Genuinely GG
Genuinely GG

Episode · 1 year ago

Dr. Monica Shah

ABOUT THIS EPISODE

This week, GG and Anita talk to Physician Monica Shah!

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Straw media. China like say hey, hide to everybody and you're just slurping slur. Well, excuse all that shot and welcome to genuinely gg. I am here with Slur Baloo Anita. Do you have to slurpun coffee? I do. I yeah, I got to finish my twenty four ELNS, but it's like really cold and it's not nice coffee. Well, maybe if you had a microwave that could read it. That's a valid point. There is a microwave. It's just downstairs on the floor and it needs to be brought up. What do you have these muscles for if you're not going to use them? Bring it up. You'll bring it up, so I'll have to drink cold. Please bring it out of you, please. I at you know I can't. I don't have the strength. I have our I cannot lift up heavy things. So please, next time, bring the microwave up and settle in. I will do that. Thank you for doing that. Thank you for having understanding for my Ara, which is great, because a lot of people do not have understanding for are a, because it is an invisible illness and invisible disease, and that's what makes me so excited because we have great conversation with Dr Monica Shaw. She it's recently known from Family Karma. She's on Family Karm. Gorgeous she was and Miss India pageant, beautiful, and she's a rheumatologist and I'm happy because I got to ask her some questions that I feel like a lot of people might think I was lying about or not really understanding when I would explain, like I'm on chemotherapy, you know, I'm for you're kind of getting to therapy and and you're exaggerating and it's just it's yeah, right, you know. Or just in general being in pain, being tired and never being able to show up for things with my friends, always canceling just because I'm exhausted all the time. And so I'm happy she kind of cuts it at and kind of lets us know. She also talks about just doing it in a very natural way with medicine, I mean with not using medicine, with using foods and Diet and health and happiness. So here we got all this talk to Dr Monica Shah. You know her from Shaws of sunset. You know she doesn't hold back. My doctors came to the conclusion that because of this freak accident to the pregnancy, because of the shock that happened to my body and getting pregnant, losing it, getting pregnant again, my body got completely confused and went into a fullblown attack. This is genuinely gg I have room toyed arthritis. So when I go to these very hot places, I go into like what almost feels like flares and my fingers swell up, my joints swell up a can't walk, I can't really move around too much. I have extreme night sweats. So you were just saying, Dr Shaw, you just walking from your car into your office and you're just sweating already from the humidity. Girl, that's that's me every day right, fit down, tame, time take another shower. Oh my goodness. So why don't you explain to a lot of us out there, because a lot of people don't understand and what a rheumatologist is. They think a rheumatologist is for people who have rheumatoid arthritis only. So why don't you get a second and just explain what a rheumatologist is? Yeah, so, basically I'm a physician that deals with systemic autoimmune disorders, primarily inflammatory arthritis. So not only do I deal with rheumatoid arthritis, but you know, colleagues of Mine and myself, we deal with Lupus, we deal with osteoporosis, we deal with Sclare Derma, we deal with Shogrin Syndrome, you name it. I mean if there's there's a bone or joint involved and it's immune disregulation, nine times out of ten you'll probably be coming to see us. And and for those who don't understand what, how would you categorize an immune disorder? So basically, you know, any time you think of the immune system being off, it's basically your body attacking itself. Right, normally, no person should be waking up with swollen joints. That really shouldn't be ...

...happening. If we think about the grand scheme of things. Yeah, there's different caveats to this, but should you be having chronic pain all the time where you aren't able to do certain things? Know, that's pretty unlikely. So when we think about all those, should you be having recurrent infections? Should you be having your bone and joints kind of, you know, take a miss shape or you know angulate or come, you know, look off off? That really shouldn't be happening. You shouldn't be limited in your daytoday. And so when it comes to autoimmune disease, that will present differently for a lot of different people. So how you presented, you know, with your initial manifestations of rumatoid arthritis, will be different from the next person in the last person. So that's really where it is. It's an art and they always call us like the house of Medicine, because they call us when they don't know what's going on. Right they're like, we checked everything and it's probably autoimmune right. I it took me a long time to get diagnosed with rhumatoid arthurs it took a little bit over two years for me to get that diagnosis. I got diagnosed with so many other things before that. I got years and years of corticosteroid injections in every part of my fingers, hands, wrists, knees, shoulders. I was told tendonitis poseidis. I was also a gymnast from the age of three till about thirteen, so they thought it's tendonitis in the hands from, you know, being in gymnastics. Then they it was in my knees and they thought definitely must have been from gymnastics and it's in my so after a while someone, I think, said have you ever been checked for an autoimmune disease? We're like, you know, what's that? What's in our Ye? So, you know, we got tested and I was positive at the time for autoimmune and I remember the doctor sat down and started explaining the course of action for medication. I've just remember the word Chemo came out and my mom, my mom said what did you like? My Mom's just whole face went to white and she just started crying because she couldn't. We were still trying to understand what is rheumatoid arthritis, because you hear the word arthritis and you think bold person's disease. Are Sorry, illness, her disability. And I'll have you know this, this is kind of funny. I have a tattoo on my finger that says our A and a couple of years ago it was officially changed in the books of medicate medicine that it is now our de rheumatoid disease. No more of time. Like, what the fuck do I do with this are Tattoo? Like I said, I make that I got it the acabe Anita for Anita but the ares just really Anita or rat Anita? I don't know. I don't know, but could you can make this to a d while she's figuring that out? That's actually true. You can't just out of line, and I know I you became known to me and a lot of the world from the show Family Karma that's on Bravo and without me, you know, insulting you. Is it safe to say you are Indian? Correct? Okay, now, my aunt married an Indian man, so I have Indiana my family and they're very vegan and natural remedies of everything. You being a Western medicine doctor, do you practice both eastern and Western in your approach? Absolutely so. A good thing is as I'm actually an osteopath. So you know, you think of doctors, you think of empty's. I'm a dio, so I'm a doctor of asked AOPATHIC medicine. We go through this same exact training as an MD or an allopathic position, but the extra bonus of being an out an osteopathic position is we spend an extra three or three to five hundred hours, I think is the range they've they've put out in literature, just working on the Musculo skeletal system and looking at the body as a whole in a holistic approach. And and you know, one of the core principles is that the body has the innate ability to fix itself and the mind, body spirit are...

...all one. So I really gravitated towards that. And so in my approach, you know, with my training and then obviously coming from Indian culture which, like you said, your mom like was like Nope, we need to go holst a grammy. I grew up with the term Marc is going to solve the problem and you know, drink the ginger and all the you know, natural, holistic, I r vedic remedies. That are parents. You know, I hear the term store and out lot. So now with my approach to patients, I definitely take it as a partnership. So I have a lot of patients like yourselves, like you come in with your mom and your mom's like Uh Huh, Golnessa, like this seems like aggressive and it is. It's overwhelming. It's Daunton, you're hang all these terms. It's gets to be a lot. But I definitely partner with my patients and I'm not a pill thrower. I hate to be like, all right, well, here's a pill, it fixes everything. The first thing is part of the part of the process is fixing and adjusting the lifestyle. So there isn't a specific I get this question a lot. Is there a specific diet for people with arthritis or auto immune disease? And I get that question a lot. What we do know is that, you know, the addition of like a Mediterranean diet, so basically anything with high omega three fatty acids, so lots of fish, fish oil, salmon's nuts. For those that are Vegan, you can do like flax seed, things of that nature. Implementing that into your diet has shown proven benefit. So you do that. You do inform your patients of both sides of the spectrum, like, okay, here is the monthly infusion that you're going to need to do and your method, truck state that you're going to need to take. But also, you know, get more turmeric, get this type of diet, eat eight this. Okay, so you did. I love that. You know, I wasn't introduced that by well, going to take a quick break, but when we come back it's awful to hear when the patients are in tears and being I can't play with my time. I can't hold my can't hold them for like five minutes. I can hold him and I have to put him down. My arms, yeah, will collapse and I will drop him and not hurt inneral hurtum. So I have to, I mean I can't not be with someone near me to help. Yeah, and supplements aren't going to be like Fba of proofs, right, that's not you're going to find that. But we do know about the fatty at you know, the omega, three fatty acids, right. And then when they think about you know, I think some a lot of my patients I and I do it from experience. Some have eliminated gluten and been like this is like I feel a heck of a lot better. I have some patients that when Keto they los US so significant amount of weight. I feel so much better. There's less pressure on my joints. I have some patients that went vegan. So what again? But that's the beauty about rhumatality and why I love it so much, is that everyone what's going to work for you may not work for somebody out right. Yeah, my situation with Myra, I was actually amazingly well, right before I got pregnant, I got myself to that point, working aggressively for many, many, many years to get myself to the point where I was practically in a remission state, where my blood results were reading zero, but just in the physical touching. My doctor could still see a little bit from touching. So it wasn't a full Reno type of remission concept, but I was there. So I said, you know what, I'm almost forty, now is the time for me to go ahead and try to get pregnant. I had a very unfortunate situation that happened in the interesting thing is when this situation happened, my all three my doctors got together, my fertility specialist, my gynecologist and my rheumatologist. All three were working together and I had a high risk doctor when I got closer to birth. But all these doctors through my whole pregnancy had to continue to communicate because what happened was with my first pregnancy that unfortunately turned to topic and ruptured. I had to have an emergency removal of both my Felipian tubes, therefore sterilizing my body. Three months lay her,...

...my process of getting pregnant started again and I was pregnant, but two months into my pregnancy, not only was every single joint that I had effected before in a flare, new joints were being affected. And when you're pregnant, this is the cool thing about pregnancy, your body usually goes into a remission. But my doctors came to the conclusion that because of this freak accident to the pregnancy, because of the shock that happened to my body and getting pregnant, losing it, getting pregnant again, my body got completely confused and went into a full blown attack. So My I came back worse than I had ever had it ever and I began infusions while I was pregnant. They had to change the course of action, of course, put me on Med's that were safe during pregnancy, but I had to give birth early. I had to induce early because they needed to get me back on hardcore methylchuck say and steroids fast, because the inflammation, I mean you're a doctor, you you can got it, can reach your pregnancy. It's very damaging. It's it's not a people just because it's an invisible disease. I think people don't realize how serious and intense of a disease. It is, but so which leads me to now. My son's fifteen months old and I'm still doing with weekly methyltruck state injections, my monthly infusions on top of that. So I'm working on it. It's been a process, but I would love it if you can shed light, because I feel like I get questioned almost in a way, like people don't believe me because they can't see it on me. Can you explain how it feels like, how it looks like? What is it like in your eyes as a doctor, having all these patients with this disease? What is that like, so you could explain it in your words, not mine? Yeah, so again it and there's a term called invisible illness now, because it is. That's what it is for a lot of people. I mean now, you know, people think of back in the day when there weren't so many therapies. Don't be oh well, why aren't your hands curves to the side, like you don't have an arthritis problem or an autommune? Your joints look fine or but really a lot of it is what we call subclinical, meaning you don't see it with the naked eye, and that's why getting to the forefront of a diagnosis early on is absolutely key. I mean I have again in this is a lot of the same story you told me. You get the run around a lot. A lot of patients go to a lot of different people because they don't think anything's going on, because I don't see anything right. But really, I mean your people. I have patients complaining. I have stiffness for two, three hours, maybe the whole day. That never goes away. So they wake up with siffness and their stuff all day long. My joints swell, I can't grip a Coffee Cup anymore. I can't button my shirt, I can't zip my dress up. You know, it hurts to walk, it hurts to exor sighs, and then and then. You know, specifically speaking about rheumatoid, it can affect other organs in your body and sometimes that affects it silently. So you may not even know that's going on until we're like hey, we checked a chest x ray or we checked you know, we checked your blood markers and this is what's going on. So for us it's a lot of getting to the forefront and that will require imaging. So you know, sometimes it's not all in the blood because inflammation is not there right. So with my patients especially, I'm pretty diligent about getting x rays because you might start to see erosions, which is basically this disease is eating away your bones, for a lack of better term, to make it just more you know, black and white to everyone. I mean it is attacking your body literally. It attacks your tendon, it affects your eye, that affects your heart, it affects everything. Yep. So not only are you our patients experiencing symptoms, but they don't have anything to, I guess, show for it.

But a lot of this, a lot of what we see is under imaging, and that's why we use it. We write. You know, if nothing shown up on x Ray, all right, time to get an MRI. You'd be surprised how many times I'm like, you have erosions going on already and you would have never know. Never, no, I that's what I probably had it for a long time. Yeah, I had no idea. It got to the point where I was seeing a doctor because I couldn't. I couldn't. I went to this silly class with my sister where it was like pull dancing and spider ropes, stuff where you would like Arabbit and you climb up and everyone was doing it and I was. For some I was like why, why do my hands keep sliding off? I was like, I'm a gymnast for you. Why am I? Why am I hands sliding constantly? And I didn't think think much of it until in the middle of the night my finger tips were turning blue. That's when I realize something's wrong. They were swelling up in the middle of the night and all the tips were like blue, like they were about to fall off, and I would have to start doing circles with my arm because I didn't know. I'm like what, what's happening to me? I've had surgery on my hand because they just put so much steroids in. The doctors like we can't put any more steroids into your trigger finger, so they opened it up. You know, did all that. It's it's a process and I have to tell you, more than the pain, and this is maybe because I have a high threshold of Pain, more worse than the pain to me is the exhaustion. It's it's the worst feeling in the world and the best way I explain it to people is by saying that feeling that you have when you have like a hundred and two degree fever and you're just sick and you can't move getting up to the bathroom. It makes you like out of breath. That's what every second of having my Ra feels like, you know, and it's just so not just when you get like your effusions and stuff it. This is now when I get into fusion and I get and when I have to do my methel truck said and injection and I do my infusion, there's this feeling of I don't want to say the word death because that's too extreme, but it's like I got ran over by an eighteen wheeler, like I gues. If a lion or in front of me, I would just be like, this is my life, I can't run. It's such a fucked up feeling. In the fact is that it's never ending. It doesn't I don't get a shutoff time. You know, people don't realize there's no cure to this. Yeah, and that's that's what it is. It's a chronic, you know, a chronic disease, and that's the other frustrating part. Is something that you're currently experiencing. Is that you know, a lot of the patients of like, okay, this is going to fix it, right. Well, I only hope so and that's absolutely my goal, right, but it can get frustrating for the patient knowing that we have to try probably a whole bunch of different you know. I mean we have over twenty three drugs and that means over threezero combinations, if I did the math right. But of like what we could possibly use to get you feeling better. And it's a it is a process and that's that's the hardest part to convey to the patients, like I can't fix you over night and I really want to, and it just becomes very disheartening and it becomes an emotional conversation because this is your daily life, right. You want to be you have a son, you want to get out there and be living life with him and being able to hold him, though I get I mean it's awful to hear when the patients are in tears and being I can't play with my son, I can't hold my can't hold them for like five minutes. I can hold him and I have to put him down. My arms, yeah, will collapse and I will drop him and I hurt. It hurt him. So I have to I mean, I can't not be with someone near me to help me, because I'm either of throwing up from all the medication, because I have such a sensitive system to it, or I'm just in too much pain from it. You know, it's like I haven't been able to quite catch a break, which is the irony is I got pregnant thinking I was at my most healthiest and it backfired on me. But I mean, I am smoking pot and cannabis does help me. Is temporarily helps the symptoms of nausea quite a bit. But it's another thing I wanted to talk to you about was the nausea related to my Metho truck, said infusion and my infusions and whatnot. A...

...couple of years ago I brought up my Ra on my show on Shah as a sunset and I talked about it and I think that, yes, I was in a very weird place with some of my friends at that time and it was easier for them to say I'm till I'm lying. But it's very confusing to people when I say I'm on Chemo and they look at my hair and they're like, is that a wid is that? What is she? What's she means? She's on Chema. And then I've also offended quite a few people by saying I'm on so I I stopped saying the word Chemo. I was just saying methochruck, say you know, and they're like what's that? I'm like it's like Chima who? I don't know what I'm supposed to say and I don't want to install at anyone because the the strength of chemo that goes for people with Lukemia and cancers is just it's different and God blessed the medication, but I'm on a different you know and I just I don't. Can you explain how this works, how the word Chemo is working for someone like me with Ara as well as someone with cancer? Yeah, so that drug, specifically, the doses will vary, like you said, for someone that has a full blown cancer like chemia, lymphoma, what have you, and someone with rheumatoid we're using a very, very negligible dose. So I have had that same concern with a lot of patients. Oh my gosh, I know Mathotrex S. it's a chemotherapy drug, but the doses that we use and there isn't. There is a cutoff dose for methotrex sate. So the you know, the doses that are used in terms of how we use it in the in the rhumatology world, the doses is negligible to what you would be getting in a chemotherapy setting. So essentially, is it working on you know, on especially the DNA and all of that? Yes, well, what is it? But well, why don't you explain now? What is the medication doing exactly for someone like me? What is that doing for my ra? It's I mean, we have no there's evidence that it decreases mortality and it prevents disease progression. So it is working on a molecular level to prevent an inflammatory response, to prevent certain inflammatory markers from being made and to you know, just to simplified in that sense. So it is working on a very, very focused level to help regulate the immune response. But yeah, with it comes similar side effects. I mean it is the same drug, if you will, but the doses will vary. Yeah, I have to. I do my Metho truck sate injection and then two days later I inject myself with be twelve and then, you know, every every almost four weeks. It's my infusion. So I just I have a needle in me at all times. You know, I'm so used to it. So let's yeah, this is something that, like it's just for your rest of her life or and is going to just be regulated and just through like different fusions of medication and stuff, and this is something that you'll forever have to live with them. So she there's no cure, there's no way to write to just yeah, unfortunately that is the case. So once we have a patient on whatever works for them, whatever cocktail of yeah therapy works for them, usually it's like, if it ain't broke, don't fix it. So then we just try to keep you on and as long as our goal as rumatologist is always to have you in low disease activity, yeah, or remission, and we that's in the way we check that are by different markers. Every rooumatologist is different and how they practice an approach and monitor their patients. But it requires, you know, blood work and checking your tender and swollen joint cowds and having you come in every few months to kind of get the update and then, you know, we do trial meds for about four to six months and if things aren't shaping up, you know, we switch it where we jumped ship to something else. So there's a shortage of medications, but we also don't want to run through everything and say, OPP, this didn't work. You know, and that's the frustrating part, like I said before, is allow owing the medication to at least attempt to work.

And I may take up to six months, and then I just have more questions. Is this something that can triggered any time, like you know, I'm I'm in my s, like, can I just suddenly, or is this something they just have at a young age, like you've said? And No, I got it. No, no, you can get all out the doctor answer, but you can. You can get it if it's also in your it's genetic and correct. Okay, HMM. Yeah, so, yeah, there is a genetic predisposition, especially in patients that have a first degree relative with, you know, our A. I think it's about you have a three, three times higher likely chance than the average person, but that doesn't mean you'll necessarily get it. It just confers an increased risk. Okay, and then there's several other factors and they and you know, all the literature says we can't nail it down on anything specific. But when you when you read about it, it says, okay, well, there's genetics, there's environmental triggers, they're smoking, there's your age, there's different in you know, different infections are all hygiene, I mean hormones, obesity, you name it, it's probably we can't find. We can't find anyone in my family that has room to wit arthritis or autoimmunes. But unfortunately our a in general is a little bit new. You know, it's not a very old disease. So who knows if my like grandparents are great your grandparents had it from my knowledge until the day that they were, you know, passed away. They never had joint issues. So we're assuming that, you know, they didn't. But my doctor, my general physician, once at this. He thinks that my autoimmune came to play and show itself because I have a very strong history with drugs and he thinks I just lowered my immune system so significantly and if it were there and available in my body, that it just kind of showed itself. I don't know, who knows. I mean there's theories, there's so many different doctors are so many different things to say. I've read quite a bit about it. My boss in New York I talked to her about it. She has someone very close to her. I'm not going to get details. She has some very close to her with an autoimmune and she's very sustainable in eastern on her approach and she found out about a doctor that operates about with parasites there. They try to say that some hundred whatever years ago, when autoimmune started showing itself in people, was around the same time that we be getting to strip our grains of bacterias and stuff, and some of those bacterias were essential for our bodies to create an strong immune system, which is why they say if you eat chickens feet or stuff like that, it's great for you, or to go earthing barefoot, because you you know, you raise your immune system. I did so much earth thing when I was pregnant, by the way, Oh my God, I have Elijah doing earthing all the time because the walk around there just to walk around barefoot. I want them to raise his immune system. I know what it's yeah, you know. So environmental has a lot to do with when you're your immune system. If you weaken it, if you do drugs, if you drink alcohol, smoke cigarettes, if you live an unhealthy lifestyle. That's why so many people will say once they do change their diets around, they notice some more internal strength. Because Gluten, for instance, no one's really supposed to have gluten. It's not good for any all of us, technically. You know, potato, White Potato, I'm told, is bad for our A. Red Tomatoes are bad for our eggplant. I hear from so many girl. And when you say all these medications, you're not running short. I've been through them all in the last thirteen years, because your body grows an immune system to medications. Yeah, I have to keep switching and to find that right now I've had a great wattail. My cocktail has been for three years now. It's a rent ya infusion method. Truck said it might be twelve and I'm trying to stay a little healthier. It's been working. I just smoke a lot of fucking reading. Math smokes so much fucking we we're going to take a quick break, but when we come back.

Yeah, get up, bitch, get at all. Need to practice. Let's go. Maybe NOA NEAA Meana, no, no, no, no, no, no, di. What do you I mean? I know you can't make any recommendations about cannabis or anything like that, but you read, I'm sure you read the science about it being a very strong anti inflammatory in the Indian culture. was, imp ever, used in the Indian culture for healing, not that I personally was aware of, but I have, you know, with a lot of my patients coming in now, you know, asking for it or questioning I know something I can add into my therapy. I just felt like I should know a little bit more. Right and you know, although the there are positive health effects, and we do know that. You know, I think that works on two different things. So you know, you have like the CBD part and then you have the Ghd hm. So you know. Oh, what I have gathered is that the TC seems to work better in the way the mind perceives pain, and then cbd seems to work and localize the pain, and so I feel like the combination maybe have the most promise. And again, I've had patients. What I say is like it's a hit or miss. So it's worth a try because it's really not, as far as I'm concerned, really going to affect anything else. Medication wise and you know, there's some people that, you know, it works and I rather have them take that than be on chronic narcotics personally and and and have that dependence. But I, you know, just just on that, like I feel like the human mind is such a powerful thing and a lot of the ways that we, you know, patients, experience medication is related to the expectation of what the medication supposed to do. So I feel like, you know, when when that spit with not being said, you know, they're like, oh well, it work for so and so. Then they have the expectation that it's supposed to do that for them and it may not, but it is definitely something that you know, I'm not I'm not advocating that. That's, you know, the first line of treatment, but could it be something that is used in addition to what first line therapy is? Yeah, you know, I and I they. I have seen studies that show that it has had a positi effect on sleep and pain relief and and quality of life. So, you know, and to each their own. So if it works for you, it works for you. But again, if that were to talk, you know, the patients were interested. I always say like talk to your primary doctor and see which one fits you, know, with all of your other comorbidities and illness. Is what is your best fit. I'm really, really glad about your answer, to be honest with you. Maybe it's what a high five you and just be like, girl is smoke a joint when we see each other. Okay, oh my gosh, I love talking to you. I'm really I'm really grateful for people who go into this field, because there's not a lot of doctors that are in this field, that are good at this field and care enough, because it's a very difficult it's a very difficult disease. Autoimmune in general is just very hard. And when I go there every month and I sit in that big fat fake leather reclining chair and they put the Ivy in my arm and I have to pull out my, you know, laptop or IPAD and just watch movies and have my candy here and every five minutes and nurses, are you okay? Is Everything fine? And we are cold? Are you that? I used to cry for years every time they would just put the needle in and start the process. I used to cry. After many years I was like, okay, I got this, but it's you never fucking get used to this and I my heart is out to all the people who have to deal with it and I'm again very grateful to people like you, Dr Monica Shaw, that you are caring for people like me and helping people like me, because it is a debilitating disease that can crush you physically and emotionally as well. So thank you for being...

...here, thank you for answering our questions. We would love to have you back again and talk about other stuff. To me, person I do love that. I need to Florida. I need to make it out. We, or you guys, need to come down. You know what, run my my friend resident I were just talking to vishaw and we were just saying that we need to make a Miami trip happen and we're gonna have a dance off Indian against Persian where I go. I love it. I went to my first Persian wedding and I was just I was about it, but the NAP goodness, now like Jewish wedding, isn't it? Isn't that Jewish? I don't feel like Muslims do the maths. Maybe it's a Jewish thing, but if I they invite me to come out. I'M gonna be on the Indian dancing side against the I hate person that I have outso she invites herself to everything. Everything's I'll be there too. Are Out there. All do the lightbulbs. We all do like Bobs Bitch, we all do live other Ditt yea happen. I've I'd love. I'd love to come back. I do. I do want to thank you guys so much, though. Like Golanessa, you have a platform and you're using it to spread awareness, and I truly, as a rheumatologist and someone that's advocating to have more of these conversations. I'm so grateful for you to thank you to be able to do this in spread awareness. That truly means a lot to me as a rheumatologist and someone that really advocates for my patient so I'm so grateful to be on here and you have and I look forward to having more these conversations. Yeah, don't go anywhere yet, because enough of the serious time. Forgot. I gotta do. I need is lots of twist things. I've you gotta say a right here like my tattoo. She's gonna figure something out with my tattoo. I figure out what we can do. This is when I like my enjoying something. Time for laughing. All right, let's have some so forgive me, I have sinned. Okay, so I'm going to ask you some questions. We're gonna have some fun. Now I feel like I should take my glasses off to be less serious, but then I kind of don't. You need them to see? Now is the time, you guys? Do you need to see? How? How's the time? They're not real, they're fake. Oh, I got you. Okay, Oh, yeah, no, no, they're going to be reaction there for fashion, for fashion, but they will be able to go get up actual prescription put in. Okay, forgive me, I have sinned. So, with you having the last name Shaw, do you think that you should be the main cast member of Shaw's the sunset? Oh, she's flicking her and you know she's like a logical fit to be the last question. So do you more? I've won more. So She's really trying to jab me. Aren't done a lot, a lot of pageants, and you're so beautiful and you are gorgeous, gorgeous the right. So, with all the pageants you've done, have you ever once wanted to actually like trip and like push or do anything to one of the other contestants? And Nita, it's freakt Ma have sinned. Oh my God, you didn't. I'm sure you didn't do it, but in your mind, yes, yes, you physically didn't. Know your mother, I have it, I have it, but the competitive nature and girls can be caddy and nasty and I leave that out in that world. Yeah, I found that out and I just that's why I didn't fit in. I was like this is not my scene, like at all. Like I did it to step out of my comfort zone. Yeah, and like be like you know what, you did something for yourself, like you made an experience out of it, and that was my pure intention. Okay, like my parents, I think, we're like what are you doing? I was doing it during med school, you know. I was like bigger, I had bigger fish to FRY. Yeah, they're like what are you doing, and I'm like I don't know. It just I'm bored and this seems fun and like my friends are doing. It's like why not? Why? That literally the intention I went in to do it with. was just like I want to say something, you know, I want to say I did something different. I want to be outside of the shadow of my brother and my dad, because they're just so wellknown here. So I'm like, I want people to know me for something else, right, and so I did it. But you know, girls her girls can be not so nice and it's...

...a really cool world out there. So you know, I'm not saying that. Don't be mean, but I thought about it because I'm like, why are we being so catty? This is supposed to be like a very fun experience. Like, why is everyone taking it so like cut throat? But have you ever seen any like? Have you ever seen any physical educations backstage, like between girls? Are like slaps? Are Verbal? Verbal? Yeah, a lot of like ready, yeah, like this just stupid. I would never be able to not my scene. I was like getting out of here. I would. I would have probably gotten in a lot of trouble if I ever tried to be in a pageant. I think I'll give you would be like descript no, no, I wouldn't understand, like what's what you what the fuck did you just say? Girl? What? What Come? Smoke a Jordan? Shut the fuck up. Maybe I would. Yeah, I also judges high what we what's your talent? I could smoke a whole joint with one hit. I don't have your time. And I was it's not my scene. It's just not my scene. And I look up and don't like sweatpants and like, you know, getting getting breakfast and everyone's like in a gown or like in a dress and heels and like goal make up, and I'm like it's a a am like try less, like do less. What was your talent? Be Real. What was your time? So I I do. I've been trained in Indian dance. So I did an Indian dance. And Yeah, can you show us a little, something, something, like a little, I mean or like an okay, get up, bitch, get up, Hella da DNA. Need to practice. Let's go down the Danda. Maybe Nananitaa Nina, no, no, no, NANITA video. I haven't posted it from R Indian and I'm doing I felt like I did it. I think we're going to win the competition between the Persian shaws and then Dan Klarmas, especially because I'm going to be gonna be on their side. Yes, I'm invited. I think we may win for outfit. So I think I got the outfits on lot. I got it. I got some cute outfits to actually, we have some Monica Indian outbit. Yeah, she actually does. She actually does. Your party actually does for something. I don't know any Oh my God, would you let the doctor get back to her patients? Dr Monica Shah, thank you so much for joining us. I really appreciate you and I will be seeing you very soon on instagram. Yes, thank you so much for having me. Oh my gosh, I really, really like Dr Monica Shaw. Yeah, I like her. She's awesome. She's so young, she's thirty years old and she's a rheumatologist. She's gorgeous, she speaks well for herself, she's kind. I really it was really we Willi. She said she got a brother, right, I remember she said something like I wanted to do something different than my father brother. Yes, yes, I'm definitely going to Florida and yes, I'm definitely coming because I'm invited to come with you. Who invited you? Me? You, you did. You. Oh, could you come anywhere without me? Come on, man, what do you mean, especially with those glasses on? I'm not taking you anywhere. Like, what am I gonna do with you? Four eyes is going we should definitely go. The resident I talked to, I was just saw it telling mony. We we did a whole instagram live. We were having so much fun and but shaw came into the instagram live and we were talking and he's like, you guys need to count to Miami and resident I were like, Bitch, yes, we do, we should go. Yeah, I'm glad. I don't know. I mean I'm now with all this other crap in the Delta stuff, I'm kind of nervous to go. But Oh, I'm not a hunt bitch. I'm talking about in the world where the covid is like yeah, especially Flarida, because they're in like the the dark red zone again, I think, for so Yah, but I do want to say about those. But I do like the idea dark red states. And what I...

...do know, I'm just, I'm just Monica, more about Monica's brother and you. Okay, I'm going to do we start to talk to Monica when we're done with this podcast. We're going to have to like head her up and be like, listen, how was your brother? Ok, just let us know. You know. IS HE DTF? Let's let us know, you know. Let you know. Well, Oh, you're not a part of the brother. You know. You want to do like well, because if he's not into the the hit it and split it type situation, he might be more for you. Pause. If he's a hit in this let it, then I will be like yeah, so we'll have to option comedy even. We'll give him two options. Yes, we'll just WHR ourselves out. Okay, so, Dr Monica Shah, we are coming to Florida to whore ourselves out for your brother. Hopefully he is straight, first of all, because we'll be wasting our time if not, and hopefully he's of age. That's why I'm saying the ages. I'll be like some Kevin Spacey Shit Dude. I don't want to not down for that, like I'm not to have for that. But I liked her. I liked her a lot and I'm really looking forward to talking to her again. I like that I now have someone other than my own personal doctor that I can talk to about, you know, having our a and living with it, and there's any advancements or something new that she can hear about in just send me and let me you know what I mean. So I'm really happy that she and I got this chance to connect and she got this chance to turn to talk to everybody. I think it's good too, because I now maybe with like taking both your platforms, and I know she's, you know, getting there and creating a good one. Right, if you guys could really maybe like collaborated, do right some cool things, I would love to do that with her. It's a really good idea. I know we should do we should Scud, we should do a dance off and invite people and it's a charity event. That sounds good. That's all. Seeds go towards something are related. I this is why you are my bad. That's the glasses. It's about. Hey, you got to keep these glasses, as weird as they are, in your face. You gotta keep good to this. It makes you smart. The weed makes me smart, the glasses make you smart and hopefully, genuinely gg's making you guys smart. So Randy review is subscribe to US please. We love you and thank you for watching. Thanks for listening to genuinely gig. download new episodes every week and, if you haven't already, subscribe and be sure to leave us a rating and review and, while you're at it, check out some of the other great shows available on Straw hunt media.

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