Top Five Things I Got Wrong In Women's Health! | Empowering Midlife Wellness

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As science progresses, it's so important to recognize when we got something wrong and tell patients that we have learned something new and better. Too often, doctors are stuck in their old ways and are not up-to-date in the latest science, and are continuing to practice out-of-date medicine without recognizing that they were wrong.
Today I'm addressing the top five things that I personally got wrong, and I told patients these things for years before learning that there was a better way based on modern science. Even what we tell patients today no doubt will change as our understanding progresses, so it's important to see medicine (and science in general) as an ever-changing growing body of knowledge. As patients it's so important for us to stay educated and advocate for ourselves if we hear that our providers are giving information that is out-of-date or incorrect. If we learned anything at all from the debacle about menopausal hormone therapy, it's that we get things wrong sometimes, and we need to accept that, learn from it and move forward with a better way of practicing to take great care of our patients.
Dr. Susan Hardwick-Smith is a Board-Certified Gynecologist and Certified Menopause Practitioner specializing in women's midlife wellness, hormone optimization, and sexual wellness. She is the founder of Complete Midlife Wellness Center in Houston, TX, and the best-selling author of "Sexually Woke- Awaken the Secrets to Your Best Sex Life in Midlife and Beyond." She also hosts the popular podcast "Empowering Midlife Wellness."
Dr. Susan is the recipient of the Texas Super Doctor award over a dozen times, as well as a multiple-time recipient of H-Texas magazine's Top Doctor and Top Doctor for Women awards. She also has been chosen as one of Houston's "3 best-rated" gynecologists for several consecutive years. Dr. Susan is also an ICF-certified life and leadership coach, multiple-time marathoner and Ironman triathlete, and mother of 3 young adults.
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DISCLAIMER
Content is for informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your health care provider with any questions you have regarding a medical or mental health condition, and before undertaking any diet, dietary supplement, exercise, or other health program.

Опубликовано:

26 сен 2024

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Комментарии : 29

@drsusan День назад

Unfortunately, outside of genetics, we have very little idea what causes breast cancer in most patients- and some of the things that you mentioned are inconsistent for example, pregnancy is a very high estrogen state but is very rarely associated with getting breast cancer, and on the other hand, most breast cancers by far develop in post menopausal women who have not had any significant estrogen in their system for 10 to 20 years. So just as important as being able to say that we were wrong I think we need to say we just don't know what causes cancer in the great majority of cases and there's so much more than we have to learn in that field!

@amandalwayman4046 12 часов назад

@@drsusan thank you for the information! I think most women feel like sitting ducks waiting for the shoe to drop, with little clear information on what to do proactively to avoid breast cancer . Information we are given is often very confusing and conflicting. For example being told we have the risk factor of dense breasts…yet we can do nothing to reduce that risk. My father in law died of breast cancer and he certainly didn’t have any of the risk factors we hear of as women. I appreciate your honesty and your voice for women’s health.

@SilverHair73 День назад

This was definitely an empowering video, Doc! Question: If we are working out for 30 minutes, 5 days a week, but VIGOROUSLY...is that better than "just walking?" I work out with HEAVY weights 3 days per week and then low-impact HIIT for 2 days per week. I also average 10,000 steps per day, 7 days per week. I'm just curious to hear your thoughts.

@drsusan День назад

More the better! Yours sounds like a very healthy and varied exercise plan and in my opinion, it should be as much as you can do that you enjoy without getting injured and be consistent with -so go you.!!

@Beaners386 День назад

Great video, and I really enjoy your content. In the section about HDL & LDL, you use "saturated fat" interchangeably with "cholesterol" but they have differing effects. Consuming saturated fat WITH cholesterol can actually raise LDL-C, and there are also limits to how much saturated fat can be eaten before problems arise (per Simon Hill's "The Proof is in the Plants," chapter 5). Throughout the book, he cites very recent meta analyses of multiple RCTs, so this is based on latest findings (not old science). I highly recommend his book, as it's the most thorough, unbiased and clear nutrition & diet reference I've ever come across. No agenda, no specific diet "camp," just information that educates and enables the reader to design a healthy eating plan. My takeaway is that a little cholesterol is fine (e.g. comparable to one egg max), a little saturated fat is fine (less than 25 g) daily, but combining the two and exceeding these guidelines can start shifting one's lipid profile in the wrong direction. Thanks again for your wonderful videos! 🙂

@terrapreta1 День назад

Yes. Saturated fat is still problematic. My understanding is you don't need to worry about cholesterol intake unless you're one of the few people that is a cholesterol hyper-absorber.

@drsusan 13 часов назад

Saturated fat and cholesterol are absolutely not the same. I'm in no way saying that -clearly saturated fat is also in some plants like coconut oil and palm oil - but the majority of fat in animal products is saturated fat. What we were wrong about is that eating fatty animal products containing saturated fat and cholesterol is what elevates our cholesterol. As you know, every animal product has cholesterol in it, but it has very minimal effect on our blood cholesterol levels. Eating cholesterol (only in animal products) isn't what makes our cholesterol high, and vice versa. Appreciate your comment !

@sterlgirlceline День назад

🌟🌟🌟🌟🌟🌟🏆🌼💛

@cookiebuzz 17 часов назад

Another great video. Thanks Dr. Susan. Love the Koloa and your doggie!

@Candleflower42-zp3sh День назад

“Your fasting glucose is a little higher than last year but just come back when it’s worse.” :-) That sounded so funny. :-)

@paultaylor7691 День назад

In all fields of science, we know more now than we did 50 years ago and we'll know more in the next 50 years, than we do now. Bravo for offering this video highlighting these issues.

@eileenb2012 18 часов назад

Over 25 years ago the nurse at my gynecologist office recommended the books by Dr Miriam Nelson….the series “Strong women stay…young/slim/strong,etc”. Wish I would have listened to that back then!!!

@melaniestell5383 14 часов назад

so basically we should not believe anything

@drsusan 13 часов назад

Well, that would be throwing the baby out with the bathwater. I think we should continue to learn and modify our ideas. Learning is great and we will never know everything - but doesn't mean we know nothing ❤

@isabelperezsolar7962 День назад

Hello from Madrid, Spain, Dr Susan. I am 57, I had my last “period” in April, but I am starting to feel kind of hot flashes, night sweating , very, very mildly. My gynecologist still does not want to prescribe any Hormone Therapy treatment because of those really mild symptoms. What would you advise in my case? Thank you so very much ❤❤

@drsusan 21 час назад

Find another doctor! We do see patients virtually, in a coaching capacity. Please visit our website.

@flower7022 День назад

Thank you, great info! Bit confused on whether statins are good or actually bad

@drsusan 21 час назад

Statins are very useful for patients who need them. Please don't be afraid of them. It's critical to lower our ApoB however we can. All drugs have side effects, but if we're weighing it against the risk of a heart attack, we have to weigh the risks and benefits that we'd be happy to see you as a patient. Please visit our website!

@Hollowmoon007 19 часов назад

I was wrong about going to the doctor and listening apparently. Also. Vitamin D. Wrong about that. Acts like a hormone and is essential for the immune system including helping prevent cancer (accompanied by proper omega levels). So basically if we had eaten a wild or grassfed animal based diet, low carb vegetables and fruit, and stayed away from the doctor during most of our life, we’d be golden.

@drsusan 13 часов назад

Don't forget doctors do a lot of wonderful things with acute diseases like if you break a bone, need your appendix out or have a heart attack - but where we really missed the boat is with chronic disease. Luckily it's improving !

@amandalwayman4046 День назад

Dr. Susan, I have always heard that the fewer periods we have had (late onset of menses, early menopause, pregnancies, breast feeding etc) the less risk of breast cancer. In fact this information is asked with every mammogram. I’m curious, in light of the newer hormone replacement data, if this is still accurate? If it is still accurate, how does it relate to breast cancer risk reduction? Thanks!

@drsusan 13 часов назад