WEBVTT
1
00:00:01.399 --> 00:00:10.150
Straw media. Breast implants are some
of the most studied medical devices ever.
2
00:00:12.310 --> 00:00:16.710
Most major studies say they're safe get
an increasing number of women with implants report
3
00:00:16.750 --> 00:00:20.589
a variety of symptoms that seem to
improve when the implants come out. Is
4
00:00:20.629 --> 00:00:25.260
it true? What's really happening here
today? On our inaugural episode we get
5
00:00:25.300 --> 00:00:27.379
to the bottom of a lot of
myths and hopefully, to a lot of
6
00:00:27.420 --> 00:00:36.770
answers. I'm Dr Elliott Hirsche.
Welcome to blow the surface. Thank you
7
00:00:36.810 --> 00:00:39.810
all for listening. We've been working
on this for a while and I'm excited
8
00:00:39.890 --> 00:00:43.289
to launch our podcast. We're going
to go below the surface on a bunch
9
00:00:43.289 --> 00:00:46.250
of different topics. It's going to
be fun and we'll all learn something to
10
00:00:48.490 --> 00:00:53.439
our first topic is breast in plant
illness. I remember seeing my first breast
11
00:00:53.479 --> 00:00:58.320
implant patient maybe maybe five, six
years ago. She had ruptured implants.
12
00:00:58.600 --> 00:01:02.560
They were diagnosed with an MRI,
but I'd seen a lot of patients with
13
00:01:02.920 --> 00:01:06.269
ruptured implants to that point. What
was different about this patient was that she
14
00:01:06.390 --> 00:01:11.629
complained of skin rashes, memory issues, muscle eggs, fatigues and to me
15
00:01:11.709 --> 00:01:15.069
at that time it didn't really make
a lot of sense. She wanted me
16
00:01:15.109 --> 00:01:19.060
to remove her implants with an on
block cap select me and also want to
17
00:01:19.099 --> 00:01:23.420
breastlift or mastopexy. So I did
it. Surgery was very smooth, no
18
00:01:23.500 --> 00:01:26.939
issues really, just a fantastic result. She's really, really happy. At
19
00:01:26.980 --> 00:01:30.900
her postop appointment said she was going
to put her pictures on the facebook group
20
00:01:32.420 --> 00:01:37.129
and tell all the other people in
the group what we done. I was
21
00:01:37.209 --> 00:01:40.170
I was happy to help her and
the following week it when it came to
22
00:01:40.250 --> 00:01:42.810
clinic, we had three to four
new breast in planells patients, and that's
23
00:01:42.849 --> 00:01:46.849
kind of been the trend. Every
week we have more and more patients.
24
00:01:46.930 --> 00:01:51.560
In two thousand and nineteen alone we
did around a hundred on black caps like
25
00:01:51.680 --> 00:01:55.799
these and imployer moves with the mastopexy, and another fifthy or so without the
26
00:01:55.920 --> 00:01:59.799
lift. I've even developed my own
technique for this procedure and I've submitted this
27
00:02:00.200 --> 00:02:04.670
my original series of patients for a
publication. Since I started taking care of
28
00:02:04.709 --> 00:02:08.990
breast in play illness patients, almost
everybody asks what's really going on. Nobody
29
00:02:09.030 --> 00:02:13.909
really knows, and as I looked
into this further, I learned that there
30
00:02:13.909 --> 00:02:17.340
are a few different theories about what's
actually happening. One idea is that these
31
00:02:17.419 --> 00:02:23.699
patients are susceptible to inflammation and the
implants are promoting some kind of constant inflammatory
32
00:02:23.780 --> 00:02:30.930
response, maybe in relation to to
bacterial presence. This could account for some
33
00:02:30.050 --> 00:02:35.449
of the symptoms the patient experience.
Another theory is that the silicone is creating
34
00:02:35.530 --> 00:02:39.930
some type of low level autoimmune response, which is the Autoimmune Syndrome induced by
35
00:02:39.969 --> 00:02:46.840
adjuvant theory. Okay, so let's
start. My name is you, who
36
00:02:46.960 --> 00:02:52.680
the Shen Faed? I am a
meritus professor in the Tel Aviv University.
37
00:02:52.919 --> 00:02:55.680
This theory, all the Immune Syndrome
reduced by adjument theory was first proposed by
38
00:02:55.680 --> 00:03:00.550
Dr Shown fell back in two thousand
and eleven. So he's in Israel and
39
00:03:00.710 --> 00:03:05.229
we were several thousands of miles apart. He was gracious enough to speak to
40
00:03:05.310 --> 00:03:08.069
us, and so we asked him
what is this theory about? What exactly
41
00:03:08.349 --> 00:03:15.020
is going on here with implants and
the immune system? The silicone is actually
42
00:03:15.060 --> 00:03:21.020
a kind of adjuvant which comes from
the world, the Latin word at Juvary,
43
00:03:21.620 --> 00:03:27.139
to help and actually it's stimulate constantly
the immune system. So the basic
44
00:03:27.250 --> 00:03:35.530
of induction of a pimmune disease is
an aggressive immune system constituitively, as well
45
00:03:35.569 --> 00:03:40.050
as a stimulus from outside which may
stimulate the immune system. But talk you
46
00:03:40.129 --> 00:03:45.000
shown, felt the saying makes sense
and to simplify, he's essentially saying that
47
00:03:45.159 --> 00:03:50.240
the silicone can be stimulating the immune
system. This chronic, low level stimulation
48
00:03:50.560 --> 00:03:55.389
which he calls the other Immune Syndrome
induced by adjuvents or ASI or Asia Syndrome.
49
00:03:55.789 --> 00:04:00.909
It's the manifestation of what the patients
are feeling as Gi is actually a
50
00:04:00.430 --> 00:04:09.830
prete autoimmune disea. It's not a
well defined autoimmune disease and therefore the criticism,
51
00:04:10.020 --> 00:04:15.300
and I was well criticized by many
people, that the age is none
52
00:04:15.379 --> 00:04:23.100
specific. Yes, I mentioned it
is none specific because it's pretty autoimmune disease
53
00:04:23.660 --> 00:04:30.329
and we do have also in Romathology
such a condition, a similar condition called,
54
00:04:30.129 --> 00:04:35.930
you c t the undefined connected tissue. Busy Tuch, your show of
55
00:04:35.970 --> 00:04:40.720
Ausband steadying is for a new attacade
now and he see a lot of patients.
56
00:04:40.759 --> 00:04:44.319
So I asked him one are the
most common symptoms that patients experience?
57
00:04:44.759 --> 00:04:54.149
So the clinical manifestation included in the
past, extreme fatigue, also problems of
58
00:04:54.470 --> 00:05:03.470
cognition, cognitive impairment, as well
as memory defects and diffuse paints Li in
59
00:05:03.629 --> 00:05:11.300
fiber Myalgia, but one of the
most important complaints will severe fatigue. Actually,
60
00:05:11.420 --> 00:05:17.180
what we can see in chronic fatigue
symbol. There were other peculiar manifestation
61
00:05:17.420 --> 00:05:25.129
that we even didn't pay attention to
them. Most of the manifestation will an
62
00:05:25.329 --> 00:05:31.569
act truly subjective, and that's and
when they went to many positions, and
63
00:05:31.889 --> 00:05:39.560
each one of them has a history
of a being examined or interview by nating
64
00:05:39.600 --> 00:05:45.720
physician, all the tests were found
normal and therefore many of them ended with
65
00:05:46.040 --> 00:05:51.910
a psychiatrist prescribing anti anxiety or anti
depressive dogs. That said, that which
66
00:05:51.990 --> 00:05:56.509
didn't help in those cases. As
Dr Shawn fell says, the symptoms are
67
00:05:56.589 --> 00:06:00.750
very non specific. May patients have
told me that they've been to several doctors
68
00:06:00.829 --> 00:06:04.660
and they undergo extensive testing, but
nothing comes back positive and the doctors don't
69
00:06:04.660 --> 00:06:09.819
seem to be able to figure out
what's going on. This is extremely frustrating
70
00:06:09.860 --> 00:06:13.379
and many patients have expressed this to
me. So I asked art you,
71
00:06:13.420 --> 00:06:17.810
shown Feld, what's explanation for such
a disparate set of symptoms? It doesn't
72
00:06:17.810 --> 00:06:24.170
seem like there's any relationship between them. Recently we found the cause, which
73
00:06:24.290 --> 00:06:32.160
is actually this harmonization, or I
would say defect in the autonomic nervous system.
74
00:06:32.680 --> 00:06:39.319
The autonomic nervous system is not under
our will, eat, works or
75
00:06:39.439 --> 00:06:45.279
function automatically, and, for instance, when we eat, the secretion of
76
00:06:45.399 --> 00:06:53.750
the saliva by our salivary Glens is
induced automatically and not by our wheel,
77
00:06:53.870 --> 00:06:59.790
etc. And the receptors for the
autonomic nervous system widespread all of our body,
78
00:07:00.189 --> 00:07:06.060
and this may explain the penalty of
manifestation clinicalm the session that I mentioned
79
00:07:06.579 --> 00:07:15.540
before, from the cognitive impairment to
the memory laws, from the severe fatigue
80
00:07:15.540 --> 00:07:23.970
to the widespread pain from problems of
hair loss or diffuse sweating, from the
81
00:07:24.089 --> 00:07:33.480
irritable bowel or blood from hearing laws, which we have found almost in thirty
82
00:07:33.639 --> 00:07:40.480
three percent of our women, in
which even the hearing glass improved after the
83
00:07:40.600 --> 00:07:46.149
explanation. Are there any specific blood
test for the Asia Syndrome? Yes,
84
00:07:46.350 --> 00:07:50.790
we are now describing it. As
I mentioned, these are the factors in
85
00:07:50.870 --> 00:07:55.790
the blood and because we didn't publish
it yet, I would prefer not to
86
00:07:56.069 --> 00:07:59.100
be felt to them, but very
soon we will publish it. When we
87
00:07:59.139 --> 00:08:05.860
will have all the results on the
one hundred implanted and exploded women. Okay.
88
00:08:05.420 --> 00:08:09.819
Is it possible to know who that
risk for the syndrome before they yes,
89
00:08:11.699 --> 00:08:16.490
we have written a paper. Who
is at risk of silicon implants?
90
00:08:16.930 --> 00:08:20.769
And by and large, as I
mentioned before, it's genetically Porne. We
91
00:08:20.970 --> 00:08:24.970
have a mout there which is a
genetic mark of called Churel A, dlb
92
00:08:26.170 --> 00:08:31.519
one UPLO types and we are also, we submitted the publication, we traplo
93
00:08:31.600 --> 00:08:37.240
types. Are It trees? What
Dr Shown fell the saying is that in
94
00:08:37.399 --> 00:08:41.389
the theory of all the immune syndrome
and deuced by adjuvants, certain patients may
95
00:08:41.429 --> 00:08:46.950
be genetically susceptible to the silicone in
the implant stimulating a low level of immune
96
00:08:46.950 --> 00:08:52.070
response. It's actually reminds me of
something that happened to me a while ago.
97
00:08:52.149 --> 00:08:54.389
A buddy of mine got the flu, which you know happens from time
98
00:08:54.429 --> 00:08:58.700
and time, but he just felt
really, really loudy. Afterwards. He
99
00:08:58.740 --> 00:09:01.700
end up going to his doctor doctor, died some tests and found out that,
100
00:09:01.500 --> 00:09:05.139
believe or not, he was a
diabetic. The flu had affected his
101
00:09:05.259 --> 00:09:11.649
pancreas and impair its ability to produce
insulin. which actually this has been described
102
00:09:11.649 --> 00:09:16.049
before. It's very rare, but
it's well described that certain people who may
103
00:09:16.090 --> 00:09:20.049
be genetically susceptible can become a diabetic
after they get the flu. So the
104
00:09:20.129 --> 00:09:24.159
idea that we may have certain genetic
factors that affect our response to stimuli.
105
00:09:24.399 --> 00:09:28.679
It's been around for a long time. Medicine and hopefully additional research will clear
106
00:09:28.720 --> 00:09:33.440
up this relationship. It give us
greater insight into the relationship between the breast
107
00:09:33.480 --> 00:09:39.830
implants in our immune system. So
I hope that by explaining these it will
108
00:09:39.950 --> 00:09:48.590
be more clear how a silicon implant
of if fallen substance which irritates stimulate the
109
00:09:48.629 --> 00:09:56.220
immune system can cause these be not
bisarred. Finally, of manifestation why the
110
00:09:56.980 --> 00:10:03.659
explanation may help them. Well.
Thank you for your time and dedication,
111
00:10:03.700 --> 00:10:07.649
Dr Shaun fell. We all look
forward to seeing the results of your research
112
00:10:07.769 --> 00:10:09.970
in the next few months. You
are most welcome. Bye, bye.
113
00:10:11.129 --> 00:10:18.049
Thank you. In the next episode
will sit down with two of our patients
114
00:10:18.090 --> 00:10:20.370
and hear their breast implay Ellis journeys. Thanks so much for listening. We
115
00:10:20.480 --> 00:10:24.360
hope you're enjoying the show so far
and make sure to rate it review it
116
00:10:24.399 --> 00:10:26.159
quick subscribe really means a lot.
We'll talk to you soon
1
00:00:01.399 --> 00:00:10.150
Straw media. Breast implants are some
of the most studied medical devices ever.
2
00:00:12.310 --> 00:00:16.710
Most major studies say they're safe get
an increasing number of women with implants report
3
00:00:16.750 --> 00:00:20.589
a variety of symptoms that seem to
improve when the implants come out. Is
4
00:00:20.629 --> 00:00:25.260
it true? What's really happening here
today? On our inaugural episode we get
5
00:00:25.300 --> 00:00:27.379
to the bottom of a lot of
myths and hopefully, to a lot of
6
00:00:27.420 --> 00:00:36.770
answers. I'm Dr Elliott Hirsche.
Welcome to blow the surface. Thank you
7
00:00:36.810 --> 00:00:39.810
all for listening. We've been working
on this for a while and I'm excited
8
00:00:39.890 --> 00:00:43.289
to launch our podcast. We're going
to go below the surface on a bunch
9
00:00:43.289 --> 00:00:46.250
of different topics. It's going to
be fun and we'll all learn something to
10
00:00:48.490 --> 00:00:53.439
our first topic is breast in plant
illness. I remember seeing my first breast
11
00:00:53.479 --> 00:00:58.320
implant patient maybe maybe five, six
years ago. She had ruptured implants.
12
00:00:58.600 --> 00:01:02.560
They were diagnosed with an MRI,
but I'd seen a lot of patients with
13
00:01:02.920 --> 00:01:06.269
ruptured implants to that point. What
was different about this patient was that she
14
00:01:06.390 --> 00:01:11.629
complained of skin rashes, memory issues, muscle eggs, fatigues and to me
15
00:01:11.709 --> 00:01:15.069
at that time it didn't really make
a lot of sense. She wanted me
16
00:01:15.109 --> 00:01:19.060
to remove her implants with an on
block cap select me and also want to
17
00:01:19.099 --> 00:01:23.420
breastlift or mastopexy. So I did
it. Surgery was very smooth, no
18
00:01:23.500 --> 00:01:26.939
issues really, just a fantastic result. She's really, really happy. At
19
00:01:26.980 --> 00:01:30.900
her postop appointment said she was going
to put her pictures on the facebook group
20
00:01:32.420 --> 00:01:37.129
and tell all the other people in
the group what we done. I was
21
00:01:37.209 --> 00:01:40.170
I was happy to help her and
the following week it when it came to
22
00:01:40.250 --> 00:01:42.810
clinic, we had three to four
new breast in planells patients, and that's
23
00:01:42.849 --> 00:01:46.849
kind of been the trend. Every
week we have more and more patients.
24
00:01:46.930 --> 00:01:51.560
In two thousand and nineteen alone we
did around a hundred on black caps like
25
00:01:51.680 --> 00:01:55.799
these and imployer moves with the mastopexy, and another fifthy or so without the
26
00:01:55.920 --> 00:01:59.799
lift. I've even developed my own
technique for this procedure and I've submitted this
27
00:02:00.200 --> 00:02:04.670
my original series of patients for a
publication. Since I started taking care of
28
00:02:04.709 --> 00:02:08.990
breast in play illness patients, almost
everybody asks what's really going on. Nobody
29
00:02:09.030 --> 00:02:13.909
really knows, and as I looked
into this further, I learned that there
30
00:02:13.909 --> 00:02:17.340
are a few different theories about what's
actually happening. One idea is that these
31
00:02:17.419 --> 00:02:23.699
patients are susceptible to inflammation and the
implants are promoting some kind of constant inflammatory
32
00:02:23.780 --> 00:02:30.930
response, maybe in relation to to
bacterial presence. This could account for some
33
00:02:30.050 --> 00:02:35.449
of the symptoms the patient experience.
Another theory is that the silicone is creating
34
00:02:35.530 --> 00:02:39.930
some type of low level autoimmune response, which is the Autoimmune Syndrome induced by
35
00:02:39.969 --> 00:02:46.840
adjuvant theory. Okay, so let's
start. My name is you, who
36
00:02:46.960 --> 00:02:52.680
the Shen Faed? I am a
meritus professor in the Tel Aviv University.
37
00:02:52.919 --> 00:02:55.680
This theory, all the Immune Syndrome
reduced by adjument theory was first proposed by
38
00:02:55.680 --> 00:03:00.550
Dr Shown fell back in two thousand
and eleven. So he's in Israel and
39
00:03:00.710 --> 00:03:05.229
we were several thousands of miles apart. He was gracious enough to speak to
40
00:03:05.310 --> 00:03:08.069
us, and so we asked him
what is this theory about? What exactly
41
00:03:08.349 --> 00:03:15.020
is going on here with implants and
the immune system? The silicone is actually
42
00:03:15.060 --> 00:03:21.020
a kind of adjuvant which comes from
the world, the Latin word at Juvary,
43
00:03:21.620 --> 00:03:27.139
to help and actually it's stimulate constantly
the immune system. So the basic
44
00:03:27.250 --> 00:03:35.530
of induction of a pimmune disease is
an aggressive immune system constituitively, as well
45
00:03:35.569 --> 00:03:40.050
as a stimulus from outside which may
stimulate the immune system. But talk you
46
00:03:40.129 --> 00:03:45.000
shown, felt the saying makes sense
and to simplify, he's essentially saying that
47
00:03:45.159 --> 00:03:50.240
the silicone can be stimulating the immune
system. This chronic, low level stimulation
48
00:03:50.560 --> 00:03:55.389
which he calls the other Immune Syndrome
induced by adjuvents or ASI or Asia Syndrome.
49
00:03:55.789 --> 00:04:00.909
It's the manifestation of what the patients
are feeling as Gi is actually a
50
00:04:00.430 --> 00:04:09.830
prete autoimmune disea. It's not a
well defined autoimmune disease and therefore the criticism,
51
00:04:10.020 --> 00:04:15.300
and I was well criticized by many
people, that the age is none
52
00:04:15.379 --> 00:04:23.100
specific. Yes, I mentioned it
is none specific because it's pretty autoimmune disease
53
00:04:23.660 --> 00:04:30.329
and we do have also in Romathology
such a condition, a similar condition called,
54
00:04:30.129 --> 00:04:35.930
you c t the undefined connected tissue. Busy Tuch, your show of
55
00:04:35.970 --> 00:04:40.720
Ausband steadying is for a new attacade
now and he see a lot of patients.
56
00:04:40.759 --> 00:04:44.319
So I asked him one are the
most common symptoms that patients experience?
57
00:04:44.759 --> 00:04:54.149
So the clinical manifestation included in the
past, extreme fatigue, also problems of
58
00:04:54.470 --> 00:05:03.470
cognition, cognitive impairment, as well
as memory defects and diffuse paints Li in
59
00:05:03.629 --> 00:05:11.300
fiber Myalgia, but one of the
most important complaints will severe fatigue. Actually,
60
00:05:11.420 --> 00:05:17.180
what we can see in chronic fatigue
symbol. There were other peculiar manifestation
61
00:05:17.420 --> 00:05:25.129
that we even didn't pay attention to
them. Most of the manifestation will an
62
00:05:25.329 --> 00:05:31.569
act truly subjective, and that's and
when they went to many positions, and
63
00:05:31.889 --> 00:05:39.560
each one of them has a history
of a being examined or interview by nating
64
00:05:39.600 --> 00:05:45.720
physician, all the tests were found
normal and therefore many of them ended with
65
00:05:46.040 --> 00:05:51.910
a psychiatrist prescribing anti anxiety or anti
depressive dogs. That said, that which
66
00:05:51.990 --> 00:05:56.509
didn't help in those cases. As
Dr Shawn fell says, the symptoms are
67
00:05:56.589 --> 00:06:00.750
very non specific. May patients have
told me that they've been to several doctors
68
00:06:00.829 --> 00:06:04.660
and they undergo extensive testing, but
nothing comes back positive and the doctors don't
69
00:06:04.660 --> 00:06:09.819
seem to be able to figure out
what's going on. This is extremely frustrating
70
00:06:09.860 --> 00:06:13.379
and many patients have expressed this to
me. So I asked art you,
71
00:06:13.420 --> 00:06:17.810
shown Feld, what's explanation for such
a disparate set of symptoms? It doesn't
72
00:06:17.810 --> 00:06:24.170
seem like there's any relationship between them. Recently we found the cause, which
73
00:06:24.290 --> 00:06:32.160
is actually this harmonization, or I
would say defect in the autonomic nervous system.
74
00:06:32.680 --> 00:06:39.319
The autonomic nervous system is not under
our will, eat, works or
75
00:06:39.439 --> 00:06:45.279
function automatically, and, for instance, when we eat, the secretion of
76
00:06:45.399 --> 00:06:53.750
the saliva by our salivary Glens is
induced automatically and not by our wheel,
77
00:06:53.870 --> 00:06:59.790
etc. And the receptors for the
autonomic nervous system widespread all of our body,
78
00:07:00.189 --> 00:07:06.060
and this may explain the penalty of
manifestation clinicalm the session that I mentioned
79
00:07:06.579 --> 00:07:15.540
before, from the cognitive impairment to
the memory laws, from the severe fatigue
80
00:07:15.540 --> 00:07:23.970
to the widespread pain from problems of
hair loss or diffuse sweating, from the
81
00:07:24.089 --> 00:07:33.480
irritable bowel or blood from hearing laws, which we have found almost in thirty
82
00:07:33.639 --> 00:07:40.480
three percent of our women, in
which even the hearing glass improved after the
83
00:07:40.600 --> 00:07:46.149
explanation. Are there any specific blood
test for the Asia Syndrome? Yes,
84
00:07:46.350 --> 00:07:50.790
we are now describing it. As
I mentioned, these are the factors in
85
00:07:50.870 --> 00:07:55.790
the blood and because we didn't publish
it yet, I would prefer not to
86
00:07:56.069 --> 00:07:59.100
be felt to them, but very
soon we will publish it. When we
87
00:07:59.139 --> 00:08:05.860
will have all the results on the
one hundred implanted and exploded women. Okay.
88
00:08:05.420 --> 00:08:09.819
Is it possible to know who that
risk for the syndrome before they yes,
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we have written a paper. Who
is at risk of silicon implants?
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And by and large, as I
mentioned before, it's genetically Porne. We
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have a mout there which is a
genetic mark of called Churel A, dlb
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one UPLO types and we are also, we submitted the publication, we traplo
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types. Are It trees? What
Dr Shown fell the saying is that in
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the theory of all the immune syndrome
and deuced by adjuvants, certain patients may
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be genetically susceptible to the silicone in
the implant stimulating a low level of immune
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response. It's actually reminds me of
something that happened to me a while ago.
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A buddy of mine got the flu, which you know happens from time
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and time, but he just felt
really, really loudy. Afterwards. He
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end up going to his doctor doctor, died some tests and found out that,
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believe or not, he was a
diabetic. The flu had affected his
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pancreas and impair its ability to produce
insulin. which actually this has been described
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before. It's very rare, but
it's well described that certain people who may
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be genetically susceptible can become a diabetic
after they get the flu. So the
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idea that we may have certain genetic
factors that affect our response to stimuli.
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It's been around for a long time. Medicine and hopefully additional research will clear
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up this relationship. It give us
greater insight into the relationship between the breast
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implants in our immune system. So
I hope that by explaining these it will
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be more clear how a silicon implant
of if fallen substance which irritates stimulate the
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immune system can cause these be not
bisarred. Finally, of manifestation why the
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explanation may help them. Well.
Thank you for your time and dedication,
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Dr Shaun fell. We all look
forward to seeing the results of your research
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in the next few months. You
are most welcome. Bye, bye.
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Thank you. In the next episode
will sit down with two of our patients
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and hear their breast implay Ellis journeys. Thanks so much for listening. We
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hope you're enjoying the show so far
and make sure to rate it review it
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quick subscribe really means a lot.
We'll talk to you soon
