Nov 29, 2018

Interview Transcript

Dr. Jones: The Scope's "Seven Domains of Women's Health" is celebrating five years and about 260 episodes. Is anybody out there?

Announcer: Covering all aspects of women's health, this is "The Seven Domains of Women's Health" with Dr. Kirtly Jones on The Scope.

Dr. Jones: "The Seven Domains of Women's Health" covers pretty much everything woman. I have my favorite topics, but the most viewed or, in internet term, clicked topics are what interest folks out there on the web. Most every woman wants to be normal. In "The Seven Domains," we've tried to convey the concept that the range of normal is large, and we've taken some time to define normal statistically. Today, in Scope's studio, we'll interview the producer of "The Seven Domains" and the originator of the "Am I Normal?" topics. In the studio with us is, always normal, Chloe Nguyen. So, Chloe, let's talk about "The Seven Domains of Women's Health." Who checks us out?

Chloe: So based solely on Google Analytics, I think a lot of our listeners are women, and they're women between 24 to 35. So it's in the range that we had always anticipated for your show to begin with anyways.

Dr. Jones: Right. But women tend to provide the health care issues and needs and choices for their family. Women are more likely to seek out help when there is a problem, so it doesn't surprise me that there are more women looking at The Scope overall and, of course, coming to "The Seven Domains of Women's Health." Some of the most visited topics are the "Am I Normal?" series. You came up with the "Am I Normal?" topic.

Chloe: I did.

Dr. Jones: Why did you think that was going to click with the audience out there?

Chloe: So this is a personal story to me because I'm one of those people who, as I'm talking to you, I refuse to go see the doctor unless I really have a problem. Like I know I have a problem but I had to like die sort of thing. And even before then I have to always check online to make sure this is a normal thing. And so that's kind of where this story came from, and a lot of the actual topics comes partly from me, partly a lot from my mother . . .

Dr. Jones: And your friends.

Chloe: And my friends, and just if I had this problem, I probably want to know if this was normal or not.

Dr. Jones: I think that's brilliant because, in fact, that's what my family asks me. And when I think about my friends, who mostly being physicians, it's my family non-physicians that say, "Is this normal?"

Chloe: Right. It's that question that everybody asks the doctor when they see you.

Dr. Jones: Well, let's go to the top 5 out of 260 most-visited episodes in "The Seven Domains."

Chloe: So number five is, It Takes Me Hours to Fall Asleep – Am I Normal? And that one has a total of close to 82,000 listeners, unique listeners, that have listened to the interview.

Dr. Jones: So these are things that people are not probably questioning for their family or their children.

Chloe: No.

Dr. Jones: It's what they're looking for themselves.

Chloe: Right.

Dr. Jones: And women are much more likely to seek out care for insomnia, difficulty getting to sleep or staying asleep, than men are. In fact, our Insomnia Clinic here at the University of Utah Sleep-Wake Center is mostly women, so I can see why it would be very interesting and it's a very frustrating thing. When people lay down, they want to go to sleep, unshoulder the burdens of the day, and there's nothing that will keep you awake more than worrying about if you're getting enough sleep. There you go.

Chloe: I guess not.

Dr. Jones: Oh, the next one.

Chloe: All right. So number four is, My Pap Smear Came Back Abnormal—Should I Be Worried? That one got 97,000 unique views.

Dr. Jones: Okay. So I think this is probably clicked a lot because abnormal Pap smears, not saying that this is cancer but just that it needs some follow-up, are pretty common. And many women, as many as one in five women in their lifetime, are going to have an abnormal Pap smear. This is something that someone might click for themselves or their daughters or their sisters because, even my trainer, you know, she might actually go there and click.

So it's a common problem, but women are very anxious. It's a part of their body they can't see, feel, or really understand, so they want more information. We've tried to defuse the fear that, "Oh, my gosh, I've got cancer," by talking about what it means to have an abnormal Pap and where you go from there. So I get why that one was popular.

Chloe: Number three on the list is actually not surprising to me, Why Am I Gaining Weight After Giving Birth? And that one has 174,000 clicks.

Dr. Jones: Okay, a big jump in clicks, yeah. Right.

Chloe: Yeah.

Dr. Jones: Well, this might be something that women primarily do for themselves, but I suppose they could do it for their daughter or their mother, probably not their mother. Weight is an enormous issue for American women, and I'm assuming that most of our listeners are actually in the US of A, but they may not be. And I think that the concept is that once you've dumped out this baby and breastfed it a lot of fluids that you should get thinner.

But, in fact, there are physiologic reasons for women to continue to hold on to calories. And women's time changes that they aren't as active when they have a young baby unless they choose to really pick up the pace of their activities. So I get it. It's common. Women tend to gain weight, and then they gain a little bit more in between pregnancies. And that's a sorrowful, difficult thing in a culture that's focused on being thinner.

Chloe: No surprise to me that that was even in the top five, because with social media, especially with all the bloggers, lifestyle bloggers who have become pregnant and have, like you said, dumped their babies out and they get back to their normal weight and . . .

Dr. Jones: Especially the movie stars. I get so tired of them. I mean, they have their babies and it's all a big deal and then . . .

Chloe: They've got physical trainers though.

Dr. Jones: Yeah, yeah. And then you see them in this really tight dress with their breastfeeding breasts but the rest of their waist, and how did they do that already?

Chloe: How do they do it and how can I be like them?

Dr. Jones: How can we be like them?

Chloe: Yeah. Shouldn't we be thinking that way though?

Dr. Jones: No.

Chloe: All right. So number two is, My Breasts Are Different Sizes – Am I Normal? That one has 232,000 unique views.

Dr. Jones: Well, I actually am not sure I really understand why this one has been clicked. It turns out that almost everyone is not completely symmetrical with respect to their breast size.

Chloe: But they probably don't know that.

Dr. Jones: But they may notice it. They may not. And maybe I think this is an adolescent thing, because particularly when the breasts are growing, one may grow a little faster. So I can see someone, again, being on social media, everybody looks perfectly symmetrical, and there you are, after the shower, thinking, "I don't look like that. What's wrong with me?" So we needed to normalize that. And I think women, again, are so sensitive to their personal appearance, so this one was a big one.

Chloe: So number one on the top five most clicks of "The Seven Domains of Women's Health" is also about breasts. It's, My Breast is Tender, But I Don't Feel a Lump – Am I Normal? 447,000 unique views.

Dr. Jones: Almost a half a million unique views.

Chloe: Almost half a million.

Dr. Jones: So, once again, I think this tends to be a little bit younger women or middle-aged women's issue. It may be something that a mother would click if a daughter was saying, "My breasts hurt." It's the kind of thing that women would notice, and many, many women have breasts tenderness before their periods. And to feel something different with the fear of breast cancer makes you worry there's something wrong. And people, as you do, go quickly to the web to see if this is normal or not. Now, I must say, I wonder if the numbers for the last two, number one and number two, are inflated by 13-year-old boys who are just typing in "breasts," but they're trying to understand women's anatomy and concerns. I'm sure they're doing it for all the right reasons.

Chloe: I hope so too.

Dr. Jones: I hope so too. Otherwise I can't talk about breasts ever again. We are grateful for all our viewers and listeners who want to learn and share good information. All persons, whatever your genders and interests, is there a topic you think we should cover in "The Seven Domains"? Thanks for joining us on The Scope.

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