Juicy Scoop with Heather McDonald - Dr. Erin Nance on Being Misdiagnosed, AI, Plastic Surgery and Ozempic
Episode Date: August 14, 2025Dr. Erin Nance exploded online when she began to share her personal story. She is not only a hand surgeon but also a wife and a mom in a male dominated world. We get into how misdiagnosed people can f...ind an answer. I ask about everything from getting plastic surgery in Turkey to Ozempic. This is not only a juicy, and yes still funny episode, but also a very informative one too! Enjoy! -Go to https://MeUndies.com/juicyscoop and use promo code juicyscoop for up to 50% off! -Save 20% Off Honeylove by going to https://www.honeylove.com/JUICY #honeylovepod -Get 25% Off @goPure with code JUICYSCOOP at https://www.gopurebeauty.com/JUICYSCOOP #gopurepod -Boulevard is offering new customers 10% off your first year subscription when you go to https://joinBLVD.com/juicyscoop and book a demo. Stand Up Tickets and info: https://heathermcdonald.net Subscribe to Juicy Scoop with Heather McDonald and get extra juice on Patreon: https://bit.ly/JuicyScoopPod https://www.patreon.com/juicyscoop Watch the Juicy Scoop On YouTube: https://www.youtube.com/@JuicyScoop Shop Juicy Scoop Merch: https://juicyscoopshop.com Follow Me on Social Media: Instagram: https://www.instagram.com/heathermcdonald TikTok: https://www.tiktok.com/@heathermcdonald YouTube: https://www.youtube.com/@HeatherMcDonaldOfficial Learn more about your ad choices. Visit podcastchoices.com/adchoices
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As summer winds down, I am looking to refresh my wardrobe.
I want to get some staple pieces.
I'm thinking chic cashmere, cotton sweaters, starting at, I don't know, $40.
Everything with Quince is half the cost of similar brands.
I have such a cute gray cashmere sweater that I just know will look so good,
just over my shoulders when I don't really need it because it's not cold yet.
Elevate your fall wardrobe essentials with Quince.
go to quince.com slash juicy for free shipping on your order and 365 day returns.
That's Q-U-I-N-C-E dot com slash juicy to get free shipping and 365 day returns.
Quince.com slash juicy.
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Heather McDonald.
Juicy Scoop.
Hello and welcome to Juicy Scoop.
Well, you guys, I'm so excited.
I have such a good Patreon for you happening this weekend.
You're going to go to Heather MacDonald.net and join that.
Also, we just dropped a new video on my YouTube channel.
All the links are below of my day of cooking and shopping with Chef Stew.
So all that is so fun.
But now for my very juicy interview with,
Dr. Aaron Nance, we cover everything about misdiagnosis, how she's used the internet and how people
have helped each other diagnose different ailments and things. It's so fascinating how AI helps.
And we talk about plastic surgery and everything from Ozzymp to why people can't take a dump.
It's juicy. It's funny. Get ready to enjoy. Let's go.
Hello and welcome to Juicy Scoop. I'm very excited to talk to our next guest.
You've done so much for people that don't know what they're diagnosed with, using the community
of TikTok to get people to figure it out.
I'm talking to Dr. Aaron Nance, Dr. Aaron Nance, her book is Little Misdiagnosed, also the name
of her TikTok and social media.
And so I've been following you for a while and just so interesting.
Welcome to the show.
Thank you for coming on.
Thank you so much, Heather.
I feel like this is my world's colliding.
You don't understand.
My husband, when I was in medical school, he got me a subscription to us weekly.
And I swear that like this pop culture is my lifeblood.
So I'm really, really excited and honored to be on your podcast.
Well, I mean, I really like that the world's collided too, that you have made talking about medicine,
you know, something, especially with women, really great.
how women do want to help each other. Sometimes we don't need all the comments, but sometimes in those
comments, someone does help with the diagnosis. And what made you first as a, you know, a busy,
you're a mom, correct? You're married and you're an orthopedic surgeon and you're a young woman.
What made you go, I'm going to start talking on TikTok? Well, first I was just a rabid consumer of TikTok.
I thought that people were so clever, so funny.
And I think I had this misconception that TikTok was for dancing kids and funny dog videos.
But what I very quickly realized that it was an information sharing platform.
And really the medium through which that was done is through storytelling, right?
Even all those like get ready with me videos, it's not about the makeup.
It's a cue that you're going to hear a story.
right? And so I had all these great stories kind of just like bottled up in me or, you know,
listen, my husband is in finance and I would just have all his colleagues just waiting on
baited breath for like the next crazy thing that happened in the ER. So I knew I was always a great
storyteller. I just didn't know that TikTok was the platform that I could do that. So I,
the very first story that I shared was the story of my brother's accident, which,
went viral and is the introduction for this book. But that really encouraged me to just continue to share.
And that story, which got well over two billion views, is so heartbreaking because it's your
first day, which happens on July 4th, to work as an actual doctor in the ER. And your mom is
calling you. And she says, your brother hasn't had an accident. And he hit his head. And you did not
think at that time that it was the severity of paralysis. He dove into a pool at a party,
which is, you know, and there are a lot of those stories on TikTok. And I appreciate the
warning. And I, you know, from someone pushing their friend jokingly to not someone not realizing
how shallow it is. And once you, you know, realize the severity of it, you know, it's also
interesting, like, you know, that your family knew to call you, wanted you there because
they knew the severity of it, even though it was like your biggest first day. And how is your
brother today? How many years ago was that? This was 15 years ago. It was in 2009, so I guess
16 years. I had just gotten married. Life was great. I was starting at my dream residency in
Lenox Hill Hospital in New York City. And so this really, for me, came out of nowhere, which is how
almost all accidents are, right? No one prepares that this is the last day you're going to be able to
tie your shoe. So the fact that this happened to one of my own family members, and what I write
about a lot in the book is this accident could not have happened to a better prepared family, right?
I'm an orthopedic surgeon. My father is a health care attorney. My mother,
is a nurse. And yet it was so hard for us to manage his accident and the rehabilitation
afterwards. And so where is he now in his life? So he is married. He has a one-year-old
daughter. He works at a bank. He is a fully functioning member of society. And I'm so
proud of him. He, a lot of people would reach out to him. And, you know, he was the Division
one athlete. I mean, this is someone who was about to go to the Olympics, right? Just an incredible,
an incredible, you know, perseverance. And that athlete mindset, I think is what really served him
well in his recovery and his ability to say like, hey, I didn't hurt my brain. So yeah, I am going
to work, but it is not easy. And it's a very small percentage of people who are disabled or
able to actually work. So, you know, he's like, listen, I have a great.
a degree from Duke University. I am going to work. I'm going to make a life for myself. I'm going
to have a family, support my family. And yeah, he's just, he's a great brother. He's a great
uncle and inspiration really to everyone. So physically what is his, what are his capabilities
and incapabilities? He's in a wheelchair full time, but he does have the ability to stand and even
take some steps. Which as an orthopedic, as an orthopedic surgeon training, I,
didn't even realize that was possible.
And I write about this in the book about the first day.
It was a couple of months after his injury.
And I saw his toe just twitch.
And I said, Kevin, you just moved your toe.
And he looked at me and he said, I know I felt it, but I didn't want to, if it wasn't
true, I didn't want to believe it and get my hopes up, right?
And so that just small twitch on his toe was a sign that there was going to
to be some recovery. And it's incredible. He's able to drive. He has, you know,
tools that allow him to drive. That's how he gets to work. I mean, that really is so incredible
for his independence. But, you know, simple things like I remember when my parents had moved to
California at this point and my youngest brother was helping to take care of him, but he was working
his own job in the city, commuting. And so Kevin would come home from work and have to wait for
someone to undo the buttons on his shirt, right? And just the simplest things that are a reminder
that you are, you know, limited and impaired in those ways. Wow. Well, that's wonderful to hear
that he persevered and is having, you know, a joyful, loving life. Some of the other things
that are really interesting that I've seen that you share in the book and you share on little bits
on your TikTok is that you were like, that you said, how.
great AI is for medicine and that you know this is not to have robots do the surgery but for
people to in trying to diagnose use what's there and I I think that makes so much perfect sense
I mean when I've just even touched on a little bit like asking it a question about wait which
two people from this crime case were in the documentary which two weren't if I was to try
to find the article and everything it would take a longer time but
It's like it just comes right out and tells you.
So to have all this information be put in and come out, are some doctors, you know, do they not want to learn this new technology that's so helpful?
What's the hang up?
Well, I'll give you an example.
So I'm the co-host of a podcast called The Medical Detectives.
It's like Dateline meets Gray's Anatomy.
And this is patient sharing their stories.
Sometimes it's 20 years, okay, of being misdiagnosed.
we have put every guest we've ever interviewed, put their symptoms into chat GPT, it gets it every single time.
Okay.
Now, AI has a lot of things that are going for it and a lot of things that it can't do, right?
I made a post saying, AI can't put a cast on you.
They can't, you know, start an IV.
But I think the doctors have to understand that it's a tool, right?
And the tool is only as good as the input that we put into it.
So even if you say you have a lot of, you don't know what's going on, you say,
these are like my five symptoms, what could be like three possible, we call it differential
diagnoses.
As a physician using the tool, we would be able to calibrate those questions even further
to get an even like closer diagnosis.
So I think we really, I say this all the time, you know, AI is not going to replace doctors,
but doctors who don't use AI are going to replace by doctors who do use AI.
And I think we have to get with it, all right?
And listen, 10 years ago, if someone caught me sneaking on my phone,
Googling something, I would have been left, you know, out of the hospital.
But now it's almost the default.
And I think we have to understand that as doctors,
we don't necessarily need AI to tell us, say, the answer.
But I think it's going to help us narrow down or give us like a more direct pathway
to getting a diagnosis sooner for so many people.
As summer winds down, I am looking to refresh my wardrobe.
I want to get some staple pieces.
I'm thinking chic cashmere, cotton sweaters, starting at, I don't know, $40.
And the best part is I can get them at Quince.
Everything with Quince is half the cost of similar brands.
And Quince only works with factories that use safe, ethical, and responsible manufacturing practices
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I absolutely love it.
I have such a cute gray cashmere sweater
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just over my shoulders when I don't really need it
because it's not cold yet,
but I just want to look that extra little something.
Elevate your fall wardrobe essentials with quince.
Go to quince.com slash juicy for free shipping
on your order and 365 day returns.
That's Q-U-I-N-C-E dot com slash juicy.
to get free shipping and 365-day returns. Quince.com slash juicy.
As summer winds down, I am looking to refresh my wardrobe.
I want to get some staple pieces.
I'm thinking chic cashmere, cotton sweaters, starting at, I don't know, $40.
And the best part is I can get them at Quince.
Everything with Quince is half the cost of similar brands.
And Quince only works with factories that use safe, ethical, and responsible
manufacturing practices and premium fabrics and finishes. I absolutely love it. I have such a cute gray
cashmere sweater that I just know will look so good, just over my shoulders when I don't really
need it because it's not cold yet, but I just want to look that extra little something.
Elevate your fall wardrobe essentials with quince. Go to quince.com for free shipping on your
order and 365 day returns. That's Q-U-I-N-C-E dot com.com.
slash juicy to get free shipping and 365 day returns quince dot com slash juicy hey what's up flies this is
david dana carvey look at i know we never actually left but i'll just say it we are back with another
season of fly on the wall every episode including ones with guests will now be on video every thursday
you'll hear us nc is chatting with big name celebrities and every monday you're stuck with just me and dana
know we react to news what's trending viral clips follow and listen to fly on the wall everywhere
you get your podcast now you know it's i always i kind of grew up and i knew i didn't have
the mental capability to be in medicine by like seven years old okay i just was like this is only
for the the one girl in my class and she did go on to be a doctor like it was just like oh my god
you know and my mom too not being medical people like just putting doctors on this pedestal and like
you have to be so incredibly brilliant to know that you could be a doctor and I do kind of wonder
with the help of AI could people that maybe don't have that you know innate ability to like read
really fast or could they could other people that really have an interest in medicine but maybe felt
like medical school was just you know only for the geniuses I mean maybe do you think
that with the help of AI and stuff, there could be a way in where people learn it, you know,
faster and can execute it, even if they weren't geniuses at six years old.
Yeah. Listen, we need all the help we can get in the health care field. And not to say that,
like, oh, AI is going to enable, you know, anyone necessarily to be a doctor. But what I also think
is a bigger conversation is that there are other ways to, you know,
be helpful in the medical field, right? There are physician associates, there are nurse practitioners,
there are doctors of physical therapy. And so I think you're absolutely right. And I write about it
in a book, the chapter is called the 50% Club, where over 50% of people who are premed in college
end up dropping out a premed by the first year, right? Because they fail their organic chemistry
tests and they're like, well, I can't be a doctor. And I write in the book how I failed that first
test and I went to my mom and I said, well, I can't be a doctor. And she said, that's ridiculous.
You don't not get to be a doctor just because you failed one test. And so I think, yes, utilizing
tools that will help support the, there's too much to know for any one person. And I think
that's where we can utilize the AI. And I absolutely encourage people who have any interest in doing
something where they feel like they, their strong suit is, right, they're empathetic to people,
they're curious. I think curiosity is actually the most important attribute that we're looking
for in doctors because, listen, information changes over time. And all of that work and studying
that I did in med school is almost obsolete 15 years later. So to me, it's about we want
people to go into this field who are empathetic, who are curious, who are lifelong learners.
And who really see this as a mission?
Yeah, I've been saying for well over a decade that I feel like physicians assistants,
nurse practitioners should be running more like urgent care type places.
Like where you just, you know, you have a really bad cold.
You know it's probably a sinus infection, but you want to make sure before you take an antibiotic
and you get the antibiotic and you can be on your way.
You don't have to call your, you know, go get a general.
then go by that time it's you you know when you're sick and you need to start something that day and
each day that passes it's going to last longer and it's like how you know so I I do love that idea
and I do think that could be definitely the way of the future of helping more people in a less
expensive way too yeah and I will say that there are currently systems that are really operating
outside of the traditional health care system like midi health especially for women particularly
women in like perimenopause and menopause, right, where you don't necessarily need to go make,
take a day off and work and talk to your doctor about your hair is thinning, right? And so they have
kind of, I would say, bridge the gap for some of these like lifestyle treatments and issues that
people are interested in. I do like that there are companies that include a medical person in the
decision-making process and not just a, well, I want ozempic and so I'm going to get it
from this ad off a TV, right?
I think that we need to be prescribing medications responsibly
because it's not just about figuring out
who needs the medication or why,
it's how are we gonna support you
when you have a side effect or if something goes wrong, right?
Who are you gonna turn to then?
And that's my main concern about these,
they call it direct-to-consumer pharmaceuticals
and companies.
It's not so much that we don't believe that
patient should, we shouldn't have more access to these medications and these therapies, but it's
the supervision part that I think is the missing ingredient.
Speaking of Ozempic, Will Govi, those type of things, I feel like there's like this,
this small community that's just hoping for the day that they open up their phone and see
that there's news that there's adverse effects and the people are getting fatter than ever
like a flowers for Algernon.
why why can't people just be happy that their friend is looking fit and isn't drinking as much and
you know looks good i mean what do you think of the psychological assholes of that is about
well one i think there's just jealousy in general right i think people are are jealous and people
are judgmental um that's just like human nature uh but there's also you know like real life scenarios
there's a book about, so in, I think it was, I want to say the 1920s or 30s, it's called
the Radium Girls, where Radium, like the radioactive, okay, was used as like a tonic, right?
This is going to extend your life.
This is going to make you glow.
Well, it was actually literally glowing from the inside because you were using nuclear,
you know, radio nucleotides.
And all of these people died from radiation exposure, similar to, like, the bombing.
And there's a brilliant book.
called the Radium Girls. So you do have to understand that we should be studying these medications
for very long life cycles, right? And Ozempic as a class of drug, these GLP1 drugs,
have been studied for very long periods of time. Have they been studied for 50 years? No. So do we
know? We don't. But we have pretty darn good evidence for, I can't even say for exactly how long
they've been out, but certainly over 10 years that they've been, you know, they're about to
reach their expiration on their patent, I think, some of these drugs. So it's been around long enough
that we can be fairly confident to say, these are the side effects that can be expected in this
small population of people. But I think the drug now has been used on so many people and over a
pretty long period of time that we're not going to have a, you know, shoe drop on the other side
of the moment well speaking of um you know being happy that something i've read has turned out to be
bad i will say i did the same thing about cold plunges i had said i don't like cold plunges
everybody's doing the cold plunge i can handle a sauna that's kind of nice like a jacuzzi and i said
i want the news to come out that the cold plunges aren't that good for you and then five days
later there was news that said especially for women
it kind of shrinks your muscle growth, which we know muscle growth for women is the most important
thing more than getting cardio and everything to stay young and fit and healthy, osteoporosis,
all that kind of stuff. What is your opinion of cold plunging? Well, cold plunging,
if you think of it in theory, right? The point is that cold as a therapy is a anti-inflammatory,
right? So the point is that you are stopping
your own body's inflammatory response.
Now here's something really, really interesting.
Forever, we have been telling people
who have sprained their ankles, right?
Rice, rest, ice, compression, elevation.
That is technically no longer the recommendation.
Because what they research and found
was that if you just don't walk on your ankle for a week,
then it gets stiff.
And then it's harder to actually recover.
So now they recommend, you know, like gentle weight bearing, your gentle movement.
And then similarly with the ice, yes, it does help decrease the inflammation.
But it's the inflammation that's bringing the reparative function to the injury.
So I don't think it's that ice is necessarily a bad thing.
It's definitely not a bad thing.
But why are we using the ice, right?
All right.
If we want to use the ice so that your ankle doesn't blow up like a basketball, that's a good thing, right?
But if we use the ice for a week at a time, then we're probably actually stopping some of the positive effects of the inflammatory response.
So like anything, I am always wary if a thousand people jump on the bandwagon, right?
I don't know how many more videos I have to watch that I need to eat 100 grams of protein.
like, where did that come from? Okay, who decided that that was some, like, magical number
and why, you know, we're all, like, jumping on this message? It's not to say that I don't think,
I don't believe that obviously protein is a vital part of our diet and what we should be doing
and we should be wanting to build muscle mass. We know that a strong, if you get injured,
a strong patient is going to recover better and faster than a patient who was deconditioned or weaker.
But yeah, in terms of cold plunge, I think for that moment, yes, you are halting an inflammatory response.
So, like, if you just did a long run, you did a triathlon, you did something very physical.
That's why all the athletes, they do the cold plunging.
But yeah, for me, I'm taking it more as anecdotal advice than necessarily, you know, published research.
I also think all like the ads and stuff that you get on TikTok and everything out there,
about gut health, gut health.
It's really just code for
take this and you'll shit more.
And there's nothing more fun
than taking a big shit.
You feel thin, you feel
great, and you're like
anything that can make me shit more,
I want. And
isn't that the same as,
and what's the difference between, we'll answer that,
but also what is prebiotic and probiotic?
I feel like that's on sodas now,
that's in yogurt,
and you're just like,
give me what's going to make me run to that toilet at a target and lead my cart behind.
So it's the same thing about these buzzwords, right? How many times have you heard the term
gut microbiome? Do you have any idea what that means? No. No, no. And to be honest,
I think a lot of these companies are banking on you not exactly knowing you knowing what it is,
because it sounds important, right?
It sounds scientific.
And there are really great companies that are doing science-based research
into these problems and trying to come up with solutions.
But, and listen, I am on TikTok all the time.
I tell people if there is a buy now button at the end of this post,
it's not that necessarily that technology or that medication is bad or harmful.
You just have to think twice about the motive behind it.
And so there are, you know, it's getting harder and harder to understand who are the credible sources of information online these days.
I actually, it's not even publicly launched yet, but I created a physician and expert-led social media platform so that all the content would come from credible, bedded sources.
So you don't have to worry about being, you know, filled with misinformation.
and negative information.
But in terms of gut health, it's a major problem.
And for too long, the Western medicine has just brushed it off as, oh, it's IBS.
Like, oh, you're constipated.
When there are most likely genetic factors that are affecting your ability to have good digestion,
there are environmental factors.
I mean, for sure.
when it comes to, like, our diet.
And so I think more investigation into these factors is really important.
But it shouldn't be done in a click-baity way that makes us, well, number one, feel like we're a vulnerable population.
Right.
People, people, like, you would do anything, right?
If they told you, okay, you're going to have the best shit of your life.
You're like, sign me up.
Right.
And it's also, the other thing I saw was so many.
big influencer people, you know, that don't need the couple grand. We're pushing this thing
called dose. And it's like an orange bottle and like this cleans out your liver. And, you know,
again, if you're a boozer, if you like to drink, you're like, oh, I should, I should take care of my
liver, right? And then I saw another thing saying, oh my God, I had too much turmeric and now I'm
screwed. So like, what is that? Yeah. So for example, the whole liver,
thing, the liver is your organ which cleanses and detoxes your blood. Okay, that is the actual
function of the liver. You don't need a pill to do the function of the liver unless you have
cirrhosis of the liver, you have a fatty liver, but your liver does not need any extra help. That's
the function of the liver, all right? And I don't follow that like liver king or I think something
terrible happened to him actually.
So I'm not down that.
TikTok rabbit hole.
But yeah, same thing that ever.
I mean, turmeric, right?
I think there's a bit of a war right now between big pharma and like supplements, right?
And I think the general public is right to be wary of big pharma, right?
because, again, a lot of the research studies that have been done have been funded by those
same pharmaceutical companies. As a MET student, we were always taught to question the source
of the funding behind studies to then analyze the results. But nowadays, studies are so expensive
to run that, in essence, they have to be funded. There's no one else. Our government is certainly
no longer funding these independent, you know, research projects. So we're, we're in essence
relying on these companies to say, yeah, it's safe, right? And I think trust in science is at an
all-time low, and that has given rise to the influencer-led wellness movement. And I don't
necessarily think all of those, that movement is bad, or there's not some actual
results in science behind it, but the methods in which they're marketing it, to me, are
just untrustworthy. They're not credible. And in my opinion, let's say you are a woman with
endometriosis, right? There's no one you trust more than another woman with endometriosis.
I don't need Alex Earle to sell me something about endometriosis related. So for me, I'd like
to see it more be put into the power of the patients who actually have these conditions.
And, you know, my theory is that every user is an influencer when it comes to your health.
Yeah, I totally agree.
I mean, and especially women love to share.
And if they have knowledge, they want to be like, I know what that is.
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Join boulevard.com slash juicy scoop. So I, speaking of, you know, COVID and the vaccine, which
you know, people didn't want to take because it wasn't tested for decades.
So I had a viral moment of when I faded on stage after getting my booster.
So I did the two shots, Johnson.
What did I do?
Wait, what were the ones?
There was Johnson and Johnson.
Magdalna.
And what was the other one?
Maybe Pfizer?
Wait, it was Pfizer was the one.
It was five.
Okay, it was Pfizer.
I think I did the two, right?
And then that had the booster.
I don't remember it seems like so long ago.
So I got on stage and I fainted and it went viral because I was joking about how I'd gotten all the shots and I still had not gotten COVID and I listed all my shots, which included a flu shot and also the first of the shingles.
And I go and, you know, I still got my period, which is a joke about housewives being mean to each other once someone doesn't need a tampon.
Okay, so that, it wasn't even a joke about like, let me do a hacky joke about my period, you know, which all these men are like, this is why women aren't funny, you know, anyway. So I think, so I start seeing spots. I've never fainted in my life and I faint. And I tell people like, if that had happened at my house or anywhere where I wasn't in standing in front of, you know, 500 people with two shows to do that night, I would have sat down and it might have passed.
but I've never fainted
and I've never felt that dizzy before
but because I was doing a show
I was like oh let me walk it off
and then I just fell
and I hit my head very hard
and so when I went I had
you know some a doctor friend of ours
call my husband and say
when was the last time she got any boosters
and it was two weeks to the day
now at that time if I wanted to
people wanted to hear about it because it went viral
but anytime I did an interview saying
well it was two weeks a day I had shot
they wouldn't run the interview
And instead, the last thing I said was Jesus loves me the most, which is also a joke, okay, in my act and stuff because I was Catholic and I'd be like, do your Christian service and spread the word a juicy scoop as you would Jesus Christ, but not in a disrespectful way.
Like all my kids have gone to Catholic school and baptized and got married in the church, but the super Christians thought I was a libtard and were like thought that Jesus flicked me because I had gotten the shock.
And I deserve to have fainted and hit my head because I got the shot.
So anyway, it went on for a long time.
And sometimes it comes back around.
And no one could tell me what it was because I've never fainted since.
My head healed.
And then other people said, you have pots.
Okay.
And but then again, it never happened again.
So I'm, I'm just thrilled that I didn't have a brain tumor or something because that's
what I thought when I fainted.
And I was like, oh, my God, I'm going to get a cat.
skin and I did MRI and the heart and I tested for everything. And the hospital in Phoenix did everything
they could and I turned out to be okay. But, you know, it's just so weird to like open my phone and
see me faint again. The worst part is people saying, this chick isn't funny or that's the funniest
moment she had is when she fainted and I've been doing this for like, you know, 30 years. But with all of
that, you know, and you're in the medical field, like, is it difficult to answer any questions?
about the COVID shots.
For me, I just talk about coming from a place of the information that I know.
So similar to you, I made a TikTok post maybe a year after I had gotten the COVID vaccines.
And I started the post saying, I am a physician.
I was one of the very first people to get the COVID vaccine in December of 2020.
I have gotten every shot.
I have gotten every booster.
This is not an anti-vaccine post.
But I want you to know that I have had severe period bleeding ever since my first shot,
like out of control, I mean, like golf ball size.
And like, I have had a period for 20 years, you know, before that.
And then one month after I get, you know, the vaccine, I started having these, you know,
severe bleeding.
And the more and more I would talk.
to people, they would say, oh, my God, same thing.
Like, I always had a normal period.
And all of a sudden, I have this, like, severe, severe bleeding.
So I made this post, again, just to bring up this, whether or not it was caused by it
or it's a correlation to it.
And that was taken down for community guidelines violation by TikTok.
Okay.
And again, this is not an anti-vaccine post in anywhere.
By the way, I won't be cutting this part of the clip.
They'll just have to listen and watch.
I've learned that too.
I spent all this time cutting a great clip and then it gets taken down because you've said a no-no word or something.
Okay, continue.
So here I am a board-certified doctor talking about the realities of sometimes there are side effects, right?
And I am at this point giving a personal experience story.
I'm not saying that everyone is going to have heavy periods because of the shot.
But I think if we silence those voices, then that lessens the trust and the credibility
in the vaccine itself.
And I think that was a major problem is that people were saying that they had real side
effects.
I mean, they had a tracker.
People did die.
Okay.
It's not something that was made up, right?
It was, you know, it's, I think the biggest problem is it's a coagulation problem.
So people were having blood clots and stroke.
But to get COVID is also a coagulation problem.
And I knew this because I had residents who were orthopedic surgery residents who during the worst part of COVID, we were doing ACL repairs and rotator coffee.
No one was playing soccer.
No one was getting injured.
And so all of my big, beefy guy, residents, their job was to go to the ICU and physically flip people from their stomachs to their back so that their lungs could drink, right?
They did this all day long, hour after hour, just flipping people.
And what they would tell me is that in their, it sounds gross, but in their folly bags,
okay, right, the bags that collect the urine, there would be pieces of their kidneys
that had physically clotted off because of all of the blood clotting.
So I knew very early on that COVID was a problem with blood clotting.
It wasn't the, like, people like, oh, the cough, the loss of smell, the loss of the loss
of taste, but I knew that it was really a clotting issue. So it didn't surprise me that when you
developed a vaccine, there would also be overlap in some of the issues that you may see in what
COVID was doing itself. Because that's what a vaccine is, kind of like mimicking the disease,
but you don't actually get the, you know, full-blown severity of disease. That's why when you get the flu shot,
sometimes, oh, my arm hurt, sometimes I feel a little, you know, bad the first, second day.
you're not getting the flu, you're kind of tricking your body into thinking you got the flu
so that it's going to protect you when you really see the flu.
So in my opinion, I think we should be doing more to give visibility and elevate the voices
of people who have had adverse events, not to scare people, but to give people the full
picture, right?
Because I think that really did a big disservice to the vaccine.
And listen, I am, if anyone is listening, I am very pro-vaccine, you know, for vaccines that have been, you know, vetted and are science-based.
The COVID vaccine is true.
It was built in the shortest, probably amount of time a vaccine has ever been approved.
But the technology had been vetted for decades, right?
And we were in a period of time where it was either we act or we die.
And you can't look back knowing what we know now and say, oh, they should have made these decisions, and they should have done that.
You make decisions based on the information that you have currently.
And then you're supposed to, those decisions may evolve because the information, you're going to get more information.
And so maybe your recommendations evolve.
And they have evolved.
I believe that the latest recommendations are that young, healthy, like pregnant women are not supposed to get the vaccine.
They've made new recommendations, right?
Right.
So because of the information that we have since learned.
And so I think that it was really a case of the two sides,
just not listening to one another.
And if you could step back and understand the people who are anti-vaccine,
I think, in all honestly, they were scared at their, like, core element.
And so instead of talking to them as if, like,
you don't know what you're talking about, degrading them,
making them feel like they were, you know, idiots and whatnot, actually get to the root of
why are you nervous about taking the vaccine? You know, what are some things that I can help
educate you that may, you know, may give you a bigger picture, right? In the end, it's going to be
an individual decision. But I think that's where the narrative should be and not this name
calling, you know, other sides. Yeah, I'll never understand the anger that people had,
whether you got it or you didn't.
I was like,
I'm getting it because I just want to wake up in the morning
and not get worried that I have it.
And I had travel and I'm still doing stand-up.
I had friends who didn't.
I had friends who got the fake card
so they could go on things and do things.
And I was like, okay.
Like what?
I never understood that,
but like pointing at someone being like,
if you don't wear a mask and get this,
then you're killing my grandma.
Like I was just like,
it was just such a weird time.
but also time that I want to say like never forget was like so insane it was so insane
glad it's behind us but I think that's you know that's great advice and again it's people it's
humans that we've never faced with us and people make you know make exactly you make wrong
decisions look throughout the history like you didn't know about the radioactive whatever they
we didn't know about children of philidomide like there's things you know that happened throughout
time because doctors and medical people are human. They're not gods. And, you know, and that's why I do think
it's so helpful to have people say, I had this too or, you know, but it's also, it's also kind of crazy.
It's good and it's bad when someone will say, you know, someone's doing a video and then, you know,
and then it's like, what's that thing behind your ear? You know, like you need to get that checked out.
and it can be really helpful, but at first it could be like, oh my God, like another
criticism, you know, yes, I have a crooked nose and I guess I have a little skin tag behind
my hair. It's not a skin tag. Da-da-da-da-da-da-da-da. And it's like, and I get why people
are just like enough or they don't want to be the person that says, I would have that mole
checked out or whatever, but I appreciate it. You know, and I also think there's some funny
moments because I got a letter sent in the mail about someone diagnosing me with a major
disease and my son, but not my other son.
And my other son opened it.
And he was like, you and Drake have this disease, but I don't.
And I was like, wait, what?
And it was like, he said it to my PO box.
And it was like, typed out anonymous.
And I'm like, I personally think it was a hater that wanted to fuck with me because I don't
have it.
But it was just like, there's something just so strange about it.
it can be so positive, but it can also be negative too.
Yeah, I think, again, it goes back to question the source of the information, right?
And there are incredible examples of people saving their life.
I mean, I think it was Tark Almousa was diagnosed with thyroid cancer, right, from a viewer
who wrote to him and said, I'm, you know, really concerned about you.
So, yeah, and I'm sure, you're a public figure, so you are getting, you know, people.
And same thing with me, only I get all these messages, people asking me to diagnose them.
I'm like, can you take a look at this picture and they'll send me like 20 pictures on an email?
And to me, that conversation is best happens in doctor's office, right?
And similar to you may gather pieces information from strangers, from people you watch, right, on TikTok.
and what I tell people, again, who are either struggling to get a diagnosis or trying to figure out, like, what's, no one can figure out what's wrong with me is I tell them to use TikTok to look for patterns of similar symptoms that you have.
It doesn't mean that you have that same disease that that person in the video has, but then you can have a more educated conversation with your doctor to say, hey, I have X, Y, and Z.
Do you think that I could have pots, right?
and then when you go to your doctor and they're going to say well Heather you've only had one
fainting episode you don't have any of the other signs and symptoms so i would say it's a low likelihood
that's a productive conversation it's not your doctor rolling your eye saying oh you saw this on
tic-tok right like our job is to help educate you and to not make you feel stupid or silly for
bringing something up. I can't change every doctor's opinions about TikTok. And so most of the
times I'll tell people not even to mention where they, you know, found the information from.
But I think a more educated patient is a better patient. I agree. I think even sometimes when I'm
talking on my show and I'm like, oh my God, I saw this thing on TikTok. I know that there's people
driving going, enough with a TikTok content. But you're right. You probably should just say a friend of
mine let me know that she read an article saying this and immediately you know someone might be like
oh well that is interesting you know and and a good doctor should never be like you know closed off but
that's why the whole thing comes with like second opinions and all that kind of stuff and and looking
for for different things one of your videos said that you regretted if i if i were calling it correctly
you regretted getting lasic eye surgery can you speak on that so for me i have used contacts since i think
I was in maybe the sixth grade, and it was never necessarily a problem, but it was a whole
like ordeal.
If anyone who wears contacts, you know, it's just, you know, your eyes don't feel great at the
end of the day.
And particularly, I think because I make most of my social media content from 10 p.m. to 2 a.m.
That's the time of day that I have free to make these videos.
And so my eyes were just, they had reached kind of their max, I would say, I got pink eye one
day and I'm like, you know what, I'm just kind of like done over the contact thing. So my father
had had LASIC eye surgery with literally the doctor who invented LASIC eye surgery. He is
fantastic at what he does. I think the procedure itself went really well. I have 20-20 vision,
but I also have significant eye pain and dryness every day of my life. And I think certainly I knew that
Do you just do drops or what do you do to succumb it?
Yeah, I just do drops.
I've had a couple of different types of drops, like gel drops, other drops,
Mibo, which is the latest pharmaceutical commercial on TV.
And it's not, I would say, during the day, I'm not even thinking about it.
Like right now, I'm not thinking about my eyes.
They don't feel bad.
For me, it's when I wake up and maybe starting around like 6 p.m., I really feel pain,
which I had never felt I pain before.
So just knowing what I know now about my,
how I am living post LASIC,
I would never choose to get LASIC.
And I think it's very important for people to understand.
I don't blame that doctor.
I don't think anything went wrong with the procedure.
I just don't think I appreciated what that specific side effect
could be like for me.
going forward also speaking of um i didn't see you talk on this so i don't know if you come about like
you know there's all these plastic surgery options that you can get for less expensive if you go
to turkey let's say but i always wonder about um unless you're like on botched where they
are doing a tv show to fix you i feel like you know it's like when you're getting your kitchen
redone and your contract disappears and then the new contractor doesn't want to come and
it because he doesn't know what mistakes are done. Do you find that like sometimes with doctors too?
Like they don't want to fix the mistake of someone because they could, you know, it's like a lot,
such a liability. So 100%. And what I'll say about medical tourism, which is what you're
describing, is that it's not that the physicians in these other countries are substandard or whatnot.
It's about the follow up. It's about the potential side effects. And that's getting
back to the beginning of the show when I talked about, you know,
getting the ozempic off of TV,
it's not that taking you ozambic is necessarily a problem.
It's the what happens if you develop pancreatitis because of it.
You know, who's managing that for you now?
And so with these medical tours in places,
if you have a side effect, you are shit out of luck, all right?
And now you're going to have to present to an American ER,
and they're going to have no idea what was done to you
or the methods that they use and they're going to be left cleaning up the mess.
And I will tell you as an orthopedic surgeon, many orthopedic surgeons as a policy will say,
we're not seeing anyone who's had a surgery by someone else in the last year, right?
Because they don't want to clean up.
That's their job to clean up their own mess.
And so it is very difficult to find a doctor who is even willing to take on your case.
when you have a side effect.
And that's why I really stress about the patient doctor relationship.
We know that side effects and complications happen.
For the past majority of cases,
it is not because of negligence or, you know,
something wrong that the surgeon or doctor did.
It's just, it's part of the numbers game, right?
10% of people are going to get infections.
And that is really the test of the relationship
between the doctor and the patient is how well you can handle that complication together.
And I think a big problem doctors have is a lot of times we put our head in the sand
and we don't want to acknowledge that something is wrong, right?
Sometimes it's fear of being sued.
Sometimes, you know, there's a lot of reasons why they may not acknowledge it.
But in the end, we're only doing detriment to the patient by not acknowledging it and acting on it.
I mean, I just saw a patient who she had surgery on her wrist.
She developed something called Complex Regional Pain Syndrome or CRPS, which is one, if not the most painful conditions that is known to man.
Okay, they call it the suicide disease.
It's your body, your brain is telling your, or your body's telling your brain that your hand is on fire, but it's not on fire, right?
And this patient had surgery.
She had all the classic symptoms.
and it wasn't until six months later that they even acknowledged that she could be having CRPS, right?
When this happened two weeks after surgery.
So she, and all this time, she's thinking she's crazy, right?
I swear, I'm having, like, you don't believe me?
And that's, I think, really the biggest problems is getting the patients to be believed by their doctors in some of these cases.
And do you feel that women are less believed?
100%.
That's, yeah, 100%.
And it's not just even with male doctors, it's female doctors as well.
It's the system.
And part of it is, and I use the example all the time,
but if you're a 50-year-old woman, you go to the ER
and you're complaining of some chest tightness and difficulty breathing,
they're going to tell you you're having a panic attack and send you home.
Versus if you're a 50-year-old man,
you come in with chest tightness and chest pain,
you're going to get an EKG,
you're going to get a tropon level,
and they're going to make sure you're not having a heart attack.
But in reality, more women die of heart attacks than men.
But if you close your eyes and you think,
who is someone who's having a heart attack,
it's Mr. Big on the Peloton.
Yeah.
Right? That's who we've been conditioned to think of
as who's having a heart attack.
And so a part of it is just awareness for the general population.
And there are so many symptoms or diseases that present differently in women than in men.
Like stroke, women are so much more likely.
They may complain of like shoulder pain or back pain or a headache, right?
They may not present with the classic droopy face and, you know, weakness in the arms and legs.
So part of it is educating the general population.
Some of it is undoing some of the bias that we as physicians have been taught, right?
And this all boils back to women weren't even included in research studies until 1993,
in part because of, and you mentioned it, I have kudos for you for knowing this,
but that those thalidomide, you know, debacle, and for your audience who may not know,
I believe it was in either the 50s or 60s.
They came out with a new medication to help with morning sickness.
in women, the medication was primarily rolled out in Europe first. And so that's why there's
not as many American women. But what happened is that the babies who were born were born with
limb deformities. It looks like they have a flipper for their limbs. And this was an unknown,
it's called teratogenic side effect, an effect on the fetus. And so because they said, well,
we never want to repeat that and have anything that could potentially harm a baby,
They just said, no more women, we're not even, we're not even putting them in the pool.
And unfortunately, that had significant repercussions that we are still dealing with to this time.
I mean, correct me if I'm wrong, but I always remember that from years ago when, you know, someone would say, you know, men I always say, don't get hysterical.
And the word hysterical comes from hysterectomy.
That's, I don't know if that's right.
but that I always thought yeah it's it's you know a guy can you know get angry or you know
want to do or stand up for whatever but a woman it's oh my god don't get hysterical and then
you immediately are like so I mean in any it's it is that kind of bias and it is that kind of thing
of just like oh of course you know how women react to things differently and yeah I mean when
you just think about how much is spent on Viagra and and
making sure that men in their, you know, 60s can still fuck their third wife.
That's an important thing.
But women going through menopause, I feel only recently, like you said, the midi stuff
that now people are like, you know, with me, my friends are like, you know, we had a birthday
party and I was like, all we did was talk about AI in our businesses and menopause.
And I was like, finally, by the third night, I say, can we just like stop?
because they were just like, Heather, I can't believe you are not anything.
Like you, how are you sleeping?
And how could you not be on the pellets and the peptides and the blah, blah, blah, blah.
And I'm like, well, I don't know.
Like right now I feel fine, but no, no, it's more than that.
Like it'll protect your heart, your brain and did it.
And I was like, it can be really overwhelming too.
And I'm like, now I don't even know where to start.
Like, I don't even know what to start, you know, of what I'm supposed to be on or take.
And like, before we conclude, because I know you've got to go, you're so busy.
But what is your advice to women who maybe are in menopause, but they don't really have any symptoms, but they, by not taking something, it might not be good in the future, which is kind of me.
Like, I've had a pretty easy, haven't had my period.
I was so happy for the period to be over with.
Like, I think it's the greatest thing about getting older is that we don't get our periods and we can't get pregnant.
I think that is the best thing that is not celebrated enough and that that 60-year-old ex-husband can have to start a whole new.
family with some only fans Bimbo. So I love it and I'm fine with it. But I'm like, oh my God,
I guess I should be taking all this stuff. And then people say, no, don't take that stuff.
Because if you don't need it, then it can cause breast cancer. And like, what's your advice?
So I will say something that is this research has been debunked, which is the taking estrogen,
you know, causes breast cancer. That is a study that was debunked many years ago. But unfortunately,
because that is just in the lexicon of, you know, people still think that.
That's number one.
Number two is I go back to we just have not dedicated the research dollars and the research
manpower or woman power to study things that are important to us.
So, for example, you just talked about the great benefit of not having a period anymore,
which is what people think of.
Like, oh, thank God, I don't have to use Stanford anymore.
I'm not going to, you know, get pregnant.
But the problem with now not having estrogen is what we are only now kind of really learning about.
And this is what your friends were telling you about protecting bone health, protecting brain health.
Okay.
We have known forever that women are affected.
I think it's two to one for dementia.
All right.
Why is that?
Why?
Why is that?
Well, right only now are we understanding that there is a protective.
effect of estrogen and it makes sense when we go into menopods we have lost the ovaries they're just
little estrogen factors right so we've lost the protective effect same thing why are older women at
such increased risk for breaking a bone when they fall it's because they've lost that protective
estrogen effect so again i'm not the expert i'm an orthopedic surgeon and i'm not the hormonal expert
But I think the problem is that if you just go to your general practitioner or your general OBGYN, who is not in the habit and practice of prescribing hormone replacement therapy or other peptides or whatnot, you're never going to get it.
So it's kind of, and unfortunately, now it's being branded as like longevity.
But it's, in essence, preventative medicine.
And it's kind of a hard ask for people.
You're a perfect example.
You're like, I feel great.
I feel fine.
Why would I mess with this?
Why would I add something that's more complex?
And it's we're asking you to take a leap of faith to do something that's going to protect
you in the future.
But, you know, don't just take it because whoever, the influencer of the day,
showed up on your FYP, right?
I think it's about going back to that foundational relationship with your primary care provider
and ask them, do you have experience with prescribing hormone replacement therapy?
And if they say no, then that's not the right person to talk to about hormone replacement
therapy, right?
Anyone who has experience with that, they should be able to tell you whether you are a candidate
or if you are not a candidate, all right?
You don't want to go to somewhere where they're putting everybody on something.
Okay, that's not right either.
So you want to go someone who is reputable, who is board certified.
And, you know, this is not an ad for midi, but I just, I know that that is kind of their
wheelhouse for women who are in perimenopause and menopause.
And it's at least clinician-backed.
So for me, that I have much more comfort in recommending people.
to go to those sources, then just, you know, whatever you see on social media.
Well, I appreciate this is so great.
My last question is, would you ever want to be like the female Dr. Oz and do like a TV
show?
Have you been approached?
I am filming a pilot next Friday.
And yes.
So I, but I will, I will say that I, the platform that I built to feel better, which isn't
launched yet, but it is meant to be that.
and trusted place. And where I think Oz got it right is that he was really distilling
complex medical topics into simple, digestible, engaging ways. But where he kind of went wrong
was that he got into the recommending the supplements and whatnot and turned it more, I would say,
into a business proposition. So I tell everyone, question the motive of the source. And for right now,
my focus is on medical education and patient advocacy. Well, I hope it goes. And I love where your
career went and that you, you know, I'm sure you still do surgeries and whatnot. But how lovely that
like you're able to have this great platform. You're now an author. And hold up your book again and
tell everybody where they can get it because it's really juicy. And it's fun. And it's not dry like
your vaginal walls. If you're of a certain age, it is.
A good read.
You know, the quotes by the author,
not dry like your dad in the walls.
I love that.
No, thank you.
And that was, anyone who has read the book
tells me that it's such a
quick read and a fun read.
And I wrote it to be like chicken
suit for the soul style
so that you could just read one chapter.
If you're like me, I've got like 20 books
in where I've read one chapter each of all
of the books.
And it is, it is juicy.
and that it is a real insider's look, you know, behind the curtain at the hospital.
You know, fun fact, this has already been option for television.
So hopefully it is your next Graze Anatomy or Pitt.
Who could you see playing you?
That is a great question.
Because if you're not watching this, she's very attractive.
She has blue eyes.
I'll tell you someone who I spoke to, but we ended up not being able to make it work was
Emma Roberts.
So Emma Roberts was interested in playing me.
But yeah, well, I'll tell you one thing.
My husband wants Ryan Phillipy to play him.
So that I think is more well.
I wish you know when when when they follow your story and you have to do a podcast interview with an inappropriate host.
I hope that you actually use me and I will be available.
So there you go.
100%.
Or diagnose my faint.
on stage, that could be an episode. And I'd like to play myself. They get some young girl,
like one time I was on Celebrity Ghost Stories. And I'll be honest, I don't really think I had a
ghost, but they asked me if I had a ghost story and they were going to pay me $6,000. And my kids
were in Catholic school and that's expensive. So I got to exaggerated how scared I was. And as I
told the story, they had people, they had a person like reenact me doing stand-up who just, I'm
sorry, was not cute enough, was not cute enough. So if you're not going to use the real me,
I will send you a list of pretty women that I would like to play me. You've got them on speed dial.
Yeah, yeah. Thank you so much. And you can follow her at Little Miss Diagnosed everywhere and get the
book. Thank you so much. Aaron, I appreciate it. Dr. Aaron, I appreciate it. Thank you. Thank you,
Heather.