#1515 Shay and the Motorcycle
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Shay, 27, was diagnosed with type 1 diabetes at 8 and now juggles multiple autoimmune conditions—Addison’s, endometriosis, Raynaud’s, and more. When she’s not managing her health, she’s riding motorcycles.
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Scott Benner 0:00
Friends, we're all back together for the next episode of The Juicebox Podcast. Welcome.
Shay 0:13
My name is Shay, and I was diagnosed with type one diabetes in 2006 so I would have been eight years old. Nothing
Scott Benner 0:22
you hear on the Juicebox Podcast should be considered advice medical or otherwise, always consult a physician before making any changes to your health care plan. AG, one is offering my listeners a free $76 gift. When you sign up, you'll get a welcome kit, a bottle of d3, k2, and five free travel packs in your first box. So make sure you check out drink A, G, one.com/juice box. To get this offer, don't forget to save 40% off of your entire order at cozy earth.com. All you have to do is use the offer code juice box at checkout. That's Juicebox at checkout to save 40% at cozy earth.com the podcast contains so many different series and collections of information that it can be difficult to find them in your traditional podcast app. Sometimes. That's why they're also collected at Juicebox podcast.com go up to the top, there's a menu right there. Click on series defining diabetes. Bold beginnings, the Pro Tip series, small sips, Omnipod, five ask Scott and Jenny, mental wellness, fat and protein, defining thyroid, after dark, diabetes, variables, Grand Rounds, cold, wind, pregnancy, type two, diabetes, GLP, meds, the math behind diabetes, diabetes myths and so much more, you have to go check it out. It's all there and waiting for you, and it's absolutely free. Juicebox podcast.com Today's episode is sponsored by the tandem Moby system with control iq plus technology. If you are looking for the only system with auto Bolus, multiple wear options and full control from your personal iPhone, you're looking for tandems, newest pump and algorithm. Use my link to support the podcast, tandem diabetes.com/juice, box. Check it out. I'm having an on body vibe alert. This episode of the juice box podcast is sponsored by ever since 365 the only one year where CGM that's one insertion and one CGM a year, one CGM one year, not every 10 or 14 days ever since cgm.com/juicebox
Shay 2:32
My name is Shay. I'm actually turning 27 tomorrow.
Scott Benner 2:36
Happy birthday. Thank you. And
Shay 2:38
I was diagnosed with type one diabetes in 2006 so I would have been eight years old. Eight years old. You're going
Scott Benner 2:46
to be 20, just about 20 years Yep, wow. One of my daughter's good friends when they were youngest named Shay. So it's gonna, oh, that's cool, yeah, not spayed, not spelled the same way. Hers is spelled after the stadium. Oh, okay, yeah, it's a different name, though, isn't it yours?
Shay 3:01
Yeah, it is. I don't see it that often. I was gonna say I don't either.
Scott Benner 3:05
It took me by surprise when it popped up in front of me. So diagnosed as a child, you're in your late, you know, mid to late 20s. Now, I'm sure you don't think of it as your late 20s, no. But what's it been like having type one?
Shay 3:18
Well, it was a lot different back then, before technology got so good. So I'd say for the first 510, years was pretty rough for me. I was doing probably 20 injections or more a day, and just really struggling to keep it kind of even it was, I'm always like, up and down back then, and this was when Dexcom, I think they were on, like the g4 when I started, or g3
Scott Benner 3:55
Did you have a Dexcom from The beginning? No, no, I did.
Shay 3:59
Finger prick for years, and then when they couldn't get me under control, then they were like, Okay, your blood sugars and your a 1c is bad enough. Your insurance will cover a pump and a Dexcom. And I was really scared. I mean, I I forget how old I was, but I think I was maybe 12 or 13, and I was just like, I don't want something attached to me all the time.
Scott Benner 4:26
I was gonna say, tell me what was scary about it. It was hard for me
Shay 4:30
to be okay with being like, different than kids around me. Yeah. So I would always hide the fact that I was diabetic. So it just terrified me that people would be able to see that. I guess something was different about me, just based off of stuff, like hanging on me and that mixed with, like, the technology just kind of overwhelmed me.
Scott Benner 4:53
Were you managing mostly on your own? Yeah,
Shay 4:57
that's the thing. My parents were. Very involved with my care. And it was kind of like they taught us food groups and stuff like that. And then they were, my parents were like, Okay, you can figure this out. So,
Scott Benner 5:11
Shay, let me ask you, like, were you figuring it out? Like, did you have, like, awesome, a one, CS, No, you were up and down all the time, right? No,
Shay 5:19
yeah, it was horrible. I didn't know what I was doing. I the only thing I remember from that class, when I was eight, when they found out, was that they used fake fruit. I don't remember any information like, I just remember visuals of the fake fruit and being like, scared and nervous and not knowing what was going on. Oh, literally, like someone
Scott Benner 5:39
held a fake banana up in front of you. It's like, if you're bolusing for a banana, it might be this many carbs, and that's your recollection exactly how it went. Did your parents know that? I'm so sorry to ask like this, but were they like, did they just abandon you on this? Or did they not know you were struggling?
Shay 5:55
Yeah, they kind of just didn't want to deal with it.
Scott Benner 5:59
Were you super excited to deal with it. No,
Shay 6:01
I was just confused and yeah, lost, but yeah, even to this day, they they don't know the difference between, like a Dexcom and an Omnipod. So I'm so sorry
Scott Benner 6:13
to go down this road, but I want to understand, do you have other other siblings? Yeah,
Shay 6:16
I have a brother that's 11 months older, but he has no health problems at all. Are they involved in his stuff? Yeah, he I guess so they kind of resented me for having health problems and kind of blamed me for being so expensive, I guess. Really, yeah, so I just didn't have a good childhood in general. So I really was, like, completely alone through the diabetes and the diagnosis at eight years
Scott Benner 6:44
old. What's your relationship with your parents like now?
Shay 6:47
I always see them every once in a while, so I don't see them too often, but getting married soon and gradually, my mom went with me to try on wedding dresses, and she asked me if I was going to hide my Dexcom and my pump because it looked bad with
Scott Benner 7:06
the dress right back in the game. Mom was, huh,
Shay 7:09
yeah, yeah. So I'm like, Yeah, that's typical. Listen, I
Scott Benner 7:13
feel bad saying this, but are your parents generally heads, or is it just about this?
Shay 7:17
They just weren't good parents to begin with. I think, yeah, how come? Do you believe? I don't think they were ready to have kids, and they planned my brother, but obviously, 11 months later, they didn't plan me.
Scott Benner 7:32
You were the hey, you know, we haven't had sex in a while, baby. Yeah, I was the oops. Well, that's first of all, listen, you don't need me to, you know, say I'm sorry, but that sucks. I I'm sorry. It's a perspective that I think a lot of people have and don't share very often, so it's very nice of you to spend time talking about it so you don't dislike your parents or anything like that. You're just not particularly close with them. Yeah,
Shay 7:53
I mean, I was upset with them for a while, but it's just kind of the way it is. So there's no point in getting upset when I know they're going to be like that about my health. Yeah,
Scott Benner 8:04
somebody once told me that you can't ask more of people than they have to give. Yeah, that's pretty much it. You're not harboring any resentment, but you do believe that if it wasn't for diabetes, do you think you'd have a different relationship with them, or do you think they would just have found another thing to be upset about and because they weren't really looking to be parents? Yeah,
Shay 8:25
I think it would have been negative no matter what, but it did. It put such a damper on, like, taking care of myself, because I was constantly worried about what people were gonna say or think about me, because my parents weren't great with it, so I never, like, truly embraced it and wanted to hide it as much as I could, because
Scott Benner 8:46
if people realize you have diabetes, somehow the conversation leads to the fact that you're alone in all this, and then you have to tell people you don't have parents that seem to give a about you. Yeah, pretty much. How old were you when you thought about it that way? Like, gosh, they don't care enough about me to, like, help me with this. I
Shay 9:03
kind of caught on even at eight years old, because I had to give myself my own injections. And it's crazy. I look at eight year olds now and I'm like, that was me, but giving myself injections and keeping myself alive and not knowing what I was doing, yeah,
Scott Benner 9:20
there's a balance, obviously, between letting kids fumble around and grow, and I'm for that, you know, but not on this thing. Like, this is a weird place to like, you know, there's stuff like, my kids will come to me and they'll be like, What do you think of this? I'm like, you'll figure it out, don't worry. And you want them to, like, live through it and figure it out. But not when you're eight, right? Not to me, at least I it's just not how I think about it, I guess.
Shay 9:44
Yeah, and there's nobody in my family that's type one at all, so I don't know anybody. Yeah,
Scott Benner 9:50
you wouldn't have anybody to ask, right? Jeez. So, okay, so we're back to being 12 or 13. Things are bad enough that they're like, You got to use this game. Year you're like, oh God, if somebody's gonna see it, I see where that comes from. Because, you know, 15 years later, your mom's like, oh gosh, you're not gonna let anybody see this. Are you, yeah, but you get the stuff anyway. Does it end up helping? Why would you settle for changing your CGM every few weeks when you can have 365 days of reliable glucose data? Today's episode is sponsored by the ever since 365 it is the only CGM with a tiny sensor that lasts a full year sitting comfortably under your skin with no more frequent sensor changes and essentially no compression lows. For one year, you'll get your CGM data in real time on your phone, smart watch, Android or iOS, even an Apple Watch, predictive high and low alerts let you know where your glucose is headed before it gets there. So there's no surprises, just confidence, and you can instantly share that data with your healthcare provider or your family. You're going to get one year of reliable data without all those sensor changes, that's the ever sense. 365 gentle on your skin, strong for your life. One sensor a year, that gives you one less thing to worry about. Head now to ever sense, cgm.com/juicebox, to get started. Let's talk about the tandem Moby insulin pump from today's sponsor, tandem diabetes care, their newest algorithm control iq plus technology and the new tandem Moby pump offer you unique opportunities to have better control. It's the only system with auto Bolus that helps with missed meals and preventing hyperglycemia, the only system with a dedicated sleep setting, and the only system with off or on body wear options. Tandem Moby gives you more discretion, freedom and options for how to manage your diabetes. This is their best algorithm ever, and they'd like you to check it out at tandem diabetes.com/juicebox when you get to my link, you're going to see integrations with Dexcom sensors and a ton of other information that's going to help you learn about tandems, tiny pump that's big on control tandem diabetes.com/juicebox, the tandem Moby system is available for people ages two and up who want an automated delivery system to help them sleep better, wake up In range and address high blood sugars with auto Bolus.
Shay 12:23
Yeah, it completely, like changed my life, pretty much. At first it was, it wasn't like an automatic fix, but it took a while to learn, like the settings and because they didn't have closed loop back then, so we had to really be strict with the settings and everything, which my parents would take me to the endocrinologist, but they wouldn't like, they would wait outside. They wouldn't wait, wait,
Scott Benner 12:49
get the out of here, really, yeah,
Unknown Speaker 12:52
like, they pretty much just dropped me off. You're 12
Scott Benner 12:55
years old, and your parents would like, dump you out on the curb and then go get cigarettes and come back for you an hour later. Just
Shay 13:02
wait in the car. Yeah? Oh, my God, that's terrible.
Scott Benner 13:05
Yeah. I was in the car the other day with my son, and we were leaving a mall situation, and there was this old man, like, parked, like, in the fire lane by the mall, you know, just sitting there smoking a cigarette, waiting clearly, for his wife, who he, like, wouldn't have gone into a mall for for anything, you know? Yeah, I said, Gosh, when I was young, I pointed to him, and I said, when I was young, guys did this all the time, like, they'd sit outside of grocery stores, they'd sit outside of like, malls, or, like, I'm not going in there, and they just sit in their car. And my son was like, really? And I was like, hey, because I hate going to the mall, but he's like, but, you know, I go in when my my girlfriend goes, and I was like, right, right? But this old man was just, like, such a, like, a throwback to another time, like, just like that. Like, you go do it, and I'll wait here. You go do woman things, and I'll sit in the car. But they did that to you when you were a kid. Yeah, that's enough shape at the time. Did you know, like, did 12 year old Shay walk in there going, like, man, I've got crappy parents. Or are you just, like, I'm brave. I can do this on my own. Like, how does it feel to you? I
Shay 14:10
thought it was normal then, like, I really didn't see anything wrong with it until I was, like, closer to friends and talking to them and seeing how their parents were, yeah, I was like, wow, mine are not involved in anything I do at all.
Scott Benner 14:26
Did the doctor ever say to you, where are your parents? Yeah, I would just be like, Oh, they're waiting
Shay 14:30
outside and they don't want to talk.
Scott Benner 14:33
Shay, you realize now, like, if you do even the tiniest good thing as a parent, one day you're going to be like, I'm so good at this. Yeah, right. Try not to tell your kids that kind of stuff. Don't. Don't do the um, like, you're lucky. I'm doing this. My mom wouldn't even go into the doctor's appointment with me because I found myself telling my kids at times. I'm like, Oh, my God, you have no idea. The 70s, somebody would have kicked your ass for that, but that's for but you're younger, though. How old are your parents now? They're
Shay 15:00
in their 50s, really? Yeah, wow.
Scott Benner 15:03
All right, listen my last question about your parents, then we move on, unless they come up again, drinkers, drugs, anything like that.
Shay 15:10
Yeah? My dad, heavy drinker. My mom, she has, like, mental health problems. So, like, what she is, bipolar, I think type one. So she has all these medications she takes, and sometimes she gets, like, manic and stuff like that.
Scott Benner 15:27
I say they were challenged too. Then, yeah, yeah. How about you? Do you have anything else besides the type one? Oh, yeah, I have a list. Go ahead. What is it? So
Shay 15:35
I have endometriosis, which I got surgery for two months ago, and they found out it's stage four. So it was really extensive, Hashimotos, Raynaud's disease and Addison's disease. Holy Hell
Scott Benner 15:50
yeah. How does the endometriosis present? So
Shay 15:55
I had been in like, debilitating pain for like, years, and no doctor would listen to me. They just wanted to give me birth control, or, you know, tell me just eat better, or don't eat this. And nothing helped. I was in pain so much I just couldn't deal with it anymore. So I finally got someone to listen to me and said they would go in, and while they're looking, they would remove anything they needed to. So that turned up as a three hour surgery, which was supposed to be 45 minutes long. Yeah, so when they got in there, they saw it was a lot worse than they expected, and ended up getting it all out. So I've been doing really good, a lot better so far explain
Scott Benner 16:41
endometriosis to people. What were they in there looking for? So
Shay 16:45
it's like, your uterine tissue, like grows on the outside and grows on other organs, and then it causes really bad pain and other issues, because it's like growing on the nerves and I had organs attached to each other because of this, so they had to go in and cut them free.
Scott Benner 17:07
Will this happen again? They
Shay 17:09
said there's a 60% chance of it coming back within five years. But I'm pretty hopeful, because I'm really healthy and I do a lot of healthy eating and exercise, so I'm hoping that'll help. But I know that doesn't always keep it
Scott Benner 17:26
away, and if it doesn't, then the idea is they go back in and hack away again.
Shay 17:31
Yeah, pretty much do it all over again. Jesus, that
Scott Benner 17:35
sucks. Is this gonna impact you having kids? Yeah,
Shay 17:38
they said I have some like, blockage of my, like, fallopian tubes and stuff like that, so they're not sure, but I'm not that interested in having kids anyway. Oh, why not? It's just not for me. I
Scott Benner 17:54
met you know I was making fun of your parents. Is there any other like bipolar in your family is your mom the only one? Yeah,
Shay 18:03
just my mom, my dad's family. We don't know them because he's adopted. So,
Scott Benner 18:10
jeez. Well, what a show, yeah? What made you want to come on the podcast? Maybe
Shay 18:16
there's other people with just as much as a show, has me that would want to hear
Scott Benner 18:22
it. There definitely is, Shay, don't worry. Yeah, you came to the right place. Yeah? There's plenty of people out there right now going, I have all that stuff. Yeah, Hashimotos, you manage just with like Synthroid that i
Shay 18:37
They've told me for probably the whole 20 years now that I have Hashimotos, but I still don't need
Scott Benner 18:44
medication for it. What is your TSH, when they test it,
Shay 18:47
that's a good question. They do test it probably once every six months for me, and it's fine every time. So they just tell you, it's in range. Yeah, it's sometimes it's borderline, but they still say, I don't need the medication yet. Do
Scott Benner 19:01
you have any symptoms of it? Are you tired? Does your hair fall out? Are you cold? Like anything like that?
Shay 19:08
I'm constantly tired, but I feel like that's because I have so many different auto immune issues, and then I am always cold, but I have anemia, so I it's, it's like, I'm not sure what is causing this symptom today, kind of thing. We're gonna
Scott Benner 19:24
get you all straightened out today. Okay. Do you have access to your labs? Yeah, I do you get them all right. Cool. We'll keep talking. So what about the anemia? Did they ever give you? Did they ever do a full iron panel? Do you know what your pattern level is? So all
Shay 19:39
they told me was that it was low, and this was at my endocrinologist, and they weren't sure like what to tell me for milligrams of iron to take every day and that I needed to go to my primary care physician for that awesome. So I just thought that was so ridiculous.
Scott Benner 19:58
What a great help they are. Yeah. We'll figure it all out together. Don't worry. So your ferritin is low, your eye your iron panels came back abnormal. They didn't give you anything for it. Told you to go to talk to a different doctor about taking an iron tablet, which you're not going to do. Do you have heavy bleeding around your menstruation? Yeah,
Shay 20:12
like so much that I would faint and stuff like that, which it's been better since the surgery. But, yeah,
Scott Benner 20:20
okay. How about your digestion? Does the food go in and come out the way you want it to? Or do
Shay 20:24
you have I have horrible digestion problems, and they can't figure it out. It's been pretty much like six months. We've been trying to figure out what's going on with my stomach. And I don't eat much at all because everything hurts. Food
Scott Benner 20:40
goes in. You have pain in your stomach. You don't eliminate every day that kind of stuff.
Shay 20:45
Yeah, it's more like constant diarrhea no matter what I eat. Awesome. Okay, yeah, yep,
Scott Benner 20:53
I'm not laughing at you. It's just horrible. So I'm gonna guess that the diarrhea is about the thyroid that nobody's helping you with. Probably tell me when you have your when you have your labs in front of you.
Shay 21:06
Oh, okay, one second. Yeah, I also the Addison's disease, which is pretty rare for humans to get. I mean, dogs get it all the time, but humans don't get Addison's disease much, so that took forever for them to figure out what it was, and no one believed me. I was down to, I'm five seven, so I'm pretty tall for a girl, but I was down to, like, 95 pounds. Oh, wow,
Scott Benner 21:33
my daughter is five seven, so sick. Yeah, you know how thin she'd be if she was 95 pounds. We've had people on that have Addison's. There's a great person in the group that has it. So there's people that we could kind of hook you up with too to try to find, yeah, that'd be cool. But dig out your labs and I'm gonna find I have them. Okay, your last TSH was,
Unknown Speaker 21:57
what? 2.65
Scott Benner 22:01
okay? And your ferritin under the iron panel, 37.4
Unknown Speaker 22:09
Ng, slash, ml, yeah, yeah,
Scott Benner 22:11
okay. How would you like to feel insanely better in a month? That would be eight. Awesome. Here's how we're going to do it. Your TSH is too high, your ferritin is too low. Now you have insurance, awesome. You want thyroid replacement hormone. You want to tell your doctor that you want to medicate. Your TSH to under two you have thyroid symptoms. And I don't care if the test tells me I'm in range, I know that if I can medicate my TSH under two that a lot of my thyroid symptoms will go away. And then list all of your thyroid symptoms for them. Okay, okay, then you have to make an appointment with your general practitioner and tell them that you have significant low iron symptoms, for instance, general fatigue and weakness, definitely, persistent tiredness, definitely you have muscle weakness. Yes, you feel sluggish or drained. Yep, you experience brain fog, dizziness, lightheadedness, mood swings, irritability or increased anxiety or depression, all of those. Okay. Do you have shortness of breath when you mildly exert yourself? Yes, a rapid heartbeat, cold hands and feet. Yep. Is your skin pale sometimes? Yeah. Are your nails brittle? Yes? Have you experienced hair thinning? No. Do you bruise easily? Yes. Do you chew ice? Yeah, actually, uh huh, frequent infection, slow healing, restless legs, especially at night.
Shay 23:49
Oh my gosh, yes, the restless legs. For sure, you have
Scott Benner 23:52
low ferritin. So I want you to tell your doctor that you want your ferritin level to be at least 70, but you'd prefer it to be higher, and you would like to get iron infusions. Okay, you're gonna have to go to a hematologist, and the hematologist is going to be where you get the infusions, depending on what your insurance will cover, you'll either get like, two infusions, one a week apart, or you'll get five, depending on the medication, like a week apart, you'll then have the iron in your system that your system needs, and the next time your blood cells regenerate. So what's happening is your blood cells are being regenerated, but you don't have enough iron to build them properly, and that's why you're having the problems you're having. So then your red blood cells will get regenerated properly, and all of that will just go away. Interesting. It's incredibly possible that you might not need the thyroid medication, that getting your iron up, your ferritin level up, might take care of the things that look like thyroid symptoms. But having said that, also know that bad iron also impacts your thyroid. Numbers. Low ferritin can impact thyroid function, particularly TSH thyroid stimulating hormone levels, but the duration of the effect depends, so that's why it's bouncing around on you. So low thyroid can lead to a higher TSH level. Oh, okay, that may be why your TSH is bouncing around. So I'm gonna say, based on everything you've said so far, and the fact that I am not a doctor, I barely got out of high school, and I only have a podcast. I am going to say to you that if you get your ferritin raised through an iron infusion, that it's possible that the next time they check your TSH, it will look better.
Shay 25:34
Okay, yeah, I know a lot of Addison's people need to get infusions too. So that makes total sense, yeah, except
Scott Benner 25:43
nobody's helping you with it, which is, of course, being an enemy. Yeah? Would this impact
Unknown Speaker 25:52
bow habits, low
Scott Benner 25:54
far Can, can absolutely impact bowel habits, including causing loose stools or increased bowel movements. Yeah, you are literally a few infusions away from all this going away. That's
Shay 26:04
crazy. I feel like my endocrinologist just doesn't want to listen at all.
Scott Benner 26:09
Yeah, skip them, go right through a hematologist, okay, yeah, that's a good idea also, because when you have low ferritin, you're going to get poor nutritional absorption, right?
Shay 26:20
Yeah, I am very vitamin deficient and like, vitamin D, um, think it was vitamin
Scott Benner 26:27
E. Your food's not being absorbed correctly, makes sense. Yeah, they're gonna say, Well, why don't we try taking an iron supplement? And you go, like this, uh, no, okay, because that'll take too long, my numbers are too low, and I'm not waiting a year to maybe raise my ferritin level 20 points, yeah, I want to get jacked back up again, like, yeah, and then you got to get it checked again, because the sadness here is Shay. If you don't figure out why this is happening, your iron levels are going to drop back down again. Now, if they were because of heavy, excessive periods, are you still getting excessive periods? No, not like that anymore. So it's possible you get jacked up one time. Your body starts absorbing your nutrients better and the minerals that you need, you're not bleeding as heavy, and all this clears up. And then you, one day, decide to buy a puppy, and you name it, Scott, because you're so thrilled with how much I've helped.
Unknown Speaker 27:22
Yeah, sounds like a plan. All right, let's do it,
Scott Benner 27:25
and don't take no for an answer. You're young, so let me tell you that. Just don't let them tell you no. Yeah, okay. You know what to tell them. You know how to how to make this happen. Yeah?
Shay 27:35
I mean, I'm gonna write all my symptoms down and tell them I have been taking iron pills, but I feel like they don't do anything. Really haven't been
Scott Benner 27:44
Oh, yeah. Oh, if you've been taking them to say, look, I've been taking these, they don't do Yeah, I need the juice. Give me the juice. That's what you say. Give me juice. I'm telling you. Like, if you have great insurance, it might cover something called injector, which you'll probably just need to get twice. If your insurance is a bunch of cheapskates, I think they're gonna give you something called Benner for maybe I forget the names. Exactly one of them, you have to take more frequently to get the same thing. But the good news is, is that there are infusion centers everywhere, and so, like, it's not really hard to, like, you just go into infusion center. They pop into your vein real quick. It takes 30 minutes to put the stuff in, and you're on your way.
Shay 28:18
Yeah, that's not bad at all, no, especially if I can feel better, it's not
Scott Benner 28:22
gonna be like eating a cheeseburger and afterwards you're like, that was satisfying. Like, you know, you're not gonna feel any different that day. But I'm telling you, like, once your red blood cells cycle one time with the proper amount of iron in your system, you're gonna be like, Oh my god, I can't believe how much better I feel. Yeah, well, now I'm excited. Yeah, good, excellent. Well, yeah, listen, I've now done more for you than your parents. Yeah, right. All right, tell me more about this. Addison, so how long have you had this diagnosis?
Shay 28:50
I got diagnosed in 2020, in January. Okay, so it's been five years. Um, like I said, I was really sick for a long time. No one could figure it out. I mean, I couldn't even stretch in the morning without collapsing and just being so out of breath from just from stretching, and I couldn't keep anything down. I would throw up every morning after waking up. And I brought these concerns to my endocrinologist, and they said, Oh, maybe you're pregnant. I said, I'm definitely not pregnant, but all they did was get me a pregnancy test and say, Well, you're not pregnant, so we're not sure. Everything else looks fine.
Scott Benner 29:35
Everybody sucks, especially in your life, Shay, yeah, but everybody, everybody just sucks. Can you give me, generally speaking, where you live in the country, Central
Shay 29:43
Pennsylvania. Oh, I know the area,
Scott Benner 29:47
yeah, all right, I'm not totally surprised. Okay, you're so close to good health care too. I know, right, yeah. Could just go a little towards Pittsburgh, a little towards Philly, you'd be okay, but you're stuck right in the middle. There.
Shay 29:59
You. Yeah, yes, Pittsburgh and Philly, they're over three hours away from me. Yeah, you're literally
Scott Benner 30:05
right in the middle. Yeah, gotcha. There's got to be somebody who can help you. And I think you just have to take it upon Listen, I know that after stuff like this happens over and over again, it gets defeating and frustrating, and you think, like, oh, somebody says no, and you just kind of give up. But trust me, if you get this iron infusion, it's going to rectify a lot of different problems for
Shay 30:26
you. Yeah, I've been just going, Okay, I guess whenever they say, we can't figure anything out, because I've I feel like hopeless, like, what else am I going to say to them to get them to believe me and look into it more? You
Scott Benner 30:40
don't need them to believe you. You need the iron like, yeah, in the form of an infusion, and you're gonna be so much better. I mean, honestly, like, we can sit here and be angry. It is very frustrating to me that somebody doesn't see a ferritin of 37 and all of your symptoms and go, oh gosh, you need an iron infusion. Like, I can't believe somebody didn't say that. But I guess we can't count on, I don't know. Maybe we can't count on people to do their jobs all the time, or to know what their jobs are. But they the Addison's is crazy. What do they do for that? So
Shay 31:10
I take hydro cortisone, so steroids and pill form every day. Take them morning, afternoon and night, and then, of course, I have to take more if I'm, like, under a lot of stress or doing a lot of exercise and stuff like that, because my body doesn't produce cortisol itself, so I'm basically giving it cortisol when it needs it, and just guessing when I need it. That's
Scott Benner 31:38
a, I would say, a crap shoot, too, right? Even understanding it's
Shay 31:42
really it was really hard to figure out at first, especially like when I turned 21 and drinking, I really struggled, and ended up in the hospital like two or three times because I just didn't know how to co exist and still go out and have fun with all my health problems, because with Addison's disease, you need a lot of sodium, and I constantly have low sodium. So if I'm not keeping up with, like, sodium and water intake, and it's like, all a balance game, then I get really sick fast, and then it goes downhill from there. Yeah, I'm
Scott Benner 32:18
sorry. I know it's not an easy thing, obviously, auto immune. So you have, we don't even know about the rest of it, like we can't even talk about your digestion until you maybe get the iron address.
Shay 32:32
Yeah, they had thought it might be celiac disease, but it's not. I don't know. It came back negative, but at that point, I hadn't had any gluten for months, so that could have impacted the test too.
Scott Benner 32:45
Yeah, do you think that's a consideration? I
Shay 32:48
guess it's common, but I feel better not eating gluten, but that could be in general, because you're eating less diabetes anyway, or celiac disease. I'd be
Scott Benner 33:00
so super interested just to see what the iron does for you again. Because also, like, I mean, there's obviously overlapping stuff with Addison's low iron and thyroid, like the fatigue, your low weight, that could be a couple of different things, even the like, any irritability, muscle weakness, depression, that kind of stuff could overlap through all those things, which is what makes some of these autoimmune issues so terrible, like, they all look like each other. So, yeah,
Shay 33:27
exactly. It's so hard to tell what is giving me which symptom,
Scott Benner 33:32
yeah, but I would say that the iron is a good first step, because it's outside of these other two issues, outside of Addison's or possibly Hashimotos, like, right? And you can address it, and you will know, like I said, You'll know in four to six weeks if it was helpful. Yeah,
Shay 33:49
yeah, I'm definitely like, getting on this today. Good,
Scott Benner 33:53
good. I'm glad. What else should we talk about? What else you got on your list over
Shay 33:56
there? Well, I have kind of a horror story, awesome of the hospital a couple months ago. So Shay,
Scott Benner 34:04
you're the podcast guest that keeps on giving. Go ahead. What happened?
Shay 34:09
So this was for my endometriosis surgery. This was my first surgery ever. I've never been like, put under for surgery before, and when you're put under you need extra steroids for the Addison's disease. Well, they gave me extra during the surgery, and then when I woke up, the team called My endocrinologist and asked if they should give me more. And they said, No, I was unaware of this, obviously, because I just got surgery and was so out of it. Well, they sent me home the same day, and I got home, took a nap, woke up, had to go pee, went pee, and immediately just passed out on the bathroom floor because I was in so much pain and was just drenched in sweat. I had no idea what my. Blood sugars were luckily, my fiance is really good with blood sugars, and was looking at them for me, but it hurt so bad. I just I couldn't stand up. I was on the floor and couldn't keep anything down, not even water. So I had to be taken back by ambulance, which they told us to go to the ER, well, they made us wait four to five hours, so I couldn't keep my medication down. At this point, my blood sugar was running extremely low because I could. I hadn't had food in so long, and I couldn't. Since I couldn't keep things down, I had no pain pills in my system and this, and I'm fresh out of surgery, right? So this was like the worst pain I've ever felt, and they made us wait so long I was passing out on the hospital floor, and we made like a little bed in a really wide window, so for me to try to get some sleep, and it was horrible, but I feel like if they just would have given me more medication, then I wouldn't have had to go back and be in that situation. You think it was an adrenal crisis that you're at? Yeah, it definitely sent me into crisis, for sure. So I felt kind of like, if my endocrinologist can't tell them the the proper thing to do. Like, I really am alone in this.
Scott Benner 36:23
Yeah, no kidding, I guess, talk about that for a second. Like you have a number of different competing issues. The loneliness. Is it a thing you can over match, or is it too much to get over?
Shay 36:35
Yeah, it's really tough. Like, I've just been starting to go to therapy recently, which she's the one that told me about the Juicebox Podcast. So your therapist did, yeah, she did, yep, awesome. And yeah, it's really difficult, because having all these health problems like so young, everyone looks at me and assumes I'm healthy, or if I don't feel well, they think I'm exaggerating, because I look perfectly fine, but it's really hard, like, just to be feeling decent for one day,
Scott Benner 37:07
yeah? And so it's just a struggle to feel normal,
Shay 37:11
yeah, pretty much. And then, of course, it gives me anxiety going out of the house, like, what if my blood sugar drops? What if I need a bunch of salt? What if I start getting shaky, or I don't feel good, or I feel pain? So for a while, I would just stay in my house a lot and not go out. But I've been working on that, like I said, with my therapist.
Scott Benner 37:35
Also, I have to tell you, I mean, the Addison's, the possibility of thyroid and the low ferritin, these are all things that could make anxiety worse?
Shay 37:42
Yeah, definitely. The Addison's disease too. The anxiety gets really bad when I need extra medication. It's sad
Scott Benner 37:51
because you're young, you know what I mean, and you've been through a lot already. We've been doing a good job of laughing about it, but you had a pretty crappy start, and then, you know, you've had these issues and the endometriosis, would you say was stage four, yeah. And then, you know, you're in pain for years, and people don't like appreciate that. You don't mean pain once in a while. You mean pain constantly,
Shay 38:12
yeah? 24/7 pain for years and years, yeah?
Scott Benner 38:16
And then, you know, and then on top of that, the low iron and all that comes with that one. It's a lot, and you're on your own too, because I'm sure you have friends. It sounds like you met a boy, which is nice. It's a lot. You know what? I mean? Like to not have parents to go talk to or somebody to get your back. So glad you found the therapist. That's awesome, too. Yeah. How did you know to do that? To go to a therapist like it doesn't sound like you you grew up in an enlightened household, so I'm wondering who, like, where did you think
Shay 38:43
to do that? I guess I was just tired of feeling the same way all the time, like, just feeling like crap about myself really, like, Why do I it was always like, Why me? Why do I have to deal with these health problems? Until I was like, you know, I can change my outlook and how I look at things, and I've been through a lot, and that just means that I'm stronger than most people dealing with all of this at the same time, too.
Scott Benner 39:13
Sounds like it? Yeah, it really does. Okay. So you just were like, I need help from somewhere, and I don't know, like, nothing's going my way. I've got to go talk to somebody. Yeah,
Shay 39:23
I was feeling really down, like, borderline suicidal over the pain I was the physical pain I was feeling every day and not thinking that it would get any better. I just, I didn't know where else to go. Yeah.
Scott Benner 39:38
Like, do you ever go to your mom? I know this is a weird question because of her situation, but did you ever go to her? Yeah,
Shay 39:44
but she, she had endometriosis as well, but that, you know, that was so long ago. They don't do it the same way now. They used to burn it off, which they still do now, but they shouldn't. They should be cutting it. Out. But yeah, if I talk to her about it, she would kind of act like she knows more than me, kind of thing, and it would just irritate me, and we would get nowhere.
Scott Benner 40:10
Gotcha, gotcha, even though you're not all the way through this. Do you feel like you're in a better place than you were a year ago?
Shay 40:16
Yeah, definitely much better than a year ago, especially because going to therapy, it's not only changing, like my mental health, but it's making me realize there's other things and steps I can do for my physical health that would make me also feel better, as in, like, making more appointments, not ignoring things and symptoms.
Scott Benner 40:41
Yeah, that's tough lesson to learn, but it sounds like you have it. Yeah, yeah. Okay. So do you think you have a doctor that you can talk to about the fart and idea? I
Shay 40:51
don't think I have one currently, but I just switched over to all new providers, so it shouldn't be an issue finding one.
Scott Benner 41:00
Yeah, if you switch providers, did you have to do a physical? Yeah,
Shay 41:04
they had me go in for a physical. And the doctor was just shocked. He was like, You're so young and you have all this going on, but great.
Scott Benner 41:14
Can you help me with it? So right, can you look and see the 37 next to the word ferritin? And think to yourself, that might be a problem, which
Shay 41:22
they're the ones that did that blood work. You said everything looked fine, yeah. So
Scott Benner 41:27
nobody knows the they're talking about, right? So why don't you how long ago was that?
Shay 41:32
That was right before my surgery? So probably four months ago, awesome.
Scott Benner 41:37
So it's pretty recent. So like, yeah, I call them back and I say, Look, I've been doing more research, and I've learned that many, many practitioners believe that a ferritin level under 70 for a menstruating female is too low. Mine's a 37 I found a bunch of people who have had the same problem. They've all had it alleviated by getting an iron infusion. I'd like you to get me an iron infusion. I've tried taking the iron tablets. They're not working. Here are all of my symptoms. I want to get my iron up to where it belongs. And I want to, you know, wait a little while, and then see how I feel. I think a lot of my my symptoms, then you list off the low iron symptoms are going to go away, and the ones that don't, that's okay, because once we know my iron is higher, now we can look to see if maybe my thyroid levels could be managed better, or if this is more about digestion and the uptake of minerals and vitamins, etc. But I think that we can't figure any of that out till I get my iron higher. I've been struggling and long enough I want to go get a an infusion. Because if they try to tell you about more iron tablets, just say, Look, they're not working. They're going to constipate me. They make me sick, like, say, whatever you got to say to get your thing. You know what I mean? Yeah, I mean,
Shay 42:57
I'm going to tell them the truth. I feel like I've tried everything to feel better, and nothing is working. I mean, I don't the amount of food I eat or don't eat, really is crazy. I barely eat anything. The only thing I eat is fruits and vegetables, sometimes beans, like, everything else just hurts my stomach and just doesn't make me feel good.
Scott Benner 43:19
Yeah, don't let them like, when they start going like, well, that could be celiac. Oh, wait a minute, that's fine. Maybe it is. But first we're going to get my iron up so we can figure something out. Like, that's what you just keep them focused, because otherwise their little brains, like seeing a like a bird, they'll pivot. You know what? I mean, they're like, Oh, what was that? Did you say? Did you say your stomach hurt, you might have celiac. Stay focused. All right. We're gonna get my iron up. After my irons up, we're gonna see how I feel, and if I still have thyroid symptoms, then I'm gonna address my TSH level like so once you get my iron back up, if my thyroids come if my labs come back, and my TSH is still over 2.1 then I'm going to ask for Synthroid to manage my thyroid better. Yeah. And then for the rest of it, I think you ought to go into the Facebook group and talk about your Addison's a little bit if you want help with it, because I think people who live with it are going to have better advice. Yeah. Okay, that's pretty much where I'm at for you. You feel good about this so far. All right, what else is on your list, like, besides, go, wait, wait. So you went to the hospital, and they did all that to you, and eventually you had to go back to the hospital. You rebounded. Okay. How long did it take them to get you back from all that?
Shay 44:30
So I didn't really finish that. I just realized, yeah, they didn't give me anything but pain pills there, and they said there was a national shortage of fluids, so they wouldn't give me fluids, because my case wasn't bad enough, even though I could not keep water down, so I was extremely dehydrated, and yeah, so they sent me home. I just remember sleeping forever, maybe a whole day I slept. Left and I woke up and still didn't feel great, but just kept taking as much extra hydrocortisone that I could, and took me about a month to fully heal enough to go back to work and get out of the house again.
Scott Benner 45:16
Incredible. They wouldn't give you fluids. Nope. They
Shay 45:20
literally said, Your case is not bad enough because we have a shortage
Scott Benner 45:24
to get just IVs. Yep, they got
Shay 45:28
none of that. I did. They never even gave me a bed to lay in. I was in one of those upright chairs just screaming in pain. He had to
Scott Benner 45:38
move a little closer to the ocean. I don't know another way. I don't know another way to put it. And listen, I want to say, as a person who's been spending the last three days thinking, I want to move a little close to the center of the country. I'm going to tell you, like, the one thing that slows me down about that is health care. Yeah, like, it really is. It's the one thing that's like, when I say to my wife, like, can we move What did I tell somebody this morning here? I'll share, I'll share directly with you. I told somebody this morning in a text message, I'm going to find the exact wording I used, because I want to be clear. Seriously, I'm sick of food people in the weather is that I think I'm officially old. And I was talking to my daughter the other day and I said, like, I don't know. Like, I'm older now, like, I'd like to just move somewhere a little less congested with people, and, you know, I'd like the weather to be a little better, like, I'm not looking for this snow. And she's like, where are you gonna go? And I was like, I have no idea. Like, I talked about it, but places. And in the end, I said, I'm not gonna do it, though. And she said, why? And I was like, healthcare. Like, I'm just, like, I talked to too many people were like, telling me stories. I'm like, where are you at? And you're like, I'm in and they always list the places that I think it would be cool to go live, right? You know, like, I'm older, so what am I going to get there? Need health care and have somebody look at a lab, see a 37 Fer, and go, This looks awesome. Yeah, yeah. Are you sure? Because I'm dying. You sure there's nothing on here that doesn't like? Do you have any idea what you're looking you're looking at? They go, Nope, you're good. All the stuffs green. Like, you know what I mean? Like, yeah, awesome. So anyway,
Shay 47:10
we, we say the same stuff pretty much every day, because we did a trip in Europe, and it's so completely different. And we're like, we want to just go live over there. Listen,
Scott Benner 47:19
I would like a little bit of land, not a lot, right? I'd like, can I tell you what I want? I just
Shay 47:25
want a greenhouse. Oh, yeah, I would love that. I just
Scott Benner 47:29
a little greenhouse on my property where I could put my plants when it gets cold. Like, that's really all I want, like, a little bit of grass, the mess around in, like, you know what I mean? Like, a place where I walk outside I don't see another person. That's good. I don't want to be attacked by a bear or rattlesnake or anything like that. Like, I just want to, like, you know what I mean, and it's okay if it gets cool in the winter, but I don't need it snowing anymore tonight. I don't know where that place is, though. Like, some people will tell you, Oh, here's perfect. I'm like, great. It's like a million dollars to rent, like, a four foot apartment, right? Great, that's not what I want, either. So I think I'm stuck, you know what I mean, but you live in that. You live right through the like, that mountain range goes up through Pennsylvania. People don't even realize that, I would imagine, but, yeah, you're probably like, in one of those, like, horrible weather gullies, like, we're the way, yes, we are. You just found the podcast. How long ago? Maybe, like, a month ago? How'd you get on the podcast so quickly? My
Shay 48:28
therapist told me about it, so I started listening to you guys, like every day at work. And then I was like, maybe I can be on it. So I messaged you, and now we're here. I got
Scott Benner 48:40
you. I'm quick. How about that? Look at me. I'm glad you're here. Your story is insane, you know, really upsetting. How does the boy work out with all the health issues? Oh,
Shay 48:51
he's great. I have no complaints. He's a pro with diabetes stuff. Now he'll stay up late when I go to bed early to make sure I don't go low or anything, because I don't wake up to my alarms. So yeah, he's really good with everything, and it kind of radicalized him in a way, because he always thought that, you know, you don't feel good, you're sick, you go the doctor, they'll fix you, yeah, until he saw being with me and going to all these doctors appointments, and not one of them listening to me now he truly sees like, wow, they really do fail people every day.
Scott Benner 49:30
Yeah. I mean, listen, there's plenty of good doctors. You're just not finding them.
Shay 49:33
Yeah, exactly. Seriously, Katie, you and I, I'm
Scott Benner 49:38
sorry I'm picking around on the internet now I think you're riding the same motorcycle I used to ride. Ah, yeah,
Unknown Speaker 49:43
now I have a GSX 8r and an SV, 650
Scott Benner 49:46
I used to ride a GSX r7, 50.
Shay 49:50
Oh, nice. The 8r just came out this year. Yeah. Or 2024, I should say, How long have you been riding since I was 19?
Scott Benner 49:58
No kidding. What do you like about it? Well,
Shay 50:01
I really started to ride because the gas prices were crazy at the time, yeah, and I had to commute to college. I was like, I'm just gonna get a motorcycle. It's gonna be cheaper. And then I fell in love with it. And I've been working at motorcycle shops for since I was 19. No kidding, so I just let just, I love it. It's just the freedom you can really like, just take your bike and just ride somewhere and find cool spots to just hang out. Yeah?
Scott Benner 50:28
I agree with you. I am. I got my first motorcycle because I couldn't afford car insurance. Yeah? So same idea, yeah. It was $100 a year to insure the motorcycle. Yeah. I remember asking the person, why is it so cheap? And they said, Ah, because if you have an accident, you'll be dead. And I was like, oh, okay, you won't need your motorcycle replace. I was like, Is that why it's so inexpensive? My gosh, I've ridden, I've owned three different bikes in my life, and I put over 100,000 miles on the three of them together. Nice, yeah. Like I rode a lot. And I just I used to ride 24/7 365, like, in the Me too. Actually, there's days I'd get up and I'd like, I gotta go to work. I gotta go to work. I gotta go to work. I'd stand next to the heater, and I'd run outside after get the bike warm, and I'd jump on and try to ride. I only like, a 15 minute ride to work. By the time I got there, I was completely frozen, yeah, and I'd get out and stand in front of another heater until I warmed up. And then on the rainy days, you had to bring clothes to change into when you got to work, because you're going to be soaked when you got there. But, yeah, I couldn't afford any I couldn't afford anything else. So, and I had the same problem. You know, eventually, what's the fastest you've ever gone? I'd say like 180 wow, I get the 165 ones. Nice. Well,
Shay 51:41
my 180 was on a track, so, oh, wasn't on the street. I was
Scott Benner 51:46
in Philadelphia, so, um, oh, my God, it was. It's very late at night. No, there's nobody else out. I just, I lost my nerve for it one day. Yeah, I get that. I can't explain it. I was such a, like a free and Easy Rider. I was fine. I went into a store one day. This is no no lies. Exactly what happened. I went into a store, I put my I parked my bike. It was really hot out, and the kick stand melted into the black top, and the bike fell over. Oh man, and I stood it up, and there was so much damage on the side of the bike, and for the first time, like, I'm not lying to you, I've been riding for years, years and years and years, and like I said, over 100,000 miles, and I saw the damage that happened, and I had been in an accident before, like I've laid a bike down, like I've been hit by a car, like I've had motorcycle accidents. But there was something about the fact that the bike fell over, did $1,000 worth of damage and was ruined, and it wasn't moving, yeah, and I thought, and it somehow, like sparked my brain to go, oh, you should wonder what would happen if you were moving. Then I started worrying about it. I couldn't stop thinking about I had to sell the bike. I could barely ride it to sell it. It was crazy, like how scared I got in the end. So I hope that never happens soon, because I miss it
Shay 53:03
a lot. Yeah, I've had accidents too. So far, I still want to ride. Yeah,
Scott Benner 53:08
I got clipped one time. This lady said she was making a left turn, and she stopped, and she had her turn signal, and I went around her on the right. She told the cop, I remembered I wanted to go right. She said, wow. So she just, without looking, turned right, caught the rear wheel of the bike, and spun the bike out from under me, like I remember going up in the air. And I remember throwing myself away from the bike. You know what I mean? Yeah, I pushed off of it, and then I came down on the side of my head of my shoulder, and I eventually had to have my shoulder replace, like, repaired years later because of the damage from that. So were you
Shay 53:47
wearing like, an armored jacket? Oh, stop it. I had
Scott Benner 53:50
a help. I was probably wearing shorts, like, I don't know, like, yeah. Like, yeah, that was that one. And then once, just after the thaw, like, you know, there's still cinders on the road, and they send the Street Sweepers out, but the street sweeper left like this thin line of cinders in the road. I hit that thin line of cinders, and the bike just like slid out from under me. I stood up in the middle of a four way intersection with cars on every side of me, and I was like, I cannot believe I didn't get hit by a car. And that's crazy. And then I looked around, I couldn't find my bike. It must have slid for like, another 40 or 50 yards after I stopped insane, and then I picked it up, got on it, and rode it home. That didn't bother me at all. Then years later, it falls over, and I'm like, I can't do this. This is too dangerous. Every spring, you know, when it's still cool, but this it gets warm, you know, in the sun, and then the air freshens up. I miss my motorcycle that time of year. Yeah, I know exactly what you mean, yeah, yeah, I really do. So, oh my gosh, yeah. Well, that bike's awesome. Both ears are really cool. Thank you. Yeah, I don't know the does your boyfriend ride with you?
Shay 54:58
Yeah? He. Rides too. He has different style bikes, though he does like the adventure style, okay? And cafe. He has two Ducatis. Nice,
Scott Benner 55:09
yeah, I rode a Harley one time, and I hated it, Yeah, same. I got back, and the guy's like, what'd you think? And I was like, I was like, sitting up so straight. And he's like, I don't know how you lay forward. I'm like, I don't know how you sit up, like that. Those bikes, the one you ride, the one that I've ridden, is they're so comfortable that I almost feel like I could go to sleep, like, like sitting on it, like I'm so comfortable in that position. Anyway, what do we not talked about that we should have? I think that's it. You sure? Would you let me know how this goes?
Unknown Speaker 55:41
Oh yeah, for sure. Yeah,
Scott Benner 55:42
I'm super interested, because I think you're gonna feel a lot better, like, I said about four to six weeks after you get an infusion.
Shay 55:48
Yeah? That gives me a lot of hope, because I'm like, I don't even know where to go at this point. Yeah, no.
Scott Benner 55:54
I mean, again I do that, then I'd wait maybe two months after my last infusion was done, and I'd get my labs drawn again, which they're going to want to do anyway. And then when they draw your labs, to look at your iron panel again, tell them, like, let's look at my my thyroid again too. Okay. And then if you see what, where your TSH goes, if your TSH goes back under two, then awesome. But if it's above, like I said 2.1 and you're still having some symptoms of hypothyroidism, that's when I would ask for that, like Synthroid or something like that, to address your T for, yeah, you know. And then once you've got those two things set up, gosh, I don't know how to say about the digestion part, but I would think the iron is going to straighten out your digestion? Yeah, I hope so, yeah. And then from there, just like, Get get on, like, vitamins and and eating a little better than you are now, because I know how you feel, because I've, by the way, the reason I know about most of this because I've had very low iron and needed iron infusions in my life. Oh, okay, I was wondering, plus people coming on the podcast, but that whole digestion, part of it, that makes sense to me, with the low iron. So I think you could have a lot of improvements again this spring. You could feel differently. Yeah, that would be great. Yeah, okay, well, I wish you a lot of luck. I hope you find somebody to help you. Yeah, thank you. You're welcome anything, nothing else. We're good, yeah, I think we're good. Awesome. I appreciate you doing this very much. Thank you for having me. Oh, it's a pleasure. Hold on one second for me. Stay with me. Okay, okay.
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