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    172 - Learning to make empowered choices after cancer with Dani Binnington

    enOctober 04, 2022

    Podcast Summary

    • A breast cancer survivor's journey to advocacy for menopause careBreast cancer survivors deserve personalized menopause care, especially those who have undergone surgeries affecting their hormones. Individualized support can help prioritize health and wellbeing during this challenging time.

      Danny Binnington's personal journey with breast cancer led her to become an advocate for better menopause care for women, especially those who have had breast cancer. Prior to her diagnosis, she was a jewelry designer, but her experience inspired her to become a yoga teacher and create programs for women in menopause after cancer. Her early menopause, brought on by a double mastectomy and ovarian removal, was a result of her being a BRCA1 carrier. Despite her fear and initial lack of support, she worked hard to prioritize her health and wellbeing, and now helps other women do the same. Her story highlights the importance of individualized care and support for women during the menopause, particularly those with a history of breast cancer.

    • Navigating challenges with empowermentEmpower yourself by educating, making informed decisions, and leaning on support systems during unexpected life challenges like breast cancer and menopause.

      Despite the challenges and unexpected turns life may bring, such as a breast cancer diagnosis and menopause, women have the power to regain control and become empowered. This journey may involve navigating healthcare choices, understanding available treatments, and learning to advocate for oneself. Even in the face of a family history of cancer or the fear of menopause, it's essential to remember that life can still be beautiful and fulfilling. It's important to educate ourselves, make informed decisions, and lean on support systems when needed. Ultimately, choice and empowerment are key to navigating these challenges and finding strength in the process.

    • Understanding Menopause: Beyond Severe SymptomsMenopause is more than just severe symptoms. Focus on lifestyle factors, treatments, and early prevention to manage symptoms and reduce risks of future health issues.

      While it's important to be aware of the potential severe symptoms of menopause, it's equally important to understand that not all women experience these symptoms and that there are treatments available. Furthermore, focusing solely on hormonal treatment is not enough, as lifestyle factors such as exercise, diet, and well-being also play a crucial role in managing menopause and reducing the risks of future health issues like heart disease, osteoporosis, and diabetes. It's essential to view menopause awareness as an opportunity to take charge of one's health rather than a cause for fear or despair. Those diagnosed with menopause early or those with increased risks due to genetic factors can use this knowledge to make informed choices and take proactive steps to mitigate potential health issues.

    • Taking Control of Your Health: Preventative Measures for Genetic RisksConsult reliable sources and healthcare professionals for personalized advice on genetic risks, self-care, and potential preventative measures. HRT may not pose additional risks for breast cancer and could even lower it in some cases.

      There are numerous things we can do to improve our wellbeing, and it's essential to take control of our health before facing adversity. For instance, discussing Braco, a genetic mutation linked to an increased risk of breast and ovarian cancer, can lead to preventative measures like genetic testing and potential treatments. However, the decision to undergo procedures like ovary removal and HRT should be based on accurate information. While the risk of breast cancer is higher for those with the Braco gene, studies suggest that HRT may not pose additional risks and could even lower the risk of breast cancer in some cases. It's crucial to consult reliable sources and healthcare professionals for personalized advice. Ultimately, focusing on self-care, knowledge, and open communication with healthcare providers can help individuals make informed decisions about their health and overall wellbeing.

    • Managing Risks: A Personal and Complex ProcessRespect individual circumstances and beliefs when managing risks. Understand the complexity of risk management and approach it with empathy and understanding.

      Managing risks is a personal and complex process, especially for individuals facing serious health challenges. The speaker, a breast cancer survivor, shared her experiences of making difficult decisions about her treatments and dealing with potential complications. She emphasized the importance of respecting each person's unique circumstances and beliefs when it comes to managing risks. The speaker also shared a humorous anecdote about the importance of considering all risks, not just those related to cancer. Ultimately, she encouraged listeners to recognize the complexity of risk management and to approach it with empathy and understanding.

    • Individualized healthcare decisions for breast cancer and HRTConsider unique circumstances, concerns, and priorities when making healthcare decisions for complex conditions like breast cancer and HRT. Prioritize informed consent and collaborative decision-making with healthcare providers.

      When it comes to making healthcare decisions, especially for complex conditions like breast cancer and hormone replacement therapy (HRT), individualized choices based on informed consent are crucial. It's essential to consider each person's unique circumstances, concerns, and priorities. The NICE guidelines on shared decision making are pivotal in these discussions. Some women may prioritize minimizing the risks of osteoporosis and heart disease over the risk of breast cancer recurrence. The perception of risk can change over time, and decisions about HRT use are not permanent. Refusal of treatment due to discomfort from healthcare providers is a concern, and the focus should be on collaborative decision-making. Implied consent is common in consultations, but explicit consent for HRT is worth considering to ensure women are fully in control of their choices.

    • Empowering Women with Clear Information for Cancer Treatment DecisionsEmpower women with clear information for cancer treatment decisions, led by the patient, involving open conversations with healthcare professionals, and respecting their individual circumstances and preferences.

      Empowering women with clear and unbiased information during their cancer treatment decisions, including the use of HRT, is crucial for their autonomy and control over their health. The consent process should be led by the patient, allowing them to make informed decisions based on their individual circumstances and preferences. Women's experiences and knowledge gained from their cancer journey can greatly influence their decisions, and it is essential to stay judgment-free and fully understand their reasons. The decision-making process should involve open conversations with healthcare professionals, including oncologists, radiotherapists, breast surgeons, GPs, and menopause specialists. All women deserve this conversation, regardless of their ultimate choice.

    • Menopause needs specialized care for womenWomen deserve informed decisions and options for menopause treatment, not exclusion. Misinformation and lack of support can negatively impact their quality of life.

      Women going through menopause deserve specialized care and options for treatment, rather than being told "no" and being excluded from the greater menopause conversation. Men, particularly those with prostate cancer, receive more advice and support, including hormone replacement therapy. It's essential to allow women to be part of the conversation, make informed decisions based on different levels of information, and be open to changing their minds or seeking multiple opinions. Misinformation and taking things out of context can be detrimental, as seen in cases where vaginal estrogen could have significantly improved a woman's quality of life. Encouraging a positive mindset and consistent self-care can also make a significant difference.

    • Empowering Yourself Through MenopauseWomen going through menopause need to advocate for themselves, find supportive communities, manage symptoms, and seek specialized care from healthcare professionals. Remember, everyone's experience is unique and there's no one-size-fits-all solution. Keep the conversation open and normalize menopause discussions to reduce feelings of isolation.

      Women going through menopause, especially those experiencing surgically-induced menopause or complex menopause symptoms, need to advocate for themselves and prioritize their health. This can be achieved by finding supportive communities, taking the time to understand and manage symptoms, and persistently advocating for specialized care from healthcare professionals. It's important to remember that everyone's experience with menopause is unique, and there is no one-size-fits-all solution. By taking an active role in our own care and well-being, we can empower ourselves to navigate this transition with confidence and resilience. Additionally, it's crucial to keep the conversation open and normalize menopause discussions, as this can help reduce feelings of isolation and hopelessness. Remember, you deserve to be heard and to receive the right treatment for your individual needs. For more resources and information, visit balance-menopause.com or download the free Balance app.

    Recent Episodes from The Dr Louise Newson Podcast

    262 - Acne: from teen years to menopause and beyond

    262 - Acne: from teen years to menopause and beyond

    This week on the podcast with Dr Louise, Consultant Dermatologist Dr Sajjad Rajpar returns to talk about acne and its effect on women during the perimenopause and menopause, including on their self-confidence and mental health.

    Dr Saj explains the causes of acne and the different treatments available, including an encouraging new treatment that could make a big difference to acne sufferers in the long term.

    Finally, Dr Saj shares his three tips for anyone who might have acne:

    1. Keep skincare simple and targeted. Pick one of three active ingredients – retinoids, benzoyl peroxide or azelaic acid – and give it three to six months to work. Only supplement it with a very simple supporting skincare regime.
    2. Assess the impact of the acne – if it is leaving persistent blemishes, pigmentation or scars, then escalate the treatment. If the first line treatment hasn’t worked, give it three months and see a medical professional to try to get it under control because prevention of scars is so much easier than trying to reverse and cure them.
    3. Be mindful about all the different risk factors and triggers, and do not underestimate the impact of diet and stress. Where we can treat acne holistically, we should.

    You can follow Dr Saj on Instagram @dr.rajpar_dermatologist

    There is a chapter dedicated to skin and hair in menopause in Dr Louise’s bestselling book, The Definitive Guide to the Perimenopause and Menopause, which includes expert contributions by Dr Saj. Order your copy by clicking here.

    Click here to find out more about Newson Health

    261 - Chronic pain and menopause: what’s the link?

    261 - Chronic pain and menopause: what’s the link?

    About 28 million people in the UK are thought to be living with chronic pain – that’s 43% of the population, according to the 2011 Census.

    But what is chronic pain, and how can it overlap with the perimenopause and menopause?

    In this week’s episode Dr Louise is joined by Dr Deepak Ravindran, a consultant in pain medicine and author of The Pain-Free Mindset: 7 Steps to Taking Control and Overcoming Chronic Pain.

    Dr Deepak unpicks the science behind chronic, or persist, pain and the two discuss the relationship between hormones, inflammation and pain.

    Dr Louise and Dr Deepak have co-authored a new article which offers 10 top tips for primary care practitioners on improving care for women with fatigue and/or pain. You can access the article here.

    Follow Dr Deepak on YouTube, Instagram, LinkedIn and X.

    Click here to find out more about Newson Health

    260 - Get comfortable with the uncomfortable: mental health and the menopause

    260 - Get comfortable with the uncomfortable: mental health and the menopause

    Content advisory: this podcast contains themes of suicide and mental health.

    This week on the podcast, Dr Louise is joined by Andrea Newton, a postmenopausal woman whose own experience of mental health during the menopause lead her to train as a tutor with the National Centre for Suicide Prevention Training. Over the last six years, Andrea has trained thousands of people in suicide intervention skills and she is now training to become a menopause coach.

    Andrea explains how her work in the corporate world has allowed her to share the importance of educating line managers, HR managers, and everyone about the menopause. She is also the author of the book, Could it be Your Hormones Love? (And Other Questions Not to Ask a Menopausal Woman).

    Andrea shares her tips on widening the conversation about menopause:

    1. Women need to educate themselves more about how the menopause affects all aspects of their health and be better at advocating for themselves.
    2. Let’s take the conversation to the wider audience and stop the awful, narrow, stereotypical view of menopause. Instead, educate people so we can avoid tribunals, retain talent and have more menopause-friendly businesses.
    3. Get comfortable with the uncomfortable and have conversations about things like menopause, mental health, suicide risk. We need to stop waiting for people to reach out, and we need to get better at reaching in and being proactive.

    You can follow Andrea on LinkedIn, Instagram @in.her.right.mind and Facebook @InHerRightMind  

    Click here to find out more about Newson Health

    Contact the Samaritans for 24-hour, confidential support by calling 116 123 or email jo@samaritans.org.

     

    Related articles

    Westlund Tam L, Parry BL. (2003), ‘Does oestrogen enhance the antidepressant effects of fluoxetine?’, J Affect Disord. 77(1):87-92. Doi: 10.1016/s0165-0327(02)00357-9

    Ibrahim WW, Safar MM, Khattab MM, Agha AM. (2016), ‘17β-Estradiol augments antidepressant efficacy of escitalopram in ovariectomized rats: Neuroprotective and serotonin reuptake transporter modulatory effects,’ Psychoneuroendocrinology. 74: 240-250. 10.1016/j.psyneuen.2016.09.013

     

     

    259 - All about Dr Louise’s theatre tour Hormones and Menopause: The Great Debate

    259 - All about Dr Louise’s theatre tour Hormones and Menopause: The Great Debate

    This week on the podcast Dr Louise meets comedian Anne Gildea, who will be joining Louise on her 34-date theatre tour this autumn, Hormones and Menopause: The Great Debate.

    Anne, a founding member of Irish musical-comedy trio The Nualas talks to Louise about her diagnosis of breast cancer, aged 45, and her ensuing menopausal symptoms, which she was unprepared for. She explains how her research inspired her to create her own show, How to Get the Menopause and Enjoy It.

    Louise and Anne discuss why they’ve come together to create a new show that will take you on a journey through the history of women’s health and lead you to see menopause and hormones in a whole different light.

    Finally, the pair share some of the reasons they think people should come to the show:

    1. It'll be a wonderful night out - a real sharing experience where you can also have a laugh.
    2. There’ll be lots to learn with new content and a sharing of knowledge.
    3. You’ll be able to ask questions and gets answers. Some shows will also have doctors available in the interval but Louise will answer questions on the stage as well.

    You can follow Anne on Instagram @annegildea  

    To buy tickets to the show click here

    Click here to find out more about Newson Health

     

    258 - I’m 27 and perimenopausal: how testosterone helped my symptoms

    258 - I’m 27 and perimenopausal: how testosterone helped my symptoms

    This week on the podcast, Dr Louise is joined by Elin Sullivan, a young woman who suffered a myriad of symptoms for years before getting the right treatment.

    Elin first experienced recurring urinary tract infections at 19 years old, and twice required hospitalisation. She also suffered from sweats, sleep disruption and fatigue, shaking and lichen sclerosus. After a chance encounter with Louise, she tried local HRT, which was transformative, and now takes testosterone to balance her low levels.

    Elin talks about how hard it can be to experience perimenopausal symptoms at a young age and shares her tips for other younger women experiencing issues that they think might be down to their hormones:  

    1. Although it can feel really hard, don't stop advocating for yourself. You may have self-doubt or worry that you’re wrong but keep pushing. My doctor was sick of seeing me, I was there probably every week, but don’t give up.
    2. Rather than just giving your doctor a list of your symptoms, show them when they were happening as well. Have a log of symptoms and anything that might have affected them on that day. This will help your doctor rule out things but also show if your diet, etc, has an influence.
    3. Don't be scared to try medications or suggestions. It might help but if it doesn’t it can potentially help your doctor decide the next step. I never believed local HRT could make such a big difference but am so glad I tried it.

    Click here to find out more about Newson Health.

    257 - Oestrogen, your heart and the menopause

    257 - Oestrogen, your heart and the menopause

    This week on the podcast Dr Louise is joined by Dr Felice Gersh, who is double board-certified in OB-GYN and Integrative Medicine, and specialises in female health, with a focus on managing female hormonal dysfunctions.

    She is the author of the book PCOS SOS: A Gynecologist’s Lifeline to Naturally Restore Your Rhythms, Hormones, and Happiness, and recently published a paper on oestrogen and cardiovascular disease, and a 2021 paper on HRT.

    Here she talks about the family of oestrogens and the important role of hormones on the heart. Finally, she shares three tips on improving heart and whole body health:

    1. Eat a lot of phytoestrogen-containing foods - so every kind of plant in all the different colours, including beans, nuts, seeds, fruits, vegetables. They are nature's gift to us.
    2. Sunlight is like happy medicine. Try to get sunlight in the morning, midday and watch the sunset every chance you get. This will help you to sleep better, make more serotonin, and help to set your master clock in your brain, which tends to drift when we lose our oestrogen production.
    3. Move. Your fitness status is more predictive of healthy longevity than your blood pressure. Think of your fitness, strength, flexibility and balance as a critical part of your life so get active in every way you can.

    You can follow Dr Felice on Instagram @felicegershmd.

    Click here for more about Newson Health.

    256 - Spreading the word about menopause care in the US, and beyond

    256 - Spreading the word about menopause care in the US, and beyond

    This week Dr Louise is joined by Aoife O’Sullivan, a family medicine doctor who trained in Dublin before completing a second family medicine residency at the University of Maryland.

     

    After taking some time out to complete extra training in perimenopausal and menopausal care, including Newson Health’s Confidence in the Menopause course, Dr Aoife is passionate about providing more comprehensive and holistic care to women during midlife.

     

    Dr Aoife share the ways clinicians, and all people, can educate themselves in order to improve the health of women in the US, and across the world:

    1. Take every opportunity to learn and educate. So join any local healthcare Facebook groups and pass on links to the Confidence in the Menopause website, the balance app, etc. Even if you reach one or two people like that, it will make a difference and they might reach another one or two people.
    2. Share small bites of information because it can be a little overwhelming. So when you're trying to reach somebody, give them small amounts of information at a time.
    3. Harness the power of friends. If everyone informs their friends and they all go to their doctors, obstetricians, gynaecologists and urologists, and ask questions, it will fuel discussion and increase knowledge.

    You can follow Dr Aoife on Instagram @portlandmenopausedoc

    Find out more about the Confidence in the Menopause course and click here for more about Newson Health.

     

     

    255 - Mental health issues and hormones: introducing Newson Health’s psychiatrist Dr Louisa James

    255 - Mental health issues and hormones: introducing Newson Health’s psychiatrist Dr Louisa James

    This week on the podcast Dr Louise is joined by a new colleague, Dr Louisa James, a psychiatrist who has recently joined the team at Newson Health.

    Dr Louisa’s personal experience of the menopause prompted her to learn more about the impact of hormones, and incorporate her knowledge in her role as an NHS consultant psychiatrist in a home treatment service. Here she discusses the importance, and power, of asking patients about their hormones during a psychiatric appointment.

    Finally, Dr Louisa shares her tips for thinking about your hormones alongside your mental health:

    1.Consider whether this feels different to any previous episodes of depression you may have experienced or if your symptoms are fluctuating. Some women have suicidal thoughts or are depressed at certain times of the month. Track your symptoms and look at the fluctuations.

    1. Your history can affect your menopause. If you’ve had an episode of postnatal depression or PMDD, then you're more likely to experience mental health difficulties in the perimenopause.
    2. How do you feel about your life? Lack of joy rather than a sadness, the emotional lability, is often greater with a hormonal mental health problem whereas irritability, rage and impulsiveness can be greater with mental health problems.

    Dr Louisa James is now offering consultations to existing Newson Health patients. Click here for details.

     

     

    254 - Dr Louise’s new paperback book: what’s new and who’s it for?

    254 - Dr Louise’s new paperback book: what’s new and who’s it for?

    This week is a celebration of Dr Louise Newson’s new paperback book, a revised and updated version of the bestselling The Definitive Guide to the Perimenopause & Menopause. Dr Louise is joined by Kat Keogh, who worked on the book with her and is the head of editorial at Newson Health and across the balance website and app.

    Here Kat turns the tables and asks Dr Louise the questions, discovering why the subject of HRT doses warranted more attention in the book, the importance of hearing directly from women experiencing the menopause as well as experts in their fields, plus how Louise felt sharing her personal experiences.

    Finally, Dr Louise shares three reasons she thinks people should buy the book:

    1. The bright yellow cover is uplifting, and when you’re happier you’re healthier.
    2. It’s packed with information so you’ll learn something that will either help you or a loved one.
    3. Increasing awareness of hormones, perimenopause, menopause, plus PMS and PMDD will help women feel less lonely, more included and more listened to.

    Pre-order the paperback book here

    Click here to find out more about Newson Health.

     

    253 - Coping with the perimenopause when you’re a carer

    253 - Coping with the perimenopause when you’re a carer

    This week on the podcast, Dr Louise is joined by Tova Gillespie, a working single parent to two daughters, one of whom has severe disabilities and complex medical needs. Here she talks about the challenges of being perimenopausal while being a carer and how it’s easy to not recognise or understand your symptoms.

     

    Louise and Tova discuss how it’s easy for your own needs to end up at the bottom of the to-do list when you’re a carer or have a busy family life, and Tova shares three tips for anyone who may not be looking after themselves:

    1. Learn to ask for and accept help. People want to help, but very often they don't know how to offer it and our usual response can be ‘no, I don't need anything’. Instead, say straight out: ‘Please do my washing up. Or I have five loads of clean laundry that needs sorting. Or can you bring over some food?’ Anything really.
    2. If your health isn't what it should be, go to your GP. When you ring your GP, ask for an appointment to talk about perimenopause and hormones. They’ll know from the get go what it is you're after and if they have anyone in the clinic with an interest in that area, they’ll put you in with that person.
    3. Try to see the good every day. I do gratitude journalling, where I write down a minimum of three positive things that have happened that day, and they're not big. It could be the sun is shining. It could be the taste of that first sip of coffee in the morning. I train myself to look for the positive because it's so easy to get overwhelmed in the bad stuff.

    Learn more about Tova on her YouTube channel. Or follow her on Instagram @parentXP

    Click here to find out more about Newson Health.

    Related Episodes

    002 Europe Biobank Week: Sharing experiences in partnership: a conversation on collaboration in a global network

    002 Europe Biobank Week: Sharing experiences in partnership: a conversation on collaboration in a global network

    Welcome to the BC Platforms Podcast! 

    BC Platforms is the global leader in providing a powerful data discovery and analytics platform, as well as data science solutions for personalized health care. BC Platforms enables cross-functional collaboration with our global federated network of data partners.

    This episode is an open discussion with three key leaders in the healthcare data industry.  

    Tõnu Esko is the Professor of Human Genomics at the University of Tartu, and the longtime leader and member of the Senior Management Board for the Estonian Biobank. 

    Sirpa Soini is the Director of The Finnish Institute for Health and Welfare Biobank (THL Biobank). She has been collaborating with BBMRI-ERIC, and BBMRI-ERIC.fi in Finland, and with a background as a lawyer, she has also been involved in legal and ethical compliance work. 

    Outi Törnwall is Data Partnership Director at BC Platforms, driving forward and building a data partnership network that enables sharing of data and collaboration, particularly in industry driven research.

    What is Covered: 

    - Overview of the work of Estonian Biobank, THL Biobank and Data Partnership at BC Platforms

    - The increase of real-world data and the challenges of creating meaningful databases across different industries and countries

    - What positive results have been achieved so far within global data partnerships and networks 

    - How to bridge the gaps between academic research, industry needs and policy makers 

    - Advice for researchers and industry stakeholders for a more effective collaboration that benefits patients and the society as a whole

    Links and Resources Mentioned in This Episode: 

    - BC|RQUEST - Global Data Partner Network https://bcrquest.com/ 

    - Estonian Biobank https://genomics.ut.ee/en 

    - THL Biobank https://thl.fi/en/web/thlfi-en  

    - Fingen Research Project https://www.finngen.fi/en 

    - Europe Biobank Week https://europebiobankweek.eu/ 

    Connect with Sirpa Soini:

    -  https://www.linkedin.com/in/sirpasoini/ 

    Connect with Outi Törnwall: 

    -  https://www.linkedin.com/in/outitornwall/ 

    Connect with Dr. Tõnu Esko: 

    - https://www.linkedin.com/in/tõnu-esko-24511524/ 

    Connect with BC Platforms: 

    - https://www.bcplatforms.com 

    - https://www.linkedin.com/company/bc-platforms/ 

    - sales@bcplatforms.com  

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    Host: Charissa Wood, RDH

    Guest: Geralyn Beers

    Key Takeaways:
    Introduction
    Aha Moments
    Test, Treat And Retest Routine
    Lifestyle Factors Correlation
    Oral Disease, Alzheimer’s Disease And Dementia
    Oral Contributions To Cognitive Decline

    References:
    Hygiene Mastermind - https://bulletproofmastermind.com
    Summit - https://bulletproofsummit.com/
    Mighty Networks: Bulletproof Hygiene
    completehealthheroes.com
    ( BULLETPROOF LISTENERS SAVE $500 OFF COMPLETE HEALTH HEROES PROGRAM! Use coupon code BPH500 at checkout. )
    apollohealthco.com
    American Academy for Oral and Systemic Health - https://www.aaosh.org/
    American Dental Hygienists' Association - https://www.adha.org/
    "Say AHH" Oral Health Documentary - https://www.youtube.com/watch?v=47rmKUA-M9s
    Nutritious Hygiene with Barbara Tritz - https://youtu.be/8iBuuQvmS8U
    Barbara Tritz -  https://www.instagram.com/queenofdentalhygiene/?hl=en

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    We’re all perfectionists. Geralyn Beers
    It is a constant battle of trying to find that healthy balance. Charissa Wood
    Patients appreciate that you want to partner with them. Geralyn Beers

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    Follow BossMove on all socials: https://linktr.ee/bossMoveSeries

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