Pap Smears

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GABRIELLE CRICHLOW: Well Hello.
Hello, everyone. Hello. Hello,
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everyone. It's your girl,
Gabrielle. Welcome to a brand
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new episode of Hot Topics. If
you are new to the podcast, or
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if you are returning to the
show, I'm just going to tell you
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what this show is about.
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So this is the show where I like
to bring guests on. To talk
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about a lot of the quote-unquote
hot topics, popular topics that
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are out there. Topics that tend
to be in education, mental
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health, physical health,
science, anything like that, all
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for the purpose of education and
all for the purpose of teaching
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you something.
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And today is no different. I am
looking forward to this. Show,
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well, for this episode, I should
say, because I'm looking forward
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to this particular topic. I'm
curious to see where this is
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going to go.
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So the topic of this episode is
PAP Smears. That's right.
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Ladies, if you're watching,
listening, or guys, if you want
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to learn more about women's
health, this is, while we are in
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March, this is Women's History
Month.
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So what an appropriate time to
talk about PAP Smears and what
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all that is about. So I have a
guest who is going to help me
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with this topic. She is actually
a returning guest and her name
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is Dr. Jasmine Ebbolt. And I'm
just going to tell you briefly
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about who she is. So Dr.
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Jasmine Ebbolt, she is a GYN
oncology. Gynecology excuse me
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gynecology fellow as she is on a
mission to shatter medical
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gatekeeping one video at a time
beautiful beautiful beautiful
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all right so without further ado
i'm going to go ahead and bring
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dr ebolt to the stage hi there
how are you doing today good how
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are you good good good all right
so We are here in Women's
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History Month.
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You are back on the hot seats.
We are here to talk about PAP
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Smears. So let's jump right into
it. So what is it? What is it?
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DR. JASMINE EBOTT: Yeah, first
off, I want to say, sorry, I'm a
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tad under the weather, but going
to push through. And so if I
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have to pause and cough, I'll
mute myself. So we don't have
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that. On the podcast too much.
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But I wanted to first off and
say that I'm a GYN oncologist,
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which is really confusing, I
think. And we don't talk about
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it enough. So when you would see
me, for the most part, is if you
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developed cancer of one of the
female organs, or anyone who has
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female organs, but identifies
maybe differently. And so you
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won't hopefully have to see me.
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But if you do see me, then that
means that we're kind of
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probably talking about some type
of pre-cancer lesion or cancer
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lesion. And then I also just
wanted to clarify, as a fellow,
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that means that I'm at the end
of my training. And it can be
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kind of confusing because you
hear about medical students and
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then residents and then fellows.
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And fellows kind of like the
last step of apprenticeship
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before you're let off to
practice on your own. And so
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that's sort of an aside. But
what is a PAP smear? So a PAP
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smear, you'll also hear us talk
about HPV screening. It's
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basically a way for us to look
at the cervix cells.
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So all of our body has cells all
over. We're just completely
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composed of millions, billions
of cells. And the cervix is just
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the bottom part of the uterus.
And I've been meaning to like
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buy myself a diagram for. My
future podcasts and things like
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that, but the bottom part of the
uterus. So it's not really
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separate.
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People are like, oh, where's my
cervix? Like it's the uterus.
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And then the bottom part is the
cervix. And you can look at a
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diagram on Google. And we will
look at it and we will take
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cells from that and look at
those. Well, I wouldn't look at
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them under the microscope, a
pathologist or a
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cytopathologist.
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So two separate doctors are
taking care of you, one of whom
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you'll never meet. And either me
or OB-GYN or a family planning
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doctor or sorry, a family
practice doctor are taking care
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of you. So you'll get your PAP
smear. And then someone will
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look at those cells under the
microscope and tell you if it's
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normal, abnormal, or cancer.
Does that make sense?
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GABRIELLE CRICHLOW: Yes, thank
you. Thank you so much for that.
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So now, how does it work? How
does it get us through the
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process?
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DR. JASMINE EBOTT: So you would
come to, like I said, many
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different doctors can perform a
PAP smear, not just an OBGYN. So
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you would go to whoever your
doctor is doing your well-women
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checkups, and they will place a
speculum. And so I think people
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get really confused about if
they've had a speculum.
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A speculum is a metal device
that goes into the vagina and
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opens up so that you can see the
cervix. But just because you
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have a speculum placed doesn't
mean that you are having a PAP
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smear. And I think that women
who, I'll see them for their...
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Their appointments and they will
tell me that they've had a PAP
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smear and they were in the ed
and they got a PAP smear i'm
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like you did not get a PAP smear
like you got a speculum placed
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in your vagina during your ed
visit but there is no way that a
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or sorry an er i use ed as
emergency department but the er
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i think is what most people
think of it still you are not
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getting a PAP smear in the
emergency room or your urgent
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care because there's no way that
those doctors are going to have
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any way to follow up on it.
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So just because someone uses a
speculum to look at your cervix
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does not mean that you've got a
PAP smear. So you get a speculum
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placed and then there's these
special brushes that we use that
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we brush along the cervix that I
tell people it's literally like
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a donut. It looks like a donut.
And we brush on the outside of
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the donut.
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And if you can think of a donut
hole on the inside of the donut
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hole too, so that we can get all
the cells on the outside and the
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inside of the donut. And that is
a PAP smear. And if you didn't
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get brushed, if your cervix did
not get brushed with those
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brushes that we have in the
office, then you did not get a
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PAP smear.
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GABRIELLE CRICHLOW: So it's, so
how... How often are, well, how
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do I phrase it? Is it, should
women be required to get it? Or
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is it, how often, let me put it
to you this way. Yeah. How often
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should women get it, if at all?
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DR. JASMINE EBOTT: Yeah, that's
a great question. You should
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start at the age of 21. And you
should have it every three years
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until you're 30. And when you're
30. We start screening for HPV
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and then it's every five years
as long as it's normal up until
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the age of 61.
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And I'm going to actually throw
a question back at you,
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Gabrielle, just because I'm
curious. Did you feel like you
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understood that difference when
you were in your 20s, the
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difference between like getting
a speculum exam and a PAP smear,
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even though you're very highly
educated?
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GABRIELLE CRICHLOW: I think.
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I think I've had different
experiences when I had my PAP
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Smears. I guess mainly because I
went to different doctors, but
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some doctors used, sorry,
something just popped up here. I
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just wanted to show that if you
don't hit the smear, you don't
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get sick.
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And see you yeah well if you
could elaborate on that tails
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what that means but yes so i
went to pretty much different
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doctors but like some doctors
used us well i think the one
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that the male doctor went to use
the speculum but he used the
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speculum and then the female one
not use it they just jabbed it
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in there but but in terms of the
difference between the two I
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guess I I never experienced
something else other than a PAP
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smear yeah I don't know if that
answers your question but yeah
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that's true different
experiences like some use Yeah.
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DR. JASMINE EBOTT: Okay, that's
helpful to know.
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But yeah, so I think there's
also confusion of whether or
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not, like, when you start. So
again, it's age 21. And some
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people will say, well, if you
haven't been sexually active,
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like maybe you, excuse me, I'm
going to mute for a second.
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GABRIELLE CRICHLOW: It's okay.
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DR. JASMINE EBOTT: Maybe you
shouldn't get it. But I think
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that the guidelines are there
for a reason. We're trying not
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to miss people. And so just
blanket statement is that at the
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age of 21, that's when you
should start. And it's every
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three years until you're 30. And
then it moves to every five.
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GABRIELLE CRICHLOW: That's if
you're not sexually active.
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DR. JASMINE EBOTT: That's
everyone.
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GABRIELLE CRICHLOW: Everyone.
Period. Okay.
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DR. JASMINE EBOTT: Everyone
starting at age 21. And then at
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age 30, moving to five years.
And the reason why we moved to
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five years is because starting
at age 30, we start to screen
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for HPV. So between 21 and 30
years old, we're just looking at
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the cells under the microscope.
We're not looking for that HPV
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virus because we know that the
women who are between 21 and 30,
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that they are healthy enough to
clear.
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The virus and that they should
be able to clear it. And so
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we're not looking for it because
we think that basically you're
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going to clear it with your
healthy immune system. And then
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starting at 30, we know that
people's immune systems just
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aren't as robust. And so we
start screening for HPV and we
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see what the HPV status is.
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And so that's the reason why. So
if someone is negative for HPV
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at 30. Then they get to be on
the five-year training because
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we know that likely they won't
get cervical cancer or
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pre-cancer.
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GABRIELLE CRICHLOW: So what
about the visits every six
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months to a year to a
gynecologist? What is that?
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Because I thought that was for
PAP Smears, but is that
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something? No.
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DR. JASMINE EBOTT: Yeah. So we
save still to go every year
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because like any other like.
Organ system. Like it's good for
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someone to take a look. There's
the outside lips, the vulva, the
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vagina itself. And then also
just checking to make sure that
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we're not missing anything. So
they're doing, that's why I was
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asking you if you knew, kind of
felt like you knew the
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difference.
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Because what I notice a lot is
that women don't understand that
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if they're going, if you're
going every year and you're
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doing a good job of going every
year, you might get a speculum
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placed. And someone might be
just taking a look at your
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cervix, making sure it visually
looks healthy, but they're not
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doing a PAP smear.
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So I see women all the time in
my office, and I place the
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speculum, I take a look at their
cervix, but I'm not doing a PAP
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smear. And every time I do that,
I always say that I'm not doing
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a PAP smear so that they're not
confused. But I know that not
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all doctors do that.
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GABRIELLE CRICHLOW: Oh, so
basically the PAP smear is...
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The... Speculum in the vagina,
but then there's a brush you
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scrape across the cervix. So
when you're scraping across the
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cervix, I'm guessing you're
scraping off some of the cells.
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Correct. And then you pull it
out. Okay.
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DR. JASMINE EBOTT: Yeah. So if
you're going every year, like
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you should, you still might get
a speculum exam depending on
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your provider's practice, but
that doesn't mean that they're
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doing a PAP smear and that's
okay. You don't need one every
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year. But... People will take a
look just to make sure things
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look healthy. Just like someone
takes a look in your mouth or
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listens to your heart and your
lungs.
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Like there are all these cells
that can go rogue and the
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screening tests are not perfect,
right? There are screening tests
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for a reason, like they can miss
things. So like by me taking a
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look once a year, if I see
something that looks abnormal,
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that will prompt me to do a
test. And so I think it's
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important to know the
difference.
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GABRIELLE CRICHLOW: Does that
make sense? I think so.
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DR. JASMINE EBOTT: Sorry, I
can't hear it explained.
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GABRIELLE CRICHLOW: Yeah, it can
be confusing.
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So PAP Smears only test for HPV.
Is that right?
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DR. JASMINE EBOTT: And cervical
cancer.
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GABRIELLE CRICHLOW: Hpv and
cervical cancer. Okay, and why
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those two in particular that the
PAP smear focus on? Like there's
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nothing else? There's no other?
That's important for a test?
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DR. JASMINE EBOTT: It's just
what's been developed. It's kind
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of like what we have, that's
what's been developed. So there
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were just, it's not that someone
doesn't want it to test for
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something else. It was, it's
kind of like.
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A colonoscopy it was just
developed for screening the
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colon so it's it's a screening
test specifically for that and
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that's what we have it's other
things are important i guess
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it's just that's what we have
and that's what it was designed
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for.
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GABRIELLE CRICHLOW: Yeah so just
to reiterate so basically you
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you should do the past well well
you said 21 why why 21 why not
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before 21.
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DR. JASMINE EBOTT: Yeah, so they
found even more so when you're
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younger that your immune system
is really, really robust. And so
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your ability to clear any HPV,
excuse me, abnormal cells is
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just really high. And we found
that we were just like causing
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young women more procedures than
they needed when you're starting
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that young.
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And it's a pretty invasive test.
Some people aren't even sexually
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active by that time. And so they
moved it to 21 to kind of cut
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down on the invasiveness that
is, you know, being caused to
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young women.
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GABRIELLE CRICHLOW: So basically
you're saying every, so starting
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from 21, every three years up to
30, and then after 30 is every
238
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five years.
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DR. JASMINE EBOTT: Correct.
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GABRIELLE CRICHLOW: So then why
stop at 30?
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DR. JASMINE EBOTT: Up until the
age of 65, sorry.
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GABRIELLE CRICHLOW: So. Okay,
every three years up to 30 years
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old, and then every five years
after that until 65.
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DR. JASMINE EBOTT: Yeah, as long
as it's been normal.
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GABRIELLE CRICHLOW: So let's
talk about when it's not normal.
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So someone who has HPV, I guess
we'll talk about it separately.
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So someone has, you discover
someone has HPV, which I
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probably should say it, it
stands for it's human.
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Human papillomavirus, okay. So,
okay, so let's talk about worst
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case. You discover your patient
has HPV. Where do you go from
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there?
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DR. JASMINE EBOTT: Yeah, so
that's, I knew this was going to
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come up. It's a really
complicated question because we
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stratify everything by age. So I
will probably steer us away from
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getting into like the exact
nitty gritty because for you and
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I in our 30s, 30s. It'll be
different than for someone who's
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in their 20s. It'll be different
for someone who's in their 50s.
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And so we actually can't even
like keep it in our brains.
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We've developed an app that
almost all GYN doctors utilize
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to take us through these
algorithms. And I even actually
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pull it up and show the patient
with me and punch in all of
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their information and show them
how we get to the decision
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making process.
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But I can give you sort of broad
strokes. I think is probably the
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best way instead of saying, you
know, if someone has HPV. So one
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of the things that I will say
is, let's say someone has the
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form of pre-cancer that is right
before cancer. So we call that
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CIN, CIN1, CIN2, and CIN3. If
someone has CIN3, they either
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need a leap, which is...
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Basically an excisional
procedure of their cervix or a
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cone, same thing. And if they
really don't want to do that,
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then I need to repeat a PAP
smear in six months. That's
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probably the better thing to
talk about is like the very step
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before cancer, because that
makes everyone sort of fall into
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the same category.
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I know it can be quite
confusing, but HPV doesn't
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necessarily mean that you're
going to have a next step other
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than getting a PAP smear
repeated in a year, depending on
279
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your age.
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GABRIELLE CRICHLOW: So I guess I
do want to try to pick at that a
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little bit more.
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So, so you're saying there's
levels. So you find out someone
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has HPV, you retest it just to
double check. And then you the
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results are consistent, they do
have it. Are you saying there's
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another step before cancer?
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00:19:52,768 --> 00:19:55,590
DR. JASMINE EBOTT: So I'm
saying, maybe this is the better
287
00:19:55,610 --> 00:20:00,172
way to say it. So HPV is the
virus, but the virus can be
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around and not cause any
problems. So maybe I'll
289
00:20:03,854 --> 00:20:09,239
backtrack. So You can think
about it like having the flu and
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not being symptomatic.
291
00:20:11,381 --> 00:20:16,025
So let's say you got COVID or
the flu, but you feel fine,
292
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right? You took that test and
you have no issues. So that's,
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you can think of HPV like that.
So you can have HPV and you can
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have normal cervical cells. So
meaning that you are carrying it
295
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and it's not like bothering you
at all.
296
00:20:35,166 --> 00:20:39,488
Ali Wong does this like really
funny reenactment about like how
297
00:20:39,608 --> 00:20:43,730
everyone has HPV. So just
because you have HPV doesn't
298
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mean you actually really have a
problem other than that you have
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it.
300
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The problem is is when the cells
become abnormal because of the
301
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virus and so that's why i was
saying it doesn't exactly matter
302
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if you have it or not it matters
if and that's why we stopped
303
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testing those young girls
because so many people have it
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but when you're young and
healthy you get the flu you can
305
00:21:08,269 --> 00:21:12,353
clear the flu but if you're 68
and you get the flu like you
306
00:21:12,393 --> 00:21:15,235
might be on a ventilator so it's
kind of like that same concept
307
00:21:15,275 --> 00:21:20,034
you have hpv it might not
matter, but you get the older we
308
00:21:20,094 --> 00:21:23,037
get, you get HPV and it might
matter a little bit more.
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00:21:23,197 --> 00:21:28,421
Or if you have HPV and it is a
really like virulent, meaning
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really strong stream, then it
might matter. It might cause
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cancer. And so that's sort of
probably where I should have
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started. Does that make more
sense?
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GABRIELLE CRICHLOW: Right. So
just even though you detect HPV,
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it doesn't necessarily mean
you're showing symptoms. You
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00:21:45,935 --> 00:21:54,072
might just. Have it. Yeah. So
now, so is there any extra
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00:21:54,192 --> 00:22:00,415
testing? So even someone is not
showing symptoms, do you test
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00:22:00,495 --> 00:22:03,437
more often or is the same
schedule?
318
00:22:04,237 --> 00:22:06,919
DR. JASMINE EBOTT: It just all
depends on what those cells look
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like under the microscope for
the cervix. So you often end up
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needing some extra testing.
Usually maybe every year. But
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00:22:19,425 --> 00:22:26,008
again, how it works and what it
means for you is dependent on
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00:22:26,028 --> 00:22:30,630
your age. And so sometimes it
means that you get a PAP smear
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00:22:30,670 --> 00:22:33,271
again in a year. Sometimes,
depending on your age, it means
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that you get a colposcopy.
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00:22:37,232 --> 00:22:42,134
And so it sort of is very much
dependent on your age, the
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00:22:42,174 --> 00:22:46,116
virus, and what your last PAP
smear was even. So it gets
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00:22:46,116 --> 00:22:50,059
caught. Quite, quite, almost
like very much precision
328
00:22:50,139 --> 00:22:54,142
medicine, if you would say, that
each person sort of ends up
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having something different.
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GABRIELLE CRICHLOW: So you
observe the cells under them. So
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depending on the age, you
observe the cells under the
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microscope. And so now let's say
the person, you detect that the
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person has cervical cancer.
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00:23:11,314 --> 00:23:12,275
DR. JASMINE EBOTT: Or
pre-cancer.
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00:23:12,675 --> 00:23:14,796
GABRIELLE CRICHLOW: Or
pre-cancer. Yeah. What happens
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00:23:14,836 --> 00:23:19,858
then? Is that when you start to
refer them for a procedure?
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00:23:20,538 --> 00:23:23,799
DR. JASMINE EBOTT: Yeah, that's
so I think that's probably what
338
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I was getting at is like the
pre-cancer is probably more than
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00:23:27,160 --> 00:23:32,441
the broadness of if then
narrows. And so you have
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00:23:32,541 --> 00:23:38,843
pre-cancer, meaning CIN 2 or 3.
And I keep saying CIN, but it's
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cervical intraepithelial
neoplasia.
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00:23:41,423 --> 00:23:46,105
And that's a really mouthful. To
say pre-cancer of the cervix.
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And that is the step before
cancer. So you can be one, which
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is not so bad, two, which is in
the middle, and three, which is
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like the step before cancer.
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00:23:58,950 --> 00:24:05,133
And two and three are the ones
that need some really, really
347
00:24:05,213 --> 00:24:10,875
close follow-up. That means that
if you have CIN3, like the step
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00:24:10,935 --> 00:24:14,857
before cancer, we probably need
to do a cone or a leap, which
349
00:24:14,917 --> 00:24:17,137
means taking off some of the top
of your cervix.
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00:24:19,698 --> 00:24:21,159
GABRIELLE CRICHLOW: Taking off
some of the cervix?
351
00:24:22,819 --> 00:24:24,800
As in like cutting down the
skin?
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00:24:25,920 --> 00:24:29,321
DR. JASMINE EBOTT: Yeah, cutting
the donut. So if this was the
353
00:24:29,381 --> 00:24:34,583
donut, I'm trying to make a, we
would literally cut some of the
354
00:24:34,623 --> 00:24:40,184
donut off. So it cuts through
the top part of the cervix. And
355
00:24:40,184 --> 00:24:44,887
the service kind of reheals and
can be do just fine afterwards.
356
00:24:46,828 --> 00:24:49,009
GABRIELLE CRICHLOW: So then
after that, is it safe to say
357
00:24:49,109 --> 00:24:51,710
the person is in remission,
cancer free?
358
00:24:52,671 --> 00:24:56,493
DR. JASMINE EBOTT: No. So then
you get a PAP smear again in six
359
00:24:56,693 --> 00:25:02,056
months to check to see where
you're at. And then if that
360
00:25:02,136 --> 00:25:07,119
one's OK, usually it's like
another six months. And then if
361
00:25:07,139 --> 00:25:10,962
that one's OK, then you get
moved out to like a year. And
362
00:25:10,962 --> 00:25:14,087
there's obviously even more
if-then factors based off of
363
00:25:14,227 --> 00:25:17,331
each result of the PAP smear
that you have after that
364
00:25:17,392 --> 00:25:18,293
procedure. Oh, okay.
365
00:25:18,293 --> 00:25:23,020
GABRIELLE CRICHLOW: So there's a
lot that goes into.
366
00:25:24,040 --> 00:25:26,542
DR. JASMINE EBOTT: Past years
there's a lot that goes into it
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00:25:27,003 --> 00:25:31,907
i think like what i have seen
way too often is women just like
368
00:25:31,967 --> 00:25:35,389
ignoring the fact that they need
one and like as long as you're
369
00:25:35,510 --> 00:25:40,173
plugged into someone who is
staying up to date with the
370
00:25:40,193 --> 00:25:43,536
guidelines that's probably the
most important thing so that you
371
00:25:43,716 --> 00:25:47,459
like people don't have to
memorize what you know i don't
372
00:25:47,499 --> 00:25:51,262
even have it all memorized
because it's so nuanced but the
373
00:25:51,342 --> 00:25:56,149
most important thing is knowing
that you need to stay on top of
374
00:25:56,169 --> 00:26:02,631
them so when you know when they
when you when they say go to
375
00:26:02,651 --> 00:26:08,192
your gynecologist every six
months to a year yes in my mind
376
00:26:08,272 --> 00:26:12,073
it was always a PAP smear but
now you're saying that may not
377
00:26:12,113 --> 00:26:16,475
necessarily be it might just be
other things yeah so like a
378
00:26:16,515 --> 00:26:23,410
mammogram is coming up for us at
age 40 And also, like a
379
00:26:23,430 --> 00:26:25,831
gynecologist, sometimes people
don't have a primary care
380
00:26:25,891 --> 00:26:28,713
doctor, but it's easier to get
into a gynecologist.
381
00:26:28,994 --> 00:26:32,736
So some of them feel comfortable
making sure that like your
382
00:26:32,896 --> 00:26:35,678
cholesterol is fine and that
your lipids are fine.
383
00:26:37,219 --> 00:26:39,181
Some of them will even do
diabetes screening.
384
00:26:40,742 --> 00:26:44,124
So and then if there's not that
much, you can talk about your
385
00:26:44,184 --> 00:26:44,865
periods.
386
00:26:46,406 --> 00:26:49,328
There's a whole host of other
things. I mean, people get.
387
00:26:49,748 --> 00:26:53,409
Itching down in the vulva area
so it kind of just allows you to
388
00:26:53,429 --> 00:26:56,330
have a quick check-in and
typically we say every year i
389
00:26:56,330 --> 00:26:59,091
would say six months is a little
bit more frequently unless you
390
00:26:59,151 --> 00:27:04,932
have some type of you know true
issue going on but yeah every
391
00:27:05,432 --> 00:27:08,493
every year would be sufficient
and then if you need more
392
00:27:08,553 --> 00:27:16,676
frequent visits they'll let you
know so are there so are there
393
00:27:16,836 --> 00:27:23,456
certain type of patients that
should get a PAP smear like is
394
00:27:23,556 --> 00:27:31,202
it certain demographics certain
people like is there anyone that
395
00:27:31,762 --> 00:27:36,867
should get a PAP smear as a as
someone else yeah definitely so
396
00:27:37,167 --> 00:27:41,330
anyone with hiv or who's
immunosuppressed and i think we
397
00:27:41,410 --> 00:27:44,993
throw around immunosuppression a
lot in america when we talk
398
00:27:45,033 --> 00:27:49,257
about immunosuppression i mean
that's someone who's like you a
399
00:27:49,297 --> 00:27:53,360
transplant patient who's like on
drugs that keep their immune
400
00:27:53,440 --> 00:27:56,983
system truly suppressed that
they don't reject whatever organ
401
00:27:57,003 --> 00:28:01,047
they got or someone who has
lupus but is actually taking
402
00:28:01,107 --> 00:28:05,591
medication for the lupus or
someone with some type of like
403
00:28:05,631 --> 00:28:09,334
rheumatoid arthritis but they
are actually taking immune
404
00:28:09,394 --> 00:28:12,357
medications for rheumatoid
arthritis so it's not just like
405
00:28:12,417 --> 00:28:15,860
oh i have those conditions but
like no my condition is so bad
406
00:28:16,220 --> 00:28:19,181
that I'm taking
immunosuppressive medication,
407
00:28:19,582 --> 00:28:22,003
you would know that you are on
those medications.
408
00:28:22,003 --> 00:28:27,465
They're not like small types of
medication. So anyone who's got
409
00:28:27,645 --> 00:28:31,187
HIV, because those people are on
heavy immunosuppressive drugs
410
00:28:31,767 --> 00:28:37,710
and any of other reasons to be
on heavy duty immunosuppressive
411
00:28:37,750 --> 00:28:42,792
drugs, those patients need PAP
Smears every year, typically. If
412
00:28:42,792 --> 00:28:45,513
they've really had normal PAP
Smears, then they can be moved
413
00:28:45,553 --> 00:28:48,894
out to three years. But that's
definitely a conversation to
414
00:28:48,934 --> 00:28:51,434
have with your GYN doctor.
415
00:28:52,675 --> 00:28:57,276
So those are the people who
should have PAP Smears and
416
00:28:57,476 --> 00:29:02,097
should be getting everything
checked. Otherwise, there's not
417
00:29:02,137 --> 00:29:04,498
really any demographic
difference. So Black, White,
418
00:29:04,618 --> 00:29:10,260
Hispanic, Asian, everyone kind
of is in the same boat. Our
419
00:29:10,300 --> 00:29:12,601
cervixes basically look the
same. The same like i look at a
420
00:29:12,621 --> 00:29:16,183
cervix a pink they're all pink
no matter what your color is on
421
00:29:16,483 --> 00:29:23,008
the outside so they're all get
affected by hpv vaccine the
422
00:29:23,028 --> 00:29:27,051
virus the same so i.
423
00:29:27,051 --> 00:29:28,272
GABRIELLE CRICHLOW: Just wanted
to go back to what you said
424
00:29:28,312 --> 00:29:35,397
earlier about about sexual
activity and that matter how
425
00:29:35,517 --> 00:29:42,702
often you get it so it's so is
it Is it not safe to assume that
426
00:29:42,782 --> 00:29:46,905
women who are sexually active
should be checked more often?
427
00:29:47,786 --> 00:29:50,028
DR. JASMINE EBOTT: Yeah, just
because you're sexually active
428
00:29:50,028 --> 00:29:52,830
doesn't mean that you should be
checked more often. It just
429
00:29:53,150 --> 00:29:57,654
means that you, we know that
women who are really highly like
430
00:29:57,674 --> 00:30:01,357
sexually active, they have
probably a higher chance of
431
00:30:01,397 --> 00:30:06,945
contracting HPV, right? Like you
are. More out there being
432
00:30:07,005 --> 00:30:09,667
exposed to it. So you have a
higher chance of contracting
433
00:30:09,827 --> 00:30:10,087
HPV.
434
00:30:10,807 --> 00:30:16,270
Maybe there's a higher
association with having. Hpv,
435
00:30:16,511 --> 00:30:21,035
that then leads to cervix
cancer. But we won't screen just
436
00:30:21,075 --> 00:30:24,538
because someone has 10 partners
in one year and someone has one
437
00:30:24,618 --> 00:30:30,463
partner in one year. That's not
going to push me to do the HPV
438
00:30:32,144 --> 00:30:37,009
screening or the PAP smear
anymore frequently. It's the
439
00:30:37,049 --> 00:30:41,713
result of those two, right? One
partner and maybe the partner
440
00:30:41,733 --> 00:30:42,834
you slept with has like...
441
00:30:43,054 --> 00:30:45,755
All the HPV viruses and then
somehow the person who's
442
00:30:45,795 --> 00:30:50,296
sleeping with 10 people got
lucky and those partners didn't
443
00:30:50,296 --> 00:30:55,177
really have HPV so it's really
just what is the result of that
444
00:30:55,237 --> 00:31:03,620
PAP smear afterwards okay yeah
and then go ahead it's not to
445
00:31:03,660 --> 00:31:07,521
say that like being because we
also I don't also want to like
446
00:31:07,741 --> 00:31:11,902
sex shame anyone like people
should have fun it's not to say
447
00:31:11,962 --> 00:31:15,084
that you having more frequent
sex isn't a risk factor but it's
448
00:31:15,064 --> 00:31:20,449
a risk factor for lots of things
so it's like if you're gonna be
449
00:31:20,529 --> 00:31:24,592
having more frequent sex you're
at risk for other stis too so
450
00:31:25,933 --> 00:31:27,635
yeah.
451
00:31:27,655 --> 00:31:31,037
GABRIELLE CRICHLOW: And just
again just to go back to the to
452
00:31:31,017 --> 00:31:35,261
the age thing so like i know
like when you're older your
453
00:31:35,261 --> 00:31:44,223
immune system tends to slow down
so so you're PAPs. So the PAP
454
00:31:44,263 --> 00:31:48,946
Smears, you're checking less
frequently as you get older.
455
00:31:49,446 --> 00:31:52,208
DR. JASMINE EBOTT: That's a
great point. Yeah. It's just the
456
00:31:52,268 --> 00:31:55,931
difference is that when we're
checking less at that 30 Mark,
457
00:31:56,111 --> 00:32:00,954
that's when we're checking with
HPV. So between 21 and 30, we
458
00:32:01,054 --> 00:32:03,776
aren't looking for the virus. So
we're not doing like a flu test.
459
00:32:04,377 --> 00:32:08,219
But between 21 and 30, we're
just taking, scraping the cells
460
00:32:08,259 --> 00:32:11,221
and sending them off to the lab.
461
00:32:11,441 --> 00:32:15,103
I'm starting at 30, we start
checking for the virus because
462
00:32:15,624 --> 00:32:19,946
we think that before 30, you can
clear the virus a lot easier.
463
00:32:21,307 --> 00:32:25,289
And so that's the difference.
Some people would argue that the
464
00:32:25,389 --> 00:32:31,272
five years feels too long, but
we don't have evidence to say
465
00:32:31,532 --> 00:32:33,193
yet that that's the truth.
466
00:32:35,655 --> 00:32:39,117
But the difference is what we're
checking. And that's how we
467
00:32:39,377 --> 00:32:41,438
justify moving out to five
years.
468
00:32:43,038 --> 00:32:44,239
I don't know if that makes
sense.
469
00:32:44,459 --> 00:32:45,540
GABRIELLE CRICHLOW: Well, you
said what you're checking.
470
00:32:45,540 --> 00:32:48,102
Because to me, I'm like, okay,
five years does seem kind of
471
00:32:48,122 --> 00:32:50,344
long. Yeah.
472
00:32:50,584 --> 00:32:53,867
DR. JASMINE EBOTT: So at 30, I'm
checking for the HPV virus and
473
00:32:53,887 --> 00:32:58,190
I'm checking the cells. And if
both are normal, then my, like,
474
00:32:58,490 --> 00:33:03,615
predictiveness of getting
cervical cancer is super low.
475
00:33:03,615 --> 00:33:07,258
Because now I said the cells are
normal and you don't have the
476
00:33:07,278 --> 00:33:10,600
virus, then you're, like, very
unlikely to get cervical cancer.
477
00:33:10,660 --> 00:33:12,522
So bye-bye. I'll see you in five
years.
478
00:33:14,731 --> 00:33:19,754
And that's how you get on the
five-year train. But if you
479
00:33:20,274 --> 00:33:22,315
didn't meet that criteria,
you're not going to get on the
480
00:33:22,335 --> 00:33:27,498
five-year train, is probably the
better way to say it.
481
00:33:27,538 --> 00:33:28,738
GABRIELLE CRICHLOW: I'm just
saying, what if you get it
482
00:33:28,738 --> 00:33:31,700
within that third year? You
know, you're still waiting two
483
00:33:31,740 --> 00:33:35,542
more years. Yeah. That can be
kind of dangerous.
484
00:33:38,084 --> 00:33:40,825
DR. JASMINE EBOTT: Yeah. It's
hard to, like, speak against,
485
00:33:41,025 --> 00:33:45,068
like, a huge body of...
Physicians, but I think we, in
486
00:33:45,048 --> 00:33:48,371
the background as physicians,
kind of have those conversations
487
00:33:48,431 --> 00:33:53,276
too. I think that's why I say
that it's really important to
488
00:33:54,036 --> 00:33:58,180
talk with your doctor, have them
look at your cervix still.
489
00:34:00,522 --> 00:34:07,669
And some doctors do do it more
frequently than that. So just
490
00:34:07,709 --> 00:34:10,991
having a conversation like...
Telling your doctor, hey, I have
491
00:34:11,011 --> 00:34:15,653
a new sexual partner. Like, I'm
a little uncomfortable waiting
492
00:34:15,733 --> 00:34:20,915
five years. Can we do a PAP
smear? Excuse me, at three
493
00:34:20,955 --> 00:34:21,255
years.
494
00:34:22,416 --> 00:34:24,436
Most people are pretty
reasonable talking through that.
495
00:34:24,817 --> 00:34:28,378
But it does put the onus on the
patient. Because especially if
496
00:34:28,398 --> 00:34:32,400
you're moving around getting
different doctors, it's not like
497
00:34:32,400 --> 00:34:38,402
we talk to one another from
patient to patient. So, yeah. It
498
00:34:38,462 --> 00:34:41,924
feels strange and I do admit
that.
499
00:34:45,045 --> 00:34:46,685
GABRIELLE CRICHLOW: It's
interesting how science works.
500
00:34:47,346 --> 00:34:48,486
It's a lot of work.
501
00:34:52,508 --> 00:35:02,552
So now what is the, I guess I
got to think of my question now.
502
00:35:02,672 --> 00:35:12,154
So in terms of in terms of how
important, let me put it like
503
00:35:12,174 --> 00:35:15,100
this, how important is a PAP
smear?
504
00:35:16,516 --> 00:35:20,438
DR. JASMINE EBOTT: To me, I'm
very biased. I think it's very
505
00:35:20,518 --> 00:35:25,100
important for women. I just
think that, I recently posted
506
00:35:25,120 --> 00:35:29,241
about Jessica Petway, who passed
from cervical cancer. She was a
507
00:35:29,261 --> 00:35:32,843
beauty influencer. I just think
that it's important because it
508
00:35:32,963 --> 00:35:37,325
shouldn't be what someone dies
of. We're really fortunate in
509
00:35:37,325 --> 00:35:37,945
the U. S.
510
00:35:38,085 --> 00:35:45,488
To not need to die of cervical
cancer. And so it's super
511
00:35:45,548 --> 00:35:50,171
important because it's a very
preventable cancer. There's
512
00:35:50,211 --> 00:35:53,233
plenty of other cancers that we
can get, but this is the one
513
00:35:53,273 --> 00:35:58,436
that we should be able to help
almost 99.9% of women avoid. So
514
00:35:58,456 --> 00:36:00,917
to me, it's like low-hanging
fruit, if you will.
515
00:36:03,719 --> 00:36:05,720
GABRIELLE CRICHLOW: Right,
because it's preventable.
516
00:36:06,160 --> 00:36:08,662
DR. JASMINE EBOTT: It's so
preventable. It's not going to
517
00:36:08,682 --> 00:36:11,943
test for uterine cancer. It's
not going to test for ovary
518
00:36:12,023 --> 00:36:16,226
cancer. It was designed just to
test for cervical cancer, but
519
00:36:16,286 --> 00:36:20,208
it's a screening test that's a
wonderful thing that has been
520
00:36:20,228 --> 00:36:20,669
developed.
521
00:36:20,689 --> 00:36:24,231
And we haven't found those tests
for all the different types of
522
00:36:24,251 --> 00:36:29,514
cancers that we can get, GYN,
Non-GYN. But we've got PAP
523
00:36:29,574 --> 00:36:32,556
Smears for women and we have
mammograms. Those are like the
524
00:36:32,656 --> 00:36:36,938
two little hanging fruit. Get
your mammograms, get your PAP
525
00:36:37,018 --> 00:36:42,302
Smears. And then. At least we
can hopefully prevent those two
526
00:36:42,462 --> 00:36:43,063
for women.
527
00:36:44,824 --> 00:36:48,187
It's not foolproof, obviously,
but.
528
00:36:48,187 --> 00:36:50,989
GABRIELLE CRICHLOW: Yeah. Yeah.
And that's, you know, that's
529
00:36:51,049 --> 00:36:55,693
important to know. And, you
know, it's important for women
530
00:36:56,193 --> 00:36:59,396
to take care of their health,
especially. Yeah. Especially
531
00:36:59,436 --> 00:37:01,017
down there, especially the
vagina.
532
00:37:01,538 --> 00:37:01,958
DR. JASMINE EBOTT: Yeah.
533
00:37:01,958 --> 00:37:03,539
GABRIELLE CRICHLOW: We got to
take care of our vaginas.
534
00:37:03,940 --> 00:37:07,222
DR. JASMINE EBOTT: Yeah. I will
say the other thing is the HPV
535
00:37:07,343 --> 00:37:12,086
vaccine. We both. Grew up in a
time where it had just came out.
536
00:37:12,707 --> 00:37:18,271
And so, like, I actually didn't
get vaccinated for HPV until
537
00:37:18,772 --> 00:37:19,412
this year.
538
00:37:21,434 --> 00:37:25,157
And many women who are 30,
between 30 and 40, might never,
539
00:37:26,678 --> 00:37:32,483
excuse me, might never have had
the HPV vaccine. But now it's
540
00:37:32,543 --> 00:37:35,105
pretty common, like in the state
of Rhode Island, I think it's
541
00:37:35,185 --> 00:37:39,717
mandatory that you get
vaccinated for HPV. Because it
542
00:37:39,797 --> 00:37:45,562
has really dropped the incidence
of getting cancer of the cervix.
543
00:37:45,702 --> 00:37:51,747
So it's a three, if you're
getting it as an appropriate age
544
00:37:51,807 --> 00:37:55,910
between nine years old, which
obviously probably our viewers
545
00:37:55,970 --> 00:38:00,194
are that age, but maybe they
have kids. So between nine years
546
00:38:00,374 --> 00:38:04,818
old to, I think it's either 11
or 15 years old.
547
00:38:04,878 --> 00:38:08,172
Sorry, I'm not a pediatrician,
so I don't have to like give
548
00:38:08,232 --> 00:38:13,056
this vaccine at that age. But as
an adolescent, you're getting
549
00:38:13,076 --> 00:38:18,340
that vaccine and you get two of
those. And then starting at 15,
550
00:38:18,340 --> 00:38:21,382
it's a three shot. But who I see
are the people who are like our
551
00:38:21,562 --> 00:38:24,264
age, who may not have gotten the
vaccine.
552
00:38:24,624 --> 00:38:31,069
And I'm giving them a three dose
vaccine series for to prevent
553
00:38:31,129 --> 00:38:36,717
the most like the most
aggressive types of HPV viruses
554
00:38:36,958 --> 00:38:39,500
is the probably best way to put
it. It doesn't prevent all,
555
00:38:40,520 --> 00:38:44,463
there's like thousands. It
focuses on the nine most
556
00:38:44,503 --> 00:38:45,484
aggressive ones.
557
00:38:47,025 --> 00:38:54,111
So if you have strains of the
virus. So just like the flu and
558
00:38:54,111 --> 00:38:56,633
you know how like the flu shot,
they're like, oh, we developed
559
00:38:56,653 --> 00:39:01,864
this flu vaccine for like this
x, y, z. Strain. It's the same
560
00:39:01,964 --> 00:39:06,065
thing. We have a vaccine that's
only specific to nine of the
561
00:39:06,086 --> 00:39:13,568
most virulent strains of HPV,
but there are other HPV viruses
562
00:39:13,648 --> 00:39:14,048
out there.
563
00:39:16,988 --> 00:39:20,970
You can get that up to age 45
now. That was just approved a
564
00:39:20,990 --> 00:39:25,811
few years ago. So if you are
listening and you are not yet
565
00:39:25,931 --> 00:39:31,733
45, you insurance will cover it
still. And it's a three series
566
00:39:31,733 --> 00:39:37,057
at zero, I think zero, three and
six months. I always have to
567
00:39:37,077 --> 00:39:42,481
look it up before I give it to
someone. So, yeah.
568
00:39:43,381 --> 00:39:45,023
GABRIELLE CRICHLOW: That's good
to know. That's good to know.
569
00:39:45,103 --> 00:39:48,685
Definitely. Definitely public
knowledge. Well, not public
570
00:39:48,685 --> 00:39:51,987
knowledge, but thank you for
sharing it. And it's important.
571
00:39:52,428 --> 00:39:54,269
DR. JASMINE EBOTT: And a lot of
people our age don't know if
572
00:39:54,289 --> 00:39:58,112
they got vaccinated because it
came out right when we were
573
00:39:58,112 --> 00:39:59,813
like. 9 and 12.
574
00:40:00,040 --> 00:40:02,862
Between nine and 15. So like,
I'll ask people in their
575
00:40:02,942 --> 00:40:05,543
thirties if they got it and it's
hard for them to remember. But
576
00:40:05,563 --> 00:40:08,405
if I see someone who's in their
twenties, they actually do know
577
00:40:08,485 --> 00:40:11,506
that they got it. So it's really
interesting to see the like
578
00:40:11,686 --> 00:40:13,247
generational difference too.
579
00:40:16,549 --> 00:40:18,790
GABRIELLE CRICHLOW: I think I
did. Is it the Gardasil one?
580
00:40:19,591 --> 00:40:22,132
Yeah. Yeah. I did mine.
581
00:40:23,833 --> 00:40:28,356
I think it was like 14, 15 when
I got it. So yeah. Years ago.
582
00:40:33,443 --> 00:40:34,584
DR. JASMINE EBOTT: Nice.
583
00:40:34,584 --> 00:40:35,485
GABRIELLE CRICHLOW: To your
parents. Yeah. Yeah, but the
584
00:40:35,525 --> 00:40:39,668
doctor recommended I got it. So
I was just like, okay, whatever.
585
00:40:40,869 --> 00:40:45,313
I guess I didn't really know
what I was getting, but just
586
00:40:45,353 --> 00:40:50,978
kind of now kind of thinking
back, it's like now I'm glad I
587
00:40:50,998 --> 00:40:51,838
got it when I did.
588
00:40:51,959 --> 00:40:54,761
DR. JASMINE EBOTT: Yeah, because
it's most effective before
589
00:40:54,821 --> 00:40:58,864
you're sexually active, and so
that's why we try to get get it
590
00:40:58,884 --> 00:41:02,307
in the little kids arms before
they hit their teenage years
591
00:41:03,267 --> 00:41:10,412
just in case so yeah wonderful
wonderful yeah all right well i
592
00:41:10,532 --> 00:41:14,115
i won't keep you any longer i
know you're handling it right
593
00:41:14,175 --> 00:41:15,516
now but.
594
00:41:16,256 --> 00:41:18,438
GABRIELLE CRICHLOW: But of
course i'm gonna start to wind
595
00:41:18,498 --> 00:41:24,342
things down like like i did last
time i like to ask my guests to
596
00:41:24,422 --> 00:41:30,170
share any words of wisdom with
our audience So Jasmine, do you
597
00:41:30,210 --> 00:41:33,133
have any, I mean, you gave a lot
of words of wisdom, but do you
598
00:41:33,153 --> 00:41:35,375
have any final words of wisdom
that you'd like to share?
599
00:41:36,856 --> 00:41:38,778
DR. JASMINE EBOTT: Hopefully I'm
not sharing the same words of
600
00:41:38,798 --> 00:41:41,200
wisdom over and over again. I
can't remember what I shared
601
00:41:41,220 --> 00:41:46,926
last time, but I think maybe
it's just most important to say
602
00:41:46,946 --> 00:41:51,590
this over and over again. If you
don't feel heard by your doctor
603
00:41:52,091 --> 00:41:55,857
and you can. It's important to
look for another doctor.
604
00:41:55,897 --> 00:41:58,139
It doesn't mean that doctors are
going to do exactly what you
605
00:41:58,179 --> 00:42:02,581
want them to do, because that's
not what we're supposed to do
606
00:42:02,841 --> 00:42:05,283
either, but we're supposed to
listen and we're supposed to
607
00:42:05,303 --> 00:42:07,444
have a conversation and explain
things.
608
00:42:07,844 --> 00:42:11,306
And maybe things don't happen
all within one visit, we bring
609
00:42:11,306 --> 00:42:15,668
you back for another visit, but
it's really important to find a
610
00:42:15,688 --> 00:42:18,170
doctor that's willing to listen
to you, have a nuanced
611
00:42:18,230 --> 00:42:21,392
conversation with you, bring you
back for another visit if it's
612
00:42:21,412 --> 00:42:23,717
still. Needs more time invested.
613
00:42:24,277 --> 00:42:27,659
And if you don't feel like
you're being heard, please just
614
00:42:28,519 --> 00:42:32,622
consider finding a new doctor.
And I say that as a doctor who's
615
00:42:32,722 --> 00:42:36,304
happy to get second opinions and
happy to get feedback from
616
00:42:36,344 --> 00:42:39,325
patients when things aren't
going the way that the patient
617
00:42:39,365 --> 00:42:41,867
expects. So that's my words of
wisdom.
618
00:42:43,347 --> 00:42:45,449
GABRIELLE CRICHLOW: Beautiful,
beautiful. All right. Well,
619
00:42:45,509 --> 00:42:49,291
Jasmine, thank you so much for
coming back on Hot Topics and
620
00:42:49,331 --> 00:42:51,672
getting on the hot seat once
again.
621
00:42:54,269 --> 00:42:59,652
So let me get your info up there
on the screen. All right. So,
622
00:43:02,013 --> 00:43:07,356
all right, you guys. So Dr.
Jasmine Ebo, you can follow her
623
00:43:07,596 --> 00:43:12,639
all over, you guys. She is on
that social media. You can
624
00:43:12,679 --> 00:43:18,483
follow her on Facebook. Her
account name is Jasmine. Hines,
625
00:43:18,743 --> 00:43:27,789
H-I-N-E-S.503. She's also on
Instagram as J-A-Z-E-B-O-T-T. So
626
00:43:27,950 --> 00:43:29,291
definitely follow her on
Instagram.
627
00:43:29,331 --> 00:43:35,195
She's also on Twitter, also
known as X. It is Ebo Yasmin, so
628
00:43:35,276 --> 00:43:40,119
last name, then first name. And
she's also on TikTok. As long as
629
00:43:40,400 --> 00:43:45,504
TikTok still exists, you don't
know what's going on, but as
630
00:43:45,524 --> 00:43:47,766
long as we still have it, I
encourage you to follow her on
631
00:43:47,806 --> 00:43:49,787
TikTok. It is her...
632
00:43:50,912 --> 00:43:54,675
First name then last name
Jasmine evo so i encourage you
633
00:43:54,735 --> 00:43:59,259
to follow her across her social
media accounts and if you have
634
00:43:59,319 --> 00:44:04,543
any questions about anything
regarding to PAP Smears or
635
00:44:04,583 --> 00:44:09,827
cervical cancer or any kind of
women's health issue i encourage
636
00:44:09,847 --> 00:44:14,131
you to to connect with her as
she will answer your questions
637
00:44:15,172 --> 00:44:20,236
so is there anything else you'd
like to share does that do and.
638
00:44:21,624 --> 00:44:26,766
DR. JASMINE EBOTT: How i mean
what i guess what do you do yeah
639
00:44:26,766 --> 00:44:31,247
well to finish off if you do
have cervical cancer you will be
640
00:44:31,407 --> 00:44:35,468
seeing me and that's sort of
what i think can be confusing to
641
00:44:35,488 --> 00:44:38,709
women and i'm an oncologist and
so i take care of them with
642
00:44:38,829 --> 00:44:44,491
cancer of the cervix the ovaries
the uterus the vulva and vagina
643
00:44:45,131 --> 00:44:50,654
so i hope that we don't ever
meet But if you did, then we do
644
00:44:50,714 --> 00:44:53,518
have lots of great treatments.
And that's sort of what I do.
645
00:44:54,840 --> 00:44:56,883
GABRIELLE CRICHLOW: Oh, so
you're there at the final stage.
646
00:44:57,764 --> 00:44:58,004
DR. JASMINE EBOTT: Yeah.
647
00:44:58,705 --> 00:45:01,764
GABRIELLE CRICHLOW: Wow. So when
people see you is usually not a
648
00:45:01,784 --> 00:45:02,324
good sign.
649
00:45:02,324 --> 00:45:07,048
DR. JASMINE EBOTT: Yeah. But we
can fix it a lot of the times if
650
00:45:07,048 --> 00:45:11,011
we catch it early. So, yeah.
651
00:45:11,011 --> 00:45:13,933
GABRIELLE CRICHLOW: Okay. I
mean, we need people like you.
652
00:45:14,994 --> 00:45:18,417
But if anyone has any questions,
can they reach out to you?
653
00:45:18,577 --> 00:45:21,520
DR. JASMINE EBOTT: Absolutely.
Yeah. I've been telling people
654
00:45:21,560 --> 00:45:23,301
as I'm getting more and more
questions, like I can't give
655
00:45:23,341 --> 00:45:25,963
specific medical advice, but the
questions are really helpful
656
00:45:26,023 --> 00:45:29,970
because then I can start to
build topics off of that. To put
657
00:45:30,030 --> 00:45:33,653
on the platform so that I can
answer the broad question. So
658
00:45:33,773 --> 00:45:35,074
questions are always helpful.
659
00:45:37,275 --> 00:45:39,957
GABRIELLE CRICHLOW: And then
just a quick question. So the
660
00:45:40,017 --> 00:45:45,821
treatment for cervical cancer,
is it the same treatment as any
661
00:45:45,901 --> 00:45:46,322
other cancer?
662
00:45:46,882 --> 00:45:51,025
DR. JASMINE EBOTT: No, it's, it
depends on how advanced it is,
663
00:45:51,045 --> 00:45:55,588
stage one, two, three, or four.
But it is usually any
664
00:45:55,788 --> 00:46:02,012
combination of chemotherapy.
Radiation and or surgery. So
665
00:46:03,513 --> 00:46:08,836
it's quite intensive type of
treatment. And so it's not the
666
00:46:08,916 --> 00:46:15,059
same for advanced cervical
cancer. Early cervical cancer,
667
00:46:16,040 --> 00:46:19,802
maybe you will be lucky if it's
really, really tiny and we'll do
668
00:46:19,802 --> 00:46:24,064
a cone, which is just a small
procedure of removing that top
669
00:46:24,144 --> 00:46:25,125
half of the survey.
670
00:46:27,666 --> 00:46:31,168
GABRIELLE CRICHLOW: Okay yeah
yeah we can go deep into that
671
00:46:31,308 --> 00:46:36,730
too but maybe maybe not today
maybe not today but let's i want
672
00:46:36,730 --> 00:46:40,272
you to rest up heal up yeah you
know build that immune system
673
00:46:40,512 --> 00:46:45,474
yes i still need it too oh
sorry.
674
00:46:45,634 --> 00:46:47,695
DR. JASMINE EBOTT: I meant i
wanted to say this so for
675
00:46:47,995 --> 00:46:50,636
naturopathic things because
people are really interested in
676
00:46:50,656 --> 00:46:54,538
that there is a mushroom that
has now been like approved it's
677
00:46:54,618 --> 00:46:58,820
called A-H-C-C, and I don't
actually think, if it stands for
678
00:46:58,840 --> 00:47:01,682
something, it stands for some
like long fungus name that I
679
00:47:02,082 --> 00:47:07,146
would butcher any ways. But A as
in apple, H as in hairy, C as in
680
00:47:07,886 --> 00:47:09,247
camel, C as in camel.
681
00:47:09,727 --> 00:47:12,749
And you can find them on Amazon.
They're quite expensive. I think
682
00:47:12,809 --> 00:47:16,832
they're like $70 a bottle is
what patients have told me. And
683
00:47:16,832 --> 00:47:19,593
you have to take a lot at one
time. But some people are
684
00:47:19,633 --> 00:47:23,528
looking for... More of like
holistic ways to help kind of
685
00:47:23,568 --> 00:47:27,991
clear HPV. And that one has been
recently approved by the CDC.
686
00:47:28,051 --> 00:47:30,092
Excuse me.
687
00:47:30,092 --> 00:47:32,714
GABRIELLE CRICHLOW: So it's a
mushroom. What do you mean?
688
00:47:32,754 --> 00:47:35,616
DR. JASMINE EBOTT: Like a
capsule. Okay. It's a capsule
689
00:47:35,656 --> 00:47:40,800
that is like ground up mushrooms
that has been proven to help
690
00:47:41,260 --> 00:47:44,562
kind of help women clear the HPV
virus.
691
00:47:46,344 --> 00:47:47,324
GABRIELLE CRICHLOW: Oh, okay.
692
00:47:48,145 --> 00:47:51,499
DR. JASMINE EBOTT: Yeah. So it's
not. Nothing is foolproof,
693
00:47:51,579 --> 00:47:54,381
right? It's not going to work
for everyone, but it has been
694
00:47:54,442 --> 00:47:58,185
shown to help. So when people
are asking, like, what can I do?
695
00:47:59,085 --> 00:48:01,367
That's one of the things that
we've been pointing them
696
00:48:01,567 --> 00:48:05,691
towards, because I used to not
really have anything to say in
697
00:48:05,711 --> 00:48:09,854
terms of what can you do. But
this is one thing that you could
698
00:48:09,914 --> 00:48:10,034
do.
699
00:48:10,094 --> 00:48:16,980
GABRIELLE CRICHLOW: And that's
for if they have the virus, but
700
00:48:17,040 --> 00:48:19,142
they're not symptomatic?
701
00:48:19,866 --> 00:48:21,788
DR. JASMINE EBOTT: Yeah, or
anyone with the virus. It's like
702
00:48:22,368 --> 00:48:26,131
if you have the flu and you're
trying to clear it, even if you
703
00:48:26,211 --> 00:48:29,174
were symptomatic, like even if
you had like pre-cancerous
704
00:48:29,234 --> 00:48:31,676
cells, like you could still take
it. There's no, it's not going
705
00:48:31,676 --> 00:48:32,577
to harm anything.
706
00:48:32,657 --> 00:48:35,179
I think you would have a few
patients with cervical cancer
707
00:48:35,199 --> 00:48:38,162
who wanted to take it when
honestly the cat's out of the
708
00:48:38,162 --> 00:48:42,966
bag at that point. But like
there's no harm in taking it.
709
00:48:43,026 --> 00:48:44,887
Other than that, it's kind of
expensive.
710
00:48:47,730 --> 00:48:51,396
GABRIELLE CRICHLOW: So. So it's
more like a, it kind of keeps, I
711
00:48:51,396 --> 00:48:56,479
guess, prevents it from becoming
full-blown cancer.
712
00:48:56,959 --> 00:48:58,600
DR. JASMINE EBOTT: Well, the
hope is that it'll just help you
713
00:48:58,640 --> 00:49:03,263
clear that virus. And by
clearing the virus, you will,
714
00:49:03,523 --> 00:49:07,025
you know, not have, hopefully
not get cervical cancer.
715
00:49:08,166 --> 00:49:10,827
So if you're looking of a way to
get rid of, think about it as
716
00:49:10,847 --> 00:49:14,149
like the flu and vitamin C or
something, when your mom tells
717
00:49:14,149 --> 00:49:17,427
you to take some vitamin C. If
you're looking for a way to kind
718
00:49:17,427 --> 00:49:21,808
of clear the virus, this has
been one additional tool that we
719
00:49:21,848 --> 00:49:23,369
have in our toolkit to help you.
720
00:49:24,790 --> 00:49:26,410
GABRIELLE CRICHLOW: So when you
say clear the virus, what do you
721
00:49:26,430 --> 00:49:30,892
mean? Because I keep thinking
like HPV is like, it's not like
722
00:49:31,112 --> 00:49:34,594
HIV where it actually like
embeds itself into the cell. So
723
00:49:34,594 --> 00:49:39,095
it's like, it's sort of like the
flu that it's kind of just like
724
00:49:39,135 --> 00:49:42,277
on the surface and it can be
passed out the body. So is that
725
00:49:42,297 --> 00:49:44,638
what you're saying that that's
what HPV is? Yeah.
726
00:49:45,778 --> 00:49:48,145
DR. JASMINE EBOTT: And we think
that people can literally clear
727
00:49:48,225 --> 00:49:51,213
it, like you can get rid of it,
like you can get rid of the flu
728
00:49:51,293 --> 00:49:56,250
virus and that it will go away
completely. And then others we
729
00:49:56,331 --> 00:49:58,251
think sometimes goes dormant.
730
00:49:58,491 --> 00:50:01,593
And then if you become very
immunosuppressed, like with HIV
731
00:50:02,153 --> 00:50:06,535
or some immunocompromising
disease, then we see it come
732
00:50:06,595 --> 00:50:11,116
back. But we do know that people
completely clear the virus, like
733
00:50:11,136 --> 00:50:16,779
you would get rid of the flu.
And then you recontract it from
734
00:50:16,779 --> 00:50:17,979
a new sexual partner.
735
00:50:20,180 --> 00:50:23,061
GABRIELLE CRICHLOW: Oh,
interesting. Yeah. I definitely
736
00:50:23,141 --> 00:50:23,842
learned something.
737
00:50:24,402 --> 00:50:27,803
DR. JASMINE EBOTT: Yeah. It's a
really complicated virus. It's a
738
00:50:27,843 --> 00:50:31,744
really annoying virus to
explain, too, because people
739
00:50:32,064 --> 00:50:36,485
often even ask me, did they get
it from XYZ partner? And we'll
740
00:50:36,545 --> 00:50:43,107
never know. You cannot blame any
of the virus on any partner
741
00:50:43,247 --> 00:50:47,228
because you could have gotten it
from a partner eons ago and it
742
00:50:47,408 --> 00:50:52,870
could have been hidden and then
resurfaced. So there's no way to
743
00:50:52,910 --> 00:50:54,170
blame this virus on.
744
00:50:54,950 --> 00:50:57,832
Pinpoint a partner not like
other sexually transmitted
745
00:50:57,872 --> 00:51:00,634
infections where you can be like
oh no i got that chlamydia from
746
00:51:00,654 --> 00:51:04,557
you like i didn't have chlamydia
and now i have chlamydia it's
747
00:51:04,617 --> 00:51:10,381
not like that so not like how
some viruses have like a genetic
748
00:51:10,421 --> 00:51:22,689
component to it i guess it's not
like how some viruses have like
749
00:51:22,669 --> 00:51:25,863
some like blatant symptom like
discharge foul smelling
750
00:51:25,903 --> 00:51:31,045
discharge or like herpes has
like lesions that you see and
751
00:51:31,065 --> 00:51:35,867
you like have the sexual
encounter you have the bumps
752
00:51:36,387 --> 00:51:42,430
like you you can pinpoint when
you got it like it's.
753
00:51:42,490 --> 00:51:45,231
GABRIELLE CRICHLOW: Not like
that well you said yeah but you
754
00:51:45,231 --> 00:51:47,652
said there was nine different
strains of it so it's not like
755
00:51:48,212 --> 00:51:52,494
oh you have strain a you have
strain b you have strain c you
756
00:51:53,030 --> 00:51:57,873
We notice all the A's are coming
from this country or something
757
00:51:57,893 --> 00:51:58,353
like that.
758
00:51:59,193 --> 00:52:02,235
DR. JASMINE EBOTT: Yeah, we
don't have enough lab tests or
759
00:52:02,575 --> 00:52:06,277
we're not commercially available
to tell you all of that. Like
760
00:52:06,437 --> 00:52:09,719
when the lab spits it out, they
spit out like only a few.
761
00:52:10,419 --> 00:52:15,322
Otherwise, they just call it HPV
other. Literally, we call it HPV
762
00:52:15,542 --> 00:52:15,762
other.
763
00:52:16,162 --> 00:52:20,745
And other blankets the like
thousands of others. So we spit
764
00:52:20,785 --> 00:52:28,015
out 16, 18. 33, I think, and 35,
and then everything else becomes
765
00:52:28,215 --> 00:52:34,277
other, and that's thousands. So
I will never be able to tell you
766
00:52:34,517 --> 00:52:38,098
which one it is when it gets
labeled HPV other.
767
00:52:41,019 --> 00:52:42,200
GABRIELLE CRICHLOW: Oh,
interesting, interesting,
768
00:52:42,240 --> 00:52:46,021
interesting. Yeah. Well, all
that is great to know. So
769
00:52:46,101 --> 00:52:47,461
definitely get checked, ladies.
770
00:52:47,961 --> 00:52:48,982
DR. JASMINE EBOTT: Yeah.
771
00:52:49,502 --> 00:52:50,222
GABRIELLE CRICHLOW: Any other
fun?
772
00:52:50,730 --> 00:52:57,072
To the bit there's so much we
can go so deep it's good we
773
00:52:57,072 --> 00:53:00,433
should stop there okay wonderful
all right so yes if there's any
774
00:53:00,573 --> 00:53:05,994
other back to you my audience so
if you have any other questions
775
00:53:06,034 --> 00:53:11,276
about hpv cervical cancer any or
just any questions regarding
776
00:53:11,636 --> 00:53:16,437
women's health i'll reach out to
dr ebo her information is on the
777
00:53:16,477 --> 00:53:20,414
screen right now if you are
listening on a podcast the
778
00:53:20,574 --> 00:53:22,996
information is in the
description so one way or
779
00:53:23,016 --> 00:53:27,961
another this information is
available to you all right well
780
00:53:28,101 --> 00:53:32,224
Jasmine thank you again for
coming back on all topics thank
781
00:53:32,244 --> 00:53:35,647
you for having me awesome
awesome all right you take care
782
00:53:35,787 --> 00:53:42,873
i will let you rest that voice
thank you all right you guys
783
00:53:43,954 --> 00:53:46,696
that is definitely an
informative episode to the
784
00:53:46,757 --> 00:53:50,531
ladies out there i hope you for
paying attention so definitely
785
00:53:50,611 --> 00:53:59,277
take care of yourselves all
right so on that note we have
786
00:53:59,337 --> 00:54:04,381
reached the conclusion of yet
another episode of hot topics so
787
00:54:04,421 --> 00:54:08,123
if you are still with me thank
you for sticking it out for this
788
00:54:08,223 --> 00:54:13,247
long so i'm just going to just
give you a quick reminder that
789
00:54:13,307 --> 00:54:19,606
hot topics is a part of my
tutoring company, A Step Ahead
790
00:54:19,666 --> 00:54:20,667
Tutoring Services.
791
00:54:21,387 --> 00:54:27,929
So if you are a parent right now
and your child is struggling,
792
00:54:27,989 --> 00:54:31,250
maybe they're just not
understanding what the teacher
793
00:54:31,270 --> 00:54:35,911
is saying, or they're struggling
to turn that assignment in, or
794
00:54:36,391 --> 00:54:40,792
you did that new math and you
just, you have no idea what that
795
00:54:40,812 --> 00:54:47,075
is about, or you're frustrated,
or whatever it is. Just doesn't
796
00:54:47,155 --> 00:54:50,139
seem right with the child, I
encourage you to connect with
797
00:54:50,199 --> 00:54:50,359
us.
798
00:54:51,000 --> 00:54:56,304
I encourage you to get a tutor
from our company. Our website is
799
00:54:56,825 --> 00:55:03,987
www.stepaheadtutoringservices.c-
om. We offer in-person tutoring
800
00:55:04,047 --> 00:55:09,088
services if you happen to be in
the New York City or Long Island
801
00:55:09,268 --> 00:55:14,370
areas, but we also offer virtual
services as well. So whether
802
00:55:15,290 --> 00:55:18,911
we're coming to you in person or
we're coming to you online, our
803
00:55:18,951 --> 00:55:22,272
tutors are available and I
encourage you to connect with
804
00:55:22,392 --> 00:55:22,572
us.
805
00:55:22,972 --> 00:55:26,013
Especially now, well, depending
on when you're watching it, it
806
00:55:26,013 --> 00:55:30,095
might be, or watching this
episode, it might be testing
807
00:55:30,175 --> 00:55:39,139
season, so exam season, report
card season. So, you know,
808
00:55:39,179 --> 00:55:41,420
depending on when you're
watching this episode or when
809
00:55:41,460 --> 00:55:45,482
you're listening, something is
happening. So whatever it is,
810
00:55:45,902 --> 00:55:48,463
connect with us, get a tutor
from us today.
811
00:55:48,923 --> 00:55:51,084
I will give you that website
again. It is
812
00:55:51,384 --> 00:55:56,767
www.astepaheadtutoringservices.-
com. You can also find us on
813
00:55:56,827 --> 00:56:00,128
social media as well. We're
pretty much all over the place.
814
00:56:00,528 --> 00:56:03,810
Just type in A Step Ahead
Tutoring Services, and we will
815
00:56:03,870 --> 00:56:08,192
pop up. Just look for the pencil
logo with the gray and black
816
00:56:08,272 --> 00:56:09,852
tip. That is us.
817
00:56:09,952 --> 00:56:16,955
So Facebook, Twitter, Instagram,
YouTube, and there's a couple
818
00:56:16,995 --> 00:56:20,553
others. It's not coming to me,
but... Look us up on social
819
00:56:20,573 --> 00:56:26,518
media and follow us. So stay in
touch with us and get a tutor.
820
00:56:26,899 --> 00:56:31,122
If you need one, get a tutor for
your child. I highly encourage
821
00:56:31,142 --> 00:56:35,006
it. All right. And lastly, I
just want to make this last
822
00:56:35,046 --> 00:56:39,269
point. Let me know your thoughts
about this episode.
823
00:56:39,289 --> 00:56:43,473
So please take a few minutes and
drop a comment in the comment
824
00:56:43,513 --> 00:56:47,216
section below or in the comment
thread. Let me know your
825
00:56:47,256 --> 00:56:50,278
thoughts. Your feedback about
this episode. Did you like it?
826
00:56:50,298 --> 00:56:53,341
Did you not like it? Did you
have any additional questions?
827
00:56:53,841 --> 00:56:57,925
Take a few minutes right now,
whether you're listening on a
828
00:56:57,945 --> 00:57:01,328
podcast or you're watching on a
video, take a few minutes right
829
00:57:01,368 --> 00:57:04,070
now, drop a comment in that
comment section below.
830
00:57:04,530 --> 00:57:08,053
Let me know your thoughts about
this episode today. Give us a
831
00:57:08,133 --> 00:57:11,456
rating as well, depending on
where you are taking in the
832
00:57:11,496 --> 00:57:15,259
sound of my voice. But, you
know, I definitely want to get
833
00:57:15,279 --> 00:57:19,382
that feedback. So take a moment
right now, drop a comment below.
834
00:57:19,843 --> 00:57:22,785
Let me know your thoughts about
this episode.
835
00:57:23,145 --> 00:57:26,889
Give us a rating, give us a
star, whatever it is, however
836
00:57:27,089 --> 00:57:31,192
and however and whomever and
whatever. Take a few minutes
837
00:57:31,232 --> 00:57:36,096
right now and give us your
feedback on this episode today.
838
00:57:37,517 --> 00:57:40,820
All right, you guys, thank you
again for joining me on another
839
00:57:41,520 --> 00:57:46,244
episode of Hot Topics. I look
forward to you joining me. On
840
00:57:46,224 --> 00:57:51,288
the next episode. Thank you guys
again. And now I am signing off.
841
00:57:52,268 --> 00:57:52,889
Bye guys.