Endo Year Reflections: #8

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Endo Year Reflections: #8
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Send us a text with a question or thought on this episode ( We cannot replay from this link)

As we close out the year, we’re taking a moment to reflect on two transformative episodes that shaped the journey of Endo Battery. This Endo Year Reflection episode honors the legacy of the late Dr. David Redwine, a pioneer who revolutionized endometriosis care, and explores the growth and evolution of Dr. Jenn Jaggi, a surgeon committed to redefining standards of treatment.

In Episode 51, we revisit an unforgettable conversation with Dr. Redwine—his brilliance, humor, and groundbreaking research on the origins of endometriosis. His relentless drive to question outdated surgical standards gave countless patients the chance to reclaim their lives. As we remember his profound contributions, we also carry forward the hope he ignited in the endometriosis community.

In Episode 72, we reflect on the inspiring journey of Dr. Jenn Jaggi. Once limited by traditional training, Dr. Jaggi embraced advanced education to transform her approach to endometriosis and adenomyosis care. From hands-on imaging techniques to challenging outdated diagnostic norms, her story is a testament to the power of unlearning, relearning, and committing to better care for patients.

🎧 Episode Highlights:

  • Dr. David Redwine’s pioneering research and lasting legacy.
  • How Dr. Jenn Jaggi’s advanced training is reshaping endometriosis care.
  • Insights into diagnostic innovations and breaking misconceptions about adenomyosis.

This reflection isn’t just about revisiting episodes; it’s about celebrating progress and carrying lessons forward into the new year. Tune in to be inspired by these stories of advocacy, innovation, and hope for better outcomes in endometriosis care.

🔗 Catch Episode 51 with Dr. Redwine and Episode 72 with Dr. Jaggi for the full conversations!

*Subscribe and stay tuned for the next episode in our Endo Year Reflection series—together, we’re recharging for what’s ahead.

Support the show

Website endobattery.com

Instagram: EndoBattery

Reflection on Endometriosis Journey & Legacy

Speaker 1
0:02

Welcome

to

EndoBattery
,

where

I

share

my

journey

with

endometriosis

and

chronic

illness
,

while

learning

and

growing

along

the

way
.

This

podcast

is

not

a

substitute

for

medical

advice
,

but

a

supportive

space

to

provide

community

and

valuable

information

so

you

never

have

to

face

this

journey

alone
.

We

embrace

a

range

of

perspectives

that

may

not

always

align

with

our

own
.

Believing

that

open

dialogue

helps

us

grow

and

gain

new

tools

always

align

with

our

own
.

Believing

that

open

dialogue

helps

us

grow

and

gain

new

tools
.

Join

me

as

I

share

stories

of

strength
,

resilience

and

hope
,

from

personal

experiences

to

expert

insights
.

I'm

your

host
,

alana
,

and

this

is

Indobattery

charging

our

lives

when

endometriosis

drains

us
.

Welcome

back

to

Indobattery
.

Grab

your

cup

of

coffee

or

your

cup

of

tea

and

join

me

at

the

table
.

As

the

year

comes

to

a

close
,

I

find

myself

looking

back

on

all

the

EndoBattery

episodes
.

We've

shared

Conversations

that

have

inspired

me
,

challenged

me

and

helped

me

piece

together

the

intricate

puzzle

that

is

my

health

journey
.

This

reflection

isn't

just

about

my

story
,

though
.

It's

about

ours
.

Together
,

we've

tackled

tough

topics
,

asked

hard

questions

and

found

moments

of

validation

and

clarity
.

The

end-of-year

reflection

series

is

my

way

of

revisiting

those

episodes

that

left

a

mark
,

moments

that

I

believe

are

worth

pausing

to

appreciate

again
.

With

the

holiday

season

upon

us
,

I

know

how

precious

time

is
.

It's

easy

to

feel

overwhelmed

and

even

harder

to

find

space

to

recharge
.

But

recharging

shouldn't

feel

like

another

item

on

the

to-do

list

it's

essential
.

That's

why

this

series

is

designed

to

be

taken

in

small

doses
,

bite-sized

reflections

that

I

hope

will

leave

you

feeling

recharged

rather

than

drained
.

Together
,

let's

look

back
,

celebrate

the

insights

we've

gained

and

carry

them

forward

into

the

new

year

with

renewed

energy

and

hope
.

So

cozy

up

and

let's

start

reflecting

on

the

moments

that

have

shaped

us

this

year
,

because

you're

not

alone

and

together

we're

finding

the

power

to

move

forward
.

Let's

dive

in
.

These

episodes

wouldn't

be

possible

without

the

diligence
,

passions

and

persistence

of

one

man

who

changed

the

narrative

of

endometriosis

surgery

forever
.

Episode

51

with

Dr

David

Redwine

wasn't

new

this

year
,

but

it's

one

I

couldn't

leave

out

of

this

reflection

series
.

Speaker 1
2:14

With

the

passing

of

Dr

Redwine
,

I

was

reminded

just

how

fleeting

life

really

is
.

Before

his

passing
,

chelsea

and

I

had

the

honor

of

sitting

down

with

him

as

he

walked

us

through

what

would

become

his

final

presentation

on

the

origins

of

endometriosis
.

He

was

kind
,

funny

and

absolutely

brilliant
.

A

true

pioneer
,

or
,

in

his

words
,

emperor
,

whose

insights

could

blow

your

mind

and

shift

how

you

understood

the

disease
.

If

it

weren't

for

Dr

Redwine's

relentless

drive

to

question

surgical

care

and

push

for

something

better
,

I

wouldn't

be

sitting

here

today
.

I'd

still

be

trapped

in

relentless

pain
,

weighed

down

by

overwhelming

fatigue

and

fighting

for

even

a

moment

of

relief
.

His

work

transformed

what

care

could

look

like

and

gave

so

many

of

us

a

chance

to

reclaim

our

lives
.

Speaker 1
3:03

What

always

amazed

me

about

Dr

Redwine

was

how

deeply

he

sought

to

understand

the

origins

of

endometriosis
,

not

just

to

treat

it

better
,

but

to

rewrite

how

it's

perceived
,

diagnosed

and

ultimately

lived

with
.

His

legacy

lives

on

in

every

patient

who

finds

relief

because

of

the

standards

he

fought

for
.

So
,

as

we

reflect
,

let's

honor

the

foundation

he

laid

for

us
.

So
,

as

we

reflect
,

let's

honor

the

foundation

he

laid

for

us

all
.

Take

a

moment

to

listen

to

this

unforgettable

conversation
,

one

that

captures

his

brilliance
,

his

humor
,

his

profound

impact
.

Dr

Redwine's

work

changed

lives

and

I

hope

revisiting

this

episode

will

inspire

you

as

much

as

it

did

me
.

Let's

take

a

listen
.

Speaker 2
3:44

Episode

will

inspire

you

as

much

as

it

did

me
.

Let's

take

a

listen
.

I

first

heard

about

Samson's

theory

of

reflux

menstruation

as

the

origin

of

endometriosis

when

I

was

in

medical

school

and

I

recall

distinctly

now

that

when

I

heard

it

I

laughed

almost

out

loud
.

It

sounded

preposterous
.

Okay
,

fine
,

went

through

medical

school
,

internship
,

I

decided

I

wanted

to

go

into

OBGYN

because

you

could

do

surgery
,

you

could

do

medicine
,

you

can

do

a

little

bit

of

pediatrics

you

can

do
.

You

know
,

you're

treating

kind

of

several

different

cross

specialties
,

and

so

that

appealed

to

me
.

I

kind

of

envisioned

myself

being

a

surgeon

as

I

was

growing

up

and

that's

what

eventually

happened
.

Speaker 2
4:32

So

anyway
,

I

met

and

married

my

first

wife

while

in

medical

school

at

Baylor

College

of

Medicine

in

Houston
,

texas

that

was

in

1970
.

And

she
,

unbeknownst

to

her
,

she

had

endometriosis

and

she

was

always

talking

about

pelvic

pain

and

pelvic

pain

throughout

the

month

and

intercourse

was

painful

and

this

was

kind

of

all

new

to

me

in

a

sense
.

When

I

got

out

of

medical

school

and

going

to

internship

and

residency
,

she

continued

to

have

these

problems

and

so

she

was

seen

by

a

gynecologist

a

general

gynecologist

in

Portland
,

where

we

were
,

where

I

was

undergoing

training
,

and

Vincent
,

she

had

laparoscopy

and

endometriosis

was

found

and

we

were

told

well
,

there

wasn't

very

much

and

we

burned

it
,

so

she

should

be

fine
.

Well
,

she

wasn't

fine
,

and

so

when

I

got

through

my

training

and

was

going

to
.

Speaker 2
5:25

Bend
,

oregon
,

to

open

up

my

practice
,

my

wife

still

had

the

same

degree

of

problem
.

She

had

been

put

on

birth

control

pills
,

which

really

didn't

help
.

She

had

also
,

along

the

way
,

been

put

on

Danazol
,

which

really

didn't

help
.

And

so

we

went

to

Bend

and

I

talked

with

one

of

my

partners

about

you

know
,

my

wife
,

that

she

might

have

endometriosis

still

and

everything

that

a

patient

with

endometriosis

encounters
.

We

encountered

along

the

way
.

My

wife

was

dismissed
,

endometriosis

itself

was

dismissed
.

It's

just

endometriosis
,

you

know
,

blah
,

blah
,

blah
.

And

we

realized
,

as

many

patients

with

endometriosis

realize
,

eventually
,

that

you

have

to

fight

to

make

any

forward

progress
.

And

so

my

wife

was

no

better
.

And

so

we

went

to

one

of

my

former

partners

and

said

look
,

we

think

she

needs

surgery
.

She's

had

birth

control

pills
,

she's

had

Danazol
,

she's

had

the

endometriosis

burned

at

laparoscopy
.

Can

we

just

cut

the

disease

out
?

And

he

kind

of

went

like

that

and

said

what

you

want

me

to

let

me

get

this

straight

you

want

me

to

remove

the

disease

from

the

body
.

And

we

said

yeah
,

that's

right
.

Speaker 3
6:37

Shocking
,

that's

right
.

Speaker 2
6:39

We

want

the

disease

out

of

the

body
.

Speaker 3
6:41

Yeah
.

Speaker 2
6:41

And

he

said

that's

just

not

done
.

And

I

said

well
,

you

know

what
?

Nothing

else

has

worked
,

just

do

it
.

No-transcript
.

And

he

had

to

do

a

laparotomy
,

but

he

cut

the

disease

out
.

She

woke

up

in

the

recovery

room

pain-free
.

I

had

already

been

seeing

in

my

own

patients

a

little

bit

of

endometriosis
,

and

so

when

I

saw

that

my

goal

to

have

the

disease

removed

from

the

body

would

result

in

relief

of

symptoms
,

which

at

one

level

is

a

very

simple

connection

I

mean
,

that's

what

we

do

in

medicine
,

but

at

another

level

it's

the

profession

is

so

in

control

of

people

who

don't

know

much

about

endometriosis

I

mean

then

and

now

that

there

was

all

this

confusion

and

contradiction

and

such
.

So

I

was

able

to

kind

of

cut

through

it

with

my

wife
.

I

saw

the

results

in

her
.

I

was

seeing

the

same

results

in

my

patients
.

Speaker 1
7:39

What

started

with

Dr

Redwine's

groundbreaking

work

didn't

stop

with

him
.

He

passed

the

torch

to

his

fellow

Dr

Cindy

Mosbreker
,

who

we'll

reflect

on

in

another

episode
,

and

now

her

fellow

Dr

Jen

Yagy
,

in

episode

72,
.

I

had

the

opportunity

to

sit

down

with

Dr

Jen

Yagi
,

an

OBGYN

who

spent

years

passionately

practicing

medicine

and

performing

surgeries
.

Yet
,

like

so

many

in

her

field
,

she

was

limited

by

the

scope

of

her

training
.

What

struck

me

during

our

conversation

was

her

honesty
,

her

acknowledgement

that

for

a

long

time

she

believed

she

was

providing

the

best

care

for

her

endometriosis

patients
.

She

truly

thought

she

knew

almost

all

there

was

to

know

about

this

disease
.

Speaker 1
8:20

I

often

say

we

do

the

best

with

what

we

know
.

That's

not

just

true

for

patients

navigating

their

health

journeys
,

it's

true

for

our

providers

as

well
.

Dr

Yagi's

experience

is

a

testament

to

the

importance

of

continuing

education
,

of

seeking

out

new

knowledge
,

even

when

we

think

we've

mastered

something
.

In

this

episode
,

dr

Yagi

shares

her

journey

of

unlearning
,

relearning

and

committing

to

better

care

for

her

patients
.

Her

story

is

both

humbling

and

inspiring
,

a

reminder

that

it's

never

too

late

to

grow

and

do

better
.

Take

a

listen

as

Dr

Yagi

opens

up

about

her

experience

and

how

stepping

into

advanced

training

transformed

her

approach

to

endometriosis

care
.

Speaker 3
9:04

I

do

think

when

you

go

through

OBGYN

residency
,

I

think

we

are

well

trained

to

diagnose

those

classic

cases

of

endometriosis
.

But

it's

the

ones

who

maybe

don't

follow

the

classic

story

that

I

look

back

and

wonder

about

patients

where

I

missed

that

diagnosis
.

I

was

thinking

about

it

as

an

example
,

like

I

think

it

was

just

a

couple

of

weeks

ago

I

was

seeing

a

patient

for

a

new

consultation

and

I

remember

when

I

was

presenting

it

to

Dr

Mosbroker

I

said

you

know
,

on

first

glance

like

this

didn't

seem

like

a

classic

story

to

me
,

but

you

know

she's

been

on

OCPs

this

whole

time
,

so

you

know
,

I

think

it

was

probably

suppressed
.

She

was

a

patient

who

was

having

more

bowel

symptoms

and

more

bladder

symptoms

and

the

pain

really

hadn't

become

an

issue

until

she

stopped

birth

control
.

And

you

know
,

as

I

was

presenting
,

I

was

like

this

is

the

kind

of

patient

that
,

yeah
,

I

think

a

couple

of

years

ago

I

would

have

more

quickly

jumped

to

like
,

oh
,

this

is

probably

GI

or

you

know

she

should

be

seen

for

a

workup
,

for

IBS

or

brain

recidivitis
,

and

not

kind

of

have

put

the

you

know

the

more

subtle

things

together
.

Speaker 3
10:04

Yeah
,

I

do

and

I

think

about
,

you

know
,

the

patients

that

I

had

where

I

did

ablation

of

endometriosis

or

or
,

honestly
,

even

the

ones

you

know
.

I

can

think

of

one

case

where

I

was

planning

to

do

a

laparoscopic

hysterectomy

for

fibroids

and

adenomyosis

and

got

in

and

it

was
,

you

know
,

a

much

more

complex

case

of

stage

four

endometriosis
.

And

in

that

case
,

you

know
,

I

recognized

that

that

was

above

my

surgical

skill

set

and

we

called

it

a

diagnostic

laparoscopy
.

You

know

she

just

ended

up

with

one

or

two

small

incisions

and

then

referred

her

on

to

the

closest

tertiary

care

center

for

what

I

thought

would

be
,

you

know
,

a

minimally

invasive

procedure
.

She

ended

up

having

an

open

hysterectomy
.

Speaker 3
10:49

I

think

had

her

ovary

taken

out

as

well
.

I

think

oncology

ended

up

doing

the

case
.

When

I

think

back
,

I

was

like
,

I

mean
,

even

in

all

of

New

Mexico

I

don't

think

there

are

many

true

excision

specialists

Now

I

would

know
,

like

you

know
,

there

may

have

been

somewhere

in

Arizona

or

you

know

somewhere

where

she

could

have

had

a

truly

minimally

invasive

procedure
.

Speaker 3
11:12

But

you

know
,

you
,

I

guess
,

do

the

best

that

you

can

with

the

knowledge

that

you

have

at

the

time

and

you

know
,

I

think
,

at

least

with

that

case

you

know
,

I

guess
,

do

the

best

that

you

can

with

the

knowledge

that

you

have

at

the

time

and

you

know
,

I

think

at

least

with

that

case
,

you

know

I

as

a

physician
,

you

learn

first
,

do

no

harm
.

Speaker 3
11:23

You

know

I

didn't

go

into

a

surgery

that

I

thought

was

above

my

gill

set
.

It's

sad

to

think

that

even

with

referring

her

on
,

you

know

she

may

not

have

had

the

most

optimal

surgery
.

It's

interesting

because

I

feel

like

I

really

was

seeking

out

more

surgical

training
,

because

I

think

that's

a

more

obvious

you

know
,

you

more

clearly

see
,

tools

in

your

toolbox

are

lacking
,

like

I

knew
,

stage

three

endometriosis

cases

are

not

something

that

I

can

do

after

finishing

a

general

OBGYN

residency
.

But

I

think

you

know

we

leave

residency

feeling

like

we

have

the

medical
,

you

know

knowledge

and

I

think

that's

the

part

that
,

in

a

way
,

has

almost

been

more

surprising

with

doing

this

fellowship
.

Just

that

I

may

not

been

asking

the

right

questions

or

just

yeah
,

again
,

like

you

mentioned
,

thinking

about

those

patients

where

I

may

have

missed

the

diagnosis
,

even

though

I

thought

I

was

being

thorough
.

Transformation in Endometriosis Care

Speaker 1
12:15

Dr

Yagi

has

been

incredibly

vulnerable

in

sharing

how

this

fellowship

has

transformed

her

perspective
,

not

just

as

a

surgeon
,

but

as

a

provider

deeply

committed

to

improving

care
.

What

I

especially

loved

about

our

conversation

is

how

she

broke

down

practices

she

once

thought

were

standard

for

diagnosing

and

treating

conditions

like

endometriosis

and

adenomyosis
.

Now

she's

utilizing

new

techniques

and

seeing

things

differently
.

For

instance
,

she

discussed

how

adenomyosis

isn't

limited

to

those

who've

had

C-sections

a

misconception

she

once

held

but

has

since

unraveled

through

advanced

training
.

She

also

emphasized

the

importance

of

ultrasounds
,

but

not

in

the

traditional

sense

of

simply

looking

at

a

fetus

through

the

lens

of

a

technician
,

but

not

in

the

traditional

sense

of

simply

looking

at

a

fetus

through

the

lens

of

a

technician
.

Instead
,

she's

taken

on

a

hands-on

approach
,

using

imaging

as

a

critical

tool

to

truly

understand

what's

happening

in

the

body
.

Take

a

moment

to

listen

to

Dr

Yaghi's

reflections
.

It's

a

conversation

that

challenges

old

assumptions

and

shines

a

light

on

the

progress

being

made
.

Speaker 3
13:17

But

like
,

for

instance
,

adenomyosis
,

where

we

were

kind

of

taught

as

something

that

is

more

an

issue

of

women

who

have

had

multiple

pregnancies

and

can

only

be

diagnosed

at

time

of

hysterectomy
.

But

you

know
,

I'm

seeing

a

fair

number

of

patients

that

have

not

had

any

children

and

are
,

you

know
,

in

their

early

20s
,

even

where

their

symptoms

are

classic

for

adenomyosis

and

then

the

ultrasound

suggests

adenomyosis

and

when

you

look

in

at

time

of

surgery
,

see

again
,

you

know

the

gold

standard

really

still

is

to

only

make

that

diagnosis

at

time

of

hysterectomy
.

But

yeah
,

I've

been

learning

there's

a

lot

of

other

ways

that

you

can

almost

make

that

diagnosis
.

Ultrasound

is

another

thing

where

you

know

I

was

doing

quite

a

bit

of

ultrasound

as

a

general

OBGYN
,

but

usually

in

another

thing

where

you

know

I

was

doing

quite

a

bit

of

ultrasound

as

a

general

OBGYN
,

but

usually

in

the

context

of
,

you

know
,

an

early

pregnancy
,

ruling

out

abnormalities

there

and

not

really

thinking

about

ultrasound

as

something

that

can

give

you

hints

that

there

may

be

endometriosis
,

you

know
.

Speaker 3
14:11

So

usually

for

ultrasounds

that

I

wasn't

doing

for

you

know
,

like

someone

walking

in

with

abnormal

bleeding

and

a

positive

pregnancy

test
,

more

often

if

we

were

wanting

to

look

at

the

uterus

or

the

ovaries
,

we

would

order

the

ultrasound
.

It

would

get

done

in

radiology
.

So

you

know
,

we

order

it
,

then

the

tech

takes

the

images

and

then

it

gets

sent

to

the

radiologist

who

looks

at

those

static

images

and

then

a

couple

days

later

you

get

the

report

back

and

you

know
,

often

it

would

say

you

know

just

that

the

uterus

was

a

normal

size
,

there

were
,

there

was

maybe

a

physiologic

cyst

on

the

ovary
,

or

you

know

essentially

that

it

was

unremarkable
.

Speaker 1
14:46

Right
.

Speaker 3
14:48

Now

you

know
,

with

every

consult

that

I'm

doing

with

Dr

Mossberger
,

we

do

an

ultrasound

while

the

patient's

there

and

there's

really

just

so

much

more

that

you

can

see

with

the

ultrasound

if

you

kind

of

use

it

as

a

tool

in

real

time
.

Speaker 3
14:59

You

know

you

can

see

if

the

ovaries

are

tethered

or

stuck

to

the

sidewall
,

if

the

ovaries

are

stuck

to

the

uterus
,

if

there's

movement

between

the

cervix

and

the

rectum

and

you

know

and

more

subtle

signs

of

adenomyosis
,

you

can

see

as

well
.

And

again
,

that's

something

that

I've

been

doing

ultrasound

for

years

but

never

really

thought

of

it

as

a

way

to

look

for

some

of

the

markers

of

endometriosis
.

Speaker 1
15:24

In

this

episode
,

dr

Yaghi

shares

her

journey

of

unlearning
,

relearning

and

committing

to

providing

better

care

for

her

patients
.

Her

story

is

both

humbling

and

inspiring
,

a

powerful

reminder

that

it's

never

too

late

to

grow
,

evolve

and

strive

for

better
.

I

hope

this

episode

inspires

you

as

much

as

it

inspired

me
.

If

you're

looking

to

dive

deeper
,

I

highly

recommend

revisiting

episode

51

with

Dr

David

Redwine

and

episode

72

with

Dr

Jen

Yagi
.

Reflecting

on

these

conversations

left

me

feeling

empowered

to

continue

my

advocacy

efforts

and

I

have

no

doubt

they'll

do

the

same

for

you
.

Thank

you

for

taking

the

time

to

reflect

and

recharge

with

me
.

Don't

forget

to

subscribe

so

you'll

be

notified

when

we

gather

again

for

our

next

Endo

your

Reflection

episode
.

Until

next

time
,

continue

advocating

for

you

and

for

those

that

you

love
.

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