Recover Better After Surgery You Are Already Having Using The SHARP Method

Hey everybody, welcome back on TikTok, Instagram, YouTube, Facebook, LinkedIn. We are live, gonna get started shortly. Just have to make sure the live stream is working and the live chat and the Dr. Rob Circle community. Really appreciate everybody hopping on. Hit the like button, share this around. We want to have an engaging, um, awesome night tonight. So everybody, we are live. All right everybody, thanks for joining. Share it around. We're going to talk about the Sharp Method surgical prep and recovery, the way we do it, the way we think it should be done. All right. I'm Dr. Whitfield, board-certified Uh, board-certified plastic surgeon in Austin, Texas. And, uh, we just did a live stream for a couple hours on TikTok about the misdiagnosis of Christina Applegate with, uh, MS. And now we're going to go and transition into the talk I had planned for the SHARP Method. And, uh, everybody who knows about the SHARP Method, either from reading my book or watching my, uh, podcast or Uh, the videos we do, it is how we feel surgical prep and recovery should be done. You can also learn about it on my Substack, my, um, LinkedIn, and on, uh, we have a subreddit, Surgery Prep Recovery. So hey, thanks everybody for joining. Share this around. We look forward to educating you about surgical preparation to enhance recovery. Thank you. Hi, Julia. Hi, Bob. Hi, Cassidy. Hi, Leslie. So I already have a question that says, is it possible for someone to feel completely better after explant and never have their symptoms return without going through a detox phase or experiencing recurring symptoms? I think that's hard because in our experience, my patients, 83% of them have some Different genetic issues, but we can get into that, sure. All right, I just ask one favor tonight. I was doing a stream earlier and a couple people got disrespectful, so we don't want any of that. You'll get blocked and kicked out of the stream, so please don't do that. We're going to stay on time tonight. Everybody hop on, share this around as quickly as possible, and then we'll answer this question. We've already got questions going in the chat, which is awesome. Thanks so much. Thank you for joining, Jeannie, Richard T. What is going on here on Instagram? Share this around on Instagram. I don't know what the issue is with Instagram sometimes, but share this around. It's drrobcircle.com/live, and that will allow you to go direct into my private community and chat. Without a username password. That's my private community. Currently it is free, so take advantage. All right, there you go. That's how you get into the private community without doing anything. Can everybody hear me okay? Testing, testing, testing. How's the audio? Good. All right, we're gonna get going in just a moment. I will put a mic up here so that we're good. Just checking in with the chat, how we doing? Hi Lisa, please share this around. Share it around. We're going to talk about the Sharp Method, how my surgical prep and recovery program can be remote, ran by patients all over North America, which it already is, and around the world, which it already is. So we look forward to sharing that exciting information. We've made strides in the program to make that possible. Everybody knows who comes to Austin, I have the best team. So this is a way to share my team with everybody all over the country and the world. Hi, Celeste. Hi Danger Styles, that's an interesting handle. Gotta love that. Hi Shannon, share this around everybody. We're going to talk about how to prepare for any type of surgery, not just explant surgery, not just cosmetic surgery, any type of surgery. Share this live with everybody. Invite more of your friends and family members, loved ones. Hi Joy. Hi, Rosemary. Let me say hi to everybody. I'll make sure I say hi. Hi, Carolyn. Good friend of mine. Hi, Elaine. Hi, Timothy. All right. Awesome. Share it around. Oh, I got to get caught up here. I'm falling behind. So once again, you can be live on TikTok, live on Instagram, YouTube, Facebook, LinkedIn, Substack, Rumble, live in my private community, Dr. Rob Circle. Shout out to everybody there who's already part of the community. I am live there. We're going to give a talk. They're going to answer a bunch of questions, as many questions as you want answered. And yeah, looking forward to it. Hi, Anne. Hi, Nancy. Hi, Vegan Life. Hi, Robin. Hi, M.M. Hi, Tariqa. Yep, I think I. Yep. Okay, perfect. Hi, Pilar. All right, share this around, everybody. Please help us spread the word, share it around. I really appreciate y'all. If you don't follow, please follow us depending on what platform you want. Just type my name in. I'll be on that platform most likely. If it's somewhere you don't see me or want me, just let us know and we'll try to accommodate. Hi Taylor, share it around. We're going to talk about surgical prep and recovery using the SHARP method. I also have a subreddit, the Surgery Prep Recovery subreddit, on my Reddit profile, Dr. Rob Whitfield. Then on Instagram @RobertWhitfieldMD and TikTok @RobertWhitfieldMD. You can follow us on, um, our show on YouTube. Spotify, Apple Podcasts, Dr. Robert Whitfield Show. Anybody who's came to Austin knows I have the best team. We just opened our brand new surgery center. We feel it's best in class in Austin, so you can really have a different experience if you're able to come here and have surgery with us. Obviously not everybody can. People are having surgery all the time without us, and we want to find ways to help you. So that's what this podcast— or I'm sorry, that's what this live is about. I've done several podcasts about it as well, and I talk about when I go on shows. I'm doing a show tomorrow, actually. All right. Hi, Nada. I guess that's how you say it. I don't know. I might be saying it wrong. I'm sorry if I am. All right, everybody's hopping on. We'll give it a few more minutes here. Really picking up momentum. Share the stream so people can actually take advantage of this. If you have a friend, a loved one, a family member, a colleague undergoing any type of surgical procedure, we're going to teach everybody tonight how to do it better, how to recover faster. A bunch of simple actionable things, then other things that take more time, and opportunities to work with my team remotely if you so choose. All right. Hey, share it around on Instagram so we get more people joining. Hi, Katie. All right, did I miss anybody on Instagram here? I'm trying to check. I think I got everybody. All right. Hi, Robert. Thanks for joining us, Katie. Share it around. We're going to talk about how to help everybody prepare and recover from surgery faster, more efficiently, hopefully with less downtime, hopefully with less discomfort. All the things. Oh, I feel like I've been live streaming all day today, but that's okay. Zach, I like that handle. That's awesome. Hi, Heidi. Hi, Bobby. Share this around. Show this to your friends, family, loved ones, anybody who's interested in going— or I'm sorry, getting prepared for surgery better. I want you all to obviously Recover faster, more efficiently. Hmm. So we did that on a previous, uh, show, Katie, but an MRI, devoted breast MRI, that's what I would do. Especially if it's silicone gel prosthesis. If it's a saline, then just ultrasound is fine. Hi everyone, share this around. Let's make sure and get as many people involved as possible. I'm streaming live on Instagram, TikTok, YouTube, Facebook, Substack, LinkedIn, Uh, X on my private community, drrobertwhitfield.com, or, uh, is a way to join, or just go directly to the community, drrobscircle.com/live. Don't need a username or password. Thank you for liking this. Share this around. Thank you, Rachel. Hi. All right, who else do I have here? Oh, Katie, doctors don't— there's a cash price for everything. I mean, if you come to Texas, I can get you a cash price for an MRI. It's not that complex. I don't know what's going on where you are. Yes, Heidi, that recall was in actually 2019, this summer. I hope you're doing well. All right, what else do we have here? Let's get rolling. All right, all right. I'm Dr. Whitfield. I'm a board-certified plastic surgeon. Tonight we're going to talk about my methodology to organize surgical preparation and recovery that you're already having. So I don't care if you're having surgery with someone else. I'm just giving you the tips and tricks, things you need to learn, things you need to know to have a smoother, easier recovery. Tonight, Thursday night, we always livestream 6 PM Central, 7 PM Eastern. Um, once again, this is an educational-only stream. Can't make any diagnosis here, but I'm gonna give you some tips and tricks to help you along the way. All the decisions you make are in conjunction with your provider, obviously not us, unless we're going to help you remotely. So before we start, once again, share the livestream around with everybody. Please like and subscribe everywhere you follow us so you get more information about what we're doing all the time. And just sharing the information is not obviously telling anybody what to do, so don't worry about that. And we're not expecting anybody on the event Uh, tonight to come to Austin. We'd love to have you, but we know that's not practical. And the Sharp Method does not replace, obviously, your surgeon, your teams, your follow-ups, any of that. What we have and how we run the program— and I'll go off script here for a second— the Strategic Holistic Accelerated Recovery Program is a long-winded term for what I wrote a book about, which is my methodology to prepare patients rather than the standard blood work, Urinalysis maybe, obviously a chest X-ray if you have a lung problem, or an echo or EKG if they're worried about your heart. This is different. This is going deeper. It's kind of what was spoken about today by Dr. Ebony Cornish about Christina Applegate's misdiagnosis, because she was alluding to deeper diving, different testing, more functional testing. And so that's what we do a lot. I really focus on genetics. I've had a strong interest in genetics. Since college. I'm old now. College for me was in the '80s, and then med school in the '90s, and then I trained for 9 years in surgery and plastic surgery. Practiced, uh, since '05 and have been solo working on the problem of breast implants as it relates to chronic inflammation from them, infections, biofilm analysis. So we have a lot to offer, and what we want to Just convey to everybody is there is a way to have a deeper dive and prepare for any surgical procedure that you're having. Doesn't matter if it's cosmetic, explant, orthopedic, heart or lung procedure. You can always get prepared better. It will not guarantee any kind of faster healing. It will not guarantee you can't have a complication, complication from anything you do, but it will help you get in a better position. So I think like in terms of preparation, it organizes the work you have to do and puts you in control of it so that you can be more empowered about what you're doing, how you're doing it, being intentional. If your surgery is already obviously on the calendar, you can still use this as a list to follow along to help guide you. If your surgery is in weeks, you may have more time obviously to review your nutrition, your sleep pattern, medication support you have at If your surgery is just days away, it is not too late to improve what you're doing. Let's just do something simple that you can do starting tonight. Um, it's actionable, right? Don't drink fluids 2 hours before you go to bed tonight. Try to shut it down a little bit before, 2 hours before you go to bed, especially if you have problems about getting up at night to go to the bathroom because you drank fluids late. You can easily curtail this, and I've done this in one discussion with a patient. Just stop drinking fluid about 2 hours before you go to bed, then empty your bladder before you go to bed. That will help you hopefully get to sleep and stay asleep longer. Also, don't eat too close to bed. So Back that up three or four hours before you go to bed. So you're just trying to give your body an opportunity to go to sleep, and then sleep is when obviously you rest and digest. That's when recovery happens. And so the the diet, the things that I'm talking about, those are all actionable. So you don't want to start some new restrictive diet, and that may be a little bit hard to understand. But you can just tinker with one of the macros. is like increase your protein intake in a healthy way. That's usually fine. That usually helps promote good wound healing. So in our experience, we're very focused on this. And, you know, we are talking about like usually 2 weeks, several weeks, several months out, depending on what everybody's logistics are who are traveling into Austin. If it's a local Austinite, it's a little bit different, obviously. So You want to treat everything by, you know, if you have more time, being more flexible and then creating these, you know, the habits. And so our timing really depends on the operation and its scheduled date. And if we're helping you, obviously, what's your current health? What's your nutritional status? What can we realistically help level up in the time before your procedure? So the clinicians always guide this, right? So there's going to be specific things your provider may or may not want, and we don't want to delay, you know, any care they're obviously implementing prior to a procedure. In my book, The Sharp Method, it explores really 5 specific areas with immunity and inflammation as the organizing context rather than any mandatory Items. I just want everybody think constructively about these five areas, and the five areas are genetics and individual differences on your environmental exposures, your nutrition, of course, your gut health, and your hormonal balance. They are really our pillars of discussion. They are not obviously a quote unquote checklist, but they're things that you want to think about. Or have given thought to. You do not need to, um, necessarily go out and get every single, uh, one of the tests we do for our patients. Our patients are really focused on decreasing inflammation, decreasing their exposures, balancing out their, their gut, their hormones, and trying to eliminate things they're sensitive to. Genetics and individual differences can belong in a conversation when a specific result has meaning for us. One common genetic variant does not by itself prove that somebody is going to have a difficult healing time after surgery. And so we don't focus on a particular, oh, if you have this, then do this. What we do try to do is look at everybody holistically and provide context. Knowing that a lot of folks have problems with detox pathways, which leads to problems with their immune system function, and that genetic report gives us oversight, if you will, about that. The toxicity burden is important because we all face different environmental exposures, and they can matter more in certain patients with higher levels of whether it's mycotoxins or PFAS, or think of things like heavy metals. I just had a discussion about this, and that's different from like a standard like blood value where you're just looking at a different like a blood count, your white blood cell count, your red blood cell count. So if the exposures are relevant to our patients, we take A very individualized approach to that, create plans for that, as we did today with some of my patients who we were talking with. So those things can be really, really, I would say, foundationally important because you can act on those once you identify those and then set forth steps to help the patient either limit their exposure to the problem, remove them from the problem completely, whether that's a diet adjustment, a lifestyle adjustment, a change of venue, if you will. Those are all in play. The nutrition is paramount, always adequate calories. As it relates to protein is my focus. Um, I have benchmark protein targets and then we level up from there. And that really depends on your set point you get in your diet currently, your body habitus, your overall nutritional status. Obviously, all those things are important. And we have qualified FDNs on my team. Obviously, I'm a surgeon. I have a ton of experience with surgical nutrition. And once again, we focus on protein and healthy fats. Your gut health is paramount. It deserves your attention. If you have digestive symptoms, constipation, diarrhea, if we're concerned about absorptive issues, we're going to look at your nutrition labs even more closely to see if you have any vitamin or other nutrient deficiencies that we need to address. I tend to stay away from excessive use of prebiotics because they can worsen bloating or discomfort in some of our patients, and that's an individualized decision. I personally try to get people to limit that unless they're already really, really experienced with a particular prebiotic they've used. We don't introduce that in our programs. Hormonal balance is incredibly important. Hormones can matter significantly if there's already a previously diagnosed endocrine problem. Think of hyperthyroidism, think of hypothyroidism, think of diabetes. Those are obviously common ones, and they're different. Obviously, thyroid or sex hormone treatment requires obviously that you be diagnosed, you're monitored. Those are endocrinologists that are typically helping with that. And then someone who may manage sex hormones for you as hormone replacement therapy if you're in that window of time. We specifically are not starting, stopping, adjusting those hormones when they're being ran by their clinicians. We're looking at values and trying to help them and make sure that they're aligned with proper healing, um, in terms of how we think about our programming. So I want to thank everybody once again for hopping on. We are live on Instagram, TikTok, Facebook, YouTube, LinkedIn, X, Substack, gosh, Rumble, not Reddit right now, um, sorry. Um, remember, share the stream with everybody. We're also going to have a live Q&A in drrobscircle.com/live. That will get you right in without username or password. Obviously, um, we'd love you to join and follow along and be part of the community. It's free right now, so I put all of our information up in there. All right, back to the talk. Um, okay, that's the beginning. First, let's start planning as early as possible and try to help you. I think the further we have Uh, time to interact with somebody prior to procedure, the better, depending on what the procedure is. Now, for my patients who are undergoing explant, we don't put them through any kind of heavy detox up front. The one exception to that will be fat transfer patients. We do have a specific set of protocols for them based on findings of their toxicity tests because we feel that's an incredibly important aspect to that. Um, So obviously things to remember are when you're having surgery, where you're having surgery, the obviously team you're going to be working with. And then from that— and I'm trying to have you organize your thoughts about this, so this is how I would want a patient to look at it with us as well. So then it's like, who is going to help you after surgery? Do you have that planned? Who's picking you up, taking you home? Who is going to stay with you the first night? I think it's really important to have a friend, family member, loved one, and/or when I have patients travel from out of state, out of the country, we have nursing services that work with patients. It's important if you need something that you have the ability to get that help. And so who's going to then look after all your responsibilities? And there are a ton of them, but I'm going to focus on self-care for you. Like, who's going to make sure you are fed. You know, nourishment is paramount to this to be successful. We have a very specific set of, as I mentioned previously, supplements we use. We have a specific set of pre-op medications we use. Your provider is going to vary typically versus ours. So we want to make sure everybody knows what they're getting from a prescription standpoint. Are they using anything else over the counters? Any other, once again, supplements, any herbs or other protein products. Me personally, I don't like patients using any herbal supplements at all. They can be riddled with things that cause problems with bleeding. We actually, unlike a lot of people, do not stop supplements for surgery, but we have a specific curated set that we run. And you got to be very careful and scrutinize all the labels. Of course, they can affect, like I mentioned previously, bleeding, anesthesia, blood pressure, glucose. levels, um, even other medication metabolism. So obviously you got to know your list, bring that list to your pre-op, whoever you're seeing, follow the team's, uh, instructions regarding those, uh, supplements. And if you're working with others and they want you to stop them, then you got to respect that. Um, what I do is different than other surgeons, obviously. Third, you know, when we enter surgery, you got to have For us, a very specific nutritional plan is followed. Not everybody does this, but I, I think it's really undersold, like how important your nutrition is for all of these aspects of wound healing. You have to get your body into a positive nitrogen balance as quickly as possible afterwards. I don't use drains in any of our cases traditionally now, haven't used them for about the last 5 years. The reason being is we want to Not have as big a cortisol surge. Cortisol is the stress hormone that's induced and causes acute inflammation from surgery, and then you spend all your time recovering. You know, when this happens, your thirst center is turned on. You're immediately wanting to drink more fluids. Thirsty is kind of standard. Oh, Samantha, thank you so much. I watch you. Congrats on your baby, you and your husband. Awesome. That's my patient Samantha. Love, love hearing my patients. Love seeing them do well. Glad I get to see it. Back to the talk. If we have specific medical conditions, problems with your kidneys, diabetes, any allergies, you really have to know about this and discuss it with your providers. For us personally, We focus a ton on your ability to consume enough protein to help you. I think the hardest patients to take care of, honestly, are my vegan patients, not because that's a problem being vegan, the problem is just getting enough protein in your diet. So we actually have a vegan-approved protein, we have an animal-based protein, we try to meet everybody where they are. I just want everybody to recover as fast as possible. So it starts with how you prepare for surgery. Are you locked in on how you're going to do this? You know, we prioritize sleep, as I mentioned previously, as actionable. You can start having better sleep tonight just being intentional about what you're going to do. Eat earlier. Stop drinking a couple of hours before bed. Get your bedroom a little bit cooler. Get an eye mask. Get noise. If you wear a CPAP like me, get it organized, man. You got to protect your brain. 4 minutes is all you have without oxygen to your brain. That's why people wake up gasping at night. It's a big driver of Alzheimer's. So you've got to focus on your sleep. Everybody's exercise instructions are going to be different. So we're going to take away people having leg surgery. So walking is usually an exercise that's usually fine. It doesn't induce high heart rates. It doesn't induce high blood pressure. Obviously, if you're having surgery that— oh, who is this? Alog29. This is one of my patients. Who is this gal? I can't see. Oh my gosh. Thank you so much, Alog29. I can't tell from your picture, though, who you are. Thank you. Love to hear that. Give a shout out to CJBM_69, best friend since junior high. It's my guy in Vegas. All right, back to the talk. So we don't use drains like we talked about, but a lot of people who operate restrict lifting, right? Don't lift greater than, you know, 10 pounds or a bag of groceries, something like that. If you have drain tubes in, you got to keep track, keep a log so they know what's going on. Um, if, if it's all up to you, it can be hard if you don't feel well to keep track of this. But it's a— if it's on you, then set everything up on your, your nightstand or in your bathroom where you can keep track. And if you have people helping you, they have to be diligent and help you. Now, I do want to pause here and say something about drains. If you have drains in place, You're definitely not my patient typically. But if you have drains in place, you have to wash your hands before and after touching the drain, and your caregivers do. And you have to be careful with the drains and not get it stuck or touched on, uh, countertops or stuff, because that is a— just an avenue to get infection. You've got to be careful with that, 100%. All right. Now, I think everybody gets worked up before surgery. It's normal to be anxious, except for if you're me, right? I got asked in a truth or dare if I ever get anxious about operating on patients. No, I've done cases since 1996 for patients. It's, uh, you know, basically why— it's how I'm built, right? It's my passion to take care of people, operate, do all the things. Um, You have to feel, uh, super comfortable with your team and your plan, how they're going to execute it for you. And the more you are at ease, the easier the case becomes. So you have to be your— think of obviously your advocate, but I want you to be accountable yourself. So if you have questions, organize your thoughts, type them into the notes section on your phone or in a text you're going to send to your caregiver and say, hey man, hey. You know, if your friends come with you, let's just make sure we're on the same page, especially if they're not with you. Which, if somebody's going to help you, I would like them at the pre-op appointment. That's my pet peeve. Whether it's your friend, loved one, spouse, I don't care. It needs sometimes 2 people to hear it. People get like distracted, they're caught up in it and they don't like, you know, pay attention and they miss something. So, um, Once again, we talked about preparing the environment. How are you going to get meals done? How are you going to get to and from appointments? Who's going to help you with your medications organization? All those things need to be worked out before the day of. Honestly, if you're coming in with your hair on fire, that's how you're going to be after surgery, and that's not— doesn't work. Um, for us, we have, you know, pretty, uh, specific instructions. Always, I, I micromanage our patients because I've done this for over 30 years, like I said, I have no problem telling people exactly what to do. It's a skill set I have acquired over many, many years of taking care of patients. So if you're not following the instructions, it's going to be pretty obvious to me in your post-op appointments. So the SHARP method is rooted in this, and SHARP, I think, can be applied principally to a lot of different procedures. And that's my biggest value add, I think, to— Patients. A lot of surgeons— I get asked by patients here in my chat, I'm being asked like, why is this not done by more patients? Because patients are obviously very focused on your care, and many of them are focused on the surgical aspects and not the pre and the post as much, and they leave a lot of that to honestly their teams. So I put all this out in a book, so I'm not hiding anything. You can use the program. Obviously, my team is great in-house and then remote, and any of these procedures can be, I think, made more efficient. All right, let's go through some of Our testing. So we talk about testing, and I'm very specific about genetic testing. So we have the largest experience with genetic genetic testing on patients with breast implants in the world by far. It's not even close. I've been doing this since 2021. So with different vendors. So we know that our patients have trouble with what we would call immune system. Uh, pathway function. So things like vitamin D, things like methylation, things like, uh, glucuronidation, the antioxidant pathways, hormone metabolism, all things are super important. And then you combine that with environmental exposures, couple that to your, your diet, maybe things you're sensitive in your diet, you got exposed to problems with your gut, and that sets up how you're going to recover from a procedure, whether or not you know that or not. I can give you the answer, and the answer is yes. That's how you're going to recover. So no one test defines how you're going to recover. We look at and create this big picture so we can help people provide context to why they experience and feel things the way they do. And there's not going to be one specific test or supplement that solves all the problems, but taken on whole, they can help you reduce your inflammation before surgery. That will help you get better prepared for surgery, and that will fill assist. Facilitate a better, quicker recovery from surgery, in our opinion. So when I say things like immune system pathways and detox, for our patients, we're very specific. We're looking at all their toxicity burden— environmental toxins, things like PFAS, glyphosate, BPA— looking at mycotoxins, aflatoxin, fumonisin, geletobitin, ochratoxin, Heavy metals, mercury, cadmium, tellurium, cesium, arsenic, and tin. You know, the detox of things like that for my patients is different than it would be for another patient. But as long as you have those things and you understand them, you can take steps starting today, tonight, tomorrow, this week to get yourself in a better position. And whether it's use of a supplementation that helps you reduce that inflammation, Or doing something like a binder, or really improving your bowel function, because you have to eliminate waste in order to recover. And surgery doesn't make that easier. It really slows people down sometimes. So you have to be on point with that. Your liver, your kidneys, your lungs, and your gut already have jobs, and then having surgery makes that job a little bit harder. Things move a little bit slower. You have to support those organ systems following any kind of you know, medical care diagnosis for a condition. And then certainly pre-op, you got to get your bowels moving if at all possible. And we help people with that quite a bit. So I wrote the book about the SART method. It's very simple, easy to read. It's on, you know, my Shopify store. It's on Audible. Like, people have listened to it. We kept it light. I cut out a bunch of material from that book because it could get too dense too quick. And that's just not the— the goal was to make it simple and easy to understand for everybody so it helps as many people as possible. Never like anybody, any of my patients in this chat, whether it's on Instagram, TikTok, you know, Facebook, YouTube, they'll tell you I'm pretty blunt and, um, I'm— I don't hide anything. I try to be very, very honest. All the time about everything, and a lot of people don't like that, but that's just the way it is. Um, excuse me. Now, within my clinic, I'm gonna, I'm gonna boast on my, my team in Austin is awesome, from front of house to back of house. Um, they take care of the patients, they really take care of everything for me, and that's the way we can, you know, I feel like, provide the standard of care that is highest. level. The things that we have to help our patients recover after surgery are the Human Regenerator after Germany— I'm sorry, out of Germany. I was the 3rd clinic in North America to have one. So it's a lovely way to help improve rest and digest or get you into more of a parasympathetic state. Great wellness device. Um, second, I like to stack, and I did this before the live stream tonight, a Flipresso treatment. So a total body lymphatic massage, basically. And I couple it with NanoVi blow-by therapy. I do that, and then if I can, I get my own vertical hyperbaric chamber. But that's what my patients do. And hyperbaric oxygen is one of the best tools for healing because increasing oxygen helps the tissues that need it as they're healing, because the blood flow is disrupted by surgery. It doesn't matter what surgery. And then it helps reduce your chance for infection because bacteria, virus, fungus do not like oxygen, right? They hide away in, in tissues that are dying or necrotic or have decreased blood flow because that's better for them. Everybody wave to Chelsea Ward. That's my lead detox practitioner. Gina may be on here as well. Say hi to them. They run everything at the program remotely. So if you come to the remote program after this talk, you'll talk to them. All right, I lost track of where I am in my talk. Um, oh my gosh, I get asked about direct evidence about SHARP. So I'll tell you what, you go into Instagram and find my patients who are commenting about my program, and if someone doesn't like my program, you ask them why. And, you know, you get as much out of the program as you put in the program. We're not going to quit on you. You would have to quit on us. We want everybody to get as well as possible as quickly as possible. So I think that is the people that align with us the best, really wanting to The best to help them get themselves in a great position for recovery. And we know it's hard. None of it's easy. On my team, Chelsea and Gina have both had explant surgery with us specifically. They're both trained in detox. They both are functional providers. And then our nurse practitioner who really heads and runs our surgical recovery program with me, Violet also has had an explant with us and ran the program. So, I mean, obviously I've done thousands of the cases. They've lived the case. They've recovered. They're in the best position to advise. So I rely on them to do that for you. Once again, I lost my place in my talk. I'll, I'll kind of wrap it up this way because my goodness, I've gotten— I've lost track of my talk. I've got, I got sideways so many times here. If somebody can't come to us, which obviously that's a number of people and the economy is not good, so we understand that. So if you can't afford the testing with us or can't afford services with us, we understand that. If you can, we have our Foundational Program, we have our Premier Program and our Concierge Program. You can go to the website and check those out on drrobertwhitfield.com. whitfield.com or on the Shopify store. Um, but things that are actionable always are. You can improve your sleep. You can really try to do that starting tonight. So tonight, literally think about, be intentional about when you're going to bed. All right, 2 hours before bed, just stop your fluid intake. About 3 hours before bed, if you can back up your mealtime, that will help you get Better rest. And then get off your damn phones about an hour before bed. That will help you probably the most. Doom scrolling on TikTok and Instagram until wee hours of the morning is not going to help you. And then when you get up in the morning, you're typically going to be dehydrated. You can have a little protein drink and have electrolytes. If you don't have electrolytes, put a little salt in there. Pro tip, iodized salt is still good. And then get on with your day. Don't fast. You don't need to. I mean, it's fine if you're suffering from inflammation and fasting helps you. That's usually, you know, if Chelsea comes on and says, you know, that's more of a gut problem. You have to feed yourself. Protein is what you need. And I'm always going to harp on that. So prioritize sleep, prioritize your nutrition. Those are all actionable things. Get out in the morning, get some sunlight, drop your cortisol levels, get on track. All of those are super helpful, actionable things right now. So the SHARP Method is our way of taking care of patients. You know, we continue to evolve our methodology. We want everybody to share in and learn from it so they can do better and recover, help their loved ones, family members, friends. And yeah, I mean, I'll take some questions. I wrote the book about the framework. I mean, it's— I'm not trying to hide anything. It's all out there for everybody to utilize. We feel like it should be the standard of care. We feel like it's actually better than ERAS. Probably get some hate for that, but that's okay. Um, ERAS is incorporated in my protocol, but I don't think it hits the, uh, high mark for me on nutrient testing or nutrition evaluation or how you should run nutrition post-op. So Um, with that, since I've rambled on, I have no idea what time it is now. Oh, it's quarter till 7. Wow, kind of lost track there. Okay, so, um, this is where— what I'll do now is we'll go into this circle. I don't know who we have here, so what I will do is if you click the link on Instagram to go to my private community, you'll go right into the private community. And then you have to unmute and you will see us live. You'll have live chat with us. And on TikTok, I'm probably just going to leave this running. I can't put the live link in TikTok. I don't think TikTok seems to like not like me doing things. I don't know why. I wish they had a little agent to help me with this, but they don't. So I'm gonna put in the chat on TikTok how to do this. Let me see if it works. So there's a link on Instagram, so you can go straight in there. Let me know if you have a problem, type it in the chat, and then we're going to go in the circle and have a chit chat. A little private Q&A. And once again, it's drrobscircle.com/live. You do not need a username or password. You hit that or copy that, it'll go and take you straight in there. The chat will be there. And, um, I'm gonna start turning off the stream in some of these other Channels because I got too many things going here. I'm gonna oh there oh gosh oh there we go oh I have people on YouTube oh gosh I didn't see Doctor all right Doctor Friedberg is talking about this so um. He's speaking about using, um, IV ketamine. We do not do that because my patients have impaired detox pathways. We've looked at this over and over again, so we do not combine IV ketamine. We already do have a large pre-op protocol that uses gabapentin. We do regional nerve blocks, so Although I appreciate your input there, Dr. Friedberg, my patient population is very different. So thank you though. Yeah, drains have not been used in breast surgery since— oh my gosh, actually told it was malpractice in breast reductions by a very famous plastic surgeon many, many years ago. And so you don't have to use drains. There's lots of avenues. Your body has the best filtration system. So just through the channels that you normally have, you can do that. So we started doing this initially with fat transfers, not using drains, by connecting the breast pocket with the previously, uh, areas, previous liposuction areas, and that allows for more egress of fluid. And then certainly, um, how you do and close the pocket helps as well. We do as much closure of the pectoralis major down to its original position as possible. That closes dead space. And then once again, most of the things that we're trying to do honestly are to reduce the cortisol surge, which increases the production of fluid. So if you diminish that cortisol surge, then you can reduce the production of fluid, and that thereby reduces the need for drains. So All right, so I'm gonna go and drop the stream on Substack, and we're gonna drop the stream on Rumble and on LinkedIn and on Facebook. Oh, Donna, I'm glad you live close to Austin. Please come see us. We'd love to see you though. All right, and then all for YouTube, I'm gonna remove the stream.