Sexual Pleasure, ADHD, and the CIA

This is uncomfortable. My mother speaking about this right in front of me.

Well, and I will show you the party favorite that they handed out to all of us. Oh, God. It's called a plus one, and it says on there, invite a little pleasure. Mom. This is so uncomfortable. The Rose Arouser.

Hi, everybody, and welcome to the podcast. This is Generations md. I am Stephanie, and I'm joined here.

By my colleague, Dr. Sarah Davis, who.

Is also my mother. Welcome back. You just got back from south by Southwest.

I did, and it was really. It was really fun. For anybody who has been living under a rock and doesn't know what south by Southwest is, not harsh, but it's. Well. And yeah, I guess a lot of people, especially if you don't live in Texas, you would not necessarily know what it was. But it's just a whole big week of stuff that goes on in Austin, I think.

Whole big week of stuff.

That's their tagline. Whole big week of stuff. South by Southwest. Yeah, I think a long time ago. It was originally like a music festival. There was music festival and then film, and then they started having lots of this tech that goes on. So lots of, like, TED Talks. And now it's. I mean, I thought it was gonna be like you showed up and you went into a. Like a big conference center and you walked around and you went into lectures. Like, I imagine it being like a big medical conference. I mean, that's how those things are. And there's, you know, a thousand people sitting in there, and somebody gets on stage and talks, and you go on to the next thing. And there probably is some of that that goes on, but I didn't experience any of that. What I did experience is you're just down there in downtown Austin, and it is like, south by Southwest is everywhere. At every place that's there, every restaurant, every hotel, everybody has events going on. And they don't necessarily have to be, quote, affiliated with south by Southwest, but if you have the south by Southwest badge, which costs like, $1,000, you have priority to get into, like, every event that's going on. I was a cheapskate, so I did not have the fancy badge. And so I'm sure there's lots of stuff that I couldn't get get into, but there's zillions of stuff that you can. Tons of things that are free. There's giveaways, and there's all kinds of. I learned a lot from when I was waiting in line to get into this one event that there's different apps that say like, you can search by where has free margaritas, and you can like, see what places are giving away free margaritas and go to that. And then you can like, register online and show up to that event. And. But it's really. I mean, it was just.

See, I was kind of imagining like a cheer competition, and you have, like, the big arena, but then you have smaller stages, too.

No, that's what I thought it was gonna be like. Yeah, everybody I go in with medical conference. You go in with cheer competition, you kind of go in with what you know. And so like. Or, like, you're thinking of, like, acl, like a music festival, right? And you've got, like a bunch of different stages and different bands, and that's what you're kind of thinking of. But it's all in one area. But. But this is like. It's just all over downtown. And so you just, you know, you walk into something that's a regular restaurant, but they have shifted it and they made a stage and they're having speakers there, or they're having bands there, or they're doing premieres of films there. I mean, it's just like. I don't know, I guess it's just hard to explain if you haven't been there. But it's like, it just takes over all of downtown. Everybody is walking around. You've got, like, every type of person, super interesting people watching. People are wearing everything from very fancy designer outfits with stiletto heels to pajamas to just everything. But the. The thing that was so striking to me and where you knew you weren't just hanging out at downtown and going to restaurants and bars is that everybody was networking, man. It was like, okay, you know, you're just standing there talking. You're like, well, so who are you? Where are you from? What do you do? Do you have a startup? Are you investor? And it was just like. It was very. It was just kind of overwhelming. I mean, fun and exciting, but just kind of overwhelming. And you look around and that's why I wished you were there for many, many reasons. One, just because I missed you. But number two, because I know that a lot of these people were like, famous YouTubers and TikTokers that are walking around because you can just tell, like, the certain people and they've got their entourage and stuff. And I'm like, I have no idea who that person is, but I know they have something. And so you would have been able to tell me some of those.

I don't know.

1.

There's so many social media people in so many different niches. Like, it's just like. Just because as, like, a consumer, you can follow so many different types of people. So, like, so many people have so many followers. And so I definitely don't know everybody. And two, I don't think I could, like, spot a famous person just out and about.

You saw somebody when we were in New York walking around.

Oh, I saw Dave Portnoy just walking.

Down the street in New York City. Yeah, true, true.

And then I was like, was that him? And then I looked, and Barstool headquarters was right next to us. So I was like, okay, yeah, that was Dave Portnoy.

But, yeah, well, yeah, and I saw that these people, the Holderness family, which some of our listeners might know if they've had a YouTube channel forever, it's blanking out on her name. His name is Penn. And so they were speaking at the conference where I was, but then they were also just, like, standing there next to me later on. And so I introduced myself. I said I was a fan. But it's funny because when you see people like that, at first you're like, oh, that's my friend. Like, that's somebody I know. And then you're like, no, I know them, but they don't know me. And so, anyway, but I did. I introduced myself and I told him that he did a great job with. He's been. They do these just funny, funny videos about all kinds of different things, just about family life and stuff. But the. But recently he's been talking about the fact that he has ADD and what he does about it, and I think he might have written a book. So I told him that as a doctor, I appreciated his work with ADD and educating the public about it.

Can we talk about ADD for a second?

Sure.

I'm curious if you learned anything in that, in the talk about it.

Oh, I didn't watch his talk. I was still waiting in line, I think, and so I missed his talk. Oh, okay.

Well done.

So you told him you appreciated his work he's doing. You don't even know what he's doing. I have seen his TikToks about ADD. Oh, okay. So, yeah, So I appreciated the work he was doing. I just didn't see his talk at that conference.

Well, I was just reading last night about ADD and, like, emotional regulation. Have you seen stuff about that?

I have.

And, like, I just think that, like, I mean, I just resonate so much with all that stuff. Just, like, feeling emotions so hard and, like, not being able to, like, regulate it and all of that. And I just think like, like years ago it's just like oh, ADD is like when you're just kind of like you're just distracted.

You're just distracted.

You're not organized. And like now it's like oh wait, there's actually so much that goes into it. Just like specifically in regards to emotional regulation.

Well, yeah. And then one of the things that I learned, which I did learn from TikTok, I'll be honest. See, you get info from TikTok too. I do. But there are real. Yeah, I mean, you know, just like, you know some of these people are. I mean they've got PhDs in psychology and all kinds of stuff. I mean they're educated people. They just, you know, they're giving their education away on TikTok, which is, you know.

Which you do too.

That's right. I do that too. That just went. Sorry, but the, but like one of the things that just to me was so striking is, is the idea that people with ADD when they get criticized, that they feel it so much more harshly than people without add. And that resonated to me with a family member of mine that I'm not speaking about you this time, but another family member of mine that would just get her self esteem just knocked down from stuff that seemed so minor to me. And I was like, you know, it's not that big a deal. Why do you care that much what that person said? And like just could not let those things roll off her the way that it seemed to me like it should roll off you. I mean everybody feels bad when they hear when they get criticized, but some people. And then it just like echoes in your head.

Yeah, I wonder. I'll just an article that talks about like emotional regulations and ADD and this is like just some bullet points of it. 1. People with ADD react to minor problems or annoyances as if they were DEFCON level 1 threads is what it says. But just like they get super thrown into panic mode easily, super stressed out about little stuff and lose sight of the big picture, often in resulting or decisions in actions we later regret. They have difficulty calming down once a strong emotion has hold. They stew on it for hours and days over an emotional event and have a tough time looking forward. They are extremely sensitive to disapproval, rejection and criticism. They might interpret a colleague's reaction to something that we propose as criticism or disapproval or even an insult when none of that was intended and react self defensively or angrily. And it's, I mean that's kind of summed up as just rejection sensitivity. And then they get overly excited about things, all the good things, but also over minor annoyances and problems and just not being. Just getting fixated on that and not being able to look forward.

Wow. Now, do those things get better when you take medication for add?

That's what I was just thinking about this last night because I have add. So as the. What is that? Okay, that I said that?

Do you think I'm criticizing you? I didn't say anything. I just, like, was looking at you.

But, like, I think that it's kind of one of those things where it's like, there's a spectrum of being able to, like, get treatment for this. But also part of that is just like, a part of being neurodiverse. Like, I think feeling things because I just, like. I feel emotions really hard. Like, really a lot. Like, the bad ones, but also the good ones, too. And, like, also being able to, like. You know, people talk about, like, fixations and, like, okay, you might get fixated on something that happened, and, like, that is, like, negatively affecting you, but you also might get fixated on something and, like, be really productive and be able to, like, do that. So I think that, like, being able to deal with the negative stuff and get treatment and take medicine and go to therapy for that is important, but also kind of just acknowledging that that's just, like, a part of who you are.

I mean, and I guess this is partly that comes with therapy or educating yourself about who you are and what your diagnosis is and that. But, like, do you feel like you sometimes tell yourself, like, this isn't that big a deal? I know consciously this isn't that big a deal. And I'm feeling this, and I'm gonna have these feelings, but they are gonna get better. Like, I know that this is. I'm not gonna feel this way forever. Or, like, do I guess. Do you use some of those things to kind of talk yourself down from how you're feeling? I mean.

Yeah. The reason I was reading this last night is because last night I realized that I made plans on Wednesday, and then I realized I had something and I couldn't go to those plans. And I was just, like, really frustrated and irritated when it wasn't a big deal. Both plans were fun things that I would have enjoyed doing, but I just got really stressed out because it was just irritating to me that I couldn't do this other thing that I imagined myself I was gonna be doing. And, like, something else came up, but I was just like. But then I just couldn't And I was like, it's not that big of a deal. Like, I. It wasn't big plans. It wasn't like a big thing. It was just like a little thing that I had to switch around. But it was just like, I couldn't get out of just, like, feeling, like, so irritated and so frustrated. But then that's the whole thing about being able to, like, work through therapy and physically being able to, like, feel your emotions and breath, work and like. Like saying your emotions and just the whole. I don't know. I'm not a therapist, so I'm not going to speak on behalf of this and try to explain all the ins and outs. But it's just like a whole process of being able to work through that. And if you can do that and work on it, then I know that I'll be able to work through it rather than potentially that moment, like, lasting for longer if I didn't have those tools, if that makes sense.

That's good. That's actually. It's a good description of what therapy does, is giving you those tools. So it's not going to stop you from having those feelings.

But, yeah, exactly.

Knowing I can get from point A to point B, I have the tools, I know I can do it and being able to do that. I think it's hard to talk to patients about going to therapy and what it's really going to do for them. A lot of times they're like, well, it's not going to change who I am. I'm not trying to change who you are. Nobody wants to change who you are. You're just trying to get those tools so that, you know that you can get to a place where that you want to be.

Yeah.

So that's. No, I think that all that stuff about ADD is just really. I think it's really interesting. And it's just, you know, I mean, for people in my generation, like, you know, women my age didn't even get diagnosed with add. Especially if you were just kind of quiet and you weren't bouncing off the walls. It was the boys that were bouncing off the walls. And then the teacher would be like, you got to start this kid on some pills to, you know. And then, you know, and then the whole idea was just like. Then people were like, oh, well, I don't want to just give him a pill just to calm him down. It's like, you're not giving him a pill to calm him down. You're giving a pill to treat a disorder that he has. So that he can learn and be.

Productive and just be on the same level as everybody else. Yeah, yeah, yeah. I think it's tough. And now it's, like, crazy, this FMRI stuff that you can actually, like, physically see how, like, how parts of your brain, for people with add aren't. Don't work the same way as typical people. So, like, I think for a long time there's such a stigma about. Yeah. Taking, like, pills for it or just, like, people acting like it was overly diagnosed and all this stuff. And now it's like, no, look, like all of this stuff that we were talking about and just kind of theorizing about. I guess you can, like, actually, on a physical, physiological level, see it.

You can see it. Yeah. For a lot of people, they've got to see it to believe it. Even though, I mean, psychologists have been saying, look, we're seeing all these things, but they don't have a picture to prove it.

But back to south by Southwest, you talked about people just kind of coming up to you and being like, essentially, what can I get from this person? And then if you didn't provide anything, then they just.

Then they were just moving on. It was just a really weird dynamic for me. And I know that some people probably live their lives in that kind of space. Space. I'm not used to that. I'm used to having a conversation and talking to people about various things and not. Not having somebody just be like, okay, who are you? What can you do for me? And then, you know, and if you don't say something, you know, basically introduce yourself. If you don't introduce yourself in some way that they think, oh, you're going to be valuable for me, they're just like, okay, moving on to the next person.

I mean, you grew up or you went to college in la, and isn't it kind of like that there?

No. I mean, yes, there are parts of LA where it is like that for sure. And there's people who, like, are in the entertainment industry or all that.

It's a big city.

It's a big city. Yeah. I mean, my college, we were just in college.

Yeah.

It's not like we were.

I don't know, but I feel like it's shifted with the social media era. I was telling you about this before. Like, I listen to a lot of influencer podcasts and follow different influencers, and people talk about, like, at Coachella, how that it's completely a networking event like that. Like, people coming up to you just acting like, essentially trying to gauge how many followers you have, like, can they get something from you? And if not, then, you know, you go away. And I feel like also, like, I think now just having social media and actually, like, putting a number to your amount of clout that you have, I think puts just a lot more emphasis on that. And I feel like even if maybe people who were just in the entertainment industry in LA were like that, now I feel like so many people are social media people. And, you know, and you can, hey, should I make a TikTok with this person?

Because, well, and. Yeah, and you can easily, very quickly quantify that. Like, you know, it used to be that you would have to kind of know, well, what do they really do? Who are they? You'd have to kind of look them up, like, know more information about it. Now it's just like, okay, let me look them up on Instagram. Oh, boom, they've got a million followers. Okay. You know, this is somebody important. Yeah.

And I was just saying this is kind of a generation's thing is I feel like I'm kind of used to that because I've grown up with social media and I've grown up with, you know, being kind of, like, surrounded by people who might have, like, a lot more clout on social media. And people, like, treat them differently and they act differently. And, like, that's kind of. I don't know, that's. That's kind of a norm for me.

But.

But for you, you went to this thing and you're like, what is going on?

What is going on? And, yeah, that was just. I wasn't. I wasn't used to that. And I guess I'm just. I don't know how to say this. I'm not used to just being completely dismissed, like, super quickly. That was a bit of a blow. I was there at south by Southwest to see my good friend Dr. Heidi Flagg, previous Generations MD podcast guest, who was giving a talk. So anyway, so I was kind of sitting with some of the other speakers and. And so Heidi's introducing me to them, and, you know, I just kind of say, oh, yeah, I'm a doctor, blah, blah. And this one person, she was very lovely. But, you know, immediately she was just like, okay, no, you're just a regular doctor. You don't have. I didn't. I didn't tell her about this podcast. You know, you should have been promoting. I should have been promoting more. But again, that's just not. That's just not, like, who I am. That's the other reason I needed you. Yeah, you Would have been like, oh, yeah, I have a podcast generation, blah, blah, blah. And I don't know, I'm just. Number one, I'm not really like that. Number two, my role was really just there supporting my friend. I didn't, I felt like, yeah, you know, I mean, you could still promote your own thing and not necessarily be trying to overshadow your friend. But again, I was just, I was there to just take it all in and be there for her. But anyway, this other doctor's just like, she completely dismisses me because just like, okay, you're just a family medicine doctor, blah, blah, not interested. And then the next day she found out about my practice. And that is something that she wants to do is to have a similar practice. So all of a sudden she was really interested in me and she had all kinds of questions for me and she was just like sitting down and peppering me with questions and I was just like, you wouldn't give me the time of day yesterday, but today you've realized I can do something for you. And now you're really interested in me, which again, I mean, I get it. Like, she's there for just a couple of days. She's trying to, you know, maximize. She's hustling. I mean, I understand, but it was just, it was overwhelming. And I guess I didn't really like either of those things. I didn't like being dismissed, but I didn't also like somebody trying to suckle the life out of me and every information that I could give her. So anyway, like I said, it was energizing, but it was also just.

That sounds exhausting.

Yeah, but, but part of the stuff that was fun. So when I first got there, Heidi was off doing something else, so I couldn't ride her coattails to get into the conference. And I didn't have the fancy badge, so I had to wait in line with the oi polloi, which I, I didn't like. Being a commoner, that part was kind of bad, but it was kind of fun. Just the dynamic of waiting in line. I did meet, you know, just started talking to other people, which I don't think I would normally do as much standing in line. One woman like starts asking me, and this other woman were standing there and she says, you know, what do you do? And the other woman says, well, I work for the government. And I'm just like, huh, okay, works for the government. And I didn't. Again, I'm not in this habit of asking all the follow up questions and stuff, but the other Woman was. And she's like, really? You know, what do you do? What branch of the government do you work for? She says, the same. CIA. She works for the CIA.

Wait, so you were trying to get recruited to be in the CIA?

Yes. So this is what I'm happening is like, basically she had followed me there and she was trying to recruit me. Now.

Did you join?

That's classified. But we were just like the CIA. Why is the CIA at Southwest for recruiting? They were there to recruit people. You, me. And I said like, I was like, I always imagined that the CIA recruited people by like you're just walking along down the street and then somebody jumps out of the bushes and it's like, hey, did you want to be in the CIA? We've noticed you. We've been following you. Da, da, da, da, da. Because that's the way it happens in the movies. Well, okay. So then I asked this woman, I was like, well, is that how. So like, how are you recruiting at south by Southwest? And she had a booth. The next day she was gonna have a booth. So that's not really exciting. But I had asked her, I was like, you know, so I said, yeah, well, how do you really recruit? And I said, oh, yeah, I kind of imagined that. It was like you just approached somebody. And she said, well, actually that is the way that they mostly recruited. Like, it would be like a college professor would say to you, hey, Stephanie, you know, have you considered joining the CIA? But like, everything, if you really want to get more diversity in your organization, you can't just recruit by jumping out of bushes. You've got to do some other things, like having a booth at south by Southwest. But she said one of the reasons they're doing it there is they want to get STEM people into the CIA. But then I asked her, well, how many people work for the CIA? And she said, that's classified. So essentially like at her booth, probably, it's mostly classified, classified.

So like, what are you supposed to ask her? That's definitely a one way thing.

Yeah, I mean, she did tell us some of the stuff about salaries and job security. And then, hey, really? Yeah. What do they do? I don't know. And we asked about things and she said, well, the CIA actually doesn't do stuff domestically. That's the State Department and other organizations that do stuff in the US and the CIA is all overseas. So we're like, oh, well, do you travel a lot? That's classified. She did say that. She did say she had to travel a lot, but I did Decide that was going to be my line. Whenever somebody asked me something that I don't want to answer, I'd be like, that's classified. Interesting. Interesting to know that, you know, that's. That's something that they're trying to recruit STEM people. So if you're a STEM person, you can apply online. Okay.

Shout out to the CIA. Thanks for sponsoring this podcast.

Let's tag them. Yeah. Can't.

It's classified.

Classified. Okay. So I do have to give this PSA also about colon cancer, because Katie Couric was there. Do you even know who Katie Couric is? Oh, yeah. That's a generation thing. Everybody in my generation knows who Katie Couric is. She was on the Today show for years and years and years. And now I think she hosts, like, evening news. But she's just, you know, again, one of those people that you feel like you know her because she was, like, in your living room all the time, but she doesn't actually know you. But. But tragically, her husband died of colon cancer when he was 42 years old. They had two kids at the time that were 2 and 8. And. And so she has been on a mission ever since this was in. He died in 1998. So this has been a long time, but she has been on a mission to get people to get screened for colon cancer, which is doing a colonoscopy, which everybody, everybody, everybody needs a colonoscopy at age 45. Get their first one at age 45.

But he died at 42.

Okay, that is an excellent point. So you got to do that. But then if you're having symptoms or if you have any family history of colon cancer, you need to do it earlier. And so, you know, she has. She has these two daughters that are older now, and she said that you know her. So her daughter needs to get her first screening at age 32, so 10 years before he got diagnosed. And if you are having any symptoms, symptoms such as blood in your stool, change in bowel habits, unintended weight loss, you need to get that checked out and then get a colonoscopy. And the greatest thing about a colonoscopy is that if you have colon cancer and it's a little tiny polyp, you take that sucker out and it never becomes cancer. And you do great. Unlike most other screening tests like mammograms, it's not actually therapeutic. I mean, you find the mass, and then you've still got to, like, you know, do surgery and all that. The colonoscopy, they can Just take it out then and there, and you're done. So 20 in. In, like, the early. It was, like, in the year 2000, I think. Katie Couric went on the Today show live and had a colonoscopy done. Yeah. And they said that colonoscopies increased by, like, 20% after she did that. And they called it the Couric effect. And it actually, they estimated it saved, like, thousands of lives.

Oh, my goodness. Go, Katie.

Go, Katie. But just recently, this one woman who was up there speaking, she has a foundation focused on the same thing. She had colon cancer as well. And they reached out to Ryan Reynolds to see if he would do a. Do the same thing that Katie Couric did for New Generation. And he did. He and Rob McElhaney, his buddy, who. I know them again, they don't know me, but I know them from watching Wrexham. But anyway, so Ryan Reynolds did the same thing. They've seen a big bump in colonoscopies, and they're calling it the Ryan Reynolds effect.

Wow.

I know.

So next it's gonna be you.

Next it's gonna be me. The Sarah Davis effect.

There you go.

So that stresses me out.

I feel like there's, like, I need to. Like, that makes me think I need to go screen for, like, everything.

Well, okay. No. And that's what can happen. And this stress that you're feeling is probably gonna get somewhat worse for your first couple.

Oh, yeah. I'm definitely gonna think I have everything.

Yeah. Every time you learn about a new disease, they call it second year medical syndrome. Every time you, like, you're learning about brain tumors, and then you're like, I've got a headache. Oh, my God, it's a brain tumor. And it happens with every single thing. And we used to always laugh about that. And for some reason, certain diseases stick with certain people more. I was really thinking I might have schizophrenia for a while, Mom. Oh, my goodness. Well, like, I had a couple of those times, like, where I was falling asleep, and then I heard a noise, like a voice. And then I woke back up, and I was like, okay, was that a hallucination, or was I just falling asleep? And I was worried, like, maybe I'm having hallucinations. And then my friends were, like, when we talked about the different diseases that we had, and they're like, well, Sarah has schizophrenia. Okay. So my next thing that I learned about at south by Southwest was that we had a whole lecture on sexual pleasure, and you might want to just plug your ears.

Yeah.

Like, my mom's Party.

This is uncomfortable. My mother speaking about this right in front of me.

Well, and I will show you the party favorite that they handed out to all of us. Oh, my God, it is this. I'm showing it on the camera. I will read for our listeners. It's called a plus one, and it says on there, invite a little pleasure. Mom, this is so uncomfortable. It's the rose arouser. It has pulsing center and vibrating petals. It's waterproof. It's USB rechargeable.

And.

Yeah. So they handed us all of these at the conference. Oh, lift to peek inside. Oh, there it is. Okay.

Why did you feel like you definitely haven't opened it before?

Well, have I opened it? That's classified.

It's a rose. Interesting.

Okay. It's got a powerful pulsing head. 10 different intensity settings for a variety of sensations. What was funny is they, you know, so they handed this out to all of us. And of course, you're there in this lecture, and everybody's talking about this, and it's. You know, and one of the things they were saying was how good this is to just normalize these conversations, to talk about sexual pleasure, especially for women. I mean, this is something that obviously men don't feel uncomfortable discussing at all. So just really talking about it. But then you go from this meeting where everybody's talking about this, they've handed this out. We're all looking at these things. You're just like, oh, okay, yeah, yeah. But then I'm walking back to my hotel, and I didn't have a bag, and I'm just holding this in my hand. It doesn't fit in my purse. And I'm just like, okay, this seems perfectly normal. And Heidi had been at some other conference where they were giving these out, and she had, like, four of them, which she says had been sitting on her dining room table for weeks. And her husband was finally like, so at some point, are we gonna move these off the dining room table? Anyway, that. But there was a whole lecture with experts up there. I mean, not just talking about using these kinds of devices, but talking about sexual activity, sexual arousal for women, how important that is, not just for. I think that there's lots of talks. I think most people know that, you know, this is obviously important for your relationship and all that, but they were talking about how important it is for even your own personal health is, you know, your own just feeling better lowers your blood pressure. I mean, lots. Lots of different benefits. And so, you know, they were just talking about the fact that, you know, just need to normalize talking about this stuff with your mom.

So Dr. Davis is condoning usage of.

The plus one for talk about safe sex. I mean, this is as safe as it gets. I mean.

Yes, there you go.

You know, that's. I remember there was a thing where they were talking about, like, cyber sex or whatever can get really uncomfortable. 470. But they were talking about that teenagers are engaging in cybersex.

Cybersex is such a funny term.

I think that's what they called it. You know, whatever. Whatever it was.

And then that just done so early 2000s. Like, cyber.

Right. And then they were like, okay, you know, we're supposed to be upset about this. And I was like, well, okay, I'm not quite sure how. Why I'm supposed to be upset about this. Like, if you're. I mean, again, that's a completely safe type of sex. You know, if your teenager is alone in their room. Now, obviously you don't want something that's going to be on video or, you know, you've got those kinds of things. But if they're just facetiming or talking to somebody, like, they can't get pregnant that way. They can't get STD. They can't be taken advantage.

Dr. Davis also condoned cyber sex.

Well, I mean, it just. It was one of those things where, like, you know, how the. I mean, you'll see this plenty when you become a parent. There's all kinds of stuff that they're always trying to scare you about as parent. And now teenagers are engaging in cyber sex. And I'm like, well, teenagers have been having sex for a long, long time. So I don't feel like. So now that they're just doing this, you know, virtually, I'm not sure why I'm supposed to be so scared about that. So as long as I'm gonna embarrass you, I'll just talk about more stuff. But there was also a lecture from CEO of Sprout Pharmaceuticals, and she was the, like, inventor, you know, well, with a team of. The pink pill, which is a prescription pill called Addi A D D Y I for low libido. And she said. Which is. Which was approved by the FDA in 2015. Nine years ago, this pill was approved about. Have you ever heard of it? No. Right. I remember vaguely, vaguely hearing about this a long time ago. And I. Well, I'll talk to you. I'll go into that in a minute. But the. But one of the things she said was, you know, she's trying to get this thing Approved. Which took her a long, long time to get approved because the FDA was like, well, you know, you have a prescription for something that really isn't a problem. And what she kept hearing from people is they'd say, what, a Viagra for women? Well, isn't that jewelry?

Oh, my goodness.

Right.

Yeah.

Now, when they. When she said that at the conference, a couple of women kind of gave a little smirk and said, well, it doesn't happen hurt. But I was just so. I was just so offended by that. I was like, oh, my God, that's just. That's just terrible. And so she was saying how, you know, people didn't see it as a problem. Like, women not have. Women having a low libido was just not recognized as a problem. Whereas, meanwhile, Viagra apparently was totally fast tracked through the FDA because, you know, they were like erectile dysfunction. Like, that's a. That's a problem. That's something we need to solve. And they, like, you know, got it through and it was like, hit the market. And, you know, the sales.

Somebody in the FDA couldn't get it up.

Probably a lot of people, you know. And again, I don't mind to make light of Viagra, because that really has been a very helpful product for lots, for millions and millions of men. So that's great. Some of the women weren't quite as excited about the whole approval of Viagra, I'll say that. But. But anyway. But this woman was talking about how, you know, okay, many women do have low libido, but it's not seen as any kind of issue or if it is an issue, they need, like, counseling. They need these other things. They don't need a prescription for that. And as she was saying that, I was like, you know, I remember hearing about this, and I remember having all of those same thoughts. And I, like, basically I was like gaslighting myself on the whole thing. I kind of felt. I was like, well, you know, when women, women. And it's true, like, women's libido is a complicated process, right? It's not like men who are just like, see a naked lady. All right? But for women, you know, she's not going to be sexually aroused by her partner if he has just left the kitchen a mess. Which, by the way, I would say a man cleaning the kitchen, you know, that's more of, like, women's Viagra rather than jewelry. But the.

Also, the woman's, like, hormone cycle is just so much longer and more complicated.

And like, you know, again, and sexual arousal, it's Just based on a lot more. But that doesn't take away the fact that some women do have low libidos that probably does cause problems in their relationship. And then there's a prescription medicine that can be helpful for that, and yet it is really not being prescribed. And I've never prescribed it. I don't even really know the mechanism of action of how I was gonna.

Say, how does it work? Also, I feel like what you just said, like, I don't know. I don't. Like, I guess, yes, there's external factors, but there's external factors for men, too. And, like, there's still a whole biological process for women that, like, is, like, affected. You are chemically affected in different ways.

Yes. Yes, absolutely. And that's why I'm saying, like, it was when I was sitting there listening to her talk, I was like, oh, it really just kind of made this light bulb go off and say, like, why? Why did I just discount the fact that there is a biologic process and that I was like, oh, yeah, Unless all these other things are in place. Well, no, I mean, you can still make things better and easier. And, like, so I think that was. I don't know. I don't know why. I don't know why I thought that. And I felt like there was just. That was the conversation around this pill when it came out as well, that that's kind of what everybody else was saying. And I was like, yeah, but, you know, you could say the same thing about, like, an antidepressant. Right? So let's say you had something terrible happen in your life. You're feeling depressed. You know, that doesn't mean that we don't treat your depression. I understand that we can't undo this bad thing that happened to you. And yes, you may need therapy and other things as well, but I still. Still treat your depression.

Yeah.

So I think that that's. So that's the message that this woman had. And again, she was really dynamic speaker and interesting person, but it really resonated that I don't ask people those questions, and I haven't used this medicine, and maybe I need to start doing that. And she had. So that was the other thing that she had tasked us with. I mean, I got tasked with talking about colonoscopies, but she said, you know, if every woman in this room talks about this with some other people, maybe you can help me get the message out. That just goes back to me walking around with my vibrator in my hand and, you know, just kind of normalizing Just talking about all these things, talking about libido. Maybe we could have her on the pod.

Come on the pod.

Miss, Come on the pod. We'd love to hear you talk about it. So, yeah, so that was. Those were just. That's just the tip of the iceberg of some of the things that I learned about at South By.

Wow, man, you learned a lot. You came in with a lot of. Lot of lots.

I mean, it was. I tell you, though, it was. I mean, even when I was just sitting there listening to all these lectures and stuff and I'm just like, oh, man, okay, I gotta do this. I gotta do that. Expired. Yeah, yeah, you're inspired, but sometimes you can just get a little overly so and then you're just like, ugh. Okay, I'm frazzled. I need to kind of backtrack, prioritize. But, you know, it's nice if it. If it does make changes in your life and in your medical practice, then, you know, it's been a couple days well spent.

Well, thanks for listening, everybody. You can follow us on TikTok enerationsMD. I'm doing some content over there about interviews, so if you are interested in learning more about medical school interviews, hop over to there, drop us a note in the comments and you can also find us on Instagram @ParkCities PersonalPhysicians. And we will talk to you next week. Bye.

Bye.