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Podcast Season 3 Episode 9: Dr. Becky Lynn

Dr. Becky Lynn is the founder of the Evora Women’s Health, the only holistic, women-specific medical practice in St. Louis. Dr. Becky Lynn believes in being there for her patients and creating a bond with them, understanding them holistically, and providing comprehensive care in a supportive space.   She works with a team of registered dietitians, personal trainers, and mental health professionals to deliver a true collaborative approach to care. She is also an Adjunct Associate Professor of Obstetrics and Gynecology at Saint Louis University, as well as a certified Sexual Counselor.  

Dr. Lynn completed medical school at Georgetown University in Washington, DC, and her residency at Washington University.  She received her MBA from Saint Louis University.  In 2020, Dr. Lynn launched Evora Women’s Health at St. Luke’s Hospital in Chesterfield. 

Email: evoramedllc@gmail.com
Website: evorawomen.com
Facebook: https://www.facebook.com/evorawomenshealth
LinkedIn: https://www.linkedin.com/in/becky-lynn-md-mba-if-ncmp-5734414a/
Instagram: @evorawomenshealth

As mentioned by Dr. Becky Lynn:  https://www.menopause.org/

Hello, and welcome to STL Active St Louis's premier health and wellness podcast. STL Active aims to give listeners in the St. Louis area the information they need to succeed and progress with their health and
fitness.
This podcast is brought to you by stlouispt.com and hosted by Doctor of Physical Therapy, Greg Judice.

Hey everyone, it's Dr. Greg, owner, and physical therapist at Judice Sports and Rehab. On this episode of the show, I'm interviewing Dr. Becky Lynn, owner of Evora Women's Health, Evora Women's Health is the only holistic women's specific medical practice in St. Louis. She works with a team of registered dieticians, personal trainers, and mental health professionals to deliver a true collaborative approach to care. She is also an adjunct Associate Professor of Obstetrics and Gynaecology at St. Louis University, as well as a certified sexual counselor. Without further ado, let's get into the interview with Dr. Lin. Alright, welcome to the show. Dr. Becky Lynn from Evora, women's health. Thank you so much for being here. Thank you so much for having me. This is gonna be fun. All right. So let's start off with you just telling the listeners a bit about you and your background. And why are you here?
Sure. So I am a gynecologist, a general OBGYN. And I specialize in menopause and sexual problems in women. So things like low libido, painful sex, and then the whole slew of symptoms that are typical to menopause. So you know, hot flashes, night sweats, weight gain, joint aches, depression, anxiety. So I have done some extra training in both of those. So that's pretty much who I see in my practice. And why am I here?
Well, that's up to you. Yeah. So I just kind of want to hear. Like, why why are you? Well, let me like, why am I doing what I'm doing? or Why are you doing what you're doing? Like maybe a bit of school background, that kind of thing?
Oh, yeah. So um, I did my training. I did my undergrad at Berkeley in California, UC Berkeley, and I was actually an economics major and a Spanish minor and didn't think I was going to be a physician. But I ended up changing my mind after I graduated long story broke my foot used to be a ballet dancer and ended up deciding that instead of working in the ice cream shop after I graduated from Berkeley, I was going to be a doctor. So I ended up moving to the east coast, to Columbia in New York, did a post-baccalaureate premedical program there. And then I went to medical school at Georgetown in DC. I met my husband who's from Kansas City. I had never been in Missouri before. And we decided to move to Missouri to St. Louis. I did my residency and OBGYN at Wash U. And then I practiced in Jefferson City for six years. And then I went back to academics at Mizzou for six years. Then my husband's job brought us back to St. Louis, thankfully, because I love St. Louis. And we moved back and I was at St. Louis University for almost five years. And then I left last year, February 2020, to start my own practice.
Well, that is some fantastic timing.
I know who knew as the world changed. And I had to get really creative because all of a sudden, we were in a major pandemic, and I was at home, which was actually kind of nice, because I have two teenage children who would have been off doing whatever they were doing. But I actually got to spend a lot of time with them captive audience. So yeah, it's been an interesting year, but a
good one I understand. Interesting year for everyone. So entrepreneurship, right. Yes, it is. It's kind of crazy. Everybody's got a unique story with it. But yeah, you will always have I started my business at the very, very beginning of it. So creativity, so let's maybe jump into that a little bit. So tell me like what have you had to do over the last year and a half to make this work?
Right? Well, um, you know, basically, as a physician, you're typically classically in the office seeing patients all day. And when the pandemic hit, I went home. I really wasn't seeing patients. The good news is I already had telehealth set up. I was a big believer in telehealth, especially, because I'm the only practitioner in St. Louis who really specializes in sexual dysfunction and women. I when I was at SLU, I had people travel from all over the state and from Illinois to come see me. So when I opened up my own practice, it was very important to me to have telehealth so people didn't have To drive, you know, if they needed an exam, yes, I would have to come see them. But follow ups are often just talking. So my telehealth was already set up. But some of the things that I did is I started offering lectures during April and May, you know, for for prospective patients, but also for providers, other physicians and nurse practitioners, because in ob gyn residency really don't get a lot of training and menopause and sexual health. So I started offering lectures just to kind of get my name out there and to teach people and to bring in a little bit of income.
Very cool. And I think that's, again, you have to be creative to get through a pandemic with owning a business. But I mean, anytime you're starting something that's bucking the trend, right, we've both of us, we've got to be creative when it comes to marketing, when it comes to making relationships with people, all that fun stuff.
And one thing I'll say, so I didn't mention this, but while I was at SLU, I got my MBA, my Master's in Business Administration. And I would say you don't need to have that to start your own business. But it was very, very helpful. But what I found, you know about entrepreneurship, it is fun, and it is a challenge, I'm constantly thinking of new ways to, you know, get my name out there brand awareness, like I have this other side of my brain apart from my main job as a gynecologist, where I'm just kind of thinking of new and unique ways to give women the care that I think they need. So it's, it's been so much fun. the business side combined with the medicine side. And the interesting thing about that is that, you know, before I started, I created a business plan, I had this all organized in my head, how my practice was going to go. And a year later, I am completely different from what I thought I would be. And I just find that so different and fascinating. And I love being my own boss, because if I think of a great idea, I can just do it. When you're not your own boss, you can't do that stuff. So it's it's been a challenge. And I love the challenge. It's been really fun.
That's cool. I would agree the ability to think of something that sounds cool, and just make it happen. Yeah, is super fun. You know, my wife will make fun of me sometimes, because some of my ideas are not great. But you know, you have that one, when you're like, Oh my gosh, this is gonna be so cool. Look, what we're gonna be able to do, how we're going to be able to help people and then you just make it happen? Yes, it's easy to turn a very small boat. Exactly. So easy to turn the big boat. Right. So speaking of the big boat, tell me a little bit about where you were before, and why you decided to go off and do your own thing.
Sure. So I was at St. Louis University, they have fantastic ob gyn department. But what I found there, and this is true everywhere, it's not unique to SLU is that medicine, most physicians are employees. And you have a boss who says you need to be this much productive, which means you need to see lots and lots and lots and lots and lots, lots of patients, which means you have very little time for each patient. And I felt with what I do, I really needed to be able to spend time with my patients and give them the time that they deserve. And in traditional corporate medicine, you just don't get that. And so I felt like the you know, the only way that I could really provide the kind of quality care and really have that doctor patient relationship, right, really get to know people. But also, you know, if you think about a GYN visit pap breast exam out the door, like you really don't have time to get into nutrition, and exercise, and mental health, and well being and just sleep, and all of these other issues that are so important to our health in general. You just don't have the time to do that in corporate medicine. And that was very frustrating to me. So I decided to leave. And really the best way to make that work is you know, to not have to deal with insurance because every year reimbursement goes down. And then the hospital systems or your employer says oh, we're bringing in less you need to work more. So every year you get less and less and less time. So if I take insurance the middleman out of the equation, I can just spend time with my patients and really get to know them. So it has been the best thing I've ever done despite starting in a pandemic.
That's awesome. That's so good to hear. And that's that's how we do things as well. Definitely all. No, it's called a cash practice. But you know, you don't have to use paper money but basically, just completely avoiding the middleman Don't let them dictate how we treat Yes. And so that's I totally understand. Yeah.
So one thing about, like how insurance dictates how you treat, you know, in my standard, you know, corporate medicine practice, if a patient came in and they needed an annual, they weren't allowed to have a problem with that you had to have them come back, pay another copay take more time off work, you're not allowed to do two visits, and one insurance won't do that. Now. I'm like, we can do your annual, we can talk about your trip to Mexico. And we can take care of your hot flashes and night sweats and any other symptom and we can talk about nutrition like we have, yeah, we can do whatever. There's no rules that we have to live by.
That's awesome. Very cool. So I want to jump in a little bit. You mentioned mental health. I think that's huge. And I think it's a huge piece that's missing in a lot of the folks that I see. Yeah. Especially when it comes to chronic pain. Yeah, but I seem sometimes where I am more than just a physical therapist. Yep. And I'm not trained to do that. But just listening to people. Oh, yeah. Is is such a game changer. It's therapeutic is absolutely therapeutic. can't charge for it. That's okay. But just having the client know that you're there for them. Absolutely. That you actually that you care of a crap.
Yeah. So I actually jokingly call myself a gynecologist Because I mean, I, I like to do that, right. I'm a physician. So I love to help people. I know that sounds trite. But it makes me happy to help somebody. And if somebody just needs to sit with me for an hour and have me listen and give my two cents, even though I'm not a trained psychologist. It's so therapeutic. And I can do that. And I'm happy to do that. Because I really, I really do want to help people. So yeah, so I'm a gynecologist. I I'm able to sit and listen and help people. It's lovely.
Absolutely. Yeah. And just giving someone the time of day, let them vent if they need to vent or whatever it is. But if they don't feel comfortable with you, as a person, how are they going to trust you as a practitioner?
Right, right. And the one thing I will say, because I don't know if you know this, but we see a lot of chronic pelvic pain. Mental health is so important when people have chronic pain. And the way that I explain that to patients is that if you're depressed or anxious, it just turns up the amplifier on pain. So you might have a little ache or a pain, but your brain hears it so much louder when your mental health is suffering. So we do a lot, we have a therapist in my office who's amazing. Her name is Jenny. And you know, we really focus on mental health when it comes to our patients with chronic pain. Because if you leave that piece out, their pains not going to get better. So we really believe in mental health when I mean we believe in I always jokingly say and I'm not joking, everyone deserves a therapist, whether you're in a crisis or not. It's just good to have a therapist, but especially for our chronic pain patients. It is so important.
Absolutely. And I've mentioned on this show many times before the correlation between depression, back pain, anxiety, neck pain, and the chronic nature of those is just devastating to a lot of people. So that's, that's good to hear. I mean, that is that is such a huge part. Like I said earlier that is missed. It's just completely skipped. And you can't give people the time attention that they deserve to deal with those things. If you got five minute appointment. Exactly. It's not gonna happen. And the same thing you know, is from the PT perspective, if you've got four people there at the same time, do they feel comfortable opening up about life?
No, heck, no, no. And then you're, you're you're always in a rush. So are you really focused on one person when you have four people at the same time? No. Not quality.
Yeah. Well, I'm glad we're in the same boat here. Yeah, it's good. All right. Um, so you mentioned nutrition, exercise, mental health, those kind of all went hand in hand. So how do you address those things? Is that you doing that or do you have a team?
I have a team I do a lot of addressing myself, I always talk about exercise, because I am such a firm believer in exercise and the longer that I'm a practicing physician, the more things go on the list that benefit from exercise, like we always know, okay, it keeps your heart strong helps prevent diabetes. But did you know that it's good for your brain to it helps prevent dementia and Alzheimer's exercise because it improves blood flow to your brain. So cardio exercise, something that gets your heart rate up, and it's great for your moods. It's good for pain, right? Like there's exercise is the greatest thing since sliced bread. And I guess if you watch your weight, well sliced bread, isn't that great? But anyway, um, yeah, so I do a lot of talking about exercise. I do talk about the importance of nutrition, but we also have a team. So we have To dietitians and to personal trainers. And so you know, it's kind of interesting because somebody asked me today she's like, Well, are you Western medicine? Are you more Eastern medicine, there's, you know, this whole field of functional medicine, and I fall in between. But, you know, the idea behind functional medicine is really sort of getting at the root cause and looking at the whole person. And so, if you're treating the whole person, you really need a lot of things that go into that the nutrition, the exercise, and not just like you can say exercise generically, but strength training versus cardio strength training at menopause, and perimenopause, perimenopause is usually found in your 40s, when your periods get a little irregular, or you start having some hot flashes. But strength training becomes all the more important your overall health, to keep your bones strong, to help with balance, you know, to prevent weight gain, because muscle burns more than fat. And as you age, you naturally become more fat and less muscle, and then your metabolism slows down and you gain weight. We know all the problems that obesity causes. So that was a really long winded answer to if I do it myself or have a team, but I guess the answer is both. Absolutely.
And you know, you mentioned the East versus West. Right. I think it's such an odd question. Right? Yeah. Like why would you pick one? Right, exactly. You want to be the stodgy I can only do it by, you know, such and such article from 2007. Right. We're like what makes sense logically right, and has worked for a long time. Like, I don't know, it just seems odd that you wouldn't be in the middle.
Well, yeah. And I think that's what the patient was looking for. Because she had tried some off the beaten path, not tradition, not standard of care medicine. Then she had also gone to a standard of care medicine doctor, who really probably couldn't give her as much time as she needed in discussion as she needed. So she was looking for someone in the middle, I think.
Cool. Yeah. All right. So you move to Missouri, your husband, right? Yeah. So what is your favorite thing about Missouri or St. Louis?
Um, well, I grew up in Los Angeles. So I really appreciate the fact that traffic is not bad. That's probably number one. Okay. And number two, the people are so friendly. So I have to tell a funny story about that. My husband, I met him in Washington, DC. And when people would honk at him in the street, like driving in the car, he'd be like, Oh, do I know them? And I'd be like, no, they're telling you to get out of the way. So moving here to St. Louis. And then to Jefferson City, which is such a small town. People brought me food, like people are just so nice and friendly. And in LA, like you kind of know your neighbors, but not always know your neighbors. But I really love the fact that our traffic is nothing like LA traffic, and that people are friendly. I get
that. All right. I'm on board with that. So I grew up in Baton Rouge, Louisiana. Oh, wow. Now, does that sound like a high traffic city? No. Off the top of your head? No, it would. But when Hurricane Katrina hits, oh, yeah. And your population doubles overnight. traffic was awful. So I get it. This is no traffic compared to if towards the end of my time there. So I get it. I understand the traffic being a big, big draw. Very cool. So tell me more about the name. Sure. What is what does that mean? What is?
Yeah, so um, it sort of came well it did 100% came from my grandmother. So my grandma and I were super close. Her name was Dora. And her. Her Hebrew name is Devorah. And my husband and I tried very hard to name our children with D names. But that didn't work out. We have Anna and we have Adam. So I really my my grandma and I were super, super close. And I just wanted to name something after her. So but we didn't like the way that the D sounded. So we just took the D off and named it Evora. And that's where it came from. Like, that's just the way it is. And I'm really glad because she would be so proud. And I really, I just I respect her so much. And she was a really close friend. And so I named it after my grandma.
Very cool. I need to hear a grandma story.
A grandma story. Oh, gosh, the first thing that comes to mind is that we love to do a lot of the same things. And so when I lived in New York City, and I was a student, my grandma would come and we would go shopping, we would love to go to Bloomingdale's, and we would catch a show. Like I love musicals. Like I said I used to be a dancer and we would go eat like You know, around 42nd Street and I just have such fond memories of hanging out with her because we had so many common interests. We just like to do similar things. And she was really funny.
Very cool. So I lost my place. Sorry. That's where was I going? Oh, ballet. There it is. So you mentioned earlier that you were a ballet dancer until a Was it an ankle foot and it was my fifth metatarsal. I broke my first metatarsal. Okay. So, were you like, trying to go further into the ballet career? Like this was gonna be a long term thing. And that kind of derailed it?
Yeah. So um, I like I said it was an economics major and a Spanish minor. I'd been a dancer my whole life. But you know, when I told my parents, I wanted to be a dancer. They're like, no, you're going to college. And in retrospect, thank goodness, I did go to college. But I danced throughout college. And my plan was to audition for professional ballet companies after I graduated. And so the audition season started january two I don't remember like May. And I had just finished many, many Netcat nutcrackers. And being the perfectionist that I am, I didn't take a rest. I didn't rest. I was like, okay, on to audition season. And so the day of the first audition, I took a ballet class in the morning, the audition was in San Francisco in the afternoon. And I was tired, and I fell and I landed wrong on my foot, and I broke my fifth metatarsal. And so all of a sudden, what am I going to do when I graduate, all of a sudden, my world was turned upside down. But the interesting story, I got better, and I went back to ballet, but then I had another setback. And ultimately, when I graduated in May, I was working at an ice cream shop, like I mentioned. And that's when I decided to go to medical school. And the coolest thing ever was that when I went to New York City, I had been looking in the back of dance magazine, and they were looking for subjects for a study on hypothalamic amenorrhea and bone density. So what that is, is where women, especially ballet dancers, they get so thin that they don't menstruate, so they're not making estrogen. So then their bones are weak, like a postmenopausal fragile old lady. And I thought, oh, maybe I could be a subject for this study. I mean, I'm a ballet dancer, so why not? And when I called I spoke to the research assistant there, and I said, Well, you know, my friends, were looking for research positions for the summer. I said, Do you have any openings there? She was leaving for med school. So I got hired on. And I got to work with a physician named Michelle Warren, who had been studying dancers and gynecologic problems in dancers for a long time. And so I got to work for her. And I also got to be part of a study, not as a subject, but as a research assistant that the, one of the psychologists for the New York City Ballet was doing about eating disorders. And it was just it was so fascinating. It was perfect. So I got to bring the ballet world together with my study of medicine. So it worked out great.
And that was kind of your introduction into gynecology. Okay, well,
medicine, so my dad's a doctor, okay. But, um, but I look back and I became an OB GYN, and I'm doing women's health because of that physician that I worked with when I went there. Her name is Dr. Michelle Warren. And in the menopause realm. She's very famous in the hypothalamic amenorrhea realm. She's super famous, and I still look up to her to this day. And she's definitely the reason I ended up going into ob gyn. And can I tell one funny story about Dr. Warren. So this is so funny. And she remembers this because I lost track of her for like, 20 years, and then I saw her to menopause conference. But um, so Dr. Warren was supposed to go to a medical conference in California. And she asked me to go she was presenting her research, and it was in LA was in Anaheim. And so we went, and my dad's a doctor, so he said, Hey, why don't you know we your mom and I will take Dr. Warren and you out to dinner while you're home. So Dr. Warren and I went to the conference and afterwards we get on the freeway in California, and we're driving to meet my parents for dinner and there's all these people on the overpasses looking down at the traffic like the every single overpass is packed with people and she's like, she's from New York City, she said is Do people in LA usually hang out on overpasses? And I said no, I don't know what's going on. Turns out OJ Simpson in that white Bronco was I can't remember who's behind us or ahead of us. But he was on the freeway that we were on and I will never forget that story was so
random. So you may even remember the date of that. That's I don't
remember the date but I remember the incident and she does too, which is pretty funny. That is pretty cool.
Right? That's funny. I mean, how do you beat that? Yeah. So I asked the question about ballet not thinking that that would answer. Why did you get involved with medicine? But there we go. Yeah, you got it all. That's very cool. Just a backtrack, I had a star here. Um, you mentioned the MBA. This is from a non MBA perspective. Sure. You guys that have MBAs that start a business typically have more confidence with your decision making. It's not that you have to get an MBA to write to do what we do. But you know, there's some hesitation on my end, every decision I make, like, I want a coach or I want a mentor, that kind of thing. And you may have those as well. But there's certainly a bit of a competence that you get by going through the schooling there.
Yeah, I think there was definitely confidence. It was definitely a confidence builder. I sometimes I wonder what I have done it if I hadn't gotten my MBA, and I didn't go to get my MBA, because I said, Oh, in the future, I'm going to start my own practice. That's not why I did it. But I think it was so helpful, because it you look at a business from such a different vantage point, then how I was looking at the world as a physician, and as a physician, you really don't get any business training. And I've always been an employed physician. I was never a boss. You know, I was just an employee. And so I really, there are so many skills I learned in Business School, and not just skills, but networking. I met a lot of great people along the way. I learned how to network. I look back and I wish I had known the value of networking when I was younger, I didn't really need to as an employed physician because you you get hired and the business takes care of you and gets you patients and does your marketing and does everything for you. But I have really I'm so glad I did it. Because I'm a lifelong learner. I love to learn, slew paid for it. And so why wouldn't I? And honestly, I had I stayed at SLU maybe I would have gotten a law degree, although my husband was like, No, no more going to school at night. Yeah, no, I he's like you're done with school, you got two kids got a full time job. But I'm a lifelong learner. So I just found everything. so fascinating. I was the, you know, not the kid, but the student in the front, in the front of the classroom, front and center raising their hand going, I have something to say about this, because I just loved it. It was great.
That's cool. And I've you know, considered doing that, but I don't know. And so it's a lot on top of running the business too. Right? Hard to do them simultaneously.
One thing I do have that I'll tell you, in case you're interested is I, I you know, I took a class on social media marketing, I took several classes on marketing. And so I now have this side business with one of my really good friends who's a marketing expert. And she came from like traditional big box advertising companies, the big ones, where she also felt kind of stifled like she had to do what they wanted. And she's super creative, and super smart. And so we paired up, and we run Evora med, whereas a women's health is different. And we're a marketing company. And so what she brings to the table, all the knowledge and the wherewithal and all the years that she worked for a big advertising company, and then what I bring is I understand physicians and medical practices and how the world works in in medicine, per say, struggles that physicians deal with. And so we do everything from websites for physicians to social media marketing to graphic design, and we have a team, you know, obviously I don't do all the graphic design and the writing myself. But we have a team that works with us that we put together sort of the strategy and we build all the pieces, or you can just take the strategy and do it all yourself, you know, because budgets are limited. Or you can hire us to take care of all the pieces. But that's been another creative outlet for me. It's been really fun.
Absolutely. Well, podcasting is kind of my creative outlet. Yes, it just depends on what your interests are. So right. I totally get that. But I definitely have some questions that I want to ask. Yeah, after the fact. Yep. Okay, so let's get back to Evora. Yeah. So I know you'd mentioned earlier that your specialties are menopause, sexual health. Tell us what we need to know about that. Right. So this is a this is STL Active, right? So these are active people in STL. What do they need to know about menopause and sexual health?
So let me start with menopause even though they do overlap a lot. You know, first of all, I feel that women get no education on menopause, menopause to them is a hot flash. They don't know what Perimenopause is, which is just the time before menopause and menopause, the definition is actually a year with no periods in a woman of the right age range. Obviously, if you're 20, and you're not having your period that's not necessarily menopausal, though it could be. But what I think it's important to the act of people in St. Louis is that as you age, things change, and it's really important around midlife to sort of maximize your ability to stay healthy as you continue on. And so, you know, like I mentioned, it's not just hot flashes, but it's keeping your bones strong, keeping your muscle strength, keeping your weight in check. And all of this helps stave off dementia and Alzheimer's and Parkinson's. And so, you know, it's not something to be embarrassed about. It's something to ask your doctor about. And if your doctor gives you a two-second answer that isn't cutting it with you, or, you know, you need the extra training like I have, you need someone with the extra training, then make sure that you see a physician who specializes in women's health at midlife, because women in midlife are different than women who are having babies, there's a whole different slew of issues that arise and that you have to think about, you know, in your 40s, and 50s, than in your 20s, and 30s.
And you know, what it sounds like to me, obviously, not my specialty, but it's individualized care, you just described individualized care, you can't treat everybody the same way. So kind of go into maybe either a story or kind of some scenarios of like, why that would be so important, why it's so different.
Um, story, let's see, like have a specific patient or it could
be or just kind of a general generality of like, these folks have been not treated properly, because their ex and you know, something like that.
Gotcha. Gotcha. So. So yeah, so, so basically, that, I think my answer to that is hormone therapy. So let me tell you this trajectory of hormone therapy, I'll try and narrow this down a little bit. But in the 1990s, we put everybody on a hormone regimen called prempro. We thought it lowered the risk of cardiovascular disease. And so the NIH funded a big study, looking to see if it actually did lower the risk of cardiovascular disease in a prospective double blind, randomized placebo controlled trial. So that's a really good clinical study. It takes out a lot of the bias of studies. And what they found this was back in the early 2000s, was that women on prempro had an increased risk for blood clot, heart attack, stroke, and breast cancer. And the media ran with this, and it was all over the news. And I remember I was a resident people were calling the OB GYN office and stopping their hormones, and everybody was afraid of hormones. And that was that. But over time, the clinical trial sites continued to collect data. And they also broke down the data based on age range. And so when you looked at women between the ages of 50 to 59, versus 60, to 69, verses 70 to 79, they found that that increased risk of heart attack was only in the 60, to 6970 to 79 age group and women in the 50 to 59 age group actually in a decreased risk of cardiovascular disease, no increased risk of stroke, and a decreased risk of overall mortality, which means a decreased risk of dying from anything. But that wasn't as sensational for the news media to pick up. And so with that, you know, that those studies came out, but women didn't hear about this. Practitioners didn't hear about this, and I don't fault practitioners, because you can't be a specialist in everything. You can't read every medical journal and know everything. But over like the next 20 years, really, hormones have gotten such a bad reputation. So what has happened in the meantime, women need their hormones, they've gone to compounding pharmacies, which are not as good as regular FDA approved pharmacies, and pellets and things like that which are not good. They're not studied to be they're not proven to be safe or efficacious. And so this whole other industry of hormones has occurred. But we now have the data to say that hormone replacement therapy is good and the right person at the right time. Obviously if you have contraindications, if you have a history of breast cancer, or you have blood clots or factor five light and then you're not a good candidate for hormones, because it's too risky. But I guess my point about this is that if you go to your general gynecologist who really hasn't concentrating on being up to date On hormone replacement therapy, they might be stuck in 2003 saying hormones are bad, when really, there are so many benefits to hormones in the right woman at the right time. So that 50 to 59 age group or earlier, it keeps your bones strong, it helps prevent heart disease and heart attack, which by the way, heart disease is the number one killer of women, not breast cancer, all the breast cancer is bad. And it helps prevent Alzheimer's and dementia. Another thing, it keeps your hair thicker, it keeps your there's just so many benefits to hormones in that age range. And so I feel like between the early 2000s in that first study, and now there's a whole generation of women who missed the opportunity to derive the benefits from being on hormone therapy. And so a lot of women and I, like I said, I don't follow other providers. I am not an expert in you know, prolapse surgery. Don't ask me about prolapse surgery, I'm not up to date on it. But there's a lot of women who are missing out on the benefits of hormone therapy. And then one more thing before I forget. If you have a choice, when it comes to hormones, you always have a choice when when you when you're choosing between the type of hormones you want to do, you really want to choose FDA approved products, because I know we all think big pharma is bad. But Big Pharma because of the law has to prove to the FDA that their product is safe, and that their product actually works. And some there are there are hormones on the market that are not FDA approved. And there's a role for compounding pharmacies and non FDA approved products. Like Don't get me wrong. But there's a whole bunch of hormones out there where they haven't been proven to be safe. And so, you know, you really do want to find a hormone specialist to get a safe and efficacious hormone.
Absolutely. I mean, that sounds like a nightmare that you're kind of dealing with is that there's a lot of misinformation, bad information, people stuck in a bad habit, I guess you could say
and how could you know, you can't know ever you can't even as the patient as the consumer, as a woman, you go on the internet, you read one thing on one page and a totally different thing on another page. If you're a menopausal woman, and you're listening, a really good scientifically based website is the North American menopause society, or nams NAMS. And their website is menopause.org. Because you can read, you can read the whole gamut on the internet. And if you don't know as a woman, who do you believe?
Love it? And we'll definitely put that in the show notes that you guys can just easily click on it from the app. Yeah, very good. So I have to ask, what are your biggest pet peeves? Like? Obviously, that's a big one. Right? Yeah. What other pet peeves Do you have when it comes to like other practitioners or misinformation, myths? That kind of thing?
Hmm,
let me think about that. Really. Like, for example, I'll kind of get the ball rolling, right? I'm speaking from my, my women's health PT. friends and colleagues here, right? leakage is normal. When you get to a certain age, that would be a myth. And it's a pet peeve of total, everybody. That's a PT, and I'm sure you as well. Yeah. So stuff like that is kind of what I'm looking for.
Gotcha. So that's a big one. So yeah, leaking urine is common, but not normal. We have a fantastic pelvic floor physical therapist who says this all the time. It's, you know, common, but not normal. You don't have to live like that. And you know, it's another one of those things that women are embarrassed or they don't know who to talk to about it. There's so much you can do to fix leaking and it doesn't always mean surgery. In fact, in my opinion, surgery should always be the last choice. Like you should always start with more conservative therapy, like pelvic floor PT. But there's other things you can do. There's pessaries, I mean, there's all sorts of things. So that's one. The other one that sort of sound similar is killer cramps are not normal. So I see a lot of women with endometriosis, which is where you have the tissue that lines the uterus, which is the endometrium, the normal tissue shut each month, ends up inside the pelvis implanted on bowel, bladder ovaries, peritoneal, which is the lining of the abdominal and pelvic cavity. And it causes terrible menstrual cramps, terrible pain. And endometriosis in general can have severe consequences. It makes it harder to get pregnant. Women can have all sorts of chronic pain, and it takes women with endometriosis. On average, like seven visits to seven different providers for somebody to say, Oh, you have really bad cramps, maybe it's endometriosis. So cramps are the other ones. Killer cramps are not normal. You should get them fixed or checked out. You can feel better.
Yeah. And those are, you know, some obvious ones to us, right. But it's just as crazy that that has, again, it's a myth, right? People believe that certain things are normal forever. Like chronic pain, like, leakage is normal like, right? Just it's, it's crazy how things that aren't normal, but are common are seen as normal.
So one other thing I thought about myths, and I don't know why this wasn't top of mind when you asked me. So sexuality, right? There are so many beliefs about sex that are so wrong. And it's, you know, it's the same thing like, one of my favorite podcasts is Kelly Caspersen, you are not broken. And this, I'm stealing this line from her. And I think it's great is, you know, sex is the only thing that works all expected to be experts that yet we get no education. Sex education means how not to get pregnant. And so I see many women who come to my office who are really worried about what's going on with them. And they feel so alone, they feel like they're broken. And they're just petrified to bring it up with anybody because our society teaches that sex is shameful. And I stamp out myths left and right. So I'm going to give you one of those myths. And this is my pet peeve. myth that I don't know why I didn't think of this at first. In the movies, you see a couple having sex, they both reach orgasm at the same time. And then they roll off each other and go to sleep. Oh, no. So one of those major myths is that every woman can reach orgasm from penetration alone. That is not true. 70% of women cannot reach orgasm from penetration alone. Yet people come in to see me and they're like, Oh, you know, I never I can't reach orgasm. And when you start discussing it with them, they're able to reach orgasm from clitoral stimulation, but not from penetration. And just to have somebody say, Oh, that's normal. It's like this weed is off their shoulders, like nothing is wrong with me that you they just feel so much better. So that is one of the biggest myths that I stamp out almost every day.
Love it. I'm going to quote one of my friends from grad school, sex is an ABO. And you have to be able to train it. And so yeah, you have to be able to educate people on it. Right? The same reason as a therapist, we educate people on how to walk normally how to jump normally, sex is an ADL Yeah, it is. Of course, that's not going to be my specialty again, but that's where the pelvic floor women's health physical therapist is an excellent resource. So totally, totally can appreciate that. Yeah, very cool. All right. One thing I noticed, after looking at your website, was that you have very upfront pricing. Yeah, I know, is pretty rare when it comes to medicine. pretty rare in general, actually. But I'd love to kind of hear your thoughts theories. Kind of your why on that one.
I just believe in being transparent. I'm not trying to hook you in and then be like, Oh, it's gonna cost a lot of money. I mean, I feel like it's a simple answer. I want to be transparent. And I think for what we charge, you get a lot of value for that, you know, we do a lot of things in your holistic health. And really, your health is an investment, it's an investment in yourself and your future. And so I don't, I don't try and hide our prices, you got to know what the prices before you make a decision on if you want to go ahead with it.
I totally get that. That is. That's a challenge for me. You know, and I I admit, I don't put my prices on the on the internet. But I think it's because people assume that physical therapy should cost what a co-pay is, right? And so it's a little bit different when they see the copay price on their insurance card versus what we charge. It's a sticker shock, you know, versus when they can come in, have a free consultation with us figure out what's going on. Yep. And it's a lot more, I guess, personalized as to what's going on with them. But I see it as a commodity. It's more of a here's the value that I actually see.
Right. And and I see your point, because technically, people may go to my website be like, Whoa, that's way too expensive. When if I talked to them, they'd be like, Oh, yeah, I totally need to go see her. But I think that people have a hard time. Like, they just don't understand paying for medical care and health care. Because we've had people call and they're like, Oh, just Dr. Lynn, take this insurance. And my assistant will say No, she doesn't take insurance and they're like, well, will she take this insurance? No, she doesn't. Well, why not like it. People are not used to paying for health care. And I think that there's guns I have to be a shift. And I think we're headed this way. Because even in the year and a couple months that I've been in practice, I've seen more and more physicians and other healthcare providers go the cash pay route. And I think people are gonna get more used to it over time. Because it's a, you know, it's a quality issue. I'm sure this is like you said, in physical therapy, where you have four patients at one time, versus one patient at one time you get what you pay for, right? So if you want to pay $35, you're going to share your physical therapist with several other people. But if that's not going to do it for you, it's worth the expense, to see somebody who will really focus on you. And I think we're still in the early in the infancy stages of like concierge medicine, which in my mind means cash pay, right. But more and more physicians are headed that way. Because the way that healthcare is now as physicians are not their own bosses, and their bosses are giving them less and less time with patients, and that's not quality care.
And you think of what the the people that are just finishing fellowship right now, right? Two years of fellowship, three years of residency, I'm just guessing here, right? And then how many years have you know, it adds up? And so when did they make the decision to go to medical school 1215 years ago, how different was the world of medicine 12 to 15 years ago, incredibly drastic,
incredibly different, really has changed. So lot. So for the better.
And this is, from my perspective, to some to some extent, I feel duped by the profession, like drastically different than what I expected, right? So for me to enjoy what I do and help people in the way that I thought I would be able to, this is the only way to do it.
I'm with you. 100% This is why I became a doctor, right? I actually get to form a relationship with people and really help them this is I love what I do. But when you're working in a system, that is that is telling you see more and more and more and more and more and more. And then what I would do is I would see patients all day, and then I would go home and do all my charting at night because of the electronic medical records. And
that's what makes me unhappy. Yeah, working 75 hours a week.
Yeah, exactly. Plus nights and weekends. You know, that's just not not the lifestyle that I had planned for myself. And you It makes you forget why you wanted to be a doctor in the first place. And now I absolutely love what I do. It's a joy to go to work every day. I feel like I'm making a difference in people's lives. And it's wonderful. I
totally get that. You know how many text messages I got from patients when I worked for corporate? Zero? Because they didn't know me, right? didn't know anything about me. They know anything. I got a text message two weeks ago from a baseball player that I've been working with season ending injury. So he thought got him back with like three weeks left in the season, his senior year. Right. And he had two good weeks. But that's what he needed exactly what he needed. And so speaking of value, yeah, that's what it's all about. And you know, like goosebumps, I get goosebumps when I tell that story. That's why I became a PT I was the injured baseball player that couldn't pitch past high school. Right? What if I had been able to work with passed me, you know, or someone like that, like, what would be different about me? You know, that's, it's just fascinating to think about, but like, that's why I did what I did. That's why you did what you did. And those success stories when people send you an email or send you a text and they're like, Hey, this is what's happening this week. Yep. It's so rewarding.
I always like jokingly say, to my patients You made my day. So one thing I haven't mentioned is we do weight loss too, because weight gain, so part of menopause, we have a weight loss program. And when people come in, and they've lost weight, and they're so happy, and they're like, oh, Dr. Lynn, thank you so much. I'm like you've made my day. Like, I'm just so happy that they're happy. You made a difference in somebody's life by with the baseball player, you know, he got back into baseball, and you made a difference because you could
write it's very, very fun compared to what we were doing before. Alright, so, couple more questions here. So before we started recording, we were talking briefly about cultivating relationships. And I know it's come up a few times that whether it's cultivating relationships with networking, like you mentioned in your MBA program, or cultivating relationships with your patients, by spending more time with them. So a couple parts of that, why is it so important to you? But then, do you have like strategy, or is it just being? Dr. Becky Lynn? Okay, so
So why is it so important to me? Let me answer that question first. I feel like we're social animals. I like like, that's, well, it's the answers both. It's part of me. I'm a social animal. I like getting to know people. Like forming relationships. So when it comes to the patient physician relationship, I feel like I'm I, it comes a little bit naturally like I want to know about you. I want to know you on a real level. And maybe that's part of the reason that I became a doctor like I care about you. I care about other people. When it comes to like business networking. The answer is I'm a social animal. And I have to say, I didn't know this about myself. Like, I love networking events. You can tell I'm a talker, right? Like, I'll talk forever. I love getting to know you. I'm so glad you reached out because your story's fascinating. Didn't know this about you. And I just like being social. So I guess yeah, it comes naturally. And I, I don't know, I go to any event that I get invited to. I'm like, Sure, I'll go talk. And I like giving talks to all talk about hormone replacement therapy or talk about sexual problems and women. Like, I love doing all of that stuff. And I really do like getting to know people a lot.
I get that. And for me, the the networking events. There. Okay. Too many people in the room? Yeah, this is way better. Yeah. Like, yeah, a lot of people are gonna hear this, but it's just you and I chatting, right? A little bit different. Yeah, then like an audience, if you will, like, it's, this doesn't feel like an audience. This feels like, you know, we got four walls and a couple microphones. Right, right. But yeah, I totally get that. I agree. It definitely is part of me, I need that one on one time with people to actually build a real relationship. You know, you think of any time you got a group of like eight friends, and yeah, you're hanging out and no kids around all that kind of stuff. It's awesome. But did you really catch up with any one person?
No, you break off into twos, or threes. So we naturally do that. So it's kind of like speed dating, right? You hang out with your two people in a group here,
then you move over to your next group, get to know those, you know, catch up with them. So it's so hard to go to the right depth of conversation or actually knowing it person when it's a larger group, right. So I definitely can appreciate the one on one style a little bit more.
That's why the zoom breakout rooms are much better than like trying to gather a whole group on zoom and catch up with people. Everyone's talking over each other. Very good.
So we're getting close to the end here. Anything else that you want to do share with the audience? Um,
no, the only thing I would add is that we do do free 15-minute consults. All of all of us do so in my office, you know, we have a whole slew of practitioners, everything you need the dieticians, trainers, mental health, everything. And we all because we believe in that relationship forming. We all offer a free visit, you know, to get to know us to make sure that we're the right fit for you. We're all pretty easy to talk to. And we make our practice, we make things easy for you, because we keep it small. We are able to do same day next day appointments, we actually answer our phones, like when I call to make my appointment at the big health system. You can't talk to a person who knows anything. Like you can't talk to a person first you have to be on hold forever when you get a person. It's a person in a call center. And so yeah, we answer our phones. And we're here for our patients.
Very cool. And I think you'd also mentioned that there's a first massage was at $25 Oh, yes, we Okay, so let me just go into massage a little bit.
Yeah, so we added massage which is just I mean in today's day and age of stress and anxiety massage is so lovely. Deanna is our massage therapist, and we are offering $25 off the first massage. So that means a 60-minute massage is $55 so less than $1 a minute. Deanna used to be at the Four Seasons, she is so good at massage, and she also has extra training and prenatal massage, which is lovely. And in massage for cancer patients. So a lot of the women we see in my practice are cancer patients because they end up especially breast cancer patients end up menopausal and having sexual problems. So we've got a lot of women who are breast cancer survivors or patients. And so Deanna does specialized massage for cancer care, she can do the lymphatic massage, and she's wonderful.
Very cool. I will have to get some cards of hers as well.
So very good. Well, it has been a pleasure to have you on the show. It has been a pleasure for me. This has been fantastic. Awesome, very good. This has been STL Active.

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