:55):
Now the one other thing we can do, boots to set ourselves
up for this great post surgical poop or to
jumpstart our poops is the best belly massage
ever. Oh my gosh. And guess what? Yeah, I
drew something. Oh, man,
you really brought your A game today. Thank you, girl. Thank you.

(16:17):
I know. We'll make sure you guys all have downloads of these. I'll. Maybe I'll
sign a couple. We can like frame them. So yeah, put a TM
or a copy, right? Oh my gosh.
It's amazing. So what that and those of you who
are watching, you got to see this. Those of you listening again, come find boots
show notes because you'll get a downloadable for that PDF. But

(16:39):
belly massage is important for
a million reasons. Number one
is heart surgery stressful. Life's stressful.
Being constipated is stressful. Stress
elevates the tone of that pelvic floor and heightens our sympathetic nervous system,
which is fight or flight, which slows

(17:01):
digestion. So rubbing
your belly, especially while we are practicing
relaxed breathing, calms that sympathetic
system. It helps promote rest and digest
to move poop through the tube faster. So
post operatively, you can be laying in

(17:23):
bed and I'm going to show this for those of you watching. You can have
a hand, you know, at the bottom of the sternotomy incision so we know we're
nowhere near there. And you can rub your sweet
little belly very gently in little clockwise
circles all the way around your belly
button. This gentle rubbing and you're going to do

(17:44):
that with soft belly breaths wherever it feels comfortable.
And if you're not comfortable touching the skin for whatever
reason, do it over your hospital gown at even the
most gentle pressure will stimulate your lymphatic system, which
is extremely beneficial. And doing that sunflower
massage is what we call it for three to five minutes

(18:06):
helps improve the mobility of all of the nerves that
go to the colon to help make poop.
And that belly breathing helps
calm the fight or flight system. The belly breathing
stimulates rest and digest. It helps you relax your pelvic floor.
All things that are going to help the body move the literal

(18:28):
crap through the system. Right. And post operatively
clearing the medical crap. Absolutely. We need to get that
med. The medicine was amazing while you were knocked out. We got to get it
out of your system now. So you would do that?
Can I interrupt? Because I have a question? Yeah, yeah. And I'm thinking about
everyone who's listening with me. So like for me and This

(18:51):
I think will be for most open heart surgery patients. I had two
tubes coming out like probably at
least 2 to 3 inches below my boobs, but in the center.
Right. And so can you still do that massage? So that's a
great. Yeah, no, that's a great call. I forgot about the ports for drainage.
Yeah, so you could. But thank you. It would just be right down here if

(19:13):
you have those ports. I was, I was honestly thinking more of angioplasty when we
went up through the groin. Forgive me, but yeah. So you
would do these little circles more down like again, like wherever the
ports are. Hand on the ports and just beneath the belly
button. Then. Thank you. Boots. So that there's no tension on
where those ports are coming in. Right. If for any

(19:35):
reason your doctor says no, again, everyone's going to be
unique, then just the lightest hand pressure over
that lower inguinal groin region is going to be
extremely beneficial. That is one of your main
lymphatic dump areas and
there's a whole lot of lymph clearing that needs to happen. And

(19:57):
then once the ports, once the drains come out,
then we can talk with the surgeons about exactly what happened in your
case. Typically it'll be that light pressure is going to be
allowed as soon as things are covered up and sealed. And then
soft tissue healing wise, anywhere from four to six weeks
post procedure when we would start to use kind of a deeper pressure around that

(20:19):
area. But that's where an in person medical provider can
really help you there deciding when you can start to put more pressure. But
that lower area, belly button and below is typically fair
game. Right? Well, and something
else that I've noticed in my own journey, I'm just thinking
just a simple act and I'm asking your professional opinion

(20:42):
here. I'm just finding just simple. The simple act of putting your hand
even right around the drains in the hospital and just sending it
like love and talking to your body.
Because like for instance this morning I went to the gym before this
recording and I'm working on a few. I mean I'm always
working on something in there. But like I should be

(21:04):
like kind of my go to now is I like visualize the
movement before I do it and then it's amazing like, and I
talk to my body parts that I'm trying to get to move and
executing that movement. And I can only
imagine just a simple act of setting and sending an
intention to that part of the body to,

(21:26):
to work, get to healing. Post open heart surgery, I would need to
be Reminded if I were like, I'm just putting my, you know, it's four years
ago today that I had my surgery, and I just
remember how much of a fog I was in. So I would need someone to
overtly remind me to do that. But, like, we
have power to heal ourselves is my point. Yes. And even

(21:48):
just that power of your hand over the drainage spot, or just your hand,
or a partner or a loved one's hand on your lower
belly and belly breathing, that helps
show your brain that it's okay to pay
attention to the body again. The brain does not understand what just
happened in that open heart surgery. It. It doesn't know that that just

(22:10):
saved your life. It just knows. Holy shit, that was scary.
And how the brain's going to protect us is going to be to separate, to
dissociate from whatever it can. And that dissociation
is what results in a lot of these musculoskeletal
changes that we can address
calmly and specifically and gently. But it's, you know,

(22:33):
one step at a time. So, yes, just that gentle hand pressure there while you
belly breathe. If we don't feel comfortable touching, maybe you're not allowed to.
Maybe you had something happen up the groin. Right. There's lots of things that can
go up the groin during these surgeries. Right. Just putting the hand on the
belly can be very beneficial to speak to the
visualization. There is so much

(22:55):
science behind that in athletic
performance, in healing, in life, when you
visualize something happening, nearly all of
the same sensory motor pathways are
stimulated as when you actually do it. So you're helping your
brain. You're visualizing standing up, easy, walking to the bathroom, sit down,

(23:17):
having the best poop of your life standing up. Again, it does all of
those things without the metabolic demand of actually
making the muscles work. So it's great practice.
And, you know, so that is that visualization. And then it has your
body practice going through that poop scenario without
terrible pain, without the blowout, and that helps it

(23:39):
gain confidence. So that is, yes, so valuable. Thank you
for bringing up that visualization. I actually recorded a whole
episode on Visualization way back towards the beginning of
this podcast because I, I visualize my
surgery going well and I visualize myself thriving
post open heart surgery. And it works. So important, so

(24:02):
important. And again, in the Western medical model, we are a
sickness model. We are not a primary preventative
wellness, and we are not holistic as we should be. So thank
you for bringing that out to people. Now,
later, post heart surgery, like, you know,
we're past four to six weeks, all the drains are out. We're doing pretty good.

(24:24):
Then you can advance to the full
blown best belly massage
ever. And that's where we start off with
three to five minutes of that whole belly going
in clockwise, circles, clockwise around the belly button.
Belly breathing the whole time. And we are mobilizing

(24:45):
skin on fat, on fascia, on
organs, on muscles, on fascia, on organs,
on all of the things. And it is so healing.
And what you're feeling for is you're feeling for these sweet belly
tissues to feel like perfect bread dough or
soft pizza dough. And if you've never made bread or pizza, that's your homework.

(25:07):
You got to go make some so you understand what we're feeling for. And when
you sit down and you relax, that's what your beautiful tummy should feel
like. And the first time you do this, like six weeks post open
heart surgery is not going to feel like soft belly
dough or soft pizza dough. It's going to feel like peas and
carrots or like strings or like you're going to

(25:30):
push on a spot. I have a little adhesion here and like, instead of like,
here's good. There's like a little weight. If you can see, great. If you can't
listen, I'm pushing on one side of my belly and there's like a wave of
tissue and then I get to the midline and the wave stops and there's like
a little divot in. I have an adhesion there. I can
work on that gently. I keep it because it's perfect for

(25:51):
demonstration purposes and it's not
causing me any functional issues, so I don't care. I keep it there. But
we notice that. And then we do this for about three to five
minutes while we belly breathe. And then we put our flat hand
right over our belly button or a bit lower and we do
what very technically called smushing. We push to the

(26:13):
right and then to the left and gentle pressure,
whatever feels comfortable. We're never going to push into any, like, sharp pain.
And I see what way it goes further. And usually it's
going to go further in one direction than the other. That's the way
I want to push to. I'm going to push into ease. So if I
go left and then right and it's harder for me to go

(26:36):
right, I push into ease and I belly breathe
for again, three to five
minutes. Friends, what this is doing.
We have fascia throughout our whole body.
Most of us are familiar with the it band and the knee that's
a big band of fascia. It's gristly tissue.

(26:58):
Fascia of the legs and the arms. Like, we can be kind of
rough with it, and it will respond. Fascia of your
belly is protecting very vital organs. So if you
poke in there aggressively, it will actually
tighten further. And this is a
contractile tissue that you're not in charge of. This is just something that happens. So

(27:19):
if I do that smushing and I push to the
left and push to the right, and the right's hard, and I just kind of
try to force it, the body's gonna sense
maybe something's not right. It's gonna keep tension. But if I smush
into ease the way it wants to go and belly
breathe, it says, oh, this is okay. And after three to five minutes,

(27:41):
it will soften at that fascial level. And
now you've reduced compression forces on these nerves that are going to your
digestive bits. And your poop system's gonna work better,
folks. It's amazing. It's dang near a miracle. And it's
minutes, not seconds. You could then repeat it in another direction.
Usually we just tell people to do it like one direction at the start for

(28:02):
time, and then the final piece of
mobilizing all the nerves, we call colic
massage. But in reality, we're not actually massaging the
colon. The colon is the name for the large intestine, right. And.
And typically, there's this massage called I love you. Where you go
here at your descending colon here,

(28:25):
transverse, and down. So you go down on the. Wait, rights and
lefts. Here we go down on the left side of your body, and then across
and down, and then you make, like, a big U. But I think the way
that we like to teach it a little bit better, forgive me.
Is we actually try to start down here at the sigmoid colon where
Randy the rectum lives. And if we looked at the

(28:48):
picture, it's that holding space for the poop that has to
do two 90 degree turns. So laying
down sitting with a relaxed tummy, you go deep to your
low left side and you pull
three to five times. If you have zero pain, you
can do medium pressure. If this hurts for any reason, you can just do the

(29:10):
lightest pressure three to five times. And now we've kind of
cleared the sigmoid colon to help the poop move
better. And more importantly, we've cleared the nerves that go
to the sigmoid colon to help it work better. That's actually what we're
clearing. Following that, we do the descending
colon. So we put our hands just below our left rib cage, push

(29:32):
in and down into that sigmoid colon where we started
the last one. And then we release three to five times
straight down. And ideally, you're laying down or sitting down with a
perfectly relaxed belly. Now I've cleared
descending and sigmoid, so now I do transverse. I
go from my under my right ribs straight across

(29:54):
three to five times. This might be the spot that's the most
tenuous if we've had the sternotomy and the
ports. So again, even the lightest pressure is fine, but we do want to
restore normal mobility there. Second to last is
ascending colon, which is lower right hip,
pressing in and lifting straight up three to five

(30:16):
times. And then finally the cecum, which is
where your small intestine meets your large intestine
three to five times. And if we can
do all three of those, oh, my gosh, triple gold
star. But even just one of them with the gentlest
pressure can help that neurological system and help you have the best

(30:38):
poops ever. And this is kind of like a
lifelong thing that we can master it right now and benefit the rest of our
lives. So I hope you enjoy it. Oh, yes. And
I guess order matters. Like, if you're going to do all of
them, you need to clear the bottom first. There is. Yeah, there's
a reason. And then order does matter. And sunflower before smushing,

(31:00):
before colic massage. Yes. And
anything's better than nothing, so don't let you know. Perfection
be the enemy of good enough. Just touching the belly is going to matter
in a positive way. Wow. I know, right? And,
yeah, you are so welcome. Thank you so much for having me.
Yeah. This has been so enlightening, and

(31:23):
I. I hope that for y'all listening that
you will put this to practice. And this
is free. You get to do this for free. And that's the whole point
of the series and of this podcast, is that I want to give you as
much for free that you can do on your own in your. In the
comfort of your own home or hospital bed, to make

(31:45):
sure you have the easiest path forward to
healing as possible.
Absolutely. Thanks so much for having me. And if you guys are also
interested in diving in a little bit more to the pelvic floor.
Floor. I do have a wide variety of online courses
available for streaming from the comfort and privacy of your own

(32:06):
home. We're offering OHS
2025 open heart surgery. OHS
2025. You're going to get 25 off courses.
And there's a lot that are very specific to
surgeries or incontinence. And then there's the Treasure Chest, which
is all of my veritable knowledge. And that's

(32:28):
where Poop Lab will exist. And that's the one that's
all about poop. And that's fun because that's just a low monthly
subscription rate. So we want to help as many pelvises as possible.
Also, our Instagram has a lot of free silly stuff and the blog
is also a treasure trove of information to help you have the best
poop, pelvis and heart of your life life. So I'm

(32:51):
so glad you're here, Boots. Thank you so much for offering me this chance to
be on your show. I just am here for the poop hat. I have one
at work too. I know that won't shock you.
Oh wow. Well, you've heard it here, everyone. Thank you so much for
being here. I hope you've been part of this entire series. If you're
just finding us thanks to poop, then welcome.

(33:14):
We are so glad you are here. Here. And be sure to go back and
get the rest of the series because
it's all. It's all such necessary information that I really
wish I had had when I was facing open heart surgery.
So remember, I love you. You matter. Your heart is
your best friend. Be sure to come back next week for more with open

(33:36):
heart surgery with Boots.
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