Podcasts about Gyn

„Wir alle hatten schon einmal HPV – nur die wenigsten wissen es.“ Prof. Dr. Mandy Mangler zählt zu den renommiertesten Gynäkologinnen Deutschlands und ist eine der wichtigsten Stimmen für Frauengesundheit. In dieser Folge BUNTE VIP GLOSS spricht sie mit Podcast-Host Jennifer Knäble über eine der am meisten unterschätzten Virusinfektionen weltweit: Humane Papillomviren – kurz HPV. Die Infektion ist extrem weit verbreitet, bleibt in den meisten Fällen unbemerkt und wird vom Immunsystem erfolgreich bekämpft. Doch bestimmte Hochrisiko-HPV-Typen können schwerwiegende gesundheitliche Folgen haben – sie führen zu Zellveränderungen, aus denen sich über Jahre hinweg Krebs entwickeln kann. — In Deutschland sterben jedes Jahr mehrere tausend Menschen an HPV-bedingten Krebsarten – darunter Gebärmutterhalskrebs, Mund-Rachen-Krebs oder Analkrebs. Trotzdem wird das Virus noch immer häufig als „Frauenthema“ abgetan – ein gefährlicher Irrtum, denn auch Männer können sich infizieren und sind Teil der Infektionskette. „Fast 3.000 Männer erkranken hierzulande jährlich an einem bösartigen Tumor, zum Beispiel an Peniskrebs, der durch HPV verursacht wurde“, so die Expertin. — Die gute Nachricht: Wir können uns schützen. Prof. Dr. Mangler erklärt, wie die HPV-Impfung wirkt, für wen sie sinnvoll ist und warum nicht nur junge Mädchen, sondern ebenso Jungen, Männer und Erwachsene davon profitieren können. Sie beschreibt die Übertragungswege des Virus, erklärt die begrenzte Schutzwirkung von Kondomen und zeigt, warum regelmäßige Vorsorgeuntersuchungen und fundierte Aufklärung so wichtig sind im Kampf gegen HPV-bedingte Krebserkrankungen. Prof. Dr. Mandy Mangler bei BUNTE VIP GLOSS. — Über unsere Expertin: Prof. Dr. Mandy Mangler (Jahrgang 1977) ist Chefärztin an zwei Berliner Kliniken für Gynäkologie und Geburtshilfe, spezialisiert auf operative Verfahren und gynäkologische Onkologie. Sie unterrichtet im Studiengang „Hebammenwissenschaft“ an der Evangelischen Hochschule Berlin und engagiert sich als Vorsitzende der Gesellschaft für Gynäkologie und Geburtsmedizin Berlin sowie der Berliner Chefärztinnen und Chefärzte (BLFG e. V.). Bekannt ist sie zudem als Host des Podcasts „Gyncast“. Für ihren Einsatz für Gleichstellung und Diversität in der Medizin wurde sie 2022 mit dem Berliner Frauenpreis ausgezeichnet. Mandy Mangler ist Mutter von fünf Kindern und lebt mit ihrem Partner in Berlin. — Hier findet ihr alle Informationen zu unseren Podcast-Partnern: https://www.wonderlink.de/@buntevipgloss-partner — Ein BUNTE Original Podcast.

„Warum redet niemand darüber?“ – HPV betrifft uns alle. HPV kann nicht nur Gebärmutterhalskrebs auslösen, sondern auch Krebsarten wie Mundrachen-, Anal- oder Peniskrebs. Und trotzdem wird kaum darüber gesprochen. Warum ist das so? In dieser Folge spricht Kendra mit Christine, Gynäkologin und HPV-Expertin, über: – die gefährlichsten HPV-Typen – die Impfung für Mädchen UND Jungen – Mythen, Scham und das Schweigen rund um HPV – die Frage: Warum wird nicht verpflichtend aufgeklärt? Ein Gespräch, das Wissen schenkt, Tabus bricht und schützt – für dich und die nächste Generation. https://www.instagram.com/diagnosehpvdysplasie/ „Krebs als zweite Chance- Der Mutmacher Podcast“ auf Apple Podcasts Krebs als zweite Chance- Der Mutmacher Podcast | Podcast on Spotify https://www.instagram.com/kendrazwiefka/ https://www.youtube.com/@krebsalszweitechancebykend6055

Herzlich willkommen zu einer neuen Folge hier im Podcast ketogener Lifestyle und Biohacking.Schön dass du wieder eingeschaltet hast. Heute erfährst du alles zum Thema “PCOS & Endometriose: Keto-Heilung schockt Gynäkologin! (Interview Jessica Haase)“. Im heutigen Interview spricht Andreas mit Frauenärztin Jessica Haase über die ketogene Ernährung bei hormonellen Erkrankungen wie PCOS, Endometriose und Insulinresistenz. Jessica berichtet aus ihrer Praxis, wie sich Zyklusstörungen, Schmerzen und Kinderwunschprobleme mit gezielter Ernährung – insbesondere durch Ketose – deutlich verbessern lassen.Dabei geht es nicht nur um Studien und Stoffwechselprozesse, sondern auch um konkrete Erfahrungen aus der täglichen Arbeit mit Patientinnen: von der Ernährungsumstellung über die psychischen Herausforderungen bis hin zum zyklischen Keto-Ansatz. Jessica plädiert für mehr Körperbewusstsein, Selbstverantwortung und ein schrittweises Herantasten an eine entzündungsarme Ernährung.Ein tiefgehendes Gespräch voller Aha-Momente, das Frauen Mut machen soll, neue Wege zu gehen – ohne Zwang, aber mit Neugier und Vertrauen in den eigenen Körper.Connecte dich mit mir auf Instagram: https://www.instagram.com/myketocoach_andi/Jessica auf Instagram: https://www.instagram.com/gyn.haase/Starte JETZT in deinen Ketogenen Lifestyle mit der kostenlosen 7 Tage #hackyourlife Challenge: https://myketocoach.de/7-tage-keto-challenge-3/Hier mehr über exogene Ketone erfahren: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://myketocoach.de/exogene-ketone/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Zu den Ketonen: https://myketocoach.de/exogene-ketone-schnell-in-die-ketose/ Zu den Keto-Kochbüchern: https://myketocoach.de/keto-rezepte/keto-e-book/

Dr. Monica Prasad-Hayes explains GYN oncology, or treatment of gynecologic cancers. Dr. Hayes is an associate professor of OB-GYN, director of the GYN oncology fellowship at Mount Sinai Hospital, and a practicing GYN oncologist. She explains testing, treatment, and symptoms of ovarian cancer, cervical cancer, and more.

In this episode of 'Don't Cut Your Own Bangs,' host Danielle Ireland introduces John Kippen, a resilience and empowerment coach, magician, and motivational speaker. John shares his incredible journey of overcoming a life-threatening brain tumor and how it transformed his life and career.  Throughout the episode, John discusses his healing journey, the power of vulnerability, and the importance of facing one's limiting beliefs. He also reveals the origins of his unique phrase 'impossible really means I am possible' and offers a special gift to listeners. Tune in to uncover valuable wisdom nuggets and be inspired by John's story of triumph over adversity.   00:00 Introduction to the Episode 00:40 Meet John Kippen: A Multihyphenate Talent 01:23 John's Life-Altering Diagnosis 05:46 The Surgery and Its Aftermath 08:04 The Road to Recovery 13:30 Embracing the New Normal 17:29 The Power of Truth and Magic 29:14 The Power of Magic and Connection 29:31 Introducing Treasured: A Journal for Self-Discovery 30:44 The Magic of Personal Connection 32:59 Overcoming Personal Struggles Through Magic 34:38 The Journey to Self-Acceptance 35:42 The Importance of Asking and Vulnerability 50:24 The TED Talk Experience 54:34 Final Thoughts and Encouragement   RATE, REVIEW, SUBSCRIBE TO “DON'T CUT YOUR OWN BANGS”  Like your favorite recipe or song, the best things in life are shared. When you rate, review, and subscribe to this podcast, your engagement helps me connect  with other listeners just like you. Plus, subscriptions just make life easier for everybody. It's one less thing for you to think about and you can easily keep up to date on everything that's new. So, please rate, review, and subscribe today.    DANIELLE IRELAND, LCSW I greatly appreciate your support and engagement as part of the Don't Cut Your Own Bangs community. Feel free to reach out with questions, comments, or anything you'd like to share. You can connect with me at any of the links below.   JOHN KIPPEN: https://www.ted.com/talks/john_kippen_being_different_is_my_super_power_magic_saved_my_life   https://www.johnkippen.com   DANIELLE IRELAND, LCSW Website: https://danielleireland.com/ The Treasured Journal: https://danielleireland.com/journal Instagram: https://www.instagram.com/danielleireland_lcsw TikTok: https://www.tiktok.com/@dontcutyourownbangspod?_t=ZP-8yFHmVNPKtq&_r=1 Transcript:   John Kippen Edited Interview [00:00:00] [00:00:07] Hello. Hello, this is Danielle Ireland and you are catching an episode of Don't Cut Your Own Bangs. And today I have the great pleasure of introducing you to someone I can now call a new friend John Kippen. John is a multihyphenate. He has had quite a life and he's an excellent storyteller. So this episode you're gonna wanna buckle up. [00:00:31] It is so good. Get those AirPods in, go on your walk, get safely in your car, get ready to listen because this is just an absolutely beautiful episode. But let me tell you a little bit about John. John is a resilience and empowerment coach. He was and is the CEO of a very successful IT company. [00:00:49] He was a main stage performer at the Magic Castle in Los Angeles, so if that just gives you a little insight, is the level of his magic. He is a motivational speaker. He's a life coach, and. He has a TED talk that has received over a million views. And the heartbeat of this TED talk is how he triumphs over tragedy with a diagnosis of a tumor the size of a golf ball that is separating his brainstem and the procedure he needed to save his life, changed his life forever. [00:01:23] Doing the work of healing does not come easily to anyone, but as John so beautifully puts in this episode, if John can do it, you can do it. He's using his stories, his vulnerable and raw experiences, and talking about not only what happened to him, but how he moved through the impossible. [00:01:45] He actually coins a phrase that I love and I'm going to keep. Which is that impossible really means I am possible. So the ultimate magic trick, the ultimate illusion is what your limiting beliefs are about yourself, and how do you use facing those fears and those limiting beliefs to transform your life. [00:02:08] And in John's case, he takes that healing and offers it as a gift to us. As listeners to his clients and his coaching practice to the readers of his book, he has authored a book The Forward by None other than the Jamie Lee Curtis from all of the places. You know her most recently. The Bear where she won an Emmy, but everything everywhere, all at once. [00:02:32] She and John are buds, and she believes in him and believes in his work, and as a champion of that work, it just adds a little extra sparkle and fairy dust to the beautiful work that he's already doing to say that he's been vetted by someone who is so sparkly and magnetic and also deeply entrenched in holding space for the truth and honoring the truth. [00:02:52] This is a heartfelt episode, so what I would recommend. If you're in a place to do so is you might wanna jot some notes down because John drops some beautiful wisdom nuggets in this episode. And the book that he authored is playing The Hand You're Dealt. And what I wanna share too, we talk about it in the episode, but I wanna highlight this 'cause it's really important. [00:03:12] John is giving everyone who listens to the episode a free gift, but it is not linked in the show notes. It is only available to those of you who listen. It's a special little surprise embedded in the episode that you have to listen to find, but it is a free gift from him to you. So without further ado, get ready to sit back, relax, and enjoy the beautiful wisdom of John Kippen. [00:03:35] ​ [00:03:36] Kippen, multihyphenate resilience and empowerment, coach magician, keynote speaker, author, and all around. Nice guy. Thank you for joining me today on the Don't Cut Your Own Bangs podcast. [00:03:47] Danielle: Hollywood legend wrote the forward of his beautiful book, playing the Hand You're Dealt Forward by the one and Only Take It Away, John, Jamie [00:03:58] John: Lee Curtis. [00:03:59] Danielle: Jamie Lee Curtis. Yes. So you have to stay and listen to the entire episode because he's going to tease out a special little giveaway that will only be revealed in the audio. [00:04:10] So you gotta listen. It's not gonna be linked in the show notes, folks. So buckle up, sit down. This is gonna be a great episode with a fun gift for you, a special little dose of magic hidden inside. So, John, you, I mean, all the different fun things that we listed about what you do. You're a magician, you're a motivational speaker, you're a coach. [00:04:30] What I know doing the work I do as a therapist is the skills and trade that you're building your life on. Those were skills that they were. Hard one, like nobody chooses, in my opinion and in my experience, no one chooses to go into a helping profession that hasn't needed help in their life. It's like the, our healing becomes our medicine. [00:04:54] And I really wanna learn about not just what you offer, but your healing journey that put you in the unique position you're in to do the work you do. So, welcome and I'd love to hear from you. [00:05:05] John: So just quickly, the Reader's Digest version of my backstory. Grew up Los Angeles, middle class family, two great parents loving, no sisters or brothers, had everything I needed. [00:05:18] They sent me to a nice school and, I got into theater, started doing theater, in college. I studied theater and became the big man on campus because pretty much I grabbed every opportunity that presented itself. Started a computer company out of college. 'cause I'm a creative problem solver. [00:05:38] That's the thread that goes through everything I do in my life. [00:05:42] Mm-hmm. [00:05:42] John: I look at a problem, I say, how am I gonna solve that? [00:05:45] Mm-hmm. [00:05:46] John: And then in June of July of 2002, I was diagnosed with a four half centimeter brain tumor called an acoustic neuroma. [00:05:55] Danielle: Yes. And this was, so it was slowly severing your brainstem? Correct. [00:05:59] John: It was displacing the brainstem. Causing not only hearing issues, but dizziness upon standing or walking. [00:06:07] Mm-hmm. [00:06:08] John: I had to have something done with it. I would not have survived. [00:06:12] Mm-hmm. [00:06:14] John: And. It was a whirlwind , I went and saw the doctor who finally diagnosed it after seeing him the MRI films, and he, he had no bedside manner. [00:06:25] I remember sitting on the examining room table, right. And the, the tissue paper is crinkling under my butt. Mm-hmm. I could feel the, I could sense the temperature. I'm heightened sensitivity. [00:06:37] And he looks up at the MRI after talking to a neurosurgeon, and he turns around and says, John, you have a four and a half centimeter brain tumor. [00:06:46] It's killing you. We're operating you on Friday. You're gonna go deaf in your left ear, and there's a possibility for some facial weakness. We're gonna do everything we can to prevent that. And he left [00:07:01] Danielle: the room. So he knew, and in his own. Brash in abrupt way, essentially prepared you for the outcome and challenges that would come assuming the surgery was a success? [00:07:17] John: Yeah. He is a world renowned acoustic neuroma surgeon. He's one of the guys you go to, when you have this kind of tumor and that's all he does. Wow. But he literally left the room and I'm sitting there and I didn't bring anybody in and [00:07:31] yeah. [00:07:32] John: A tip to anyone who's potentially going in for a serious diagnosis. [00:07:36] Yeah. [00:07:37] John: Bring a friend or a family member. [00:07:39] Because it goes in one ear and out the other, you're in shock. Right. Right. When you get home and you say, wait a minute, he said that surgery gonna be four hours or 14 hours or 20. How, how long ago and you have all these questions. Yeah. And you know, getting ahold of the doctor to ask them again is just not the way our medical system works. [00:08:01] He's back to back, to back to back patients. [00:08:04] So, I checked in the night before, they did blood tests and I tried to get an hour or two sleep, 6:00 AM my clockwork the orderly came in and said, okay, get naked, get on this cold gurney. What a sheet over you and we're going take you to the operating room. [00:08:21] Danielle: I wanna pause your story for a moment. 'cause there's a couple things that I, I wanna tease out a little. So one is you, the way that you tell your story, so well probably because you've told it on stages, you've shared it with others, you've written about it. There is something about a trauma. [00:08:37] That really marks the sort of BCAD of life. And the way you shared, I felt like I was in the room with you when you were getting this bomb of news dropped on you so you were theater trained, theater kid, a creative person, a creative problem solver, and a business owner. [00:08:57] Like I, I think about that often when people are experiencing trauma. What, what was life sort of the, the illusion of normalcy. The, the, you know, the predictability of this is my life and this is my to-do list and this is my calendar. So before that moment, you were just a guy on the west coast running a business. [00:09:17] Is that right? [00:09:18] John: Very successful business. [00:09:19] Danielle: And I, I just wanna share briefly too, I haven't met too many other only children. Theater background 'cause that's me too. [00:09:30] John: Oh, really? [00:09:31] Danielle: I'm an only child and I was a theater major and started acting when I was 13, so before. But, the creative problem solver, God, my theater background has paid dividends in ways I didn't know at the time. [00:09:42] I didn't know that when I was preparing for this interview, but now that you've said that, it's like that thing that I couldn't put my finger on has clicked into place. [00:09:49] John: I love doing improv. [00:09:51] Improv is the, you know, everybody talks about being in the moment. [00:09:57] Yeah. [00:09:57] John: What does that really mean, being in the moment? [00:10:00] When you do improv, you have to be in the moment. Otherwise you fall flat. And everybody, you're doing improv looks at you going. Well, it's your turn. [00:10:10] Danielle: You've tapped in. Now you've gotta say something. How are you gonna move the story forward? [00:10:14] Exactly. I feel most alive when I'm engaged in moments like that. And I, it's, I'm not a, a adrenaline junkie, but I would say that's my high, it's the, rush of connecting with somebody like that. So you were running a very successful business. This bomb has dropped. [00:10:32] You can barely remember what you were told and what your life is likely going to be. Assuming everything goes well, what is going to happen when you wake up off your op? And how long was your operation? [00:10:46] John: 15 hours. [00:10:48] Danielle: And the surgery was a success. They were able to remove the golf ice tumor. [00:10:52] Yeah. So they removed the fall sized tumor. [00:10:54] John: I didn't have time to think, you know, I got one of my guys who worked for me told him that he was gonna be running the company for a month or two. He agreed. [00:11:05] Mm-hmm. [00:11:05] John: Had to shovel up some more money to get him to do it, but, you know, it is what it is. You do what you have to do. [00:11:11] Yeah. And then,, I just tried to think positively, hope for the best. Plan for the worst. You know, I had someone gonna stay with me the first week, make food because I just wanted to recover and I didn't know what it was gonna be like. [00:11:27] Danielle: Yeah. You're like, I just need a week to recover, and then I'm just gonna hop back into life, hopefully. [00:11:31] John: Rolling the gurney into the surgical, prep area. [00:11:35] The nurse saying, Hey John, you know, we know we have to shape after your head. You want me to do it now or after you're under. [00:11:42] Danielle: So you didn't even know that they were gonna shave your head. Well, I didn't think about it. [00:11:48] John: I mean, if I had thought about it, I got a shaved part of my head. [00:11:51] Danielle: Right. [00:11:52] John: I said to her, please. [00:11:56] Danielle: Yeah. [00:11:58] John: And so, they roll me into the operating room. You got these really bright lights, , blinding you, and you're laying there and they're like, okay, you're gonna count back toward five. [00:12:09] The next thing I know, I hear faint voices and it was like I was 30 meters deep in a pool. Struggling to get to the surface. And I remember this like it was yesterday, literally trying to swim to the service to regain consciousness. [00:12:26] And finally when I got enough, I realized that my dad was sitting on the edge of my bed holding my hand, [00:12:34] and [00:12:34] John: he was smiling at me, but I didn't see my mom. [00:12:40] So I asked my dad for my glasses and he handed me the glasses. And I remember trying to put the, and then I realized my head's bandage. [00:12:48] Danielle: Oh, right. [00:12:50] John: So I had to figure out how to get the glasses in Cockeye to get 'em on my face, right? [00:12:55] And the look on her face was one of horror. What did these butchers do to my son's face? And at that point, I didn't know my face was paralyzed. Because I have full feeling, I just can't move it. [00:13:10] Danielle: So you currently, you still have full feeling in your face. You just lost mobility, [00:13:14] John: so I didn't really understand what that look was. [00:13:18] Danielle: Right. How could you? [00:13:19] John: And then my mom handed me her compact makeup. [00:13:22] And I opened it up and I'm like, holy crap. And then, I'm still getting [00:13:30] accustomed to, the one thing I noticed is leading into surgery, I was constantly dizzy and that dizziness was gone. [00:13:38] Danielle: Wow. [00:13:39] John: And that was like, oh my God, what a relief. [00:13:42] Mm-hmm. [00:13:43] John: So the doctor finally made his way in and I was like, so when's my face gonna move? And he said, John, we were, successful. [00:13:50] The tumors removed. Right when we were close the incision, your face stopped moving. But we think it's just to do the swelling, and once the swelling goes down, your face should start moving again. So I'm like, okay. I can handle that. That's a, it's not a permanent thing. I can deal with it. [00:14:05] So I'm in the hospital a week and, they're like, when you can do three laps around the hospital floor, without a walker, we'll send you home. [00:14:16] So that became my goal. I remember getting outta bed and then they said, no, no, no. Wait for the, I said, no. The doctor said that I need to rock three laps around. [00:14:26] I want to get the hell out of here [00:14:28] Five days I got home. My dad drove me home and I sat on my couch and now I'm like, okay, I can start healing and check email here and there. And I was taking lots of naps. And then I coughed and I touched the back of my neck and it was wet. [00:14:45] Mm. [00:14:47] John: Oh, it was a spinal fluid leak on the base of the incision. [00:14:51] Whew. [00:14:53] John: So immediately I called the doctor's office and the said, oh, get your ass back here. And I went back to the hospital three times with them to redo the bandaging to try to prevent the leak. [00:15:05] Danielle: Wait, you call the hospital. Hey, their spinal fluid leaking out of my surgical incision. And they're like, yeah, you should get in a car and drive yourself to the hospital. [00:15:16] John: They didn't say how I should get to the hospital. [00:15:19] Danielle: Okay. Fair, fair. But that, [00:15:22] okay. Wow. ' [00:15:24] John: cause that's not good. [00:15:25] And there was potential for getting, spinal meningitis in that. From what I understand is one of the most extreme pains out there. [00:15:35] Okay. [00:15:35] John: I went back and forth three different times over that week. [00:15:39] They tried to, it was just as right behind my ear, right at the base of the incision. So, there was no way that they were going to be able to, put a pressure manage to keep that and so it could start healing. [00:15:51] Danielle: Mm-hmm. [00:15:52] John: So they finally said, all right, tomorrow you're gonna come in and we're gonna, redo the incision and pull more belly fat outta your belly to fill the hole. [00:16:01] And Yeah. This time they used staples, man, thick Frankenstein. [00:16:07] All the way up. [00:16:08] But then I'm like, I was only in the hospital for a day. And then, and I'm like, okay, I can relax. I remember getting up and brushing my teeth, you know, and I'm looking at the mirror and God, , I don't recognize that guy. [00:16:24] Yeah. And I got rid of all the mirrors in my house. [00:16:30] I didn't want a constant reminder. [00:16:33] My face was screwed up. [00:16:34] Danielle: I, there's so much specificity to what is uniquely your story. [00:16:46] Mm-hmm. [00:16:47] Danielle: But what I have found is when people. Are able to share elements of their experience. It's when you go into the specificity of what you experienced. I can see myself in so many elements of your story in my own, like when we get in deeper, it becomes somehow more accessible and universal. [00:17:16] And in that way, you're not alone, even though it happened to you and that detail about your removing the mirrors from your home. It, it brings me to something I really wanted to ask you about. You share by saying, and then also , by, actually demonstrating in your TED talk that, once you began the healing process of really addressing your depression after your operation, that, the story, it led you to magic, literally. And I also think in a more magical way, beyond performing an illusion. And I know not to call it a trick, I learned that from arrested development. [00:18:03] But, there's something you said that I wanted to quote that it's amazing how accepting kids are of the truth. You open up your TED talk, which I will link in the show notes so people can see. But that you mentioned that this in a way that your permission and your humor and your honesty, it created levity and lightness. [00:18:27] For something that would be considered maybe so precious and heavy. And what I wanna speak to, and open up a question if that's okay, is, I'm curious what your relationship with the truth is because I think humor in its highest expression is allowing us to laugh at something that we see the truth in. [00:18:49] And yet it's this razor's edge between laughing at someone or laughing at something versus inviting us to laugh at the, the human experience that we maybe don't know how to name or express in another way. But I wanna know personally for you, what your relationship is with the truth and the value of embracing it. [00:19:13] And then in your line of work as a coach, where do you see people struggle with it? [00:19:19] John: Truth is an illusion. [00:19:21] Danielle: Ooh, tell me more. That just, that was a zingy response that you popped right out. Please tell me more. [00:19:28] John: Yeah. Truth. Everybody has their own truth. [00:19:31] Danielle: Oh, well there you go. [00:19:32] John: Their own perspective, [00:19:34] Danielle: uhhuh, [00:19:35] John: And the truth is formed out of your limiting beliefs. [00:19:41] Danielle: So the truth is formed out of your limited beliefs, [00:19:44] John: your limiting beliefs. [00:19:45] Danielle: Limiting beliefs. Okay. [00:19:47] John: Yeah. [00:19:48] I just wanted to take a slight step back. [00:19:50] Danielle: Mm-hmm. [00:19:51] John: I told you this was gonna be the Reader's Digest version. [00:19:54] Danielle: Yes. [00:19:54] John: But it took me 12 years [00:19:57] To come out of that hiding. Wow. 12 years. [00:20:02] Danielle: How old were you when you had your operation? [00:20:05] John: 33. [00:20:06] Danielle: 33. Okay. [00:20:08] John: And fortunately for me, I could work from home. But I miss so many celebrations with friends and family. 'cause I just didn't want to have to explain it. I didn't want to have to deal with the looks, , and I tell this story on my TED Talk and in my book. You know, at a restaurant I wanted to get a burger at Tony Aroma's. And I'm sitting there by myself and in a booth, and there's a booth right in front of me and there's a family with a kid, two parents and a kid. And the kid's squirming and gets up and turns around and is now on his knees on the bench and looking at me. [00:20:44] And he gets up and he comes over and he says, Mr, what's wrong with your face? And in that moment, I didn't want to have a five or 6-year-old come over and Right. And I'm like, okay, I had the strength to come out and go to a restaurant. I have to deal with this. So I started talking to this little boy [00:21:06] Danielle: Mm. [00:21:07] John: And saying, I had a medical procedure that caused me not to with my face before I could continue his mom grabbing him [00:21:16] mm-hmm. [00:21:17] John: The arm and drug him back and said, don't bother him. The nice man, he has enough troubles already. And I couldn't leave it there. [00:21:25] Mm-hmm. [00:21:27] John: So I had to go to the little boy and I knelt down and I got eye level and I said, I love my new face because it's different. [00:21:34] It's different just like yours. And I remember it like it was yesterday, he took his fingers and he tried to distort his face to be crooked like mine. And he turned to his mom and said, look, mom, I could do that too. And then he went back to eating his meal. His question was answered. [00:21:56] He had no judgment. And his parents were like, holy crap, did we just learn a lesson? How to raise our child? [00:22:03] They whispered, thank you on their way out. [00:22:07] Danielle: But there is something I, there, there's something to that woman's response to you that really resonated with me. [00:22:14] And it also, highlights the point you made so well about the, essentially the truth being relative. Because she projected onto you what her perception of your life was. Don't bother the nice man one, she didn't know you were nice, though. You are. But she didn't know that. Right. And she also didn't know what your troubles were or weren't, and she assumed that. [00:22:39] John: But I always wonder what her motives were. [00:22:41] Danielle: Right. [00:22:42] John: was it to make me comfortable or was it to make her and her son comfortable [00:22:48] Danielle: it for her? I think so. [00:22:50] John: And that's how I took it. [00:22:51] Danielle: I remember. So I have two children and I was pregnant once before and lost that pregnancy. [00:22:57] 12 weeks in. And I haven't thought about this in a very long time, but I remember going into, a annual doctor's appointment and she saw on the chart that I was listed as pregnant and clearly now was not. And it was in her own discomfort of not, she was asking me about the baby thinking, 'cause she was not my ob, GYN it was a different type of doctor. [00:23:20] And, she caught. Oh, and then I had sort of explained to her what that meant, and then she said, well, I'm sure, you blame yourself and I want you to know it's not your fault. Like she took her discomfort and tried to turn it into, she positioned herself above as someone who knew what he was experiencing and wanted to offer me this sympathy that was, one, she was wrong. [00:23:45] I totally misplaced. Yeah. I didn't blame myself. And it, that, that moment was such an extension of her own inability to hold the moment and the discomfort of the moment, and, tried to offer it up as a gift for me, which that's, yeah. [00:24:03] John: It's your perception of how you deal with that. [00:24:06] Danielle: Mm-hmm. [00:24:07] John: Losing a child can be. Empowering because you know that you can try again and get a child that is not gonna have any kind of defects and is gonna have a good life. And you know whether or not you believe in God or not. [00:24:24] Danielle: Yeah. [00:24:25] John: Things happen for a reason and we don't always understand the reason for them. [00:24:30] Danielle: I don't know if it, what the reason was, but I can say a gift from that was that somebody who lived with a very active monkey mind and a lot of head trash and some anxiety in the experience of the early grief, not for very long, but there was a moment in time where my mind was quiet, not numb, but quiet. [00:24:55] And it helped me realize, oh, there's the observer within me. Then there are the different conversations that are happening in my head that aren't me, which are maybe the perceptions that I call truth sometimes I wanna bring that same question of truth, which you had an answer I was not expecting, which I love when I never see it coming, so thank you. [00:25:18] Where do you see your clients? Because you're a coach, right? You are taking your healing and offering it as medicine to people that are trying to make a connection in their own life. So where do you see people that you work with? Struggle with the truth? [00:25:36] John: Everybody's hiding from someone something in their life. [00:25:40] They have buried something so deep and it keeps them from moving forward in their lives. 'cause it erodes their self-confidence. [00:25:50] That's what I learned through my love for performing magic. [00:25:58] Going to the magic castle, sitting at a table with a paralyzed face. [00:26:03] Yeah. I'm this overweight guy with balding, balding with a paralyzed face. And I could sit at a table and have people come to me. I tell this story sometimes, that the Magic Castle is a place where you have to get dressed up to the nines, you know? And women love to get dressed up [00:26:22] Danielle: That's true. [00:26:23] John: They're wearing their best outfits, right? And all of a sudden I'd have five or six women sitting at the table, and their reactions are very guarded. [00:26:34] Hmm. [00:26:36] John: You know, they're sitting there with their legs and arms crossed. [00:26:39] Hmm [00:26:40] John: they're leaning back. They have a smile that's just more of a grin. [00:26:45] Mm-hmm. ' [00:26:47] John: cause I don't know what I'm about. Sure. They don't know if I'm gonna be inappropriate, if I'm gonna come onto them, if I'm what it is. So they have no expectations other than they're gonna see some magic. [00:26:58] Mm-hmm. [00:26:59] John: So I start my act saying, hi guys. My name is John and I'm doing magic all my life. [00:27:05] But in 2 0 2 I had a brain tumor. And when they cut over my head, they traumatized medication, nerve offense, a paralyzed face. But something happened to me on that talk table that day, Danielle. [00:27:16] Mm-hmm. [00:27:17] John: I'm not sure what it was because I was unconscious. All I know is I recovered. I realized I had acquired some new skills and I pause. [00:27:29] Yeah. And I wait for everybody to get on the edge of their seat. Like, what happened, John, what? Skills. Skills I could acquire. I'm having brain surgery. [00:27:40] Mm-hmm. I [00:27:41] John: looked to my right and I looked to my left like it's the biggest secret. [00:27:45] Lean in and I whisper in a loud voice as I am able to visualize people's thoughts. And then I do some mental magic mentalism. Love it. And what I just did was I turned my biggest challenge into a superpower. [00:28:07] Danielle: Yes, you did. And I wanna pause you because when you said that in your talk, have, have you read Elizabeth Gilbert's book, big Magic? [00:28:15] Yes. [00:28:15] Danielle: When she talks about trickster energy, I was like, John Kippen is a freaking trickster. [00:28:22] That is trickster energy that you can shift. Before someone's very eyes. It's like you are performing magic and you are performing magic. You shifted before them and you invited them, your audience to see beyond their own limiting beliefs, their own projected truth. [00:28:47] John: They were distracted. They wanted to know why it was paralyzed, but they couldn't ask, did he have a stroke? Did he have be palsy? What was the reason? So I found them being distracted when I was performing. So I got that outta way in the first two minutes. [00:29:00] Mm-hmm. [00:29:01] John: I explained why my face is paralyzed. [00:29:03] And now I treat it as the experience is now I'm able to do superhuman things. [00:29:10] And now they're like, okay, cool. So as I perform [00:29:16] I focus on the spectator. Magic happens in your mind as a spectator. [00:29:22] Danielle: Oh, I love that magic happens in your mind [00:29:26] ​ [00:29:31] If you've ever wanted to start a journaling practice but didn't know where to start, or if you've been journaling off and on your whole life, but you're like, I wanna take this work deeper, I've got you covered. I've written a journal called Treasured, a Journal for unearthing you. It's broken down into seven key areas of your life, filled with stories, sentence stems, prompts, questions, and exercises. [00:29:51] All rooted in the work that I do with actual clients in my therapy sessions. I have given these examples to clients in sessions as homework, and they come back with insights that allow us to do such incredible work. This is something you can do in the privacy of your own home, whether you're in therapy or not. [00:30:10] It has context, it has guides. And hopefully some safety bumpers to help digging a little deeper feel possible, accessible and safe. You don't have to do this alone. And there's also a guided treasured meditation series that accompanies each section in the journal to help ease you into the processing state. [00:30:29] So my hope is to help guide you into feeling more secure with the most important relationship in your life, the one between you and you. Hop on over to the show notes and grab your copy today. And now back to the episode.​ [00:30:44] John: Magic is what you see in your mind or someone else sees in their mind. [00:30:49] Magic is that thing that immediately makes you present. [00:30:56] Danielle: Yeah. [00:30:57] John: And your, all of your sensors are now in a heightened state , whether it's a sunset or a beautiful beach or a beautiful woman or a magic trick or whatever it is, there's that sense of awe and wonder. [00:31:15] So as I would start to take each spectator, I would learn their names. [00:31:19] And I would use their names throughout the show. [00:31:22] Danielle: People love that. [00:31:23] John: People, I ask them, the one word in everybody's language that they love to hear the most is their own name . and so I use that as a way of engaging the audience. [00:31:33] They start leaning in and now they've got real smiles on their face [00:31:37] and I can literally see this wall that women in today's society are forced to put up as a self-protection mechanism. [00:31:45] Yeah. [00:31:46] John: I see this wall start to grow as they start to identify with me and they're like, I'm okay being myself. [00:31:54] And then the end of this [00:31:56] they're asking permission to hug me. [00:31:58] And , having a creative mind, I wanted to understand. What that is. What that, what was going on. [00:32:06] Danielle: You also, not only through performing magic, inviting the curiosity you could see in other people's faces into your opening act essentially, or your sleight of hand. [00:32:17] I'm gonna show you this over here so that you can not see what's coming here. Vulnerability in its purest form is magic because it's the one thing sharing the story you feel like you couldn't share. Letting somebody see the one part of you that you would never let anybody see 'cause you were so utterly convinced you would be outed or you would be cast out by exposing that vulnerability is the birthplace of true connection. [00:32:47] Yeah. Which is the ultimate magic trick. It's, it's like what they say in nightmares, if you stop and face the thing that's chasing you, it, it can't chase you anymore in the dream. And so you spent a decade, did I remember that correctly, you wanted to be a main stage performer at the Magic Castle? [00:33:06] It took you about 10 years and you did it. [00:33:08] John: I did. [00:33:09] Yeah. [00:33:09] Danielle: 10 years. [00:33:11] John: Yeah. [00:33:12] Danielle: 10 years. [00:33:13] John: It was my creative coping mechanism. I had hit rock bottom, was I suicidal? No, not really. But I was unhappy. [00:33:25] Danielle: Yeah. [00:33:26] John: I was, my girlfriend left me, and, fortunately I had a job that I could focus on. But I needed something more. And through sharing something so personal and tying magic into it and making it a positive instead of a negative [00:33:45] people are attracted to it. [00:33:49] Danielle: Yeah. Well, because you're holding fire in your hand. Yeah. You're not just saying it's possible, but you're living. You're turning it into a performance, which I think for an artist is one of the most selfless, beautiful acts. [00:34:11] John: It's what separates great artists from mediocre artists. What is he giving me to care about? [00:34:18] Danielle: I never thought about that with magic. What are they giving me to care about? [00:34:22] John: Yeah. What do I want them to think when they leave the theater? [00:34:27] Ability to put your own life in perspective. If John can, so can I. [00:34:33] That's my true message. [00:34:36] Any different is your superpower. [00:34:38] Now, my facial paralysis does not have to define me if I don't let it. [00:34:44] You know, Danielle I live my life that it's better to ask for forgiveness than permission. [00:34:51] And that's bit me in the butt numerous times. [00:34:54] Danielle: I can also say the opposite, can bite you in the butt. I think I waited probably too long, many times for permission that wasn't really coming because no one can ultimately grant it. Right? Like, if there's a path you wanna carve, like the job that you built, all of the different things that you've done, there's no resume posted on LinkedIn. [00:35:15] No one's hot. Like that's an empowerment coach slash magician slash keynote speaker, slash documentarian like that. You have to get curious and still, and listen to that little voice inside and follow that curiosity to a path that may not make sense for anyone for a really long time. And I didn't do that. [00:35:40] And that can bite you in the butt too. 'cause regret's hard to hold. [00:35:42] John: Alex SBE came out on national television [00:35:45] to his fans, to the world and said, I'm scared. I am fighting the battle of my life and I'm gonna ask for everyone's good thoughts and prayers . of what I'm going through. I reached out to Nikki Trebek, Alex's daughter and I said, Nikki, I need to perform for your dad . we're having a 75th birthday party and we don't have any entertainment. [00:36:13] So if you wanna be the entertainment, and I was like. Damn. Yes. [00:36:18] Danielle: Well, yeah. I will go to his house and perform magic for him. a [00:36:22] John: restaurant, but [00:36:23] Danielle: Oh, a restaurant. Okay. [00:36:23] John: Wrote a unique magic show [00:36:25] With Jeopardy themes and the whole nine yards and he was actually at the table as one of my assistants. [00:36:33] Oh. Along with his daughter. so he was this, he needed to understand how things worked. [00:36:39] Was a genius. And so he was constantly looking at me like, wait a minute. That's not possible. Just embrace it, Alex. You're not gonna figure it out. Just enjoy it. [00:36:52] Danielle: That's awesome. [00:36:54] John: And there's, on my website, john kipp.com. There are some magic videos and there are two videos of me performing for Alex , sat with him, and I said, Alex, I need to share something with you that, when you came out so publicly about your diagnosis [00:37:10] I asked for everybody's support and love and prayers that resonated with me. I am here to give to you. You've been a part of my life and the lives of millions of people. [00:37:27] And your life's work is meaningful. [00:37:30] I just wanted to tell you that, 'cause I had a feeling that no one ever takes the time to say thank you for your life's work. [00:37:37] And he immediately started welling up. [00:37:39] Danielle: Well, anybody who makes something look easy that we do take for granted. [00:37:45] And I think that, like I appreciate so much in the telling of your story, you share not just the struggles, but the time you had a vision of yourself. On the main stage performing at the Magic Castle, like the most elusive place where magic is. And you didn't just wanna get in, you didn't just wanna get an audition, you didn't wanna just like get to per perform an illusion, like main stage. [00:38:23] You didn't just have a goal. You had the goal and you did it, but you also say that it took you 10 years. And there's usually themes that run with anxiety, about not enoughness and the crunchiness of time. There's never enough time. I'm not enough and there's not enough time. And not being worthy. [00:38:42] Yes, yes, yes. One of my main motivations when I started this podcast originally several years ago, was I was. Starting to increasingly feel, trapped in this sort of, world of before and after story. And it was no longer feeling inspirational. It was just another measuring stick for how not enough. [00:39:03] Yeah. 'Cause it, it's great to see where somebody was and where they are, but when I'm knee deep in my own struggle when I'm the caterpillar goo and the chrysalis, and I'm not the shiny butterfly, but I'm also not the caterpillar anymore. What do I do when my life is literally a shitty pile of goo this is something that most clients don't come right out and ask me like in sessions one, two, and three. But it inevitably comes well, I've been doing this for, so many months. How much longer is it gonna take? How long is it gonna take? And I just always, I appreciate when people can acknowledge. [00:39:41] The time and consistency that goes into healing [00:39:47] John: joy is in the journey. [00:39:48] Danielle: Mm. [00:39:49] John: Not in the destination. [00:39:51] And that's the thing I really focus with my clients. [00:39:55] I have clients come to me because they're holding themselves back in their life. [00:39:59] And it's my job to get that out of them by asking open-ended questions, by building a rapport, I can trust this guy. [00:40:08] Danielle: Yeah. Would you say that's your superpower as a coach? [00:40:11] John: Through my journey of reverse engineering who I am and who I wanted to become. Coming out the other side immediately understood that it's not about me. [00:40:24] Danielle: Yes. It's only true every single time. [00:40:27] John: The joy comes from helping others get that realization, [00:40:32] That they understand they are truly powerful and have a chance to shape their destiny. [00:40:40] That's why I talk about limiting beliefs. [00:40:43] And we grow up with our parents or whoever raised us, those are our belief systems. [00:40:49] And so that's what forms who you are. You stop dreaming. [00:40:54] That's what midlife crisis is all about. [00:40:58] Danielle: Yeah. [00:40:59] John: We got educated, we got a job, we built a career. We have a family. [00:41:06] Danielle: It's, I think the version of that I hear in my sessions is essentially I did everything right. Shouldn't I be feeling better than I am? Yeah. Like, I followed all the rules. I'm winning. Why does it not feel like I'm winning? Yeah. And finding our way back to that. [00:41:29] The unlearning and the unraveling. That is a, it's a process. [00:41:34] John: I'll talk to a friend. How you doing? And so many people respond automatically living the dream. But is it your dream? You're living? [00:41:46] Whose dream are you living? Because you're wasting your life by living someone else's dream. And that's why you get to that point in life where it's not enough. [00:41:58] Cause it's not your dream. You just finished the last 30 years building. [00:42:03] Danielle: Yeah. And the joy really is in the process and there's no way to enjoy the process of fulfilling the wishes of somebody else because you, what you're constantly chasing is when I get there, then the relief will come and then you're there and you're like, well, where's my pot of gold? [00:42:22] John: Yeah. I had, I spent 20 years learning how not to hide my face. [00:42:28] And what happened in March in 2020? The pandemic hit [00:42:33] now covering your face with a mask, became not only politically correct. [00:42:41] But government mandated and I'm like sitting there thinking to myself, what do I do? So I found a company who prints things on masks and I sent them a picture of my face and a picture of the lower part of my job. [00:43:01] Danielle: Trickster energy, John Kippen trickster. That's the new hyphen to your list of all of your accomplishments. [00:43:08] John: I would walk around and strangers would look at it and not understand. [00:43:12] Danielle: Right, right. But people who knew me [00:43:15] John: would do a double take. [00:43:17] Danielle: I will not hide. [00:43:19] John: Refuses to hide. [00:43:20] Even through a global pandemic. [00:43:23] Yeah. [00:43:23] John: I'm gonna live my life [00:43:25] Danielle: mm-hmm. On [00:43:26] John: my own terms. [00:43:28] Danielle: Yeah. I work too hard, too long to get free and I will not hide for you. Wow. Wow. And [00:43:37] John: when I share that story, people like, wow, John's done some soul searching. [00:43:44] Danielle: Which is why your clients come to you. [00:43:46] John: Yeah. [00:43:46] Danielle: Yeah. I unfortunately have come across many. People in the helping profession that haven't started with their first client, which is themselves. I put myself in that camp. I've talked about it on the podcast before, but I didn't start seeing a therapist until I became one, which is probably not the right order, but I didn't realize until I was sitting there trying to help people. [00:44:09] And then my own stuff was getting activated in the session. It's called Counter Transference. And, yeah, I was like, oh shit, I gotta look at the mirror. I gotta do a little more digging. But I think a, what leads a lot of people into helping professions is its desire to heal. And it sounds like in your case you did the herculean task of lifting your own self up before you said, now what can I offer you? [00:44:39] I wanna ask, just a purely curious, selfish question before we get to the very end I wanna ask. In your book playing the Hand you're Dealt how did you connect with Jamie Lee Curtis? The same way you did Alex Trebek? Did you just find someone and you DMed them and [00:44:55] John: you're like, her assistant worked for a production company [00:45:00] in a previous job. [00:45:02] Danielle: Gotcha. [00:45:02] John: That I knew. [00:45:03] When Jamie was like, I need it. So help with my computer. Her assistant said, I've got the guy for you. And I remember being at Jamie's house. [00:45:15] She knew me before my facial surgery, and after. [00:45:18] Danielle: So you have a history then? [00:45:19] John: Oh yeah. We met in 2000. [00:45:21] Danielle: Oh, okay. [00:45:22] John: So she saw me before. [00:45:24] She saw the struggle. Sure, she has two. Great kids. [00:45:29] And she adopted me as her third child. Wow. She saw the ability to help me. And so I had a filmmaker friend of mine reach out and said, John, I'd love your story. [00:45:45] I want to film a documentary on you. And I'm like, cool. So I realized I'm paying for the damn documentary. [00:45:51] Danielle: Oh. So I wanna offer you this gift, and by the way, here's the bill. [00:45:55] John: Yes, exactly. But at that point, I'm all in and I'm like, what do I have to lose? I'm a risk taker. I can afford it. [00:46:01] I've got money in the bank. [00:46:03] Let's make sure we stay on budget or close to budget, so there I am working on Jamie's computer and I'm staring at the screen and I'm summoning the courage. Ask Jamie. So I'm telling her the story. My friend Ryan's gonna direct this documentary about my life and my journey, and then I pause and I'm just staring at the screen. [00:46:23] I feel these eyes burning into the side of my head. [00:46:26] Mm-hmm. [00:46:28] John: And Jamie says, and [00:46:32] Danielle: I love that she didn't do it for you, but she made you do it. [00:46:36] John: And then at that point, I realized what the question was. I said, Jamie, will you be in my documentary? [00:46:44] And she goes, fuck yes, I will. [00:46:48] Danielle: Yeah. [00:46:49] John: She gets it. [00:46:50] Yeah. [00:46:51] John: Going through her sobriety, she wears her sobriety on her. Shoulder as a badge of honor. [00:47:00] And that is her message. [00:47:02] Yeah. [00:47:03] John: If she can get people to stop drinking by showing up for people. That's her ultimate goal in life. And so, she saw in me what I didn't see, [00:47:18] Danielle: and you asked the question. I think it's a lesson that I feel like I'm eternally playing a game of peekaboo with where I forget, and then I remember and then I forget and then I remember. But like the opportunities that you're asking for, you have to ask. [00:47:39] Yes. You have to say the thing. Right. Which is so brave and so vulnerable. But then the magic is sometimes when you ask, someone will say Yes. Now, in your case, she was essentially lovingly poking you until you, [00:47:55] John: asked. There was a point where I was debating plastic surgery. [00:48:00] Did I want to try to fix my face? Because at the end of the day, I wanted symmetry at rest. I wanted to be able to get rid of the droopiness and just, have a symmetrical base. That's all I really wanted. Sure. And because I would say, I hit my smile. And I've had friends come up and say, John, your first smile, we love your smile. [00:48:23] But I didn't love my smile. And until I, not up here, not in my head, but in my heart, accepted my smile. I couldn't move forward. I couldn't heal. And once I accepted my new smile, I found joy. I found that I could love myself. [00:48:46] And what's funny is when you get to that point, [00:48:49] yeah. [00:48:50] John: You overcome whatever that thing is that's holding you back. [00:48:53] Yeah. [00:48:54] John: And you want to share it with every person you come in contact with. [00:49:00] Danielle: Yeah. You are the love you're seeking. [00:49:02] John: Yes. Yes. And you are your acceptance. [00:49:05] Danielle: It reminds me of, something. He said in an interview, in, A New Earth, but author Eckert Tolle said that right before his essential death of the, he called it the death of his ego, but we could call it enlightenment or rebirth. [00:49:19] But he remembers the last thing he said before he went to sleep was, I can't live with myself anymore. And it wasn't about in the interpretation , of , taking one's own life . but what he realized is that he couldn't live with the self that was hating him. He couldn't live with that self. [00:49:40] And that self never woke up. But he did. [00:49:45] John: Through my journey [00:49:46] Of coming to accept myself for who I am. I immediately see others. [00:49:53] Yeah. [00:49:53] John: How they're hiding. [00:49:54] Before they recognize it. And so my coaching is all about not saying, this is why you're hiding. [00:50:03] That's what's holding you back. [00:50:06] Danielle: What you said about once you, you see somebody's wall so clearly because you understand your own so well. My less eloquent way of saying that to clients, it's once you smell bullshit, you can't unm it. It's the scent in the air and you're like, huh, what am I smelling? [00:50:23] Oh, it's bullshit. Well, John, I would love to know your, don't cut your own bang moment. [00:50:30] John: I'm backstage. There are a thousand people in the audience and I had theatrical training I had a talk memorized. It had to be 12 minutes long. [00:50:39] I'm doing a magic trick with other people that are coming up stage. I needed to control that. I got there early the morning of the TED Talk and helped the guys focus the lights so that it looked better. I'm all in. I want to shine in this TED Talk. , I remember I'm going up on stage and I'm saying, to the cherry picker operator, can I give you a hand? Because I have lighting experience. And I expected the presenter come and say, no, John, you're the actor. Go in your, the green room and there's some donuts and coffee , and we'll call you already, but you didn't. She knew that I was there to make the entire event better. And she let me do it, [00:51:18] That's awesome. [00:51:19] John: This is my first real speech. Okay, in front of a thousand people. And I knew that I had a limited time to get the audience on my side. [00:51:30] Get the audience engaged. How was I gonna be able to break their, going through their phone, talking to a neighbor, drinking, eating, snacking in a full day of speech? [00:51:41] Yeah. [00:51:43] John: So I said, I wanna go first. And everybody has said, great, but we don't, you can go first. And right before the mc went on stage to introduce me. I did a magic trick war. I turned Monopoly money into real money and then back again. [00:52:00] So as a magician, everything was possible. I turned monopoly into real money, but then I realized that's actually called counterfeiting he stays out for like seven seconds. I did that to the mc and now he just saw a miracle happen. [00:52:16] So he turns around and walks on stage beaming, and he told that story to the audience and said, Hey guys, your next speaker just did a miracle. He turned monopoly money into real money in front of my eyes. Pay attention to this cat. [00:52:37] Yeah. [00:52:38] John: So I walked on that stage. I had the love of everybody in the audience that everybody wanted to see what I was gonna do. [00:52:46] Everybody wanted to hear what I was gonna say, so I didn't have to warm up the audience. I got the mc to do it for me. Genius. And I do that every time I speak because it works but anyway, three quarters of the speech, I'm standing on my red circle and I'm delivering my talk. [00:53:08] And the front lights go out. [00:53:10] Danielle: Wait, you were three fours of the way done when they went out. [00:53:13] John: I'm standing in shadows. And my first reaction was, whoa. That Whoa. Got the lighting guy to realize, holy shit, I hit the wrong button, and he brought the lights slowly back up. [00:53:27] As the lights went back up, I went magic [00:53:32] and so I got an amazing laugh from the audience. [00:53:36] Because I cut the tension, I was doing improv. [00:53:38] I remember walking off stage and the producer of the event said, John, don't worry about, we'll edit that part out. And I said, don't you dare. That was my finest moment. Don't you dare edit that out. [00:53:54] I want that in the video. [00:53:57] She just smiled as I went back to the dressing room and sat down and then the adrenaline was like, whew. Walking out into the audience after the event and having strangers just come up to me and wanna hug me and say, holy cow, I resonate with your message. [00:54:18] And my message on the TED Talk was, treat people are different with respect to compassion. [00:54:23] That's what TED talks are all about. You want one key message and that was my message. [00:54:27] You never know, you might be in their shoes in an instant. [00:54:34] Danielle: I wanna add to that, another way to speak to the value of doing some self investigation, whether that's through journaling, through therapy, or seeking out a coach from someone like yourself is, because that expression of, treat other people the way you would wanna be treated. [00:54:53] What I know is that we don't treat ourselves all that well. A lot of us, many of us don't treat ourselves well, which is why accessing the compassion. Of treating others kindly is sometimes harder for us to find, jumping to criticism or judgment, because there's something we are rejecting in us. [00:55:13] So I think a way to do the thing you're saying , that beautiful treat others with kindness and compassion. The best way to do that is to look within. And I invite anybody listening to go to the show notes, visit John's website, seek out a coaching call, grab a copy of his book. There are resources that can help you be kinder to yourself, to lowering the walls, to lifting the veil, to seeing yourself in a new way, to performing the ultimate illusion, which is [00:55:52] to love yourself more fully exactly as you are so that we can be kinder to each other. 'cause we need that, we need a lot more kindness. [00:56:00] Thank you, John. Do we have the information we need for our listeners to get the special code? [00:56:06] John: John kipping.com. [00:56:08] Slash free gift. [00:56:11] Danielle: Ooh, you heard it here. John kipping.com/free gift. And this is only the gift for those of you who have listened this far. [00:56:20] So if you listen to the beginning and you just try to skip to the show notes, sorry. You ain't getting a gift. Thank you, John. [00:56:28] Thank you so much for joining me on this incredible episode of Don't Cut Your Own Bangs. I hope that you love listening because I thoroughly enjoyed making it. My favorite episodes are the ones where I get to learn something too. I'm also a listener. And benefiting from the wisdom and insights of all of the experts, creatives, performers, adventurers seekers that I get an opportunity to meet in this podcast format. [00:56:56] Don't forget to check out the show notes and please before you sign off , always remember rate, review, subscribe to the podcast when you interact with the podcast. It just helps send it out like a rocket ship to other people that are looking for the same value that you are. And it also helps create a conversation where I can continue to develop and cultivate something that benefits you more and is more fun for you to listen to. Feedback is great, and also if you just wanna throw a compliment, that's sweet too. But thank you so much for being here. [00:57:26] Your intention, your time mean the absolute world to me, and I hope you continue to have an incredible day. [00:57:32] ​

Holistic Health Podcast No 24 mit Dr.med. Dirk Wallmeier: Wie moderne Medizin Familien verändertDr. med. Dirk Wallmeier ist Facharzt für Gynäkologie und Geburtshilfe und Chief Medical Officer bei der Cada Clinics AG, der Kinderwunschklinik in Zürich. Mit ihm unterhalte ich mich in dieser Folge des Holistic Health Podcast über psychologische und gesellschaftliche Aspekte rund um Fruchtbarkeit, moderne Familienplanung und die technologischen Möglichkeiten, sollte der natürliche Weg mal nicht funktionieren.Dabei geht es nicht nur um medizinische Eingriffe, sondern auch um die emotionale Belastung, und den Druck, sich als Elternteil zwischen Kindern oder Karriere entscheiden zu müssen. Bietet Social Freezing für Frauen hierzu eine patente, moderne Lösung an und wo liegen die biologischen und ethischen Grenzen?Mehr über Ladies Drive: www.ladiesdrive.worldUnd mehr über Dirk Wallmeier und die Cada Kinderwunschklinik: www.cada.comUnseren Podcast findet Ihr auch auf Spotify, Apple Podcast und allen gängigen Podcast-Plattformen. Dieser Podcast wurde beim HeadsQuarter in Zürich aufgezeichnet.#HolisticHealth #LadiesDrive #Kinderwunsch #Fruchtbarkeit #SocialFreezing #HolisticHealthPodcast #Reproduktionsmedizin

Prisijunkite

In dieser Folge wird's wild – medizinisch, musikalisch und maximal hypothetisch! Ein unstillbares Blutungsdesaster im Nachtdienst bringt unseren Unfallchirurgen an den Rand des Hitzekollapses – Schweiß, Strom und Stress inklusive. Dazu sprechen wir über den ominösen Sectio-Fluch der Nachtschicht, ein Gynäkologie-Parodie-Lied (ja, wirklich!) und ranken die schlimmsten hypothetischen Facharzt-Albträume: Lieber für immer HNO oder täglich nur noch Geschlechtskrankheiten behandeln?Obendrauf gibt's Sporttalk und den gewohnten Mix aus Klinikchaos, Assistenzarzt-Realität und schwarzen Humor.Link zum eBook:https://mediroad.de/Mit dem Code "km10" spart ihr 10% Meditricks:Mit dem Code "kuechenmedizin" spart ihr bei Meditricks 15% und unterstützt uns :)https://www.meditricks.de/u/aff/go/kuechenmedizinZum HAM-Nat Guide:https://youtu.be/WDuvkYPuxUk?si=aq7gm0LtXs8v0vFDZu Hamnatvorbereitung.de:https://hamnatvorbereitung.de/kuechenmedizinZu unserem Shop:https://medizin-merch.myspreadshop.net/Oder auch über:www.küchenmedizin.de

Diese Episode solltest du nicht verpassen!Im zweiten Interview mit Dr. Christian Matthai tauchen wir noch tiefer in das spannende Thema Wechseljahre ein. Diese Folge liefert dir:​ Antworten auf die Frage: Ist eine Hormonersatztherapie wirklich nötig – oder gibt es Alternativen?​ Klarheit über die ersten Symptome der Wechseljahre: Was passiert im Körper, was ist eigentlich FSH und was liest dein Gynäkologe bzw. deine Gynäkologin aus diesem Wert?​ Inspiration, wie du mit Stressbewältigung & gezieltem Krafttraining deinen Hormonhaushalt positiv beeinflussen kannst.​ Spannendes zu pflanzlichen Hilfsmitteln: Welche helfen, wenn die ersten Beschwerden auftreten?​ Insiderwissen für Männer: Ab Minute 30 erfährst du, ob Männer tatsächlich Wechseljahre erleben und wie sie ihren Testosteronspiegel boostern können!Warum solltest du unbedingt reinhören?Du bekommst handfeste Infos, die dir helfen, deinen Körper (und deine Gesundheit!) besser zu verstehen – egal, ob du direkt betroffen bist oder einfach neugierig auf das große Thema HORMONE. Diese Folge räumt mit Vorurteilen auf und gibt dir praktische Tipps für deinen Alltag!Jetzt reinhören und staunen, was alles in dir steckt!Wer mehr über Doktor Christian Matthei erfahren möchte, besucht gerne seine Homepage www.matthai.at und seinen Instagram Account. Wir würden uns riesig freuen, wenn ihr die Folge unter Freunden und Bekannten teilt und uns eine positive Bewertung hinterlasst.

Geneigte Gesellschaft, man sagt, sie sei eine Bad Mom – sie selbst sagt, sie sei fett. Und wir sagen: Sie ist absolut famos! In dieser ebenso schamlosen wie charmanten Folge bringt die kühne Lady Alina Friederichs ein Selbstvertrauen mit, das selbst gestählte Insta-Gemüter erröten lässt: Es geht um das Leben als Influencerin zwischen Reichweite und Realness, um das Fatshaming beim Frauenarzt, Internetmobbing von einer angeblichen Gynäkologin – und um die Entscheidung, nicht zu stillen, obwohl man weiß, was dann kommt. Alina Friederichs spricht über den Druck, perfekt zu performen – online wie offline. Über ihren Weg zur Selbstständigkeit, über ihren Körper, über das Wort „fett“ – und warum sie es selbstbewusst reclaimt. Und sie zeigt, wie man sich auch mit über 130 Kilo im Bikini zeigen kann, ohne sich vor den Blicken anderer kleinzumachen. Diese Folge strotzt vor subversivem Witz, echter Wut und genau dem Quäntchen Skandal, das man in feineren Kreisen natürlich nur unter vorgehaltener Hand feiert – und heimlich verschlingt. Herzlichst, Lady Leisadale Du möchtest mehr über unsere Werbepartner erfahren? Hier findest du alle Infos & Rabatte: https://linktr.ee/mama_leisa Du möchtest Werbung in diesem Podcast schalten? Dann erfahre hier mehr über die Werbemöglichkeiten bei Seven.One Audio: https://www.seven.one/portfolio/sevenone-audio

Für Annekaren von Beckerath war es ein einschneidender Moment: Mitten in ihrer Facharztausbildung in der gynäkologischen Onkologie stellte sie fest, dass es einen Bereich gibt, der extrem unterversorgt ist. Die sexualmedizinische Komponente spielte in der Behandlung ihrer Patientinnen keine Rolle. Dabei wirkt die Diagnose Krebs schwer, sie ist nicht nur mit großen Ängsten und massiven körperlichen Beschwerden verbunden, sie berührt auch die Partnerschaft und reicht bis in die Sexualität, mitunter massiv. Das wollte Annekaren nicht so stehen lassen und absolvierte eine Zusatzausbildung zur Sexualmedizinerin. In ihrer Praxis behandelt die Fachärztin für Gynäkologie und Geburtshilfe nicht nur Patientinnen mit onkologischen Erkrankungen, auch die Autoimmunerkrankung Lichen Sclerosus, Vulvodynie, Probleme mit dem Beckenboden oder aber auch durch die Wechseljahre bedingte Beschwerden gehören zu ihrem Praxisalltag. Ihr ahnt es schon: Da wir heute längst nicht alles besprechen konnten, hat Annekaren versprochen, noch mal zu uns zu kommen. Es geht also weiter mit diesem wichtigen Thema, seid dabei! Ihr habt Fragen dazu, dann schreibt uns. (Alle Infos dazu in den Shownotes)

Ein plötzlich besseren Geruchssinn, Sprachfindungsstörungen über Nacht und die Erkenntnis, dass meine Gynäkologin gar nicht so viel über den Zyklus wusste, wie ich erwartet hätte. Hör unbedingt in die Folge rein, wenn du wissen willst, was mich am Beginn meiner eigenen Zyklus-Reise überrascht hat.

durée : 02:59:23 - Le 6/9 - Ce matin sur France Inter, À 7h50 : Vincent Doumeizel, conseiller pour les océans aux Nations Unies et auteur de “Le manifeste du plancton” (Les équateurs). À 8h20, Comment expliquer la baisse de la natalité ? Avec Hélène Périvier, présidente du HCFEA et Patrick Rozenberg, Gynécologue obstétricien. Vous aimez ce podcast ? Pour écouter tous les autres épisodes sans limite, rendez-vous sur Radio France.

Melanie Drewes erzählt in meiner Podcastfolge von ihren Erfahrungen als Gynäkologin in der Klinik. Sie setzt sich für gewaltfreie Geburten ein und informiert in der Folge ganz ausführlich darüber, worauf du bei einer Geburt achten kannst, um dich und dein Baby zu schützen. Für eine kraftvolle und selbstbestimmte Geburtserfahrung ist diese Podcastfolge GOLD wert.

Maladie du système reproducteur masculin ou féminin, l'infertilité se définit par une impossibilité à concevoir après 12 mois ou plus de rapports sexuels réguliers non protégés. Les causes sont multiples et peuvent concerner l'homme, autant que la femme. À partir de quand s'inquiéter ? Quels sont les examens pouvant aider à définir la cause de l'infertilité ? Quels sont les recours possibles ?   Pr Michael Grynberg, chef de service de Médecine de la Reproduction & Préservation de la Fertilité à l'Hôpital Antoine Béclère, à Clamart, en région parisienne  Pr Ahmed Abdi, gynécologue et chef du service de Gynécologie obstétrique à l'Hôpital mère enfant de Nouakchott, en Mauritanie. Président de la société mauritanienne de gynécologie obstétrique. Chef du département mère enfant à la Faculté de Médecine.      Programmation musicale :  ► Q twins, DJ Tira – Hamba  ► 15 15 – Afa 

Maladie du système reproducteur masculin ou féminin, l'infertilité se définit par une impossibilité à concevoir après 12 mois ou plus de rapports sexuels réguliers non protégés. Les causes sont multiples et peuvent concerner l'homme, autant que la femme. À partir de quand s'inquiéter ? Quels sont les examens pouvant aider à définir la cause de l'infertilité ? Quels sont les recours possibles ?   Pr Michael Grynberg, chef de service de Médecine de la Reproduction & Préservation de la Fertilité à l'Hôpital Antoine Béclère, à Clamart, en région parisienne  Pr Ahmed Abdi, gynécologue et chef du service de Gynécologie obstétrique à l'Hôpital mère enfant de Nouakchott, en Mauritanie. Président de la société mauritanienne de gynécologie obstétrique. Chef du département mère enfant à la Faculté de Médecine.      Programmation musicale :  ► Q twins, DJ Tira – Hamba  ► 15 15 – Afa 

Dr. Birgit Bergmeister – erfahrene und engagierte Gynäkologin – beantwortet Fragen, die viele Frauen rund um ihre Periode bewegen. Sie zeigt, wie vielfältig die Behandlungsmöglichkeiten sind und warum Schmerzmittel nicht immer die einzige Lösung sein müssen.

Wir haben es immer schon geahnt: Das Leben ist weder Ponyhof noch Kindergeburtstag. Sätze wie diese fallen ja immer dann, wenn etwas schief geht oder etwas Gravierendes passiert, Verlust, Trauer, Schmerz gehören für uns alle dazu, auch das ist bekannt. In diesen Momenten hoffen wir auf Beistand mit unserem ganz individuellen Leid, auf jemanden, der uns heilt und hilft. Wer aber schützt und stützt all die Menschen in den Regionen weltweit, in denen es zu Naturkatastrophen und Kriegen kommt? Wer fährt in die Krisengebiete und setzt dabei sein eigenes Leben auf das Spiel? Die ehrenamtlichen Mitarbeiter der medizinischen Hilfsorganisation "Ärzte ohne Grenzen" beispielsweise, deren Vorstandsvorsitzende Parnian Parvanta heute unser Gast ist. Sie kam 1982 in Kabul zur Welt, inmitten der Wirren des Afghanistankrieges, und hatte als 8jähriges Mädchen das Glück, mit ihrer Familie über Umwege nach Deutschland fliehen zu können. Immer schon wollte Parnian Parvanta Ärztin werden, sie wurde es, genauer: Fachärztin für Gynäkologie und Geburtshilfe. Nach Einsätzen z.B. in Indien, Nigeria und im Irak wurde sie 2023 zur Vorstandsvorsitzenden von "Ärzte ohne Grenzen" gewählt. Playlist: Shakira - Whenever wherever Grohe Baran - Kabul Jan Fettes Brot - Jein Freundeskreis - Mit Dir Ashiqi 2 - Tum Hi Ho Fairuz - Ya ana ya ana Shervin Hajipour - Barraye Rahat Fateh Ali Khan & Momina Mustehsan - Afareen Afareen Diese Podcast-Episode steht unter der Creative Commons Lizenz CC BY-NC-ND 4.0.

„Die meisten Medikamente wurden nie am weiblichen Körper getestet. Die Dosierungen, die Frauen täglich einnehmen, sind oft auf den männlichen Organismus abgestimmt – ohne zu wissen, ob sie für Frauen überhaupt geeignet sind.“ Dr. Judith Bildau ist Gynäkologin, Bestseller-Autorin und eine der führenden Stimmen für moderne Frauengesundheit. Ihr Ziel: Frauen endlich so zu behandeln, wie es ihrem Körper und ihren Bedürfnissen entspricht – wissenschaftlich fundiert, individuell und fernab veralteter Standards. Podcast-Host Jennifer Knäble spricht mit der engagierten Medizinerin über die häufig unterschätzten Unterschiede zwischen Frauen und Männern in der Medizin: Zwischen 35 und 45 Jahren, bereits weit vor der Menopause, können erhebliche Hormonveränderungen auftreten. Mit einem gravierenden Einfluss auf die Lebensqualität! Eine zentrale Rolle spielen dabei Hormone: "Es gibt für jede Frau einen Hormon-Kompass – vom ersten Zyklus bis in die Wechseljahre." Außerdem erklärt Dr. Judith Bildau, dass Frauen im medizinischen System häufig benachteiligt sind und z.B. in der Notaufnahme länger warten müssen. Auch wird die Menopause im Medizinstudium noch immer kaum thematisiert. Und was forderte sie in ihrer vielbeachteten Rede im Deutschen Bundestag? Ein leidenschaftliches Plädoyer für mehr Selbstbestimmung und moderne Frauengesundheit: Dr. Judith Bildau in BUNTE VIP GLOSS – Zuhören macht schön. -- Hier findet ihr alle Informationen zu unseren Podcast Partnern: https://www.wonderlink.de/@buntevipgloss-partner -- Ein BUNTE Original Podcast.

Faut-il avoir des douleurs ou des symptômes pour consulter un gynécologue ? Si un gynécologue n'est pas disponible, vers quel professionnel de santé peut-on se tourner ? Dans quelles circonstances faut-il rapprocher les consultations chez un spécialiste ? (Rediffusion) Dr Abdoulaye Diop, gynécologue obstétricien à la Clinique Bellevue à Dakar au Sénégal, auteur de Si l'on parlait de Gynécologie et d'Obstétrique, publié chez Lakalita. Retrouvez l'émission en entier ici :Questions de femmes à un gynécologue              

EinBlick – nachgefragt Podcast mit Interviews und Diskussionsrunden mit Expert:innen des Gesundheitswesens Zukunft der Versorgung: Wie regionale Gesundheitszentren den ländlichen Raum stärken Fachjournalist und EinBlick-Redakteur Christoph Nitz spricht mit Dr. Andreas Rühle, Geschäftsführer der Ärztegenossenschaft Niedersachsen-Bremen, und Ulrike Elsner, Vorstandsvorsitzende des Verbandes der Ersatzkassen vdek über innovative Versorgungsansätze im ländlichen Raum am Beispiel des Regionalen Versorgungszentrums Wurster Nordseeküste. Dieses Zentrum bündelt neben einer hausärztlichen Praxis auch spezialisierte Fachärzte wie Kinderärzte, Gynäkologen und Urologen sowie Angebote zur Physiotherapie, Psychotherapie und eine Tagespflege. Schwerpunkte liegen in der Integration von nichtärztlichem Fachpersonal, etwa durch den Einsatz von Telemedizin-Rucksäcken bei Hausbesuchen, sowie der Umsetzung eines umfassenden Care- und Case-Managements, das Patientinnen und Patienten insbesondere bei komplexen gesundheitlichen Problemlagen aktiv unterstützt. Dr. Andreas Rühle ist promovierter Wirtschaftswissenschaftler. Seit über zwanzig Jahren berät er Organisationen im Gesundheitswesen und verantwortet mehrere Tochterunternehmen der Ärztegenossenschaft Niedersachsen-Bremen, darunter das Regionale Versorgungszentrum Wurster Nordseeküste gGmbH. Er setzt auf interprofessionelle Zusammenarbeit: nichtärztliches Fachpersonal unterstützt das ärztliche Team durch Telemedizin, Care- und Case-Management sowie administrative Tätigkeiten. Ulrike Elsner studierte Rechtswissenschaften in Augsburg und Freiburg. Seit zweitausendzwölf ist sie Vorstandsvorsitzende des Verbandes der Ersatzkassen vdek, zuvor leitete sie dort die Abteilung Ambulante Versorgung. Elsner engagiert sich insbesondere für innovative Versorgungsmodelle, um Lücken in der ländlichen Gesundheitsversorgung zu schließen. Sie wirkt außerdem ehrenamtlich als Richterin am Bundessozialgericht. Digitale Innovationen wie der Telemedizin-Rucksack ermöglichen nichtärztlichem Fachpersonal eigenständig Kontrollbesuche durchzuführen. Direkt vor Ort können sie dann beispielsweise EKGs schreiben sowie Herzfrequenz- und Sauerstoffwerte messen. Bei Bedarf lässt sich über ein Tablet direkt eine Videosprechstunde mit Ärztinnen und Ärzten des Versorgungszentrums durchführen. Care- und Case-Management entlastet Arztpraxen, indem Patientinnen und Patienten direkt vor Ort individuell beraten werden – insbesondere bei der häuslichen Versorgung, Pflegefragen und Koordination medizinischer Folgetermine. Die Arbeit im Regionalen Versorgungszentrum Wurster Nordseeküste zeigt, wie sektorenübergreifende Kooperation und neue Berufsrollen Versorgung spürbar verbessern können. Die Patient:innen profitieren von kürzeren Wegen, schnellerer Hilfe und individueller Betreuung. Gleichzeitig wird das ärztliche Personal entlastet und Versorgungsengpässen im ländlichen Raum gezielt entgegengewirkt.

Warum menstruieren der Mensch und ein paar Tierarten, aber 97 Prozent der Säugetiere nicht? Es gibt überraschende Hinweise, warum sich die Menstruation im Laufe der Evolution entwickelt haben könnte. Die Forschung hofft dabei besonders auf Erkenntnisse von einem Tier: der Stachelmaus. Ein Podcast von Roana Brogsitter. Habt Ihr Feedback? Anregungen? Wir freuen uns, von Euch zu hören: WhatsApp (https://wa.me/491746744240) oder iq@br.de Credits Autorin: Roana Brogsitter SprecherInnen: Roana Brogsitter, Gudrun Skupin, Benjamin Stedler Produktion: Peter Riegel / mars13 Redaktion: Sarah Bioly Unsere Gesprächspartner: Dr. Christian Feregrino, Evolutionsbiologe Max-Planck-Institut für molekulare Genetik, Berlin https://www.molgen.mpg.de/person/131661

Dr. Lisa-Maria Wallwiener, Gynäkologin, und Hormonärztin, München
https://hormonaerztin.de/ Prof. Günther Wagner, Zoologe und Evolutionsbiologe Yale University, USA https://medicine.yale.edu/profile/gunter-wagner/ Zum Weiterschauen ARTE: Die Kraft des Zyklus https://www.youtube.com/watch?v=2Ipyp_7aI2Y Zum Weiterlesen Max Delbrück Center: Die Evolution der Menstruation erforschen https://www.mdc-berlin.de/de/news/news/die-evolution-der-menstruation-erforschen American Journal of Obstetrics & Gynecology: Menstruation: Wissenschaft und Gesellschaft https://www.ajog.org/article/S0002-9378(20)30619-0/fulltext IQ verpasst? Hier könnt ihr die letzten Folgen hören: https://www.ardaudiothek.de/sendung/iq-wissenschaft-und-forschung/5941402

Nina und Lotta nehmen so lang Podcasts auf, bis sie aus ihrem Redekäse ein großes Rad formen können. Bis dahin labern sie was das Zeug hält über Kuno den Killerwels, Gynäkologinnen auf Konzerten und Stand-Up-Paddler, die schon einmal in einem Wal waren.

Wir sollten über Abtreibungen so reden wie über Knie-OPs, findet der Gynäkologe Andreas Glasner. Im Podcast erklärt er, wie ein Schwangerschaftsabbruch typischerweise abläuft – und welche zwei medizinischen Methoden es gibt. Abtreibung, erklärt.

Die Humanen Papillomaviren sind eine der häufigsten, sexuell übertragbaren Krankheiten. Sie können alle möglichen Arten von Krebs auslösen, bei der Frau aber auch genauso beim Mann.Es gibt dafür eine Impfung, diese ist in Österreich sogar noch bis Ende des Jahres gratis, für alle bis 30. Wenn du dieses Angebot noch nutzen willst, dann musst du die erste Dosis noch im Juni abholen, damit die zweite im Dezember verabreicht werden kann.Gemeinsam mit Gynäkologin Dr. Katharina Liess kläre ich über die HPV Impfung auf und du stellst deine wichtigen Fragen.Hier auch die Website mit den Infos, wo du dich impfen lassen kannst.Magst du nachträglich noch Fragen stellen? Dann schreib Sandra jederzeit auf INSTAGRAM.

In dieser Folge sprechen ich mit Dr. Mirjam Wagner über PMS (Prämenstruelles Syndrom) und PMDS (Prämenstruelle Dysphorische Störung) – eine Erkrankung, die viele Menschen mit Menstruation betrifft, aber oft unterschätzt oder nicht ernst genommen wird. Wir klären, welche Symptome typisch für PMS und PMDS sind, worin der Unterschied liegt und warum PMDS weit mehr als „schlechte Laune vor der Periode“ ist. Außerdem sprechen wir über mögliche Ursachen, Behandlungsmöglichkeiten und Strategien, um den Alltag besser zu bewältigen.

In ihrem Podcast "Gyncast" und in ihrem aktuellen Buch will sie mit den Missverständnissen rund um die Gynäkologie aufräumen.

Aus einer größenwahnsinnigen Wein-Idee ist vor 3 1/2 Jahren ein Podcast geworden. Und in dieser Folge feiern wir mit Euch, den üblichen 2 Dosen Energy-Drinks und einem Eimer voll Käseflips unseren runden Geburtstag: 100 Folgen Flexikon. Wir waren uns am Anfang nicht ganz sicher, was wir euch zumuten können und sind deshalb - die Älteren unter euch erinnern sich - mit Folge 1 erstmal niedrigschwellig und unverfänglich reingestartet: mit einem Besuch im Swingerclub. Wie schön (und entlarvend!), dass wir euch damit über die Jahre so an uns binden konnten. Seitdem haben wir zusammen wirklich viel Wissen gesammelt. Wir können jetzt lügen, ohne dass es jemand merkt, dirty talken ohne das Wort ‚Vulva‘ zu benutzen, in der Wildnis überleben ohne unseren eigenen Urin zu trinken, smalltalken ohne uns die Augen auszuschämen. Wir können bei dem/der Gynäkolo:in die Socken anlassen und auch mal Arschloch sein. Wir können Wein vinieren und Marathon laufen (in der Theorie!) Wir können aber vor allem festhalten: es gibt wahnsinnig viele herrlich dumme Fragen und die Antworten darauf interessieren euch zum Glück genauso sehr wie uns. In dieser Folge gucken wir nochmal auf unsere, vor allem aber auf eure, Highlights zurück. Danke an all diejenigen von euch, die in den letzten Wochen an unserer Umfrage teilgenommen haben. Beim Lesen der Antworten ist es uns teilweise das Herz geschmolzen, teilweise die Schamesröte ins Gesicht gestiegen. Wir haben einfach wirklich die reflektiertesten, lustigsten, offensten Hörer:innen der Podcast-Welt und es wär uns lieb, wenn das so bliebe. Wir hätten nämlich ziemlich Bock auf mindestens 100 weitere Folgen vom Flexikon. Also, hakt euch unter und schwelgt nostalgisch mit uns in Flexikon-Erinnerungen. We're not crying, YOU are! Und hier noch unsere Podcast Empfehlung: eat.READ.sleep. vom NDR - mit Katharina Mahrenholtz, Daniel Kaiser und Jan Ehlers https://www.ardaudiothek.de/sendung/eat-read-sleep-buecher-fuer-dich/10290671/https://www.ardaudiothek.de/sendung/eat-read-sleep-buecher-fuer-dich/10290671/

Vitamin D spielt eine Schlüsselrolle in der Frauengesundheit – doch wie wichtig ist es wirklich für dich?

On this episode of The Wholesome Fertility Podcast, I am joined by Dr. Nirali Jain (eggspert_md), a board-certified OB/GYN and reproductive endocrinologist at Reproductive Medical Associates (RMA). Dr. Jain shares her expert insights on fertility preservation for individuals undergoing cancer treatment, a crucial yet often overlooked aspect of reproductive care. We explore what options are available for fertility preservation, including egg and sperm freezing, and why it's so important to initiate these discussions before starting chemotherapy or radiation. Dr. Jain also explains the difference between Letrozole and Clomid, the impact of estrogen-sensitive cancers on IVF treatments, and innovative approaches like random-start cycles and DuoStim protocols. Whether you're facing a cancer diagnosis or simply thinking proactively about your reproductive future, this conversation is filled with knowledge and reassurance. Key Takeaways: Why it's essential to discuss fertility before starting cancer treatment. The role of Letrozole in estrogen-sensitive cancers and fertility preservation. Differences between Letrozole and Clomid, and why Letrozole is often preferred. How new protocols like DuoStim and random-start cycles are improving outcomes. Why fertility preservation is important even for those without a cancer diagnosis. Guest Bio: Dr. Nirali Jain (@eggspert_md) is a board-certified OB/GYN and fertility specialist at Reproductive Medicine Associates (RMA) in Basking Ridge, New Jersey. She earned both her undergraduate degree in neurobiology (with a minor in dance!) and her medical degree from Northwestern University, before completing her residency at Weill Cornell/NYP, where she served as co-Chief Resident, and her fellowship in reproductive endocrinology and infertility at NYU Langone. Deeply passionate about women's health and fertility preservation, Dr. Jain blends the latest research and cutting-edge treatments with compassionate, patient-centered care. Her interests include third-party reproduction and oncofertility, and she is especially passionate about supporting patients navigating fertility preservation through a cancer diagnosis. Outside of the clinic, Dr. Jain is a trained dancer, a dedicated global traveler, and an adventurer working toward hiking all seven continents with her husband. Her diverse experiences, from international medical rotations to personal connections with friends and family navigating infertility, have shaped her into a warm, resourceful, and determined advocate for her patients. Links and Resources: Visit RMA websiteFollow Dr. Nirali Jain on Instagram For more information about Michelle, visit www.michelleoravitz.com To learn more about ancient wisdom and fertility, you can get Michelle's book at: https://www.michelleoravitz.com/thewayoffertility The Wholesome Fertility facebook group is where you can find free resources and support: https://www.facebook.com/groups/2149554308396504/ Instagram: @thewholesomelotusfertility Facebook: https://www.facebook.com/thewholesomelotus/ Disclaimer: The information shared on this podcast is for educational and informational purposes only and is not intended as medical advice. Please consult with your healthcare provider before making any changes to your health or fertility care. --  Transcript:   # TWF-Jain-Nirali (Video) ​[00:00:00]  **Michelle Oravitz:** Welcome to the podcast Jain.  **Dr. Nirali Jain:** Thanks so much for having me **Michelle Oravitz:** Yeah, so. **Michelle Oravitz:** I'm very excited to talk about this topic, which, um, actually you don't really hear a lot of people talking about, which is how to preserve your fertility if you're going through a cancer diagnosis and if you have to go through treatments. 'cause obviously that can impact a lot on fertility. **Michelle Oravitz:** I have, um, seen actually like a colleague of mine go through. And she also preserved her fertility and, and now she has a baby boy. so it's really nice. **Michelle Oravitz:** to **riverside_nirali_jain_raw-video-cfr_michelle_oravitz's _0181:** so nice. **Michelle Oravitz:** So I'd love for you first to introduce yourself and kind Of give us a background on how you got into this work. **Dr. Nirali Jain:** Of course. Um, so I am Dr. Narly Jane. I am, um, an OB GYN by training, and then I did an additional, after completing four years of residency in OB GYN and getting board certified in that, I did an additional training in reproductive endocrinology and [00:01:00] infertility or otherwise known as REI. So now I'm a fertility specialist. **Dr. Nirali Jain:** Um, I trained at Northwestern in Chicago, so I went to undergrad and medical school there. And then, um, home has always been New Jersey for me, so I moved back out east to New Jersey. Um, I did all my training actually in New York City at Cornell for residency and NYU for fellowship. Um, and then moved to the suburbs. **Dr. Nirali Jain:** Um, and now I'm a fertility specialist in, in Basking Ridge at Reproductive Medical Associates.  **Michelle Oravitz:** Very impressive background. That's awesome.  **Dr. Nirali Jain:** Yeah. **Michelle Oravitz:** I'd love to hear just really. About what your process is. If a person has been diagnosed with cancer, like what is the process? What are some of the things that you address if they are trying to preserve fertility, and what are some of the concerns going  **Dr. Nirali Jain:** yeah, yeah. All great questions. So, you know, there's a lot of us, uh, the Reis. Are a very small, [00:02:00] there's a very small number of us. So in terms of specializing in fertility preservation, technically we all are certified to treat patients with cancer and kind of move them through fertility preservation before starting chemotherapy. **Michelle Oravitz:** Mm-hmm.  **Dr. Nirali Jain:** Um, luckily we've been working closely with oncologists in the past several years just to establish some type of streamlined system because having a diagnosis of cancer and hearing all that information. Especially when you're young is so hard. So I think that's, that's where my interest started in terms of being able to speak to and counsel cancer patients. **Dr. Nirali Jain:** I think it is a very specific niche that you really have to be comfortable with in our field. Um, I. So I'll kind of walk you through, you know, what it, what does it look like, right? Um, you go into your oncologist's office suspecting that you have this, this lump. I'll take breast cancer, for example. It could really be any kind of cancer. **Dr. Nirali Jain:** Um, but breast cancer in a reproductive age patient or someone that's in those years where you're starting [00:03:00] to think about building a family, planning a family, um, or if you have kids at home, that's usually the type of patient that we see come in with a breast cancer diagnosis. So. Kinda just taking that, for example, um, the minute that you're diagnosed, it's really your oncologist's responsibility to counsel you on what treatment options are going to be offered to you. **Dr. Nirali Jain:** And then based off of the treatment options, it's important to know how that affects your reproduction. So how does it affect your ovaries in the short term, in the long term, um, in any way possible. So. Once a patient is initially referred from their oncologist to myself or any other fertility specialist, they come into my office and we just have a 30 minute conversation really talking about family planning goals. **Dr. Nirali Jain:** Any kids that they've had in the past either naturally conceived or through um, IVF, and then we talk about where they're at in their relationship. Are they married, are they not? Are they with a partner, [00:04:00] a male partner, a female partner, whatever it might be. It's important to know the social standpoint, um, especially in this sensitive phase of life. **Dr. Nirali Jain:** So patient patients usually spend anywhere from 30 minutes to an hour. Um, just kind of talking through where they're at, how they're feeling, what their ultimate childbearing goals are. And then from there we do an ultrasound and that's when I'm really able to see, you know, the, the reproductive status. **Dr. Nirali Jain:** So what do the ovaries look like? What does the uterus look like? Is there something that I need to be concerned about from a baseline GYN standpoint? Um, and all of those conversations are happening in real time. So. I think one of the things is patients come in and they're like, I'm already so overwhelmed with all this information from my oncologist, and now my fertility specialist is throwing all this information at me. **Dr. Nirali Jain:** Luckily, the way I like to frame it is you come in and you just let go. Like you let us do the work because in the background we're the ones talking to your oncologist. We're the [00:05:00] ones giving that feedback and creating a timeline with your oncologist. Um, and really I think just getting in the door is the hardest part. **Dr. Nirali Jain:** So once patients are here to see us, we go through the whole workup. We do anything that we would do for a normal patient that came in for fertility preservation. And then based off of where they're at in their journey, we talk about what makes sense for them, whether that means freezing embryos, freezing eggs, they're very similar in terms of the, the few weeks leading up to the egg retrievals. **Dr. Nirali Jain:** So I have that whole conversation just at the initial visit. And then from there we talk about the timeline behind the scenes and make sure that it works with their lives before moving forward. **Michelle Oravitz:** So for people listening to this, why, and this might be an obvious question, but to some it might not be,  **Dr. Nirali Jain:** Mm-hmm. **Michelle Oravitz:** why would somebody want to preserve. eggs or sperm. 'cause I've had actually some couples  **Dr. Nirali Jain:** Yep. **Michelle Oravitz:** come to me where the husband preserved the sperm and they had to go through IVF just because he was going [00:06:00] through cancer treatments. So he had to preserve the sperm ahead of time.  **Dr. Nirali Jain:** Mm-hmm. **Michelle Oravitz:** people need to consider doing that before doing cancer treatments?  **Dr. Nirali Jain:** So there are certain cancer treatments that do affect the ovaries and the sperm health, and you know, for men and women, it affects your reproductive organs. In a similar way, um, depending on the type of chemotherapeutic agent, there are some that are more dangerous in terms of, um, being toxic to your ovaries or toxic to your sperm. **Dr. Nirali Jain:** And those are the instances where we are really thinking about what's the long-term impact because there's medications that oncologists do give patients, and our oncologists are amazing, the ones that we work with, Memorial Sloan Kettering from Reproductive Medical Associates through RMA, um, and. **Dr. Nirali Jain:** They're just so good at what they do and are so well-trained, so they know in the back of their mind, is this going to impact your ovaries or your sperm health or not? Um, and I [00:07:00] think that any chemotherapy, you know, your ovaries are these, these small organs that are constantly turning over follicles every month. **Dr. Nirali Jain:** So every month we're losing those eggs, and if they don't become. If an egg isn't ovulated, it doesn't become a baby, it's just gonna die off. So I counsel even patients that don't have cancer, I counsel them on fertility preservation as young as possible. You know, between the ages of 28 and 35, that's like the best time to preserve your fertility. **Dr. Nirali Jain:** So in cancer patients, there's an extra level added to that where even if they are a little bit younger, a little bit older. Your eggs are not gonna be the same quality. There's gonna be higher level of chromosomal errors, more DNA breakage, um, and, and bigger issues that lead to issues with conceiving naturally afterwards. **Dr. Nirali Jain:** So I think that it's important to consider how that chemotherapy is going to affect them or how surgery would affect them if it was, for example, a GYN cancer where [00:08:00] we're removing a whole ovary, you know, what, what do we have to do to preserve your fertility in that case? And those are important conversations to have. **Michelle Oravitz:** Yeah. for sure. I know that a lot of people are also concerned, you know, with going through the IVF process, you're taking in a lot of estrogen, a lot of hormones, and many cancers are actually estrogen sensitive. So I wanted to talk to you about that. 'cause I know that the data shows that it's. It's been fine, which some people might find surprising, but I wanted you to address that and just kind of **Dr. Nirali Jain:** Yeah. **Michelle Oravitz:** from your perspective.  **Dr. Nirali Jain:** That's so interesting that you asked that question because I actually, my whole I I graduated fellowship last year and my entire, like passion project in fellowship was looking at one of the drugs that we use to suppress the estrogen levels specifically in cancer patients. Um, and I had presented this at a few of our reproductive meetings. **Dr. Nirali Jain:** Um, A SRM is one of our annual meetings where all of the reiss get together. A lot of male fertility [00:09:00] specialists come and we kinda just talk about. Specific things and fertility preservation for cancer patients is, has been an ongoing topic of interest for all of us. Um, and it's important to know that there are different medications that we can offer. **Dr. Nirali Jain:** Letrozole is the one that I, um, have a particular love for and I, uh, you know, I use all the time for my patients, um, for different reasons, but it suppresses the exposure that your body has to estrogen. And there's mixed data, um, out there in terms of, you know, does Letrozole suppression actually impact, you know, does it help or. **Dr. Nirali Jain:** Or does it have no impact on your future risk of cancer after treatment? Um, and that honestly is still up for debate. But what we do know is that there's no increased risk of cancer recurrence in patients that have undergone fertility preservation with or without Letrozole. Um, Letrozole is one of those things that we can give, and the way it works is basically. **Dr. Nirali Jain:** It masks that [00:10:00] conversion. It, it doesn't allow for conversion from those androgens in the male hormones over to estrogen. Um, and so your body doesn't really see that estrogen exposure. It stays nice and low throughout your cycle, and it does help with actually ovarian maturation and getting mature eggs harvested and, um, helps a little bit with, with quality too. **Dr. Nirali Jain:** So I think that it's really nice in terms of having that available to us, but know that. It's not, it's not essential that you have it, really, the data showing plus minus. Um, but there are certain things that we can do to protect the ovaries, protect your exposure to estrogen. Um, and so that shouldn't be top of mind of concern when we're going through fertility preservation, even with an estrogen sensitive cancer. **Michelle Oravitz:** Actually, so, uh, on a different topic, kind of going back to that, so Letrozole versus Clomid, I, it's like a, the questions I personally feel just based on what I've heard and like my own research that Letrozole would be kind of like the more. [00:11:00] Um, the, it's, it's a little better, but I know that it really depends on the person as well.  **Dr. Nirali Jain:** Yeah, **Michelle Oravitz:** they might do better with Clom, but I'd love to hear your perspective and kind of pick your brain on this.  **Dr. Nirali Jain:** totally. You're choosing all the, all the right questions because these are all of my, my specific interests and niches. So  **Michelle Oravitz:** Oh,  **Dr. Nirali Jain:** Letrozole is basically, you know, we use Letrozole and Clomid in. Patients that don't have cancer and patients that come in for an intrauterine insemination, that's kind of the most common scenario where we're thinking about, you know, which medication is better? **Dr. Nirali Jain:** Letrozole or Clomid and Clomid used to be the, the most common medication that we use, we dose patients, you know, have 50 milligrams of Clomid, give them five days of the medication. It's an oral pill. Feels really easy and. The way it works is really, it recruits more than one follicle, so it really helps with the release of, um, more than one follicle growing more than one follicle in the ovary. **Dr. Nirali Jain:** Um, but it has a little bit [00:12:00] higher of a risk of twins because that's exactly what it's good at. Um, Clomid, not so much in the cancer. In the cancer front, it's not really used there because it's considered, from a scientific perspective, it's considered like a selective estrogen receptor modulator. So it doesn't necessarily suppress your estrogen levels in the same way that Letrozole does versus. **Dr. Nirali Jain:** Letrozole is an aromatase inhibitor, so it really blocks the chemical conversion of one drug or one hormone to the other hormone. Um, the reason we love Letrozole so much, and I don't mean to like gush over Letrozole, but um, it's a mono follicular agent, so it works really well at recruiting one follicle  **Michelle Oravitz:** Mm-hmm.  **Dr. Nirali Jain:** you know, every OB-GYN's nightmare in a way is having multiples when you didn't intend on having multiples at all. **Michelle Oravitz:** so  **Dr. Nirali Jain:** Um. **Michelle Oravitz:** were saying that, um, there's more of a chance of twins, it's Clomid, not letrozole.  **Dr. Nirali Jain:** Yes, there's a higher chance with Clomid versus Letrozole. And I mean, don't get me wrong, there's a chance of twins with [00:13:00] any type of assisted reproductive technology. Even when we're doing single embryo transfers, there's a chance that it's gonna split. So, um, the chance is always there just like it is in the natural world. **Dr. Nirali Jain:** But we know for a fact that. CLO is really good at recruiting many follicles. It's good for certain patients that don't respond well to Letrozole. Um, but Letrozole is kind of our, our go-to drug these days just because of all the benefits that we've seen.  **Michelle Oravitz:** Awesome.  **Dr. Nirali Jain:** Yeah, **Michelle Oravitz:** These are all fun things to ask because I, I love talking to our eis 'cause there's so much information that I'm always  **Dr. Nirali Jain:** totally. **Michelle Oravitz:** learn a lot from my patients in my own research, but it's really cool. Picking your guys' brains. So another question I have, and I have actually talked to Dr. Andrea Elli, he's been on,  **Dr. Nirali Jain:** Mm-hmm. **Michelle Oravitz:** and he does a lot of endometriosis and, and immune related work as well,  **Dr. Nirali Jain:** Yeah. **Michelle Oravitz:** so. I'd love to know just from your perspective. One thing that I do know from, based on what I've heard is that the, [00:14:00] guess like you were just saying, that breast cancer or estrogen sensitive breast cancer doesn't seem to be affected by IVF cycles, however, and endometriosis lesions do get affected.  **Dr. Nirali Jain:** Yeah. **Dr. Nirali Jain:** that's a great question. So, you know, every, there are so many complex G mind diagnoses that the, that our patients come in with. Um, and endometriosis is a big one because there is clear data that endometriosis is linked to infertility. So we think about, you know, when a patient comes in with endometriosis, we really do think about the different treatment options and what are the short-term and long-term impacts of the hormones that we're giving 'em. **Dr. Nirali Jain:** Um, these days, again, kind of going back to Letrozole, we, letrozole is something that I give all of my endometriosis patients because it helps suppress their estrogen because we know.  **Michelle Oravitz:** interesting.  **Dr. Nirali Jain:** is very responsive to estrogen and leads to this dysfunctional regulation of all the endometrial tissue that can really flare in a, [00:15:00] in a cycle, or shortly after a cycle. **Dr. Nirali Jain:** I. So we really, for endometriosis patients, the, the best treatment is being on birth control because we don't see that hormonal fluctuation. The up and down of the estrogen and the progesterone, that's what leads to those flares. Um, so I really, I watch patients closely after their cycles too, because you definitely can have an endometriosis flare and we say the best treatment for endometriosis is pregnancy, right? **Dr. Nirali Jain:** That's when you're suppressed, that's when you're at your lowest. Um, and patients, my endo patients feel so good in pregnancy because they have. Hormones that are nice in that baseline, they're not getting periods of course. Um, and that's truly, truly the best treatment.  **Michelle Oravitz:** That's interesting.  **Dr. Nirali Jain:** But it is important to consider when you're going through infertility treatments. **Dr. Nirali Jain:** How does my endometriosis affect the short and long-term effects of the fertility medications? And really not to, not to say that they're bad in any way. I think a lot of endometriosis patients go through IVF and have success and do really, really well, and that's kind of the push that they need. [00:16:00] Um, but it's important to be mindful of the bigger picture here. **Dr. Nirali Jain:** It's not just, you're not just a number of. A patient with endo coming in, getting the same protocol. It's really individualized to the extent of your lesions, what symptoms you're having, what grade of endometriosis, where your lesions are. So we're the RAs are thinking about everything before we actually start your protocol. **Michelle Oravitz:** It's crazy how in depth it is, and it's, it, there's just so, it's so multifaceted,  **Dr. Nirali Jain:** Yeah,  **Michelle Oravitz:** when it's females  **Dr. Nirali Jain:** totally. **Michelle Oravitz:** are a little, I mean, they can, you know, there, there's definitely a number of things, but it's not as complicated and interconnected  **Dr. Nirali Jain:** Exactly. Exactly. That's so true. **Michelle Oravitz:** And so one question I actually have, this is kind of really off topic, but something that I was curious about. **Michelle Oravitz:** 'cause I heard about a while  **Dr. Nirali Jain:** Yeah. **Michelle Oravitz:** a, a type of cancer treatment that was used. I'm not sure exactly what it was, but for some reason it actually caused follicles to grow, [00:17:00] or to multiply. And they were **Dr. Nirali Jain:** Interesting. **Michelle Oravitz:** this definitely. Puts, um, the whole idea of like a woman being born with all the follicles she'll ever have on its head, I thought that was really Interesting. **Michelle Oravitz:** Now I learned a little bit about it. I don't think it really went further than that,  **Dr. Nirali Jain:** Mm-hmm. **Michelle Oravitz:** one of those things that they're like, Hmm, this is interesting. I don't know, it was kind of a random side effect of this chemo drug. I dunno if it was a chemo drug or a cancer drug.  **Dr. Nirali Jain:** Yeah.  **Michelle Oravitz:** ever heard of that. **Michelle Oravitz:** So I was just **Dr. Nirali Jain:** I haven't, I mean, that's interesting. I feel like I'd have to look into that because that would be definitely a point of interest for a lot of Reis. But it kind of does go back to the point of, you know, women are really born with all the eggs we're ever gonna have. So it's about a million, and then it just goes down from there. **Dr. Nirali Jain:** And the, by the time you start having periods, I like to kind of show my patients a chart, but you have a couple hundred thousand eggs and you ovulate one egg a month. That's, you know. Able to [00:18:00] progress into a fertilized egg and then into a, an embryo into a baby, um, if that's your goal. But otherwise, patients that are having periods and not trying to actually get pregnant, we're losing hundreds of eggs a month. **Dr. Nirali Jain:** So.  **Michelle Oravitz:** Mm.  **Dr. Nirali Jain:** It's important to kind of think about that decline, and it's important to know that that rate can be faster in patients with cancer, patients with low ovarian reserve. And sometimes when you have the two compounded, that's when a fertility specialist is definitely, you know, in the queue to, to have a discussion with you in terms of what that means and how you can reach your family building goals despite being faced with that, with that challenge. **Michelle Oravitz:** Yeah. **Michelle Oravitz:** I mean, 'cause we know oxidative stress is one of the things that can cause, uh,  **Dr. Nirali Jain:** Yeah, **Michelle Oravitz:** quality eggs, but it's also can cause cancer. **Dr. Nirali Jain:** Yeah, **Michelle Oravitz:** um, similar, you know, like things that really deplete the body could definitely impact. Um, and then what are your thoughts? I know I'm asking you all kinds of random questions, **Dr. Nirali Jain:** I love it. **Michelle Oravitz:** are your thoughts about doing low simulation in certain [00:19:00] circumstances versus high stem? **Michelle Oravitz:** Sometimes people don't respond as well to higher stems.  **Dr. Nirali Jain:** Yeah, that's a great point. I think that it kind of all goes back to creating an individualized protocol. If. A patient's going to a practice and basically just getting a protocol saying, this is our standard. We start with our standard of, you know, I, I think about the standard, which is 300 of the FSH or that pen that you dial up, and then 150 units of that powder vial. **Dr. Nirali Jain:** And we have patients mixing powders all the time, and that's kind of our blanket protocol that we give patients. But that's not really what's happening behind the scenes. And if you're given a protocol that's, and being told, you know, this is kind of what we give to everyone, it's probably not the right fit for you. **Michelle Oravitz:** Yeah, I  **Dr. Nirali Jain:** Um, there are certain patients that respond to a much lower dose and do really, really well, and then some patients that need a much higher dose. Um, and I think it's, that's kind of like the fun part of being an REI of being able to individualize the [00:20:00] protocol to the patient. Um, and I know for a fact there are so many, luckily, you know, we have so many leaders in REI that have been. **Dr. Nirali Jain:** Have dedicated their entire careers to researching these different protocols and how they can help different patients. Um, patients with lower a MH, you know, might benefit from a duo stim protocol, for example. That's kind of the first one that comes to mind, but a protocol where we're using those follicles from the second half of a cycle. **Dr. Nirali Jain:** I would've never thought that those were the follicles that  **Michelle Oravitz:** Oh,  **Dr. Nirali Jain:** would be better than the first half of the cycle,  **Michelle Oravitz:** Wait,  **Dr. Nirali Jain:** but, **Michelle Oravitz:** that. Explain that. Um, because I think that that's kind of a unique  **Dr. Nirali Jain:** mm-hmm.  **Michelle Oravitz:** that I haven't heard of.  **Dr. Nirali Jain:** Yeah, so there's this new day. It's still kind of developing, but um, kind of going back to, you know, what's an individualized protocol? Duo STEM is one of the newer protocols that we've started using. I, I've used it once or twice in patients. Um, but it goes back to the research that shows that you might actually have two different periods of time in a menstrual cycle where you could potentially recruit [00:21:00] follicles. **Dr. Nirali Jain:** You could have a follicular phase where there's a certain cohort of follicles recruited, and then you have a follicle that forms creates a corpus glut.  **Michelle Oravitz:** um, protocols  **Dr. Nirali Jain:** Yep. And then you basically go through the follicular protocol and then a few days after a retrieval, instead of waiting for a new follicular cohort or follicular recruitment from the first half of your menstrual cycle, you actually use the luteal phase and you recruit those follicles that would've actually died off or have been prematurely recruited in a prior cycle. **Dr. Nirali Jain:** So **Michelle Oravitz:** that's So  **Dr. Nirali Jain:** yeah, **Michelle Oravitz:** you just do a similar, I guess, um, medicine,  **Dr. Nirali Jain:** go right back into it.  **Michelle Oravitz:** do the same exact thing, but right after ovulation.  **Dr. Nirali Jain:** Yeah.  **Michelle Oravitz:** Fascinating. That's really interesting.  **Dr. Nirali Jain:** Yeah,  **Michelle Oravitz:** has been your experience with that?  **Dr. Nirali Jain:** I think it's, honestly, it's mixed. Um, so far, you know, our data from fertility and sterility and A SRM, it, it shows support for these DUO STEM [00:22:00] protocols, saying that if patients don't have that great quality of eggs or if they have a very low number, maybe they'd benefit from starting the meds earlier and recruiting follicles. **Dr. Nirali Jain:** A little bit earlier. Um, so we've seen positive results so far. A lot of work to be done in terms of really understanding it. Um, and of course, as a new attending, I have a lot more experience to kind of build on. Um, but I, I have seen success from it. **Michelle Oravitz:** That's fascinating. Are there any other new technologies, like new add-ons, um, that you've seen, that you've found to be really cool or interesting?  **Dr. Nirali Jain:** I think the biggest thing, actually, kind of going back to our whole topic for today is fertility preservation cancer patients. One of the biggest things that I've learned recently is that we used to start fertility, um, patients. You know, only in the beginning of the cycle days, two or three is technically like when most. **Dr. Nirali Jain:** Most clinics, um, start patients, but for our cancer patients, sometimes you don't have that time. You don't wanna wait a full month to [00:23:00] restart, um, your, you know, your menstrual cycle and then do the fertility preservation and then delay chemotherapy a full month. So we started doing what we call random starts. **Dr. Nirali Jain:** So you basically start a patient whenever they come in. You know, it could be the day after your consultation, the day of your consultation. I've kind of seen all of the above. Um, and we've seen really good success with random starts, per se. Um, and we've been doing a lot more of that, where it's not as dependent on where you're at in your cycle. **Michelle Oravitz:** Mm-hmm.  **Dr. Nirali Jain:** Um, obviously there's a difference in outcomes. You might not be a great candidate for it, so definitely it's worth talking to your doctor about it. But it kind of gives relief to our cancer patients where if you have a new cancer diagnosis and you're like, oh, I just finished my period, like, I can't even start a cycle until next month. **Dr. Nirali Jain:** That's not always true. Um, so it's always worth it to go into see a fertility specialist and just get, you know, get the data that you need right away, and then you can make a decision later on. **Michelle Oravitz:** For sure. Um, Yeah. **Michelle Oravitz:** and I wanted to kind of cover a lot of different topics 'cause I know that [00:24:00] some people are gonna wanna hear what you have to say that don't necessarily, or, uh, have cancer. But it is important. I, I think that, you know, if you get to thirties and you haven't gotten married or you don't have a partner, I think it's really important to preserve your fertility in general.  **Dr. Nirali Jain:** Yeah, **Michelle Oravitz:** important thing. And then if you were going through a cancer diagnosis and you decided to preserve your fertility, um, guess more for women because they're eventually going to be thinking about transfers after they go through treatment. So what are some of the things that they would need to consider as far as that goes? **Michelle Oravitz:** Like after the  **Dr. Nirali Jain:** yeah, **Michelle Oravitz:** then they go through the cancer treatments. Um, and then what, how long should they  **Dr. Nirali Jain:** yeah. Like what does it look like? So I've had patients that come back, you know, in my fellowship training I did a, a couple research projects on patients that came back to pursue an embryo transfer, um, after chemotherapy agent. And basically compared them to how they did, um, [00:25:00] compared to patients that didn't have cancer and just froze their embryos or froze their eggs and then came back to pursue a transfer and. **Dr. Nirali Jain:** I think the, the most reassuring thing from the preliminary data that we have is saying that there's no difference in pregnancy rates and no difference in life birth,  **Michelle Oravitz:** Awesome.  **Dr. Nirali Jain:** of whether they had chemotherapy or not. After freezing those eggs and going through fertility preservation.  **Michelle Oravitz:** Amazing.  **Dr. Nirali Jain:** Um, in terms of where your body needs to be, I think the oncologist, we, we wait for their green light. **Dr. Nirali Jain:** We wait for their signal to say, you know, she's safe to carry a pregnancy.  **Michelle Oravitz:** Mm-hmm.  **Dr. Nirali Jain:** And then once we do that, we basically treat you like any other patient. So if you're coming in for a cycle, if you're having periods, then it's reasonable to try a natural cycle protocol, wait for your body to naturally ovulate an egg. **Dr. Nirali Jain:** And instead of obviously hoping that egg will fertilize, we, um, use a corpus luteum. We use the progesterone from the corpus luteum to really support this embryo being implanted into the uterus. Um. Yeah. [00:26:00] And then there's also another side. I mean, some patients don't get their periods back and they always ask like, what if I never get my period back? **Dr. Nirali Jain:** What if I'm just like in menopause because of the chemotherapy agents? And for that, we can start you on a synthetic protocol or basically an estrogen dependent protocol where you take an estrogen pill for a certain number of days. We monitor your lining, then we start progesterone, um, to support your hormones from that perspective instead of relying on your ovaries to release the progesterone that they need, um, and then doing the embryo transfer a few, few days after progesterone starts. **Dr. Nirali Jain:** So there's definitely different protocols depending on where your menstrual health is at after the chemotherapy or after the cancer treatment. Um, but it's important to kind of just know that. That there's options. It doesn't mean that it's the end of the road if you all of a sudden stop getting your period. **Michelle Oravitz:** Yeah, for sure. I mean, 'cause you, technically speaking, you can really control a lot of that. More so for transfers  **Dr. Nirali Jain:** Yep. **Michelle Oravitz:** Retrievals really is kind of like what [00:27:00] eggs you have, what the quality is. But people can be in complete menopause and you guys can still control their cycles for transfer, which is kind of. A huge difference  **Dr. Nirali Jain:** Yeah,  **Michelle Oravitz:** in the  **Dr. Nirali Jain:** exactly. That's exactly right. Yeah. **Michelle Oravitz:** interesting. Any other, um, new, new things that you're, you guys are excited about? I always like to hear about like the new and upcoming things  **Dr. Nirali Jain:** Of course.  **Michelle Oravitz:** actually before, which I thought was fascinating. Yeah.  **Dr. Nirali Jain:** I feel like there's always like updates and, and new data and things like that coming out, but just know, I think it's important for patients to know, like we're constantly, we're, the reason I chose to even pursue this field was because it's new. Right. There's something that we are discovering every day, every year, and that's what makes our, our conferences so important to attend, um, to really just stay up to date. **Dr. Nirali Jain:** Um, but we are, uh, constantly updating our embryology standards, the way we thaw our eggs, and the success rate associated with a thaw and [00:28:00] how we treat our embryos and the media that we use, right? Like, so we're really thinking about the basic science perspective every single day, and that's what makes this field so unique. **Michelle Oravitz:** It is really awesome. And so do you guys specialize specifically on, um. Egg freezing and, and I mean specific fertility preservation in patients that do that have cancer that are going through treatments, do you guys specialize specifically in that? I mean, I know you do range  **Dr. Nirali Jain:** Yeah. Yeah, because it's such a small community, we all have our own niches and we all kind of have our own interests and  **Michelle Oravitz:** Yeah.  **Dr. Nirali Jain:** no like specific training. There are a couple courses that you take that I took in in training as well, just to kind of understand what it sounds like to, I. Council of fertility preservation, patient with and without cancer. **Dr. Nirali Jain:** Um, and then, you know, you kind of just learn by experience and you form a niche for something that you're passionate about. 'cause that's what makes you, you know, really thorough in, in your treatment. [00:29:00] So that's one of my interests. Um, and, but I would say,  **Michelle Oravitz:** training for that. It's just like  **Dr. Nirali Jain:** yeah, **Michelle Oravitz:** just know how to treat that in  **Dr. Nirali Jain:** exactly.  **Michelle Oravitz:** especially if you're interested in doing that.  **Dr. Nirali Jain:** Exactly. That's exactly right. It's kind of, it just comes with the experience comes with your mentors and who you're surrounded by, and everyone kind of helps each other get to that point. But there are several specialists in our practice at RMA that specialize specifically in fertility preservation in cancer patients. **Dr. Nirali Jain:** So we have a close communication with our oncologist and they know who to refer to within the practice because everyone has their own little interests.  **Michelle Oravitz:** Amazing.  **Dr. Nirali Jain:** Yeah. **Michelle Oravitz:** Um, definitely. I, like I said, I really enjoy picking your brain because it's a lot of fun for me. I, I do  **Dr. Nirali Jain:** Totally.  **Michelle Oravitz:** acupuncture, so  **Dr. Nirali Jain:** Yeah, **Michelle Oravitz:** and I, I think that it's just so crazy that our fields don't work together. I mean, we kind of do, but I think, I just feel like it would be so great  **Dr. Nirali Jain:** exactly.[00:30:00]  **Michelle Oravitz:** the expertise because you guys have immense. Benefits like in, in, uh, technology and incredible innovations and, and then the natural aspect of really understanding the, the body. And I, I just think that it would work so amazing together if it was more of like a thing. 'cause it, I know in China they actually combine the two  **Dr. Nirali Jain:** Yeah.  **Michelle Oravitz:** eastern.  **Dr. Nirali Jain:** Yeah, I mean I think that that's so important and there is data that shows, you know, there's actually a recent study that came out just a few weeks ago on the benefits of acupuncture for fertility patients. And we know that, I mean, I recommend it to all of my patients, specifically the day of the embryo transfer. **Dr. Nirali Jain:** We, luckily, we offer it on site at RMA and we have acupuncturists that come in and, and do a session before and after the embryo transfer, and I think. A lot of that is targeted towards stress relief. But I also think that holistically it's important to feel at your best when we're doing something that's so crucial to your, to your health. **Dr. Nirali Jain:** So to really focus on the diet, focus on stress relief, [00:31:00] focus on meditation, yoga, whatever it takes to get to your best wellbeing when you're going through fertility treatments, um, is so important. So I appreciate  **Michelle Oravitz:** Mm-hmm.  **Dr. Nirali Jain:** like you that really specialize in the other side of. Of this, because I do consider it still part of the holistic medicine that we need to really maximize success for our patients. **Michelle Oravitz:** Awesome. Well,  **Dr. Nirali Jain:** Yeah, **Michelle Oravitz:** Jane, this is such a pleasure Of talking to you. You've given us some, so much great information and we've definitely dived into a, do a topic that I don't typically, I haven't yet spoken about. But, um, that being said, it's such an important topic to talk about. And thank you so much for coming on today. **Michelle Oravitz:** Oh,  **Dr. Nirali Jain:** course. **Michelle Oravitz:** I get off, how can people find you?  **Dr. Nirali Jain:** That's a great question. So I have, um, a social media page. I, it's called Expert nc. So like EGG,  **Michelle Oravitz:** I  **Dr. Nirali Jain:** um, expert nc. Try, tried to make it a little bit humorous. Um, but I'm all over social [00:32:00] media and would love to hear from anyone that is listening. I, you know, every, every day I get different, um, dms and I'm happy to respond. **Dr. Nirali Jain:** I love hearing about everyone else's. Stories and things like that. Um, so that is kind of my main, main social media platform. Um, and then through like RMA and Reproductive Medical Associates, we also have a YouTube channel. We have an Instagram page, um, of our office available, um, as well that is public. **Dr. Nirali Jain:** So you can find us pretty easily if you just kind of hit Google. But um, yeah, I'm kind of developing my social media platform as the expert and I hope it grows.  **Michelle Oravitz:** Love it. Great.  **Dr. Nirali Jain:** Yeah.  **Michelle Oravitz:** was such a pleasure talking to you. Thank you. so much **Dr. Nirali Jain:** Thank you. **Michelle Oravitz:** today.  **Dr. Nirali Jain:** Of course. Thank you so much for having me.  [00:33:00]   

In this episode, Catherine Fahey, MD, PhD; Alexandra Leary, MD, PhD; Funda Meric-Bernstam, MD; and Zev A. Wainberg, MD, discuss the evolving safety considerations and future directions of HER2-targeted antibody–drug conjugates (ADCs) across genitourinary, gastrointestinal, and gynecologic cancers.Toxicity Profiles of HER2-Targeted ADCs: Common and serious adverse events such as ILD/pneumonitis, neuropathy, and cytopenia across ADCsOn-Target vs Off-Target Effects: How linker design, payload type, and drug-to-antibody ratio (DAR) contribute to toxicityCombination Therapy Considerations: Challenges in combining ADCs with immunotherapy or chemotherapy due to overlapping toxicities and tolerability concerns Presenters:Catherine Fahey, MD, PhDAssistant ProfessorDivision of OncologyUniversity of North Carolina at Chapel HillChapel Hill, North CarolinaAlexandra Leary, MD, PhDPresident, GINECO GroupCo-Director, Department of Medical OncologyMedical Oncologist GynecologyTeam Leader, Gynecologic Translational Research Lab, INSERM u981Institut Gustave RoussyVillejuif, FranceFunda Meric-Bernstam, MDChair, Department of Investigational Cancer TherapeuticsMedical Director, Institute for Personalized Cancer TherapyNellie B. Connally Chair in Breast CancerThe University of Texas MD Anderson Cancer CenterHouston, TexasZev A. Wainberg, MDProfessor of Medicine and SurgeryCo-Director of GI OncologyDirector, Early Phase Clinical Research ProgramJonsson Comprehensive Cancer CenterUCLA School of MedicineLos Angeles, CaliforniaLink to full program: https://bit.ly/42iEDjVTo claim credit for listening to this episode, please visit the podcast online at the link above. 

Host: Mindy McCulley, MS Family and Consumer Sciences Extension Specialist for Instructional Support, University of Kentucky  Guest: Susan Yacksan, PhD, APRN, AOCN Enterprise Director of Service Line Performance Management, UK HealthCare Cancer Conversations Episode 64 Join us on Cancer Conversations for an insightful discussion with Dr. Susan Yacksan, the Enterprise Director for Service Line Performance Management with Markey Cancer Center, as we take a look at the multifaceted world of oncology nursing. Discover the different pathways to becoming an oncology nurse, the various subspecialties such as medical, surgical, and GYN oncology, and the certification processes involved. Dr. Yacksan shares her extensive career experiences, from academic medical centers to community hospitals, emphasizing her passion for patient relationships and the scientific approach needed in cancer care. If you are considering a nursing career or want to explore oncology, learn about the impact of this specialty and the opportunities available through the Oncology Nursing Society. Yacksan Article on UKNOW Connect with the UK Markey Center Online Markey Cancer Center On Facebook @UKMarkey On X @UKMarkey

Headlines for May 07, 2025; “A Dangerous Escalation”: India Bombs Pakistan in Intensification of “Forever War” over Kashmir; “Columbia Knew”: Survivors Win Historic $750M from Univ. & Hospital in OB-GYN Sex Abuse Settlement; Rodney Scott, Trump’s CBP Nominee, Accused of Covering Up Death of Mexican Father in CBP Custody

In this episode, Catherine Fahey, MD, PhD; Alexandra Leary, MD, PhD; Funda Meric-Bernstam, MD; and Zev A. Wainberg, MD, explore the mechanisms of HER2-targeted antibody–drug conjugates (ADCs) and emerging clinical data with these agents across genitourinary, gastrointestinal, and gynecologic cancers.Mechanisms of action of ADCs: how ADCs selectively deliver potent chemotherapy to tumor cellsClinical data across tumor types: highlights from recent trials with trastuzumab deruxtecan and exploration of emerging data on agents such as disitamab vedotinChallenges and future directions:key considerations for combining HER2-targeted ADCs with immunotherapy or chemotherapy, and sequencing ADC therapiesPresenters:Catherine Fahey, MD, PhDAssistant ProfessorDivision of OncologyUniversity of North Carolina at Chapel HillChapel Hill, North CarolinaAlexandra Leary, MD, PhDPresident, GINECO GroupCo-Director, Department of Medical OncologyMedical Oncologist GynecologyTeam Leader, Gynecologic Translational Research Lab, INSERM u981Institut Gustave RoussyVillejuif, FranceFunda Meric-Bernstam, MDChair, Department of Investigational Cancer TherapeuticsMedical Director, Institute for Personalized Cancer TherapyNellie B. Connally Chair in Breast CancerThe University of Texas MD Anderson Cancer CenterHouston, TexasZev A. Wainberg, MDProfessor of Medicine and SurgeryCo-Director of GI OncologyDirector, Early Phase Clinical Research ProgramJonsson Comprehensive Cancer CenterUCLA School of MedicineLos Angeles, CaliforniaLink to full program:https://bit.ly/42iEDjVTo claim credit for listening to this episode, please visit the podcast online at the link above. 

Check out this week's QuadCast as we highlight the predictive abilities of AI for ADT duration in prostate cancer, how consolidative chemoRT benefits patients with unresectable gallbladder cancer, the benefits of immunotherapy in clear cell GYN cancer, and more. Check out the website and subscribe to the newsletter! www.quadshotnews.com Founders & Lead Authors: Laura Dover & Caleb Dulaney Podcast Host: Sam Marcrom

+++ Alle Rabattcodes und Infos zu unseren Werbepartnern findet ihr hier: https://linktr.ee/wunschkind +++Danielle und Katja sprechen in dieser Folge mit Prof. Dr. Mandy Mangler über Frauengesundheit und die Wechseljahre. Mandy ist Chefärztin für Gynäkologie und Geburtshilfe und lehrt im Studiengang „Hebammenwissenschaft“ an der Evangelischen Hochschule in Berlin. Sie hat außerdem „Das große Gyn-Buch“ geschrieben. Shownotes:Mandys Buch "Das große Gyn-Buch": https://amzn.to/3EkowJ9, Mandy bei Instagram: https://www.instagram.com/mandy_mangler, Mandys Podcast "Gyncast": https://www.tagesspiegel.de/podcasts/gyncast/, Online-Termine in Gyn-Praxen: https://www.doctolib.de+++ Unsere allgemeinen Datenschutzrichtlinien finden Sie unter https://datenschutz.ad-alliance.de/podcast.html +++ Wir verarbeiten im Zusammenhang mit dem Angebot unserer Podcasts Daten. Wenn Sie der automatischen Übermittlung der Daten widersprechen wollen, klicken Sie hier: https://datenschutz.ad-alliance.de/podcast.htmlUnsere allgemeinen Datenschutzrichtlinien finden Sie unter https://art19.com/privacy. Die Datenschutzrichtlinien für Kalifornien sind unter https://art19.com/privacy#do-not-sell-my-info abrufbar.

Linda Kreter welcomes Nurse Practitioner Lorinda Fontaine-Faris to respond to listener questions - when time is limited at the annual GYN visit... Here's your way to find out answers without a co-pay! This is the first of two episodes, and we help women thrive!

Emily is a surgical physician assistant who has worked in women's health for 10 years. She started her career in a hospital as a labor and delivery PA and for the last 6 years she has worked in minimally invasive GYN surgery. Emily's surgical practice specializes in the treatment of endometriosis, fibroids, adenomyosis, ovarian cysts and other GYN issues. Emily strives to never stop learning and is always seeking out new ways she can help her patients. You can follow her on Instagram @holisticgyn or on her surgical practice's page @innovativegyn.  In this episode we chat about:  Why you need to check your vitamin d Homelessness and c**vid outcomes Theories about fibroid causes Fibroids linked to infertility How to look for adenomyosis or endometriosis What endometriosis looks like What is causing endo? Is it estrogen? What is indoor air polution and is it killing you? Eye lash extensions in surgery WTF is talc powder Mouth breathing in babies isn't normal My first myofunctional therapy appointment Tips and trips after pelvic surgery Do plants grow when you talk nice to them? Learn more about working with me  Shop my masterclasses (learn more in 60-90 minutes than years of dr appointments) Follow me on IG Follow Empowered Mind + Body on IG   

In this episode, Zev A. Wainberg, MD; Funda Meric-Bernstam, MD; Alexandra Leary, MD, PhD; and Catherine Fahey, MD, PhD, explore testing for HER2 alterations and the incidence of HER2-positive disease in the treatment of genitourinary, gastrointestinal, and gynecologic malignancies. HER2 Testing in Advanced Cancers: Recommendations for when and how to test for HER2 in advanced cancers and how these tests guide therapy selectionVariability in HER2 Expression Across Tumor Types: Insights into the heterogeneity of HER2 expression and amplification in different cancersChallenges in Standardizing HER2 Testing: The complexities of scoring and testing HER2 in different cancers and institutions, and the need for better harmonization of guidelines and approachesPresenters:Zev A. Wainberg, MDProfessor of Medicine and SurgeryCo-Director of GI OncologyDirector, Early Phase Clinical Research ProgramJonsson Comprehensive Cancer CenterUCLA School of MedicineLos Angeles, CaliforniaFunda Meric-Bernstam, MDChair, Department of Investigational Cancer TherapeuticsMedical Director, Institute for Personalized Cancer TherapyNellie B. Connally Chair in Breast CancerThe University of Texas MD Anderson Cancer CenterHouston, TexasAlexandra Leary, MD, PhDPresident, GINECO GroupCo-Director, Department of Medical OncologyMedical Oncologist GynecologyTeam Leader, Gynecologic Translational Research Lab, INSERM u981Institut Gustave RoussyVillejuif, FranceCatherine Fahey, MD, PhDAssistant ProfessorDivision of OncologyUniversity of North Carolina at Chapel HillChapel Hill, North CarolinaLink to full program:https://bit.ly/42iEDjVTo claim credit for listening to this episode, please visit the podcast online at the link above. 

Send us a textGet answers to some of the most common women's health questions, answered by Marissa Walker, a registered nurse from the Cleveland Clinic's Center for Specialized Women's Health. Together, Host Dr. Holly Thacker and Nurse Marissa uncover the critical differences between a GYN annual exam and a pap smear, and discuss the essential role of maintaining personal health records.They explore the world of women's health screenings and the truth behind common misconceptions. Dr. Thacker and Nurse Marissa guide you through the importance of regular HPV checks and mammograms, shedding light on Ohio's new mammogram reporting laws and what they mean for you. The conversation doesn't stop there—find out why annual GYN exams remain crucial even post-hysterectomy, as we emphasize comprehensive health monitoring.Join them as they tackle hormone therapy and the complexities of managing prescriptions. They delve into why continuous monitoring of hormone levels is vital, especially for women with specific health backgrounds. Plus, they address the anxiety surrounding test results and the importance of medical guidance over online misinformation. This episode is packed with invaluable advice to empower you to take charge of your health with confidence.Fit, Healthy & Happy Podcast Welcome to the Fit, Healthy and Happy Podcast hosted by Josh and Kyle from Colossus...Listen on: Apple Podcasts SpotifySupport the show

Warum reden wir immer noch nicht offen über Inkontinenz, brennende Vulven und Schmerzen beim Sex? In dieser Folge räumen wir auf mit Tabus rund um den weiblichen Körper – gemeinsam mit Dr. med. Rebekka Westphal, Oberärztin für Gynäkologie und Urogynäkologie aus Hamburg. Es geht um das stille Leiden vieler Frauen – nach der Geburt, im Zyklus, in der Menopause. Dr. med. Rebekka Westphal, Gynäkologin und Urogynäkologin in Hamburg, spricht über Themen, für die selbst in der Frauenarztpraxis oft kein Raum ist.

Vitamin D spielt eine Schlüsselrolle in der Frauengesundheit – doch wie wichtig ist es wirklich für dich?

Es ist peinlich, und es macht vielen Angst: Wenn einem plötzlich Wörter nicht mehr einfallen oder sogar der Name der Kollegin, mit der man seit zehn Jahren das Büro teilt. Oder wenn man sich dieselbe Bluse noch einmal kauft, weil man vergessen hat, dass genau so eine im Schrank hängt. Und man genau weiß: Früher wäre Verlass gewesen auf den eigenen Kopf. Diana im Gespräch mit Gynäkologin Prof. Dr. Petra Stute vom Menopausenzentrum der Universitätsklinik Bern über Brainfog in den Wechseljahren, was Östrogene für Gehirn und Gedächtnis tun und die große Frage: Geht das wieder weg?INFOS ZUR FOLGE:Der Vortrag von Prof. Stute zum Thema Brainfog aus der Reihe "Wissen macht cool" der Deutschen Menopause Gesellschaft:https://www.menopause-gesellschaft.de/videosProf. Dr. Petra Stute im Netz:https://www.menoqueens.com https://frauenheilkunde.insel.ch/de/ueber-uns/team/details/person/detail/petra-stute… und auf Instagram: https://www.instagram.com/menoqueens.official/ Die Bücher von Lisa Mosconi:„Das weibliche Gehirn“: https://www.rowohlt.de/autor/dr-lisa-mosconi-25876 „Das Gehirn in den Wechseljahren“ (erscheint am 17. April 2025): https://www.dtv.de/buch/das-gehirn-in-der-menopause-40039Diana auf Instagram: https://www.instagram.com/apothekerin_ihres_vertrauens/Julia auf Instagram: https://www.instagram.com/julia_jortzig/Hier geht es zum Newsletter "Saisonwechsel" von der BRIGITTE: https://brigitte.guj-medien.de/newsletter-anmeldung-saisonwechselHier zum neuen meno_brigitte-Insta-Account: https://www.instagram.com/meno_brigitte/In unserer Eigenwerbung geht es um die BRIGITTE Masterclass Finanzen Premium: https://academy.brigitte.de/masterclass?utm_source=menoanmich&utm_medium=podcast&utm_campaign=mcf-premium-kh10Es gibt auch einen MENO AN MICH-Rabattcode, MENO15 (gilt für viele BRIGITTE-Angebote).WEITERE ANGEBOTE aus der BRIGITTE Redaktion:Masterclass Finanzen Basic: https://academy.brigitte.de/course/masterclass-finanzen-basic?utm_source=menoanmich&utm_medium=podcast&utm_campaign=mcf-basicKostenloses Webinar Rentenlücke berechnen: https://academy.brigitte.de/webinar-aufzeichnung-rentenluecke-berechnenETF Kurs: https://academy.brigitte.de/course/etf-kurs?utm_source=menoanmich&utm_medium=podcast&utm_campaign=etf-kurs-mOn Demand Video-Kurs "Wechseljahre: Wissen, was hiilft": https://academy.brigitte.de/course/wechseljahre?utm_source=podcast&utm_medium=meno&utm_campaign=wechseljahreDossier "Wechseljahre": https://produkte.brigitte.de/products/brigitte-dossier-wechseljahre?utm_campaign=briwebsite&utm_medium=link&utm_source=podcastmenoanmichDossier "Stoffwechsel anregen": https://produkte.brigitte.de/products/stoffwechsel-anregen?utm_source=podcast&utm_medium=menoanmich&utm_campaign=stoffwechselDossier "Gehen oder blieben?": https://produkte.brigitte.de/products/gehen-oder-bleiben?utm_source=podcast&utm_medium=menoanmich&utm_campaign=gobIhr habt Anregungen, wollt uns Eure Geschichte erzählen oder selbst bei uns zu Gast im Podcast sein? Dann schreibt uns beiden persönlich, worüber Ihr gern mehr wissen würdet, was Euch bewegt, rührt, entsetzt und Freude macht an podcast@brigitte.de. Wir freuen uns auf Euch! Und bewertet und abonniert unseren Podcast gerne auch auf Spotify, iTunes, Amazon Music oder Audio Now. Noch mehr spannende Beiträge findet Ihr zudem auf Brigitte.de sowie dem Instagram- oder Facebook-Account von BRIGITTE –schaut vorbei! +++ Weitere Infos zu unseren Werbepartnern finden Sie hier: https://linktr.ee/menoanmich ++++++ Unsere allgemeinen Datenschutzrichtlinien finden Sie unter https://datenschutz.ad-alliance.de/podcast.html ++++++ Wir verarbeiten im Zusammenhang mit dem Angebot unserer Podcasts Daten. Wenn Sie der automatischen Übermittlung der Daten widersprechen wollen, klicken Sie hier: https://datenschutz.ad-alliance.de/podcast.html +++Unsere allgemeinen Datenschutzrichtlinien finden Sie unter https://art19.com/privacy. Die Datenschutzrichtlinien für Kalifornien sind unter https://art19.com/privacy#do-not-sell-my-info abrufbar.

Dr. Ebony Hoskins and Dr. Andreas Obermair discuss the surgical management of gynecologic cancers, including the role of minimally invasive surgery, approaches in fertility preservation, and the nuances of surgical debulking. TRANSCRIPT Dr. Ebony Hoskins: Hello and welcome to the ASCO Daily News Podcast, I'm Dr. Ebony Hoskins. I'm a gynecologic oncologist at MedStar Washington Hospital Center in Washington, DC, and your guest host of the ASCO Daily News Podcast. Today we'll be discussing the surgical management of gynecologic cancer, including the role of minimally invasive surgery (MIS), approaches in fertility preservation, and the nuances of surgical debulking, timing, and its impact on outcomes. I am delighted to welcome Dr. Andreas Obermair for today's discussion. Dr. Obermair is an internationally renowned gynecologic oncologist, a professor of gynecologic oncology at the University of Queensland, and the head of the Queensland Center for Gynecologic Cancer Research. Our full disclosures are available in the transcript of this episode. Dr. Obermair, it's great speaking with you today. Dr. Andreas Obermair: Thank you so much for inviting me to this podcast. Dr. Ebony Hoskins: I am very excited.  I looked at your paper and I thought, gosh, is everything surgical? This is everything that I deal with daily in terms of cancer in counseling patients. What prompted this review regarding GYN cancer management? Dr. Andreas Obermair: Yes, our article was published in the ASCO Educational Book; it is volume 44 in 2024. And this article covers some key aspects of targeted precision surgical management principles in endometrial cancer, cervical cancer, and ovarian cancer. While surgery is considered the cornerstone of gynecologic cancer treatment, sometimes research doesn't necessarily reflect that. And so I think ASCO asked us to; so it was not just me, there was a team of colleagues from different parts of the United States and Australia to reflect on surgical aspects of gynecologic cancer care and I feel super passionate about that because I do believe that surgery has a lot to offer. Surgical interventions need to be defined and overall, I see the research that I'm doing as part of my daily job to go towards precision surgery. And I think that is, well, that is something that I'm increasingly passionate for. Dr. Ebony Hoskins: Well, I think we should get into it. One thing that comes to mind is the innovation of minimally invasive surgery in endometrial cancer. I always reflect on when I started my fellowship, I guess it's been about 15 years ago, all of our endometrial cancer patients had a midline vertical incision, increased risk of abscess, infections and a long hospital stay. Do you mind commenting on how you see management of endometrial cancer today? Dr. Andreas Obermair: Thank you very much for giving the historical perspective because the generation of gynecologic oncologists today, they may not even know what we dealt with, what problems we had to solve. So like you, when I was a fellow in gynecologic oncology, we did midline or lower crosswise incisions, the length of stay was, five days, seven days, but we had patients in hospital because of complications for 28 days. We took them back to the operating theaters because those are patients with a BMI of 40 plus, 45, 50 and so forth. So we really needed to solve problems. And then I was exposed to a mentor who taught minimal invasive surgery. And in Australia he was one of the first ones who embarked on that. And I can remember, I was mesmerized by this operation, like not only how logical this procedure was, but also we did rounds afterwards. And I saw these women after surgery and I saw them sitting upright, lipstick on, having had a full meal at the end of the day. And I thought, wow, this is the most rewarding experience that I have to round these patients after surgery. And so I was thinking, how could I help to establish this operation as standard? Like a standard that other people would accept this is better. And so I thought we needed to do a trial on this. And then it took a long time. It took a long time to get the support for the [LACE - Laparoscopic Approach to Cancer of the Endometrium] trial. And in this context, I just also wanted to remind us all that there were concerns about minimal invasive surgery in endometrial cancer at the time. So for example, one of the concerns was when I submitted my grant funding applications, people said, “Well, even if we fund you, wouldn't be able to do this trial because there are actually no surgeons who actually do minimally invasive surgery.” And at the time, for example, in Australia, there were maybe five people, a handful of people who were able to do this operation, right? This was about 20 years ago. The other concern people had was they were saying, could minimally invasive surgery for endometrial cancer, could that cause port side metastasis because there were case reports. So there were a lot of things that we didn't know anyway. We did this trial and I'm super happy we did this trial. We started in 2005, and it took five years to enroll. At the same time, GOG LAP2 was ramping up and the LACE trial and GOG LAP2 then got published and provided the foundations for minimally invasive surgery in endometrial cancer. I'm super happy that we have randomized data about that because now when we go back and now when people have concerns about this, should we do minimally invasive surgery in P53 mutant tumors, I'm saying, well, we actually have data on that. We could go back, we could actually do more research on that if we wanted to, but our treatment recommendations are standing on solid feet. Dr. Ebony Hoskins: Well, my patients are thankful. I see patients all the time and they have high risk and morbidly obese, lots of medical issues and actually I send them home most the same day. And I think, you know, I'm very appreciative of that research, because we obviously practice evidence-based and it's certainly a game changer. Let's go along the lines of MIS and cervical cancer. And this is going back to the LACC [Laparoscopic Approach to Cervical Cancer] trial.  I remember, again, one of these early adopters of use of robotic surgery and laparoscopic surgery for radical hysterectomy and thought it was so cool. You know, we can see all the anatomy well and then have the data to show that we actually had a decreased survival. And I even see that most recent updated data just showing it still continued. Can you talk a little bit about why you think there is a difference? I know there's ongoing trials, but still interested in kind of why do you think there's a survival difference? Dr. Andreas Obermair:  So Ebony, I hope you don't mind me going back a step. So the LACC study was developed from the LACE trial. So we thought we wanted to reproduce the LACE data/LAP2 data. We wanted to reproduce that in cervix cancer. And people were saying, why do you do that? Like, why would that be different in any way? We recognize that minimally invasive radical hysterectomy is not a standard. We're not going to enroll patients in a randomized trial where we open and do a laparotomy on half the patients. So I think the lesson that really needs to be learned here is that any surgical intervention that we do, we should put on good evidence footing because otherwise we're really running the risk of jeopardizing patients' outcomes. So, that was number one and LACC started two years after LACE started. So LACC started in 2007, and I just wanted to acknowledge the LACC principal investigator, Dr. Pedro Ramirez, who at the time worked at MD Anderson. And we incidentally realized that we had a common interest. The findings came totally unexpected and came as an utter shock to both of us. We did not expect this. We expected to see very similar disease-free and overall survival data as we saw in the endometrial cancer cohort. Now LACC was not designed to check why there was a difference in disease-free survival. So this is very important to understand. We did not expect it. Like, so there was no point checking why that is the case. My personal idea, and I think it is fair enough if we share personal ideas, and this is not even a hypothesis I want to say, this is just a personal idea is that in endometrial cancer, we're dealing with a tumor where most of the time the cancer is surrounded by a myometrial shell. And most of the time the cancer would not get into outside contact with the peritoneal cavity. Whereas in cervix cancer, this is very different because in cervix cancer, we need to manipulate the cervix and the tumor is right at the outside there. So I personally don't use a uterine manipulator. I believe in the United States, uterine manipulators are used all the time. My experience is not in this area, so I can't comment on that. But I would think that the manipulation of the cervix and the contact of the cervix to the free peritoneal cavity could be one of the reasons. But again, this is simply a personal opinion. Dr. Ebony Hoskins: Well, I appreciate it. Dr. Andreas Obermair: Ebony at the end of the day, right, medicine is empirical science, and empirical science means that we just make observations, we make observations, we measure them, and we pass them on. And we made an observation. And, and while we're saying that, and yes, you're absolutely right, the final [LACC] reports were published in JCO recently. And I'm very grateful to the JCO editorial team that they accepted the paper, and they communicated the results because this is obviously very important. At the same time, I would like to say that there are now three or four RCTs that challenge the LACC data. These RCTs are ongoing, and a lot of people will be looking forward to having these results available. Dr. Ebony Hoskins: Very good. In early-stage cervical cancer, the SHAPE trial looked at simple versus radical hysterectomy in low-risk cervical cancer patients. And as well all know, simple hysterectomy was not inferior to radical hysterectomy with respect to the pelvic recurrence rate and any complications related to surgery such as urinary incontinence and retention. My question for you is have you changed your practice in early-stage cervical cancer, say a patient with stage 1B1 adenocarcinoma with a positive margin on conization, would you still offer this patient a radical hysterectomy or would you consider a simple hysterectomy? Dr. Andreas Obermair:  I think this is a very important topic, right? Because I think the challenge of SHAPE is to understand the inclusion criteria. That's the main challenge. And most people simplify it to 2 cm, which is one of the inclusion criteria but there are two others and that includes the depth of invasion. Dr. Marie Plante has been very clear. Marie Plante is the first author of the SHAPE trial that's been published in the New England Journal of Medicine only recently and Marie has been very clear upfront that we need to consider all three inclusion criteria and only then the inclusion criteria of SHAPE apply. So at the end of the day, I think what the SHAPE trial is telling us that small tumors that would strictly fulfill the criteria of a 1B or 1B1 cancer of the cervix can be considered for a standard type 1 or PIVA type 1 or whatever classification we're trying to use will be eligible. And that makes a lot of sense. I personally not only look at the size, I also look at the location of the tumor. I would be very keen that I avoid going through tumor tissue because for example, if you have a tumor that is, you know, located very much in one corner of the cervix and then you do a standard hysterectomy and then you have a positive tumor margin that would be obviously, most people would agree it would be an unwanted outcome. So I'd be very keen checking the location, the size of the tumor, the depths of invasion and maybe then if the tumor for example is on one side of the cervix you can do a standard approach on the contralateral side but maybe do a little bit more of a margin, a parametrial margin on the other side. Or if a tumor is maybe on the posterior cervical lip, then you don't need to worry so much about the anterior cervical margin, maybe take the rectum down and maybe try to get a little bit of a vaginal margin and the margin on the uterus saccals. Just really to make sure that you do have margins because typically if we get it right, survival outcomes of clinical stage 1 early cervix cancer 1B1 1B 2 are actually really good. It is a very important thing that we get the treatment right. In my practice, I use a software to record my treatment outcomes and my margins. And I would encourage all colleagues to be cognizant and to be responsible and accountable to introduce accountable clinical practice, to check on the margins and check on the number on the percentage of patients who require postoperative radiation treatment or chemo radiation. Dr. Ebony Hoskins: Very good. I have so many questions for you. I don't know the statistics in Australia, but here, there's increased rising of endometrial cancer and certainly we're seeing it in younger women. And fertility always comes up in terms of kind of what to do. And I look at the guidelines and, see if I can help some of the women if they have early-stage endometrial cancer. Your thoughts on what your practice is on use of someone who may meet criteria, if you will. The criteria I use is grade 1 endometrioid adenocarcinoma. No myometria invasion. I try to get MRI'd and make sure that there's no disease outside the endometrium. And then if they make criteria, I typically would do an IUD. Can you tell me what your practice is and where you've had success? Dr. Andreas Obermair: So, we initiated the feMMe clinical trial that was published in 2021 and it was presented in a Plenary at one of the SGO meetings. I think it was in 2021, and we've shown complete pathological response rates after levonorgestrel intrauterine device treatment. And so in brief, we enrolled patients with endometrial hyperplasia with atypia, but also patients with grade 1 endometrial adenocarcinoma. Patients with endometrial hyperplasia with atypia had, in our series, had an 85 % chance of developing a complete pathological response. And that was defined as the complete absence of any atypia or cancer. So endometrial hyperplasia with atypia responded in about 85%. In endometrial cancer, it was about half, it was about 45, 50%. In my clinical practice, like as you, I see patients, you know, five days a week. So I'm looking after many patients who are now five years down from conservative treatment of endometrial cancer. There are a lot of young women who want to get pregnant, and we had babies, and we celebrate the babies obviously because as gynecologist obstetricians it couldn't get better than that, right, if our cancer patients have babies afterwards. But we're also treating women who are really unfit for surgery and who are frail and where a laparoscopic hysterectomy would be unsafe. So this phase is concluded, and I think that was very successful. At least we're looking to validate our data. So we're having collaborations, we're having collaborations in the United States and outside the United States to validate these data. And the next phase is obviously to identify predictive factors, to identify predictors of response. Because as you can imagine, there is no point treating patients with a levonorgestrel intrauterine joint device where we know in advance that she's not going to respond. So this is a very, very fascinating story and we got our first set of data already, but now we just really need to validate this data. And then once the validation is done, my unit is keen to do a prospective validation trial. And that also needs to involve international collaborators. Dr. Ebony Hoskins: Very good. Moving on to ovarian cancer, we see patients with ovarian cancer with, say, at least stage 3C or higher who started neoadjuvant chemotherapy. Now, some of these patients are hearing different things from their medical oncologist versus their gynecologic oncologist regarding the number of cycles of neoadjuvant chemotherapy after getting diagnosed with ovarian cancer. I know that this can be confusing for our patients coming from a medical oncologist versus a gynecologic oncologist. What do you say to a patient who is asking about the ideal number of chemotherapy cycles prior to surgery? Dr. Andreas Obermair: So this is obviously a very, very important topic to talk about. We won't be able to provide a simple off the shelf answer for that, but I think data are emerging.  The ASCO guidelines should also be worthwhile considering because there are actually new ASCO Guidelines [on neoadjuvant chemotherapy for newly diagnosed, advanced ovarian cancer] that just came out a few weeks ago and they would suggest that we should be aiming for R0 in surgery. If we can maybe take that as the pivot point and then go back and say, okay, so what do need to do to get the patient to zero?  I'm not an ovarian cancer researcher; I'm obviously a practicing gynecologic oncologist. I think about things a lot and things like that. In my practice, I would want a patient to develop a response after neoadjuvant chemotherapy. So, if a patient doesn't have a response after two or three cycles, then I don't see the point for me to offer her an operation. In my circle with the medical oncologists that I work with, I have a very, very good understanding. So, they send the patient to me, I take them to the theater. I take a good chunk of tissue from the peritoneum. We have a histopathologic diagnosis, we have a genomic diagnosis, they go home the same day. So obviously there is no hospital stay involved with that. They can start the chemotherapy after a few days. There is no hold up because the chances of surgical complication in a setting like this is very, very low. So I use laparoscopy to determine whether the patient responds or not. And for many of my patients, it seems to work. It's obviously a bit of an effort and it takes operating time. But I think I'm increasing my chances to make the right decision. So, coming back to your question about whether we should give three or six cycles, I think the current recommendations are three cycles pending the patient's response to neoadjuvant chemotherapy because my aim is to get a patient to R0 or at least minimal residual disease. Surgery is really, in this case, I think surgery is the adjunct to systemic treatment. Dr. Ebony Hoskins: Definitely. I think you make a great point, and I think the guideline just came out, like you mentioned, regarding neoadjuvant. And I think the biggest thing that we need to come across is the involvement of a gynecologic oncologist in patients with ovarian cancer. And we know that that survival increases with that involvement. And I think the involvement is the surgery, right? So, maybe we've gotten away from the primary tumor debulking and now using more neoadjuvant, but surgery is still needed. And so, I definitely want to have a take home that GYN oncology is involved in the care of these patients upfront. Dr. Andreas Obermair: I totally support that. This is a very important statement. So when I'm saying surgery is the adjunct to medical treatment, I don't mean that surgery is not important. Surgery is very important. And the timing is important. And that means that the surgeons and the med oncs need to be pulling on the same string. The med oncs just want to get the cytotoxic into the patients, but that's not the point, right? We want to get the cytotoxic into the patients at the right time because if we are working under this precision surgery, precision treatment mantra, it's not only important what we do, but also doing it at the right time. And ideally, I I would like to give surgery after three cycles of neoadjuvant chemotherapy, if that makes sense. But sometimes for me as a surgeon, I talk to my med onc colleagues and I say, “Look, she doesn't have a good enough response to her treatment and I want her to receive six cycles and then we re-evaluate or change medical treatment,” because that's an alternative that we can swap out drugs and treat upfront with a different drug and then sometimes they do respond. Dr. Ebony Hoskins:  I have maybe one more topic. In the area I'm in, in the Washington D.C. area, we see lots of endometrial cancer and they're not grade 1, right? They're high-risk endometrial cancer and advanced. So a number of patients with stage 3 disease, some just kind of based off staging and then some who come in with disease based off of the CT scan, sometimes omental caking, ascites. And the real question is we have extrapolated the use of neoadjuvant chemotherapy to endometrial cancer. It's similar, but not the same. So my question is in an advanced endometrial cancer, do you think there's still a role, when I say advanced, I mean, maybe stage 4, a role for surgery? Dr. Andreas Obermair: Most definitely. But the question is when do you want to give this surgery? Similar to ovarian cancer, in my experience, I want to get to R0. What am I trying to achieve here? So, I reckon we should do a trial on this. And I reckon we have, as you say, the number of patients in this setting is increasing, we could do a trial. I think if we collaborate, we would have enough patients to do a proper trial. Obviously, we would start maybe with a feasibility trial and things like that. But I reckon a trial would be needed in this setting because I find that the incidence that you described, that other people would come across, they're becoming more and more common. I totally agree with you, and we have very little data on that. Dr. Ebony Hoskins: Very little and we're doing what we can. Dr. Obermair, thank you for sharing your fantastic insights with us today on the ASCO Daily News Podcast and for all the work you do to advance care for patients with gynecologic cancer. Dr. Andreas Obermair: Thank you, Dr. Hoskins, for hosting this and it's been an absolute pleasure speaking with you today. Dr. Ebony Hoskins: Definitely a pleasure and thank you to our listeners for your time today. Again, Dr. Obermair's article is titled, “Controversies in the Surgical Management of Gynecologic Cancer: Balancing the Decision to Operate or Hesitate,” and was published in the 2024 ASCO Educational Book. And you'll find a link to the article in the transcript of this episode. Finally, if you value the insights that you hear on the ASCO Daily News Podcast, please take a moment to rate, review and subscribe wherever you get your podcasts. Disclaimer: The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions. Guests on this podcast express their own opinions, experience and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity or therapy should not be construed as an ASCO endorsement. Find out more about today's speakers: Dr. Ebony Hoskins @drebonyhoskins Dr. Andreas Obermair @andreasobermair Follow ASCO on social media:       @ASCO on Twitter       ASCO on Bluesky   ASCO on Facebook       ASCO on LinkedIn       Disclosures:   Dr. Ebony Hoskins: No relationships to disclose. Dr. Andreas Obermair: Leadership: SurgicalPerformance Pty Ltd. Stock and Ownership Interests: SurgicalPerformance Pty Ltd. Honoraria: Baxter Healthcare Consulting or Advisory Role: Stryker/Novadaq Patents, Royalties, and Other Intellectual Property: Shares in SurgicalPerformance Pty Ltd. Travel, Accommodation, Expenses: Stryker    

What surgical techniques and safety measures are important to consider when operating in a pregnant patient? In this episode of the BackTable OBGYN podcast, Dr. Craig Sobolewski, a minimally invasive GYN surgeon at Duke, speaks with host Dr. Mark Hoffman about the intricacies of laparoscopic surgery in pregnant patients. --- SYNPOSIS The surgeons delve into the critical importance of understanding anatomy and ensuring proper exposure during surgeries, particularly the challenges and techniques for operating during pregnancy. Key discussions include the use of liver retractors, the management of symptomatic ovarian cysts, and the methods for performing and evaluating abdominal cerclages. They also explore the physiological changes in pregnant patients and the adjustments needed for anesthesia, laparoscopic entry, pressures during surgery, and pre/post-operative care. --- TIMESTAMPS 00:00 - Introduction 07:20 - Laparoscopy in Pregnant Patients 11:23 - Common Surgeries During Pregnancy 15:56 - Laparoscopic Surgery Techniques 24:04 - Physiologic Changes in Pregnancy 27:33 - Access Methods and Pressure Considerations 28:53 - Managing Torsion and Cysts in Pregnancy 30:21 - Energy Use and Safety in Pregnant Patients 31:38 - Preoperative and Postoperative Care 34:15 - Cerclage Procedures and Counseling 47:46 - Professional Reflections and Conclusions

-REPLAY-De plus en plus au fil des épisodes du podcast, je vous distille ci-et-là des informations, des sujets autour de mon métier de naturopathe spécialisée dans la santé des femmes. Il me semble important de vous partager des clefs au fil de mes découvertes pour vivre au mieux votre bien-être.Cet épisode en fait partie, et je suis ravie d'y accueillir Maud Renard pour évoquer le quotient émotionnel qu'il se joue au creux de nos ventres, dans nos organes de femmes, ainsi que de sa méthode : la Gyn'Émotion !J'espère que cet épisode plein de douceur et de jolis symboles vous plaira et vous éclairera !À vos casques !—Si mon échange avec Maud a piqué votre curiosité, je vous invite chaudement à découvrir le travail de Maud sur son site internet, son compte instagram, et à dévorer son livre “Habiter son utérus” aux Editions Tana !Découvrez HEALTHY CYCLES, mon programme en ligne et en autonomie pour vous aider à reconnecter avec votre cycle menstruel, équilibrer vos hormones et soulager vos maux ! Rendez-vous juste ici pour embarquer dans l'aventure !Vous préférez un suivi individuel et main dans la main ? Je vous propose mon ACCOMPAGNEMENT HOLISTIQUE, individuel ou en couple, mêlant naturopathie, phytothérapie, aromatologie, symptothermie et bien d'autres techniques pour vous reconnecter à votre corps et atteindre enfin votre objectif santé ! Par ici pour découvrir toutes les informations et par là pour réserver un appel découverte gratuit !Je vous propose également de vous former à la symptothermie avec mon programme HEALTHY SYMPTOTHERMIE, pour vous permettre d'adopter une contraception 100 naturelle et fiable à 98,2% après formation (contre 97,6% de fiabilité pour la pilule, chiffres de l'OMS) ! Par ici pour en savoir plus et rejoindre l'aventure !Et enfin, n'hésitez pas à découvrir mes ebooks : HEALTHY FOOD, le guide de l'alimentation hormonale et HEALTHY PUBERTÉ, pour accompagner les jeunes filles vers leur vie de femmes.Si vous aimez Healthy Living et souhaitez m'aider à faire connaître le podcast, n'hésitez pas à le partager autour de vous auprès de personnes que cela pourrait aider ou intéresser. N'hésitez pas également à laisser des appréciations et commentaires sur votre application d'écoute préférée. It means the world to me!Pour ne rien manquer des actualités du podcast, pensez à vous abonner sur votre plateforme d'écoute préférée, à me rejoindre sur insta et à vous inscrire à la newsletter dans laquelle je partage chaque mois une avalanche de good vibes et astuces healthy ! Je vous retrouve également sur youtube avec du contenu vidéo inédit ainsi que certains de mes épisodes préférés en versions sous-titrée, accessible aux sourds et malentendants ! Création originale : Marion PezardRéalisation & production : Marion PezardMontage & mixage : Marion PezardMusique : Alice, Hicham Chahidi

Die Fristenlösung wird 50 Jahre alt – innerhalb einer dreimonatigen Frist können Frauen in Österreich eine Schwangerschaft abbrechen. Harte politische Auseinandersetzungen um das Recht auf den weiblichen Körper und seine Gebärfähigkeit führten in Österreich dazu, dass der Schwangerschaftsabbruch am 1. Jänner 1975 straffrei wurde. Legal ist er bis heute nicht.In diesem zweiten Teil der Sendung hören Sie die Historikerin Maria Mesner im Gespräch mit der Gynäkologin Mirijam Hall und der Journalistin Marlene Nowotny im Rahmen einer Wiener Vorlesung. In Teil 1 der Sendung hören Sie einen Vortrag der Historikerin Maria Mesner zur Geschichte der Abtreibung. Hosted on Acast. See acast.com/privacy for more information.

Die Fristenlösung wird 50 Jahre alt – innerhalb einer dreimonatigen Frist können Frauen in Österreich eine Schwangerschaft abbrechen. Harte politische Auseinandersetzungen um das Recht auf den weiblichen Körper und seine Gebärfähigkeit führten in Österreich dazu, dass der Schwangerschaftsabbruch am 1. Jänner 1975 straffrei wurde. Legal ist er bis heute nicht.In diesem ersten Teil der Sendung hören Sie einen Vortrag der Historikerin Maria Mesner zur Geschichte der Abtreibung, der im Rahmen einer Wiener Vorlesung stattgefunden hat. Eine anschließende Diskussion mit der Gynäkologin Mirijam Hall und der Journalistin Marlene Nowotny finden in Teil zwei dieser Sendung. Hosted on Acast. See acast.com/privacy for more information.

Wie kann es sein, dass in den allermeisten Darstellungen des weiblichen Beckens einfach ein Organ fehlt? Und ist die Gynäkologie besonders konservativ und männlich geprägt, oder fällt es hier nur mehr auf als in anderen Fachrichtungen? Diana im Gespräch mit Frauenärztin Prof. Dr. Mandy Mangler über Gynäkologie als gesellschaftspolitisches Fach, warum die Wechseljahre längst nicht der einzige blinde Fleck auf der frauenärztlichen Landkarte sind und wie jede von uns sich ermächtigen kann, bessere Entscheidungen für sich und ihren Körper zu fällen.INFOS ZUR FOLGE:Hier geht es zum Interview mit Mandy in der BRIGITTE woman.Hier geht es zur Dokumentation "Frauen in Führungspositionen" auf der Homepage des Deutschen Ärztinnenbundes.Hier geht es zu Mandys Instagram, und hier direkt zu ihren #womeninmalefiels-Storys.Hier geht es zum Newsletter "Saisonwechsel" von der BRIGITTE.Hier geht es zum neuen meno_brigitte-Insta-Account.Hier geht es zu Dianas Instagram.Hier geht es zur BRIGITTE Masterclass Finanzen Premium, um die es in unserer Eigenwerbung geht. Und es gibt auch einen MENO AN MICH-Rabattcode, MENO15, der für viele BRIGITTE-Angebote gilt.Falls obige Links nicht funktionieren hier noch mal in voller Länge!Masterclass Finanzen Premiumhttps://academy.brigitte.de/masterclass?utm_source=menoanmich&utm_medium=podcast&utm_campaign=mcf-premium-kh10Masterclass Finanzen Basic: https://academy.brigitte.de/course/masterclass-finanzen-basic?utm_source=menoanmich&utm_medium=podcast&utm_campaign=mcf-basicRentenlücke berechnen (kostenlos!)https://academy.brigitte.de/webinar-aufzeichnung-rentenluecke-berechnenETF Kurshttps://academy.brigitte.de/course/etf-kurs?utm_source=menoanmich&utm_medium=podcast&utm_campaign=etf-kurs-mUND ES GIBT WEITERE TOLLE ANGEBOTE aus der BRIGITTE Redaktion:On Demand Video-Kurs zum Thema Wechseljahre Dossiers zu den ThemenWECHSELJAHRESTOFFWECHSELPARTNERSCHAFT Ihr habt Anregungen, wollt uns Eure Geschichte erzählen oder selbst bei uns zu Gast im Podcast sein? Dann schreibt uns beiden persönlich, worüber Ihr gern mehr wissen würdet, was Euch bewegt, rührt, entsetzt und Freude macht an podcast@brigitte.de. Wir freuen uns auf Euch! Und bewertet und abonniert unseren Podcast gerne auch auf Spotify, iTunes, Amazon Music oder Audio Now. Noch mehr spannende Beiträge findet Ihr zudem auf Brigitte.de sowie dem Instagram- oder Facebook-Account von BRIGITTE –schaut vorbei! +++ Weitere Infos zu unseren Werbepartnern finden Sie hier: https://linktr.ee/menoanmich +++Unsere allgemeinen Datenschutzrichtlinien findet Ihr unter https://datenschutz.ad-alliance.de/podcast.htmlUnsere allgemeinen Datenschutzrichtlinien finden Sie unter https://art19.com/privacy. Die Datenschutzrichtlinien für Kalifornien sind unter https://art19.com/privacy#do-not-sell-my-info abrufbar.

Triggerwarnung: In dieser Folge geht es um Ableismus. Als die kleine Rosemary 1918 zur Welt kommt, ist schnell klar, dass sie anders ist als ihre Geschwister. Sie ist entwicklungsverzögert, hat Schwierigkeiten mit dem Lesen, Schreiben und ihrer Koordination. Ein Zustand, der vor allem ihrem Vater Joseph P. Senior ein Dorn im Auge ist. Schließlich ist Rosemary eine Kennedy. Und wer diesen Namen trägt, hat seiner Ansicht nach nicht weniger als perfekt zu sein. Als sich zu Rosemarys Defiziten auch noch Wutausbrüche gesellen, sieht sich ihr Vater zum Handeln gezwungen. Und so landet Rosemary schließlich auf dem OP-Tisch eines Mannes, der für Ruhm und Erfolg bereit ist, sämtliche moralische und ethische Grenzen zu überschreiten… In dieser Folge von „Mordlust - Verbrechen und ihre Hintergründe“ beleuchten wir das Verfahren der Lobotomie, das vor allem in den 1940er und 50er Jahren als Heilung für psychische Krankheiten galt, aber oft fatale Folgen hatte. Wir sprechen über Stigmatisierung und Ausgrenzung und erklären, wie ein vermeintlicher Meilenstein zu einem der dunkelsten Kapitel in der Medizingeschichte wurde. Experten in dieser Folge: Dr. med. Richard Krüger, Arzt in Weiterbildung für Gynäkologie und Geburtshilfe, Prof. Dr. Heiner Fangerau, Medizinhistoriker und -ethiker sowie Neurochirurg Prof. Dr. med. Jürgen Schlaier **Credit** Produzentinnen/ Hosts: Paulina Krasa, Laura Wohlers Redaktion: Paulina Krasa, Laura Wohlers, Jennifer Fahrenholz Schnitt: Pauline Korb Rechtliche Abnahme: Abel und Kollegen **Quellen (Auswahl)** aerzteblatt.de: “Die Lobotomie - Wie ein Relikt aus finsterer Zeit”: https://www.aerzteblatt.de/archiv/60000/Die-Lobotomie-Wie-ein-Relikt-aus-finsterer-Zeit Larson, Kate: “The Hidden Kennedy Daughter “ GEO: “Lobotomie: Tiefe Schnitte ins Gehirn”: https://t1p.de/sok49 Doku “Der Lobotomist”: https://t1p.de/85i7q Howard Dully: “Howard's Journey”: https://t1p.de/ogrkw **Partner der Episode** Du möchtest mehr über unsere Werbepartner erfahren? Hier findest du alle Infos & Rabatte: https://linktr.ee/Mordlust Du möchtest Werbung in diesem Podcast schalten? Dann erfahre hier mehr über die Werbemöglichkeiten bei Seven.One Audio: https://www.seven.one/portfolio/sevenone-audio