410 - Interview with Breast Surgeon, Leigh Neumayer, M.D. | Menopause Taylor
ฝัง
- เผยแพร่เมื่อ 10 มิ.ย. 2024
- I have always referred to my best friend from medical school as “Wonder Woman.” Her real name is Leigh Neumayer, M.D. And she’s a general surgeon who specializes in breast cancer. In this video, she’ll tell you about breast cancer from her perspective as a breast surgeon.
People can contact Leigh Neumayer, M.D., by email about the book.
Leigh Neumayer, MD, MS, MBA
Professor and Chair
Department of Surgery
University of Florida, College of Medicine , Jacksonville
Jacksonville, FL
Leigh.neumayer@jax.ufl.edu
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Very informative interview, Barbie.
Only one part made me tilt my head…when Dr Neumayer said, lowest dose of HRT to take care of the symptoms. Wait…what?! The 3 silent diseases do not have symptoms. Hmmm.
Maybe the interview wasn’t long enough for her to go into more detail. I’ll give her that.
I am SO thankful for the education I am getting with you, Barbie…SO grateful. 😘💕
Remember. she's a general surgeon. General surgeons do not mange menopause. She quoted precisely what the guideline say.
My goal is for you to see what each kind of professional offers.
When I say that menopause is THEE most neglected topic on Earth, I really mean it.
There is no education whatsoever on menopause in medical school. In four-year OB/GYN residency programs, less than 1% of the time is devoted to menopause. So most doctors know none of the stuff I teach you.
Here on TH-cam, I give you the equivalent of:
• A four-year pre-medical undergraduate education
• A four-year medical school education
• A four-year OB/GYN residency education
• A three-year menopause fellowship education
If you ever have a consultation with me, the tailored document I send you in advance of the consultation will put you in a situation of knowing 90% more than doctors.
I am the first and only person on Earth to ever give women an education on menopause.
@@MenopauseTaylor I do realize that, but does she note that in your chart so when your pcp or menopause specialist sees it, they go along with her?
@@MenopauseTaylor This still was very interesting and she is very knowledgeable about what she does and knows as a surgeon. Thankfully, you are very knowledgeable about Menopause. 💕
@@knackfulknitter Every specialty has its own viewpoint on medical matters. Breast cancer is one area in which multiple different kinds of doctors play a part. You need to be aware of the roles they play.
Menopause is the most under-served area of medicine.
This was a wonderful interview. I love the knowledge Leigh brought as a practicing surgeon dealing with current experience/patients of breast cancer. and Barbie who brought her knowledge and expertise in dealing with Menopause. They complimented one another.
Thank you, my dear.
Please do more interviews like this! Excellent! ❤
I will!
What an amazing woman! Thank you both so much for everything you are doing for all women...
You are so very welcome!
Fantastic information....great memories ❤️
Thank you so much!
Great education, fun, and you're both wonder women.
Both professionals goal is to educate clients to help them decide their own treatments/procedures/medications.
Hi Dr Taylor, Thanks for a very informative and helpful video. I wish there were more doctors like both of you.
Like some of the other viewers, I am a bit confused about what Dr Neumayer said regarding HRT. When she said she'd rather 'they' didn't take HRT, was she referring to women who've had breast cancer or all postmenopausal women?
BTW,: if you have the time, it'd be great if you could do a video on the best way to get off HRT. Although this was mentioned in passing in the discussion b/c it is not that relevant to the subject at hand, I am now under the impression that it is not as straightforward as it seems.
Thanks Dr Taylor! See you in class next week
Helen,
Dr. Neumayer is a general surgeon. Her only involvement with menopause is with women on whom she's operated fro breast cancer. So, you are seeing her perspective on breast cancer as a general surgeon.
With regard to getting off HRT, ask yourself this: How would you get off insulin? And if you stop taking insulin, what are the consequences?
This is why I give you a real education. The basic science of all hormone replacement for a hormone deficiency is the same, regardless of the hormone.
@@MenopauseTaylor Many thanks for the clarification and reply. Have lovely week, Dr Taylor.
@@helenbrown760 You are so very welcome, my dear.
That was great! Thank you. I had a mammogram at the beginning of this unit and now towards the end I’m scheduled for the next one! 😊😊😊
I know. This unit was 55 videos. More than an entire year!
Fantastic episode! Great information and-even better- a look into your wonderful friendship 💕
Thank you, my dear.
When I would complain about the side effects of the hormone blockers I was put on, my medical oncologist would tell me "Well, you were going to go through this anyway (menopause)".....so, basically, suck it up.
That's what they always say. I've also heard oncologists tell women that they should just be glad to be alive. This is ridiculous for a cancer that has a 90% cure rate.
The truth is that no oncologist cares about anything BUT the cancer. The rest of your life is irrelevant to them. But I disagree with that.
Not exactly a ringing endorsement for hrt after bc, but her expertise about the disease itself is impressive.
NO professional in the medical system that takes part in the treatment of breast cancer promotes HRT. But that's due to the training and design of the system.
@@MenopauseTaylor Yup. It's too bad the decision isn't given to us, even for very early stage and treated breast cancers...I'm preaching to the choir, I know. I think the Dr. said a woman came in and was going to kill her husband if she she didn't get her estrogen back. Is that what we have to say to get hrt?
@@lisag8463 If you schedule a consultation, I will tell you HOW to have a conversation with your doctor in order to get what you want. There are more pitfalls than you can possibly imagine. You can schedule at MenopauseTaylor.ME, and I do them all online.
It's interesting ypu can't reply to Dr Barbie and she peddles her expensive consultations. I'd trust the Dr that's still in practice in a research and teaching setting than a TH-cam Dr that doesn't even practice anymore. If you watch Dr Barbie's videos with a critical thinking mind, she contradicts herself a lot. Maybe you like that she's telling you what you want to hear, but that doesn't mean it's the best medical advice. This is coming from a woman who's on HRT BTW. And Dr Barbies advice that a woman that has had an endometrial ablation doesn't need progesterone is malpractice and I challenge you to find evidence for that opinion
@@bellablue779 yes. I also follow Dr. Heather Hirsch and Dr. Mary Claire Haver, who are still practicing. Also Dr. Corrine Menn who has had bc herself. These Dr.s need to share their knowledge with oncologists and change the landscape instead of us requiring consults to get talking points to present to our Dr.s. While begging for hrt. (See the excellent comment on this below)
🌟🌟🌟🌟🌟🌟💛 I have been on 1 mg of Estradiol and increased to 2 mg. My GP told me that there are national guidelines of taking estrogen for two weeks, then one week off and repeating that pattern. That seems like a rollercoaster for the body to be on.
When I asked him to kindly provide me with research to support this, he just said that it is the national guideline and if he comes across any supporting research, he will pass it along. I have an appointment scheduled with you on 7/26/24 and I would really like to discuss this. You and your channel are a blessing to the world! 🙏🏻🕊️🌎
The "national guideline" claim is untrue. It sounds as though you will benefit greatly from a consultation with me. I'll explain everything. I look forward to meeting and helping you, my dear.
@@MenopauseTaylor Thank you for taking the time to respond; greatly appreciated! 💛 I feel so grateful for you, your channel, and that you offer consultations to help women navigate the convoluted swamp of misinformation.
@@sterlgirlceline I love every minute of helping you, my dear.
This doctor doesn’t have the same thoughts like you Barbie
She is saying mostly the opposite of what you teach
She said her preference isn’t for her patience to take HRT
So what does that say about her knowledge of HRT?
Then she talks about giving them other drugs
Doesn’t these other drugs have side effects?
She sounds like so many doctors I have seen
They want women to take other pills for all their symptoms
But they prefer you not to take HRT
If a woman has or had breast cancer
In most cases she can continue or start HRT
So why doesn’t your friend agree with that?
And women should be able to take HRT for their entire life
It’s her business , her body
Her choice
So why are 99.9 percent of doctors do not help women
But have no problem giving women other drugs
She says she weans them off of it because they don’t know why they are still taking HRT
Because they need enough HRT to protect their bones, heart and brain and stop the debilitating symptoms they suffer day and night that’s why they’re on HRT in the first place maybe they forgot but they need to stay on it so they can have a good quality of life.
She talks about low doses
Really?
I felt the same thing after watching this. Kind of disappointing. 😢
This is why there is so much confusion. Do we take HRT or not? 🤷🏻♀️ Different “experts” have their own opinions.
It seems Dr. Leigh understands that women with hormone positive breast cancers (which most are except triple negative) should not be on HRT. Even after surgery, chemo, and radiation, any breast cancer cells left behind in the body, can be fueled to grow again with estrogen. Breast cancer cells have estrogen receptors. Taking tamoxifen or an AI for 5-10 years keeps estrogen levels low and greatly reduces the risk of having a recurrence. This knowledge is a big part of why breast cancer survival rates are high. Nothing to do with fear. It’s a fact. Yes, those low estrogen symptoms are tough, but chemo is so much worse
This video is all about presenting the viewpoints of a breast surgeon. Breast surgeons do not manage menopause. It's essential for you to know the different backgrounds and viewpoints of different professionals. And that's what you saw here.
@@MenopauseTaylorYou write “Breast surgeons do not manage menopause.” Whether you call it “manage” or not, many clearly do get “involved”, like the surgeon you interviewed here. Menopause specialists and breast cancer specialists need to come together, discuss this and find ways to help women that do not go into opposing directions! The fact that she is your friend and you could not make this a topic of a deeper and more comprehensive discussion feels very discouraging to me in terms of getting us to change the status quo. I would’ve loved some discussion of the contents of the “Estrogen Matters” book, for example. You’ve recommended it to us on several occasions, after all. I’d love to know whether you’ve recommended it to this friend?
We need people with courage to also work on the “doctor front”, instead of directing all the “energy” exclusively towards menopausal women. It may sell books, consultations, supplements, “retreats” and “cruises”, but is actually cruel to women in the long term who just encounter “walls” when they try to get help from professionals.