Reclaiming Your Body From Endo Pain

Setting The Mission: Beyond Period Pain

SPEAKER_01
0:00

What
happens
when
you
put
a
pelvic
floor
physical
therapist
and
a
podcast
host
both
absolutely
obsessed
with
bridging
the
gaps
in
endometriosis
care
behind
the
same
mic?
You
get
a
conversation
that
finally
makes
sense
of
the
messy
middle,
the
parts
of
chronic
pain
that
aren't
always
endo,
the
sneaky
musculoskeletal
pain
generators
no
one's
talking
about,
and
the
practical,
doable
tools
that
help
you
reclaim
your
body
piece
by
piece.
We're
diving
into
why
the
delay
of
diagnosis
creates
long-lasting
challenges
in
the
musculoskeletal
system
and
what
you
can
practically
do
about
it.
It's
validating,
it's
energizing,
and
honestly,
it's
kind
of
the
conversation
that
makes
you
feel
like
someone
finally
turned
the
light
on.
And
joining
me
for
this
powerful,
joy-filled
deep
dive
is
the
incredible
Dr.
Taylor
Reyes,
doctor
of
physical
therapy,
board-certified
functional
manual
therapist,
chronic
pain
educator,
and
someone
who
brings
both
expertise
and
genuine
heart
into
every
word
she
shares.
If
you've
been
trying
to
connect
the
dots
in
your
own
endo
journey,
or
if
you've
ever
wondered,
is
this
pain
endo
or
is
something
else
really
going
on?
Or
if
you
just
love
hearing
two
passionate
humans
absolutely
nerd
out
about
healing,
you're
in
the
right
place.
You're
gonna
want
to
stick
around.
Welcome
to
Indobattery,
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.
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
Indometriosis
trains
us.
Welcome
back
to
Indobattery.

Meet Dr. Taylor Reyes And Her Approach

SPEAKER_01
2:01

Grab
your
cup
of
coffee
or
your
cup
of
tea
and
join
me
at
the
table.
Today
I
am
thrilled
to
be
joined
by
Dr.
Taylor
Reyes,
a
powerhouse
physical
therapist
whose
work
beautifully
blends
science,
compassion,
and
true
whole
body
healing.
Dr.
Reyes
is
a
licensed
physical
therapist,
doctor
of
physical
therapy,
and
a
board-certified
functional
manual
therapist.
She's
known
for
treating
patients
from
all
walks
of
life
and
for
her
passion
in
helping
those
with
chronic
pain
shift
their
mindset,
rebuild
their
trust
in
their
bodies,
and
reclaim
an
empowered
healing
journey.
Her
approach
is
rooted
in
what
she
calls
the
pillars
of
healing,
exercise,
nutrition,
and
sleep.
Her
training
is
extensive
and
continually
evolving
from
gynecological
visceral
manipulation
to
advanced
obstetrics
and
pelvic
floor
physical
therapy,
and
board
certification
in
functional
manual
therapy,
a
system
that
honors
the
intricate
interconnectedness
of
every
tissue
and
system
in
the
body.
With
national
and
international
experience
and
deep
commitment
to
patient-centered
care,
Dr.
Reyes
brings
heart
and
expertise
to
every
conversation.
So
grab
that
cup
of
coffee,
settle
in

Delayed Diagnosis And Nervous System Fallout

SPEAKER_01
3:10

as
we
continue
with
our
part
two
in
our
two-part
series
with
Dr.
Taylor
Reyes.
And
just
in
case,
here
is
where
we
left
off
and
where
we're
going.

SPEAKER_00
3:21

As
a
physical
therapist,
I
my
rule
of
thumb,
because
I
I'm
perfectly
capable
of
hurting
myself
or
getting
tweaked,
um,
or
getting
a
crick
in
my
neck
or
whatever.
And
so
I'll
if
I
say
I
wake
up
with
a
pain,
I'm
like,
okay,
I'm
gonna
breathe
and
I'm
gonna
say,
I'm
in
pain,
but
I'm
not
in
danger.
And
that's
that's
a
little
bit
of
cognitive
behavioral
therapy
tips,
right?
Sometimes
when
we're
we're
really
retraining
a
pain
pattern,
we'll
say
out
loud,
seven
times
I'm
in
pain,
but
I'm
not
in
danger.
I'm
in
pain,
but
I'm
not
in
danger.
I'm
in
pain.
Not
try
to
gaslight
yourself,
but
just
to
like
ground
yourself,
right?
Right.
So
because
we're
not
in
danger.
Right.
My
facet
joint
is
being
stupid.
That's
what's
happening,
you
know,
or
it's
like
a
part
of
my
vertebrae
is
being
weird.
So
there
is
no
danger.
So
I'll
pause,
like,
okay,
this
is
what
it
is,
and
then
I'll
get
up
and
I'll
move.
I'll
do
therapeutic
movement
and
find
just
do
some
movement
that's
in
a
there's
a
difference
between
sharp,
sharp
shooting
pain
and
like
dull
achy
pain.
Right.
Or
like,
hey,
that's
a
stretch.
So
find
a
pain-free
or
an
acute
pain-free
or
a
acute
pain-free
range
of
motion
and
just
kind
of
like,
like,
nope,
that's
not
good.
But
if
I
do
this,
I'm
okay.
And
if
I
breathe
while
I
do
that,
and
maybe
I
can
add
some
arm
motion
in,
like,
hey,
like,
either
in
a
few
hours
it's
gonna
go
away
because
some
inflammation
probably
built
up,
and
I
probably
need
some
time
for
that
inflammation
to
get
out
of
my
system.
And
so
after
about
three
to
five
days,
if
I'm
still
really
like
struggling
with
it,
then
I
might
ask
one
of
my
coworkers
to
be
like,
hey,
like,
can
you
can
you
like
hook
me
up?
Like
either
throw
a
dry
needle
in
there
or
like
give
me
a
little
pop
or
something,
you
know,
just
something
to
disrupt
the
nervous
system,
right?
So
that
so
that
the
movements
are
more
effective,
or
I'll
pop
into
one
of
my
Ciro
friends
and
just
be
like,
Help
Yeah,
I
tweak
myself.
And
then
you
just
go
about,
you
know,
you
just
kind
of
go
about
your
day
because
we
we
all
are
gonna
encounter
things.
And
then
the
kicker,
the
other
thing
that
is
just
like
awesome
about
the
delayed
diagnosis
is
that
typically
you're
in
your
like
late
20s,
early
30s,
and
then
guess
what's
around
the
corner?
Perimenopause.
Yep.
So
it's
like,
is
this
endo
or
is
this
perimenopause?
Like,
I
don't
know,
or
am
I
just
being
a
human?
And
so
just
and
so
I
think
it's
like
having
I
don't,
I'm
not
gonna
call
it
the
ability
because
really
it
comes
with
repetitions
in
life
of
experiencing
pain,
is
you
just
kind
of
have
to
be
able
to
step
back
and
just
what
is
the
most
important
question?
I
am
not
in
medical
danger.
My
life
is
not
in
danger.
I
am
not
about
to
have
a
heart
attack,
I
am
not
having
a
stroke,
I
am
not
hemorrhaging.
Yeah.
So
what
what's
the
what's
the
next
tier?
What's
the
next
level
of
triage
when
it
comes
to
pain?
And
then,
you
know,
what
what's
in
my
toolbox?
What
what
has
my
therapist
taught
me?
When
I
go
to
lift
my
leg,
do
I
need
to
forcefully
exhale
as
I
lift
to
kind
of
counter
counterbalance
that
pressure?
Right.
Because
a
lot
of
my
patients,
whether
they're
indo,
low
back,
ankle,
shoulder,
oh,
when
I
moved,
it
hurt.
Okay,
let's
let's
do
that
again.
But
before
you
do,
I
want
you
to
forcefully
exhale
through
your
mouth
and
then
start
to
move.
And
that
creates
that
pressure
system.
We're
not
that
we're
not
holding
our
breath,
but
we're
just
supporting,
we're
engaging
our
core
to
help
support
our
physical
body.
And
then
so
again,
it's
like
number
of
reps.
You
get
because
it's
like
we're
gonna
have
moments
of
pain.

Pain Triage And Everyday Regulation

SPEAKER_00
6:40

Right.
So
how
do
we
manage
it?
Or
like,
oh,
I'm
driving
down
the
toll
way
and
I've
been
clinching
my
jaw
and
my
butt
all
the
whole
the
like
for
the
last
20
minutes
because
people
are
psychopaths
when
they're
driving.
Do
I
before
I
jump
my
radio
is
on
like
a
thousand
percent
volume,
and
I'm
sipping
on
my
iced
coffee
before
I
get
out
of
the
car?
Do
I
need
to
pause,
turn
the
ignition
off,
turn
the
radio
off,
put
my
coffee
aside,
and
do
some
deep
diaphragmatic
breathing
to
bring
ourselves
back
down
to
baseline
or
to
neutral.
And
I
and
this
is
where
I'm
gonna
say,
like,
yes,
before
I
had
my
excision
surgery
and
a
lot
of
other
people
that
I
work
with
are
the
same
way,
sensory
sensitivity
or
noise
and
light
sensitivity,
it's
huge,
right?
So
for
me,
I
know
I'm
having
a
good
day
when
I
can
listen
to
the
music
on
blast.

SPEAKER_01
7:30

I
don't
think
music.

SPEAKER_00
7:33

I
hate
music,
but
like
maybe
one
one
day
a
month
I
like
music.
Otherwise,
I'm
just
like,
it
is
it's
like
overload
opening
and
closing
a
drawer
of
spoons,
and
it's
like
makes
me
scratchy.
So
I
just
don't,
I'm
like,
okay,
podcast
on
low,
but
make
me
happy,
or
just
don't
listen
to
music,
or
just
don't
listen
to
anything
and
reflect.
So,
like,
and
this
is
not
just
me,
this
is
again
like
clinical
experience.
I
see
this
with
my
patients
too,
but
like
sitting
under
a
fluorescent
light
for
an
hour,
no
way,
that
was
never
never,
never
gonna
happen.
But
then
you
take
that
high
volume
of
inflammation
out,
and
your
nervous
system
isn't
like
WT
WFT,
bro.
Like,
what's
going
on?
We
can
we
can
act,
we
actually
have
a
chance
of
grounding.
We
actually
have
a
chance
of
bringing,
getting
our
parasympathetic
nervous
system.
So
if
uh
listener's
not
familiar
with
it,
you
have
your
autonomic
nervous
system,
which
is
kind
of
like
you
have
your
fight,
fight,
faint
freeze,
and
then
your
rest
and
digest.
So
sympathetic
nervous
system
is
more
of
the,
hey,
I'm
getting
chased
by
a
bear
or
I'm
driving
down
the
tollway.
We
need
to
have
this
certain
level
of
elevation
to
be
able
to
perform
the
task.
And
then
we
have
parasympathetic,
which
is
like,
oh,
it's
time
to
chew
our
food
and
relax
and
digest,
and
it's
time
to
go
to
sleep,
or
it's
time
to
calm
and
bring
it
down.
Um,
so
we
can
have
better
social,
social
interactions
or
not
look
like
a
psychopath
when
we're
talking
to
somebody.
So,
but
we
need
a
balance.
Sympathetic's
not
bad.
Sympathetic
isn't
necessarily
perfectly
good,
but
where
do
we
create
that
balance?
If
you're
always
living
in
the
sympathetic
because
your
nervous
system
is
like,
what
the
heck's
going
on?
Because
we
have
our,
especially
our
vagus
nerve,
we
have
this
neural
feedback
from
our
pelvic
organs
saying,
there's
something
going
on.
There's
these
lesions
that
are
like
giving
me
heck,
but
you're
sitting
reading
a
book,
those
two
things
aren't
connecting.
So
it's
like
when
you're
living
your
life,
how
do
we
balance
your
parasympathetic
and
sympathetic
nervous
system
with
or
without
pathology?
Right.
Because
any
overstimulated
mom
is
gonna
identify
with
this,
whether
or
not
they
have
pathology,
right?
Especially
like
6
p.m.
when
you're
cooking
dinner.
I
think
one
of
the
best
tools
I
recommend
to
my
patients
are
these
little
earbuds.
They're
not,
they're
not
wireless
earbuds,
or
they
are
wireless,
but
they're
not
Bluetooth.
Right.
They're
called
loop,
and
they're
just
to
reduce
the
decibels.
You
can
so
you
can
still
hear,
but
the
decibel
level
is
a
lot
lower.
So
it's
like,
I
need
that
in
my
car
for
my
kids.
Yes,
that's
that's
something
I
wore
all
the
time
before
I
had
my
surgery.
And
I
like
I
gave
in
my
sister,
I
give
in
my
patients,
and
they're
like,
oh
my
gosh,
it
makes
so
much
of
a
difference.
And
I'm
like,
I
know
it's
amazing
because
our
nervous
system
is
very
our
nervous
system
keeps
us
alive.
Our
nervous
system
is
like
our
biggest
advocate,
but
sometimes
it
just
doesn't
speak
our
language.
So,
how
do
we
try
to
get
a
translator?
And
I
tell
my
patients
one
of
our
biggest
translators
or
one
of
our
biggest
ways
to
connect
is
through
diaphragmatic
breathing,
like
intentional
breathing,
intentional,
like
bringing
ourselves
down.
Because,
you
know,
diaphragm
breathing
is
a
core
connection
exercise.
You
can
do
it
if
you
just
had
a
C-section.
I'm
not
telling
any,
this
is
not
medical
advice,
but
I'm
just
saying
like
it
is
so
because
you
have
to
breathe,
right?
If
you're
breathing,
you
can
do
it.
But
we
also
know
it
through
evidence
that
this
is
a
direct
way
to
stimulate
the
vagus
nerve,
right?
Which
the
vagus
nerve
feeds
into
parasympathetic
tone,
bringing
bringing
yourself
back
down.
We
also
know
that
diaphragmatic
breathing
stimulates
your
lymphatic
system,
which
is
like
your
detoxification
system.
So
I
hate
that
I
forgot
this
word,
but
it's
basically
like
if
you
had
an
angiogram
and
you
threw
up
the
vascular
system
and
you're
you're
watching
it
light
up
with
blood
flow,
there's
there's
a
test
that's
exact
same
for
your
lymphatic
system.
I'll
have
to
look
it
up.
I
cannot
remember
it
off
the
top
of
my
head.
It's
it's
not
second
nature
to
say
it.
But
there's
been
studies
done
where
they're
looking
at
the
lymphatic
system
lifetime
and
they
have
people's
diaphragm
breathe
and
it
lights
up.
And
vibration
plate.

SPEAKER_01
11:18

Yes.

SPEAKER_00
11:19

Vibration
plate.
So
it's
vibration
plates
aren't
just
a
fad.
It
is
for
lymphatic
therapy.
Vibration
plates
are
very
therapeutic,
very
therapeutic.
And
this
is
a
pure
anecdote.
This
is
something
I
was
telling
you
earlier
that
manual
lymphatic
trainage
has
really
helped
the
symptoms
that
were
making
me
want
to
pursue
a
hysterectomy.

SPEAKER_01
11:38

Yeah.

SPEAKER_00
11:39

And
so
it's
like,
well,
I
would
love
to
keep
my
uterus
if
I
can,
because
I
also
love
that
it
provides
mechanical
support
to
my
ovaries.
And
if
I
can
avoid
going
into
ovarian
failure
sooner
rather
than
later,
that
would
be
great,
you
know.
But
um,
but
also
I
would
prefer
a
stronger
quality
of
life.
And

Sensory Overload, Vagus Nerve, And Balance

SPEAKER_00
11:55

then
when
I
started
doing
the
lymphatic
drainage
regularly,
that's
the
other
thing.
There's
a
lot
of
therapies
because
when
the
pathology
is
present,
you
can't
a
lot
of
times
you
can't
just
do
a
therapy
once
or
twice.
You
have
to
make
it
a
part
of
your
routine.
Because
again,
going
back
to
that,
what
can
what
can
we
do
to
manage
it
naturally?
You're
gonna
be
managing
it
naturally
your
whole
life.
Or
if
if
you're
if
you're
one
of
the
lucky
ones
where
menopause
actually
reduces
your
symptoms,
if
you
know,
who
knows?
Some
do,
some
don't.
Pregnancy
helps
some
people,
some
don't.
Or
maybe
it
only
helps
some
symptoms,
but
people
don't
realize
a
lot
of
the
other
symptoms
they're
having
are
actually
endometriosis.
So
just
throwing
it
out
there.
What
what
are
the
things
that
you're
doing
to
long-term
manage
your
symptoms?
For
me,
manual
lymphatic
drainage
has
been
very
therapeutic.
For
other
people,
it's
not
as
yeah,
yeah,
it's
the
best.
I
love
it.
I
think
the
I'm
like,
how
are
we
just
like
really
pushing
lymph
therapy
in
the
conventional
world
when
it
is
an
entire
system
that
detoxifies?
Like,
where
has
this
been?

SPEAKER_01
12:57

Huge
role
in
everything.
Like,
I
did
a
whole
episode
with
Dr.
Gabby
Moad
about
the
lymphatic
pathways
for
inel.
Yeah.
So
if
you
haven't
listened
to
that,
listen
to
that.
And
then
I
also
did
one
with
the
vagal
nerve
and
neuropalveology
specifically
with
Professor
Mark
Possover
talking
about
this
very
thing
because
they're
so
interconnected.
Like
the
way
that
it
affects
you
from
head
to
toe,
and
because
it's
one
vein,
I
mean,
it
is
the
largest
one
going
through
that
body.
It
is
your
message
system
for
your
entire
body.
It's
like
the
trunk
of
the
tree
branching
out,
right?
When
it
comes
to
those
nerves
and
and
how
it
talks
to
what
one
part
of
the
body
to
the
brain,
you
know?
And
so
I
like
we
should
be
talking
a
lot
more
about
ways
that
we
can
reduce
inflammation
and
pain
through
these
pathways.
Because
I
can
tell
you,
like,
so
many
people
have
recurring
surgeries.
If
you're
seeing
a
doctor
five,
six
times
for
surgery,
you
need
to
find
a
new
doctor.
I'm
sorry.
I
said
what
I
said.
We
say
it
again.
I
I
understand
maybe
once
or
twice,
but
if
you're
seeing
five
or
six
times,
like
and
I've
seen
this
on
forums
where
someone's
like,
yeah,
they're
like
recommending
their
doctor.
They've
done
all
six
or
seven
of
my
surgeries,
and
I'm
like,
that's
not
a
doctor
I
want
to
go
to.
Like
that,
I'm
sorry,
that's
not
how
it
works.
And
so,
like,
why
aren't
we
talking
more
about
ways
to
manage
some
of
these
pain
generators
and
manage
our
inflammation
in
a
way
that's
tangible
and
accessible
for
everyone?
A
vibration
plate
really
isn't
that
expensive.
I
think
they're
like
a
hundred
bucks
on
the
low
end,
maybe.

SPEAKER_00
14:33

Yeah.
On
the
low
end,
but
there's
companies
that
you
can
use
HS
if
you
have
HSA,
you
can
use
HSA
to
buy
it.
So
it's
one
of
those
things
like
what,
lattes
are
like
eight
dollars
a
latte
now?
So
let's
just
like
make
some
at
home
for
a
hot
second
and
then
you'll
get
your
vibration
plate,
you
know.
And
I
don't
mean
to
be
uncompassionate
when
I
say
that,
but
it's
like
this
is
not
like
we
this
is
not
for
the
faint
of
heart.
We
have
to
make
sacrifices.

SPEAKER_01
15:00

And
coffee
is
my
love
language,
so
and
I
have
given
up
a
lot
of
like
going
out
and
drinking
coffees
and
things
like
that
because
it
didn't
make
me
feel
any
better,
although
it
is
like
an
emotional
support
drink
for
me.
It's
not
you
know,
but
yeah,
but
those
are
the
things
like
lymphatic
massage
is
like
I
love
it
so
much
and
I
feel
instantly
better
getting
and
I
pee
so
much
better,
like
because
that's
the
point
of
it,
right?
To
have
someone
really
good
to
do
that.
Those
are
really
good,
tangible
ways.
And
something
that
you
said
earlier
about
like
just
sitting
in
low
light,
low
noise.
And
one
of
the
things
that
Sean
Whitney
had
talked
about,
he
was
at
the
Indo
Village
gathering
where
he
talked
about
just
we're
talking
about
going
into
an
appointment
that
I
was
super,
super
anxious
about.
Because
anytime
you
go
in
to
see
a
new
provider,
I
don't
know
anyone
that's
been
like
in
this
professional
patient
zone
that
doesn't
get
anxious
going
into
a
new
provider.
Like
it's
so
overwhelming,
and
especially
if
you
have
any
neurodivergent
at
all,
like
it's
so
hard,
so
hard
to
like
walk
in,
right?
He
said
it
is
scientifically
proven
that
if
you
spend
15
minutes
before
your
appointment
taking
deep
breaths,
being
quiet,
being
still,
you're
able
to
walk
in
much
more
regulated.
Then
on
the
other
side
of
that,
and
this
works
for
both
therapy,
doctor's
appointments,
whatever,
and
I
think
it
this
could
probably
work,
probably
works
for
physical
therapy
as
well,
but
like
spin
15
minutes
after,
decompress,
take
some
breath,
go
take
a
bath,
go,
you
know,
get
a
really
good
glass
of
water
and
just
be
for
a
second.
And
that's
something
that
like
for
me,
sitting
down
as
a
patient,
being
like,
I
just
can
just
sit,
is
really,
really
hard,
and
especially
as
a
mom
to
find
the
time
to
do
that.
But
also,
like,
that's
why
I
don't
listen
to
music
in
my
car
because
I'm
overstimulated
as
it
is.
And
so
sometimes
I
will
intentionally
plan
15
minutes
before
any
appointment
to
just
breathe,
like
just
be
in
a
space.
And
I
think
that
we
aren't
good
at
this
in
our
society
in
general
because
we
constantly
have
things
coming
at
us,
whether
it's
through
our
phones,
that
little
magic
black
box
that
we
have
that
we're
constantly
inundated
with
everything,
or
it's
the
intrusive
thoughts
that
come
to
us
because
of
all
of
the
trauma
and
doubts
and
the
things
that
we
see.
It's
really
hard
to
sit
in
silence
without
that
taking
control.
But
if
you
start
breathing
and
focusing
on
one
really
good,
valuable
thing,
I
I
have
noticed
just
myself,
you
just
feel
like
your
heartbeat
is
slowing
down.
You're
taking
a
breath.
And
I
think
that
you
are
more
in
tune
with
your
body
that
way.
You're
more
in
tune
with
what
pains
are
actually
happening.
You're
able
to
identify
things
a
lot
better
because
your
mind
is
a
lot
clearer.
And
I
talk
about,
and
I've
talked
about
this
before,
but
like
we
as
chronic
illness
patients,
it
we
have
a
buffet
of
life,
right?
We
have
a
smaller
plate
than
your
normal
buffet
plate.
We
can
only
take
on
so
much.
So
we
have
like
a
six-inch
plate
compared
to
the
12-inch
buffet
plate.
If
we
try
to
fit
everything
on
the
buffet
on
our
six-inch
plate,
it's
gonna
be
overwhelmed.
It's
gonna
lose
its,
you
know,
the
essence
of
what
we're
going
for.
So
just
knowing
how
to
say
no
sometimes,
or
knowing
how
to
put
specific
things
that
are
gonna
add
quality
to
your
life
on
that
plate
and
being
okay
with
just
those
things
is
better,
but
hard
because
we
want
to
taste
everything,
you
know?

SPEAKER_00
18:38

But
we
just
control
it
all.
Like
the
I
like
that
better
than
like
the
spoons
analogy.

SPEAKER_01
18:43

Yeah.

SPEAKER_00
18:43

Because
sometimes
spoons
can
get
a
little
convoluted.
Yeah.
It
makes
and
that's
like
what
I
do.
I
try
to
practice
what
I
preach,
and
I
don't
only
see
so
many
patients
a
day,
and
I
put
15-minute
buffers
in
between
because
I
recognized
early
on
that
that
like
patient-to-patient
pace
made
me
kind
of
like
and
then
also
I
felt
like
I
was
starting
the
appointment
with
the
patient
elevated.
And
a
lot
of
what
we
do,
and
especially
with
chronic
pain,
your
patient
is
operating
off
of
your
own
energy.
So
I'm
like,
for
my
sake
and

Lymphatic Drainage, Vibration Plates, Accessibility

SPEAKER_00
19:15

for
the
quality
of
my
care,
I'm
not
gonna
see
patients
back
to
back.
And
I'm
only
gonna
see
so
many
patients
a
week.
And
it's
really
or
just
like
even
TikTok,
right?
Like,
even
if
it's
not
a
physical
energy
expenditure,
like
with
your
emotional
stress
and
health,
TikTok
might
be
taking
up
90%
of
your
plate,
and
it's
it's
junk
food.
So
you're
putting
trash
on
your
plate
when
you
really
need
to
be
getting
nutrients.
So,
what
are
the
things
that
you
could
be
doing
to
support
it
instead?
Or
the
modifications,
right?
Like
one
cup
a
day
of
coffee
for
me,
I
can
live
like
that.
Three
cups,
that's
when
I
start
getting
into
trouble,
you
know.
So,
like,
how
do
we
still
enjoy
the
things?
Because
a
lot
of
endometriosis
patients,
there
are
a
lot
of
foods
that
they
cannot
eat.
So
it's
like,
or
they
don't
tolerate
rather.
So,
and
it's
like
we
won't
even
get
into
orthorexia.
But
you
know,
it's
like
almost
like
another
three
hour
conversation.
So
it's
like,
how
do
you
find
that
balance
of
what
works
for
you?
So
kind
of
going
back
to
that,
the
three
pillars
of
natural
management
in
endometriosis
are
downregulating,
our
pelvic
floor
therapy,
and
our
anti-inflammatory
lifestyle.
A
lot
of
times
the
downregulation,
I
mean,
it
really
does
feed
into
the
physical
body
of
pelvic
floor
therapy.
And
then
it
also
anti-inflammatory
lifestyle
feeds
into
the
downregulating.
So
it's
more
of
like
a
Venn
diagram,
right,
where
they
overlap
versus
like
just
one,
two,
three
separate
entities.
They
all
feed
into
one
another
with
the
patients
who
really,
really
complex,
really,
you
know,
we
have
all
the
things
going
on.
And
I
bring
up,
we
kind
of
we
finally
have
the
conversation,
whether
it's
in
the
first
visit
or
third
visit,
because
when
you
drop
a
endometriosis
potential
on
someone's
plate,
like
that's
a
lot
to
process.
And
so
if
someone
comes
in
like
real
hot,
never
heard
of
endometriosis,
I
might,
I'm
probably
not
going
to
talk
about
it
with
them
the
first
visit,
because
we
have
to
honor
where
they
are
in
their
physical
body
and
their
nervous
system.
Not
that
we're
withholding
information,
but
there's
other
things
we
can
work
on
first
and
then
where
there's
still
therapeutic
value
to
not
bringing
it
up,
and
then
when
it's
right,
we
bring
it
up.
Right.
So
when
sometimes
we'll
have
patients
that
come
in
and
they're
like,
eh,
like,
I'm
not
convinced.
And
I'm
like,
that's
okay.
I'm
not
trying
to
convince
you
of
anything.
And
I
also
do
try
to
operate
off
of
the
lens
of
like,
what
else
could
it
be
other
than
endometriosis?
What
is
it
if
it
is?
What
if
it
is
as
if
it's
not?
Because
they
don't
try
to
operate
from
bias.
But
when
there
are
times
where
it's
like
pretty
clear
that
this
is
what
they're
dealing
with,
and
if
they
have
only
learned
of
endometriosis,
like
it
has
been
engraved
into
their
brain
that
endometriosis
is
a
reproductive
condition.
And
I
I
say
to
them,
I'm
like,
okay,
if
I
were
to
tell
you,
if
we
were
to
look
at
this
through
the
neuroimmunological
lens,
would
that
change
the
way
that
you
perceive
your
symptoms
and
what's
driving
them?
And
then
it's
like
this
shift,
like,
oh
yeah.
And
it's
like,
yeah,
because
like
what
we
were
saying
earlier,
it's
more
neuroimmunologically
driven.
Yeah,
yeah,
there's
there
are
people
who
they
all
they
have
is
painful,
period.
That
those
people
exist
or
all,
I
shouldn't
say
all,
but
their
main
thing
is
infertility.
No
other
symptoms.
Okay,
but
that's
not
the
majority,
right?
That's
not
the
majority.
So
if
we
look
at
it
through
a
different
lens,
can
our
brains
perceive
it
differently?

SPEAKER_02
22:22

Right.

SPEAKER_01
22:22

And
they're
not
insignificant
symptoms.
I
think
that's
something
that,
you
know,
the
saying
comparison
kills,
it's
so
true,
even
in
chronic
illness.
Just
because
you
don't
think
that
yours
is
significant
compared
to
this
other
person's
doesn't
mean
that
it's
not
significant
to
you.
Like
it
doesn't
mean
that
it's
not
a
driver
of
the
pain
that
you're
experiencing,
whether
big
or
small.
I
mean,
you
hear
excision
specialists
all
the
time
talking
about
this.
Like,
it
doesn't
matter
the
size
of
the
lesion,
it
can
cause
significant
pain.
So
I
really
truly
believe
like
you
shouldn't
compare
your
pain
to
someone
else's,
you
know?

SPEAKER_00
22:58

Absolutely.
I
I've
had
I've
had
multiple
patients
come
in
who
they
did
not,
they
did,
they
had
zero
pain.
And
again,
like,
and
I
I
kind
of
jokingly
say,
like,
well,
did
they
not
have
pain
or
they
just
didn't
recognize
the
pain?
But
self-reported,
they
did
not
have
any
pain.
So
they
didn't
have
symptoms,
but
they
found
out
that
their
AMH
was
low.

SPEAKER_02
23:17

Right.

SPEAKER_00
23:17

And
maybe
they
also
had
low
ferritin.
And
this
is
this
was
the
patient
of
a
very
skilled
excision
surgeon
and
reproductive
specialist,
based
on
what
they
see,
because
it's
not
an
N
of
one,
it's
an
N
of
thousands.
They
it's
like,
hey,
your
goal
is
to
be
able
to
have
a
child
one
day,
based
on
what
I'm
seeing.
And
from
a
physical
exam,
when
there's
stage
four,
category
four,
however
we
want
to
refer
to
it,
you
know,
there's
what
we
call
like
frozen
pelvis.
And
you
can
feel
like
if
you're
skilled
with
your
hands,
you
can
feel
like
it,
your
abdomen
just
feels
like
one
block
and
it
doesn't,
it
it's
not
soft
and
supple,
it
doesn't
like
to
move.
And
so
she
also
had
what
they
called
frozen
pelvis,
like
that
was
from
the
physical
perspective.
And
then
on
her
pelvic
exam,
they
the
surgeon,
it
wasn't
painful
to
her,
but
the
surgeon
found
trigger
points,
like
increased
tone.
So
anyway,
they
had
she
had
surgery
and
and
this
this
one
specific
patient
that
I'm
thinking
of,
and
it
was
it
was
stage
four.
She
ended
up
staying
in
the
hospital
for
a
week.

SPEAKER_03
24:14

Wow.

SPEAKER_00
24:14

Just
because
of
how
severe
things
were,
and
then
she
also
had
a
bleeding
condition
that
they
had
found
out
through
doing
all
this
testing.
And
so
it's
one
of
those
things,
like,
yeah,
she
had
probably
one
of
the
most
severe
cases
that
I've
worked
with,
aside
from
like
needing
a
a
bowel
resection
or
you
know,
like
it's
cost
me
losing
organs,
you
know,
or
parts
of
organs.
So
just
kind
of
going
to
say,
like,
it
doesn't
staging
category,
really,
as
far
as
quality

Rethinking Endo: Neuroimmune Lens

SPEAKER_00
24:40

of
life,
means
nothing.
It
it's
it's
helpful
to
identify.
And
I
think
a
lot
of
times
people
really
I
will
say
with
patients,
like
they
will
really
feel
like,
what?
It
was
only
stage
one,
like
after
surgery,
they
really
feel
almost
defeated
by
it
not
being
more
severe.
And
I
have
to
tell
them,
I'm
like,
it
it
has
nothing.
It
has
nothing
to
do
with
nothing.
Like
it
really
is
your
perceived
pain.
It
um
it
depends
on
where
the
lesion
is.
Like
it
can,
there's
so
many
things
that
can
influence
somebody's
quality
of
life
and
what
they're
experiencing.
And
it
doesn't
mean
they're
weak,
it's
just
again,
there's
so
much
we
still
don't
know.
Yeah.
And
until
there's
like
funding
for
unbiased
research,
yep.
So
somebody
famous
with
a
lot
of
resources
gonna
have
to
get
invested
in
this.

SPEAKER_01
25:25

Well,
you
know
what
I
mean?

SPEAKER_00
25:26

Like
it
I
mean,
more
people
aside,
you
know,
from
how
do
we
become
friends
with
those
people?
I
don't
know.
I
try
to
jump
in
their
DMs,
but
you
know,
um
we
could
tag
teams.

SPEAKER_01
25:35

I
mean,
blow
them
up.
I'm
like,
yo,
Wendy,
Robert,
help.
You
know,
and
something
that's
interesting.
So
I'm
gonna
go
back
to
this
is
rewinding
a
little
bit.
So
going
back
to
those
that
you
were
talking
about
hip
pain
and
not
period
pain,
you
know,
because
a
lot
of
people
think
endometriosis
is
period
pain.
I
have
to
tell
you,
I
think
hip
pain
is
one
of
the
most
missed
symptoms
of
endometriosis.
Do
you
find
that
like
within
physical
therapy,
seeing
this
over
and
over
again,
you're
familiar
with
it.
But
I
don't
think
a
lot
of
other
physical
therapists
are
familiar
with
the
fact
that
hip
pain
is
a
main
generator
of
endometriosis.
Like,
can
you
touch
on
that
just
a
little
bit?
Exactly.

SPEAKER_00
26:18

Yes,
100%
of
everything
you're
saying.
And
I
think
probably
because
impingement,
hip
impingement
is
a
very
common
issue
that
we
see
in
pelvic
floor
therapy.
Even
if
someone
comes
in
with
a
little
back
pain,
they're
gonna
have
some
degree
of
hip
impingement.
Not
always,
but
a
lot
of
times.
So
the
pain
patterns
that
we
see
with
someone
who
has
hip
pain,
and
I'm
not
necessarily
talking
about
radiate
radiating
pain
during
your
period
hip
pain.
I
am
just
talking
about
like
what
we're
referring
to,
just
kind
of
the
generalized
um
hip
pain,
um,
it
it
looks
almost
just
like
hip
impingement.
So
it's
super
easy
to
miss.
It's
super,
super
easy
to
miss.
Because
it's
not
necessarily
like
if
we
were
to
screen
um
a
hip
condition,
like
a
torn
labrum,
like
it's
a
very
specific
pain
patterns,
and
there's
very
specific
motions
that
tend
to
get
limited.
Uh
hip
impingement
is
a
little
arbitrary,
honestly.
Like
it
could
be,
is
it
your
hip
flexor
that's
tight,
like
tight?
Like,
what's
going
on?
Is
it
your
the
the
head
of
the
femur
isn't
gliding
in
the
socket?
Like,
what's
going
on
here?
So,
and
it's
really
easy.
It's
so
easy
to
say,
like,
oh,
you
have
a
tight,
a
tight
illusoas.
Let
me
give
you
an
active
release
for
at
home,
or
let
me
give
you
a
strengthening
exercise.
And
guess
what?
A
lot
of
times
those
exercises
will
improve
the
symptoms,
the
hip
pain
that
you
feel
associated
with
endometriosis,
because
we
are
still
dealing
with
mechanical
mechanical
tissue.
So
it's
like,
oh,
well,
that
ileosoas
exercise
helped
you.
Cool.
Oh,
well,
you
didn't,
oh,
that
pain
came
back.
Were
you
sitting
a
lot?
Like,
did
you
sit
all,
or
did
you
like
lift
something
funny?
Oh,
it
was
probably
that.
Let's
just
get
back
to
your
exercises.
And
so
that's
where
you
have
to
really
go
back
to
that
drawing
board
where
we
like,
okay,
get
your
different
colored
sharpies
out
or
dry
erase
markers
and
be
like,
wait
a
second,
wait
a
second.
I
only
feel
this
hip
impingement
on
day
14,
15,
16,
17
of
my
cycle
or
during
my
period.
Because
it
doesn't,
uh,
when
I
tell
people
to
track
their
pain
cyclically,
it
doesn't
mean
just
on
their
period.

SPEAKER_01
28:25

Right.

SPEAKER_00
28:25

It
could
be
any
phase
of
the
cycle.
Typically,
you
know,
not
normally
like
ovulation
plus
is
gonna
be
where
we
start
to
see
things
ramp
up,
but
it
could
be
at
any
time.
So
and
it
sucks
because
it
doesn't
have
to
be
cyclical.
It
doesn't
have
to,
but
those
are
one
of
the
things
that
we
look
for.
Or,
you
know,
it's
like
if
it
were
truly
like
a
hip
impingement
or
say
it's
a
labral
tear,
there
should
be
specific
activities
that
really
light
it
up.
I
will
I
will
say
one
of
my
patients,

Staging, Severity, And Quality Of Life

SPEAKER_00
28:55

the
only
time
she
would
feel
pain
is
when
she
was
doing
like
a
single
leg
deadlift.
And
she
so
she
she
had
this
pain
that
was
that
a
lot
of
people
were
calling
hamstring
teninopathy,
but
it
had
been
going
on
for
years
and
she'd
done
therapy
for
it,
and
it's
like
this
should
have
gotten
better.

SPEAKER_02
29:14

Right.

SPEAKER_00
29:15

So
again,
going
back
to
that,
like
how
many
years
have
you
had
this
going
on?
It
should
have
gotten
better.
And
then
we
looked,
okay,
is
this
a
neural
tension
issue?
Like,
do
we
need
to
treat
more
like
the
nerve
gliding
and
the
disc?
Okay,
that
didn't
work,
but
you
only
feel
it
with
this
specific
motion,
and
then
it
tends
sometimes
it
tends
to
get
a
little
worse
after
ovulation.
Okay,
that's
when
we
look
at
like
somebody
like
Dr.
Possover,
look
through
look
at
it
through
the
neuropalveology
lens,
and
be
like,
all
right,
this
isn't
teninopathy,
this
isn't
a
sciatic
nerve
entrapment
issue.
This
is
like,
right,
are
we
looking
at
endometriosis
here?
So
this
is
where
it
really
matters.
And
this
is
this
is,
and
I'll
just
make
a
little
caveat
to
why
non-insurance-based
therapy
is
important.
Or
I'm
not
saying
it's
you
just
gotta
find
a
really
good
therapist,
and
it's
hard
for
those
therapists
to
thrive
in
an
in-network
setting
because
you
have
to
see
a
patient
every
15
minutes.
You
have
to
see
20
plus
patients
a
day,
and
that
is
hard.
I'm
human.
I
would,
if
you
saw
me,
if
you
were
my
last
patient
on
a
Friday,
I'm
sorry.
I
hope
your
case
was
easy.
You
know
what
I
mean?
It's
like,
it's
really
hard.
And
like
I
care
about
the
progress
of
my
patients.
So
if
it
meant
staying
late,
if
it
meant
like,
you
know,
whatever,
like
you
do
what
you
need
to
do,
but
like
your
practitioner
is
a
human.
And
so
if
they're
confined
to
a
small
box
and
they
have
a
bajillion
other
patients,
yes,
your
issues
are
significant,
but
they
can't
always
give
the
attention
it
needs
and
the
problem
solving.
So
when
you
have
recurring
symptoms
like
maybe
a
hip
hip
impingement
or
what
looks
like
hip
impingement,
yeah,
this
exercise
should
help.
Oh,
you
get
you
gave
it
a
try
for
four
weeks
and
it's
still
not
helping.
Oh,
well,
let's
try
this
instead.
Oh,
well,
you're
70%
improved.
Well,
insurance
is
only
going
to
pay
for
70%
improvements.
Patient
met
their
goals,
they're
70%
improved.
Bye.
Yeah,
it's
it's
a
really
hard.
And
so
when
you're
working
with
one
patient
and
you're
talking
to
Mr.
Smith
across
the
gym
because
he's
doing
his
bridges
completely
and
correctly,
you
know,
like
what
are
you
supposed
to
do?
So
it's
it's
hard.
It's
hard.
It's
the
whole
healthcare
talking
to
the
choir.
Everybody
that's
listening,
probably
talking
to
the
choir.
It's
just
it's
trying
to
fit
a
peg
in
a
round,
square
peg
in
a
round
hole.
Yep.

SPEAKER_01
31:29

And
I
think
too,
like,
a
lot
of
people
don't
think,
especially
because
they
don't
teach
this
in
GY
like
OBGYNs
are
not
taught
about
uteryl
sacral
ligament
endometriosis,
like,
and
it
is
found
there
so
frequently,
which
can
cause
a
lot
of
pain
in
your
legs,
in
your
hips,
like
all
of
those
things.
And
I
would
say
that's
probably
more
prevalent
than
finding
it
on
the
uterus
or
ovaries,
which
is
why
this
is
not
a
reproductive
disease
and
it
shouldn't
be
looked
at
like
that.
And
so
that's,
you
know,
for
me,
I
have
had
back,
leg,
hip,
whatever
pain
my
entire
life.
And
no
one,
no
one
picked
up
on
that
until
my
excision
excision
surgery.
I
mind
you,
I've
had
two
ablation
surgeries
prior
to
that,
and
there
was
ablation
done
on
other
organs,
but
no
one
looked
at
that.
And
that's
why
having
a
skilled
surgeon
that
does
just
endometriosis
matters.
Like
it
is
worth
having
those
people
in
your
corner
to
do
that.
If
that
is
a
path
you
choose
and
that
you
can,
it
is
important
to
do
that,
in
my
opinion.

SPEAKER_00
32:36

Oh,
absolutely.
I
would
agree.
It's
like
we
we
have
to
serve
the
person
that's
in
front
of
them.
So
if
surgery
is
an
option,
and
again,
like
I'm
not
the
first
to
say
this,
and
I
won't
be
the
last.
No
surgery
is
better
than
a
bad
surgery.

SPEAKER_01
32:48

Yeah,
100%.

SPEAKER_00
32:49

So
if
if
I
had
a
patient,
and
again,
I
can't,
you
know,
you
gotta
be
careful
with
the
red
tape
and
like
how
you
say
things,
but
you
know,
there's
just
there
are
two
surgeons
in
Dallas
that
I
would
trust
with
a
family
member.
Uh-huh.
And
there's
others
that
I
feel
extremely
differently
about.
And
so
it's
a
really
hard
line
to
toe
when
someone
is
considering
surgery
with
the
not
preferred
surgeon.
And
so,
you
know,
being
able
to
have
a
transparent
conversation
with
them
about
what
does
this
mean,
what
does
it
look
like,
and
also
saying
things
in
a
way
that's

Hip Pain: The Overlooked Endo Signal

SPEAKER_00
33:20

not
gonna
get
you
in
trouble.
That
that's
tough.
But
okay,
it's
like
if
you
can't
have
surgery
with
this
person
that's
really
excellent,
but
is
out
of
network,
and
this
other
surgeon
has
like
a
nine-month
wait
list
because
they
are
in
network,
what
are
we
gonna
do?
Like,
what
are
we
gonna
do?
How
are
we
gonna
manage
your
symptoms?
And
that's
where
my
specialty
obviously
is
not
pharmaceuticals,
but
I
think
that's
where
you
you
kind
of
have
to
have
the
dialogue
with
a
doctor
about
okay,
what
what
do
we
look
like?
What
does
it
look
like
to
have
to
play
with
some
hormones?
I'm
not
I'm
not
even
gonna
try
to
touch
on
that
subject
because
that's
not
that's
operating
off
I
have
opinions,
but
it's
operating
outside
of
my
scope
of
practice.
So
right,
right.

SPEAKER_01
33:56

Well,
and
I
I
think
that's
true.
Like
we
all
have
to
figure
out
ways
to
manage
our
symptoms
if
surgery
is
not
an
option.
And
I
don't
think
everyone
is
a
good
candidate
for
surgery
right
away.
I
think
doing
physical
therapy
first
is
key,
honestly,
to
understanding
your
symptoms
better
and
understanding
your
body
and
what
you're
living
in
without
as
much
dysfunction.
Like
if
you
can
work
through
some
of
the
dysfunction
have
and
and
wait
to
have
surgery,
I
think
you
are
better
off
that
way.
Yeah.
And
I
never
had
that
option.
And
I
and
I
can
tell
you
it
was
a
really
hard
road
and
still
is
a
very
hard
road
for
me.
And
so
I
really
recommend
people
doing
that.
For
you,
are
there
tangible
tools
and
ways
that
people
can
help
alleviate
some
of
these
symptoms
that
we've
talked
about?
Because
endometriosis
is
one
piece,
but
there's
so
many
other
pain
generators
that
I'm
wondering
if,
like,
are
there
good
tangible
ways
that
you
have
found
for
a
majority
of
your
patients
that
they
can
use?

SPEAKER_00
34:55

Mm-hmm.
Yeah.
So
symptoms
vary.
What
I
will
say,
and
again,
I
know
there's
gonna
be
some
people
that
listen
to
this
and
it's
gonna
make
them
really
annoyed
because
for
in
their
story,
it's
not
true.
You
know
what
I
mean?
Everybody's
story
is
different.
But
if
we're
just
kind
of
going
like
off
of
our
top
three
things,
every
single
one
of
my
patients
is
gonna
get
diaphragmatic
breathing.
Every
single
because
of,
we
know
that
it
stimulates
the
nervous,
it
engages
parasympathetic
nervous
system,
vagus
nerve
directly,
and
because
the
lymphatic
the
impact
on
the
lymphatic
system.
So,
but
what
I
do
try
to
really
what
makes
a
difference
because
belly
breathing
and
diaphragmatic
breathing
are
not
the
same
thing.
Right.
So
people
think
I'm
doing
yoga,
I'm
trying
to
calm
my
body
down.
I
do
belly
breathing,
I
do
diaphragm
breathing
all
the
time.
It's
like
you're
actually
doing
belly
breathing.
It's
not
wrong,
but
it's
not
the
same
thing.
And
what
I
will
say,
especially
for
my
EDS
people,
is
a
lot
of
times
it's
because
the
body
likes
to
find
the
path
of
least
resistance.
My
my
EDS
patients,
their
bellies
just
balloon
up
when
we
start
doing
diaphragm
breathing.
So
if
someone's
not
familiar
with
diaphragm
breathing,
I
like
to
use
the
term
three-dimensional
breathing.
A
lot
of
good
pelvic
core
therapists
will
do
this.
You
put
your
hands,
like
if
you
think
Lego
hands,
you
put
your
fingers
in
the
front
of
your
ribcage
and
your
thumbs
in
the
back.
So
you're
holding
on
to
the
sides
of
your
ribcage.
So
fingers
in
the
front,
thumbs
in
the
back.
And
then
you
take
a
breath
in
through
your
nose.
And
when
you
do
that,
you
want
your
hands
to
expand.
You
want
your
fingers
and
your
thumbs
to
get
further
away
from
each
other.
So
you
want
to
feel
movement
in
the
front
of
the
ribcage,
the
sides
in
the
back.
You
don't
want
to
use
your
neck
a
lot
for
anybody
watching
when
you
breathe
in.
Sometimes
you'll
see
that
like
scalene,
platismus,
activation.
We
want
to
bring
the
air
down.
So
you
want
to
breathe
down
into
the
lower
rib
cage.
And
so
most
people,
especially
who
are
really
overactive,
not
the
EDS
can't
be
overactive,
but
a
lot
of
people
are
overactive,
they
tend
to
breathe
in
in
the
neck.
EDS
people
tend
to
breathe
down
into
like
the
lower
abdomen
pubic
bone
area.
So
we
want
to
find
that
middle.
So
as
far
as
dosing
goes,
you
know,
I
like
I'll
tell
people
either
to
just
set
a
timer
for
three
minutes.
So
they're
not
really,
they're
not
concentrating
on
reps,
they're
just
focusing
on
time.
And
when
the
alarm
goes
off,
they
can
stop.
There's
also
uh
four,
seven,
eight
breathing
that
is
really
nice
because
we
know
that
a
breath
hold.
So
four,
seven,
eight
breathing
as
you
breathe
in
through
the
nose
for
a
count
of
four,
hold
your
breath
for
a
count
of
seven,
exhale
through
the
mouth
for
a
count
of
eight.
That
is
it's
a
good
way
to
control
your
breath.
So
we're
getting
the
diaphragm
breathing
on
the
inhale.
With
the
breath
hold,
we're
increasing
our
nasal
nitric
oxide,
which
can
help
with
vasodilation
and
is
again
good
for
pelvic
floor
issues
in
general.
And
then
with
the
forced
exhale,
we're
really
expelling
a
lot
of
that
CO2,
more
controlled.
So
we're
focused,
it's
intentional
and
it's
controlled.
Or
there's
the
box
breathing,
which
I
feel
like
a
lot
of
people
are
familiar
with.
So
we'll
do
some
form
of
diaphragmatic
breathing.
And
then,
especially
if
someone
is
trying
to
operate
their
care
at
home.
I
really
love
pelvic
wands
to
work
on
lengthening
and
reducing
trigger
points
in
the
pelvic
floor
because
that
muscle
tension
can
be
a
pain
generator
and
it
can
also
feed
into
constipation
and
it
can
feed
into
bladder
dysfunction
and
a
bad
mortgage.
I
mean,
I'm
just
kidding.
But
like
pelvic
floor
therapy,
like
pelvic
floor
tension
is
like
the
bane
of
our
existence.
So
it
also
keeps
us
in
business,
unfortunately.
So
I
like
a
pelvic
wand.
What
I
will
say,
if
if
when
you're
inserting
a
pelvic
wand,
if
if
because
you
need
to
use
lubricant
with
it,
if
it
increases
if
your
pain,
if
it's
like,
okay,
there's
a
difference
between
like,
oh,
this
is
weird
and
awkward
and
like
I
don't
love
this,
versus
like
owie,
owie,
owie,
this
is
sharp
and
it
hurts.
If
that's
more
than
like
above
a
two
on
a
like
uh
one
to
ten
scale
of
pain,
we
might
you
might
not
be
a
candidate
for
a
wand.
Or
you
may
need
to
like
try
again
at
a
different
time,
or
you
may
need
to
use
dilators
because
a
lot
of
times
with
endometriosis,
we're
looking
at
what
we
would
call
superficial
and
deep
dysprunia.
So
superficial
dysprunia
would
be
like
a
superficial
pain
with
penetration
during
intercourse,
and
then
there's
deep
dyspronia,
which
is
like,
hey,
my
guts
are
getting
stabbed
anytime
I
have
a
penetrative
intercourse.
That's
actually
a
big
sign.
If
someone
comes
in
and
they
say,
like,
oh
yeah,
when
I
have
sex,
it
feels
like
my
guts
are
getting
stabbed.
I'm
like,
and
normally
those
are
my
words,
not
theirs,
because
you
know
that's
not
something
people
they
just
say
it
hurts.
I'm
like,
well,
yeah,
yeah,
yeah,
right.
So
that's
a
huge
flag
to
me
that
they
that
they
could
have
adenomyosis
and
endometriosis.
But,
you
know,
we
have
to
differentiate,
okay,
are
you
having
penetrative
pain
only
with
sex,
or
is
it
anything
like
vaginismous?
So
insidious
pain
with
penetration
with
tampon
speculum
partner,
whatever.
So
if
a
wand,
which
the
the
tip
is
not
super
large,
if
that's
painful,
then
I
would
pivot
to
doing
a
dilator
set
to
work
on
letting
your
body
become
accustomed
to
having
some
penetration,
but
also
it's
just
like
just
stretching
the
muscles,
like
any
other
place
of
the
body.
I
tell
people
that
pelvic
fourth,
when
we
do
internal
work,
it's
just
orthopedics
in
a
warm,
cozy
cave.
Like,
It's
just
it's
not
taboo.
It's
not
weird.
It's
just,
it
is
what
it
is.
It's
muscles
just

Systems Limits And Finding The Right Care

SPEAKER_00
40:05

like
your
hamstrings
or
your
biceps.
So
we
can
use
the
dilators
to
help
let
your
body
become
accustomed
to
a
little
bit
of
stretch,
which
can
help
relax
the
muscles
to
allow
you
to
do
the
pelvic
wand.
I
will
say
across
the
board,
this
isn't
the
case
for
everybody.
Across
the
board,
people
with
endometriosis
don't
typically
have
a
t
a
problem
tolerating
the
penetration
of
a
wand.

SPEAKER_01
40:27

Okay.

SPEAKER_00
40:27

So
now
if
you
do
have
like
you'll
if
you
have
vaginismus,
you'll
know
like
early
on,
as
soon
as
either
you
try
to
use
a
tampon
or
you
go
to
the
OB
or
you
have
intercourse
for
the
first
time.
Or
if
you
use
a
a
uh
a
vibrator
or
something,
a
toy,
you'll
know.
So
it's
like
it's
just
getting
into
the
weeds
and
teasing
out
what's
what.

SPEAKER_01
40:48

Yeah.

SPEAKER_00
40:48

So
using
pelvic
floor
tools
and
even
on
our,
so
I
have
my
Dr.
Taylor
Rea's
Instagram
and
we
have
our
fire
physical
therapy
Instagram.
Both
we
have
instrument
basic
instructions
on
how
to
use
that
kind
of
stuff.
And
like
uh
Intimate
Rose
is
a
site
my
go-to
because
they're
just
great.
Amanda
Olsen,
she's
a
uh
physical
therapist,
she
developed
the
products.
Um,
they're
really
user-friendly,
great
ergonomics.
They
have
information
on
their
website
as
well.
They
have
a
lot
of
really
good
free
information.
So
we
like
to
use
the
tools
because
some
sometimes
people
don't
want
to
put
their
hands
in
their
body.
If
you
don't
want
to
spend
money
on
a
tool,
you
can
absolutely
wash
your
hands
and
use
your
thumb
even
for
just
some
basic
internal
stretching.
You
could
get
on
your
hands
and
knees,
you
could
prop
one
foot
up
on
the
toilet
and
just
kind
of
get
your
thumb
up
in
there
and
just
start
stretching
down
towards
the
ground.
Typically,
with
wands
or
with
our
hands,
we
don't
really
need
to
be
pushing
up
towards
the
bladder.
Typically,
we're
pushing
down.
Like
if
you
think
of
a
clock
face
and
you
think
of
like
uh
your
clitoris
as
like
uh
12
o'clock
and
anus
as
six
o'clock,
you're
typically
staying
between
three
and
nine
o'clock
in
that
bottom
half
of
the
clock
face
when
you're
doing
any
type
of
muscle
work
at
home,
whether
it's
with
your
hands
or
a
tool.
And
so
I
think
it's
just
getting
comfortable,
being
open
to
it.
I
do
have
patients
that
want
to
stick
nothing
up
their
body
at
all
ever.
And
that's
when
it's
like,
okay,
we
just
really
gotta
do
a
lot
of
hip
mobility
and
a
lot
of
diaphragm
breathing.
Internal
rotation,
external
rotation,
yeah,
squat
sumo
squats
are
the
best.
Now,
what
if
you
have
a
knee
or
hip
issue?
Okay,
well,
we
can
find
modifications
for
that.

SPEAKER_01
42:21

Right,
right.
I
think
breathing,
even,
you
know,
Dr.
Mark
Possover
talked
about
that
very
thing.
Breathing
makes
such
a
big
difference.
Your
body
needs
that
oxygen
flow,
you
know,
just
that
that
chamber
to
keep
that
sympathetic
system
better
regulated.
And
the
other
thing
I,
you
know,
he
talks
a
lot
about
this
too.
You
can't,
it's
really
hard
for
someone
to
down-regulate
their
sympathetic
system.
You
have
to
upregulate
the
parasympathetic
system.
So
you
have
to
upregulate
that
rest
and
digest
because
the
fight
or
flight
is
a
stubborn
little
beast
that
it
it's
nearly
impossible
to
snap
yourself
out
of
that.
You
know,
like
you
have
to,
it's
it's
practicing
those
things
that
will
allow
you
that
rest
and
digest,
which
will
bring
down
that
sympathetic
system.
Um,
if
that
makes
sense.

SPEAKER_00
43:10

There's
a
this
was
just
one
of
my
experiences,
and
yes,
everything,
everything
to
what
you
just
said,
yes,
100%.
Uh,
but
there
after
when
I
had
my
surgery,
most
of
mine,
it
was
a
lot
of
places,
but
I
had
a
lot
of
bladder
and
ureter.
And
so
one
of
the
symptoms
that
really
ramped
up
for
me
before
surgery
was
urgency.
Like
I
I
was
going
to
pee
all
the
time.
All
the
time.
And
I
will,
this
is
where
I
want
to
say
there's
a
lot
of
pelvic
chlor
therapists
that
know
nothing
about
endometriosis.
That's
no
shade
to
them.
They
just
don't.
It's
just
a
different
specialty,
just
like
traditional
OB
guys
don't
know
what
endometriosis
is,
actually.
So,
all
that
to
say,
if
you
go
to
a
pelvic
floor
therapist
and
your
urgency
isn't
getting
better,
probably
not
it's
not
just
overactive
bladder
or
whatever,
however
they're
treating
you.
So
the
that
symptom
for
me
got
better,
like
60%
better,
um-ish,
like
plus
or
minus,
depending
on
the
day
after
surgery.
And
then
shortly
after
that,
I
started
using
this
little
haptic
feedback
tool
called
the
Apollo
Neuro.
And
this
isn't,
this
isn't
necessarily
a
plug
for
that
company,
but
just
for
for
tool
wearable
tools
that
you
can
use
to
stimulate
your
nervous
system
or
parasympathetic
nervous
system.
And
it
was
a
little
bracelet
that
would
it
just
needs
to
touch
your
bone
and
vi
it
vibrates
at
a
frequency
that's
supposed
to
bring,
kind
of
help
bring
you
down.
And
when
I
started
wearing
that,
after
a
couple
weeks,
I
realized
my
urgency
was
like
90%
improved.

SPEAKER_01
44:32

Interesting.

SPEAKER_00
44:33

Yeah.
And
so,
and
that's
where
we
kind
of
get
back
to
teasing
through
okay,
what
is
mechanical
tension
because
of
either
overactive
muscles
or
pathology,
or
what
is
your
nervous
system
being
like,
where's
the
freaking
bear?
And
why,
like,
is
it
still
here?
I
don't
know.
So
it
it
significantly
improved.
And
then
I
eventually
didn't
need
to
wear
it
anymore.
So
it's
in
a
closet
somewhere.
I
don't
know
where.
It's
expensive.
So
I
wish
I
knew
where
it
was,
but
um,
but
you
know,
it
was
a
really
great
temporary
tool
for
me.
And
they
make
there's
other
devices
like
uh
Sensate

Prehab, PT First, And Practical Tools

SPEAKER_00
45:05

and
Pulsetto.
Like
you
could
just
type
in
like
Vegas
Nerve
Stimulator,
and
it's
gonna,
and
there's
stuff
you
could
probably
find
something
on
Amazon
that's
like
20
bucks.
Right.
It
really
doesn't,
it
doesn't
have
to
be
fancy.
Um
humming
is
another
thing
too.

SPEAKER_01
45:19

Music
or
humming,
like
a
deep
hum
will
stimulate
that
as
well.
And
you
can
do
that
for
free
on
your
own.

SPEAKER_00
45:26

Yes,
yes,
yes,
yes.
I
teach
there's
this
workshop
I
teach
about
how
to
manage
your
vagus
nerve
at
home
for
free.
Yeah.
And
it's
like
when
we're
accessing
like
the
the
whatever
cranial
nerve
feeds
into
nerve.
Like
I
said,
my
brain
is
a
little
sloppy
today.
So
when
we're
basically
accessing
the
ear
component,
like
you
said,
listening
to
pleasing
music,
listening
to
an
audio
book,
listening
to
certain
frequencies.
Was
it
like
the
457
hertz,
something
like
that?
And
then
the
humming.
So
that
accesses
the
nasopharynx
branch.
So
open
mouth
or
closed
mouth
humming,
gurgling,
then
we
we
can
get
down
into
the
cervical
branches
and
we
can
do
gentle
stroking
to
the
sides
of
the
neck,
not
the
front.
If
it's
beating,
get
off
of
it.
So
stay
to
the
sides,
you
know.
So
you
want
to
do
that,
and
then
you
can
come
down
and
do
some
diaphragm
breathing.
Sipping
on
cold
liquids
can
help
stimulate
the
vagus
nerve.
So
there's
like
there's
like
you
said,
there's
so
many
things
you
can
do
to
help
access
it.
And
one
time
is
not
enough.
So
people,
patients,
everybody,
not
just
patients,
be
like,
Well,
I
tried
it
and
didn't
it
work.
Well,
how
many
times?
Like,
you
have
it,
it's
free.
Like
it's
free.
This
isn't
gonna
if
it
was,
if
it
worked
perfectly
100%
of
the
time,
everybody
would
be
doing
it.
And
you
know,
we
wouldn't
need
all
of
this
other
stuff.
So
you
have
to
give
it
time.
You
have
to
start
teaching
your
body,
like,
oh,
this
is
what
we're
trying
to
do.
You
have
to
retrain
like
people
get
this
with
hair
styling.
You
know,
if
you're
trying
to,
if
you
like
curls
in
your
hair,
you
kind
of
have
to
train
your
hair
to
curl,
right?
Right?

SPEAKER_01
46:53

Like
yourself
how
to
curl.

SPEAKER_00
46:55

Yeah,
you
have
to
teach
yourself
how
to
curl
your
hair,
and
then
your
hair
will
eventually
start
to
hold
curls
more,
or
vice
versa,
if
you
have
curls
and
you're
straightening
it.
It
but
it
takes
time,
and
it's
like
you
wake
up
one
day
and
it's
like,
oh,
my
hair
looks
great,
or
whatever.
It's
the
same
thing
with
your
nervous
system.
Like
you
have
to
put
the
reps
in
and
you
have
to
put
consistency
in.
The
uh
uh
red
light
devices,
red
light
stuff
is
huge
right
now.
Red
light
is
there's
a
lot
of
strong
science
behind
it
in
general,
for
especially
for
acute
healing
or
uh
surgical
healing,
acute
joint
issues.
But
the
thing
is
I
have
patients,
should
I
buy
this?
I'm
like,
I
don't
know.
Can
you
be
compliant
five
days
a
week
for
10
to
20
minutes
at
a
time?
Because
if
you
can't,
it's
a
waste
of
money.
Like,
it's
like
antioxidants,
right?
Like
you
are
being
hit
with
oxidative
stress
all
the
time,
every
day.
So
for
an
antioxidant
to
be
effective,
which
it
is,
you
have
to
consume
it
regularly.
So
it's
the
same
thing
with
red
light,
it's
the
same
thing
training
your
nervous
system.
If
you
want
your
strength
to
maintain,
you
have
to
exercise
your
body.
If
you
want
that
your
pelvic
muscles
to
learn
to
live
in
a
relaxed
state
or
an
efficient
state,
you
have
to
put
effort
into
it.
Yeah.
And
I
think
I
don't
know,
I
think
we
were
talking
about
this.
We're
we're
kind
of
in
this
uh
culture
of
comfort
and
borderline
entitlement
to
results.
And
it's
like
you
get
the
results
when
you
put
the
work
in.

SPEAKER_01
48:14

Yeah,
100%.
I
wish
that
weren't
the
case,
but
it
just
is.
We
we
are
instant
gratification
people,
like
just
culture-wise.
This
is
a
broad
statement,
but
like
we
we
thrive
in
instant
gratification.
We
Google
instantly,
we
expect
the
answers
instantly.
We
don't
have
dial-up
anymore,
right?
So
it's
like
it's
so
different.
Like
those
the
the
90s,
80s,
and
90s
babies,
they
get
it,
you
know,
like
the
dial-up
and
the
you
know,
we
don't
have
that.
We
are
instant
gratification.
We
get
our
news
instantly.
We
get
and
there's
so
many
things
that
can
be
good
about
that,
but
there's
so
many
things
that
aren't
great
about
that,
right?
So
I
think
just
like
everything,
it's
consistency,
it's
it's
habit,
it's
something
that
you
implement,
it's
a
lifestyle
change.
That's
true
with
our
eating,
that's
true
with
the
way
that
we
sleep.
That's
you
know,
all
of
these
are
lifestyle
habits
that
we
have
to
form,
otherwise,
it's
just
an
you
know,
a
fad
diet
of
sorts.
Exactly.
Exactly.
Question
for
you
though,
we
were
talking
about
breathing
when
we're
talking
about
diaphragm
uh
diaphragmatic
breathing
for
EDS
patients.
I've
used
the
balloon
method
before
with
where
you
inhale
same
same
count
with
a
balloon
to
help
me
feel
that
tension
in
my
diaphragm
as
opposed
to
belly
breathing.
Have
you
experienced
that
or
do
you
use
that
at
all?

SPEAKER_00
49:37

That's
EDS
patients.
Balloon
therapy
can
be,
absolutely
can
be.
There
is
sometimes
it
just
doesn't
connect,
and
we
just
have
to
like
just
dig
deep,
like,
okay,
what
cues
can
we
use
to
help
the
person
connect?
But
yeah,
balloons,
balloons
are
a
great
diaphragm
tool.
There's
a
style
of
therapy,
Postural
Restoration
Institute,
PRI,
and
they're
they're
big
into
the
balloons.
Um,
and
it
can
be
some
really
great
stuff,
especially
for
EDS
patients.
It
can
get
we
don't
do
a
lot
of
it
in
our
clinic.
We
don't
have
anybody
tr
like
really
specialized
in
PRI,
and
it
can
get
when
you
go
deep
into
it,
it
can
get
a
little
convoluted
and
it
can
make
it
hard.
Like
some
like
you're
the
patient
almost
has
to
become
the
expert,
also.
Yeah.
Yeah.
And

Diaphragmatic Breathing That Actually Works

SPEAKER_00
50:20

it's
so
so
with
compliance,
it
can
get
a
little
bit
hard,
but
compliance
across
the
board
is
hard
anyway.
So
it's
just
like
I
try
to
go
for
low-hanging
fruit
that
involves
as
little
steps
as
possible.
Because
we
get
a
lot
of
moms,
yeah,
and
it's
like,
oh,
you
have
17
exercises
you
want
me
to
do
that
involve
getting
down
on
the
floor
with
equipment,
that's
gonna
work.
Like,
no,
it's
not
it's
really
none
of
us.
So,
you
know,
it's
yeah,
it's
just
but
that's
when
we
look.
And
that's
and
I
will
also
say
to
the
patients
out
there,
when
you're
working
with
your
therapist,
if
they
give
you
a
plan
and
it
doesn't
work
for
you,
you're
allowed
to
say
that.
Like,
right.
You're
allowed
to
say,
like,
hey,
like,
I'm
being
honest
here.
I'm
I
don't
see
myself
doing
this.
It
is
our
job
to
figure
out,
hey,
why?
Like,
what
is
it?
Is
it
too
hard?
Is
it
too
boring?
Is
it
accessibility?
Like,
do
you
not
have
the
time?
It
is
our
job
to
modify
it
to
where
it
does
meet
your
needs
or
meet
meet
your
time
constraints
or
whatever
the
limiting
factor
is.
I
get,
I
feel
just
uh
sad
for
people
when
they
say,
like,
oh
yeah,
I
went
to
PT
once
and
then
I
just
stopped
because
it
was
just
too
much
work.
I'm
like,
oh,
like
you
should
have
said
something.
Yeah.
Because
I
like
seriously,
and
that's
a
conversation
I
have
in
our
evals.
I'm
like,
okay,
that
there
is
no
wrong
answer
here,
but
what
is
realistic
in
a
how
many
minutes
a
day,
how
many
days
a
week
is
realistic
that
you
can
devote?
You're
allowed
to
say
30
seconds
twice
twice
a
week.
Like
that
is
an
acceptable
answer.
There's
only
so
much
we
can
do
within
those
30
seconds
twice
a
week.
Well,
we'll
or
do
I
give
you
exercises
that
you
do
while
you're
sitting
at
your
desk
that
don't
require
focus?
You
know
what
I
mean?
It's
our
job
to
get
so
I
think
people
think
that
just
because
the
the
PT
says
X,
Y,
and
Z,
that
that
means
that's
the
only
option.
No,
there's
always
an
opportunity
to
dialogue.
And
if
your
therapist
is
like,
eh,
I
don't
love
that,
then
that's
then
just
go
find
somebody
else.
Like
it's
your
time,
your
money.
Nobody
cares
about
your
body
as
much
as
you
do.

SPEAKER_01
52:11

Yeah.
That
patient
autonomy
is
like
huge.
I
was
I
was
looking
at
Instagram
the
other
day,
and
there
were
these
doctors,
they
like
interviewed
them
and
it
was
at
a
fertility
conference,
and
they
said,
What
do
you
wish
you
your
parents
or
your
patients
would
know?
And
they're
like,
Stop
trying
to
overdiagnose,
like,
let
me
treat
you.
And
I'm
like,
No,
it
it's
a
team
effort
here.
Yeah,
and
I
just
was
like
appalled
by
that
because
I
felt
like
you're
taking
away
some
of
their
power
by
telling
them
this.
The
pay
they
have
to
live
in
their
body,
you
don't.
They
have
to
live
with
these
decisions,
you
don't.
And
so
I
think
exactly
what
you're
saying
is
like
be
vocal
to
your
providers
and
stand
up,
you
know.
And
it's
hard,
especially,
you
know,
a
lot
of
us
that
are
it
doesn't
come
natural
to
us
to
stand
up
and
say,
this
isn't
really
gonna
work
for
me,
or
I
don't
like
that
approach,
or
I
don't
like
taking
opioids
for
pain.
I
don't
want
to
do
that,
you
know.
It's
okay
to
stand
up
for
yourself
in
doing
that.
So
a
hundred
percent.
Like,
I
really
think
advocating
patient
autonomy
is
very
important
across
the
world.

SPEAKER_00
53:14

It's
also
it's
also
okay
to
just
sit
and
listen,
say
thank
you
very
much
and
never
go
back.
Yeah.
Because
some
people
get
really
like
intimidated
by
the
concept
of
conflict
or
the
potential
of
conflict.
And
it's
like
you
can
actually
avoid
it.
You
just
don't
go
back.
Yeah,
you
just
don't,
you
know,
you
just
unsubscribe,
like,
you
know,
just
block
the
number.
I
even
had
a
a
a
physician
appointment
a
couple
weeks
ago
and
I
was
not
seeking
their
advice,
but
they
decided
to
give
me
their
I
just
it
was
a
really
frustrating
conversation.
And
especially
somebody
who's
in
healthcare,
I
didn't
think
I
was
gonna
be
in
a
position
where
I
was
like,
I
wasn't
even
asking
to
be
gaslit,
and
I
was,
and
it
was
really
frustrating.
And
at
one
point
I
just
I
just
stopped
the
conversation
and
I
said,
Thank
you
for
having
this
dialogue
with
me.
I
don't
agree,
but
I
I
also
don't
need
your
answer.
And
I
kind
of
finished
up
care
with
what
we
had
going
on,
and
I
am
transferring
the
next
time
I
need
services
from
a
provider
like
this,
I'm
driving
the
four
hours
to
Houston
to
see
a
different
provider
because
that's
how
important
it
is.

SPEAKER_02
54:12

Right.

SPEAKER_00
54:12

Because
I'm
like,
I'm
done
talking
to
these
people
who
refuse
to
leave
pride
at
the
door.
Right.
You
know,
it's
like
this
is
it's
my
time,
it's
my
money,
it's
my
journey.
And
but
even
getting
to
a
place,
and
I'm
a
practitioner,
even
getting
to
the
place
to
have
the
confidence
to
say,
like,
no,
thank
you,
it's
hard.
So
you
don't
like
patients
don't
owe
anybody
anything.
If
they,
if
something
rubbed
them
the
wrong
way,
they
don't
agree,
they
feel
a
certain
way,
they're
allowed
to
just
say
bye.
Yep,
and
never
look
back.
That's
so
true.

SPEAKER_01
54:41

Oh
my
goodness.
Like,
I
feel
like
we
could
talk
for
hours
and
hours
and
hours
and
hours
because
there's
so
many
things
that
we,
I'm
sure
we
could
solve
the
world
problems
by
just
sitting
down.
If
everyone
would
listen,
right?
But
just
sitting
down
with
you,
gaining
your
knowledge,
gaining
just
the
way
that
you
look
at
care
and
the
expertise
that
you
have
is
just
so
refreshing
for
someone
like
me.
You
know,
this
is
why
I
love
doing
what
I
do,
is
because
I
get
to
learn
alongside
of
everyone
else
and
get
to
meet
amazing
people
like
you.
And
it
just
is
such
a
breath
of
fresh
air
to
sit
down
with
you.
And
if
you
want,
if
people
want
to
learn
more
from
you,
where
can
they
find
you
on
any
platform?

SPEAKER_00
55:22

Yes,
so
on
Instagram,
it's
primarily
Instagram.
My
handle
is
Dr.
Taylor
Reyes,
just
D-R-T-A-Y-L-O-R-R-E-Y-E-S.
And
we
also
have
our
clinic
page.
It's
Instagram
at
fire,
physical
therapy,
f-i-r-e,
and
then
physical
therapy.
I
will
say
that
my
my
personal
page
is
kind
of
that
more
silly
educational
content,
like
we're
talking
about
all
the
silly
weird
stuff,
or
I
might
get
a
little
salty
and
spicy.
And
then
you
also
will
get
a
little
mix
of
like
orthopedic,
low
back
pain,
core,
TMJ.
Um,
because
that's
a
whole
other
subject.

SPEAKER_03
55:54

That's
a
whole
specific
potential.
That's
a
whole
other
subject.
Yeah.

SPEAKER_00
55:57

And
then
our
fire
page
is
we,
you
know,
it's
a
little
more
professional,
a
little
more
refined.
So,
but
we
have
a
lot
of
information
on
both
pages.
I'm
not
really
on
TikTok.
I
might
be
actually,
but
I
don't,
I'm
not
active
on
it.
It's
a
lot
of
work.

unknown
56:10

Yeah.

SPEAKER_00
56:11

It's
a
lot
of
work.
I'm
too
old
for
TikTok.

SPEAKER_01
56:13

So
same.
I'm
not
on
TikTok
either.
But
your
content
is
amazing.
If
you
don't
follow
Taylor,

Pelvic Wands, Dilators, And At‑Home Care

SPEAKER_01
56:20

I
recommend
you
do
it
because
you
will
learn
so
much
in
a
way
that
isn't
aggressive
or
oversensationalized,
but
simple,
direct,
and
full
of
like
really
good
tangible
tools,
which
I
appreciate
that.
So
thank
you
for
making
it
simple
for
this
little
brain
of
mine.

SPEAKER_00
56:37

Thank
you.
I
I
will
say
our
clinic
website
is
firephysicaltherapy.com.
And
we
do
have
uh,
I've
been
on
other
podcasts
and
we
do
a
lot
of
endometriosis,
some
TMJ
stuff.
And
so
if
and
then
we
have
philosophy
and
things
like
that
on
our
clinic
page
too.

SPEAKER_01
56:52

Yeah.
And
it's,
I
mean,
if
I
lived
closer,
I'd
be
there
in
heartbeat.
It's
just,
you
know,
this
distance
thing.
I
know
it's
it's
it's
it's
a
factor.
I
think
it's
a
factor.
It's
really
a
bummer.
Thank
you
so
much
for
taking
the
time
to
sit
with
me.
And
I
just
really
loved
this
conversation.
I
I
love
this
fruitful
nature
and
the
relational
nature
of
just
sitting
down
with
people
at
the
table
and
being
real.
So
I
appreciate
you
just
being
real
and
honest
and
authentic
and
taking
the
time
to
do
that
with
me.
Really
appreciate
it.
Thank
you.
Thank
you,
same,
all
of
the
above,
same.
Until
next
time,
everyone,
continue
advocating
for
you
and
for
others.