1 00:00:00,595 --> 00:00:03,325 - It's once again time to get gutsy with Liz Hall 2 00:00:03,385 --> 00:00:06,325 and her expert guests on the Gutsy Babe Podcast. 3 00:00:07,435 --> 00:00:09,565 - Welcome to this episode of The Gutsy Babe. 4 00:00:09,705 --> 00:00:14,205 I'm your host, Liz Hall. Today's guest is Dr. Anna Toker. 5 00:00:14,585 --> 00:00:18,085 Dr. Toker is a distinguished award-winning board certified 6 00:00:18,085 --> 00:00:21,005 colorectal surgeon with nearly 20 years 7 00:00:21,025 --> 00:00:25,405 of expertise in the Dallas area, renowned for her ability 8 00:00:25,505 --> 00:00:28,205 to translate complex medical concepts 9 00:00:28,555 --> 00:00:29,765 into everyday language. 10 00:00:30,265 --> 00:00:33,685 Dr. Toker attracts patients from across the country seeking 11 00:00:33,745 --> 00:00:35,085 her surgical expertise 12 00:00:35,265 --> 00:00:36,645 and nutritional guidance 13 00:00:37,065 --> 00:00:40,045 as seen in her highly acclaimed gut check program. 14 00:00:40,845 --> 00:00:43,645 I am so excited to have a conversation with you, Dr. 15 00:00:43,715 --> 00:00:46,285 Anna Toker. So thank you for joining us today. 16 00:00:46,775 --> 00:00:49,725 - Thank you for inviting me, Liz. This is awesome. Yay. 17 00:00:50,845 --> 00:00:54,165 - I am a huge fan of yours on social media. 18 00:00:54,565 --> 00:00:57,885 I follow you and I love all the information that you share. 19 00:00:58,675 --> 00:01:00,175 - Oh, I'm glad. Yeah. 20 00:01:00,605 --> 00:01:03,135 It's like a mission of mercy for me to spread. 21 00:01:03,445 --> 00:01:05,775 I've been in practice for a long time. Mm-Hmm. . 22 00:01:06,155 --> 00:01:09,095 And I think as you get older, you start to get wiser 23 00:01:09,595 --> 00:01:11,455 and it's a good idea kind of to pay back. 24 00:01:11,455 --> 00:01:12,535 There's a lot of false 25 00:01:12,685 --> 00:01:15,175 information and I thought, you know what? 26 00:01:15,395 --> 00:01:16,335 I'm just gonna put out real 27 00:01:16,335 --> 00:01:17,775 information and we'll see where it goes. 28 00:01:17,875 --> 00:01:18,875 So 29 00:01:19,515 --> 00:01:20,515 - That's beautiful. 30 00:01:21,595 --> 00:01:24,375 So let our listeners know a bit about your backstory. 31 00:01:24,685 --> 00:01:27,255 What got you involved in colorectal surgery 32 00:01:27,835 --> 00:01:30,255 and why did you start integrating diet, lifestyle 33 00:01:30,255 --> 00:01:31,615 and supplements into your treatment? 34 00:01:32,745 --> 00:01:34,395 - Well, you know what, I was born 35 00:01:34,395 --> 00:01:35,955 essentially to be a doctor. 36 00:01:36,315 --> 00:01:38,715 I mean, I can remember, I don't ever remember 37 00:01:38,775 --> 00:01:39,835 not wanting to be a doctor. 38 00:01:41,105 --> 00:01:43,125 And I probably started wanting 39 00:01:43,125 --> 00:01:45,045 to be a surgeon at a very, very young age. 40 00:01:45,045 --> 00:01:46,405 So I always knew I was gonna be a doctor. 41 00:01:46,525 --> 00:01:48,365 I always knew I was gonna use my hands. Mm-Hmm. . 42 00:01:48,705 --> 00:01:50,125 And so being a physician 43 00:01:50,185 --> 00:01:51,365 was something I always wanted to do. 44 00:01:51,425 --> 00:01:54,085 Now, a young child motivated in this way 45 00:01:54,785 --> 00:01:56,925 is not thinking about getting married, 46 00:01:56,925 --> 00:01:58,725 having children, lifestyle. 47 00:01:58,795 --> 00:02:02,365 What does it involve? It was an academic pursuit for me. 48 00:02:02,585 --> 00:02:05,445 Mm-Hmm. . Um, so when I got married 49 00:02:05,545 --> 00:02:07,805 and we're getting through our residency, then I got pregnant 50 00:02:08,625 --> 00:02:12,975 and I had this sort of a clear vision 51 00:02:13,705 --> 00:02:15,295 image one night in the middle 52 00:02:15,295 --> 00:02:17,855 of the night while I was doing a trauma case. 53 00:02:18,035 --> 00:02:19,135 So a patient comes in 54 00:02:19,195 --> 00:02:21,895 and riddled with bullets, we take 'em to the operating room 55 00:02:22,035 --> 00:02:24,375 and, and at the time I was pregnant 56 00:02:24,435 --> 00:02:27,095 and no one could know that that was like for Boden. 57 00:02:27,095 --> 00:02:29,135 I could have been fired. I was the chief resident, 58 00:02:29,555 --> 00:02:31,815 but they would have gotten rid of me had they known. 59 00:02:31,815 --> 00:02:36,775 Right. So, so I was kind of already in 60 00:02:36,775 --> 00:02:37,975 that mode of thinking about 61 00:02:38,715 --> 00:02:41,455 how I was gonna manage my family, being a general surgeon. 62 00:02:41,475 --> 00:02:43,655 And then I looked at the anesthesiologist who's like the 63 00:02:43,655 --> 00:02:44,655 65-year-old man, 64 00:02:45,275 --> 00:02:48,455 and the, the attending surgeon helping me was a 65 00:02:48,535 --> 00:02:49,895 65-year-old man. 66 00:02:50,275 --> 00:02:51,775 And I thought, oh my God. What? 67 00:02:51,775 --> 00:02:55,135 Wait a second, I'm gonna be doing this at two o'clock in the 68 00:02:55,135 --> 00:02:56,495 morning until I'm in my sixties. 69 00:02:57,485 --> 00:02:59,445 Like, who's gonna take care of the child? 70 00:02:59,835 --> 00:03:03,285 Like it never, ever, ever occurred to me. 71 00:03:03,625 --> 00:03:06,965 And now, you know, I had been out of medical school 72 00:03:07,025 --> 00:03:08,925 for five years, again, chief resident, 73 00:03:08,935 --> 00:03:10,165 about to start my practice. 74 00:03:10,865 --> 00:03:13,325 And it just was one of those clear vision moments where 75 00:03:14,305 --> 00:03:16,605 trauma surgeries probably not good 76 00:03:16,625 --> 00:03:18,405 for my family, for my family. 77 00:03:18,405 --> 00:03:21,205 Um, and so then I just kind of, I was really fortunate 78 00:03:21,445 --> 00:03:22,645 'cause I always made good grades 79 00:03:22,745 --> 00:03:24,485 and good test scores and Mm-Hmm. . 80 00:03:24,745 --> 00:03:27,965 Um, so I really could choose whatever I wanted to choose. 81 00:03:28,225 --> 00:03:31,725 And I was recruited heavily for plastic surgery, actually. 82 00:03:32,665 --> 00:03:34,885 Oh, wow. Um, but they do trauma too. 83 00:03:35,195 --> 00:03:37,365 Like people that people think plastic surgery. 84 00:03:37,545 --> 00:03:39,045 Oh, it's boobs and liposuction. 85 00:03:39,305 --> 00:03:40,845 No, it's facial reconstructions. 86 00:03:40,865 --> 00:03:43,725 It, you know, it's hand reconstructions near 87 00:03:43,725 --> 00:03:45,165 amputations in the middle of the night. 88 00:03:45,165 --> 00:03:49,005 There's a lot of that. And again, it was just 89 00:03:49,685 --> 00:03:52,505 the concept of of having to be up all night every night. 90 00:03:52,505 --> 00:03:54,745 And the only doctor I never saw in the hospital in the 91 00:03:54,745 --> 00:03:56,705 middle of the night was the colorectal surgeon, . 92 00:03:58,095 --> 00:03:59,975 I like what his patients love him. 93 00:04:00,895 --> 00:04:03,255 I had never been to a clinic for colorectal surgeon. 94 00:04:03,375 --> 00:04:05,375 I had no idea what was involved except 95 00:04:06,035 --> 00:04:08,015 the big surgeries that we helped him with. 96 00:04:08,345 --> 00:04:11,055 Colon cancer and diverticulitis and those kind of things. 97 00:04:11,115 --> 00:04:14,935 So, so he saved lives from nine to five. 98 00:04:15,035 --> 00:04:17,295 And I thought, you know what? That is what I need to do. 99 00:04:18,315 --> 00:04:20,135 You know? And so when I did my fellowship, 100 00:04:20,235 --> 00:04:21,975 my first day in fellowship, we were in clinic. 101 00:04:22,615 --> 00:04:27,135 I had no idea. Wow. It was so as fixated. I had no idea. 102 00:04:27,245 --> 00:04:28,495 It's like, it was the, I thought it was the 103 00:04:28,495 --> 00:04:29,855 worst decision I had ever made. 104 00:04:30,735 --> 00:04:33,175 I went home to my husband and I said, I can't do it. 105 00:04:33,915 --> 00:04:35,295 We defiled so many people. 106 00:04:35,575 --> 00:04:37,215 I was just, I could, I was just heartbroken. 107 00:04:37,295 --> 00:04:38,575 I could not do that for a living. 108 00:04:39,355 --> 00:04:42,135 And you know, he gave me the baby. By then I'd had the baby. 109 00:04:42,415 --> 00:04:44,695 I mean, I got literally two weeks off after this child 110 00:04:44,695 --> 00:04:47,615 and then started my fellowship and um, okay. 111 00:04:47,615 --> 00:04:49,775 I got the baby. And he goes, I hug the baby. 112 00:04:50,915 --> 00:04:52,535 He goes, you feel better. I was like, I feel better. 113 00:04:52,895 --> 00:04:54,655 I made the right decision. And he goes, well, 114 00:04:54,655 --> 00:04:58,375 you could always go down the street and be a trauma surgeon. 115 00:04:58,375 --> 00:04:59,775 You're a board certified surgeon. 116 00:05:00,235 --> 00:05:01,935 He knew I didn't wanna do that. Right. 117 00:05:02,935 --> 00:05:04,715 So I was like, all right, I'll go to work tomorrow. 118 00:05:04,715 --> 00:05:05,635 And then the next day we were in the 119 00:05:05,635 --> 00:05:06,675 operating room and it was awesome. 120 00:05:07,455 --> 00:05:10,275 And I thought, that's fine. I will just sort of play 121 00:05:12,105 --> 00:05:13,515 with clinic a little bit. 122 00:05:13,895 --> 00:05:15,875 It has made me reasonably entertaining. 123 00:05:16,455 --> 00:05:18,715 And, and that's one of the reasons why I think patients 124 00:05:18,715 --> 00:05:21,515 gravitate towards me because you gotta make it playful, 125 00:05:21,515 --> 00:05:22,635 otherwise it's scary. 126 00:05:22,855 --> 00:05:24,635 Uh, you know, if you go in there with your butt hurting, 127 00:05:25,025 --> 00:05:27,515 it's kind of scary to look at people 128 00:05:27,615 --> 00:05:31,075 and have to explain all these kind of private issues 129 00:05:31,175 --> 00:05:32,555 and nobody wants to talk about it. 130 00:05:32,655 --> 00:05:37,115 And so anyway, I have made a career of, you know, 131 00:05:37,115 --> 00:05:40,075 at the time when I started my practice, I had now two small, 132 00:05:40,315 --> 00:05:41,635 I got fired when I was pregnant 133 00:05:42,185 --> 00:05:43,875 with my first job out of practice . 134 00:05:44,115 --> 00:05:48,075 So my first, my first job was going swimmingly 135 00:05:48,075 --> 00:05:49,475 and then I got pregnant and then I got fired. 136 00:05:49,535 --> 00:05:53,025 So I had to start private practice with two babies. 137 00:05:53,285 --> 00:05:54,785 My husband was now in medical school. 138 00:05:56,155 --> 00:05:59,485 And um, you know, I just, I kind 139 00:05:59,485 --> 00:06:02,765 of got more focused on talking to the patients, getting 140 00:06:02,765 --> 00:06:03,845 to know their families. 141 00:06:03,985 --> 00:06:06,885 Mm-Hmm. . Um, I had, there was a lot 142 00:06:06,885 --> 00:06:08,565 of politics involved in this world. 143 00:06:08,645 --> 00:06:10,485 I live in a man's world. Yeah. 144 00:06:10,745 --> 00:06:12,205 And there's a lot of politics. 145 00:06:12,345 --> 00:06:15,645 So it was very hard for me to get referred to this day. 146 00:06:16,565 --> 00:06:18,405 I do not get referrals from those doctors. 147 00:06:18,705 --> 00:06:19,925 Um, I get the referrals from 148 00:06:19,925 --> 00:06:21,005 the patients and their families. 149 00:06:21,385 --> 00:06:22,925 That's asinine to me. That's crazy. 150 00:06:23,555 --> 00:06:26,205 Well, it's, you know, you just have to understand though, 151 00:06:26,705 --> 00:06:28,725 the men are very protective. 152 00:06:29,805 --> 00:06:32,705 Um, there's a lot of stereotypes where 153 00:06:33,785 --> 00:06:36,065 surgeons are always supposed to be kind 154 00:06:36,065 --> 00:06:37,425 of like on this little pedestal. 155 00:06:37,665 --> 00:06:40,945 I was never like that. Yeah. I don't respect the author. 156 00:06:41,525 --> 00:06:44,065 I'm very belligerent . Right. 157 00:06:44,525 --> 00:06:46,265 So they like me for this reason, 158 00:06:46,605 --> 00:06:48,385 but the patients love me for that reason. 159 00:06:48,845 --> 00:06:51,865 So most of my patients do come from word of mouth. 160 00:06:52,645 --> 00:06:55,785 The female doctors, most of whom are, are gynecologists, 161 00:06:55,785 --> 00:06:58,145 obviously send a lot of patients to me. 162 00:06:58,305 --> 00:07:00,025 'cause we do pelvic floor surgeries together. 163 00:07:00,605 --> 00:07:04,105 And that's kind of how I built a career on that. 164 00:07:04,325 --> 00:07:06,105 And now I'm sort of at the end of my career. 165 00:07:06,245 --> 00:07:08,665 And, and as to the nutrition thing, 166 00:07:09,505 --> 00:07:12,155 because I do get to know my patients and, 167 00:07:12,175 --> 00:07:16,915 and most surgeons we have a saying in surgery, uh, 168 00:07:16,975 --> 00:07:20,555 you know, you meet someone, you treat someone, you treat 169 00:07:20,555 --> 00:07:22,435 that person, you are never supposed to see 'em again. 170 00:07:22,435 --> 00:07:23,835 If you do your job as a surgeon, 171 00:07:24,995 --> 00:07:27,225 colorectal surgery is a little bit unique 172 00:07:27,225 --> 00:07:29,545 because there is some primary care to it. 173 00:07:29,925 --> 00:07:33,385 Mm-Hmm. colonoscopies, like you do a colonoscopy, 174 00:07:33,385 --> 00:07:35,305 you're kind of with me until we both die, 175 00:07:35,485 --> 00:07:36,865 is essentially what happens. 176 00:07:37,085 --> 00:07:39,545 You know? And then you'll come in, like a lot 177 00:07:39,545 --> 00:07:40,745 of these patients came in. 178 00:07:40,745 --> 00:07:42,505 Initially there were women who just had babies. 179 00:07:42,755 --> 00:07:44,585 Their hemorrhoids were terrible. Mm-Hmm. . 180 00:07:44,855 --> 00:07:46,345 Well those women as they get older, 181 00:07:46,765 --> 00:07:49,665 are getting diverticular disease, God forbid, cancer. 182 00:07:50,135 --> 00:07:51,465 They're sending their parents. 183 00:07:51,465 --> 00:07:52,585 People are starting to fly 184 00:07:52,585 --> 00:07:55,265 to me from all over the country just based on word of mouth. 185 00:07:55,735 --> 00:08:00,345 Yeah. What I've noticed in particular, in the last, 186 00:08:01,225 --> 00:08:03,035 well this was before Covid when I noticed this, 187 00:08:03,095 --> 00:08:04,395 so I guess the last 15 years, 188 00:08:04,415 --> 00:08:06,275 but from 2010 189 00:08:08,025 --> 00:08:12,045 to 2019, there was an, 190 00:08:12,545 --> 00:08:16,685 an alarming change in the overall health of, of humanity. 191 00:08:17,355 --> 00:08:20,405 Yeah. And you know, I, I just have, 192 00:08:20,465 --> 00:08:23,125 I'm a simple country surgeon and I have a simple practice 193 00:08:23,825 --> 00:08:26,045 and I've known these families for a long time 194 00:08:26,185 --> 00:08:28,125 and you could see it as they age. 195 00:08:28,645 --> 00:08:30,325 I could see it in myself. Mm-Hmm. 196 00:08:30,405 --> 00:08:31,725 , getting tired, gaining weight, 197 00:08:31,725 --> 00:08:33,165 getting the high blood pressure. 198 00:08:33,725 --> 00:08:35,565 I really wasn't doing anything different than I 199 00:08:35,565 --> 00:08:36,605 had ever done, ever. 200 00:08:37,445 --> 00:08:41,445 I blamed a lot of it on menopause until I started sort 201 00:08:41,445 --> 00:08:43,485 of paying attention. 202 00:08:43,665 --> 00:08:46,925 The guys didn't, were not in menopause. Right. 203 00:08:48,025 --> 00:08:49,885 The 20 year olds were not in menopause. 204 00:08:49,885 --> 00:08:51,205 What are we doing with these obese 20 205 00:08:51,205 --> 00:08:52,325 year olds with hypertension? 206 00:08:52,325 --> 00:08:54,885 That's crazy. It's our food. Yeah. 207 00:08:54,885 --> 00:08:56,525 Well, yeah, it's of course right. 208 00:08:56,805 --> 00:09:00,725 , it's So, you know, Soylent Green as people, 209 00:09:00,755 --> 00:09:02,005 like it's in the food. 210 00:09:02,005 --> 00:09:04,285 There's something in the food or the water. Yeah. 211 00:09:04,745 --> 00:09:06,765 For both, you know. 212 00:09:06,765 --> 00:09:10,295 And it just sort of sent me on a kind 213 00:09:10,295 --> 00:09:12,735 of a mission I noticed very rapidly. 214 00:09:13,515 --> 00:09:16,375 Mm-Hmm. that patients who came in with ib. 215 00:09:16,395 --> 00:09:18,695 And this is the other thing, because now you've flown from 216 00:09:18,695 --> 00:09:20,655 across the country to see me Mm-Hmm. , 217 00:09:20,835 --> 00:09:21,935 you can't come into my office 218 00:09:21,995 --> 00:09:23,735 and me not offer you some kind of advice. 219 00:09:23,735 --> 00:09:26,775 Right. Because every other doctor you've seen in America has 220 00:09:26,775 --> 00:09:28,615 said nothing wrong with you, leave my office please. 221 00:09:28,875 --> 00:09:33,655 So I felt like, okay, I cannot actually do that to someone. 222 00:09:34,435 --> 00:09:37,415 So I just started asking 'em, well 223 00:09:37,525 --> 00:09:38,575 what do you eat for breakfast? 224 00:09:38,575 --> 00:09:39,615 Yeah. What do you eat for lunch? 225 00:09:40,515 --> 00:09:42,405 Have you kept the diary of when you're hurting? 226 00:09:42,405 --> 00:09:43,685 Like maybe it's something you're eating. 227 00:09:43,865 --> 00:09:45,445 And it just kind of turned into like, 228 00:09:45,445 --> 00:09:46,965 that's my course of action now. 229 00:09:47,475 --> 00:09:49,005 Food diary, you have to do it. 230 00:09:49,505 --> 00:09:52,285 And I would say 90% to people who come to see me 231 00:09:53,025 --> 00:09:55,385 are not eating properly. 232 00:09:56,045 --> 00:09:58,945 And if they literally would add, would do one thing, 233 00:09:58,965 --> 00:10:00,145 and that's go gluten-free. 234 00:10:00,405 --> 00:10:02,905 If you go gluten-free, most patients would never need me. 235 00:10:03,835 --> 00:10:05,655 - Wow. - If you go gluten-free, 236 00:10:05,915 --> 00:10:07,295 add a kiwi fruit in the morning 237 00:10:07,395 --> 00:10:09,095 and say magnesium into your life, 238 00:10:09,095 --> 00:10:10,495 you probably don't need me at all. 239 00:10:11,235 --> 00:10:15,735 So I, IFI feel like I'm educating my way outta practice, 240 00:10:15,875 --> 00:10:17,855 but you know, there's always gonna be a need for surgery. 241 00:10:18,275 --> 00:10:21,775 Of course. So, so to me, it's not a threat to offer 242 00:10:22,365 --> 00:10:23,455 medical advice. 243 00:10:23,535 --> 00:10:24,975 A lot of surgeons get nervous about that 244 00:10:25,005 --> 00:10:26,055 because they're like, well, 245 00:10:26,055 --> 00:10:27,335 I'm just gonna operate on the patient. 246 00:10:27,515 --> 00:10:29,335 I'm thinking your outcomes are terrible 247 00:10:29,775 --> 00:10:31,095 'cause you're operating on the wrong people. 248 00:10:31,525 --> 00:10:34,575 Yeah. Now you gotta operate on the right people. Exactly. 249 00:10:34,575 --> 00:10:36,735 And to do that, you gotta, you gotta do a lot of stuff 250 00:10:36,755 --> 00:10:39,535 to prep a patient for an operation to know 251 00:10:40,425 --> 00:10:41,595 will the operation help them. 252 00:10:42,535 --> 00:10:45,315 And a lot of times, honestly, this conversation, 253 00:10:46,185 --> 00:10:47,475 they call you back and say, 254 00:10:47,475 --> 00:10:48,635 you know what, I'm actually better. 255 00:10:49,245 --> 00:10:50,835 Don't even need the colonoscopy. I'm fine. 256 00:10:51,175 --> 00:10:53,955 So, you know, that's kind of how I got into it. 257 00:10:54,805 --> 00:10:57,185 - That's amazing. I mean, I have 258 00:10:57,405 --> 00:10:59,065 so many questions I just Sure. 259 00:10:59,125 --> 00:11:00,705 - Ask them. I mean, I'm here. What the hell. 260 00:11:02,605 --> 00:11:05,145 - So you're obviously, you're spot on. 261 00:11:05,265 --> 00:11:08,585 I, I am so right there with you that it is in our foods. 262 00:11:08,685 --> 00:11:11,985 Our food has changed. We have so many preservatives now. 263 00:11:12,165 --> 00:11:16,465 Our soil quality, even in our water, like it, it's, 264 00:11:16,855 --> 00:11:18,145 it's really, really sad. 265 00:11:18,765 --> 00:11:23,345 But what you said is, okay by 266 00:11:24,545 --> 00:11:27,725 gluten, gluten-free and eating a kiwi 267 00:11:27,725 --> 00:11:31,085 because of the fiber content and magnesium. 268 00:11:31,235 --> 00:11:33,085 What kind of magnesium would you recommend? 269 00:11:33,225 --> 00:11:35,805 - Uh, so there's three that help patients who have 270 00:11:36,405 --> 00:11:37,725 constipation, right? 271 00:11:37,725 --> 00:11:41,485 Mm-Hmm. . So, um, uh, magnesium citrate, 272 00:11:41,795 --> 00:11:43,925 magnesium sulfate, or the two big ones 273 00:11:43,995 --> 00:11:45,525 because they help with constipation. 274 00:11:45,625 --> 00:11:47,565 Now if you do not have constipation, 275 00:11:47,565 --> 00:11:51,885 but you got the restless legs, magnesium glycinate 276 00:11:51,885 --> 00:11:53,245 or glycinate 277 00:11:53,435 --> 00:11:54,435 - Yeah. 278 00:11:54,435 --> 00:11:54,965 Glycinate. That's the one I would 279 00:11:54,995 --> 00:11:55,995 - Yeah, for sure. 280 00:11:55,995 --> 00:12:00,205 Because it's less likely to cause the bowel issue. 281 00:12:00,585 --> 00:12:03,765 Yes. Right. So it, it just kind of, my magnesium advice 282 00:12:04,465 --> 00:12:07,285 is structured around which patient's talking to me. 283 00:12:07,285 --> 00:12:09,325 Is this person constipated or do they have diarrhea? 284 00:12:10,025 --> 00:12:11,045 But everyone needs it. 285 00:12:11,245 --> 00:12:14,085 I, the way we grow our food is so ridiculous that you, 286 00:12:14,105 --> 00:12:15,525 the plants don't have enough time 287 00:12:16,065 --> 00:12:18,285 to really absorb the magnesium out of the soil. 288 00:12:18,465 --> 00:12:20,645 Or the soil is so deprived Mm-Hmm. 289 00:12:20,725 --> 00:12:23,125 that there's nothing there. And that's where we are supposed 290 00:12:23,125 --> 00:12:24,365 to get our magnesium from. 291 00:12:25,185 --> 00:12:27,805 You know. So, and I know you do a, you have a, 292 00:12:28,165 --> 00:12:30,005 a travel, A travel ease. 293 00:12:30,005 --> 00:12:31,245 Is that the name of your product? 294 00:12:31,715 --> 00:12:32,965 - Yeah, I do. Oh 295 00:12:33,105 --> 00:12:34,105 - Yes. 296 00:12:34,105 --> 00:12:35,165 Because it's got magnesium in it, right? 297 00:12:35,545 --> 00:12:38,605 - It does, it has magnesium glycerin. Um, oh, 298 00:12:38,605 --> 00:12:39,605 - There you go. 299 00:12:39,605 --> 00:12:40,565 Yeah. Okay, perfect. Perfect. Yes. 300 00:12:40,825 --> 00:12:42,845 And that's a great, and that's, that's good 301 00:12:42,845 --> 00:12:45,445 for a restless leg and it's good for, um, 302 00:12:45,445 --> 00:12:47,445 muscle relaxation and focus. 303 00:12:47,585 --> 00:12:50,765 And there's a lot of things that honestly, if you'll reach 304 00:12:50,765 --> 00:12:54,165 for some magnesium patients will do well. 305 00:12:54,225 --> 00:12:55,805 You don't need to have the poopy forms. 306 00:12:56,625 --> 00:12:59,525 Um, but you do wanna have a relaxing form 307 00:12:59,525 --> 00:13:01,325 of magnesium. So most people 308 00:13:01,325 --> 00:13:04,205 - Are, most people are deficient in magnesium, 309 00:13:05,005 --> 00:13:06,605 - Zinc and magnesium are the two big ones. 310 00:13:07,165 --> 00:13:09,095 Zinc and magnesium wasn't the two biggie. 311 00:13:09,615 --> 00:13:11,215 - I used to have restless leg syndrome. 312 00:13:11,515 --> 00:13:14,935 And ever since I've incorporated magnesium, of course, 313 00:13:14,935 --> 00:13:18,135 from my product, but also as an additional supplement, 314 00:13:18,285 --> 00:13:19,695 it's really changed my life 315 00:13:20,235 --> 00:13:21,575 - For certain, just no question. 316 00:13:22,155 --> 00:13:25,095 - So I, um, my personal journey, I used 317 00:13:25,255 --> 00:13:27,695 to suffer from constipation most of my life. 318 00:13:28,275 --> 00:13:31,175 Um, I had endometriosis 319 00:13:31,835 --> 00:13:34,055 and it was in my rectum area. 320 00:13:34,855 --> 00:13:36,355 - Oh, I hate that. Did you have to have surgery? 321 00:13:36,955 --> 00:13:39,275 - I did. - Multiple, yeah. Yeah. Usually that's the case. 322 00:13:39,415 --> 00:13:41,115 Oh my gosh. Yes. That's a big surgery too. 323 00:13:41,945 --> 00:13:45,235 - Yeah. So I've, uh, suffered from it for many years 324 00:13:45,855 --> 00:13:49,955 and um, of course not being able to go to the bathroom, 325 00:13:50,345 --> 00:13:53,275 like going once a week was like huge. 326 00:13:54,655 --> 00:13:56,395 And just up until recently, actually right 327 00:13:56,395 --> 00:13:59,355 before, um, our call, I started thinking about it. 328 00:13:59,455 --> 00:14:02,195 I'm like, oh my gosh. I actually go to the, 329 00:14:02,395 --> 00:14:04,635 I have two bowel movements a day now. 330 00:14:04,975 --> 00:14:07,555 And that's literally since this past year only. 331 00:14:08,675 --> 00:14:10,415 And that's actually supposedly normal. 332 00:14:10,635 --> 00:14:12,615 And I am like so grateful that I get to go 333 00:14:12,615 --> 00:14:13,655 to the bathroom Now. , 334 00:14:14,405 --> 00:14:17,415 - I've achieved normalcy. Oh my God. Yeah. 335 00:14:17,415 --> 00:14:19,055 Twice a day to twice a week. That's normal. 336 00:14:19,445 --> 00:14:21,545 Joan, congratulations. 337 00:14:21,835 --> 00:14:26,145 - Thank you. . So what's the difference 338 00:14:26,145 --> 00:14:29,265 between a gastrologist and a colorectal surgeon? 339 00:14:29,645 --> 00:14:31,225 I'm curious if it's the same or not. 340 00:14:31,975 --> 00:14:33,025 - It's, they're very different. 341 00:14:33,025 --> 00:14:35,305 First of all, the gastroenterologists have a cooler title. 342 00:14:35,785 --> 00:14:37,785 , it's, it sounds very scientific. 343 00:14:38,355 --> 00:14:41,545 Colorectal involves the word rectal. Yes. 344 00:14:41,725 --> 00:14:45,585 And I can't say the word rectal on social media 345 00:14:45,585 --> 00:14:46,785 without getting flagged. 346 00:14:46,895 --> 00:14:48,105 Like it is very difficult. 347 00:14:48,325 --> 00:14:50,025 And I say it every time I give, 348 00:14:50,515 --> 00:14:52,085 every time time I do a video, I'm like, 349 00:14:52,145 --> 00:14:53,885 I'm your friendly neighborhood colorectal surgeon. 350 00:14:54,145 --> 00:14:57,445 So, um, so that's the first and most important thing. 351 00:14:57,445 --> 00:14:58,805 And I think that is a travesty. 352 00:14:59,225 --> 00:15:03,725 Um, but gastroenterologists are a medical specialty only. 353 00:15:03,785 --> 00:15:05,325 So those doctors don't do any surgery. 354 00:15:06,115 --> 00:15:10,845 They, uh, will do a three-year medicine, um, residency, 355 00:15:11,125 --> 00:15:12,165 internal medicine residency. 356 00:15:12,505 --> 00:15:15,805 And then they do a fellowship training in gastroenterology. 357 00:15:16,315 --> 00:15:20,365 They will do like colonoscopies and EGS and ERCPs. 358 00:15:20,385 --> 00:15:22,685 The scoping, the scoping things. Mm-Hmm. . 359 00:15:22,765 --> 00:15:24,565 And then they hand out medicines obviously. 360 00:15:24,665 --> 00:15:28,105 And they do the IV interventions 361 00:15:28,725 --> 00:15:30,705 for inflammatory bowel disease. 362 00:15:30,805 --> 00:15:32,225 If you really are bad off 363 00:15:32,245 --> 00:15:35,945 and you need some of these very specialty IV medicines, 364 00:15:35,945 --> 00:15:37,145 it's not your surgeon doing that. 365 00:15:37,215 --> 00:15:41,515 It's gonna be a GI doctor who's an internist, um, 366 00:15:41,915 --> 00:15:43,435 a colorectal surgeon on the other half. 367 00:15:44,575 --> 00:15:47,595 And to be a colorectal surgeon, you have 368 00:15:47,595 --> 00:15:49,795 to be a board certified general surgeon. 369 00:15:50,015 --> 00:15:52,995 So that's a five year residency in general surgery. 370 00:15:53,655 --> 00:15:55,475 And then their colorectal surgery 371 00:15:56,235 --> 00:15:58,355 residency is not a fellowship, it's a second. 372 00:15:58,405 --> 00:16:01,155 Board certification is only a year long 373 00:16:01,705 --> 00:16:03,435 because you're already a surgeon. 374 00:16:03,855 --> 00:16:07,475 Mm-Hmm. , we tend to restrict our practices 375 00:16:08,535 --> 00:16:10,635 to kind of the middle of the small bowel 376 00:16:12,025 --> 00:16:13,645 to the anus essentially. 377 00:16:14,465 --> 00:16:17,525 And that's simply not to kind of tick off a lot 378 00:16:17,525 --> 00:16:18,565 of general surgeons. 379 00:16:18,705 --> 00:16:20,845 Mm-Hmm. and we'll do colonoscopies, 380 00:16:20,865 --> 00:16:24,525 but we don't do EEGs so that we don't tick off. 381 00:16:24,785 --> 00:16:27,405 So we, we walk in a fine line. Do you understand? 382 00:16:27,435 --> 00:16:28,725 There's like a tightrope. 383 00:16:29,185 --> 00:16:33,535 The politics involved are kind of, um, are kind of difficult 384 00:16:33,965 --> 00:16:36,855 because everyone is afraid you're stealing their business. 385 00:16:36,955 --> 00:16:39,295 And it doesn't trust me, 386 00:16:39,435 --> 00:16:41,935 you could plunk a hundred colorectal surgeons around me. 387 00:16:42,075 --> 00:16:43,135 I'm not stealing their business. 388 00:16:43,695 --> 00:16:44,895 They're not stealing my business. 389 00:16:45,355 --> 00:16:49,375 My niche is so uniquely mine that I have zero , zero fear. 390 00:16:49,755 --> 00:16:52,415 But it is always very difficult when you're dealing 391 00:16:52,415 --> 00:16:54,735 with new doctors when they hear the cases 392 00:16:54,805 --> 00:16:56,295 that you do and they wanna know why. 393 00:16:56,675 --> 00:16:58,895 Or hospital administrators who are like, 394 00:16:58,895 --> 00:17:01,495 well why do we need a GI doctor and a colorectal surgeon? 395 00:17:01,695 --> 00:17:03,135 'cause like you, maybe they don't know the difference. 396 00:17:03,385 --> 00:17:06,735 Right. I think colonoscopies, everyone's doing colonoscopies 397 00:17:07,155 --> 00:17:10,175 and it is, it is, it is a different specialty. 398 00:17:10,405 --> 00:17:12,055 What we're looking for completely different. 399 00:17:12,115 --> 00:17:13,815 Our mindset is completely different. 400 00:17:14,375 --> 00:17:16,015 I think if you're gonna have colon cancer 401 00:17:16,085 --> 00:17:17,375 screening, in my opinion. 402 00:17:17,795 --> 00:17:21,135 Mm-Hmm. . Or if you have a symptom, a problem, 403 00:17:21,875 --> 00:17:24,095 you really should go see the colorectal surgeon. 404 00:17:24,805 --> 00:17:26,855 That way you're immediately on the schedule 405 00:17:27,435 --> 00:17:28,695 if something is found. 406 00:17:29,395 --> 00:17:32,975 The other issue is if your gastroenterologist plays golf 407 00:17:32,975 --> 00:17:35,135 with a general surgeon, no matter how bad he is, that's 408 00:17:35,135 --> 00:17:36,615 who he's sending his patients to. 409 00:17:37,085 --> 00:17:40,695 Yeah. And then someone like me has to correct the damage. 410 00:17:41,155 --> 00:17:44,225 So , no offense if you are a general 411 00:17:44,225 --> 00:17:45,305 surgeon 'cause I am too. 412 00:17:45,405 --> 00:17:50,245 So I'm just saying sometimes the referral base in politics 413 00:17:50,275 --> 00:17:52,685 goes to the guy you go duck hunting with 414 00:17:53,025 --> 00:17:54,565 and not necessarily the person 415 00:17:55,185 --> 00:17:57,325 who is the best technical surgeon. 416 00:17:57,425 --> 00:17:59,365 Mm-Hmm. . So you just kind of have to know 417 00:17:59,365 --> 00:18:00,365 who your doctors are. 418 00:18:01,305 --> 00:18:03,085 If you think you have a serious problem, 419 00:18:03,865 --> 00:18:05,965 go see the colorectal surgeon first. 420 00:18:06,105 --> 00:18:07,645 And that doctor might say, listen, 421 00:18:07,755 --> 00:18:08,885 there's no surgical problem. 422 00:18:09,345 --> 00:18:12,165 You need a medical specialist and they'll send you to gi. 423 00:18:12,385 --> 00:18:13,685 That's how I would prefer it. 424 00:18:13,905 --> 00:18:16,605 And the GI doctors will say completely the opposite of 425 00:18:16,605 --> 00:18:19,685 what I just said, , you know, they'll just flip it. 426 00:18:19,685 --> 00:18:22,045 But that's just, that's the nature of competition. 427 00:18:22,985 --> 00:18:24,885 - It is. And I always like to say, you have 428 00:18:24,885 --> 00:18:26,165 to be your advocate. 429 00:18:26,305 --> 00:18:30,765 Be and Yeah. I totally get why you have a huge 430 00:18:30,765 --> 00:18:33,045 following and it's all by referral 431 00:18:33,045 --> 00:18:35,405 because you truly care about your patients 432 00:18:35,825 --> 00:18:37,405 and you're doing what's best for them 433 00:18:37,705 --> 00:18:39,085 and you're actually listening to them. 434 00:18:39,445 --> 00:18:40,965 A lot of doctors don't listen anymore. 435 00:18:41,665 --> 00:18:43,765 - And I can I just tell you this totally aside, 436 00:18:43,845 --> 00:18:46,565 I know we're supposed to be talking about gut health , but, 437 00:18:46,625 --> 00:18:49,485 but one of the big things that comes up in some 438 00:18:49,485 --> 00:18:51,365 of the conversations, not just in my office 439 00:18:51,585 --> 00:18:55,245 but on social media will be why don't doctors listen 440 00:18:55,245 --> 00:18:56,405 to their patients? 441 00:18:57,265 --> 00:18:58,685 And it's, it's interesting, I, 442 00:18:58,765 --> 00:19:00,645 I started medical school 32 years ago 443 00:19:00,825 --> 00:19:05,165 and back in those times, that is what you did. 444 00:19:05,705 --> 00:19:08,405 You sat and you had an interview with the patients 445 00:19:09,065 --> 00:19:11,765 in the first three years of training. 446 00:19:12,075 --> 00:19:13,205 When you're in medical school, 447 00:19:13,705 --> 00:19:15,485 that's all you're doing is talking to patients 448 00:19:15,485 --> 00:19:17,205 because you have to learn how to talk to a patient. 449 00:19:17,945 --> 00:19:20,965 Um, in the modern era, a couple 450 00:19:20,965 --> 00:19:23,125 of things have interfered with that interaction. 451 00:19:23,745 --> 00:19:25,565 Uh, one of them is modern testing. 452 00:19:27,215 --> 00:19:31,035 So when I was an intern, we did not, the CT scan was 453 00:19:31,035 --> 00:19:33,115 so coveted you didn't ever use that. 454 00:19:33,345 --> 00:19:35,515 Like, like brain injury was like about 455 00:19:35,515 --> 00:19:36,555 the only thing you ever used it for. 456 00:19:37,135 --> 00:19:40,825 So if you came in with belly pain, incomes, 457 00:19:40,825 --> 00:19:43,145 the surgery resident who does the interview, 458 00:19:43,145 --> 00:19:45,225 does a physical exam, makes their best assessment. 459 00:19:46,085 --> 00:19:48,385 And if you thought the patient needed a CT 460 00:19:48,415 --> 00:19:50,145 scan, you would get it. 461 00:19:50,725 --> 00:19:52,665 But we actually would take you to the operating room. 462 00:19:52,815 --> 00:19:54,065 Like that was our part 463 00:19:54,065 --> 00:19:55,785 of our physical exam was operating on you. 464 00:19:55,855 --> 00:19:59,305 Believe it or not. Wow. That was just 30 years ago. Yeah. 465 00:19:59,725 --> 00:20:02,345 Um, so the modern era, we've saved a lot 466 00:20:02,345 --> 00:20:04,145 of these exploratory surgeries, 467 00:20:04,925 --> 00:20:08,025 but it also means people have gotten away 468 00:20:08,025 --> 00:20:09,585 from physical exam. 469 00:20:09,585 --> 00:20:10,785 What's the point of the physical exam? 470 00:20:10,785 --> 00:20:12,945 But the machine's gonna tell us. Right. 471 00:20:13,205 --> 00:20:15,385 So, so there's that limitation 472 00:20:16,205 --> 00:20:20,905 and when you combine that with the way modern medicine is 473 00:20:21,425 --> 00:20:26,065 reimbursed, so in other words by a third party payer, 474 00:20:26,655 --> 00:20:28,785 it's very difficult to stay in practice 475 00:20:29,405 --> 00:20:31,985 if you actually take 30 minutes per 476 00:20:31,985 --> 00:20:34,615 patient with the patient. 477 00:20:34,645 --> 00:20:37,135 It's one of the reasons I insist patients do their paperwork 478 00:20:37,135 --> 00:20:38,335 before they come to my office. 479 00:20:39,975 --> 00:20:42,765 Every minute you spend in my office doing paperwork you 480 00:20:42,765 --> 00:20:45,365 should have done at home is one you. 481 00:20:47,065 --> 00:20:48,445 So that motivates me. 482 00:20:48,445 --> 00:20:49,645 If you want me to speak to you, 483 00:20:50,105 --> 00:20:52,365 we gotta use our time quite wisely. 484 00:20:53,105 --> 00:20:55,405 now. So when I was an employee of a hospital, 485 00:20:55,995 --> 00:20:57,405 they mandated my schedule. 486 00:20:57,475 --> 00:21:00,845 They never gave me time to talk to a patient. I was overrun. 487 00:21:00,945 --> 00:21:02,525 It was, it was a blessing. 488 00:21:03,275 --> 00:21:06,245 They decided to get rid of all of their subspecialists 489 00:21:07,095 --> 00:21:09,625 because someone in the mathematics department decided 490 00:21:10,105 --> 00:21:12,825 surgeons cost insurance companies money 491 00:21:13,205 --> 00:21:15,465 and we were just bought by an insurance company. 492 00:21:15,925 --> 00:21:17,465 Mm-Hmm. . They're like, oh, 493 00:21:17,465 --> 00:21:19,025 we'll just get rid of our biggest expense. 494 00:21:19,695 --> 00:21:21,555 The surgeons. So they got rid 495 00:21:21,555 --> 00:21:25,555 of all the subspecialty surgeons only to find that 496 00:21:25,555 --> 00:21:28,115 because what they bought was also a hospital. 497 00:21:28,575 --> 00:21:31,115 The surgeons actually are generating money for the hospital. 498 00:21:31,295 --> 00:21:34,035 Mm-Hmm. because we're operating on people when someone 499 00:21:34,035 --> 00:21:36,715 comes in with diverticulitis isn't about to die. 500 00:21:37,485 --> 00:21:38,955 Who's going to save that patient's 501 00:21:38,955 --> 00:21:40,075 life if you don't have a surgeon? 502 00:21:40,655 --> 00:21:45,315 So anyway, they got rid of me Right. As Covid was hitting. 503 00:21:46,235 --> 00:21:47,295 And it was a blessing 504 00:21:47,765 --> 00:21:52,215 because I was able to reset my practice in a way where, 505 00:21:52,795 --> 00:21:54,775 you know, kind of in the image that I wanted, I wanted 506 00:21:54,775 --> 00:21:55,975 to spend more time with patients. 507 00:21:56,565 --> 00:21:59,335 Yeah. During that period of time where we were not allowed 508 00:21:59,335 --> 00:22:02,375 to operate on anybody, I got to sort of hone some skills 509 00:22:02,595 --> 00:22:04,375 by way of telemed like you and I are talking. 510 00:22:04,755 --> 00:22:06,295 Mm-Hmm. , you know, well let's try 511 00:22:06,295 --> 00:22:07,535 something non-surgical first. 512 00:22:07,815 --> 00:22:09,135 'cause God knows I can't get you in the 513 00:22:09,135 --> 00:22:10,335 operating room unless you're dying. 514 00:22:10,365 --> 00:22:12,055 That was the mandate for about six months. 515 00:22:12,965 --> 00:22:14,905 You had to be 24 hours from 516 00:22:14,905 --> 00:22:15,945 death or you couldn't have surgery. 517 00:22:16,045 --> 00:22:17,265 And that included cancer and 518 00:22:17,265 --> 00:22:18,705 diverticulitis, believe it or not. 519 00:22:19,525 --> 00:22:21,145 So, so I got to talking 520 00:22:21,365 --> 00:22:23,825 and it's shocking how many people you could talk outta some 521 00:22:24,065 --> 00:22:25,705 surgeries, not cancer obviously, 522 00:22:26,325 --> 00:22:28,945 but some early diverticulitis 523 00:22:29,125 --> 00:22:31,745 and chronic constipation stuff and hemorrhoids. 524 00:22:31,745 --> 00:22:34,585 Yeah. You can talk them out of an operation with proper diet 525 00:22:35,535 --> 00:22:37,515 and, and exercise and that sort of thing. 526 00:22:37,535 --> 00:22:40,275 So that kind of is what launched the wellness Dr. 527 00:22:40,275 --> 00:22:43,155 Anna as opposed to Dr. Toker, the surgeon. So 528 00:22:43,615 --> 00:22:45,155 - Oh it was meant to be then because 529 00:22:45,265 --> 00:22:46,795 - Yeah, it was, it was all, yes. 530 00:22:46,795 --> 00:22:48,835 It's all God's plan. So I'm just along for the 531 00:22:48,835 --> 00:22:49,835 ride, - . 532 00:22:51,545 --> 00:22:54,875 It's true. God is in control. He correct. He has the plan , 533 00:22:55,825 --> 00:22:57,355 - Even when you think you're in charge. 534 00:22:57,695 --> 00:23:00,035 Mm-Hmm. , you might 535 00:23:00,035 --> 00:23:01,995 as well just enjoy the scenery 'cause you are not . 536 00:23:03,695 --> 00:23:05,195 So, so that's what I'm doing. 537 00:23:05,575 --> 00:23:07,155 - So speaking of hemorrhoids, 538 00:23:07,215 --> 00:23:10,435 how can you avoid hemorrhoids? And can you, 539 00:23:10,895 --> 00:23:14,155 - You can, first of all, let me just clarify 540 00:23:14,475 --> 00:23:15,635 'cause people are shocked to hear this. 541 00:23:15,855 --> 00:23:16,875 Mm-Hmm. this. 542 00:23:16,875 --> 00:23:21,445 But, but hemorrhoids are normal anatomy that you are born 543 00:23:21,445 --> 00:23:23,805 with because they're just blood vessels coated 544 00:23:23,805 --> 00:23:25,485 with either skin or the lining 545 00:23:25,485 --> 00:23:27,445 of the lower rectum. So you're born with them. 546 00:23:27,915 --> 00:23:30,965 - Okay, - Time because we are bipedal animals. 547 00:23:31,475 --> 00:23:35,105 Gravity, because we spend a lot of times sort 548 00:23:35,105 --> 00:23:36,705 of squatting and tying our shoes. 549 00:23:36,885 --> 00:23:40,145 Or you have a baby or you have constipation 550 00:23:40,845 --> 00:23:43,105 or you just read while sitting on the toilet. 551 00:23:43,365 --> 00:23:47,375 All of these things worsen hemorrhoids 552 00:23:47,375 --> 00:23:48,815 because simply because of gravity. 553 00:23:48,885 --> 00:23:52,385 This is physics now talking, you know, if you can think, 554 00:23:52,385 --> 00:23:53,545 like if you work out, you know, 555 00:23:53,545 --> 00:23:54,745 you've got little veins in your hands. 556 00:23:55,205 --> 00:23:56,705 If you hold your hands at your side 557 00:23:56,705 --> 00:23:59,185 and pump up those veins, you can see them pumping up 558 00:24:00,015 --> 00:24:01,795 or your butt's doing the exact same thing. 559 00:24:02,335 --> 00:24:04,635 If you're sitting in a squatted position 560 00:24:04,655 --> 00:24:05,755 and lifting something. 561 00:24:06,415 --> 00:24:08,115 So men who are mechanics 562 00:24:08,115 --> 00:24:10,595 or electricians who have to squat into small spaces 563 00:24:10,855 --> 00:24:13,695 and exert horses, they're putting 564 00:24:13,695 --> 00:24:16,175 that pressure on their hemorrhoids when they read 565 00:24:16,195 --> 00:24:17,455 and sit on the toilet, 566 00:24:17,455 --> 00:24:18,895 they're putting pressure on their hemorrhoids. 567 00:24:19,065 --> 00:24:21,855 Women as we have labor and delivery 568 00:24:22,235 --> 00:24:23,855 and now we're chasing around a two, 569 00:24:23,855 --> 00:24:25,695 how many shoes have you tied in your lifetime? 570 00:24:26,115 --> 00:24:28,935 Get up and you can't get on your knees 571 00:24:28,995 --> 00:24:30,695 and sit on the floor and pick up toys. 572 00:24:30,885 --> 00:24:32,495 It's a squat up, down, up, down. 573 00:24:32,515 --> 00:24:34,215 Of course that's terrible for your hemorrhoids. 574 00:24:34,215 --> 00:24:37,295 So a lot of my practice with hemorrhoids are men 575 00:24:37,725 --> 00:24:39,255 with mechanical jobs 576 00:24:40,655 --> 00:24:45,535 and women who either have children or like to garden. 577 00:24:46,555 --> 00:24:49,495 Um, you know, or have constipation. 578 00:24:51,055 --> 00:24:54,035 So, so if you can avoid here, the, 579 00:24:54,035 --> 00:24:55,475 here's your tips on avoiding hemorrhoids. 580 00:24:55,475 --> 00:24:57,035 So you're ready. So I just outlined who gets 'em? 581 00:24:57,415 --> 00:24:58,555 We just talked about, well, 582 00:24:58,555 --> 00:25:00,075 we're hemorrhoids and who gets them. 583 00:25:00,175 --> 00:25:02,275 So now how to stop number one, 584 00:25:03,425 --> 00:25:04,885 do not read while sitting on the toilet. 585 00:25:05,375 --> 00:25:07,485 Never do that. That's like the number one thing. 586 00:25:07,905 --> 00:25:09,045 And if you've got a job 587 00:25:09,185 --> 00:25:13,105 or you have to kind of squat down to kind of do something, 588 00:25:13,285 --> 00:25:16,745 do not squat and do it, get on your knees or sit on a chair 589 00:25:16,845 --> 00:25:19,145 or they have gardening stools with these tall handles. 590 00:25:19,325 --> 00:25:21,225 If you're, if you're in the garden, 591 00:25:21,945 --> 00:25:24,025 I do a video on my website on how 592 00:25:24,025 --> 00:25:25,105 to avoid hemorrhoid surgery. 593 00:25:25,245 --> 00:25:28,385 And we talk about the patron saint of hemorrhoids, 594 00:25:28,965 --> 00:25:32,185 who literally, because of a gardening feat got terrible, 595 00:25:32,465 --> 00:25:33,905 terrible hemorrhoids, right? 596 00:25:33,925 --> 00:25:36,625 So he's demonstrating that squatting 597 00:25:36,625 --> 00:25:39,625 and lifting something heavy causes hemorrhoids. 598 00:25:40,415 --> 00:25:43,955 Now the cure of his hemorrhoids was to sit on a rock. 599 00:25:45,105 --> 00:25:47,205 And so pressure manual compression 600 00:25:47,205 --> 00:25:49,165 to those hemorrhoids will actually help you. 601 00:25:49,865 --> 00:25:51,525 The, so when hemorrhoids swell, 602 00:25:51,525 --> 00:25:52,685 they wanna fall outta your body. 603 00:25:52,845 --> 00:25:55,925 'cause your body mistakes, this tissue for poop falls out 604 00:25:56,705 --> 00:25:59,645 and you gotta push against it to push it back in. 605 00:26:00,185 --> 00:26:03,005 So if you've got swelling, hemorrhoids, put pressure 606 00:26:03,105 --> 00:26:04,735 to the area, right? 607 00:26:04,835 --> 00:26:08,335 So avoid the hemorrhoids by no prolonged squatting 608 00:26:08,335 --> 00:26:10,995 and exerting yourself if you're constipated, 609 00:26:10,995 --> 00:26:13,155 take the kiwi fruit 'cause it helps with constipation. 610 00:26:13,205 --> 00:26:14,315 Drink lots of water. 611 00:26:15,895 --> 00:26:18,515 If they swell, just put a little pressure against them 612 00:26:18,515 --> 00:26:20,995 to pop 'em back on the inside and then lay down. 613 00:26:21,985 --> 00:26:24,595 Some patients, I'll make them use a little suppository right 614 00:26:24,595 --> 00:26:25,635 before bedtime, right? 615 00:26:25,695 --> 00:26:27,635 So hot bath, relax the muscles 616 00:26:28,255 --> 00:26:31,155 and put a little suppository in, lay down in bed. 617 00:26:31,695 --> 00:26:33,635 And that way that thing will dissolve 618 00:26:33,635 --> 00:26:36,155 with the hemorrhoids pushed back inside. 619 00:26:36,815 --> 00:26:39,755 And then they can kind of resorb the blood flow. 620 00:26:39,775 --> 00:26:41,955 Can resorb, some people get to a point where it's too late, 621 00:26:41,975 --> 00:26:44,355 too far gone, and then you need surgery. 622 00:26:45,515 --> 00:26:47,695 - And is the surgery, um, a fissure? 623 00:26:47,695 --> 00:26:49,295 Like I've heard of a fissure. 624 00:26:49,645 --> 00:26:51,415 - Well, they're, those are two different things. Okay? 625 00:26:51,515 --> 00:26:53,135 So, um, most people 626 00:26:53,135 --> 00:26:54,535 who think they have a fissure will come in 627 00:26:54,535 --> 00:26:55,615 telling me they have a hemorrhoid . 628 00:26:57,115 --> 00:26:59,495 Um, so a hemorrhoid is a blood vessel 629 00:27:00,315 --> 00:27:01,855 and usually they do not hurt 630 00:27:02,235 --> 00:27:05,375 unless they get a blood clot in them, or very, very swollen. 631 00:27:06,915 --> 00:27:10,095 Um, whereas a fissure almost always hurts. 632 00:27:10,195 --> 00:27:13,635 That's a little cut in the lining of the anal canal. 633 00:27:13,855 --> 00:27:16,275 And it just, it's like a ripping tearing sensation. 634 00:27:16,335 --> 00:27:18,155 You know it when you have it, you may not realize 635 00:27:18,225 --> 00:27:19,875 what it is, but you know it. 636 00:27:19,985 --> 00:27:22,795 Yeah. And I've seen grown men crying 637 00:27:22,795 --> 00:27:24,555 because they're in so much pain from a fissure. 638 00:27:24,555 --> 00:27:25,515 So fissures are very painful, 639 00:27:26,175 --> 00:27:27,475 the surgeries are very different. 640 00:27:28,385 --> 00:27:29,875 Okay, so a hemorrhoid surgery. 641 00:27:30,895 --> 00:27:33,275 God, I pray you don't ever need a hemorrhoid surgery. 642 00:27:33,895 --> 00:27:35,715 We try to do those minimally invasive, 643 00:27:36,495 --> 00:27:38,315 but dude, that's, that's tough. 644 00:27:39,165 --> 00:27:43,385 Listen to me now people, if you can avoid it, if, this is 645 00:27:43,385 --> 00:27:47,035 what I tell people in hemorrhoid surgery, if your 646 00:27:47,545 --> 00:27:51,435 butt is dictating your life, it's time for an operation. 647 00:27:52,885 --> 00:27:54,865 If your butt is not dictating your life, 648 00:27:55,125 --> 00:27:57,065 do not randomly have the operation just 649 00:27:57,065 --> 00:27:58,785 because you had a colonoscopy 650 00:27:58,785 --> 00:28:00,185 and someone said you had hemorrhoids. 651 00:28:00,805 --> 00:28:03,575 Okay. So that's kind of how I define that. 652 00:28:03,915 --> 00:28:05,975 The, the fissure people are usually hurting so bad, 653 00:28:05,975 --> 00:28:07,295 they're asking for an operation 654 00:28:08,005 --> 00:28:09,345 and their surgery is much simpler 655 00:28:09,805 --> 00:28:12,545 and actually much less painful than a hemorrhoid surgery. 656 00:28:13,785 --> 00:28:15,685 So I never shy away from a fissure surgery, 657 00:28:15,745 --> 00:28:18,605 but I always try to talk people out of hemorrhoid surgery. 658 00:28:19,315 --> 00:28:22,605 - Surgery. You have shared such a wealth of information. 659 00:28:23,025 --> 00:28:26,605 I'm so grateful for you. So thank you, thank you, thank you. 660 00:28:27,495 --> 00:28:28,945 Well, that's it for this episode. 661 00:28:29,235 --> 00:28:30,825 Don't forget to hit the subscribe button 662 00:28:30,885 --> 00:28:32,345 for more gutsy babe content. 663 00:28:32,595 --> 00:28:34,745 Until next time, move with love and ease. 664 00:28:35,715 --> 00:28:37,895 - Is it hard to go when you are on the go? 665 00:28:38,205 --> 00:28:40,095 Well, you're not alone traveler's. 666 00:28:40,095 --> 00:28:41,735 Constipation affects millions daily. 667 00:28:42,105 --> 00:28:44,375 Don't let irregularity ruin your next trip. 668 00:28:44,755 --> 00:28:47,175 Try travel Ease, especially formulated 669 00:28:47,175 --> 00:28:50,135 to keep you going on your next vacation or business trip. 670 00:28:50,315 --> 00:28:52,775 Unlike common over the counter therapies for constipation, 671 00:28:53,035 --> 00:28:54,535 travel ease is all natural. 672 00:28:54,805 --> 00:28:57,335 Doesn't produce cramping and won't dehydrate. 673 00:28:57,475 --> 00:29:01,495 You wanna find out more? 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