QC: Why Surgery Alone Isn’t Enough For Endometriosis And How Functional Care Fills The Gap

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Introducing Dr. Iris Karen Orbuch

SPEAKER_01
0:41

Today
I
am
honored
to
welcome
someone
who
has
truly
shaped
the
landscape
of
endometriosis
care,
Dr.
Iris
Karen
Orbuck.
Dr.
Karen
Orbuck
is
the
founder
of
Iris
Wing
Sanctuary
for
Endometriosis
Surgery
and
Wellness
in
Los
Angeles,
where
she
provides
compassionate
individualized
care
rooted
in
both
advanced
surgical
expertise
and
whole
body
healing.
She
is
a
board-certified
OBGYN
and
fellowship-trained
endometriosis
excision
surgeon,
having
trained
under
pioneers
like
Dr.
C.Y.Loo
and
Dr.
Harry
Rich,
names
synonymous
with
the
evolution
of
minimally
invasive
surgery.
Beyond
the
operating
room,
Dr.
Karen
Orbuck
is
known
for
her
blending
Western
medicine
and
functional
healing
by
collaborating
with
nutritionists,
pelvic
floor
therapists,
psychologists,
and
acupuncturists
to
help
her
patients
truly
heal,
not
just
manage
symptoms.
She's
also
a
co-author
of
the
widely
acclaimed
book
Beating
Endo,
How
to
Reclaim
Your
Life
from
Endometriosis,
and
her
advocacy
work
extends
beyond
the
clinic.
She
has
served
on
the
AAGL
Foundation
Board,
helped
lead
the
endometriosis
special
interests
group,
and
contributed
her
voice
to
the
groundbreaking
documentaries
like
Endo
What
and
Below
the
Belt,
which
have
helped
bring
this
disease
into
the
public
conversation
and
policy
spaces.
Please
help
me
in
welcoming
the
brilliant
Dr.
Iris
Karen
Orbeck
to
the
table.

Why Pair Excision With Functional Care

SPEAKER_01
2:05

What
does
functional
medicine
in
the
context
of
endocare
mean?
How
is
it
different
from
the
Western
medicine
traditionally
approached
in
chronic
conditions?

SPEAKER_00
2:15

Yeah,
I
do
think
that
functional
medicine
needs
to
be
paralleled
with
endoexcision
surgery.
And
it's
because
the
implants
of
endometriosis
are
inflammatory.
So
what's
being
released
to
the
whole
body
are
these
inflammatory
meteors
that
are
going
systemically
to
the
body,
making
us
feel
so
fatigued
and
exhausted.
Inflammatory
meteors
are
going
to
the
gut,
causing
like
a
quote
unquote,
if
you
use
an
Instagram
term,
like
leaky
gut,
right?
So
small
intestinal
dysbiosis
and
a
large
intestinal,
also
overgrowth
and
dysbiosis,
it's
going
to
the
endocrine
system.
Like
that's
where
our
we
develop
autoimmune
disease.
It's
going
to
the
endocrine
system.
The
inflammation
is
throwing
those
off,
causing
our
body
to
start
attacking
ourselves.
So
when
you
think
of
the
implants
and
then
you
think
of
like
a
10-year
diagnostic
delay,
so,
and
typically
once
you
have
symptoms,
those
implants
have
been
firing
away,
releasing
inflammatory
meters
for
a
very
long
time.
But
if
you
just
think
about
day
one
of
symptoms
until,
you
know,
10
years
of
a
diagnostic
delay,

Inflammation’s Systemic Impact And Gut Health

SPEAKER_00
3:20

there's
10
years
of
an
inflammatory
environment
that
our
bodies
have
been
living
in.
So
if
you
go
to
the
internist,
right,
like
who
works
for
a
hospital,
they're
going
to
send
off
a
panel
of
labs,
they're
going
to
tell
you
everything's
normal,
you
look
fine,
and
you're
going
to
be
like,
but
I
don't
feel
fine,
right?
Because
they're
not
even
testing
for
the
right
things,
right?
They're
not,
they're
not
even
understanding
what
to
look
for
or
testing.
They're
not
looking
at
the
gut.
So
I
think
it's
the
inflammatory
effect
of
endometriosis.
And
when
I
wrote
my
book,
what
drove
me
to
really
think
about
endo
differently
is
because
I
was
in
New
York
and
there
was
a
lot
of
Lyme
disease
in
New
York,
right?
Because
I'm
not
far
from
Connecticut,
Lyme,
Connecticut.
A
lot
of
my
patients
would
be
on
the
Long
Island
shore,
out
in
the
Hamptons,
where
there
was
a
lot
of
tick-borne
illness.
And
I
started
to
have
like
a
lot
of
patients
who
were
educating
me
about
Lyme
disease.
And
I'm
like,
this
is
so
fascinating.
So
I
started
doing
a
deep
dive
into
Lyme,
and
I
realized
that
it's
an
inflammatory,
like
the
ticks
cause
this
whole
inflammatory
cascade
in
our
body.
And
I'm
like,
this
is
how
I
have
to
approach
endometriosis.
And
that's
sort
of
what
drove
me
to
then
further
go
from
the
inside
out
in
terms
of
treating
endometriosis.

Long Delays, Misdiagnosis, And Next Steps

SPEAKER_00
4:40

Obviously,
coupled
with
excision
of
endo.
Excision
of
endo
is
still
the
gold
standard.
We
need
excision,
but
when
you're
10
years
into
anything,
right?
I
don't
care
if
you're
10
years
into
not
exercising,
right?
You
can't
work
with
a
trainer
for
four
weeks
and
expect
to
like
have
a
habit
of
exercising,
right?
If
you
ate
poorly
andor
restricted
your
eating
for
10
years,
right,
because
you
had
tummy
aches
or
food
hurt,
you
thought
that
you're
allergic
to
a
lot
of
things.
That
restriction
has
led
to
such
microbiome
imbalances
that
it's
going
to
take
time
to
fix
these
things.
So
we
need
to
cut
out
the
implants
and
we
need
to
treat
the
um
to
undo
the
inflammatory
component
of
the
disease.

Closing And How To Send Questions

SPEAKER_01
5:25

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