1 00:00:01,600 --> 00:00:05,112 If you can stick with me and you can understand the 2 00:00:05,136 --> 00:00:08,808 science behind what we're going to talk about, it is applicable to 3 00:00:08,864 --> 00:00:12,472 every human. And we're going to specifically talk about the 4 00:00:12,496 --> 00:00:16,312 fact that erectile dysfunction by itself is 5 00:00:16,336 --> 00:00:19,608 an independent risk factor for having a major 6 00:00:19,744 --> 00:00:23,496 adverse cardiac event. Holy sh t. 7 00:00:23,568 --> 00:00:27,160 So even if you have no family history of heart disease, if 8 00:00:27,200 --> 00:00:31,032 you exercise, you don't smoke, you don't drink, if you're having a 9 00:00:31,056 --> 00:00:34,532 little problem in the bedroom, attaining an erection or 10 00:00:34,556 --> 00:00:38,372 maintaining an erection, it could indicate that you might be 11 00:00:38,396 --> 00:00:42,116 at higher risk of having a major cardiac event in the next 12 00:00:42,188 --> 00:00:45,860 three years. Welcome to open Heart Surgery with Boots, 13 00:00:46,020 --> 00:00:49,220 where this February we're going below the 14 00:00:49,260 --> 00:00:52,660 belt. That's right, we're diving into the 15 00:00:52,700 --> 00:00:56,148 surprisingly connected world of heart surgery and 16 00:00:56,204 --> 00:00:59,538 pelvic floor health in this five part series. 17 00:00:59,674 --> 00:01:03,266 Join me and our special guest expert, Dr. Kelly 18 00:01:03,298 --> 00:01:07,042 Sudakis as we talk about everything you're too embarrassed 19 00:01:07,106 --> 00:01:10,402 to ask your cardiologist. From what makes a happy 20 00:01:10,466 --> 00:01:14,066 pelvis to getting your groove back after surgery, 21 00:01:14,178 --> 00:01:17,922 to yes, even the great post op poop 22 00:01:17,986 --> 00:01:21,570 debate. With candid conversations, practical 23 00:01:21,650 --> 00:01:25,210 advice and plenty of laughs, we're exploring the 24 00:01:25,250 --> 00:01:28,730 ups and downs of recovery because let's face it, 25 00:01:28,850 --> 00:01:32,442 healing happens from top to bottom. So 26 00:01:32,466 --> 00:01:36,314 buckle up for some real talk about the parts of recovery nobody 27 00:01:36,362 --> 00:01:39,642 warned you about. Hello, Boots Knighton 28 00:01:39,706 --> 00:01:43,434 here with open heart surgery with Boots. And Kelly 29 00:01:43,482 --> 00:01:46,858 Sudakis is back for episode two 30 00:01:46,994 --> 00:01:50,310 of our heart and pelvis series. 31 00:01:50,930 --> 00:01:54,730 Wow. I hope if you're just now finding us, I hope you'll go back and 32 00:01:54,770 --> 00:01:58,586 listen to the first episode because it really does help 33 00:01:58,658 --> 00:02:01,898 set you up for understanding all things 34 00:02:01,954 --> 00:02:05,658 pelvis. I asked Kelly to start us off 35 00:02:05,714 --> 00:02:09,546 with 101 pelvic health. What it looks 36 00:02:09,578 --> 00:02:13,210 like, feels like, how it should operate and then what 37 00:02:13,250 --> 00:02:17,034 happens when it goes arai. And so that now brings 38 00:02:17,082 --> 00:02:20,234 us to our second installment, which is 39 00:02:20,322 --> 00:02:24,122 erectile dysfunction. Hey, we get to talk 40 00:02:24,146 --> 00:02:25,310 about penises. 41 00:02:27,970 --> 00:02:31,418 This is important because. Hi, I'm Dr. Kelly 42 00:02:31,434 --> 00:02:35,242 Sadowskis, double board certified pelvic physical therapist. If you didn't meet me in the 43 00:02:35,266 --> 00:02:38,586 first episode, and my goal in life is 44 00:02:38,658 --> 00:02:42,474 to break down barriers that are preventing you 45 00:02:42,562 --> 00:02:46,028 from understanding your body and the bodies of the people you love 46 00:02:46,074 --> 00:02:49,624 love. So most likely you either have a penis 47 00:02:49,672 --> 00:02:53,432 or you love someone with a penis. So this is going to be 48 00:02:53,456 --> 00:02:57,272 very important information. Boots and I were chatting a little bit and 49 00:02:57,296 --> 00:03:00,984 she's like, well, is this erectile dysfunction in men and women? 50 00:03:01,072 --> 00:03:04,808 Which is a very valid question because yes, the 51 00:03:04,864 --> 00:03:08,440 we ladies, we actually have like Little. Our clitorises are actually little, 52 00:03:08,480 --> 00:03:11,848 tiny penises. They arose from the same 53 00:03:11,904 --> 00:03:15,708 embryonic tissue as a male penis. So we can still 54 00:03:15,764 --> 00:03:19,564 also have erectile dysfunction. But guess 55 00:03:19,692 --> 00:03:23,404 what? This will not shock you. We don't study erectile 56 00:03:23,452 --> 00:03:27,132 dysfunction in ladies. And we being the scientific community at 57 00:03:27,156 --> 00:03:30,860 large, because we don't study anything in women, because hormones. 58 00:03:30,940 --> 00:03:34,684 And that's bull crap. But that is the reason 59 00:03:34,772 --> 00:03:37,452 that most of the studies and the things that I'm going to talk to you 60 00:03:37,476 --> 00:03:41,148 about today are a little bit more leaning towards 61 00:03:41,324 --> 00:03:45,116 male anatomy, people with penises. But. But if 62 00:03:45,188 --> 00:03:48,828 you can stick with me and you can understand the science 63 00:03:48,924 --> 00:03:52,748 behind what we're going to talk about, it is applicable to every 64 00:03:52,884 --> 00:03:56,380 human. And we're going to specifically talk about the fact that 65 00:03:56,420 --> 00:03:59,900 erectile dysfunction by itself is an 66 00:03:59,940 --> 00:04:02,940 independent risk factor for having a major 67 00:04:03,060 --> 00:04:06,780 adverse cardiac event. Holy shit. 68 00:04:06,860 --> 00:04:10,492 So even if you have no family history of heart disease, if 69 00:04:10,516 --> 00:04:14,188 you exercise, you don't smoke, you don't drink, if you're having 70 00:04:14,244 --> 00:04:17,880 a little problems in the bedroom, attaining an erection or 71 00:04:17,920 --> 00:04:21,672 maintaining an erection, it could indicate that you might be 72 00:04:21,696 --> 00:04:25,448 at higher risk of having a major cardiac event in the next 73 00:04:25,504 --> 00:04:28,712 three years. So you got to get your cute pelvis, or if this is your 74 00:04:28,736 --> 00:04:32,360 loved one, get their cute pelvis into a cardiologist for some 75 00:04:32,400 --> 00:04:36,040 primary preventative screening. Okay. All right, that 76 00:04:36,080 --> 00:04:39,752 being said, let's dive into what is an 77 00:04:39,776 --> 00:04:43,592 erection and what is erectile dysfunction? So, okay, so 78 00:04:43,616 --> 00:04:47,228 you just talked about why we should care, but let's go even more 79 00:04:47,284 --> 00:04:50,924 basic than that. Like, why is sexual health 80 00:04:51,012 --> 00:04:54,684 important? Why should we even be talking about this? 81 00:04:54,772 --> 00:04:58,428 I know about the cardiac risk factors, but just for the 82 00:04:58,484 --> 00:05:01,596 overall, like, picture of health and 83 00:05:01,668 --> 00:05:05,292 thriving as a Homo sapien. Oh, my gosh, that is 84 00:05:05,316 --> 00:05:09,132 a fabulous question. Like, so, first and foremost, even at, like, 85 00:05:09,156 --> 00:05:12,954 the most basic level, why do we care about sexual function? 86 00:05:13,002 --> 00:05:16,762 Even before I talk about, you know, the risk factors of that erectile dysfunction, 87 00:05:16,906 --> 00:05:20,314 Sexual function can be an important part 88 00:05:20,402 --> 00:05:24,026 of any human's life journey, 89 00:05:24,138 --> 00:05:27,962 right? There are legitimately some individuals that it is not a 90 00:05:27,986 --> 00:05:31,642 priority. And that's fine. If it's not a priority for 91 00:05:31,746 --> 00:05:35,482 you, you're not alone. But more, I would say a 92 00:05:35,506 --> 00:05:39,106 greater percentage of people start to lose interest 93 00:05:39,178 --> 00:05:42,994 in sexual activity because it becomes either painful 94 00:05:43,122 --> 00:05:46,754 or challenging to do physically, either because the actual pelvic 95 00:05:46,802 --> 00:05:50,370 parts are no longer up to snuff, or orthopedically, 96 00:05:50,450 --> 00:05:53,842 perhaps we have back pain or hip pain, and we don't know about how to 97 00:05:53,866 --> 00:05:57,426 change positions. Ladies and people with vaginas, 98 00:05:57,538 --> 00:06:01,298 as we age, our hormones change. That 99 00:06:01,354 --> 00:06:05,042 can be one part of a puzzle that makes intimate functions 100 00:06:05,106 --> 00:06:08,772 a little painful or less enjoyable. And so we might tend, rather than 101 00:06:08,866 --> 00:06:12,672 trying to fix the problem and make them just as enjoyable as they 102 00:06:12,696 --> 00:06:16,544 were in our younger years, we might tend to not do that anymore. 103 00:06:16,672 --> 00:06:20,220 And why that matters is 104 00:06:20,520 --> 00:06:24,320 sexual function could be something that you can enjoy again. And when 105 00:06:24,360 --> 00:06:28,000 you can enjoy it, it is a powerful bonding experience 106 00:06:28,120 --> 00:06:31,760 between you and your partner. It's good exercise, whether 107 00:06:31,800 --> 00:06:35,312 you're with a partner or by yourself. And it 108 00:06:35,336 --> 00:06:39,132 involves a release of endorphins that is good for overall 109 00:06:39,196 --> 00:06:42,780 mental health and pain management. So the 110 00:06:42,820 --> 00:06:45,756 ability to achieve an enjoyable 111 00:06:45,868 --> 00:06:49,292 climax. It's kind of a litmus 112 00:06:49,356 --> 00:06:53,052 test, so to speak, as far as how the whole system 113 00:06:53,156 --> 00:06:56,524 is working the brain, body connection for that sexual 114 00:06:56,572 --> 00:07:00,300 response, the physical health of the muscles around the pelvic floor to 115 00:07:00,340 --> 00:07:03,980 have that appropriate sexual response regardless of your 116 00:07:04,020 --> 00:07:07,830 anatomy. And if we can't do that, then maybe it's a 117 00:07:07,870 --> 00:07:11,702 sign that, ooh, this is an opportunity for us to get a little 118 00:07:11,726 --> 00:07:15,270 bit better. And then, and then we look at the science of 119 00:07:15,390 --> 00:07:18,918 specifically erectile dysfunction. Being able to potentially 120 00:07:19,014 --> 00:07:22,678 be a risk factor for heart problems down the road. 121 00:07:22,814 --> 00:07:26,518 Ooh, now that's interesting. And if we do have open 122 00:07:26,574 --> 00:07:30,214 heart surgery, the recovery of that sexual function, that's 123 00:07:30,262 --> 00:07:33,624 another piece that sometimes is overlooked in your cardiac 124 00:07:33,672 --> 00:07:37,448 rehab. Right. And so we want to, in later segments, actually dive into that. 125 00:07:37,504 --> 00:07:41,320 About sex is a endurance event. How do. Is your heart ready for it? 126 00:07:41,360 --> 00:07:45,064 Is your pelvic floor ready for it? Okay, yeah. 127 00:07:45,112 --> 00:07:48,840 So that. Thank you. Yeah, that sets the scene because I think it's just 128 00:07:48,880 --> 00:07:52,664 so important to have buy in, especially for those who may, 129 00:07:52,752 --> 00:07:56,312 like you said there. And no, feel no shame if, like, this isn't a 130 00:07:56,336 --> 00:08:00,136 topic that maybe is super passionate for you. 131 00:08:00,208 --> 00:08:03,866 But. And I. That's fine. But it, it, it is. It's 132 00:08:03,898 --> 00:08:07,642 okay to go through the emotions, 133 00:08:07,786 --> 00:08:11,194 feel all that you need to feel. There is. You're all are welcome 134 00:08:11,242 --> 00:08:14,970 here. And this is a safe place. And I know 135 00:08:15,010 --> 00:08:18,762 Kelly personally, and I can't think of another person 136 00:08:18,866 --> 00:08:22,314 that you can safely explore this topic with. 137 00:08:22,482 --> 00:08:26,234 Oh, thank you, Boots. Thank you. And, you know, the topic's 138 00:08:26,282 --> 00:08:30,078 important because, you know, if we look at, for a 139 00:08:30,134 --> 00:08:33,950 number of reasons, the, the prevalence. Oh, so what 140 00:08:33,990 --> 00:08:37,582 is erectile dysfunction? Right. Let's make one more step back. So, 141 00:08:37,606 --> 00:08:41,246 hey, here's Peter the pelvis or Philip the pelvis. Hi, 142 00:08:41,358 --> 00:08:44,942 We. We met Patty and Randy the rectum in the last 143 00:08:45,046 --> 00:08:48,894 segment. Here is a pelvis with traditionally 144 00:08:48,942 --> 00:08:52,686 male anatomy Right. In the last segment, you met Patty. 145 00:08:52,718 --> 00:08:56,270 The pelvis, which showed you all the cool bony rings 146 00:08:56,430 --> 00:09:00,160 and the muscles that exist 147 00:09:00,580 --> 00:09:04,428 to form the base of your pelvis. And we talked about how 148 00:09:04,484 --> 00:09:08,204 those muscles worked along with other body functions 149 00:09:08,252 --> 00:09:11,980 to control a basic pee and poop 150 00:09:12,140 --> 00:09:15,692 functions. Now, intimate functions in someone with a 151 00:09:15,716 --> 00:09:19,340 penis. Usually the penis is nice and relaxed down here, like 152 00:09:19,460 --> 00:09:22,480 so what is an erection? 153 00:09:23,540 --> 00:09:27,276 What an erection is, is there are these cool little pelvic floor 154 00:09:27,308 --> 00:09:30,936 muscles at the base of the penis. They look the. I'm 155 00:09:30,968 --> 00:09:34,456 blocking this hole because I can't find my male pelvic floor right now. But it's 156 00:09:34,488 --> 00:09:37,832 pretty much the same as this right here. But there's these little muscles at the 157 00:09:37,856 --> 00:09:41,224 base of the penis that when we are sexually 158 00:09:41,272 --> 00:09:45,096 aroused or during key times of hormonal 159 00:09:45,128 --> 00:09:48,648 changes, sometimes for no reason whatsoever, these 160 00:09:48,704 --> 00:09:52,360 muscles at the base of the penis will constrict. And 161 00:09:52,400 --> 00:09:56,120 when they constrict, they are preventing blood from 162 00:09:56,160 --> 00:09:59,514 leaving the penis so it will engorge and form. 163 00:09:59,682 --> 00:10:03,498 Ready? Ready, Ready? Oh, can I do it? I think. Oh, I don't 164 00:10:03,514 --> 00:10:07,322 want to break it. And it 165 00:10:07,346 --> 00:10:11,130 was point upwards. Hello. And the funny thing is, is 166 00:10:11,170 --> 00:10:14,630 like everybody's different, right? So please, 167 00:10:14,930 --> 00:10:18,730 whatever you look like, whether you're circumcised or not, or your partner's circumcised or not, 168 00:10:18,770 --> 00:10:22,442 everybody looks different. Sometimes erections are pointed straight, 169 00:10:22,506 --> 00:10:26,262 sometimes they're a little hooked to the side, sometimes totally fine. You 170 00:10:26,286 --> 00:10:29,590 are normal, I promise. Okay? If you ever have a 171 00:10:29,710 --> 00:10:33,526 pain free lump or a painful lump that feels 172 00:10:33,558 --> 00:10:36,870 like a little raisin in your testicles, then we want to get that checked out 173 00:10:36,910 --> 00:10:40,342 right away. But when you have an erection, it might look like this 174 00:10:40,446 --> 00:10:43,270 straight soldier or it might be a little to one side or the other and 175 00:10:43,310 --> 00:10:46,758 you're fine. And I want you to know that because we don't as with everything, 176 00:10:46,814 --> 00:10:50,550 pelvic health, we don't talk about this stuff enough. So 177 00:10:50,590 --> 00:10:54,326 that's what an erection is, is an engorgement of these blood vessels within the penis 178 00:10:54,358 --> 00:10:57,936 to trap blood in there and then make the soldier stand tall 179 00:10:57,968 --> 00:11:01,600 and proud. That is a muscular 180 00:11:01,760 --> 00:11:04,340 effort, right? For these muscles. 181 00:11:05,320 --> 00:11:09,040 I just. And this 182 00:11:09,080 --> 00:11:12,624 is Kelly everyone. And you know when you. I'm a 183 00:11:12,632 --> 00:11:15,952 doctor, you've got to follow her on Instagram 184 00:11:16,016 --> 00:11:18,380 because it's like this all the time. 185 00:11:19,320 --> 00:11:23,024 Really. I think one of my first posts about penises, 186 00:11:23,072 --> 00:11:25,380 I like trouble raising the main sale. 187 00:11:27,630 --> 00:11:31,398 And it's not funny. I don't wish eating anyone but 188 00:11:31,454 --> 00:11:34,950 my God, let's have a little fun while we're at it. God, we have 189 00:11:34,990 --> 00:11:38,790 to. We have to. Because you know what, Boots? Like I am 190 00:11:38,830 --> 00:11:42,262 reaching. Like we are reaching people because we can talk about this and have this 191 00:11:42,286 --> 00:11:46,022 conversation if we just talk so scientifically we make it uncomfortable and 192 00:11:46,046 --> 00:11:49,462 we lose that chance to help someone. So that's, you 193 00:11:49,486 --> 00:11:53,254 know. Yeah. This muscular effort of these pelvic floor 194 00:11:53,302 --> 00:11:57,094 muscles, again, specifically in the penis. And yes, it also happens to a lesser degree 195 00:11:57,142 --> 00:12:00,642 in the clitoris. They are going to constrict at the base of the penis and 196 00:12:00,666 --> 00:12:04,226 cause this to engorge. Okay. To then potentially allow 197 00:12:04,298 --> 00:12:07,698 for penis in vagina or penis and something else. Penetration 198 00:12:07,874 --> 00:12:11,522 and then stimulation of all the amazing nerves that go 199 00:12:11,546 --> 00:12:15,282 along with that happen. Magic happens. And we 200 00:12:15,306 --> 00:12:19,154 can have this beautiful, fulfilling climax that typically is going to 201 00:12:19,162 --> 00:12:22,978 result in ejaculation. If you've had a type of prostate surgery, sometimes 202 00:12:22,994 --> 00:12:26,546 it's called a dry ejaculate. Again, that's a little too in depth for this 203 00:12:26,618 --> 00:12:30,212 talk. But we have a beautiful, fulfilling climax. Everything 204 00:12:30,316 --> 00:12:34,116 relaxes back and cycle resets for 205 00:12:34,188 --> 00:12:38,020 the next time. Erectile dysfunction is the 206 00:12:38,060 --> 00:12:41,236 inability to attain or 207 00:12:41,388 --> 00:12:44,948 maintain that erection for the 208 00:12:45,004 --> 00:12:48,740 task at hand, so to speak. There 209 00:12:48,780 --> 00:12:52,436 are some puns I think possible in there. And if you were around 210 00:12:52,508 --> 00:12:56,244 for the first talk, we talked about how these pelvic floor muscles are 211 00:12:56,252 --> 00:12:59,734 like a hammock at the base of your pelvis. And, 212 00:12:59,812 --> 00:13:03,634 and they're like an elevator. An elevator and a hammock. So they're a hammock at 213 00:13:03,642 --> 00:13:07,442 the bottom of the pelvis and have an elevator like function. And they're 214 00:13:07,506 --> 00:13:11,186 meant to actually live on the ground floor of a four 215 00:13:11,258 --> 00:13:15,090 story building and kind of move up and down depending on the task at 216 00:13:15,130 --> 00:13:18,722 hand. But always come back to rest and even be able to 217 00:13:18,746 --> 00:13:22,290 relax into the sub basement to have a good poop and then come back to 218 00:13:22,330 --> 00:13:26,002 rest. If these pelvic floor muscles are 219 00:13:26,026 --> 00:13:29,850 resting on the third or the fourth floors. And we talk 220 00:13:29,890 --> 00:13:33,430 in the last, we talked in the last segment about why that can happen. 221 00:13:33,810 --> 00:13:37,418 That can contribute to PE leaks or poop problems. But from a sexual 222 00:13:37,514 --> 00:13:40,746 perspective, if they're always working, if they're always 223 00:13:40,818 --> 00:13:44,618 clenching on this third floor and then the 224 00:13:44,674 --> 00:13:48,442 time occurs or the mood occurs where you need them to do a 225 00:13:48,466 --> 00:13:52,122 little bit more work to get this erection, they might not be 226 00:13:52,146 --> 00:13:55,974 able to because they're tired. You know, we use a 227 00:13:55,982 --> 00:13:58,742 wall sit analogy. If I boots, if I ask you to go and run up 228 00:13:58,766 --> 00:14:02,118 the stairs right now, you could, what if I put you in a wall sit 229 00:14:02,174 --> 00:14:05,446 for six hours and then ask you to Run up the stairs. You're not running 230 00:14:05,478 --> 00:14:09,302 anywhere. And that's what can happen in these muscles in 231 00:14:09,326 --> 00:14:12,726 the pelvic floor. They're too tired from being tight all the time, so they don't 232 00:14:12,758 --> 00:14:16,150 have the energy to constrict further to cause this 233 00:14:16,190 --> 00:14:19,702 erection. And then when we build, 234 00:14:19,806 --> 00:14:23,370 so. So we get the erection in either the clitoris or the penis, 235 00:14:23,510 --> 00:14:26,754 and then there's this building, this period of excitement before we have the release and 236 00:14:26,762 --> 00:14:30,514 the climax. So it's the climb and then the climax. The climb 237 00:14:30,562 --> 00:14:33,794 requires healthy nerves. If all of the pelvic 238 00:14:33,842 --> 00:14:37,570 muscles are tight all the time, they can irritate the 239 00:14:37,610 --> 00:14:41,270 nerves and make the climb hard or impossible. 240 00:14:41,850 --> 00:14:45,490 And then to actually climax is a plyometric 241 00:14:45,570 --> 00:14:48,670 contraction of your pelvic floor. I bet you didn't know that. 242 00:14:50,180 --> 00:14:54,028 So that means it's. It's a really fast dynamic. Contract and relax. 243 00:14:54,124 --> 00:14:57,852 Contract and relax to have this climax feeling. If 244 00:14:57,876 --> 00:15:01,052 your muscles are not healthy enough to do that, you can't have a 245 00:15:01,076 --> 00:15:04,000 climax. Oh, my gosh. Or you can, but it hurts. 246 00:15:04,740 --> 00:15:08,332 So, wow. Like, that's all of the parts that are 247 00:15:08,356 --> 00:15:11,996 required for a normal erection. And then, like, any difficulty 248 00:15:12,028 --> 00:15:15,638 with any of that is considered erectile dysfunction. Long 249 00:15:15,694 --> 00:15:19,494 road to get why we care on the Open Heart 250 00:15:19,582 --> 00:15:23,078 Surgery with Boots podcast. Heart 251 00:15:23,214 --> 00:15:27,030 disease. The same changes in our 252 00:15:27,070 --> 00:15:30,662 arterial systems that can lead to ischemic heart disease, that 253 00:15:30,686 --> 00:15:34,150 can lead to stroke, that can lead to coronary artery 254 00:15:34,230 --> 00:15:38,022 blockages. Guess what? Those coronary arteries, how big are 255 00:15:38,046 --> 00:15:41,210 they? Okay, brain arteries, 256 00:15:41,980 --> 00:15:45,652 pelvic floor arteries, and those of you that are 257 00:15:45,676 --> 00:15:49,252 just listening, I'm showing the relative size. Coronary 258 00:15:49,316 --> 00:15:52,788 arteries are big. Brain arteries are a little smaller. 259 00:15:52,884 --> 00:15:56,420 Pelvic floor arteries are tiny. So they're like our little 260 00:15:56,460 --> 00:15:59,780 canaries in the gold mine. And the same 261 00:15:59,900 --> 00:16:02,580 changes in life that are going to lead to some of this 262 00:16:02,620 --> 00:16:06,356 atherosclerotic change, stiffening of arteries, blockage 263 00:16:06,388 --> 00:16:09,594 of arteries. They're going to present in these little tiny arteries 264 00:16:09,772 --> 00:16:13,454 first. It's so powerful. And 265 00:16:13,542 --> 00:16:17,358 what evidence has shown is that the presence of 266 00:16:17,414 --> 00:16:20,974 this erectile dysfunction in a man, yes, 267 00:16:21,102 --> 00:16:24,798 it can be due to a lot of factors, but it can be that hypertonicity 268 00:16:24,814 --> 00:16:28,030 of the pelvic floor, but it also can be a 269 00:16:28,070 --> 00:16:31,678 primary change in the pliability of these arteries. And 270 00:16:31,734 --> 00:16:35,442 as such, it is an independent risk factor for 271 00:16:35,466 --> 00:16:38,750 a future major adverse cardiac event. 272 00:16:39,050 --> 00:16:42,770 And even in the absence of any other risk factors 273 00:16:42,850 --> 00:16:46,610 of family members having heart disease, you can exercise, you can eat well, 274 00:16:46,650 --> 00:16:50,018 drink well. If you're starting to have problems hoisting the Main 275 00:16:50,074 --> 00:16:53,650 sail. We need to get everything checked out because this could be an issue 276 00:16:53,690 --> 00:16:57,150 with your underlying circulation and we might just save your life. 277 00:16:57,530 --> 00:17:00,990 So. Wow, it's crazy pants. And 278 00:17:01,470 --> 00:17:05,030 now if you have this erectile dysfunction and some 279 00:17:05,070 --> 00:17:08,886 diabetes and some family history of heart disease, or 280 00:17:08,958 --> 00:17:12,790 you're a smoker or you occasionally have some alcohol or have 281 00:17:12,830 --> 00:17:16,198 alcohol a lot. Holy shit, friend. We gotta change some 282 00:17:16,254 --> 00:17:19,750 stuff or you're not gonna be around four years from 283 00:17:19,790 --> 00:17:23,446 now to be enjoying this beautiful life. So, like, it's a. 284 00:17:23,598 --> 00:17:27,302 It's a cool thing to be aware of because we actually can 285 00:17:27,486 --> 00:17:31,158 save lives when we get people to the right spot. So 286 00:17:31,214 --> 00:17:34,854 if you haven't been doing regular wellness checks, 287 00:17:34,902 --> 00:17:38,518 or maybe you have because you're watching this podcast, but maybe your best 288 00:17:38,574 --> 00:17:42,166 friend Bill doesn't go to the doctors. And Bill 289 00:17:42,318 --> 00:17:45,958 and you are talking about, oh, things aren't going so well in the bedroom. 290 00:17:46,134 --> 00:17:49,766 Yeah, Bill could go to pelvic pt, but if they're a good pelvic pt, 291 00:17:49,958 --> 00:17:52,822 they're going to ask Bill if he's been to his primary care provider, and if 292 00:17:52,846 --> 00:17:56,542 he hasn't, they're not gonna treat his erectile dysfunction until he goes and 293 00:17:56,566 --> 00:18:00,254 gets his heart checked because of this. And if you have been 294 00:18:00,342 --> 00:18:03,982 going to a pelvic PT for ED and it's getting better, but you 295 00:18:04,006 --> 00:18:07,470 haven't had your heart checked, you need to. It is exquisitely 296 00:18:07,550 --> 00:18:11,278 important. And I think earlier I might have said. But I don't 297 00:18:11,294 --> 00:18:14,590 remember. Cause I say a lot. The prevalence of this 298 00:18:14,630 --> 00:18:18,238 erectile dysfunction has doubled in the 299 00:18:18,294 --> 00:18:22,062 last 30 years. And perhaps some 300 00:18:22,086 --> 00:18:25,140 of that is more normal reporting. 301 00:18:25,480 --> 00:18:28,656 But what's happening with colorectal cancer 302 00:18:28,688 --> 00:18:31,184 rates? It's shooting through, 303 00:18:31,352 --> 00:18:35,152 skyrocketing. Okay, what things are 304 00:18:35,176 --> 00:18:38,832 associated with colorectal cancer? Reduced fiber intake. 305 00:18:38,896 --> 00:18:42,736 Right. Dietary changes. All. Increased stress 306 00:18:42,848 --> 00:18:46,368 in the world. Perhaps a more sedentary lifestyle, especially 307 00:18:46,504 --> 00:18:50,160 since pandemics. Right. So all of these same things that 308 00:18:50,200 --> 00:18:53,852 are just killing our overall holistic 309 00:18:53,916 --> 00:18:57,724 health, they're the same things that might contribute to 310 00:18:57,892 --> 00:19:01,692 higher rates of erectile dysfunction, but, you know, 311 00:19:01,716 --> 00:19:05,132 underneath that, contributing to reduced health of our 312 00:19:05,156 --> 00:19:08,684 circulatory system, which then is, you know, erectile 313 00:19:08,732 --> 00:19:12,140 sexual dysfunction, then possibly stroke or heart attack. So we 314 00:19:12,180 --> 00:19:15,724 need to be talking about this. It's not just about getting jiggy in the 315 00:19:15,732 --> 00:19:18,978 bedroom. It's about not dying three years from 316 00:19:19,034 --> 00:19:22,830 now. So, like, that's. It's so powerful, right? 317 00:19:23,770 --> 00:19:27,474 Yeah. Where I sit and just. I try not to 318 00:19:27,482 --> 00:19:31,138 watch commercials. I don't really watch TV anymore. But in the past, I mean, 319 00:19:31,194 --> 00:19:34,930 a classic commercial UC Is for Viagra. 320 00:19:35,010 --> 00:19:37,830 Right. And. And in the bathtub. 321 00:19:38,250 --> 00:19:41,986 Yeah. You think it's just about that. And they don't. They don't 322 00:19:42,018 --> 00:19:45,760 talk about any of this background you just gave and, 323 00:19:45,800 --> 00:19:49,584 like, all these other things you need to be thinking about. Totally. Well, do 324 00:19:49,592 --> 00:19:53,216 you know Viagra was a blood pressure medicine? Like, that's a whole. Like, nobody 325 00:19:53,248 --> 00:19:56,752 knows this. Or. You might, but, like, it's hilarious. It's like, oh, we found this 326 00:19:56,776 --> 00:20:00,624 amazing drug to help with your hypertension and small side effect. You're gonna get 327 00:20:00,632 --> 00:20:02,300 a giant boner for four hours. 328 00:20:04,040 --> 00:20:07,568 Really? Let me. Let's talk more about that. Like, that's 329 00:20:07,584 --> 00:20:11,370 amazing. Like, but again, if 330 00:20:11,410 --> 00:20:15,242 that's the only thing. If you go in and you. Well, we 331 00:20:15,266 --> 00:20:18,890 won't even get into the difference between males and females when we 332 00:20:18,930 --> 00:20:22,150 report sexual dysfunction. Well, yeah, I will. 333 00:20:22,930 --> 00:20:26,282 I will. If, you know, we go in and, like, say a dude is like, 334 00:20:26,306 --> 00:20:30,074 oh, I'm having trouble with an erection. The. If the doctor's 335 00:20:30,122 --> 00:20:33,882 not educated about the. This research. Right. And that study, I 336 00:20:33,906 --> 00:20:37,674 think it's from 05 Montorsi. I'll get 337 00:20:37,682 --> 00:20:41,492 you all links to it in 05. That found that the 338 00:20:41,516 --> 00:20:44,980 ED could pre exist before a major 339 00:20:45,020 --> 00:20:48,708 cardiac event. Three years. If the doctor doesn't know that study. 340 00:20:48,764 --> 00:20:52,612 If they are all in, they're the best cardiac doctor in the 341 00:20:52,636 --> 00:20:56,308 world. They honestly might just be looking at the heart. And that doesn't 342 00:20:56,324 --> 00:21:00,036 make them a bad doctor. Right. Like, maybe they never even learned about pelvic 343 00:21:00,068 --> 00:21:03,892 floor in medical school. They might not know about all of 344 00:21:03,916 --> 00:21:07,412 those parts. So we need to educate you to take the primary 345 00:21:07,476 --> 00:21:11,108 steps. I got a little off tangentially right there. I kind of lost my. No, 346 00:21:11,164 --> 00:21:14,736 you're. We're citing studies and then talking. Talking about men versus women 347 00:21:14,808 --> 00:21:18,432 and. Oh, men versus women. Thank you. Thank you. But I just wanted to 348 00:21:18,456 --> 00:21:22,112 mention. Make sure. Just a timeout. If you haven't already, be 349 00:21:22,136 --> 00:21:25,552 sure to go in the show notes to sign up for my newsletter 350 00:21:25,616 --> 00:21:29,296 because. Oh, yeah, I will be linking to and I'll have 351 00:21:29,368 --> 00:21:32,944 things in the show notes for you also listeners. But 352 00:21:33,112 --> 00:21:36,672 if you sign up for my newsletter and also sign up for Kelly's, 353 00:21:36,816 --> 00:21:40,500 you will get these studies and there will be more 354 00:21:40,540 --> 00:21:44,372 in the newsletter each of these weeks talking about why you need 355 00:21:44,396 --> 00:21:48,196 to care about your pelvic floor. Oh, totally. Time in, 356 00:21:48,268 --> 00:21:52,084 Boots. Thank you. Time out. Time in. Thank you, Boots. So. So 357 00:21:52,092 --> 00:21:55,188 if I'm a man and I come in to my doctor and I say, oh, 358 00:21:55,204 --> 00:21:58,932 I'm having trouble with sexual function, that doctor might not know 359 00:21:58,956 --> 00:22:02,516 about this important correlation. And if you look healthy, 360 00:22:02,628 --> 00:22:06,346 they might just prescribe you something like Viagra. And that 361 00:22:06,498 --> 00:22:10,266 might help this small piece of the puzzle in the short term. But 362 00:22:10,338 --> 00:22:13,802 you do need a cardiac workup to make sure that things are okay to keep 363 00:22:13,826 --> 00:22:16,954 you good in the long run. If I'm a woman and I come in and 364 00:22:16,962 --> 00:22:20,682 I report sexual dysfunction, I'm not even gonna lie, you will be 365 00:22:20,706 --> 00:22:24,362 told to just relax, have a glass of wine, which is a 366 00:22:24,386 --> 00:22:27,594 neurotoxin. Thanks, doc. And that's about it. 367 00:22:27,682 --> 00:22:31,514 Usually, like, if your doctor's very aware, you'll be prescribed pelvic floor 368 00:22:31,562 --> 00:22:34,890 pt. But there's this huge kind of difference in 369 00:22:34,930 --> 00:22:38,682 how everyone, you know, males versus females, are treated in 370 00:22:38,706 --> 00:22:41,962 this realm. But it's important for everyone that we address 371 00:22:42,066 --> 00:22:45,642 and what we can do about it. There's 372 00:22:45,706 --> 00:22:49,546 actual things that you know, if this is present and 373 00:22:49,618 --> 00:22:53,274 we know that this is, can be an independent risk factor 374 00:22:53,402 --> 00:22:56,890 for future heart issues. If 375 00:22:56,930 --> 00:23:00,234 we're post heart surgery, guess what, like, and you're having erectile 376 00:23:00,282 --> 00:23:03,980 dysfunction, this is still indicate indicative that things 377 00:23:04,020 --> 00:23:07,004 aren't 100% awesome. So, so let's work 378 00:23:07,092 --> 00:23:10,812 holistically on the whole system. You're going to 379 00:23:10,836 --> 00:23:14,640 love this, everyone. It's the classic sleep, 380 00:23:14,980 --> 00:23:18,572 diet, exercise, and now 381 00:23:18,756 --> 00:23:22,572 awareness of your pelvic floor. Pelvic floor relaxation, pelvic floor, 382 00:23:22,636 --> 00:23:26,188 general health and well being can make 383 00:23:26,244 --> 00:23:29,964 positive changes to improve this erectile function, the sexual 384 00:23:30,012 --> 00:23:33,686 function, which then we have lowered our risk 385 00:23:33,758 --> 00:23:37,206 factor for that future adverse cardiac event by 386 00:23:37,278 --> 00:23:40,886 improving this one function, which is great. You don't have to be 387 00:23:40,958 --> 00:23:44,742 Chris Helmsworth, right? Like in the gym 20 hours a day. I think one 388 00:23:44,766 --> 00:23:48,534 of the studies in 2018, 40 minutes of 389 00:23:48,622 --> 00:23:52,310 moderate physical activity four times 390 00:23:52,350 --> 00:23:55,526 a week, within six months it reduced 391 00:23:55,638 --> 00:23:59,456 erectile dysfunction. So you can read that a different way. If we don't 392 00:23:59,488 --> 00:24:02,896 care about the erection function, 40 minutes of moderate 393 00:24:03,088 --> 00:24:06,720 exercise four times a week for six months improves your 394 00:24:06,760 --> 00:24:10,608 overall cardiovascular system and reduces your risk of heart attack 395 00:24:10,664 --> 00:24:14,272 and stroke. And that's doable, right? And I'm 396 00:24:14,336 --> 00:24:17,632 such a geek. I love what I do. I do a ton of teaching. I 397 00:24:17,656 --> 00:24:21,328 also have a new online program called Dr. Kelly's Treasure Chest that has 398 00:24:21,384 --> 00:24:25,066 workouts there for you. Right? And I started off with 40 to 60 minute 399 00:24:25,098 --> 00:24:28,938 workouts. Nobody watched them. It's hilarious when you look at like the data. 400 00:24:29,074 --> 00:24:32,826 Everybody was watching the 10 minute workouts. And you know what? A 10 minute 401 00:24:32,858 --> 00:24:36,570 workout done is way better than nothing. And you could do that 402 00:24:36,610 --> 00:24:39,722 one workout and get proficient at it and do it twice. In a row for 403 00:24:39,746 --> 00:24:42,990 20 minutes. Like something is better than nothing. 404 00:24:43,570 --> 00:24:47,210 Diet and exercise, right? I don't like the word diet. I like lifestyle food 405 00:24:47,250 --> 00:24:50,830 choices, generally. A Mediterranean 406 00:24:51,280 --> 00:24:54,584 diet, fruits and vegetables, heart, healthy fats, 407 00:24:54,712 --> 00:24:58,440 boots. You had the whole nutritional segment, right? So 408 00:24:58,480 --> 00:25:01,960 they can go back and look at that. Hugely important 409 00:25:02,080 --> 00:25:05,736 for arterial health, heart health. So, and that's 410 00:25:05,768 --> 00:25:09,416 not just for today. That's like a lifestyle change. 411 00:25:09,488 --> 00:25:13,192 And it's nothing that we have to do, but it's something we want to do 412 00:25:13,216 --> 00:25:16,882 because we feel so much better. And then if you 413 00:25:16,906 --> 00:25:20,658 do smoke, stop. Don't be an asshole, idiot, stop. 414 00:25:20,714 --> 00:25:24,146 There's nothing good about it. Stop. If you drink 415 00:25:24,178 --> 00:25:27,682 alcohol, try to stop, please. It is just as bad for you as 416 00:25:27,706 --> 00:25:31,522 smoking. There's no safe amount of alcohol. It's a neurotoxin and it 417 00:25:31,546 --> 00:25:35,394 causes mental health issues. Nothing to be good from that, 418 00:25:35,482 --> 00:25:38,898 okay? So just stop, please. We are going to be 419 00:25:38,954 --> 00:25:42,482 amazed when we look back 10, 15 years from now at how 420 00:25:42,506 --> 00:25:46,240 normalized alcohol consumption was in the world right 421 00:25:46,280 --> 00:25:50,096 now. And so to help you be healthy, pre heart surgery, 422 00:25:50,128 --> 00:25:53,392 post heart surgery, eat real food, not too much 423 00:25:53,496 --> 00:25:57,248 exercise, and don't smoke or drink. Okay? I think 424 00:25:57,384 --> 00:26:00,736 if you need help with all of that, go back and 425 00:26:00,808 --> 00:26:04,352 listen to my episode in December of 426 00:26:04,376 --> 00:26:07,312 2024 with Dr. Laura 427 00:26:07,376 --> 00:26:11,152 Suarez Pardo. She is a cardiac 428 00:26:11,216 --> 00:26:14,958 psychiatrist at the Mayo Clinic. And I 429 00:26:15,014 --> 00:26:18,462 asked her, treat me like, I just came into your 430 00:26:18,486 --> 00:26:22,270 office and I'm trying to stop a habit. Where 431 00:26:22,310 --> 00:26:25,518 do we start? And it was absolutely 432 00:26:25,614 --> 00:26:29,134 brilliant how she. It is. It is just 433 00:26:29,222 --> 00:26:32,606 so simple. Like, basic small 434 00:26:32,678 --> 00:26:35,838 changes every day that add up to big 435 00:26:35,894 --> 00:26:39,720 changes. And I, I just want to say, like, 436 00:26:39,840 --> 00:26:43,592 I see you, I hear you. Like, if you're listening and you smoke 437 00:26:43,656 --> 00:26:47,352 or you drink or, or have any habits that aren't healthy for the 438 00:26:47,376 --> 00:26:51,144 body, you know what, have you ever thought that maybe you're 439 00:26:51,192 --> 00:26:54,552 worthy of a vibrant, healthy life? You 440 00:26:54,576 --> 00:26:58,168 are. Amen. Deserve to be healthy 441 00:26:58,344 --> 00:27:02,008 and ask for help, ask for support. You deserve to 442 00:27:02,064 --> 00:27:04,620 have a healthy sexual 443 00:27:05,010 --> 00:27:08,442 lifestyle. You deserve to have a healthy 444 00:27:08,506 --> 00:27:12,170 pelvis. You are worthy of all of this. And 445 00:27:12,210 --> 00:27:15,722 I really think that a lot of people out there 446 00:27:15,906 --> 00:27:19,434 just really just say, I'm not worthy. 447 00:27:19,482 --> 00:27:23,242 Maybe not, like, consciously, but I want to be 448 00:27:23,266 --> 00:27:27,002 that person in your ears that say, you know what? Your heart deserves to 449 00:27:27,026 --> 00:27:30,570 thrive and so does your pelvis. Yes. And so 450 00:27:30,610 --> 00:27:33,850 many, so often those times when we are drinking or 451 00:27:33,890 --> 00:27:37,200 smoking, we're not doing it because we're trying to be bad. We're doing it because 452 00:27:37,240 --> 00:27:40,944 we're suffering and we're Using it as pain management. 453 00:27:41,032 --> 00:27:44,832 And we're using it to hide the feelings, to not feel the 454 00:27:44,856 --> 00:27:47,952 depression and the anxiety. And so 455 00:27:48,056 --> 00:27:51,616 addressing those underlying factoids can help. 456 00:27:51,688 --> 00:27:54,784 And removing that product, that 457 00:27:54,872 --> 00:27:58,480 chemical, can set the stage for you to finally love 458 00:27:58,520 --> 00:28:01,100 yourself again. So good. I'm so glad that you have that 459 00:28:01,880 --> 00:28:05,530 podcast. Another book I love is 460 00:28:05,910 --> 00:28:09,342 who I Forget Her Name. Oh, my gosh. 461 00:28:09,406 --> 00:28:13,134 Complete mind blank was like, it's like a woman's guide to not drinking 462 00:28:13,182 --> 00:28:16,610 or something. Do you know of that one? Oh. 463 00:28:17,030 --> 00:28:19,454 Oh, gosh. Okay. I'm going to have to put. I'm going to have to put 464 00:28:19,462 --> 00:28:23,038 the name of it in the show notes because I can't remember. Oh, quit like 465 00:28:23,094 --> 00:28:26,606 a woman. And doesn't matter if you're not a woman. It doesn't 466 00:28:26,638 --> 00:28:30,190 matter if you're, you know, trying to quit alcohol or cigarettes or just 467 00:28:30,230 --> 00:28:33,696 reducing because, again, yes, we do want you to stop completely, but. 468 00:28:33,758 --> 00:28:37,580 But even reducing can be beneficial. She 469 00:28:37,620 --> 00:28:41,372 talks all about that, about how. And she talks specifically how about 470 00:28:41,396 --> 00:28:44,924 like, AA didn't work for her. And it's. I think it's 471 00:28:44,972 --> 00:28:48,732 valuable because it talks about approaching these lifestyle changes from 472 00:28:48,756 --> 00:28:52,524 a position of love, like you just said, and not, 473 00:28:52,692 --> 00:28:55,360 oh, my gosh, you suck. 474 00:28:56,980 --> 00:29:00,668 And I think is really cool. So. Got a little tangential there, but 475 00:29:00,724 --> 00:29:04,040 awesome. Thank you. That's what I needed to do because I was 476 00:29:04,080 --> 00:29:07,832 depressed and, you know, not getting the most 477 00:29:07,856 --> 00:29:11,688 out of life and AA just for me just caused 478 00:29:11,784 --> 00:29:15,592 a shame spiral. It didn't work for me either. But you know 479 00:29:15,616 --> 00:29:18,968 what? Some of my really close friends, it works really 480 00:29:19,024 --> 00:29:22,632 well. So it. It's your own personal 481 00:29:22,736 --> 00:29:26,088 journey for what is right for your. Your 482 00:29:26,144 --> 00:29:29,738 history and what you need to heal. Just. Just 483 00:29:29,794 --> 00:29:33,338 try. Exactly. You deserve to try. 484 00:29:33,474 --> 00:29:37,242 Love yourself enough to try. Yeah. And I think, you know, in 485 00:29:37,266 --> 00:29:40,362 my journey. Yeah, in my journey, I stopped 486 00:29:40,506 --> 00:29:44,058 two. I was drinking very heavily during COVID times. 487 00:29:44,114 --> 00:29:47,882 Right. To cope. And I mean, recognized it, and then was like, oh, this 488 00:29:47,906 --> 00:29:51,610 is fine. It's just a coping mechanism. It's not fine. You 489 00:29:51,650 --> 00:29:55,034 know, and I recognized it and just cut 490 00:29:55,122 --> 00:29:58,840 way back and then have now stopped. And again, all 491 00:29:58,880 --> 00:30:02,472 things in my life coalesced to the point where I could make that rational 492 00:30:02,536 --> 00:30:06,184 decision. And I had the support that I needed to do that. But you recognize 493 00:30:06,232 --> 00:30:10,072 that not only do you drink, sometimes to. For me, it was to 494 00:30:10,096 --> 00:30:13,704 cover up anxiety that was undiagnosed for sure, 495 00:30:13,872 --> 00:30:17,480 and some depression that was then coming from that. But even on, like, just 496 00:30:17,520 --> 00:30:21,080 good days, it would be like, oh, like, this was already a great day. And 497 00:30:21,120 --> 00:30:24,934 like, why and my total turning point crux, as I 498 00:30:24,942 --> 00:30:28,678 was educating my kids, that, like, alcohol is really bad for you, 499 00:30:28,814 --> 00:30:32,534 and yet I was still having a couple glasses a month. And my son 500 00:30:32,582 --> 00:30:36,310 goes, well, why do grownups do it then? And 501 00:30:36,430 --> 00:30:40,102 I had no ration. There's no response to 502 00:30:40,206 --> 00:30:44,022 celebrate. Like, would I have a cigar or a cigarette in front of them to 503 00:30:44,046 --> 00:30:47,606 celebrate? Like, there was no good answer for me to give them. And that's what 504 00:30:47,678 --> 00:30:50,968 made me finally turn the corner to, like, cut it out. And so, yeah, that. 505 00:30:51,024 --> 00:30:54,840 That's interesting. And it's this whole other level of just pelvic health and overall health, 506 00:30:54,960 --> 00:30:58,440 but open heart surgery, alcohol and cigarettes, they're so 507 00:30:58,480 --> 00:31:02,312 inflammatory. They're not serving you to heal, and they're not serving you to show up. 508 00:31:02,336 --> 00:31:05,272 And so there are people there who can support you and love you. And if 509 00:31:05,296 --> 00:31:08,312 you go to try to help, you know, get help with these habits and you 510 00:31:08,336 --> 00:31:11,304 don't feel loved and it's not the right place for you, even if it's the 511 00:31:11,312 --> 00:31:15,080 right place for your bestie, that's fine. Go someplace else until you 512 00:31:15,120 --> 00:31:17,350 feel heartwarming. 513 00:31:19,210 --> 00:31:22,258 Podcast and of having like, heart stuff is. The 514 00:31:22,394 --> 00:31:25,890 opportunity for puns is endless. That's really, 515 00:31:26,010 --> 00:31:29,590 really. It is, dude. I'm here for the puns. 516 00:31:30,410 --> 00:31:34,034 All right, cool. But yeah, that is in a nutshell. That's why we want to 517 00:31:34,042 --> 00:31:37,634 talk about penises on the open heart surgery podcast. 518 00:31:37,682 --> 00:31:41,170 And if you don't have a penis, but you are noticing 519 00:31:41,250 --> 00:31:44,870 changes in sexual function, 520 00:31:45,030 --> 00:31:48,822 you know, they. This could be something to work on as a 521 00:31:48,846 --> 00:31:52,582 canary in the gold mine to improve your overall circulation. And if 522 00:31:52,606 --> 00:31:56,198 you are post heart surgery, especially if you're diabetic, 523 00:31:56,294 --> 00:32:00,102 the reduced blood flow to the pelvic floor can be a 524 00:32:00,126 --> 00:32:03,974 contributor to pee problems, poop problems, and sexual 525 00:32:04,022 --> 00:32:07,766 problems. So seeing a pelvic floor PT in person or 526 00:32:07,838 --> 00:32:11,480 online can be really help that part of your life. So please 527 00:32:11,520 --> 00:32:15,128 just don't think, oh, I've had heart surgery, my sex life's over. If it's something 528 00:32:15,184 --> 00:32:18,872 you're interested in or, oh, I'm just getting older, I guess it's normal that I 529 00:32:18,896 --> 00:32:22,744 pee my pants, right? Not true. There's help available. So 530 00:32:22,752 --> 00:32:26,200 I have a great blog with lots of information. You can work with me or 531 00:32:26,240 --> 00:32:29,224 one of my staff online. I have a blog about how to find a PT 532 00:32:29,272 --> 00:32:33,032 near you. You can reach out to Boots or me if you need 533 00:32:33,056 --> 00:32:36,840 help finding a PT near you. And like I said, my treasure chest really 534 00:32:36,880 --> 00:32:40,674 is a good trove. Literally a treasure chest of 535 00:32:40,762 --> 00:32:44,290 exercises to get yourself moving to improve 536 00:32:44,410 --> 00:32:47,890 this blood flow for not only better sexual health, but better 537 00:32:47,930 --> 00:32:51,522 overall health as well. Oh, and we're giving you guys a coupon. 538 00:32:51,666 --> 00:32:55,164 OHS 2025 open heart 539 00:32:55,297 --> 00:32:59,026 surgery 2025 will give you guys 25% off any of my online 540 00:32:59,098 --> 00:33:02,850 programs, including 25% off the first three 541 00:33:02,890 --> 00:33:06,044 months of that Treasures Trust subscription, which is already a killer 542 00:33:06,172 --> 00:33:10,012 deal. And that goes over how to connect and relax to your pelvic floor, as 543 00:33:10,036 --> 00:33:13,836 well as these exercises to help improve your blood flow. So I'm glad 544 00:33:13,868 --> 00:33:17,420 you're here. Boots. Thank you so much for this opportunity to talk about 545 00:33:17,540 --> 00:33:20,972 Peter the Pelvis and. Heidi the Pelvis and Randy the 546 00:33:20,996 --> 00:33:24,636 Rectum. If you missed the first installment, I'm 547 00:33:24,668 --> 00:33:28,396 telling you, you just. We were having so much fun during Heart Month 548 00:33:28,468 --> 00:33:32,246 and. And thank you, Kelly. All that you need will be in the 549 00:33:32,318 --> 00:33:35,974 show notes. Again, be sure to sign up for the newsletter. That's another way to 550 00:33:35,982 --> 00:33:39,702 stay in touch. And if you haven't, make sure you hit subscribe. And you know 551 00:33:39,726 --> 00:33:43,430 what will really make my day and my Heart month and 552 00:33:43,470 --> 00:33:47,142 my year would be as soon as you're done listening to this episode, 553 00:33:47,206 --> 00:33:50,918 do two things. Share this with a friend. 554 00:33:51,054 --> 00:33:54,800 Perhaps one with a penis or someone with a penis. And then 555 00:33:54,840 --> 00:33:58,240 secondly, leave a review. I would so 556 00:33:58,280 --> 00:34:02,128 appreciate that because that is how people find this podcast. 557 00:34:02,224 --> 00:34:05,600 So definitely. And ask us questions. Yep. 558 00:34:05,680 --> 00:34:09,216 Blow up the email, please. We love questions. 559 00:34:09,328 --> 00:34:12,960 But in case no one has told you today, I love you. 560 00:34:13,080 --> 00:34:16,340 You are loved. You are worthy of a thriving 561 00:34:16,760 --> 00:34:20,512 pelvis, healthy pelvis. And be sure to come back next 562 00:34:20,536 --> 00:34:24,080 week for more pelvic wisdom from Dr. Kelly. Bye.