Couple Things with Shawn and Andrew - 117 | pregnancy questions with dr. mae hughes

Episode Date: June 3, 2022

Today we went LIVE to answer your questions all about how to stay healthy during pregnancy! Dr. Mae Hughes and her husband Casey are close friends of ours and it was incredible how much we learned from them about safe exercises and prenatal health. Dr. Mae is also launching a full COURSE tomorrow (6/3) that takes you through day-by-day exercises while you're pregnant. This course includes educational content and workout examples broken down by each trimester. Follow Dr. Mae's Instagram to learn more! ▶ https://www.instagram.com/dr.maehughes/ ▶ https://drmaehughes.com/ This video is sponsored by Modern Fertility ▶ Modern Fertility is offering our listeners $20 off the test when you go to ModernFertility.com/eastfam. That means your test will cost $139 instead of the hundreds or thousands it could cost at a doctor’s office. Follow My Instagram ▶ http://www.instagram.com/ShawnJohnson Like the Facebook page! ▶ http://www.facebook.com/ShawnJohnson Follow My Twitter ▶ http://www.twitter.com/ShawnJohnson Snapchat! ▶ @ShawneyJ Follow AndrewsTwitter ▶ http://www.twitter.com/AndrewDEast Follow My Instagram ▶ http://www.instagram.com/AndrewDEast Like the Facebook page! ▶ http://www.facebook.com/AndrewDEast Snapchat! ▶ @AndrewDEast Learn more about your ad choices. Visit megaphone.fm/adchoices

Td Bank knows that running a small business is a journey, from startup to growing and managing your business. That's why they have a dedicated small business advice hub on their website to provide tips and insights on business banking to entrepreneurs. No matter the stage of business you're in, visit td.com slash small business advice to find out more or to match with a TD small business banking account manager. What's up, everybody? Welcome back to a couple things. with Sean and Andrew. A podcast all about couples and the things they go through. Today we have Dr. May Hughes and her lovely husband, Casey Hughes.

I'm really excited about this one because Casey and I have known each other for 11 years. And then he got married to his wife, Dr. May Hughes, right here. I'm talking about you in third person. And I'm so excited about today's topic because it's all about how to stay healthy during pregnancy and how to move in a healthy way during pregnancy. And we're very excited because this. week, as we alluded to, May is launching a course that you can find out more about down below that gives you day-by-day exercises if you're pregnant, and it's super helpful.

She does educational content. She also breaks it down by trimesters, and literally there's four days a week. You can see the workouts and go through them. It's super reasonably priced. You can buy it based off the trimester you're in, and I think it's over just like around a dollar a day, which is awesome. And today we're just going to be sitting down picking her brain with the questions that have been submitted by the audience. So should we just jump right into it? Let's do it.

This is Casey and Kara Mae. Keep the mic close to your mouth. Oh, yeah. You press the live button before we even told them what we're doing. I realize that now. Well, usually there's like a step in between, but we're just hitting it. If you guys have been with us on Instagram, Dr. May, we've been doing a workshop. about pelvic floor and pregnancy and postpartum this is her lovely husband Casey Casey and

Andrew are bros they live together for like five years regrettably yeah today we have a true expert in her field Caramee dr. Carameh Hughes she's going to talk to us about kind of pregnancy movement movement during pregnancy pelvic floor and then we also have Casey um expert you're bringing so That's it. It's going to be a pretty lopsided conversation, but I'm excited. Yes. If you guys have any questions for them or questions about pregnancy, postpartum, pelvic floor,

please put them in the comments. And we have Caroline and Lexi. We look very confused behind the camera, which is scary. Are we all good? Great. And they will fill us in on what your questions are. Awesome. So, hi, guys.

This is quite the rude awakening of just, like, jumping into this. I know. I was like, oh, okay. All right? Yeah. Also, Andrew, you're going to keep confusing people. My name is, I go by May. Yeah, I did say Caramee.

What'd you call? I'm the only person on the planet that calls her Caramee. I think you are. Yeah, you confuse me. I've been saying Dr. May forever in May. And then I go by May. And then I just won't talk to the rest of the interview. That's for the best.

Okay. To start, to give you guys at least a little bit to talk about before we get into pregnancy, um please share with people how you guys know each other in your whole bromance here how long we know each other 11 years yeah you got to band it 2011 11 years wow my gosh that's crazy so fun back you were actually on our first date yes oh my i actually picked Sean up in your truck yes because he's too embarrassed to pick me up in his car wait what was your car Andrew the Ford Plus the little the block don't talk about it like that dude he picked me up in Casey's truck but he never told me it was your truck oh my

He was trying to show off. He never even told me it was his shirt. I just obviously assumed. Yeah. And then it was like the next day, he's like, here, bro. And he's like, get back to your keys back. That's amazing. Yeah.

I didn't even know that story. Yeah. Yeah, that was at that little, uh, little crummy apartment we had during the summer, right? Yeah. We're all staying together there. The TV, though, set up on. We're two of you living on, like, blowup air mattresses. Carrie and I were, uh, on a blowup mattress.

Yeah. Yeah. Together. She's just on the floor. Yeah. I'm surprised you still wanted to hang around after it's, yeah. Well, it's been fun to see you grow through the phases of like, all right, you showed up at Vandy. Then you get married to Dr. May.

Way out kicked your coverage. Way out kicked your coverage. And then now you have a kid. We all have kids. Oh, little girl. Oh, little baby girl. It is crazy. And we didn't, I mean, we knew each other at Vandy, but didn't start dating or anything until, gosh, I guess it was three years after.

Yeah. And I used, she has a, she had a dog Monroe that I used to kind of sneak my way in there because I'm really good with dogs and I was like, if I can win over a row, maybe I can win over in May as well. I do have to say, knowing both of you for so long, and when this finally happened, everybody was like, yeah, this makes sense. Yeah. Why didn't this happen a lot sooner?

So many people are like, finally. Yeah. Can you explain to everybody? listening what it is you do yes so i am a physical therapist first and then i specialize in pelvic floor physical therapy so pretty much what i do is i help women go through pregnancy postpartum like any sort of pelvic floor pain issues that they're having um it doesn't always have to be pregnancy and postpartum that's usually where those issues arise but i definitely work with patients who've never even had a child before we get into that you

do you still train like as a trainer not anymore no okay so yeah i i played football yeah with and then i was a computer science major and both of those were like a full-time job so i was burnt out and so i went to personal training right after school and then that burnt me out because the hours are crazy um but but yeah i did that just for probably about a year and a half okay yeah i was going to say so before we get into like public floor therapy What's the biggest difference as a trainer you see in people who don't work out and people who do work out? I will say, I mean, one from my own personal frame of reference, whenever I stop moving, my body falls apart. It is like it has to keep moving.

And I see that, you know, when I was training, my clients were the same way. when they stop moving that's when issues would happen and I think so often it's you know with in pregnancy you stop moving because you don't feel great and and that's when your body starts to deteriorate you really got to keep moving to charge words I mean I will say though I feel like the biggest misconception is the reverse yes people think that if they work out they're going to like be in pain and their body's going to deteriorate faster and it's like actually the reverse complete opposite and i think you know the the other side of that is like sleep's really important too right you have to get your rest but but if your body's not moving it's there's so much in there

that that doesn't work right just stops stops coordinating right and your muscles with your bones and everything it just kind of summer's here and you can now get almost anything you need for your sunny days delivered with uber eats What do we mean by almost? Well, you can't get a well-groom lawn delivered, but you can get a chicken parmesan delivered. A cabana? That's a no. But a banana, that's a yes.

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No, no, I'm just making sure. Are there like glitches we need to fix? We're good? Anything along those lines? Great. Okay. Okay. So then when it comes to pelvic floor,

what's the biggest difference you see between women who don't work on, like, their base foundational strength in pelvic floor and those who do? Definitely, it's kind of the same thing. A lot of just pain. that maybe, like, stretch for a little bit and get temporary relief, but it's never long-term. So a lot of low back and hip pain is super, super common in pelvic floor dysfunctions. And then, especially during pregnancy and postpartum, women who have trouble holding in any sort of, like, leakage when they're running or jumping or anything like that, that's a huge thing for women.

Guys, if you didn't know this, this happens. Yes. You guys are like, why do you think we wear black leggings? Yeah, always. you have for years. Casey's like, I know so much more about the female pelvic floor than I know. It has been an eye-opening experience for sure. There was, I remember way back when you were first kind of diving into that, you had ordered

a bunch of accoutrement to, you know, that you use for pelvic floor therapy. There's like things called a pelvic wand. And I walked downstairs on our dinner table. there's just all these pelvic wands and this skeleton of a pelvis and I'm like what is going on right now. You're taking a freaky step

in your relationship. That's definitely he's like what is this? I didn't know you knew words as big as a Kutreman. That's pretty impressive. I'm proud of you. I do remember when Sean was pregnant

with Jet, we called May. You never actually got the pelvic floor therapy. No. I was by the time I asked for help though I was like a week before my due date. I remember that. Yeah. Then I just asked her a million questions the next day and then had jet. As does, you mentioned this the other day but whenever we have game night, May is

always like. May is the hot commodity. Every single one of our friends is either like pregnant, trying to get pregnant or just had a baby. And every woman just gravitates towards May and they're like, what do I do about this? Can I fix this? this can i like all the questions in the world like i found out the other night had no idea you can actually like fix your c-section scar yeah i thought you just lived with it and she was like scar massage yeah didn't know that i kind of just want to give me may the floor and okay well are you asking question no you got it you got a lot of questions okay any you can both chime in i i don't know how an expert don't care of poor therapy you might know enough it i

After listening to me all this time. Let's start with best diastasis recti exercises. Yes. And what is diastasis? Diasis is pretty much like your big six-pack abs that sit in front. It's when they start to separate a little bit. But it's very common and normal during the end of pregnancy because your baby has to grow somewhere. But postpartum, if they don't necessarily start working together again, that's when it becomes an issue.

baseline i just have everyone do like diaphragmatic breathing pretty much and learning how to actually contract your core with your pelvic floor so a lot of like on all fours like trying to breathe and bring your belly up and in um i feel like i show a lot of this on my instagram page and i there's a video of it in the program so also her instagram page is dr may hughes yeah not kara may hughes yes dr may hughes Um, all your highlights and stuff are amazing. I was telling her I went down a very deep, dark black hole one day. And I watched everything you've ever posted. And it's amazing.

Thank you. I learned so much. Um, okay. So I'm in my first trimester. This is from Mar, I'm not going to try to say that. From someone, I'm in my first trimester. What are some of the best exercises I can do to prepare for birth? In the first trimester, there's not necessarily a huge focus on having to modify everything because you can still, you're not usually super large yet.

And so you can maintain your body the way that you want to while you're working out. But definitely like that diaphragmatic breathing, learning how to contract your pelvic floor and your deep core because it gets harder later on during pregnancy. Like as your belly is really big, it feels really hard to like figure out what muscle is working where. So those are probably going to be things That would have people start doing in the first trimester Okay, this one is a word I do not know Okay, couldn't even begin to know Does a bichornate

A uterus affect your pelvic floor So they're talking about like uterus Like different shapes and sizes and stuff like that It can, I mean Had no idea They come in different shapes? Evidently evidently I mean it can but usually not as much because the pelvic floor muscles sit like a little hammock and your uterus sits on top of it so it's not their uterus isn't necessarily attached to the pelvic floor so it doesn't affect it as much as people would think this one is sad so Mrs. Bolfi I'm very sorry she said two stillbirths in six months emotionally broken my lower back has also been broken

And what can I do for that? I'm so sorry. It's still, even with, you know, having a stillbirth, it's definitely still your body goes through all those changes that it would, with a pregnancy that didn't result in a stillbirth. So the first thing that I would recommend is definitely reach out to a pelvic floor, physical therapist. Even if it's just to spend that first hour, like talking with someone about it. Honestly, I spend a lot of time talking with my patients, going through things with them. so I would definitely start there. Just your body probably is holding a lot of tension,

and that can result in a lot of low back pain as well. So I would definitely start by reaching out to someone in the pelvic floor PT world. And then does pelvic floor therapy help with endometriosis pain? Yes, this is another one that's super common, like up and coming. Not up and coming, but like people are starting to realize endometriosis something you can at least work on. mainly because there's a lot of pelvic pain associated with endometriosis. That's when like uterus-like or endometriol-like cells are outside of the uterus.

And so just learning certain ways to manage the pelvic pain that usually occurs right around your period. It's been super helpful for some women. About a hundred more just came in. So you might have to interpret what they're asking. Okay. Can your pelvic bone expand? I had a C-section because the baby was hitting my pelvic bone. Interesting.

So you, if they're talking about like the front of your pelvis, so your pelvic bone is not actually one bone, it's two together. And so you have a little bit of like cartilage that goes between the two. And so, yeah, when you are pregnant, it does expand a little bit. That happens with all the bones in your body. with cartilage because you have more elasticity.

So it definitely expands in order for you be able to be able to descend. But I'm not sure as to how that would, yeah, result in a C-section. Okay, just for emphasis, can you, because this is amazing to me, rehash the benefits of a structured movement plan during pregnancy as far as how that affects what your pregnancy is like, what delivery is like and what recovery is like. Yes. During pregnancy, it's really a time where you say you were someone who either didn't work out

or you worked out a lot, like a lot of hit running and jumping. It's kind of a time where you want to slow down a little bit and really just focus on strength training because that elasticity in your tissues makes everything like really loosey-goosey and you really need your muscles to start stabilizing throughout your body. and there's definitely certain areas that you want to focus on more during pregnancy because postural changes, I mean, your belly's growing out and forward. So there's a lot more tension on like the muscles of your back and your glutes and things like that. So it's not just a regular training program you'd want to do.

You want to do one specifically for the areas that you're going to need to get stronger to carry you through pregnancy. And then the first workshop we did on Monday, which you can still have access to, we'll link that down below. Yeah. We talked about the most, like, the biggest misconceptions are myths. So the first one is that you're, when you get pregnant, you should stop working out. Yes, definitely a myth. A myth. And then even further than that, a lot of people think you can't lift weight when you get pregnant because it will affect the baby or jeopardizing.

the pregnancy. That's definitely also a myth. I talk about this a lot. A-Cog. It's called the American College of Obstetricians and Gynaecologists, and they redid all of their pregnancy exercise guidelines, and they now support, like, aerobic with training, which is like walking, running, and strength training, and anaerobic training, which is more like running and things like that, like higher intensity. They pretty much realize none of these negatively impact your baby. In fact, getting blood flow to your muscles and to your baby is a good thing. And then even further with the working out, one of the biggest misconceptions is that you have to keep your heart rate. And I looked this up, keep your heart rate under 120 each per minute. So there's like so many ranges out

there like different articles will say different things. But yeah, that's definitely not true anymore because your heart rate naturally increases when you're pregnant anyways. So think about like if you normally your heart rate's like 50 and then you work out it's like 120 well if you start at a higher level just during pregnancy your heart rate raises say you start out at 60 well then naturally you're going to get to above 120 because you're just starting out a higher level and then I think another misconception was that any I'm literally just I'm sitting like wow this is awesome you guys get um another misconception is any type of Poor work would cause diastasis recti.

Yes. Diastasis recti is not, like during pregnancy, it's something that's going to happen in order for your baby to grow. It's completely normal. It's just postpartum that if you do, if you kind of progress too soon or you haven't learned to manage the pressure in your abdomen, then it can be problematic diastasis. But yeah, during pregnancy, it's normal for your abs to separate so the baby can grow. With MX Platinum.

Access to exclusive Amex pre-sale tickets can score you a spot trackside. So being a fan for life turns into the trip of a lifetime. That's the powerful backing of Amex. Pre-sale tickets for future events subject to availability and varied by race. Turns and conditions apply. Learn more at amex.ca. Um, wait, Casey. But you need to watch out for conning, correct?

Yes. Yes. Got it. So, an exercise. That was it. That was my contribution. I am curious. Okay, so you were with May every day of the pregnancy, give or take, right?

Yes. What was her routine like? I'm curious. I mean, you, we started to work out together. So I work out every morning at like five because that's the best time for me. Can't tell. And you started to, I don't know when, was that? I tried to do the morning thing.

And then it, you know, then it becomes workout when you can and when you're feeling good because there's no such thing as routine during pregnancy. And also, I mean, she was seeing patients, you know, all throughout the day. I mean, starting at 7, going until 6 at night at times. So I would do it during, like, my lunch break often. And then, yeah, and then I worked remote, so cook us dinner. She'd come home. She'd do some of the movement, the breathing stuff.

um she'd be kind of inverted on our little our little sofa thing that night row would be scurrying over trying to lick her while she was doing it and stuff but uh but yeah that was that was kind of the routine i just remember hearing you talk about how diligent she was and doing all of the things like to help everything go smoothly and like i think there's also a big emphasis like she wanted to bring this out to her patience and uh and so going through it at that same time and being like, I want to not just program this, but actually use it, I think was a big thing. So staying diligent and like making sure she hits all those workouts was big.

You feel like it worked? Yeah. I got to have my baby without being like a big goal of mine, which is not necessarily a goal for everyone, but just me personally was I wanted to go into labor on my own. And that's something that I was able to do, even on the time clock, like my water broke and I had to go into the hospital early. and I wasn't technically in labor yet, but I was able to get myself into labor.

And what people don't realize is that there are certain movements that you can do during pregnancy to actually help your baby descend into the pelvis, which is what triggers labor. Like the pressure of your baby down in your uterus and then also pressing down your pelvic floor triggers labor. So doing all of those movements on my own, Casey would be like, make sure you're like, get on that ball

or like, you know, certain exercise. Go upside down. He's like, you haven't done those today. I'm like, yeah, I know, okay, I'm going to do them. But you're good about getting me to stay on track and not just, like you said, like not just program it for people, but I actually do it for myself. So a question from a few different people is, like, time commitment-wise. If you, this person says they have like three kids and they're going into their fourth

pregnancy, they just don't feel like they have time to work out at a gym. are there movements and within this program ways to do the program at home if you don't have equipment if you're just working in a nursery or stay home on there's definitely I mean I try to make the whole thing super easy to do at home pretty much all you need is dumbbells and some of those like elastic bands um but even if you don't have dumbbells you can get very creative I work with my patients a lot I'll be like throw some books in a backpack or your diaper bag and wear that you can get a little baby carrier and like wear one of your babies so there's definitely ways to add weight to do some strength training but yeah that was a huge thing for me is i don't always

feel like also doing like 60 minute workouts so i try to make everything around like 30 minutes things that you can easily do at home or in the gym if you want to and go to the gym but it's time so this is this is an exciting week because you have your anniversary or was that last week Last week. Her birthday was on Monday. Her birthday was on Monday. Birthday. And then for the past couple years, you've been working hands-on with patients.

Yes. Mostly this crowd who's pregnant, some of those who are older, as we were discussing earlier. But you're also coming out with a online course that I think is like it costs maybe just around a dollar a day. And people can get your expertise and do the exercises. at home that's pretty exciting i'm so excited because it's just something i get so many messages like in on my instagram about people wanting specific workouts like what should i do for x y and z or i just don't even know where to start like that's honestly what i get a lot is i'm pregnant i want to work out but i don't even know where to start and i can't you know spend like hours with every

single person so being able to make this course to at least give people somewhere to start and you follow it through your entire pregnancy it's it's, I just feel like I can reach so many more people and help so many more people rather than, you know, trying to answer. I try and answer so many of my messages, but it's, it's hard sometimes. Well, it is great. I mean, you can, this 1,200 comments in 20 minutes testifies to the fact that there's a lot of confusion, a lot of questions around this topic. And for people to just have a go-to source and you to like point to and guide them through the whole process is extremely valuable and so you've structured it with an educational point where you go through what happens

to your body during pregnancy which is also the best like i read all the books and none of it made sense like when you broke it down i was like oh okay like i feel like books tell you eat dates and do this but they don't explain like what's actually happening to your body right and why you should be doing x y and z and when you i remember when you were filming i was like oh okay and i have two kids already and I didn't know yeah that was super important for me is including the educational component because sometimes you'll see these like pregnancy or postpartum guides that are produced by people but you're like okay but why am i doing these exercises so that part was really important for me coming as a physical therapist like i educate people all day long so that's what i really wanted to include

in this program not just here are some exercises but here exercise and hear why you're doing these specific ones and on top of the education you have workouts four days a week starting week five going all the way through week four to your pregnancy 41 41 if you if for some reason you're at 41 man because I was expecting to go to 41 because usually the first one you're super late I went 40 I went we went 42 yeah true you can it's it's totally normal um yeah that's why I created it too it's like take you all the way through now granted you're doing in a lot different things at week 41 than you are. Yeah.

But that's also why I wanted to create it too, is that the exercises change as you're going through each stage of pregnancy. And the coolest part, coincidentally, is you filmed all this while you were like 30-some weeks pregnant. Yep. I've filmed it while I was pregnant. So it's not like a, oh, if you're pregnant, modify it like you actually modified it exactly how, like a very pregnant woman with. And Casey, to May's credit,

I don't think I heard a single, uh, or um, during the filming of it. And she's, she blamed you for that. Like, do you, you hold her accountable to that?

Blamed me for it. I mean, credited, credited, he speaks very well. And you are very thoughtful with the way that you speak and you think about things

before it comes out. And I hardly hear an, um, or, uh, for you, you do a very, good job so i will say though in front of a camera she is far far better than me i like writing things

down because then i have time when i'm like spotlight that is that is not so today us jumping directly into the live stream was without any press at all the microphone's out here okay casey so you guys are married you have a baby what's the coolest thing you've learned about your wife through this whole process So I'm intrigued. Yeah. May is something that attracted me to her is just how driven she is. I've always seen that.

She's like, she's laser focused on things. And she has this strength that I've always, I've always, like, really admired. But with Ava, there's been a softness that's come out that has amazed me. It makes me cry. Casey might be tearing up I was going to ask you a second question I don't know if I should I know you're good

I've never seen him actually produce a tear This is usually the closest guess It's like a little watering of the eyes So I'm going to say What's your favorite thing about being a dad? I know I don't know if I should ask this question I think crying in the men's group

I was talking about Ava Yeah But I know right now it's the it's the little noises it's the hands making all their little movements um i don't feel like i'm the primary you know person right now because i can't produce milk yeah so i'm there to try to support mom as much as possible you can't without but um i don't know my mind goes always goes to couple of years in advance like what am i going to be teaching her making sure and then i got to

stop and be like no first i'm changing a diaper like let's focus on that but um but yeah i mean as tired and as frustrated as you can get sometimes then she'll do a little smile and you're like oh you're perfect um okay so you guys have a wedding this weekend yes is it are you close with the groom or the bride it's my cousin so she's like my sister okay yes is this the first one wedding you've been to since you had Ava? It is, and she's coming. I was going to say, we went to one of our first weddings since having kids, and we both bawled because the mother-son danced and the father-daughter dance, we were a disaster.

We were an actual disaster. And hearing, like, the parents get up and talk about their babies and how, like, they've prayed for their spouses and, oh, my gosh, we bawled. yeah like a baby i'm excited i already cry oh yeah get ready it's gonna be worse we've had that conversation already like just mentioning it we'll be like you know someday she's gonna you know she's gonna be an actual adult like you'll marry someone yeah but it's so funny because i don't know how much like this you were but casey you were all in on dogs bro and i don't even know like the the thought of a kid maybe didn't even excite you as much as as as as

dogs did because you i wanted a fond of them yeah i remember you had business still does muscles and mutts how has that changed or like because your love for dogs hasn't decreased no and i made sure to tell row you know almost every day of the pregnancy that my my love wasn't going to change it was just going to grow so she i want her to know that um i mean i think other people realize it because i just don't mention row as much, which is sad, but I mean, you know, you have a little baby in front of you and it's part of us. And that's just, there's no substitute for that. But she looks just like Casey, so. Yes. My biggest fear with kids was, this makes me sound crazy. But I was afraid I couldn't love a human being as much as I loved my dog.

Doesn't sound crazy to me. I was worried about the same thing. I will never forget. You'll laugh at this. early on when we were dating we had this big philosophical debate and i while we were dating because we were don't bring it up no no i have to bring it up because casey's here but it was almost a deal breaker for our relationship because he said okay burning building dog or human and i was like this is you can't ask me this question and i think i've had this same argument he almost broke up with me i was like i will figure out a way okay but that dog is being saved we we literally talked about The other day in case he says, I will die in that burning building trying to rescue you, Ava, and Monroe. I said, I'll grab Ava, carry her out, but Roe only has paws.

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And if you go to ModernFertility.com slash EastFam, you can get an extra $20 off your test. And right now, Modern Fertility is offering our listeners $20 off the test when you go to modern fertility.com slash EastFam. That means your test will cost $139 instead of hundreds or thousands that could cost at a doctor's office. Get $20 off your fertility test when you go to modern fertility.com slash east family. That's modern fertility.com slash E-I-S-T-F-A-M. We'll also link you down below. Let's get back to it. So here's what's cool. The dog definitely gets slightly neglected in the first couple months. But then now Drew's two and a half. And I just took this this afternoon.

Oh, he gets more love now. Nash does because he's got two little ones. Also, he eats like a king because, oh, my gosh. We keep waiting on that because Roe is very food motivated. And we know that once Ava starts eating some real food, best friends. Yeah, the second the high chair comes out, Nash parks up, starts running laps, and he just sits right there. And they have figured out how to, one, feed him.

And two, Nash has figured out how to clean him. up all the scrappings, which is, yeah, it's definitely going to be real. Yeah. I'm curious, May. So you, as Casey alluded to, very driven, very ambitious, got your doctor degree, your hands-on with a ton of patients, you're doing this course. How has Ava changed your relationship with all that, with your ambition? I would say it's definitely very difficult because I want to still do it all.

but I mean like today I was working on something and I could just hear her like I just fed her and she was like starting to cry a little bit and I just wanted to like put her one of those like little swings and keep working I was like no like I'm gonna get down on the ground we're you tummy time we're gonna play because she's only gonna be this young for so long so it definitely I mean I want to do it all but I would say it's getting easier for me to put things down it was it was hard yeah It's getting a lot easier now because I just think about her growing up. Does, does Ava have a workout routine already? Between the two of you. Tommy time, 15 minutes,

five times a day. I do count how many times we do tummy time. I'm a very regimented person. I try to make her do little squats every now and then. Her legs kind of curve in still. I fix them out. Who's more regimented? You or Casey?

different aspects of our life i think we're yeah i don't know i feel like you i don't know i think you're more like routine like the same thing at the same time every day whereas i could be more like regimented in terms of not being able to like put down a project or my work or something like that you're like 450 a m that alarm goes off he works out Except on the day he missed. I would be like, I'm going to sleep. Yeah, I'm going to sleep. That's what I usually do.

Like the night before I'll be like, oh, yeah, I'll come with you. And then no, the alarm goes off. I'm like, I'm not going to. Yeah. Do you want to get back to some questions? This is from the live chat. So is it true that there's nothing to be done, sorry, nothing to be done about pelvic floor damage from a previous pregnancy

during a current pregnancy. So, sorry, if she had pelvic floor damage during a first pregnancy, is there anything she can do to help the second and third pregnancies? Yes, they're definitely, it's never too late. It's just like any muscle in your body. It's never too late to heal it. If she's talking about damage, like maybe like scar tissue or tearing or things like that, you can definitely still work on that during pregnancy.

It's completely safe to work with a pelvic floor PT during pregnancy. So it's definitely something you can still do. And I highly recommend it. That way you recover better. postpartum after second, third baby. Awesome. That coachwoman is from Melody Ingram, who's very excited that we're talking about this. Steph asks, if you don't heal diastasis rectiop before getting pregnant again, will it be

harder to heal after this second pregnancy? Yeah, it definitely will be more difficult because those muscles haven't, like the two halves of your ab muscle haven't been working together for a little bit, and then you add the stretch of another pregnancy, and it definitely becomes more. difficult but it's not impossible but usually you're kind of working from more of an uphill battle awesome christie s in iowa asks um let's see nope that's just a story okay uh michaela is terrified that she may have trouble conceiving during uh due to irregular cycles is there any prenatal exercises or anything prenatal you could recommend while

trying. Is that question pertaining? Is that relevant to you? I would say that's more of like a fertility specialist. Yeah. There are some pelvic floor therapists who specialize in like hormones and fertility, but I do not. So I, I wouldn't want to. Gotcha. Lead someone a strike. I think we should just tell them about the course and. Okay. I love that. Yeah. Um, let's jump in. No, I just like, I'm really excited. Um, wait. Okay, first one. You're on a couple things broadcast, so we have to ask you the same question before we wrap up.

Okay, so you guys have been married two years. You have a baby. Dated, how long? We moved really fast. But we were friends for, like, since my freshman year's called. We've heard a lot less, don't worry. We've heard the, I think the quickest, like, marriage we've heard on our podcast is three months. Like, started dating and married in three months.

I'm married. And they've been married years, like, 11 years. So we started dating in October, 2019, and I proposed in July. Amazing. October 2018. 18. It turned 19. Nice, bro.

You can get protein at home or a protein latte at Tim's. No powders, no blenders, no shakers. Starting at 17 grams per medium latte, Tim's new protein lattes, protein without all the work, at participating restaurants in Canada. Okay, so in this time, this one. phase of life what is the best piece of advice you have either been given or would give about relationships i always thought like this was a cheesy piece of advice that people gave but especially right now with the almost eight week old it really holds true is like the

taking time to still like date each other because it does not feel like that at all right now So it definitely, I always thought that was really piece of cheesy advice. I'm like, of course you're going to like still go out on days and stuff like that. But I definitely, that one rings true now. That's a good one. I'm trying to think. I mean, there are some things that my dad told me in preparation for like marriage that were important to me. But as far as like actually while you're married,

I think remembering that it's marriage can be a negotiation there's a lot of compromise that's going to happen on both sides and just to clearly communicate that so that there's nothing left no ambiguity that's out there in which direction you're going because it's got to be kind of going in the same direction helping each other out on the way I'm actually curious since both of you have described yourself as like rigid how has the baby I mean that's a they call it a baby bomb right it's like interruption to normal schedules have you been dealing with that well I think I kind of am now there is still part of me that wants her to sleep at the same time like I get upset like one night she slept six hours and was like this is amazing we got it and then the other night she woke up four

times in the middle night I was like what on earth I thought I had a schedule down yeah So I guess that's where I was saying the difference in, like, we're regimented in different things. And for me, like, May is much more of a rule follower. And she, she finds, you know, you go through different programs and looking at that and being like, this is the schedule we should follow. Whereas I'm kind of like, oh, they'll figure it out on the way. And I think you need both of those because it's definitely going to help Ava be on a schedule if we try to get her down at the same time. but also you can't feel like you're losing the battle if it doesn't happen every day. So I think having both of those sides has really helped work that schedule into something that's a little more fluid,

but we're trying to get on a bit of a discipline. You guys sound like us. We're the same way. I'm like, oh my gosh, it's 701. She should have been in bed right now. And Andrew's like, she's fine. I don't want to be like Andrew. I take that back.

Please rescind the concept. Well, anyways, thank you guys so much for being on the show. May, we're so excited for this course. I'm so excited. Tomorrow. So, yeah, for those listening, we'll link the information down below. Of course, the Dr. May put together. She's an expert, as you might, you know.

As we've all figured out. As you've all been aware of, but also, you know, she's got doctor in front of her name. Pretty impressive. Again, priced it, I think, just over maybe around a dollar a day, yeah weeks 5 to 41 in pregnancy uh and it's got all the education all the movements literally day by day exercises that you can check out um and we're very excited for you so congrats on a big week may congrats for like a very big week yeah anyway uh we'll link the information down below and Casey it's a pleasure thanks for just sitting there man is it I was gonna say thanks for

sitting there and looking good but you don't do that I just sitting there yeah it's like you went I did. I did. I did. Anyway.