1 00:00:00,320 --> 00:00:03,720 Doctor Lucky C Khan, I cannot wait to hear your inside 2 00:00:03,720 --> 00:00:06,440 thoughts out loud. So Doctor Lucky, I mean, I could 3 00:00:06,440 --> 00:00:09,000 give you the full blown medical introduction. 4 00:00:09,000 --> 00:00:12,680 She's a highly qualified reproductive endocrinologist, 5 00:00:12,680 --> 00:00:15,440 infertility specialist. She practices in New York. 6 00:00:15,480 --> 00:00:17,760 And she has just released the Lucky egg. 7 00:00:17,760 --> 00:00:19,840 And I'm actually going to start by talking about it because 8 00:00:19,840 --> 00:00:23,520 here's the deal is I know that you are a wealth of information 9 00:00:23,680 --> 00:00:26,600 about infertility. And I know that every media 10 00:00:26,600 --> 00:00:30,120 outlet has been chasing you down to get your thoughts and your 11 00:00:30,120 --> 00:00:31,400 expertise. And I love that. 12 00:00:31,760 --> 00:00:34,000 But I actually have a lot of questions for you that have 13 00:00:34,000 --> 00:00:37,080 nothing to do with your day job. I'm so ready for that. 14 00:00:37,080 --> 00:00:39,840 Yeah, so I did want to ask about the book though, because 15 00:00:40,120 --> 00:00:42,400 obviously, well, I shouldn't say obviously, I'll ask you. 16 00:00:42,400 --> 00:00:45,640 It's called the Lucky Egg, which I thought was just the cutest 17 00:00:45,640 --> 00:00:48,800 best name ever because I would assume it's a play on your name. 18 00:00:48,840 --> 00:00:51,040 Yes, of course. And I'm also, I'm just a 19 00:00:51,040 --> 00:00:53,440 believer in everything takes a little bit of luck, right? 20 00:00:53,520 --> 00:00:55,560 And I think luck is a little bit of hope. 21 00:00:55,560 --> 00:00:58,280 Everyone hopes for a little bit of luck. 22 00:00:58,280 --> 00:01:01,440 And I know in my own life, sure, I worked hard, I studied hard. 23 00:01:01,760 --> 00:01:04,840 I also sometimes was just in the right place at the right time or 24 00:01:04,840 --> 00:01:06,880 I met the right person at the right time. 25 00:01:07,240 --> 00:01:09,880 And so I want you to tell me why you named it the Lucky Egg, 26 00:01:09,880 --> 00:01:12,720 because to me it's just like the perfect. 27 00:01:12,720 --> 00:01:13,520 Title. Yeah. 28 00:01:13,520 --> 00:01:15,720 And I think it's really honest, right? 29 00:01:15,720 --> 00:01:18,680 I think it's really honest of you to say, look at all my 30 00:01:18,680 --> 00:01:20,960 accomplishments. But obviously being in the right 31 00:01:20,960 --> 00:01:22,880 place at the right time helps. Yeah. 32 00:01:23,080 --> 00:01:25,920 And I think, you know, as a fertility expert that helps 33 00:01:25,920 --> 00:01:28,920 people navigate trying to get pregnant day in, day out, 34 00:01:29,560 --> 00:01:33,600 there's so much that can't be explained by science and stats. 35 00:01:33,600 --> 00:01:36,640 And we can't reduce people down to science and stats and put you 36 00:01:36,640 --> 00:01:39,240 in a category just based on your age or how many eggs you have. 37 00:01:39,720 --> 00:01:41,240 I think that's not helpful to women. 38 00:01:41,240 --> 00:01:44,760 It's not helpful to people to feel like they're just boxed in. 39 00:01:44,760 --> 00:01:49,040 And there are so many people know of, of situations and I'm 40 00:01:49,040 --> 00:01:51,480 sure you've heard of them and your friends or family or just 41 00:01:51,640 --> 00:01:54,800 hearing stories of people that have failed multiple cycles and 42 00:01:54,800 --> 00:01:57,760 then lo and behold, on a break between treatment cycles that 43 00:01:57,760 --> 00:02:00,160 got pregnant. All the time yes friends who 44 00:02:00,160 --> 00:02:04,480 have that story or they had an infertility experience, an IVF 45 00:02:04,480 --> 00:02:06,760 experience and then they naturally conceived right their 46 00:02:06,760 --> 00:02:09,080 second child. So I've always felt every 47 00:02:09,080 --> 00:02:11,480 success in life has a little bit of luck, Yes. 48 00:02:11,480 --> 00:02:12,880 And so I, I just loved the title. 49 00:02:12,880 --> 00:02:13,680 I wanted to. Thank you. 50 00:02:13,720 --> 00:02:16,560 And obviously I'm not saying what you do doesn't matter, of 51 00:02:16,560 --> 00:02:19,400 course, but it's leaving room for that unknown. 52 00:02:19,440 --> 00:02:22,520 And I think that we as doctors, the more we acknowledge that 53 00:02:22,520 --> 00:02:24,720 unknown and say, hey, we don't have all the answers. 54 00:02:24,720 --> 00:02:26,280 We can't control everything. Exactly. 55 00:02:26,280 --> 00:02:29,000 I think that that's actually something that restores trust 56 00:02:29,000 --> 00:02:31,880 between US and. Trust and hope and I think those 57 00:02:31,880 --> 00:02:33,640 two things are really, really important. 58 00:02:33,640 --> 00:02:37,520 Exactly. And so you know, you have a very 59 00:02:37,560 --> 00:02:41,480 well known Instagram profile and you talk about a lot of topics. 60 00:02:41,480 --> 00:02:44,880 Obviously it's focused on infertility because that is what 61 00:02:44,880 --> 00:02:47,160 you do and that is your specialty in medicine. 62 00:02:47,400 --> 00:02:49,960 But I love that you incorporate a lot of just a lot of social 63 00:02:49,960 --> 00:02:52,360 commentary, what it's like to be a woman in medicine. 64 00:02:52,800 --> 00:02:56,880 And I, my favorite content is when you really just take down 65 00:02:56,920 --> 00:03:00,760 these Wellness grifters. And I find, and as a breast 66 00:03:00,760 --> 00:03:03,680 cancer reconstructive surgeon, there are certain populations 67 00:03:03,680 --> 00:03:06,480 that are just vulnerable to misinformation and 68 00:03:06,480 --> 00:03:09,920 disinformation because they're a group of individuals that are 69 00:03:09,920 --> 00:03:12,160 actively seeking information online. 70 00:03:12,160 --> 00:03:14,920 So for me, I see it a lot in the breast cancer community because 71 00:03:14,920 --> 00:03:17,640 these women want information and they're looking for good 72 00:03:17,640 --> 00:03:20,400 information. And sometimes that makes that 73 00:03:20,400 --> 00:03:24,400 population a bit vulnerable. How do you feel about the 74 00:03:24,400 --> 00:03:29,320 infertility or sort of just in general pregnancy misinformation 75 00:03:29,320 --> 00:03:30,520 out there? And would you consider them a 76 00:03:30,520 --> 00:03:32,760 vulnerable population? Absolutely. 77 00:03:32,760 --> 00:03:37,160 I mean, what's more vulnerable than having a process that you 78 00:03:37,160 --> 00:03:40,280 cannot control? And the most fundamental thing 79 00:03:40,280 --> 00:03:44,120 in life for a lot of people is their future family and wanting 80 00:03:44,120 --> 00:03:46,800 to know that they did everything to set their future child up for 81 00:03:46,800 --> 00:03:49,200 success. So if someone comes in and says, 82 00:03:49,200 --> 00:03:51,800 take this supplement and you're going to have a child that has a 83 00:03:52,080 --> 00:03:56,240 higher IQ and is healthier and, or you, you will conceive if you 84 00:03:56,240 --> 00:04:00,880 do XYZ. And it's always these very easy, 85 00:04:00,880 --> 00:04:04,240 you know, quick fixes that are kind of magical, like I'm going 86 00:04:04,240 --> 00:04:06,600 to help you reverse your egg quality issues. 87 00:04:06,760 --> 00:04:08,880 You don't need IVF. You don't need to do the hard 88 00:04:08,880 --> 00:04:10,120 things. You don't need to listen to your 89 00:04:10,120 --> 00:04:11,680 doctor. And it's always driving a wedge 90 00:04:11,680 --> 00:04:14,800 between doctors and patients, making them feel a sense of 91 00:04:14,800 --> 00:04:17,680 distrust that clinics are just out to get their money. 92 00:04:17,680 --> 00:04:19,480 I mean it's. Ridiculous because they always 93 00:04:19,480 --> 00:04:21,680 will say like what the doctors don't tell you. 94 00:04:22,120 --> 00:04:23,040 I hate that. So much. 95 00:04:23,520 --> 00:04:26,160 I'm telling you everything like I'm we're not. 96 00:04:26,240 --> 00:04:29,200 There's no secret pact or society where we're withholding 97 00:04:29,200 --> 00:04:31,200 information. And where's that person getting 98 00:04:31,200 --> 00:04:32,680 that information from, pray tell? 99 00:04:32,680 --> 00:04:34,280 Like. I mean, not the medical school 100 00:04:34,280 --> 00:04:36,800 that they didn't go to exactly or the residency that they never 101 00:04:36,800 --> 00:04:38,880 did or the licensure that they don't have. 102 00:04:39,000 --> 00:04:41,720 Yeah, I, I mean, I don't know how people sleep at night when 103 00:04:41,720 --> 00:04:44,560 they're actively grifting and they know that what they're 104 00:04:44,560 --> 00:04:48,760 doing is complete. BSI had someone slip up once who 105 00:04:48,760 --> 00:04:52,520 was like in a social situation trying to tell me about this new 106 00:04:52,520 --> 00:04:54,440 supplement thing that they were. And they were like, listen, 107 00:04:54,440 --> 00:04:55,920 people are willing to do anything. 108 00:04:56,280 --> 00:04:58,200 And my mouth dropped to the floor. 109 00:04:58,200 --> 00:05:00,240 And I think they realize, oh, shit, I'm talking to a 110 00:05:00,240 --> 00:05:03,400 physician. But that lays bare the reality 111 00:05:03,400 --> 00:05:04,480 of it 100. Percent. 112 00:05:04,480 --> 00:05:07,520 And there's a lot of like, what's the harm or why not? 113 00:05:07,520 --> 00:05:11,680 Or maybe if it works, because I think sometimes there is 114 00:05:12,520 --> 00:05:15,000 somebody wants it so badly. Right, you want to believe that 115 00:05:15,000 --> 00:05:16,440 it can help you of. Course, of course. 116 00:05:16,440 --> 00:05:17,920 But if it sounds too good to be true. 117 00:05:17,920 --> 00:05:20,760 Yeah, it often is. It often is and I I love seeing 118 00:05:20,760 --> 00:05:22,960 more qualified medical professionals and healthcare 119 00:05:22,960 --> 00:05:27,280 professionals in the social media space because more often 120 00:05:27,280 --> 00:05:29,680 than not you're getting valid information from them. 121 00:05:30,040 --> 00:05:35,120 But I've also seen sort of these weird interactions between 122 00:05:35,360 --> 00:05:37,480 people that I, I'm like, we're all on the same team. 123 00:05:37,520 --> 00:05:40,120 Like you're a real doctor and you're a real doctor and I'm a 124 00:05:40,120 --> 00:05:43,720 real doctor. And why are we getting I, I see 125 00:05:43,720 --> 00:05:46,040 a little bit of weird cattiness and competitiveness. 126 00:05:46,040 --> 00:05:47,960 And I know my personal experience with that. 127 00:05:47,960 --> 00:05:49,400 So I want you to talk about yours. 128 00:05:49,760 --> 00:05:52,720 It's frustrating because you're like we already have enough 129 00:05:52,720 --> 00:05:56,120 misinformation and the non expert grifters to kind of 130 00:05:56,120 --> 00:05:58,520 contend with. It is really frustrating when 131 00:05:58,520 --> 00:06:01,280 people start kind of like dividing and trying to conquer 132 00:06:01,280 --> 00:06:03,640 each other. And it's because at the end of 133 00:06:03,640 --> 00:06:07,320 the day, yes, we are in medicine and this is a pursuit of trying 134 00:06:07,320 --> 00:06:09,160 to help people with medical problems. 135 00:06:09,160 --> 00:06:13,200 And there is this idea that doctors are above it all and we 136 00:06:13,200 --> 00:06:16,080 all are in it for noble reasons. I think a lot of us are. 137 00:06:16,080 --> 00:06:17,640 Or maybe that's how we started out. 138 00:06:18,080 --> 00:06:20,640 But there are people that are using this for gain, right? 139 00:06:20,640 --> 00:06:22,360 Like I want to promote my practice. 140 00:06:22,360 --> 00:06:25,000 I want more patients. And they kind of look at it 141 00:06:25,000 --> 00:06:28,640 through a competitive lens. I had AI, had someone who's not 142 00:06:28,640 --> 00:06:31,280 my patient, but like a friend of a friend who went to go see 143 00:06:31,280 --> 00:06:33,960 another REI in the New York City area. 144 00:06:33,960 --> 00:06:36,720 Obviously not going to name names, that's not my style, but. 145 00:06:36,720 --> 00:06:38,760 We will on camera and I'll spill the tea later. 146 00:06:39,320 --> 00:06:40,000 Don't. Worry about it. 147 00:06:40,000 --> 00:06:44,600 But basically this person, you know, said, Oh yeah, I've I was 148 00:06:44,600 --> 00:06:48,040 thinking about going to see Doctor C Con, but she had a bit 149 00:06:48,040 --> 00:06:53,520 of a wait list and that doctor said, Oh, well, she's famous and 150 00:06:53,520 --> 00:06:57,560 you can't be out there on media and doing XYZ and be a good 151 00:06:57,560 --> 00:06:58,960 doctor. And first of all, I was like, 152 00:06:59,000 --> 00:07:00,400 I'm not famous. I'm known. 153 00:07:00,480 --> 00:07:03,120 There's a difference. And I don't think that that's 154 00:07:03,120 --> 00:07:04,880 true. I would actually argue and, and 155 00:07:04,880 --> 00:07:07,720 this is a low blow that I'm sure you get as well, right, Of 156 00:07:07,720 --> 00:07:09,560 course. And it's just purely out of 157 00:07:09,560 --> 00:07:13,200 jealousy and it's just kind of a mirror being put up to their 158 00:07:13,200 --> 00:07:15,880 face of like, I'm sorry if you can't multitask. 159 00:07:15,880 --> 00:07:18,960 I'm sorry if you think that it looks like I can't possibly be 160 00:07:18,960 --> 00:07:22,360 good at content creation and doing media and patient care, 161 00:07:22,720 --> 00:07:25,720 but that's more on you and your inability to multitask. 162 00:07:25,720 --> 00:07:28,200 That's not me. Like, I'm sorry, I can make a 163 00:07:28,240 --> 00:07:30,840 Instagram video like that. I'm sure you can as well. 164 00:07:30,840 --> 00:07:32,360 We've just become very efficient at it. 165 00:07:32,640 --> 00:07:35,960 But to use that as a way to tell another patient or someone who's 166 00:07:35,960 --> 00:07:38,720 considering being my patient, she's less dedicated because 167 00:07:38,720 --> 00:07:40,160 she's doing this. I would actually argue the 168 00:07:40,160 --> 00:07:42,560 opposite. I would say the fact that I take 169 00:07:42,560 --> 00:07:46,200 time out of my schedule to create educational content that 170 00:07:46,200 --> 00:07:48,000 goes beyond the four walls of my clinic. 171 00:07:48,600 --> 00:07:51,000 And also, I have to come correct, you know, I'm putting 172 00:07:51,000 --> 00:07:53,320 myself out there, which is a lot more than. 173 00:07:53,400 --> 00:07:55,080 Publishing books. Exactly. 174 00:07:55,120 --> 00:07:57,720 So you're putting heft behind the the statements that you're 175 00:07:57,720 --> 00:08:00,400 making, of course, which means they're naturally going to be 176 00:08:00,400 --> 00:08:02,440 better researched. It's not just a one-on-one 177 00:08:02,440 --> 00:08:03,800 conversation I'm having with patient. 178 00:08:03,880 --> 00:08:06,840 This is me really putting it out there and being open to all the 179 00:08:06,840 --> 00:08:09,440 scrutiny. And that should make someone 180 00:08:09,440 --> 00:08:12,320 feel even more comforted that their doctor is at the cutting 181 00:08:12,320 --> 00:08:14,840 edge of what's going on. I always say when I get that 182 00:08:14,840 --> 00:08:17,640 commentary. I am so sorry that you're 183 00:08:17,640 --> 00:08:19,920 projecting your limited bandwidth. 184 00:08:20,000 --> 00:08:23,240 Absolutely. I get that you can, yeah, But I 185 00:08:23,240 --> 00:08:25,680 can all day long, Yeah. And I have no problem saying 186 00:08:25,680 --> 00:08:28,120 that. And, and it's funny because I 187 00:08:28,120 --> 00:08:30,400 know and we were talking offline about this too. 188 00:08:31,000 --> 00:08:34,039 I will say if I get 100 patients through the door, new patients 189 00:08:34,480 --> 00:08:38,960 or 100 referrals or people who want to make an appointment, 99 190 00:08:38,960 --> 00:08:42,320 of them are excited to come in and, and have, you know, meet 191 00:08:42,320 --> 00:08:43,720 the doctor and have a conversation. 192 00:08:43,960 --> 00:08:46,760 And there might be one that says I don't know if I want to come 193 00:08:46,760 --> 00:08:49,720 in because she's too public or she's on social media. 194 00:08:50,080 --> 00:08:53,440 So that's fine because no doctor books 100% of their consults. 195 00:08:53,440 --> 00:08:56,080 Are they usually referred by another doctor in that case for? 196 00:08:56,080 --> 00:08:58,560 Me, it's a good mix. I would say self referred word 197 00:08:58,560 --> 00:09:01,440 of mouth from other doctors I would say obviously self 198 00:09:01,440 --> 00:09:03,560 referred. They chose me so but I would say 199 00:09:03,560 --> 00:09:05,760 maybe from another doctor sometimes they'll call that 200 00:09:05,760 --> 00:09:10,200 population of referrals and the 99% of them they trust the 201 00:09:10,200 --> 00:09:12,800 Doctor Who referred them. They go oh the so and so said 202 00:09:13,000 --> 00:09:15,840 she's wonderful and she has experience great every once in a 203 00:09:15,840 --> 00:09:18,720 while, maybe a few times a year we'll get the patient that says 204 00:09:18,720 --> 00:09:23,000 well, she's on Instagram or she's so she's social, you know, 205 00:09:23,200 --> 00:09:24,600 I don't know they'll. Say that to your team. 206 00:09:24,600 --> 00:09:27,200 They'll say this to the team when they book and the team, you 207 00:09:27,200 --> 00:09:29,520 know, they just go. We want you to really love our 208 00:09:29,520 --> 00:09:32,760 doctor and love the practice and love the expectance. 209 00:09:32,800 --> 00:09:34,960 And if you. Right it there's got to be a 210 00:09:34,960 --> 00:09:37,440 mutual sense of trust and respect and if that's not there, 211 00:09:37,680 --> 00:09:40,120 then we'd love to give you a recommendation of other doctors 212 00:09:40,120 --> 00:09:42,720 that you can go see. We're booked and busy. 213 00:09:42,720 --> 00:09:45,120 We have the wait list. We're not worried about it, but 214 00:09:45,200 --> 00:09:48,320 it's interesting to me because the patients who do make it in 215 00:09:48,320 --> 00:09:52,360 the door, they are on so team division, it's like they will 216 00:09:52,360 --> 00:09:57,000 come in and they, they almost love you even more because they, 217 00:09:57,240 --> 00:10:01,480 they understand that who I am at work when I am a physician, that 218 00:10:01,480 --> 00:10:02,760 is a patient doctor relationship. 219 00:10:02,760 --> 00:10:05,320 I say this all the time in the comments when people are like, 220 00:10:05,320 --> 00:10:08,640 ah, yeah, doctor babe, your comment on or your DM. 221 00:10:08,880 --> 00:10:11,000 I am not your doctor. This is not a patient doctor 222 00:10:11,000 --> 00:10:11,880 relationship. Right. 223 00:10:11,920 --> 00:10:13,600 Why do people get mad when you don't respond? 224 00:10:13,840 --> 00:10:16,760 Or they'll just say like, oh, you should be saying doctorly 225 00:10:16,760 --> 00:10:18,880 things or you should be more like a doctor. 226 00:10:19,360 --> 00:10:22,840 This is social media right now. This interaction that I have 227 00:10:23,040 --> 00:10:26,080 with you in my DMS or in my comments, I'm not your 228 00:10:26,080 --> 00:10:26,840 physician. Yeah. 229 00:10:26,840 --> 00:10:29,280 So I don't owe you a patient doctor relationship. 230 00:10:29,280 --> 00:10:32,080 Yeah, I think we should talk about tone policing. 231 00:10:32,080 --> 00:10:34,920 Yeah. Because I find that one thing 232 00:10:34,920 --> 00:10:36,880 that I have grown very frustrated with. 233 00:10:36,880 --> 00:10:39,480 Yeah. Is this idea that we have to 234 00:10:39,480 --> 00:10:42,400 look a certain way or talk a certain way because we are 235 00:10:42,400 --> 00:10:43,360 physicians. Yeah. 236 00:10:43,880 --> 00:10:45,560 And I'm a whole person. Yeah. 237 00:10:45,560 --> 00:10:47,840 I'm a mom. I'm a friend, I'm a sister. 238 00:10:47,840 --> 00:10:52,160 I'm a person that's actively responding to everything that's 239 00:10:52,160 --> 00:10:54,680 happening around them. I'm allowed to have personal 240 00:10:54,800 --> 00:10:57,200 opinions and I think the argument that you always get, 241 00:10:57,200 --> 00:10:59,720 and I'm sure you get this as well, the counter argument is, 242 00:11:00,080 --> 00:11:03,360 well, you don't want to alienate patients that might feel 243 00:11:03,360 --> 00:11:06,680 differently, like politically or but a lot of the things that I'm 244 00:11:06,680 --> 00:11:08,720 talking about come down to just human decency. 245 00:11:08,720 --> 00:11:11,880 Like there isn't really like room for, you know, the Gray 246 00:11:11,880 --> 00:11:13,600 area. It's like black and white to me. 247 00:11:13,600 --> 00:11:15,480 And I think, I don't know, I'm just. 248 00:11:15,480 --> 00:11:17,720 Patients can choose their doctors too, right? 249 00:11:17,920 --> 00:11:22,080 We are not providers that or in the emergency room or right, 250 00:11:22,080 --> 00:11:24,280 that's not what you and I do. It's never our patients, though. 251 00:11:24,280 --> 00:11:26,120 Let's be honest. It's someone that's like, I'm 252 00:11:26,120 --> 00:11:27,600 just going to use this as a way to shut you up. 253 00:11:27,600 --> 00:11:29,840 Of course, I'm like, you don't need to come to my clinic. 254 00:11:29,840 --> 00:11:32,120 You're not going to be in the waiting room of my practice and 255 00:11:32,120 --> 00:11:33,920 that is your prerogative and that's OK. 256 00:11:34,320 --> 00:11:37,680 But the people who do they love it because they'll, you know, 257 00:11:37,680 --> 00:11:38,880 I'll come in the morning to pre OP. 258 00:11:38,920 --> 00:11:40,520 Oh, hey, let's go over your surgery. 259 00:11:40,520 --> 00:11:43,320 Let's go through the consent. And they're like, Oh, I saw your 260 00:11:43,320 --> 00:11:46,040 story and I they're so invested in the personality that you show 261 00:11:46,040 --> 00:11:48,160 and they, they love that because it's a sense of getting to 262 00:11:48,160 --> 00:11:52,120 another physician, But they'll also, so they'll also say, if 263 00:11:52,120 --> 00:11:55,440 people only knew when you're here, you're so focused, you're 264 00:11:55,440 --> 00:11:58,360 so dedicated, you know, thank you for the surgery that you did 265 00:11:58,360 --> 00:12:02,160 or thank you for the care. And it almost, it just amplifies 266 00:12:02,200 --> 00:12:04,920 the beauty of that patient doctor relationship because they 267 00:12:04,920 --> 00:12:07,480 know so much more about you and they know all these other things 268 00:12:07,480 --> 00:12:09,560 that you do and they know that you're a dynamic and 269 00:12:09,560 --> 00:12:11,720 multidimensional. But when you are their 270 00:12:11,720 --> 00:12:15,000 physician, you are wholeheartedly their physician. 271 00:12:15,400 --> 00:12:19,400 And I, I mean, I'm like the queen of snark, but I just, when 272 00:12:19,400 --> 00:12:22,160 I get that, and it's usually, it's more commonly from men than 273 00:12:22,160 --> 00:12:23,800 women that they question the bandwidth. 274 00:12:24,240 --> 00:12:26,880 Like you golf on Thursdays and Fridays. 275 00:12:26,880 --> 00:12:30,320 I make content, run a real estate portfolio and run a skin 276 00:12:30,320 --> 00:12:31,880 care line. You do you. 277 00:12:31,880 --> 00:12:35,240 I'm a do me, but don't get mad that I'm doing more and doing it 278 00:12:35,240 --> 00:12:37,240 better. But even when it comes to non 279 00:12:37,240 --> 00:12:41,840 physicians judging physicians for being online, I I feel like 280 00:12:41,840 --> 00:12:43,640 the difference is accountability. 281 00:12:43,640 --> 00:12:45,960 We are held to such a high standard and I'm not saying it 282 00:12:45,960 --> 00:12:49,520 shouldn't be that way, but where are the standards for the people 283 00:12:49,520 --> 00:12:51,560 that have no credentials that are trying to give medical 284 00:12:51,560 --> 00:12:52,400 advice? That's a problem. 285 00:12:52,400 --> 00:12:53,880 There is no accountability, correct? 286 00:12:53,880 --> 00:12:55,640 They have no medical board to report. 287 00:12:55,800 --> 00:12:59,000 To no licensure, no, Yeah. So like when you're taking 288 00:12:59,000 --> 00:13:01,000 advice from those people, you have to realize they have 289 00:13:01,000 --> 00:13:03,560 nothing to lose. I have everything to lose, you 290 00:13:03,560 --> 00:13:06,760 know, like it's actually quite risky for me to put my my 291 00:13:06,760 --> 00:13:09,120 commentary out there. Like, you know, we so. 292 00:13:09,120 --> 00:13:10,640 It's well thought out. Exactly. 293 00:13:10,640 --> 00:13:13,200 It has to be well thought out, but I've had people believe it 294 00:13:13,200 --> 00:13:16,240 or not because you were talking about the takedown situation. 295 00:13:17,080 --> 00:13:19,360 And listen, I don't do it all the time because I actually find 296 00:13:19,360 --> 00:13:21,560 the drama of it exhausting because there's always like a 297 00:13:21,560 --> 00:13:23,840 fallout, right? And it's like, sometimes it's 298 00:13:23,840 --> 00:13:26,920 just not worth it. But I have sometimes in a very 299 00:13:26,920 --> 00:13:29,880 pointed way been like here, I'm going to stitch a video. 300 00:13:29,880 --> 00:13:31,520 That's always what gets me in trouble, right? 301 00:13:31,840 --> 00:13:35,280 You stitch a video and because you're using someone else's 302 00:13:35,280 --> 00:13:38,080 image or whatever, and I think people don't understand how 303 00:13:38,160 --> 00:13:39,840 social media works. I'm like the minute you put 304 00:13:39,840 --> 00:13:42,760 something online like I'm allowed to stitch it 100% like 305 00:13:42,760 --> 00:13:45,880 protected by copyright. It's literally a feature on the 306 00:13:45,880 --> 00:13:47,320 app. Right now, stitch. 307 00:13:48,000 --> 00:13:49,720 You can remix. You can sequence. 308 00:13:49,720 --> 00:13:52,440 These are all features that are readily available, and if you 309 00:13:52,440 --> 00:13:55,200 don't want people to stitch your content, you can turn that off. 310 00:13:55,200 --> 00:13:57,600 And if you choose not to, it's open for them. 311 00:13:57,600 --> 00:14:00,000 Exactly. And so there was this one person 312 00:14:00,000 --> 00:14:03,600 who's not an expert putting out egregious misinformation and 313 00:14:03,600 --> 00:14:06,160 very. Like name them, name it, name it 314 00:14:06,160 --> 00:14:07,760 I want to hear. It I'm not going to name them. 315 00:14:07,800 --> 00:14:09,680 Yes, you are. But I'll tell you, I'll give you 316 00:14:09,720 --> 00:14:11,200 all the clues. I'll give you all the clues. 317 00:14:11,640 --> 00:14:13,640 This is someone who's been around for a long time, 318 00:14:14,560 --> 00:14:18,360 practices acupuncture, Chinese medicine, but doesn't know how 319 00:14:18,360 --> 00:14:21,800 to stay in her lane and is coming up with programs and 320 00:14:21,800 --> 00:14:24,760 basically like lies and putting fake testimonials. 321 00:14:24,760 --> 00:14:26,880 Being like this is a 47 year old patient. 322 00:14:26,880 --> 00:14:30,040 She did my program for this many weeks after failing IVF and I 323 00:14:30,040 --> 00:14:32,960 got her pregnant. Charges thousands upon thousands 324 00:14:32,960 --> 00:14:35,840 of dollars. OK, it became too much. 325 00:14:35,960 --> 00:14:38,200 I'm going to dig this up. I mean, it's on my, it's on my 326 00:14:38,200 --> 00:14:39,280 grid. I didn't delete it. 327 00:14:39,280 --> 00:14:40,920 I didn't delete it. I was like, it's out there. 328 00:14:40,920 --> 00:14:42,920 So you just have to scroll through the due diligence. 329 00:14:42,920 --> 00:14:45,720 This power from two years ago so you guys can all do the due 330 00:14:45,720 --> 00:14:48,160 diligence. Anyway, she sent a cease and 331 00:14:48,160 --> 00:14:53,600 desist letter, not to me to my to my technical boss, like the 332 00:14:53,600 --> 00:14:56,800 person that overseas our practice and they know me very 333 00:14:56,800 --> 00:14:58,360 well. And he was like joint do I need 334 00:14:58,360 --> 00:15:00,040 to worry about this? And I was like no, this is so 335 00:15:00,040 --> 00:15:02,680 dumb. But I wasn't worried that I was 336 00:15:02,680 --> 00:15:06,320 going to get sued because if we ever went to court, which would 337 00:15:06,320 --> 00:15:09,760 be ridiculous in the first place, everything she was saying 338 00:15:09,760 --> 00:15:13,760 so was so objectively wrong and egregious, egregious and 339 00:15:13,760 --> 00:15:16,800 grifting, drifting and taking advantage of a vulnerable 340 00:15:16,800 --> 00:15:18,680 population that I was like, OK, let's go. 341 00:15:19,000 --> 00:15:21,440 But it created a lot of drama. And like her followers were 342 00:15:21,440 --> 00:15:24,480 trying to come after me. It didn't stress me out, but it 343 00:15:24,480 --> 00:15:26,400 also like, I have a busy day job. 344 00:15:26,520 --> 00:15:27,920 That's the thing. I was going to ask you, like, do 345 00:15:27,920 --> 00:15:30,000 you ever get stressed, frustrated? 346 00:15:30,000 --> 00:15:33,560 Like what is your personal emotional well-being when you 347 00:15:33,560 --> 00:15:35,400 get caught up in these these moments? 348 00:15:35,680 --> 00:15:40,560 So temporally relevant because I just had this, you know, these 349 00:15:40,560 --> 00:15:42,400 series of videos. I never heard about it. 350 00:15:42,560 --> 00:15:46,880 Right with K dad, that is literally what I will refer to 351 00:15:46,880 --> 00:15:52,240 her As for the near future. And so it's similar. 352 00:15:52,240 --> 00:15:55,440 I mean, she's just ranting and I'm going to sue her for this 353 00:15:55,440 --> 00:15:57,800 and I'm going to sue her for that and just saying terms that 354 00:15:57,800 --> 00:16:00,840 she has no idea. And anyone who can read, you can 355 00:16:00,840 --> 00:16:03,520 go online and say like, what is defamation or who would you send 356 00:16:03,520 --> 00:16:06,960 a cease and desist to? You can't you can say whatever 357 00:16:06,960 --> 00:16:09,440 you want. You can sue anybody, but at the 358 00:16:09,440 --> 00:16:11,480 end of the day, you have to then pay for the lawyer who's going 359 00:16:11,480 --> 00:16:13,920 to follow through with this. And if you have no case, that 360 00:16:13,920 --> 00:16:15,880 was a waste of your time and your money. 361 00:16:16,120 --> 00:16:18,760 And you sound foolish, but it comes back to accountability, 362 00:16:18,760 --> 00:16:20,160 right? Because they have no 363 00:16:20,160 --> 00:16:24,000 accountability, yet they try to attack the people who are in 364 00:16:24,000 --> 00:16:27,560 charge of our accountability, our practice bosses or our, you 365 00:16:27,640 --> 00:16:30,480 know, the board or what they're. Trying to shut you off of. 366 00:16:30,480 --> 00:16:35,000 Course and there's that well known OB nurse that I that I 367 00:16:35,000 --> 00:16:37,320 love to follow and people try to take away her license. 368 00:16:37,680 --> 00:16:41,240 You can send as many complaints as you want to the medical board 369 00:16:41,240 --> 00:16:43,960 or to the nursing board. What you can do all of that. 370 00:16:44,320 --> 00:16:46,680 They're going to vet it and it's not going to go anywhere. 371 00:16:46,680 --> 00:16:48,920 It's frivolous. It's it's such a waste of time. 372 00:16:49,120 --> 00:16:50,840 So they're busy wasting the time now. 373 00:16:50,840 --> 00:16:52,960 Do I get frustrated created? I don't really. 374 00:16:52,960 --> 00:16:57,720 I will say I get very I'm quick to draw a line so I don't I 375 00:16:57,720 --> 00:16:59,680 won't read all the comments because I don't have time. 376 00:16:59,680 --> 00:17:01,400 Yeah, and it's. Toxic sometimes. 377 00:17:01,400 --> 00:17:04,280 It's just not working and I don't even with all the stuff 378 00:17:04,280 --> 00:17:07,240 with K dad, I didn't, I frankly didn't watch most of the videos. 379 00:17:07,280 --> 00:17:10,599 I my husband, who's a great Instagram husband takes the 380 00:17:10,599 --> 00:17:11,920 clips and he's like, this is what you need to watch. 381 00:17:11,920 --> 00:17:14,960 This is what you need to know. So I think I do a good job of 382 00:17:14,960 --> 00:17:17,160 drawing the line in the sand because when I am at work, I am 383 00:17:17,160 --> 00:17:19,119 at work. So if I'm operating, I'm 384 00:17:19,119 --> 00:17:21,720 operating, I'm scrubbed in. If I'm in clinic, I'm in clinic, 385 00:17:21,960 --> 00:17:24,200 right? So I don't allow any of that to 386 00:17:24,240 --> 00:17:26,839 sort of seep in. But I do think it is time 387 00:17:26,839 --> 00:17:29,720 consuming, right? We signed up to do this thing 388 00:17:29,720 --> 00:17:31,200 that can, that takes up our time. 389 00:17:31,200 --> 00:17:33,640 And although I think overwhelmingly it's rewarding, 390 00:17:33,880 --> 00:17:36,520 these are the parts of it that can be a bit of a sinkhole. 391 00:17:36,680 --> 00:17:38,680 For time, it's draining. I think it's emotionally 392 00:17:38,680 --> 00:17:42,280 draining even if you don't feel stressed by the attacks, it's 393 00:17:42,280 --> 00:17:43,840 taking up space. It just takes. 394 00:17:43,840 --> 00:17:45,800 Up. Yeah, it takes up some part of 395 00:17:45,800 --> 00:17:48,560 your bandwidth, and I've gotten better at limiting what that is 396 00:17:48,560 --> 00:17:51,640 as time goes on. But I have found I just leaned 397 00:17:51,640 --> 00:17:52,760 into it more now. Yeah. 398 00:17:52,800 --> 00:17:54,400 You know, I'm like, oh, OK, sue me. 399 00:17:54,440 --> 00:17:55,640 Yeah. Oh, OK. 400 00:17:55,640 --> 00:17:57,120 Well, it's. Also ridiculous. 401 00:17:57,120 --> 00:17:59,640 I'll give you another example, and again, not going to name 402 00:17:59,640 --> 00:18:02,960 names, but maybe the next time I come on I'll have more more 403 00:18:03,360 --> 00:18:06,000 cojones to do that. But this was actually more 404 00:18:06,000 --> 00:18:09,400 recent. This is another fertility Dr. 405 00:18:09,880 --> 00:18:14,920 and I'm talking about an experimental kind of invasive 406 00:18:14,920 --> 00:18:18,360 thing that is has overreaching claims. 407 00:18:18,800 --> 00:18:22,040 This person has made this their particular niche, OK. 408 00:18:22,320 --> 00:18:23,640 Of course they have. Yeah. 409 00:18:23,800 --> 00:18:25,120 And I'm just like, it's egregious. 410 00:18:25,160 --> 00:18:29,800 And I actually this was a provoked attack because this 411 00:18:29,800 --> 00:18:33,880 person randomly decided to make a random video insulting me, my 412 00:18:33,880 --> 00:18:36,800 character, my intelligence on the most random thing ever like 413 00:18:36,800 --> 00:18:42,160 a get pregnant quick remedy that I debunked from like the 80s. 414 00:18:42,160 --> 00:18:44,200 OK, so I was like, why am I being attacked about this? 415 00:18:44,600 --> 00:18:47,720 I sat there, I bided my time. I was like, I will get to this 416 00:18:47,720 --> 00:18:49,960 when I get to this. I was busy writing a book a year 417 00:18:49,960 --> 00:18:52,000 later. There's a couple of randomized 418 00:18:52,000 --> 00:18:54,760 control trials that come out on this experimental. 419 00:18:54,760 --> 00:18:57,640 Therapy. That this person's talking and 420 00:18:57,640 --> 00:19:00,200 I'm like, revenge is a dish that's sort of cold. 421 00:19:01,120 --> 00:19:04,840 So I come up with this thing because people sent me a podcast 422 00:19:04,840 --> 00:19:07,560 clip that this doctor was on and it was the most the most 423 00:19:07,560 --> 00:19:11,040 egregious statement where they were caught saying something 424 00:19:11,040 --> 00:19:14,240 ridiculous like I would do this on a woman of any age and it 425 00:19:14,240 --> 00:19:15,600 would help her. And I was like what? 426 00:19:16,160 --> 00:19:18,080 So that's when I was like, OK, here's my moment. 427 00:19:18,080 --> 00:19:21,120 So I did stitch it and I, I created this like it wasn't a 428 00:19:21,120 --> 00:19:22,880 takedown necessarily. It was very separate. 429 00:19:22,880 --> 00:19:25,520 It was like, here's the stitch. Here's like what I have to say 430 00:19:25,520 --> 00:19:26,920 about the randomized control trials. 431 00:19:27,680 --> 00:19:31,640 That person went nuts, contacted every single mutual that we 432 00:19:31,640 --> 00:19:33,240 have. And it's a small world, It's a 433 00:19:33,240 --> 00:19:36,360 small community area is not that big of a field when it comes to 434 00:19:36,360 --> 00:19:38,960 how many experts there are, especially in the New York area. 435 00:19:39,360 --> 00:19:42,480 And like, threatened to sue me, blah, blah, blah. 436 00:19:42,480 --> 00:19:46,480 And I'm like, if you're a business model is dependent on 437 00:19:46,480 --> 00:19:49,640 people not talking about the evidence or debating the merits 438 00:19:49,800 --> 00:19:53,440 of like what this treatment is, this is not going to work like. 439 00:19:53,520 --> 00:19:55,080 I mean, I'm about to drop some merch. 440 00:19:55,080 --> 00:19:58,000 That's If it's not defamation, it's true. 441 00:19:58,040 --> 00:20:00,960 Yeah, friends, it is not defamation. 442 00:20:01,160 --> 00:20:03,640 Yeah, if it's true. I mean, it's funny. 443 00:20:03,640 --> 00:20:07,400 I had maybe not to that extent, but there was a colleague in Los 444 00:20:07,400 --> 00:20:10,080 Angeles and this person does a lot of implant reconstruction 445 00:20:10,480 --> 00:20:14,160 and put out a video about how implants with radiation aren't 446 00:20:14,160 --> 00:20:15,920 that affected. Like radiation's not that big of 447 00:20:15,920 --> 00:20:17,960 a deal. Implants do fine which? 448 00:20:18,440 --> 00:20:20,880 We have overwhelming amounts of data about this. 449 00:20:20,880 --> 00:20:22,920 Implants do not do fine with radiation. 450 00:20:23,280 --> 00:20:26,200 They may go on to be tolerable. They I think are still an option 451 00:20:26,200 --> 00:20:28,440 you should discuss go over the risks and benefits. 452 00:20:28,440 --> 00:20:30,920 I still do implants if a patient wants it, even if they're going 453 00:20:30,920 --> 00:20:33,200 to get radiated. I just like to give them the 454 00:20:33,200 --> 00:20:36,400 real risks and benefits. This is the data and I have a 455 00:20:36,400 --> 00:20:38,040 skill set to also do microsurgery. 456 00:20:38,040 --> 00:20:40,680 Was this person like a 1 trick pony that only does implants? 457 00:20:41,040 --> 00:20:43,560 Yeah, they don't do microsurgery and so they don't do 458 00:20:43,560 --> 00:20:45,520 microsurgery. And it's, and it's funny because 459 00:20:45,520 --> 00:20:47,200 I'll, but here's the thing, right? 460 00:20:47,200 --> 00:20:50,120 And you know, this too, people in the city are going to go see 461 00:20:50,120 --> 00:20:52,240 multiple doctors, right? And there will be patients of 462 00:20:52,240 --> 00:20:54,160 mine that go see this person and there will be patients of this 463 00:20:54,280 --> 00:20:56,400 person that will come see me. And that's fine. 464 00:20:56,400 --> 00:20:57,600 Like that's just the way that it is. 465 00:20:58,000 --> 00:21:00,440 I just like to present my data. This is what, and it's not my 466 00:21:00,440 --> 00:21:02,000 data. It's the data, It's what's out 467 00:21:02,000 --> 00:21:03,400 there. And I go, look, I can do a 468 00:21:03,400 --> 00:21:05,640 radiated implant, but I'm not going to lie to you until you, 469 00:21:05,680 --> 00:21:08,760 oh, you'll be fine. Do my little hocus pocus, buy my 470 00:21:08,760 --> 00:21:12,800 $3000 peptide, blah, blah, blah. And if you do this and you buy 471 00:21:12,800 --> 00:21:17,840 this thing through the practice, then then we have 0% a capsular 472 00:21:17,840 --> 00:21:19,200 contractor with radiated implants. 473 00:21:19,200 --> 00:21:21,840 And it's like, on what planet? What are you talking about? 474 00:21:22,240 --> 00:21:26,320 And I just did flaps on one of this person's patients who had 475 00:21:26,400 --> 00:21:29,120 severe capsular contractor from a radiated implant. 476 00:21:29,480 --> 00:21:33,080 And this patient is like, she's like, I, she didn't tell me this 477 00:21:33,080 --> 00:21:34,560 and I didn't know. And this person has since 478 00:21:34,560 --> 00:21:37,120 blocked me because when she posted that video, I was like, 479 00:21:37,120 --> 00:21:39,360 wait a second, you know this isn't true. 480 00:21:39,680 --> 00:21:41,240 She's like, why are you being like this? 481 00:21:41,360 --> 00:21:43,600 Did you? Publicly call her out to be like 482 00:21:43,600 --> 00:21:46,160 we have a mutual patient. No, I did not do that. 483 00:21:46,720 --> 00:21:50,560 I did not do that because I think I know the reality. 484 00:21:50,600 --> 00:21:54,480 And I think I think one of the benefits of having social media, 485 00:21:54,480 --> 00:21:56,160 even though there is a lot of grift and there's a lot of 486 00:21:56,160 --> 00:21:58,800 misinformation, is there are good people fighting the good 487 00:21:58,800 --> 00:22:00,480 fight. And I think, and this is kind of 488 00:22:00,480 --> 00:22:02,160 going back to what I was talking to you before, like I hate the 489 00:22:02,160 --> 00:22:05,080 infighting because in general, I think this person does good 490 00:22:05,080 --> 00:22:07,200 work. I think in general they're very 491 00:22:07,200 --> 00:22:09,960 valid at what they do. But this very specific 492 00:22:09,960 --> 00:22:12,400 misinformation that they keep plugging, which in my mind I'm 493 00:22:12,400 --> 00:22:14,240 like, you're just trying to feedback your practice because 494 00:22:14,240 --> 00:22:16,840 you are not a Microsoft. Yeah, if you and then they'll 495 00:22:16,920 --> 00:22:20,840 say, oh, flaps, 14 hour surgeries, ICU, I'm like, babe, 496 00:22:20,920 --> 00:22:23,920 I'm home by 1:00 PM Yeah, there is not a day that I'm not home 497 00:22:23,920 --> 00:22:25,120 when my kids get home from school. 498 00:22:25,160 --> 00:22:26,960 Right. This is not 1980. 499 00:22:26,960 --> 00:22:29,720 Yeah, what you learned when you trained is not how we do micro. 500 00:22:29,720 --> 00:22:31,040 Surgery. Well, the narrative is serving 501 00:22:31,040 --> 00:22:32,920 its purpose. Exactly, exactly. 502 00:22:32,920 --> 00:22:36,200 And that I think is, is hard, but it's, it's this infighting 503 00:22:36,280 --> 00:22:39,200 of, you know, I think we should be held accountable for what we 504 00:22:39,200 --> 00:22:40,160 say. Absolutely. 505 00:22:40,160 --> 00:22:42,760 And I will be the first person. I was the one who commented on 506 00:22:42,760 --> 00:22:45,040 my post and I said I think this is misinformation. 507 00:22:45,320 --> 00:22:47,400 We have better data, I expect better of you. 508 00:22:47,440 --> 00:22:50,600 I would really love did they? Direct you to address it like 509 00:22:50,600 --> 00:22:52,360 how did they? I don't remember anymore, I 510 00:22:52,360 --> 00:22:55,360 can't remember if it was like in the at some point I got blocked 511 00:22:55,440 --> 00:23:03,120 and and you know what, I have enough followers that will help 512 00:23:03,200 --> 00:23:05,320 dissipate the message to the right patient, right. 513 00:23:05,320 --> 00:23:08,360 So if I'm putting out information on radiation, which 514 00:23:08,360 --> 00:23:10,600 is going to affect anything, by the way, even your flaps will 515 00:23:10,600 --> 00:23:13,520 get affected. So radiation is radiation is 516 00:23:13,520 --> 00:23:15,600 radiation. But I hope that one of the 517 00:23:15,600 --> 00:23:18,360 benefits of having a larger platform is when I do share this 518 00:23:18,360 --> 00:23:21,120 information, it does reach a wider audience and then that 519 00:23:21,120 --> 00:23:23,320 leaves it to the patient to make an educated decision. 520 00:23:23,600 --> 00:23:28,520 But it's, it's just my story. You know, you reminded me of it 521 00:23:29,120 --> 00:23:32,880 when people twist data and they twist facts and then they get 522 00:23:32,880 --> 00:23:35,360 personally offended when you when you come correct. 523 00:23:35,440 --> 00:23:40,040 I would say I share a similar style to you in that I stay in 524 00:23:40,040 --> 00:23:42,920 my own lane and just focus on like, what is information I can 525 00:23:42,920 --> 00:23:43,680 be putting out? Yeah. 526 00:23:44,120 --> 00:23:46,400 Every once in a while something is so egregious that I'm like, I 527 00:23:46,400 --> 00:23:49,320 wake up and I choose violence. Yeah, it's very sporadic. 528 00:23:49,320 --> 00:23:50,320 You never know what you're going to. 529 00:23:50,320 --> 00:23:54,200 Get. But I don't know. 530 00:23:54,200 --> 00:23:57,320 Because it is really it's frustrating when you are trying 531 00:23:57,600 --> 00:24:00,520 to, I'll be honest and I say I have admit this openly. 532 00:24:00,520 --> 00:24:02,520 There have been posted I've taken down that I'm like, oh, 533 00:24:02,520 --> 00:24:04,760 this didn't land the way that I needed it to. 534 00:24:05,080 --> 00:24:08,000 It's not the message and I will follow up with an apology or an 535 00:24:08,000 --> 00:24:10,240 explanation. Sometimes I'll post a follow up 536 00:24:10,240 --> 00:24:13,800 video going OK I didn't you know I had posted something about GLP 537 00:24:13,800 --> 00:24:16,800 ones recently and I just, it was just like I'm so tired of like 538 00:24:16,800 --> 00:24:18,840 the micro dosing thing is such a scam now. 539 00:24:18,840 --> 00:24:22,400 No, I don't think every single person micro dosing GLP ones is 540 00:24:22,400 --> 00:24:24,200 a scam. And I and the reason I actually 541 00:24:24,200 --> 00:24:26,240 archived the post was because there were multiple people 542 00:24:26,240 --> 00:24:29,880 sharing links on how to get the medication from not safe sources 543 00:24:30,120 --> 00:24:31,560 and they kept posting it. I couldn't. 544 00:24:31,560 --> 00:24:33,200 Delete the comments. I hate when people use my 545 00:24:33,200 --> 00:24:35,360 comment section as like a marketing tool. 546 00:24:35,360 --> 00:24:36,600 I'm like get out of here. Exactly. 547 00:24:36,680 --> 00:24:38,800 And so that's actually why I archived it. 548 00:24:38,800 --> 00:24:40,800 But I came up with a file. I posted a follow up video 549 00:24:40,800 --> 00:24:44,640 realizing hey my like 3 second little thing was unintentionally 550 00:24:44,640 --> 00:24:46,960 rage rady. I didn't mean to do it but it's 551 00:24:46,960 --> 00:24:50,640 because as a physician when I'm in clinic multiple women a week 552 00:24:51,040 --> 00:24:53,000 are getting their medications and not seeing a real doctor. 553 00:24:53,000 --> 00:24:56,280 And I even had a patient who was on I want to say Keytruda. 554 00:24:56,280 --> 00:24:58,360 Whatever it was they ended up in the hospital for over a month 555 00:24:58,360 --> 00:25:01,240 with severe pancreatitis. Didn't know the risks, was 556 00:25:01,240 --> 00:25:03,640 getting the medication from some online. 557 00:25:03,640 --> 00:25:05,000 Didn't even know if it was a doctor. 558 00:25:05,800 --> 00:25:09,200 You know, I care about the breast cancer population and so. 559 00:25:09,320 --> 00:25:12,080 I don't think that that's a wrong message, I think it's just 560 00:25:12,080 --> 00:25:15,040 that people watch like the first 3 seconds and then get the 561 00:25:15,040 --> 00:25:15,920 wrong. Well, they don't read the 562 00:25:15,920 --> 00:25:17,600 caption. So when you went to the caption 563 00:25:17,880 --> 00:25:20,840 and there were doctors in the Instagram community that were 564 00:25:20,840 --> 00:25:22,600 like, hey now, I'm an endocrinologist. 565 00:25:23,080 --> 00:25:26,720 And so I was able to then redo the message and say micro dosing 566 00:25:26,720 --> 00:25:30,160 is a word for nuanced dosing. If you're getting a nuanced dose 567 00:25:30,160 --> 00:25:34,040 of a medication, shouldn't you be seeing a specialist, quite 568 00:25:34,040 --> 00:25:36,760 literally an endocrinologist? I mean, we have a specialty. 569 00:25:36,760 --> 00:25:38,280 Yeah, yeah, yeah. For this. 570 00:25:38,280 --> 00:25:40,120 Yeah. And, And that was my point and I 571 00:25:40,120 --> 00:25:43,840 was able to better deliver it. So I I think part of what I get 572 00:25:43,840 --> 00:25:48,120 frustrated with is if I can admit when I'm wrong and take 573 00:25:48,120 --> 00:25:50,240 down and sometimes. With all of our credentials and 574 00:25:50,240 --> 00:25:52,880 backing, I mean, how do people have so much pride when they 575 00:25:52,920 --> 00:25:54,720 have none of the I? Know exactly it's so. 576 00:25:55,040 --> 00:26:00,400 Crazy it is it is I something that's interesting that I've 577 00:26:00,400 --> 00:26:05,680 been finding now that I have this book out is there are other 578 00:26:05,680 --> 00:26:09,560 people that are like trying to always poke holes and and use it 579 00:26:09,560 --> 00:26:11,240 as an opportunity to market themselves. 580 00:26:11,240 --> 00:26:14,520 And it's like the funniest thing that I've seen popping up that 581 00:26:14,520 --> 00:26:18,800 I'm like, really like be so for real is using my name as an 582 00:26:18,800 --> 00:26:21,920 insult. Like being like, fertility isn't 583 00:26:21,920 --> 00:26:23,840 just about luck. And I'm like. 584 00:26:24,240 --> 00:26:26,040 No shit, Sherlock. Right, exactly. 585 00:26:26,040 --> 00:26:28,640 Like basically flipping the narrative to make it seem like 586 00:26:28,960 --> 00:26:33,080 this whole book, all 400 pages of expertise and information 587 00:26:33,080 --> 00:26:35,160 that has been carefully distilled into something 588 00:26:35,160 --> 00:26:39,000 digestible is just a big message saying there's nothing you can 589 00:26:39,000 --> 00:26:41,120 do. It's all just like a crapshoot. 590 00:26:41,120 --> 00:26:44,000 And it's like, if that's the worst thing you can say about 591 00:26:44,000 --> 00:26:45,960 me, then I'm. I think I'm on the right track. 592 00:26:46,200 --> 00:26:48,800 Actually it is. It is. 593 00:26:48,800 --> 00:26:53,480 And it's also disingenuous, like I think any person in this field 594 00:26:53,560 --> 00:26:57,320 who can't admit like, yes, we're the doctors, yes, we are 595 00:26:57,640 --> 00:27:01,120 providing treatments that are helping people get pregnant. 596 00:27:01,120 --> 00:27:03,840 But I do think sometimes you see a bit of a God complex. 597 00:27:03,840 --> 00:27:07,600 And we see this in all areas of medicine, but definitely in 598 00:27:07,600 --> 00:27:09,520 fertility medicine. Like when a patient says 599 00:27:09,520 --> 00:27:13,080 something like you gave me my, it's like, no, I I didn't really 600 00:27:13,080 --> 00:27:15,200 do that. I helped facilitate it, you 601 00:27:15,200 --> 00:27:17,560 know, but there are many people that like run with that 602 00:27:17,560 --> 00:27:18,320 messaging. They. 603 00:27:18,400 --> 00:27:20,360 Get caught up in that. They get caught up in that. 604 00:27:20,360 --> 00:27:24,760 And I think there's this idea of like, I'm the doctor, you know, 605 00:27:24,840 --> 00:27:28,640 there's no room for it being someone else's feet. 606 00:27:28,680 --> 00:27:31,760 Like it was, it's me and I'm telling you the right way to eat 607 00:27:31,760 --> 00:27:33,960 and the right way to do things. And therefore you can control 608 00:27:33,960 --> 00:27:36,400 your fertility. And it's like it really, really 609 00:27:36,400 --> 00:27:38,280 gets on my nerves because it's just so. 610 00:27:38,320 --> 00:27:40,640 So I had to, it's an inside thought that I needed to get off 611 00:27:40,640 --> 00:27:42,800 my chest. I love that we love inside 612 00:27:42,800 --> 00:27:45,240 thoughts out loud, but I actually have a list of rapid 613 00:27:45,240 --> 00:27:51,160 fire questions I want to ask you and I I will say so I I have 3 614 00:27:51,160 --> 00:27:55,880 kids and I personally did not have an infertility journey, but 615 00:27:55,880 --> 00:27:59,520 I have watched so many of my friends go through it. 616 00:27:59,520 --> 00:28:01,800 And I think what the coolest thing about your book is, it's 617 00:28:01,800 --> 00:28:04,960 literally if lucky was your best friend, if she was your best 618 00:28:04,960 --> 00:28:06,920 friend and she's like, look, I'm gonna just give you the data. 619 00:28:06,920 --> 00:28:09,400 I'm gonna give you the stats. I'm going to present it to you 620 00:28:09,400 --> 00:28:11,720 so you can understand what I'm trying to say. 621 00:28:11,720 --> 00:28:14,520 I'm going to break down the data on the doctor words and make a 622 00:28:14,520 --> 00:28:15,960 digestible. That's what this book is. 623 00:28:15,960 --> 00:28:17,720 If you want Lucky to be your best friend, if you want your 624 00:28:17,720 --> 00:28:21,400 BFF to be a world renowned infertility specialist, the 625 00:28:21,400 --> 00:28:22,800 Lucky egg. Thank you. 626 00:28:22,880 --> 00:28:25,040 So these are my rapid fire questions. 627 00:28:25,760 --> 00:28:27,920 Okay, just a second. I'm excited. 628 00:28:27,920 --> 00:28:28,440 I did not. OK. 629 00:28:28,480 --> 00:28:30,640 So I have not told Doctor Lucky any of these questions in 630 00:28:30,640 --> 00:28:33,440 advance because I really want just what you think. 631 00:28:33,440 --> 00:28:38,240 So I have some rapid fire questions for you that I think 632 00:28:38,240 --> 00:28:40,840 really elucidate or physicians are willing to draw draw the 633 00:28:40,840 --> 00:28:44,680 line between I am facilitating, I am your doctor, I am using 634 00:28:44,680 --> 00:28:46,520 science and medicine versus I'm playing God. 635 00:28:46,640 --> 00:28:48,520 OK, All right. First question, do you think 636 00:28:48,520 --> 00:28:51,800 it's ethical to use IVF for gender selection if otherwise a 637 00:28:51,800 --> 00:28:53,640 couple were able to conceive and carry the child? 638 00:28:54,760 --> 00:28:57,080 So this comes up, this comes up in my clinic. 639 00:28:57,080 --> 00:28:59,120 So it's rapid fire question, but it's not going to be a rapid. 640 00:28:59,120 --> 00:28:59,640 Answer. That's OK. 641 00:28:59,640 --> 00:29:01,120 That's OK. Because it needs contacts. 642 00:29:01,640 --> 00:29:06,520 So my job is not to judge when people come to me and ask, ask 643 00:29:06,520 --> 00:29:08,480 me for advice or come to me with a problem. 644 00:29:09,720 --> 00:29:12,800 This is called sex selection or family balancing. 645 00:29:13,160 --> 00:29:14,840 And I think it's a case by case basis. 646 00:29:14,840 --> 00:29:17,920 There are clinics in this country that just say straight 647 00:29:17,920 --> 00:29:19,840 out, no, I'm not going to help you with this. 648 00:29:20,240 --> 00:29:24,880 There are nuances like I have had couples where the male 649 00:29:24,880 --> 00:29:28,240 partner was much, much older and they're like, we've read the 650 00:29:28,240 --> 00:29:30,600 data. We know it's not a surefire 651 00:29:30,600 --> 00:29:33,360 risk, but I'm, I'm worried about the risk of autism. 652 00:29:33,360 --> 00:29:35,800 Maybe they have someone in their family that's grappling with a 653 00:29:35,800 --> 00:29:38,280 severe case. And so, you know, there are 654 00:29:38,280 --> 00:29:42,240 lower rates of autism in, in females, right? 655 00:29:42,560 --> 00:29:45,160 So like that was a case where it was like, have you? 656 00:29:45,160 --> 00:29:48,880 Ever said no? No, but I feel like I haven't 657 00:29:48,880 --> 00:29:52,440 really been presented with something that was really like 658 00:29:52,440 --> 00:29:56,080 egregious or unethical. What if they just said I have 659 00:29:56,360 --> 00:29:59,120 three boys and I have one more pregnancy left in me. 660 00:29:59,120 --> 00:30:01,520 I want a girl. I mean, that's come up. 661 00:30:01,560 --> 00:30:03,760 That's come up. It's, I'm going to be honest 662 00:30:03,760 --> 00:30:06,120 with you. I have patients who do IVF 663 00:30:06,120 --> 00:30:08,800 because they have infertility. They have a bunch of embryos. 664 00:30:09,080 --> 00:30:11,720 Some are male, some are female. Some people don't want to know. 665 00:30:11,720 --> 00:30:14,520 Some people are like I want to know do you mind if I choose? 666 00:30:15,160 --> 00:30:18,720 I personally wish we didn't get that information because I think 667 00:30:18,880 --> 00:30:21,320 when it comes into the conversation like I'm never 668 00:30:21,320 --> 00:30:23,360 going to tell a patient it's OK to choose. 669 00:30:23,360 --> 00:30:26,800 If it's like a day 7 embryo that's slower growing that has 670 00:30:26,800 --> 00:30:29,520 like a 20 something percent chance of working, a higher risk 671 00:30:29,520 --> 00:30:32,400 of miscarriage versus a day 5 embryo with a good grade, it's 672 00:30:32,400 --> 00:30:34,640 my job as the doctor to say I advise against that. 673 00:30:34,640 --> 00:30:37,600 If they're equal grading and someone has a strong opinion, I 674 00:30:37,600 --> 00:30:38,520 don't mind. You don't mind? 675 00:30:38,840 --> 00:30:40,960 OK. Next question, At what point do 676 00:30:40,960 --> 00:30:44,960 you draw the line in genetically designing an embryo versus 677 00:30:45,280 --> 00:30:48,160 preventing diseases? So here's the thing, it's not 678 00:30:48,160 --> 00:30:51,760 even proven to be possible. Like there's all these pop up 679 00:30:52,040 --> 00:30:55,320 startups, you know, a lot on the West Coast where they're like, 680 00:30:55,560 --> 00:30:59,240 we can screen your embryos for IQ, we can screen your embryos 681 00:30:59,240 --> 00:31:01,760 for their future risk of type 2 diabetes or Alzheimer's. 682 00:31:02,200 --> 00:31:06,280 And I've talked to pH DS who are experts in molecular biology and 683 00:31:06,280 --> 00:31:08,880 they're like, first of all, these embryos are coming from 684 00:31:08,880 --> 00:31:11,400 the same parents. So the risk difference between 685 00:31:11,400 --> 00:31:13,000 embryos is going to be negligible. 686 00:31:13,200 --> 00:31:15,400 And there's no way to validate this until you actually do 687 00:31:15,400 --> 00:31:18,080 studies where you follow what happens to people like 20 years 688 00:31:18,080 --> 00:31:18,520 40. Years. 689 00:31:18,560 --> 00:31:22,040 How far out do you think we are? I don't know that it's possible 690 00:31:22,040 --> 00:31:24,520 anytime soon, anytime soon. Here's the thing, you're working 691 00:31:24,520 --> 00:31:28,240 with such a small amount of DNA. So to do what they're suggesting 692 00:31:28,240 --> 00:31:31,200 is possible and already selling to people, which I think is very 693 00:31:31,200 --> 00:31:34,560 unethical and I would dissuade anyone from actually trying to 694 00:31:34,560 --> 00:31:37,400 use this because you might be eliminating or or de 695 00:31:37,400 --> 00:31:40,800 prioritizing embryos that. Are healthy that would a. 100%, 696 00:31:40,800 --> 00:31:42,520 I think it's really a grift right now. 697 00:31:42,520 --> 00:31:43,880 That's where we're at. It's a grift. 698 00:31:44,200 --> 00:31:46,680 It's crazy to me what people will do to make a dollar 699 00:31:46,680 --> 00:31:48,440 vulnerable. Exactly. 700 00:31:48,920 --> 00:31:52,880 OK, have patients ever asked you about embryo selection based on 701 00:31:52,880 --> 00:31:55,480 non medical traits like blue eyes or brown eyes or whatnot? 702 00:31:56,720 --> 00:31:59,000 It's come up occasionally, but we don't do it. 703 00:31:59,160 --> 00:32:01,760 OK, we don't do it. OK. 704 00:32:01,800 --> 00:32:04,760 Oh, I'm curious what you think about this one. 705 00:32:04,760 --> 00:32:10,680 Do you think that some practices or certain physicians play into 706 00:32:10,680 --> 00:32:13,360 the fact that this is also a business and provide false hope 707 00:32:13,360 --> 00:32:17,400 in doing? Like when do you, I'm sure there 708 00:32:17,400 --> 00:32:20,320 are certain medical cases where you could have to say this is 709 00:32:20,320 --> 00:32:22,280 not going to work or this is unlikely to work or maybe we can 710 00:32:22,280 --> 00:32:28,160 try once or twice. Are you seeing practices or 711 00:32:28,160 --> 00:32:32,800 physicians who are looking at this as a way to make money even 712 00:32:32,800 --> 00:32:35,440 when it's not going to work? I cannot speak to their 713 00:32:35,440 --> 00:32:39,000 intentions, but I can tell you there are things that I see when 714 00:32:39,000 --> 00:32:42,480 I get a second opinion, third opinion, or even just online 715 00:32:42,480 --> 00:32:45,360 where I'm like, why? Why are they doing that? 716 00:32:45,640 --> 00:32:48,560 Something that's really important to me and why I chose 717 00:32:48,560 --> 00:32:51,360 to work in within the framework, within the clinic with the 718 00:32:51,360 --> 00:32:54,640 people that I work with is we have an ethics meeting every 719 00:32:54,640 --> 00:32:57,280 week. If anything is questionable, we 720 00:32:57,280 --> 00:32:58,840 bring it to the meeting. You're not allowed to just 721 00:32:58,840 --> 00:33:00,360 independently make random decisions. 722 00:33:00,600 --> 00:33:03,600 There are age cut offs, not above which we say we're not 723 00:33:03,600 --> 00:33:06,200 going to treat this patient, but in order to have them go through 724 00:33:06,200 --> 00:33:08,520 a cycle, there needs to be justification, adequate 725 00:33:08,520 --> 00:33:10,160 counseling that needs to be documented. 726 00:33:10,440 --> 00:33:13,560 And we all need to vote as a group to say, OK, we're OK with. 727 00:33:14,160 --> 00:33:15,440 There's so many interesting cases. 728 00:33:15,440 --> 00:33:17,120 Accountability. Look at that guys. 729 00:33:17,320 --> 00:33:20,000 Here we are accountability. There are definitely like it can 730 00:33:20,000 --> 00:33:23,280 be the Wild West where, you know, we we don't have a way of 731 00:33:23,280 --> 00:33:25,800 regulating the conversations that happen in independent 732 00:33:25,800 --> 00:33:28,360 clinics, one to one patient to doctor. 733 00:33:28,800 --> 00:33:31,560 And there are people I always say to patients when I think 734 00:33:31,560 --> 00:33:35,000 something is really not in their best interest and it's a really 735 00:33:35,000 --> 00:33:38,600 hard conversation, I tell them, listen, there are clinics and 736 00:33:38,600 --> 00:33:40,920 people that probably would be willing to put you through 737 00:33:40,920 --> 00:33:43,560 treatment, but I don't think it's right for you and. 738 00:33:43,880 --> 00:33:46,400 I say that a lot too. It takes a lot to say that I may 739 00:33:46,400 --> 00:33:49,000 not be the right doctor for you in this because I personally 740 00:33:49,000 --> 00:33:51,840 feel this is not not even the best but a good option. 741 00:33:51,920 --> 00:33:54,160 For you. But if you really feel strongly, 742 00:33:54,160 --> 00:33:56,120 let me give you some names for people who do what you're. 743 00:33:56,120 --> 00:33:58,400 Looking See, I don't even do that if I think that it would be 744 00:33:58,400 --> 00:34:00,840 an exercise in futility. And again, I called my book The 745 00:34:00,840 --> 00:34:03,080 Lucky Egg. So I leave every little bit of 746 00:34:03,080 --> 00:34:07,400 hope that that door open. But if something is so absolute 747 00:34:07,400 --> 00:34:11,719 and I'm so sure about it, I treat that person like they're 748 00:34:11,719 --> 00:34:14,239 my friend or my family member. And do I want them to be 749 00:34:14,239 --> 00:34:16,400 grinding their gears and spending thousands of dollars on 750 00:34:16,400 --> 00:34:18,600 something that has virtually no chance of working? 751 00:34:18,679 --> 00:34:20,159 No. Right, right. 752 00:34:21,560 --> 00:34:23,199 We were. We were talking briefly. 753 00:34:23,199 --> 00:34:27,480 You mentioned age cut offs. We keep seeing the ability to 754 00:34:27,480 --> 00:34:31,320 move the needle on at the age at which women can safely conceive 755 00:34:31,320 --> 00:34:34,639 and carry a child to term. Where is that going to end? 756 00:34:34,639 --> 00:34:36,520 Like, do you think they're how far are we going to be able to 757 00:34:36,520 --> 00:34:38,199 push? It Yeah, Well, a lot of it's a 758 00:34:38,199 --> 00:34:40,480 mixed bag. There is an ability to ovulate a 759 00:34:40,480 --> 00:34:42,280 healthy egg. So everyone's got that story of 760 00:34:42,280 --> 00:34:45,679 like their grandmother who had their mom at age 45, and I'm not 761 00:34:45,679 --> 00:34:47,600 disputing that that's possible, right. 762 00:34:48,800 --> 00:34:51,159 But a lot of what we see, especially like celebrities 763 00:34:51,159 --> 00:34:55,080 getting pregnant in their 50s, either they had the resources 764 00:34:55,080 --> 00:34:56,960 and the ability to freeze eggs way back when. 765 00:34:56,960 --> 00:34:59,360 Nowadays, it's going to be hard to tell like how things are 766 00:34:59,360 --> 00:35:02,400 happening because egg freezing has become so mainstream. 767 00:35:02,400 --> 00:35:04,920 And I even froze my brios, you know, at 34. 768 00:35:04,920 --> 00:35:07,920 And I ended up using one of them to have my second baby in my 769 00:35:07,960 --> 00:35:10,280 late 30s. So it's become much more part of 770 00:35:10,280 --> 00:35:12,320 the conversation and, and the norm. 771 00:35:13,120 --> 00:35:15,000 But people use donor egg and guess what? 772 00:35:15,000 --> 00:35:18,040 Your uterus doesn't really age. So I know that I can get anyone 773 00:35:18,040 --> 00:35:20,520 pregnant at any age. The question question is, should 774 00:35:20,520 --> 00:35:23,120 I Right. And, and part of that ethics 775 00:35:23,120 --> 00:35:25,720 meeting that I'm talking about that we have is sometimes you 776 00:35:25,720 --> 00:35:28,560 have older parents or prospective parents that are 777 00:35:28,560 --> 00:35:31,840 like, I know that you can get me pregnant with donor egg and I'm 778 00:35:31,840 --> 00:35:34,000 healthy. But we have to look at and 779 00:35:34,000 --> 00:35:35,840 there's actually guidelines for the American Society of 780 00:35:35,840 --> 00:35:39,320 Reproductive Medicine where it's like hard because you don't want 781 00:35:39,320 --> 00:35:43,960 to overstep and tell someone whether they are able to do this 782 00:35:43,960 --> 00:35:45,720 or not. It feels like a lot of 783 00:35:45,720 --> 00:35:48,520 responsibility. But you do have to think the 784 00:35:48,520 --> 00:35:51,560 combined age of the parents, their health, their surrounding 785 00:35:51,560 --> 00:35:54,760 support system, can they raise a child to adulthood, which is 786 00:35:54,760 --> 00:35:57,880 technically age 21? And if the answer is we don't 787 00:35:57,880 --> 00:36:00,160 feel confident about that, then what are what are we doing? 788 00:36:00,160 --> 00:36:02,800 What kind of situation are we setting up for this future 789 00:36:02,800 --> 00:36:04,080 child? Yeah. 790 00:36:04,560 --> 00:36:06,320 That's this is all wild. Isn't it? 791 00:36:06,320 --> 00:36:07,200 Yeah, it's. All wild. 792 00:36:07,640 --> 00:36:13,480 OK, Is there anything about fertility science that worries 793 00:36:13,480 --> 00:36:14,880 you? Like, are we on the brink of 794 00:36:14,880 --> 00:36:17,600 something where you wish? Let's not go there. 795 00:36:19,440 --> 00:36:23,360 I think what worries me is how behind the 8 ball we are as a 796 00:36:23,360 --> 00:36:28,040 society, like we are the first generation that it's a good 797 00:36:28,040 --> 00:36:29,440 thing. I'm not saying like a it's a bad 798 00:36:29,440 --> 00:36:32,040 thing. Equal footing in terms of with 799 00:36:32,040 --> 00:36:36,560 men with in terms of education opportunities, being able to 800 00:36:36,560 --> 00:36:39,640 reach the pinnacle of our careers and pursue dreams beyond 801 00:36:39,640 --> 00:36:42,520 family building. But no one gave us a guidebook. 802 00:36:42,520 --> 00:36:44,560 No one gave us any sort of guidance. 803 00:36:44,560 --> 00:36:47,280 You were just kind of left to the devices of like, hopefully 804 00:36:47,280 --> 00:36:50,280 you find a good OBGYN or hopefully your friend group kind 805 00:36:50,280 --> 00:36:52,640 of gives you a warning or someone in your family tells you 806 00:36:52,640 --> 00:36:55,480 about how this all works. I have conversations with women 807 00:36:55,480 --> 00:36:58,880 every day in their late 30s, their 40s and beyond where 808 00:36:58,880 --> 00:37:02,680 they're like, I wish I knew, I wish I understood more because 809 00:37:02,680 --> 00:37:05,560 people are just kind of going through life and thinking like 810 00:37:05,560 --> 00:37:07,840 that part of life will figure itself out. 811 00:37:08,280 --> 00:37:12,520 So what worries me is the the continued lack of education and 812 00:37:12,520 --> 00:37:15,360 the lack of resources. France just sent a letter to all 813 00:37:15,360 --> 00:37:18,480 of the 29 year olds in the country to say, Hey, you have a 814 00:37:18,480 --> 00:37:20,520 biological clock. This was considered 815 00:37:20,520 --> 00:37:22,080 controversial. I actually think it's kind of 816 00:37:22,080 --> 00:37:25,440 cool because they also provide free egg freezing and storage of 817 00:37:25,440 --> 00:37:28,360 those eggs from age 29, I believe till 37. 818 00:37:28,520 --> 00:37:30,520 So not only they're not just giving you like a nagging 819 00:37:30,520 --> 00:37:32,280 reminder, they're also saying, and here are there's a. 820 00:37:32,320 --> 00:37:33,920 System in place. There's a system in place. 821 00:37:34,000 --> 00:37:35,440 They actually help you. Right. 822 00:37:35,480 --> 00:37:40,680 What we have is a current administration that keeps saying 823 00:37:40,680 --> 00:37:42,600 we want more babies, we want more babies. 824 00:37:42,600 --> 00:37:46,200 OK, They did find a way to discount the cost of some IVF 825 00:37:46,200 --> 00:37:49,480 medications, which has helped some people, but that does not 826 00:37:49,480 --> 00:37:50,800 nearly. It's a drop in the bucket 827 00:37:50,800 --> 00:37:54,560 compared to the overall cost of IVF, particularly trying to 828 00:37:55,160 --> 00:37:58,080 catch up when someone comes to us at a much later age. 829 00:37:58,080 --> 00:38:00,560 And now they have to do multiple rounds because they have a lower 830 00:38:00,560 --> 00:38:02,640 egg count and the egg quality issues are really hard to 831 00:38:02,640 --> 00:38:04,920 overcome. And so, so we have a whole 832 00:38:04,920 --> 00:38:08,720 generation of women that are dealing and struggling with that 833 00:38:08,720 --> 00:38:10,320 now. And my hope is that Gen. 834 00:38:10,320 --> 00:38:13,320 Z and I am seeing a change where people are coming in to just 835 00:38:13,320 --> 00:38:15,520 have a fertility check up. And I'm always like, well, you 836 00:38:15,520 --> 00:38:17,760 have to try to know if you're going to have problems, but at 837 00:38:17,760 --> 00:38:19,680 least we're having a conversation and a moment or an 838 00:38:19,680 --> 00:38:21,680 opportunity to do a pelvic ultrasound. 839 00:38:21,880 --> 00:38:25,280 Like why isn't that part of routine GYN care at least once 840 00:38:25,280 --> 00:38:27,160 in your? 20s or 30s or you're 30 or 841 00:38:27,160 --> 00:38:29,000 you're going in like why is that not part? 842 00:38:29,000 --> 00:38:31,000 Of the, I should not be the first person doing a pelvic 843 00:38:31,000 --> 00:38:34,360 ultrasound on a woman in their late 30s or 40s because now 844 00:38:34,360 --> 00:38:35,880 they're having infertility issues. 845 00:38:35,880 --> 00:38:38,000 It's just wrong. I'm, I'm often the first one to 846 00:38:38,000 --> 00:38:41,000 tell someone they have fibroids or they've endometriosis or a 847 00:38:41,000 --> 00:38:43,160 septum in their uterus that they were born with. 848 00:38:43,440 --> 00:38:45,880 Like if they had known about it, they could have gotten ahead of 849 00:38:45,880 --> 00:38:47,840 it. So that's the thing that worries 850 00:38:47,840 --> 00:38:51,200 me the most. I mean, second to that is like 851 00:38:51,440 --> 00:38:54,680 all of the grift and the lack of regulation to really like, what 852 00:38:54,680 --> 00:38:56,760 can I do? Who do I report to? 853 00:38:56,920 --> 00:38:58,960 We can't report these people. That's the problem. 854 00:38:59,000 --> 00:39:00,600 There's no accountability, right, Right. 855 00:39:00,600 --> 00:39:03,920 You can tell people not to get vaccines and there can be 856 00:39:04,000 --> 00:39:07,560 children admitted with measles encephalitis and you can't go 857 00:39:07,560 --> 00:39:08,440 back and hold that. Person. 858 00:39:08,440 --> 00:39:10,240 And what happens when you report a post? 859 00:39:10,240 --> 00:39:11,960 Does anything happen? I feel like I'm screaming into 860 00:39:11,960 --> 00:39:12,920 the void. Yeah. 861 00:39:12,920 --> 00:39:14,960 You know, I've never been successful. 862 00:39:15,280 --> 00:39:18,480 The only people I report is if it's like frankly vulgar or 863 00:39:18,480 --> 00:39:21,640 racist or you know, where I know that they go against community 864 00:39:21,640 --> 00:39:25,640 guidelines, right? The problem is it's this is a 865 00:39:25,640 --> 00:39:27,280 market. They want the engagement. 866 00:39:27,280 --> 00:39:29,200 They want I've. Never seen a post taken down. 867 00:39:29,200 --> 00:39:33,160 No was mass reported by me, my followers, like so many people. 868 00:39:33,160 --> 00:39:35,480 No, they don't. The grift only helps the 869 00:39:35,480 --> 00:39:38,760 platform and they're bottom line, Yeah, so they're not 870 00:39:38,760 --> 00:39:40,720 incentivized. But that's why we have to be on 871 00:39:40,720 --> 00:39:41,400 there. Yeah. 872 00:39:41,720 --> 00:39:43,800 And we have to stop with the infighting so we can all be 873 00:39:43,800 --> 00:39:45,840 united. As a force from people of like 874 00:39:45,880 --> 00:39:48,040 other plastic surgeons or microsurgeons. 875 00:39:48,040 --> 00:39:51,040 And here's the thing, I may disagree with them on singular 876 00:39:51,120 --> 00:39:53,560 issues and, and I do from time to time, another microsurgeon 877 00:39:53,560 --> 00:39:57,680 might post something and I Yeah, but I make a point not to put 878 00:39:57,680 --> 00:40:00,680 them on blast, Yes, because I don't want that. 879 00:40:00,760 --> 00:40:03,280 Because I, there's so much more that I agree with, right? 880 00:40:03,360 --> 00:40:05,480 That I'm like, that person's fighting the good fight. 881 00:40:05,480 --> 00:40:09,000 Yeah, I'm on their side. I don't need to attack them. 882 00:40:09,000 --> 00:40:10,720 And I've seen it in this sort of OB. 883 00:40:11,160 --> 00:40:13,200 Yeah. REI specifically. 884 00:40:13,200 --> 00:40:16,760 REI it's like rife. Like and it I just find it so 885 00:40:16,760 --> 00:40:18,720 intriguing because. You know what I hate hearing the 886 00:40:18,720 --> 00:40:23,000 most unexplained infertility is a lazy diagnosis. 887 00:40:23,000 --> 00:40:25,200 It's like, no, but sometimes you don't know. 888 00:40:25,200 --> 00:40:27,080 And again, it comes back to the God complex. 889 00:40:27,080 --> 00:40:29,320 Like, I'm not disputing that people miss things. 890 00:40:29,680 --> 00:40:32,440 And I do think it's important to give people the education and 891 00:40:32,440 --> 00:40:34,720 tools to be vigilant, to know what to ask. 892 00:40:34,720 --> 00:40:37,000 Advocate for themselves. There's a lot of shortcomings. 893 00:40:37,000 --> 00:40:38,840 Let's be honest. I'm not saying we're all, you 894 00:40:38,840 --> 00:40:41,200 know, above it and and everyone's doing the most 895 00:40:41,200 --> 00:40:42,440 perfect job that they could be doing. 896 00:40:42,760 --> 00:40:45,120 But sometimes there just isn't. Yes, sometimes. 897 00:40:45,160 --> 00:40:47,760 There isn't, and it's OK to say you don't know. 898 00:40:47,760 --> 00:40:50,480 You know, like a huge blind spot is we do you do not have a test 899 00:40:50,480 --> 00:40:53,400 for egg quality. So like, when you know that 900 00:40:53,400 --> 00:40:56,240 fundamental fact, how can you say that it's a lazy diagnosis 901 00:40:56,240 --> 00:40:58,560 because it might be something like egg quality, you know? 902 00:40:58,600 --> 00:41:00,960 It's always the people who didn't do the training or didn't 903 00:41:00,960 --> 00:41:03,160 do you know? Sometimes it's some of the 904 00:41:03,160 --> 00:41:05,440 people that have done the training, but it's like I'm 905 00:41:05,440 --> 00:41:07,240 going to use market. I'm going to use this as a. 906 00:41:07,240 --> 00:41:10,120 Marketing tool to feed patients into the practice. 907 00:41:10,120 --> 00:41:11,760 Yeah, I know. I was going to make your name 908 00:41:11,760 --> 00:41:15,800 your three least favorite pages. Three least favorite pages. 909 00:41:17,200 --> 00:41:18,960 Accounts. Oh. 910 00:41:20,720 --> 00:41:23,480 For misinformation. Let me think. 911 00:41:26,320 --> 00:41:28,520 I don't know that I have like names on hand. 912 00:41:29,360 --> 00:41:31,120 I'm trying to think, do you have 3? 913 00:41:33,000 --> 00:41:34,480 No, actually you're right. I wouldn't even be able to 914 00:41:34,480 --> 00:41:36,720 answer my own question because. I feel like I hate them so much 915 00:41:36,720 --> 00:41:38,600 that I don't even like, memorize their handle. 916 00:41:38,600 --> 00:41:40,640 Yeah. I'll tell you, it's the ones I 917 00:41:40,640 --> 00:41:43,280 hate. The there's certain there's some 918 00:41:43,280 --> 00:41:45,680 plastic surgeons that I just appreciate their hustle. 919 00:41:45,680 --> 00:41:47,560 They make funny videos, They're entertaining. 920 00:41:47,920 --> 00:41:51,320 They're not trying to like educate the population about 921 00:41:51,320 --> 00:41:53,320 about plastic surgery, but they're just sharing a funny 922 00:41:53,320 --> 00:41:54,920 part of their life. I actually like those accounts. 923 00:41:54,920 --> 00:41:57,120 Yeah, me too, but. There's some that, like, hop on 924 00:41:57,120 --> 00:42:00,040 this, you know, sunscreen is bad for you. 925 00:42:00,040 --> 00:42:02,040 Oh, yeah. And then, like, you should get 926 00:42:02,040 --> 00:42:03,280 your license revoked. Yeah. 927 00:42:03,280 --> 00:42:05,520 Like, you should literally not be able to practice medicine 928 00:42:05,520 --> 00:42:08,200 because you're lying to people. Or the accounts where they say 929 00:42:08,440 --> 00:42:10,240 mammograms are unsafe. Oh God. 930 00:42:10,320 --> 00:42:13,280 Yeah, well, that's a no brainer. That's a no brainer to us, but 931 00:42:13,280 --> 00:42:14,480 how are they getting away with this? 932 00:42:14,480 --> 00:42:16,120 Well. Yeah, that just makes me angry. 933 00:42:16,120 --> 00:42:19,360 And like, how do you sleep at night that you are? 934 00:42:19,640 --> 00:42:21,360 You are definitely misleading some. 935 00:42:21,360 --> 00:42:24,200 Not you, but those people are definitely misleading at least 936 00:42:24,200 --> 00:42:25,800 one person. There's got to be some people 937 00:42:25,800 --> 00:42:28,200 that didn't get their mammogram. Because of this. 938 00:42:29,800 --> 00:42:35,080 So bad for me it's the BS claims in the the not the caption the 939 00:42:35,080 --> 00:42:38,800 profile like where it's like in the bio the bio that's. 940 00:42:38,800 --> 00:42:42,480 Totally tell 96%. Pregnancy rate. 941 00:42:42,480 --> 00:42:46,840 I'm like how? But like by who's having 942 00:42:46,840 --> 00:42:48,000 supplements? Who's doing your math? 943 00:42:48,000 --> 00:42:50,960 No, I don't understand. And and it still says 96% like 944 00:42:50,960 --> 00:42:53,760 seven months later. I'm like, I don't understand. 945 00:42:53,760 --> 00:42:55,320 Do you not understand how math works? 946 00:42:55,320 --> 00:42:58,240 Like regression to the mean, You know, like this, but. 947 00:42:58,280 --> 00:43:02,240 Also, if it's like if they don't tell you what their credentials 948 00:43:02,240 --> 00:43:05,400 are, like my page says MDFACS, Yeah, those are. 949 00:43:05,440 --> 00:43:09,120 That's an objective set of data that you can use to tell that I 950 00:43:09,120 --> 00:43:12,000 have credentials when they don't have credentials but their 951 00:43:12,000 --> 00:43:16,160 handle is like pregnancy doc or. God, you're a. 952 00:43:16,160 --> 00:43:18,200 Chiropractor, like, why are you talking? 953 00:43:18,200 --> 00:43:20,320 You know, like it's like a very, and I think that's why some of 954 00:43:20,320 --> 00:43:22,560 us get so frustrated with the loose term. 955 00:43:22,560 --> 00:43:26,320 Of doctor, right, but also the anecdotes, right, Like there was 956 00:43:26,320 --> 00:43:30,760 someone who is an acupuncturist and she's like, I'm listing all 957 00:43:30,760 --> 00:43:33,560 the difficult cases and then I did the acupuncture and boom, 958 00:43:33,560 --> 00:43:35,160 they got pregnant. And I'm like, what about the 959 00:43:35,160 --> 00:43:37,480 negatives? Like, and the person that 960 00:43:37,480 --> 00:43:40,000 actually pointed me to this was one of the negatives. 961 00:43:40,000 --> 00:43:41,640 And I was like, yeah, you didn't make it to the list. 962 00:43:41,880 --> 00:43:44,480 Like, no surprise, you know. And they'll DM me. 963 00:43:44,520 --> 00:43:49,080 So many people will DM me. Oh, this person, you know, I, I 964 00:43:49,080 --> 00:43:50,640 believe them. I bought the supplement. 965 00:43:50,640 --> 00:43:53,080 I paid for the consult and this is what came of it. 966 00:43:53,480 --> 00:43:56,760 And it's, and it didn't work for me or, you know, I got severely 967 00:43:56,760 --> 00:43:59,880 I'll off of this medication that somebody sold me or I paid for 968 00:43:59,880 --> 00:44:04,800 the $3500 peptide injection. This doctor, you know, and I and 969 00:44:04,800 --> 00:44:09,840 I always say it's, it's hard and I get that it's a bit, there's 970 00:44:09,840 --> 00:44:12,080 some catharsis to then reach out to a doctor and say I had this 971 00:44:12,080 --> 00:44:16,120 bad experience, but I can't Share your story on, you know, 972 00:44:16,120 --> 00:44:18,200 about some. It's just to me. 973 00:44:18,200 --> 00:44:20,120 I do share screenshots sometimes. 974 00:44:20,440 --> 00:44:23,320 I mean, so do I for sure. Where people will be like, Oh my 975 00:44:23,320 --> 00:44:26,880 God, or I might do a call out of some account that's like very 976 00:44:26,880 --> 00:44:30,160 grifty and then people will DM me and it's so scary to like 977 00:44:30,160 --> 00:44:33,920 peel back the layers on this. They'll say she actually sent me 978 00:44:33,920 --> 00:44:37,400 these messages and said like, she'll charge me 1500 for three 979 00:44:37,400 --> 00:44:38,720 sessions. I'm like to do what? 980 00:44:38,720 --> 00:44:41,080 She's a fertility coach. Like, what is she doing cheering 981 00:44:41,080 --> 00:44:42,680 on the sidelines? Will you and your husband have 982 00:44:42,680 --> 00:44:45,160 sex in the fertile window? Like I don't understand. 983 00:44:45,160 --> 00:44:48,400 What is it that they're doing? But I definitely I've like taken 984 00:44:48,400 --> 00:44:50,880 screenshots or shared, but I also, I can't tell somebody else 985 00:44:50,880 --> 00:44:53,280 a story for them in that way, right. 986 00:44:53,280 --> 00:44:56,320 It's it's a very difficult arena that we function in, Yeah. 987 00:44:57,360 --> 00:44:58,880 And it's. It's, it's wild. 988 00:44:58,880 --> 00:45:00,080 It's. Like the wild wild. 989 00:45:00,160 --> 00:45:02,360 It really is. And sometimes it's like scary to 990 00:45:02,360 --> 00:45:05,400 be out there, but there's no other choice for me. 991 00:45:05,440 --> 00:45:07,120 Yeah. And I really try to embolden 992 00:45:07,200 --> 00:45:09,840 than other fertility doctors that I know are good doctors. 993 00:45:09,840 --> 00:45:12,200 I'm like, just get out there. I like try to like do lives of 994 00:45:12,200 --> 00:45:15,160 them and like get them on because we need more of us. 995 00:45:15,400 --> 00:45:18,280 And not everyone has to be salacious and call people out. 996 00:45:18,280 --> 00:45:21,360 But like, I think anything you can do in your little corner of 997 00:45:21,360 --> 00:45:25,080 the Internet to combat the negative, you know, it's. 998 00:45:25,440 --> 00:45:27,280 Helpful. Even I get angry messages 999 00:45:27,280 --> 00:45:29,160 sometimes. Like I followed you for the 1000 00:45:29,160 --> 00:45:32,600 breast cancer information and now you're posting about makeup. 1001 00:45:32,920 --> 00:45:36,240 I'm sorry, I'm multidimensional. I try to do a you know, there's 1002 00:45:36,240 --> 00:45:38,320 some medical content, there's some Women's Health content, 1003 00:45:38,320 --> 00:45:41,480 there's some beauty content, there's some cultural comments. 1004 00:45:41,480 --> 00:45:43,000 Do you also? Have a separate account. 1005 00:45:43,040 --> 00:45:45,880 I so that's why it's so crazy. Like it's so funny because. 1006 00:45:45,880 --> 00:45:47,320 I don't even have a separate account. 1007 00:45:47,320 --> 00:45:49,920 I'm like, it's my birthday. OK, let's talk about egg 1008 00:45:49,920 --> 00:45:51,480 quality. Well, that's the thing, people 1009 00:45:51,480 --> 00:45:54,480 get so mad and I go, I have all of the like, if you want the 1010 00:45:54,480 --> 00:45:57,280 skin care, that's a page. If you want just my practice, 1011 00:45:57,280 --> 00:45:59,200 yeah, I have hundreds of I don't know what. 1012 00:45:59,240 --> 00:46:01,760 More you could be doing like I have it all on one page because 1013 00:46:01,760 --> 00:46:04,160 I'm like, it's too much for me. But you know what I don't have? 1014 00:46:04,200 --> 00:46:06,440 I don't have links to supplements in my bio. 1015 00:46:06,640 --> 00:46:10,120 Promising that you're going to not have radiation induced 1016 00:46:10,120 --> 00:46:11,960 changes with your. But I don't You can't make 1017 00:46:11,960 --> 00:46:14,720 everyone happy, and that's a quick lesson you have to learn 1018 00:46:14,720 --> 00:46:16,040 if you're going to be in this space. 1019 00:46:16,080 --> 00:46:18,920 And you have to just, you're constantly minded of it. 1020 00:46:19,360 --> 00:46:21,480 How do you have a thick skin? That's what I want to know from 1021 00:46:21,480 --> 00:46:24,920 you because I think I'm like very stereotypical Pisces. 1022 00:46:24,920 --> 00:46:27,480 Not that I believe in astrology, but I am very sensitive. 1023 00:46:27,480 --> 00:46:29,920 I'm also typical Libra, so there's something to it I. 1024 00:46:30,000 --> 00:46:30,760 Think. There you go. 1025 00:46:31,800 --> 00:46:36,760 How do I think I was raised very much to I I have a lot of 1026 00:46:36,760 --> 00:46:38,760 siblings and so we were all each other's best friends. 1027 00:46:38,760 --> 00:46:42,200 We were all very, we joke around each other with each other a 1028 00:46:42,200 --> 00:46:43,120 lot. We also hold each other 1029 00:46:43,120 --> 00:46:46,920 accountable. And I was raised very much to 1030 00:46:46,920 --> 00:46:50,440 define my own self worth and I I really discredit my parents for 1031 00:46:50,440 --> 00:46:51,920 that. I didn't even realize it was 1032 00:46:51,920 --> 00:46:55,120 this sort of hidden power that I had. 1033 00:46:55,440 --> 00:46:57,880 And I hear about it so much more now and like my mid to late 1034 00:46:57,880 --> 00:47:01,600 adulthood where people tell me, you know, Oh my gosh, you're, 1035 00:47:01,640 --> 00:47:03,480 you're so confident here. You have thick skin. 1036 00:47:03,480 --> 00:47:06,200 And I just think since I was a little girl, there were people 1037 00:47:06,200 --> 00:47:09,200 whose opinions I care about and everybody else I didn't care 1038 00:47:09,200 --> 00:47:11,040 about. And I've just always been like 1039 00:47:11,040 --> 00:47:13,680 that. I think our field attracts a 1040 00:47:13,680 --> 00:47:16,800 certain level of meekness. Yeah, because it's almost like 1041 00:47:16,800 --> 00:47:18,920 that's what allows you to get to this position. 1042 00:47:18,920 --> 00:47:21,960 You were able to just stay quiet when you were berated by an 1043 00:47:21,960 --> 00:47:24,560 attending, like you didn't snap back. 1044 00:47:25,120 --> 00:47:27,600 And I do think it took me a while to find my voice. 1045 00:47:27,600 --> 00:47:29,560 I think I was meek as well because I learned that that's 1046 00:47:29,560 --> 00:47:31,160 how you get by in medical. You have to get through it, 1047 00:47:31,200 --> 00:47:31,640 right? You have to. 1048 00:47:31,680 --> 00:47:34,160 It was a different version of myself, yes. 1049 00:47:34,440 --> 00:47:36,360 And I got through it. And then, yeah, you know, I got 1050 00:47:36,360 --> 00:47:36,800 my. Were you? 1051 00:47:36,800 --> 00:47:39,480 Outspoken in training. I was, and I'm sure I you know, 1052 00:47:39,480 --> 00:47:41,680 I got in trouble for it from time to time because I. 1053 00:47:42,000 --> 00:47:44,840 I was a good. Girl, I was not I was, I was a 1054 00:47:44,880 --> 00:47:48,160 great surgeon, but I was always like, why do we do it this way 1055 00:47:48,240 --> 00:47:51,280 or this doesn't make sense or why are these the rules or is 1056 00:47:51,280 --> 00:47:53,280 this humane or is this how we should treat people? 1057 00:47:53,600 --> 00:47:57,320 Sure, and that's a difficult situation to be in, but I good 1058 00:47:57,320 --> 00:47:59,320 for you. It was quiet when I when I had 1059 00:47:59,320 --> 00:48:02,120 to be to get through it and I'm not quiet now. 1060 00:48:02,200 --> 00:48:04,000 No, I feel like we. Have inside thoughts out loud. 1061 00:48:04,000 --> 00:48:06,160 I love it, I love it. Thank you for having me on. 1062 00:48:06,200 --> 00:48:08,080 Of course. So Doctor Lucky C Khan, thank 1063 00:48:08,080 --> 00:48:11,400 you so much for joining us, and we loved hearing your inside 1064 00:48:11,400 --> 00:48:12,000 thoughts out loud.