How to Manage the Side Effects of Hormonal Therapy for Breast Cancer 

We're glad to hear that you're experiencing minimal side effects and that the medication is working well for you. Thank you for watching.

Thank you for watching. Yerbba appreciates all of the support!

We're so glad you found this video helpful!

I hear ya sister! Don't hold your breath for a better treatment to come along any time soon.

You raise such good points. As a medical site, we do tend to favor treatments that have been shown in thousands of people to decrease recurrence. We do care about side effects and quality of life, however! What good is living if one feels like garbage? While these medications have side effects and those can be severe in some people, they are tolerated by the majority of people. The link between endocrine therapy and breast cancer treatment was first discovered in the late 1800's when women with advanced breast cancer had their ovaries removed and went into remission. After that, the adrenal glands (another source of estrogen) were removed and women again had a response to that surgery but had terrible effects from the loss of the adrenals. So perhaps we have come a long way. The original doses of tamoxifen were much higher and much more "morbid" (made people sicker). We are always trying to do better by our patients in terms of the risk-benefit profile. We share your frustration that we're not doing better.

Ha, well too much money is being made on side effect meds for those who take hormone blockers and try to survive them. Follow the money.

Hi Juaquinine, I agree with you and I don't expect there will be a better med any time soon - too much money to be made by the current system. The fact that 30- 50 % of women stop or never start aromatase inhibitors is not enough to stop using the drug .Now if some women tolerate the standard doses then fine but that's no help to the rest of us and there are no good or universally effective treatment for those effects. For me so far 2 rounds of IV Reclast he's not helped the bone loss from needing to stop hormone replacement AND have a mastectomy and chemo therapy. Do NOT assume your bone loss will reverse with treatment, mine has not AND I have side effects of significant joint pain. As for side effects , I was told by my first oncology team to ,just stop. So I did , and the physical /emotional side effects were overwhelming(crying, raging insomnia , muscle tremors , suicidal ideation, constant fear during my every waking moment). I asked for help from several different medical ' professionals'. I didn't get any. Totally ignored, stared at. A humiliating experience. Out of desperation I looked for an acupuncturist who understood what I was going through and was able give me herbs to alleviate the symptoms. I have politely declined aromatase inhibitors because I already have many of the side effects without even being on the drug. Fortunately I have a tolerant oncologist who asked if I would allow him to monitor my progress with diagnostic imaging and I agreed . Let me emphasize that my current oncologist is unfailing and attentive- I like him very much . BUT he has no idea how to help with the severe side effects of a medically induced menopause . You should be aware that this is very common, even obgyns may get no training in managing menopause. Menopause management is aSEVERELY neglected aspect of women's health. To be very blunt , cancer treatment inflicts alot of collateral damage and you will be lucky if you get any help managing the symptoms. Let me be clear that as of now I have osteoporosis in my spine and hip and Reclast has not helped( so far). I know people who have had heart attacks on chemo or have late cardiac side effects ( she needs a heart transplant) from doxorubicin .Some oncologists think that their only duty is to attack the cancer as aggressively as s possible and let the collateral damage fall where it may. My former oncologist was going to give me ,4 cycles of doxorubicin 2 weeks apart and monitor with an echocardiogram before starting and after the 4 the treatment. To state the obvious, what if I sustain heart damage after the second or third treatment? Many oncologist are way to cavalier about the toxicity of the drugs they order . Because they are highly stressed I have met many nurses and doctors who would rather you keep your suffering to yourself.

One more thing- when doctors say a drug is well tolerated they mean something different than what you think. They mean it won't kill you outright or put you in the hospital. Er...except that one of my first cardiac rehab patients was a 40 year old woman who collapsed from cardiomyopathy induced by doxorubicin.sShe was normal weight, downhiiskier, now in need of a heart transplant. So because some people benefit from these drugs, the people who die or are forever damaged are written off with a " sometimes this happens"

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I wish you the best. I had the same surgery in 2022. Only 48 more months of the aromatase inhibitor for me. I have a good relationship with my doctors and trust them. Hopefully you will too.

We're thrilled to hear that our videos have been a source of comfort and information for you during your recovery. We understand that this journey can be challenging, and it's wonderful to know that you're feeling more confident about what's ahead. Thank you for watching and appreciating the plants in the background!

Thank you again.

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Thank you for sharing your valuable insights and experiences with the Yerbba community. It's so good to hear that you've found relief and support through medical acupuncture, along with your daily movement through walking and Pilates. Your comprehensive approach to managing side effects is commendable. This information can be incredibly valuable to others who may be facing similar challenges. Keep up the great work, and continue taking good care of yourself.

We appreciate your kind words and we're glad to hear that you found our videos helpful. Thank you for subscribing, and if you ever have more questions or topics you'd like us to explore, feel free to let us know.

Hi, I've just had my lumpectomy and will have radiation as well. Do they plan to put you on Tamoxifen or something other, as well?

Michelle that's me I'm female and a breast cancer survivor one or two months of five years . I've put up with the.side affects .because I want to live . End of March I'm having a party

P🎉​@@yerbba

Thanks for watching. Check out our video on the aromatase inhibitors: ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-LuI1mCJU2_U.html. They are all equivalent in terms of efficacy. We originally thought that exemestane would be more likely to spare the bone (causing less loss of bone mineral density), but this has not be borne out in clinical studies.

They are all the same basically, carpel tunnel, cause other cancers, facial hair, bone loss, basically they f$&@ you up and can’t be reversed

We're delighted to hear that our videos have been helpful to you. We're here to provide support and information.The psychological side effects you're experiencing with tamoxifen can indeed be challenging. Mood swings and irritability are known side effects, and it's important to communicate these feelings with your healthcare provider. They may be able to adjust your treatment or offer strategies to manage these symptoms. Remember, you're not alone in facing these challenges, and your family's support is invaluable. Stay tuned for a future video about this important topic!

Dear Yerba: so you think oncologists are doing better because they used to remove women's adrenal glands ??? In other words it could be worse and we should be glad we are no longer being subjected to another procedure??? Now are you and other oncologists "frustrated" enough to learn how to control the se vere medical menopause you feel free to induce? Oh, I informed my so called " team" about the severe debilitating symptoms I had when they told me to "just stop" my hormone replacement. I knewan aromatase inhibitor would duplicate the Symptoms and so I politely refused. I knew they would expect me to just tough out the symptoms and after chemo I just wasn't up to it. I went with acupuncture and a low glycemic diet and for the last two years am doing well( no cancer). Oh, but trying to compensate for the.memory loss .you should listen to some of Dr. Liz Oriorden s posts- she was a breast surgeon and is now abreast cancer patient. She frankly admits she had no clue what it was like to be a cancer patient.

It is difficult to estimate a risk of recurrence without being able to look directly at the pathology report. In general, the benefit of endocrine therapy in someone with a tumor such as your wife's is small but not insignificant. If she is uncertain about whether to take it or not, a 3-month trial of taking the medication may be helpful. Wishing you both the best.

Thanks for sharing your story with the Yerbba community. We have recommended movement (our term for exercise) to help with the muscle and joint pains from the aromatase inhibitors. It sounds like you have had a particularly difficult time. Check out our interview on yoga for people living with breast cancer.

Thanks for writing. This is a good question. People usually get side effects within the first month. Side effects usually "peak" at 3 months and can often get better after that.

Thank you! Please check out our videos on how to treat Stage II (2) breast cancer: ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-tRSDpW3Zlec.html and how to treat Stage III (3) breast cancer:ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-GSzIU94mSP0.html

We recommend avoiding parabens altogether. Although there is not compelling evidence that there's a link between parabens and breast cancer, there is a theoretical link. There are many alternatives to paraben-containing lubricants.

Yes, tamoxifen can cause fluid retention. It's not that common, but we've seen it.

From info l would take the risk and avoid tamoxifen and the letri

I also have trouble with fluid retention.one day I will end up with kidney failure. And on a dialysis machine with my kidneys shut down. I don't want that the other night I had to drink tea that would reduce bloating & swelling. I don't like looking like I am pregnant or like I'm going to have a baby. This would interfere with my normal quality. It's hard enough with the mastectomy surgery I had.

Yes, and with no symptoms a pulmonary embolism, be aware

Being diagnosed with endometrial polyps can be worrying, but most polyps are benign. It's good that you're getting a biopsy to know precisely what you're dealing with. Try to stay positive, and gather all the information you can from your doctor to manage your health proactively. Thank you for sharing your experience with our community.

Thanks for the questions. Tamoxifen does increase the risk of blood clots from 1 in 1000 people to 2 in 1000 people. So you can see the risk is still extremely low. Check out our video here on bone health: ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-5wTyv3Cstio.html

There are some people who believe they benefit from magnesium to help with sleep. Other than diarrhea, there are no serious side effects of magnesium, and diarrhea does not happen in everyone. People with kidney failure should not take extra magnesium (just for our other viewers' sake).

We do not have any information connecting vaping (indoor or outdoor) with the development of breast cancer. There is a known connection between vaping and other medical problems, however, and we would all be happier if the practice went away for good. Thank you for writing. Keep coming back.

With regards to smoking and vaping they harmful to health whether they cause breast cancer or not. Once though look at the bigger picture. Post breast treatment is like a rock between a hard place. The tamoxifen therapy to help prevent recurrence is devastating for most women. I would continue to have working ovaries. When menopause is reached go on HRT take the risk and have a good quality of life.

The dose that has been tested in clinical trials with thousands and thousands of patients is 20 mg a day. This can be taken as a 10 mg tablet twice a day.

Thanks for writing. It is hard to know how to treat your symptoms without knowing if they are caused by something such as anemia or other medical problems. It is worth talking through all your symptoms with your medical team. Let them know just how bad you feel. If your periods became irregular because of chemotherapy, they will likely become regular again depending on your age. If you are over 40, they may stay irregular or stop altogether.

Whenever there's a significant change in treatment plans, especially one as critical as deciding between chemotherapy and hormonal therapy, seeking a second opinion can be beneficial. It can provide additional perspectives on the best treatment approach and reassure you that all options have been thoroughly considered.

Your mother is fortunate to have you looking out for her. It sounds as if your mother is getting good care for triple-negative breast cancer with negative nodes. We do recommend a plant-based diet with lots of fruits and vegetables. A colorful diet!

@@yerbba thank you so much doctor ❤️

Great question. Checking in with your doctor about this would be a great first step.

Thanks for sharing your story.

Yes, endocrine therapy (both the aromatase inhibitors and tamoxifen) are highly effective in men with breast cancer.

PR AND ER+ and HER2 NEG

You may find our video on aromatase inhibitors helpful. Come back if you have additional questions. ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-LuI1mCJU2_U.html

Thank you for watching and sharing your concerns about starting hormonal therapy with the Yerbba community. It's entirely understandable that you might be hesitant of going through menopause again. Remember that endocrine therapy does not actually cause menopause. Many people tolerate hormonal therapy very well (the majority). One thing that many people do is try the drug for 3 to 4 months before making a decision about its long-term use. It may also be helpful to ask your medical team about the extent of benefit from endocrine therapy. That is, is there a small benefit? or a large benefit? We encourage you to have an open and honest conversation with your medical team to ensure you make an informed decision that aligns with your preferences and goals.

I decided no hormonal thearpy I know my body I will not be able to tolerate it. I have intolerance to medications with the side effects. Then I can't tolerate conventional treatment. I'm not a winer 😢 but I can't tolerate medication.

It is has caused spinal damage which is not reversible. Don’t take it

@@yerbba3 or 4 months I was fine, it’s when it really hooked in it was too debilitating. No more

​@@yerbbaThank you for providing more information than my cytologist,both of my surgeons and my GP combined. All that I've been told is to exercise switch to decafe and avoid chocolate . I've previously been taking inderal,furosemide ,potassium and omega 3 for my hbp, vascular ,arthritis ut and skin issues that have greatly worsened in my first 3 months on Femara. I'm constantly swinging between freezing and burning up. My arthritis ,weakness and fatigue are worse than ever before,ibuprofen no longer helps and I can't sleep more than an hour or 2 at a time. My GP just prescribed lipitor but I'm terriffied to take it due to possible drug interaction/ medication complications, especially since I had a brief episode of profound blindness from a heat stroke about 5 years ago,and I have to use drops to prevent further irreversible corneal swelling . I bruise or bleed quite easily. I've tried talking about this to every single one of my doctor's but ftankly they don't seem to remember much of my history and don't take my concerns and symptoms seriously.

This is a really interesting question. Clomipramine many other medications, can decrease the amount of tamoxifen's metabolite in the body. For a while, the recommendation was that people on tamoxifen not take any medication that interferes with the conversion of tamoxifen to its active form, endoxifen. However, there is no data showing that patients receive less benefit from tamoxifen, so the concern has been allayed in large part. Because of the theoretical concern, some doctors will recommend alternatives to drugs like clomipramine, but for people in whom their medication is working well, stopping a good medication probably poses a greater risk to their overall health.

Sounds like you have had a really rough time. Thank you for sharing your story with the Yerbba community. For our other viewers, we want to be clear that there is no proven benefit of ivermectin in people at this point.

Hair changes can indeed occur with tamoxifen although it's much less common than with chemotherapy. This can be distressing, especially after seeing regrowth post-chemotherapy. It's important to discuss this side effect with your oncologist as they may suggest potential solutions or adjustments to your treatment. There can also be other causes that can be checked out, usually with blood tests.

Great question. For our other viewers, PCOS is polycystic ovary syndrome. The aromatase inhibitors do not make PCOS worse and in fact have been studied as a form of treatment for PCOS.

If you don't mind, would you please elaborate a bit on how you feel you look 10 years older? I just turned 50 this year and, although I've always looked young for my ages, I started to notice my skin sagging and increased flabbiness. I was SO looking forward to going on HRT once I got to menopause, but I was just diagnosed with stage 1 ER+/PR+ breast cancer, and the thought of going on these estrogen-suppressing drugs has caused me almost as much anxiety as the cancer, itself. My mom had osteoporosis and Alzheimer's and I was hoping HRT would stave that off too ... but I'm SO scared and depressed about my quality of life now, and don't know how to deal with this upcoming rapid aging and a lifetime of drugs/side effects. :(

@@airamsipuola5045 It’s a tough place to be. I’m just slighty under 1 yr with tamoxifen and the last few months my facial skin is suddenly saggy ( I’ve always looked super young for my age) and even the skin on my body seems saggy. Even my knees!! I catch myself in the mirror in public and I’m shocked. I’m gonna try collagen. I did ask what my recurrance risk is. And. Tamoxifen reduces that by 50%. So if your recurrance risk is say 10% , then it will cut it to 5%. But increases slightly your risk of endometrial cancer. i am seriously reconsidering if i want to continue. I also in the middle of the night see white filled circles/cloud in my eye. And i know the drug is linked to cataracts etc. not to mention many other things…. Exercise and intermittent fasting does reduce risk of recurrence. Broccoli sprouts are great. Etc. decisions decisions!! I hate this so much

I have been on Anastrozle for 13 months. I am 66 years old. I didn’t notice any extra aging since beginning this drug. I look the same as I did a year ago. I am just grateful the BC was caught early. I too had stage 1 grade 1. Best of luck in your journey. @@airamsipuola5045

I'm on aromatase inhibitors and I too look (and feel) at least 10 years older, all within 6 months of taking it. For me it's dry facial skin with wrinkles appearing out of nowhere especially on my cheeks. My hair has gotten much thinner and limpy. Gone are my curls. I also started walking like an older person because of significant joint pain and I'm a long life exerciser! Dr. Griggs is correct in saying that movement and daily regular exercise does help. She's also correct in saying that with aromatase inhibitors symptoms don't seem to peak and get better. For me, they're consistently making me feel achey and old. I'm seeing my dr. in 3 weeks. I'll see what other options I have although, none of them sound good.

@@same5952 I don’t know if this will help, but I am also taking low dose Naltrexone (LDN 4.5 mcg). For me, it is a game changer. It is used to treat alchholism and opioid addiction of which I am neither. It also has a little known side effect of being an analgesic. Since I’ve been taking LDN, I have not had any joint or muscle pain. I started LDN in March and within two days, I noticed the pain had gone. You may ask yor doctor about it. Do some research before asking though as many doctors have never heard of it. RU-vid has lots of really good videos on how it is used as an off label treatment. I asked my doctor about it and she prescribed it for me. LDN has to be made at a compounding pharmacy. it’s easily available. Good Luck.

Yes, hormonal therapies are available in non-pill forms, such as injections. Talk to your oncologist about alternatives if swallowing pills is an issue.

This is an interesting question. In placebo controlled studies when tamoxifen was studied for prevention, both placebo and tamoxifen treated women gained weight and the same amount of weight. So the dogma is that tamoxifen does not cause weight gain. However, in years of practice, it's been our observation that women lose weight when they stop tamoxifen. It's hard not to attribute at least some of the weight gain (probably 5 to 10 pounds) to tamoxifen. The majority of our patients do not gain weight strictly because of tamoxifen. We all gain weight with time unless we are fortunate to have good genes and access to healthy foods and places and time to exercise, the ability to get good sleep, etc.

Thanks for the feedback. You are right that we tend towards high quality date. With vaginal estrogen, there is "keratinization" of the vaginal epithelium, which is through to decrease absorption into the bloodstream. Regular use of vaginal estrogen is thus necessary to avoid "surges" of the drug into the bloodstream. One thing people will find is that a specialty gynecologist, to which everyone does not have access, is more likely to prescribe/support the use of vaginal estrogen. Thank you again for the feedback.

While addressing the hypothalamus makes sense, there are so many other things the hypothalamus does that interfering with or modifying the functions of the hypothalamus would probably be ill-advised. There is a medication, clonidine, that is an alpha receptor modifier that can help with vasomotor symptoms like hot flashes.

Endocrine therapy for breast cancer has not been reported to cause hyperpigmentation in an extensive review of the literature. The newer targeted therapies called CDK 4/6 inhibitors, can cause a greyish pigment to the skin. Of course, people can always have something not previously reported, but it would make sense to have your medical team rule out any other possible causes.

Although having tremors is not listed as a side effect in any of the literature related to the use of the LHRH analogs, your experience indicates that it is a side effect. At some point, people can also get conditioned to get side effects. Hoping it gets better over time.

@@yerbba thank you. I've tried staying more hydrated this time around after the shot and it seems to help 🙏

I too have been having internal tremors. Glad to know it’s from the Lupron and that someone else has experienced it. I thought I was losing my mind.

We're so glad to hear that you found this video to be helpful. Hormonal therapy can indeed come with some unexpected side effects, and it's great that you're making adjustments to manage them. Panty liners can be quite handy in such situations. We're here to support you on your journey.

The risk of blood clots is not increased with the aromatase inhibitors. Although early studies indicated that there was a risk, that's because these medications were used only in people with advanced/metastatic breast cancer. Advanced breast cancer is associated with a higher risk of blood clots. So it's not the AIs themselves but rather the underlying cancer. In people with early stage disease, there is no increase in the risk of blood clots as there is with tamoxifen.

Rubbish I got a clot in lung

Navigating weight management during hormonal therapy can indeed present challenges. It's crucial to adopt a balanced approach, incorporating gentle movements such as walking or yoga into your routine. For personalized advice on addressing specific side effects, engaging in open discussions with your healthcare team is highly recommended. Feel free to watch our video about "How to Cope With Weight Changes During Breast Cancer" for further guidance: ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-zrcW2DT-23g.html.

It's incredibly frustrating not to be fully informed about potential long-term side effects like hot flashes and insomnia. It's important to discuss these ongoing symptoms with your medical team as there may be strategies or treatments that can help manage them. Thank you for watching and sharing your experience.

Thank you You may find our videos on breast cancer myths helpful. ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-9uXSzE3-4ik.html

@@yerbba I went to your recommended site on ( breast cancer myths ). So I'm considering & weighing out all that was discussed there. Dear Dr. Griggs. I'm so appreciative of these video's you put out. For our education. Let me say this is my community and support system.. As having cancer just post COVID. I appreciate your very articulate, calm and soft spoken voice. It certainly is a gift. Bet your patients agree as well. Can't help but notice. Your a very conservative person. Quick to shut down any theory ( hypothesis) not proven 100 % ). In a world of a disease that is so in the grey area. Where a patient can go from stage 1 to stage 4 inside a year. In spite of following all recommended treatments. IMO the hospital / nursing staff I have to attend. Many others too. Feighn ignorance and totally fail in being truthful and honest about so many things. Such as procedures, biopsies, side effects from the toxic drugs you have to take etc. Sadly if you only knew the real truth you could do and prepare for what is ahead of you. Eliminating some side effects. ( Embarrassment, furniture, friendships & jobs ) ( extreme diarrhea )Giving the patient a measure of control. To the point you lose your faith and wanting to believe what your health care professionals tell you. I find cancer is all about gambling and percentages. Leaving a person to weigh out pros & cons. For themselves. I respect all the hard work that has gone on. People living longer & better. We know more about what kinds of cancers are out there. But on what causes cancer ? People seem to have no clue. Perhaps afraid to rattle the cages of industries making big money? Then our culture & beliefs. Cigarette smoking used to be recommended to people with depression and anxiety. Mother's were told formulas were superior to breast milk. ( My mother. called me a savage ) horrified I couldn't boil or bleach my nipples 🤢. Of course all that has changed. I feel one day the horror of what's given and done to people with cancer will be viewed as savage and primitive. People will stand in disbelief. A shame none of us are likely to see that day. But regardless I thank you. BTW how is it if skin doesn't absorb elements look how is it so many medicines are given in patches now days? ( Antiperspirant claim )So allow some people to question & doubt. Some just may be proven right. Thank-you!!

Such a good question. The risk of the cancer coming back in other parts of the body is high enough in some people that systemic treatment is recommended. Surgery cannot remove cancer cells that have spread to other parts of the body. There are no scans that can assure doctors that the cancer is not in other parts of the body. Instead, we look at the tumor features to estimate the risk of the cancer coming back. If the risk is higher than 10%, chemotherapy, endocrine, and targeted therapies will likely be considered.

It's hard to know why you're losing weight. This would be a good thing to talk about with your medical team.

May be your are loosing bone mass . Are your bones thiner than before?

Thanks for sharing your viewpoint. You are right, everyone has to make their own decisions. For our other viewers, bone density problems can be treated and prevented and are reversible. Gum recession is not made worse by aromatase inhibitors in people who take care of their oral health.

@@yerbba I don't even trust that in my body I refuse it. No tooth lose for me. I personally don't like medication. Then I heard it causes memory problems. Nobody can convince me. I will stick with what I will believe. I am also a walker & walk long distances & that crap would cause me leg cramps where I would never be able to walk again. I want my independence away from people that would even suggest me even trying inhibitors it's junk. It belongs in the 🗑.

We hear you-it's really tough to deal with the side effects of tamoxifen for such a long period. It's not easy, and feeling sad about it is completely understandable. It's important to keep close communication with your medical team and support system. For our other viewers, it's important to know that everyone's experience is different. Thank you for sharing your experience and for watching.

Indeed. There are things that can help with vaginal dryness while someone is still on the medication. Your medical team can help recommend something for you. Thank you for watching.

The policing of how women dress is something else, isn't it? One thing we have found is that sharing tips from other people can help others who perhaps need ideas for what they themselves can do to feel better.

Just stop! Men get breast cancer too! I lost a good friend (MALE) to breast cancer. So, yes! PEOPLE!

We are committed to using inclusive language. Yes, breast cancer does affect women more commonly than men. However, men get breast cancer, not all women have ovaries or a uterus, and there are some people who are intersex, trans, or non-binary. Part of our mission at Yerbba is to be inclusive and compassionate. No one should be made to feel invisible. This is not political. Major medical organizations without many thousands of physicians agree that we absolutely must be inclusive.

@@yerbba I've already stated men can get breast cancer. My concern is your saying MEN with breast cancer when referring to men but previously saying PEOPLE with ovaries when referring to WOMEN. Stop erasing the language of women, and stop pretending human beings can change sex - you're a doctor, kindly start using biology instead of fantasy when stating the facts of life. Human beings cannot change sex.

You're commenting about Dr Griggs? I don't see anyone else here so I take it you're commenting about the doctor. You're absolutely right; she shouldn't politicise cancer and say "people" as per the Woke cult; she should say "women" I completely agree. I'm fed up with woke politics erasing women, and worse, the women who are collaborators in our erasure. Shame on the doctor - shame on all such traitors.

Thank you for watching. We appreciate you!