{"version":"1.0.0","segments":[{"speaker":"Vanessa","startTime":0.0,"endTime":2.58,"body":"Okay, here we go."},{"speaker":"Vanessa","startTime":0.0,"endTime":2.58,"body":"Hello. Welcome back to"},{"speaker":"Vanessa","startTime":2.58,"endTime":7.41,"body":"transcending humanity. This is"},{"speaker":"Vanessa","startTime":2.58,"endTime":7.41,"body":"episode 42. And just as a"},{"speaker":"Vanessa","startTime":7.41,"endTime":11.31,"body":"reminder, the views and opinions"},{"speaker":"Vanessa","startTime":7.41,"endTime":11.31,"body":"of the hosts and guests on the"},{"speaker":"Vanessa","startTime":11.31,"endTime":15.3,"body":"show are those of their own and"},{"speaker":"Vanessa","startTime":11.31,"endTime":15.3,"body":"not those of their respective"},{"speaker":"Vanessa","startTime":15.3,"endTime":19.62,"body":"organizations, employers and"},{"speaker":"Vanessa","startTime":15.3,"endTime":19.62,"body":"what have you. I have a super"},{"speaker":"Vanessa","startTime":19.62,"endTime":23.46,"body":"exciting episode for you today."},{"speaker":"Vanessa","startTime":19.62,"endTime":23.46,"body":"I guess that I've been looking"},{"speaker":"Vanessa","startTime":23.46,"endTime":26.37,"body":"forward to having known for a"},{"speaker":"Vanessa","startTime":23.46,"endTime":26.37,"body":"long time, the amazing Dr."},{"speaker":"Vanessa","startTime":26.37,"endTime":32.52,"body":"Cecile Fernando, the person who"},{"speaker":"Vanessa","startTime":26.37,"endTime":32.52,"body":"gave me my wonderful equipment"},{"speaker":"Vanessa","startTime":32.52,"endTime":39.18,"body":"downstairs. Dr. Fernando, can"},{"speaker":"Vanessa","startTime":32.52,"endTime":39.18,"body":"you give us a little two minute"},{"speaker":"Vanessa","startTime":39.18,"endTime":40.74,"body":"Hello, a little background on"},{"speaker":"Vanessa","startTime":39.18,"endTime":40.74,"body":"you?"},{"speaker":"Dr Ferrando","startTime":41.4,"endTime":44.16,"body":"Sure. It's such a"},{"speaker":"Dr Ferrando","startTime":41.4,"endTime":44.16,"body":"pleasure to be here. Thanks for"},{"speaker":"Dr Ferrando","startTime":44.16,"endTime":50.37,"body":"asking me to join. I am a Euro"},{"speaker":"Dr Ferrando","startTime":44.16,"endTime":50.37,"body":"gynecologist. So I actually"},{"speaker":"Dr Ferrando","startTime":50.37,"endTime":55.08,"body":"specialized in OB GYN first and"},{"speaker":"Dr Ferrando","startTime":50.37,"endTime":55.08,"body":"then did some extra urologic"},{"speaker":"Dr Ferrando","startTime":55.08,"endTime":60.39,"body":"training. And so I mostly see"},{"speaker":"Dr Ferrando","startTime":55.08,"endTime":60.39,"body":"patients men and women who need"},{"speaker":"Dr Ferrando","startTime":60.72,"endTime":62.88,"body":"some sort of pelvic"},{"speaker":"Dr Ferrando","startTime":60.72,"endTime":62.88,"body":"reconstructive procedure. So"},{"speaker":"Dr Ferrando","startTime":62.88,"endTime":67.5,"body":"both sis and trans. I got into"},{"speaker":"Dr Ferrando","startTime":62.88,"endTime":67.5,"body":"gender affirming surgery about"},{"speaker":"Dr Ferrando","startTime":67.83,"endTime":72.39,"body":"12 years ago and started my"},{"speaker":"Dr Ferrando","startTime":67.83,"endTime":72.39,"body":"practice 10 years ago, started"},{"speaker":"Dr Ferrando","startTime":72.39,"endTime":74.88,"body":"at Cleveland Clinic in"},{"speaker":"Dr Ferrando","startTime":72.39,"endTime":74.88,"body":"Cleveland, Ohio, and I just"},{"speaker":"Dr Ferrando","startTime":74.88,"endTime":78.0,"body":"recently left Cleveland Clinic"},{"speaker":"Dr Ferrando","startTime":74.88,"endTime":78.0,"body":"and now I'm in San Diego working"},{"speaker":"Dr Ferrando","startTime":78.0,"endTime":79.8,"body":"at UC San Diego health."},{"speaker":"Vanessa","startTime":81.36,"endTime":85.05,"body":"San Diego is quite the"},{"speaker":"Vanessa","startTime":81.36,"endTime":85.05,"body":"upgrade from Cleveland when it"},{"speaker":"Vanessa","startTime":85.05,"endTime":91.5,"body":"comes to your surroundings. So"},{"speaker":"Vanessa","startTime":85.05,"endTime":91.5,"body":"we miss you up here. But girl, I"},{"speaker":"Vanessa","startTime":91.5,"endTime":95.82,"body":"don't blame you. I, too. So"},{"speaker":"Vanessa","startTime":91.5,"endTime":95.82,"body":"should I"},{"speaker":"Dr Ferrando","startTime":95.82,"endTime":98.25,"body":"do miss Cleveland,"},{"speaker":"Dr Ferrando","startTime":95.82,"endTime":98.25,"body":"I will say there's something"},{"speaker":"Dr Ferrando","startTime":98.28,"endTime":100.56,"body":"there is something special about"},{"speaker":"Dr Ferrando","startTime":98.28,"endTime":100.56,"body":"the town of Cleveland."},{"speaker":"Vanessa","startTime":100.86,"endTime":106.08,"body":"It does have its own"},{"speaker":"Vanessa","startTime":100.86,"endTime":106.08,"body":"vibe. You said it does. Are you"},{"speaker":"Vanessa","startTime":106.08,"endTime":107.13,"body":"from Cleveland originally?"},{"speaker":"Dr Ferrando","startTime":107.7,"endTime":112.62,"body":"No. So I actually I"},{"speaker":"Dr Ferrando","startTime":107.7,"endTime":112.62,"body":"was born in France and my my"},{"speaker":"Dr Ferrando","startTime":112.62,"endTime":116.19,"body":"father's French and my mother's"},{"speaker":"Dr Ferrando","startTime":112.62,"endTime":116.19,"body":"American. So I spent a little"},{"speaker":"Dr Ferrando","startTime":116.19,"endTime":118.32,"body":"bit of time in my early"},{"speaker":"Dr Ferrando","startTime":116.19,"endTime":118.32,"body":"childhood in France. But then I"},{"speaker":"Dr Ferrando","startTime":118.32,"endTime":123.6,"body":"moved to New York as a young a"},{"speaker":"Dr Ferrando","startTime":118.32,"endTime":123.6,"body":"young kid, and then just sort of"},{"speaker":"Dr Ferrando","startTime":123.6,"endTime":126.54,"body":"moved around after that. So I"},{"speaker":"Dr Ferrando","startTime":123.6,"endTime":126.54,"body":"lived in New York City for a"},{"speaker":"Dr Ferrando","startTime":126.54,"endTime":129.36,"body":"while and then I lived in"},{"speaker":"Dr Ferrando","startTime":126.54,"endTime":129.36,"body":"Boston, and then I made my way"},{"speaker":"Dr Ferrando","startTime":129.36,"endTime":130.23,"body":"out to Cleveland."},{"speaker":"Vanessa","startTime":131.52,"endTime":134.01,"body":"That's a lot of jumping"},{"speaker":"Vanessa","startTime":131.52,"endTime":134.01,"body":"around. But pretty exotic was to"},{"speaker":"Vanessa","startTime":134.01,"endTime":139.86,"body":"grow up really. So that's cool."},{"speaker":"Vanessa","startTime":134.01,"endTime":139.86,"body":"super catchy and the medicine in"},{"speaker":"Vanessa","startTime":139.86,"endTime":140.64,"body":"the first place."},{"speaker":"Dr Ferrando","startTime":141.36,"endTime":144.33,"body":"I think I was"},{"speaker":"Dr Ferrando","startTime":141.36,"endTime":144.33,"body":"always inclined to be a doctor,"},{"speaker":"Dr Ferrando","startTime":144.33,"endTime":149.82,"body":"I sort of steered away from it."},{"speaker":"Dr Ferrando","startTime":144.33,"endTime":149.82,"body":"I was sort of in and out. I was"},{"speaker":"Dr Ferrando","startTime":149.82,"endTime":152.49,"body":"trying to find my artistic ways"},{"speaker":"Dr Ferrando","startTime":149.82,"endTime":152.49,"body":"when I was really young, I think"},{"speaker":"Dr Ferrando","startTime":152.49,"endTime":155.88,"body":"like a lot of people and then"},{"speaker":"Dr Ferrando","startTime":152.49,"endTime":155.88,"body":"you sort of think about how you"},{"speaker":"Dr Ferrando","startTime":155.91,"endTime":158.82,"body":"maybe want to make a living. And"},{"speaker":"Dr Ferrando","startTime":155.91,"endTime":158.82,"body":"it sounded pretty good to be"},{"speaker":"Dr Ferrando","startTime":158.82,"endTime":161.88,"body":"able to make a good living"},{"speaker":"Dr Ferrando","startTime":158.82,"endTime":161.88,"body":"taking care of others, right,"},{"speaker":"Dr Ferrando","startTime":161.88,"endTime":166.17,"body":"that sort of feels like a really"},{"speaker":"Dr Ferrando","startTime":161.88,"endTime":166.17,"body":"noble profession to go into. And"},{"speaker":"Dr Ferrando","startTime":166.17,"endTime":168.9,"body":"I sort of felt like, Oh, I could"},{"speaker":"Dr Ferrando","startTime":166.17,"endTime":168.9,"body":"use some of the creative ways"},{"speaker":"Dr Ferrando","startTime":168.9,"endTime":172.41,"body":"that I have in my profession by"},{"speaker":"Dr Ferrando","startTime":168.9,"endTime":172.41,"body":"doing something maybe surgical"},{"speaker":"Dr Ferrando","startTime":172.41,"endTime":175.2,"body":"and something where I'm"},{"speaker":"Dr Ferrando","startTime":172.41,"endTime":175.2,"body":"restoring anatomy or creating"},{"speaker":"Dr Ferrando","startTime":175.2,"endTime":178.23,"body":"anatomy. So it's sort of the way"},{"speaker":"Dr Ferrando","startTime":175.2,"endTime":178.23,"body":"that it got me here, but I was"},{"speaker":"Dr Ferrando","startTime":178.23,"endTime":179.64,"body":"wanting to take care of people."},{"speaker":"Vanessa","startTime":180.48,"endTime":184.14,"body":"That's a good reason to"},{"speaker":"Vanessa","startTime":180.48,"endTime":184.14,"body":"get into medicine. I wish every"},{"speaker":"Vanessa","startTime":184.14,"endTime":186.75,"body":"one that got into medicine had a"},{"speaker":"Vanessa","startTime":184.14,"endTime":186.75,"body":"reason like that."},{"speaker":"Dr Ferrando","startTime":187.44,"endTime":191.01,"body":"Well, I think I"},{"speaker":"Dr Ferrando","startTime":187.44,"endTime":191.01,"body":"think that everybody, I think a"},{"speaker":"Dr Ferrando","startTime":191.01,"endTime":193.2,"body":"lot of people start that way."},{"speaker":"Dr Ferrando","startTime":191.01,"endTime":193.2,"body":"But I think some people lose"},{"speaker":"Dr Ferrando","startTime":193.2,"endTime":195.21,"body":"their way. So yeah,"},{"speaker":"Vanessa","startTime":195.24,"endTime":198.12,"body":"which is understandable"},{"speaker":"Vanessa","startTime":195.24,"endTime":198.12,"body":"to the amount of stress. And"},{"speaker":"Vanessa","startTime":198.15,"endTime":201.96,"body":"just the stuff that you have to"},{"speaker":"Vanessa","startTime":198.15,"endTime":201.96,"body":"see every day has to. I can't"},{"speaker":"Vanessa","startTime":201.96,"endTime":205.32,"body":"even imagine I couldn't do it. I"},{"speaker":"Vanessa","startTime":201.96,"endTime":205.32,"body":"can't even handle a little cut."},{"speaker":"Vanessa","startTime":205.32,"endTime":210.36,"body":"So yeah, I don't know how people"},{"speaker":"Vanessa","startTime":205.32,"endTime":210.36,"body":"in the medical industry do it."},{"speaker":"Vanessa","startTime":210.39,"endTime":215.37,"body":"And I have a lot of props for"},{"speaker":"Vanessa","startTime":210.39,"endTime":215.37,"body":"people that do so what led you"},{"speaker":"Vanessa","startTime":215.37,"endTime":218.4,"body":"to get into gender affirming"},{"speaker":"Vanessa","startTime":215.37,"endTime":218.4,"body":"surgeries."},{"speaker":"Dr Ferrando","startTime":219.24,"endTime":223.17,"body":"I actually was one"},{"speaker":"Dr Ferrando","startTime":219.24,"endTime":223.17,"body":"of the like, I think I'm one of"},{"speaker":"Dr Ferrando","startTime":223.17,"endTime":225.93,"body":"the few people who sort of knew"},{"speaker":"Dr Ferrando","startTime":223.17,"endTime":225.93,"body":"that's what I wanted to do. When"},{"speaker":"Dr Ferrando","startTime":225.93,"endTime":229.71,"body":"I went to medical school, I took"},{"speaker":"Dr Ferrando","startTime":225.93,"endTime":229.71,"body":"a little bit of time off between"},{"speaker":"Dr Ferrando","startTime":229.71,"endTime":232.86,"body":"medical school and college to"},{"speaker":"Dr Ferrando","startTime":229.71,"endTime":232.86,"body":"figure out exactly what I was"},{"speaker":"Dr Ferrando","startTime":232.86,"endTime":236.67,"body":"going to do and how I was gonna"},{"speaker":"Dr Ferrando","startTime":232.86,"endTime":236.67,"body":"pay to go to medical school and"},{"speaker":"Dr Ferrando","startTime":236.67,"endTime":242.73,"body":"try to figure all of that out."},{"speaker":"Dr Ferrando","startTime":236.67,"endTime":242.73,"body":"And I had some experiences as"},{"speaker":"Dr Ferrando","startTime":242.76,"endTime":248.16,"body":"like a 2122 year old living in"},{"speaker":"Dr Ferrando","startTime":242.76,"endTime":248.16,"body":"New York where I got to meet"},{"speaker":"Dr Ferrando","startTime":248.16,"endTime":251.64,"body":"some youth in New York City, I"},{"speaker":"Dr Ferrando","startTime":248.16,"endTime":251.64,"body":"was working with some"},{"speaker":"Dr Ferrando","startTime":251.67,"endTime":257.82,"body":"disenfranchised homeless youth"},{"speaker":"Dr Ferrando","startTime":251.67,"endTime":257.82,"body":"and learned a lot about why they"},{"speaker":"Dr Ferrando","startTime":257.82,"endTime":261.21,"body":"were homeless, and a lot of them"},{"speaker":"Dr Ferrando","startTime":257.82,"endTime":261.21,"body":"had been either chose or asked"},{"speaker":"Dr Ferrando","startTime":261.21,"endTime":264.96,"body":"to leave their homes and were"},{"speaker":"Dr Ferrando","startTime":261.21,"endTime":264.96,"body":"completely disowned by their"},{"speaker":"Dr Ferrando","startTime":264.96,"endTime":268.23,"body":"families. And a lot of them were"},{"speaker":"Dr Ferrando","startTime":264.96,"endTime":268.23,"body":"trans. At the time. We weren't"},{"speaker":"Dr Ferrando","startTime":268.23,"endTime":271.77,"body":"really calling it that. You"},{"speaker":"Dr Ferrando","startTime":268.23,"endTime":271.77,"body":"know, this was in the early"},{"speaker":"Dr Ferrando","startTime":271.77,"endTime":276.9,"body":"2000s. So it was almost 25 years"},{"speaker":"Dr Ferrando","startTime":271.77,"endTime":276.9,"body":"ago. But I sort of became very,"},{"speaker":"Dr Ferrando","startTime":276.99,"endTime":281.43,"body":"Yeah, very. I don't know, I"},{"speaker":"Dr Ferrando","startTime":276.99,"endTime":281.43,"body":"don't want to say the word like"},{"speaker":"Dr Ferrando","startTime":281.85,"endTime":286.8,"body":"attracted to the sort of the"},{"speaker":"Dr Ferrando","startTime":281.85,"endTime":286.8,"body":"concept of exploring sort of"},{"speaker":"Dr Ferrando","startTime":286.8,"endTime":290.73,"body":"one's gender. I think we weren't"},{"speaker":"Dr Ferrando","startTime":286.8,"endTime":290.73,"body":"talking about it mainstream and"},{"speaker":"Dr Ferrando","startTime":290.79,"endTime":294.78,"body":"it the concept was so clear to"},{"speaker":"Dr Ferrando","startTime":290.79,"endTime":294.78,"body":"me that that was possible that"},{"speaker":"Dr Ferrando","startTime":294.78,"endTime":298.11,"body":"we didn't necessarily need to"},{"speaker":"Dr Ferrando","startTime":294.78,"endTime":298.11,"body":"identify with who we actually"},{"speaker":"Dr Ferrando","startTime":298.38,"endTime":301.8,"body":"are how we were actually born"},{"speaker":"Dr Ferrando","startTime":298.38,"endTime":301.8,"body":"right Who We Are versus how and"},{"speaker":"Dr Ferrando","startTime":301.83,"endTime":305.64,"body":"and what we were given"},{"speaker":"Dr Ferrando","startTime":301.83,"endTime":305.64,"body":"biologically don't necessarily"},{"speaker":"Dr Ferrando","startTime":305.64,"endTime":308.28,"body":"need to align. And so this was a"},{"speaker":"Dr Ferrando","startTime":305.64,"endTime":308.28,"body":"time where we weren't, there was"},{"speaker":"Dr Ferrando","startTime":308.28,"endTime":310.53,"body":"no discussion about it, we"},{"speaker":"Dr Ferrando","startTime":308.28,"endTime":310.53,"body":"didn't read about it in books,"},{"speaker":"Dr Ferrando","startTime":310.77,"endTime":314.43,"body":"nobody was teaching it. It"},{"speaker":"Dr Ferrando","startTime":310.77,"endTime":314.43,"body":"wasn't on TV, right, except"},{"speaker":"Dr Ferrando","startTime":314.43,"endTime":317.43,"body":"maybe portrayed right in a"},{"speaker":"Dr Ferrando","startTime":314.43,"endTime":317.43,"body":"certain kind of way that was"},{"speaker":"Dr Ferrando","startTime":317.43,"endTime":320.28,"body":"really probably very negative."},{"speaker":"Dr Ferrando","startTime":317.43,"endTime":320.28,"body":"And so I had all these"},{"speaker":"Dr Ferrando","startTime":320.28,"endTime":324.3,"body":"experiences 20, almost 25 years"},{"speaker":"Dr Ferrando","startTime":320.28,"endTime":324.3,"body":"ago. And so what I also was"},{"speaker":"Dr Ferrando","startTime":324.3,"endTime":326.46,"body":"learning as I started learning"},{"speaker":"Dr Ferrando","startTime":324.3,"endTime":326.46,"body":"about how people were getting"},{"speaker":"Dr Ferrando","startTime":326.46,"endTime":329.97,"body":"their hormones, how people were"},{"speaker":"Dr Ferrando","startTime":326.46,"endTime":329.97,"body":"getting surgery. And I found out"},{"speaker":"Dr Ferrando","startTime":329.97,"endTime":332.1,"body":"that again, there was no"},{"speaker":"Dr Ferrando","startTime":329.97,"endTime":332.1,"body":"mainstream medical way for"},{"speaker":"Dr Ferrando","startTime":332.1,"endTime":335.25,"body":"people to get these things,"},{"speaker":"Dr Ferrando","startTime":332.1,"endTime":335.25,"body":"people were buying hormones from"},{"speaker":"Dr Ferrando","startTime":335.25,"endTime":338.25,"body":"each other, they were ordering"},{"speaker":"Dr Ferrando","startTime":335.25,"endTime":338.25,"body":"them from certain places, they"},{"speaker":"Dr Ferrando","startTime":338.25,"endTime":342.48,"body":"were sharing hormones, there was"},{"speaker":"Dr Ferrando","startTime":338.25,"endTime":342.48,"body":"definitely a black market for"},{"speaker":"Dr Ferrando","startTime":342.48,"endTime":346.86,"body":"it. And then for surgery, what"},{"speaker":"Dr Ferrando","startTime":342.48,"endTime":346.86,"body":"really sort of made me start, it"},{"speaker":"Dr Ferrando","startTime":346.86,"endTime":349.17,"body":"really sort of propelled me to"},{"speaker":"Dr Ferrando","startTime":346.86,"endTime":349.17,"body":"go in one direction with my"},{"speaker":"Dr Ferrando","startTime":349.17,"endTime":351.93,"body":"medical career was that I"},{"speaker":"Dr Ferrando","startTime":349.17,"endTime":351.93,"body":"realized that only people who"},{"speaker":"Dr Ferrando","startTime":351.93,"endTime":355.08,"body":"had money could actually get"},{"speaker":"Dr Ferrando","startTime":351.93,"endTime":355.08,"body":"surgery, or it was people"},{"speaker":"Dr Ferrando","startTime":355.08,"endTime":357.42,"body":"getting surgery from people who"},{"speaker":"Dr Ferrando","startTime":355.08,"endTime":357.42,"body":"weren't qualified to do the"},{"speaker":"Dr Ferrando","startTime":357.42,"endTime":360.39,"body":"surgeries. But people were just"},{"speaker":"Dr Ferrando","startTime":357.42,"endTime":360.39,"body":"willing to take whatever they"},{"speaker":"Dr Ferrando","startTime":360.39,"endTime":363.03,"body":"could get, and people were"},{"speaker":"Dr Ferrando","startTime":360.39,"endTime":363.03,"body":"getting harmed from it. You"},{"speaker":"Dr Ferrando","startTime":363.03,"endTime":365.43,"body":"know, this is back in the day"},{"speaker":"Dr Ferrando","startTime":363.03,"endTime":365.43,"body":"where people were getting, you"},{"speaker":"Dr Ferrando","startTime":365.43,"endTime":369.06,"body":"know, like silicone injected in"},{"speaker":"Dr Ferrando","startTime":365.43,"endTime":369.06,"body":"very strange, you know, places"},{"speaker":"Dr Ferrando","startTime":369.06,"endTime":371.55,"body":"and dying from sort of"},{"speaker":"Dr Ferrando","startTime":369.06,"endTime":371.55,"body":"infections from the sort of"},{"speaker":"Dr Ferrando","startTime":371.55,"endTime":375.99,"body":"underground injection clinics."},{"speaker":"Dr Ferrando","startTime":371.55,"endTime":375.99,"body":"And so I just sort of started"},{"speaker":"Dr Ferrando","startTime":375.99,"endTime":380.91,"body":"thinking, you know, this could"},{"speaker":"Dr Ferrando","startTime":375.99,"endTime":380.91,"body":"be mainstream, right. And so,"},{"speaker":"Dr Ferrando","startTime":381.27,"endTime":383.94,"body":"and I kind of hit it at the"},{"speaker":"Dr Ferrando","startTime":381.27,"endTime":383.94,"body":"right time, because as I was"},{"speaker":"Dr Ferrando","startTime":383.94,"endTime":386.16,"body":"going through my training, a lot"},{"speaker":"Dr Ferrando","startTime":383.94,"endTime":386.16,"body":"of stuff changed. Like in"},{"speaker":"Dr Ferrando","startTime":386.4,"endTime":392.01,"body":"2008 2010 2012, there was a lot"},{"speaker":"Dr Ferrando","startTime":386.4,"endTime":392.01,"body":"more visibility. So I, I sort of"},{"speaker":"Dr Ferrando","startTime":392.01,"endTime":395.4,"body":"I call it this wave that I was"},{"speaker":"Dr Ferrando","startTime":392.01,"endTime":395.4,"body":"on right time, right place,"},{"speaker":"Dr Ferrando","startTime":395.64,"endTime":397.74,"body":"seemed like a lot of people were"},{"speaker":"Dr Ferrando","startTime":395.64,"endTime":397.74,"body":"starting to get it around the"},{"speaker":"Dr Ferrando","startTime":397.74,"endTime":398.67,"body":"time that I was."},{"speaker":"Vanessa","startTime":400.35,"endTime":405.87,"body":"God, I mean, I until"},{"speaker":"Vanessa","startTime":400.35,"endTime":405.87,"body":"like 2005 2006, I didn't even"},{"speaker":"Vanessa","startTime":405.87,"endTime":408.72,"body":"know that trans people really"},{"speaker":"Vanessa","startTime":405.87,"endTime":408.72,"body":"existed. Like I've known"},{"speaker":"Vanessa","startTime":408.72,"endTime":413.4,"body":"something was up with me since I"},{"speaker":"Vanessa","startTime":408.72,"endTime":413.4,"body":"was five easily. But growing in"},{"speaker":"Vanessa","startTime":413.4,"endTime":416.52,"body":"like a Christian conservative"},{"speaker":"Vanessa","startTime":413.4,"endTime":416.52,"body":"family that was like, this was"},{"speaker":"Vanessa","startTime":416.52,"endTime":420.93,"body":"something we talked about, you"},{"speaker":"Vanessa","startTime":416.52,"endTime":420.93,"body":"know, but I saw a documentary"},{"speaker":"Vanessa","startTime":420.96,"endTime":425.07,"body":"called Trans generation. And"},{"speaker":"Vanessa","startTime":420.96,"endTime":425.07,"body":"then I'm like, we, this is a"},{"speaker":"Vanessa","startTime":425.07,"endTime":430.77,"body":"thing, you can actually do that."},{"speaker":"Vanessa","startTime":425.07,"endTime":430.77,"body":"And yeah, I kind of buried away"},{"speaker":"Vanessa","startTime":430.77,"endTime":434.88,"body":"for a while after that. But what"},{"speaker":"Vanessa","startTime":430.77,"endTime":434.88,"body":"you're just talking about, like,"},{"speaker":"Vanessa","startTime":435.06,"endTime":437.7,"body":"helping people and like learning"},{"speaker":"Vanessa","startTime":435.06,"endTime":437.7,"body":"about the community and stuff,"},{"speaker":"Vanessa","startTime":437.7,"endTime":441.48,"body":"that's how they found you,"},{"speaker":"Vanessa","startTime":437.7,"endTime":441.48,"body":"actually, when I was researching"},{"speaker":"Vanessa","startTime":441.48,"endTime":444.69,"body":"surgeons, when going to"},{"speaker":"Vanessa","startTime":441.48,"endTime":444.69,"body":"Cleveland is convenient,"},{"speaker":"Vanessa","startTime":444.69,"endTime":450.48,"body":"because, you know, I live in"},{"speaker":"Vanessa","startTime":444.69,"endTime":450.48,"body":"Northeast Ohio. But at the time,"},{"speaker":"Vanessa","startTime":450.63,"endTime":454.56,"body":"you had a Twitter profile, I"},{"speaker":"Vanessa","startTime":450.63,"endTime":454.56,"body":"refuse to call it what it's"},{"speaker":"Vanessa","startTime":454.56,"endTime":461.7,"body":"called now. And I saw like"},{"speaker":"Vanessa","startTime":454.56,"endTime":461.7,"body":"activism, I saw trans flags. And"},{"speaker":"Vanessa","startTime":461.7,"endTime":466.98,"body":"I'm like, okay, she gets it, she"},{"speaker":"Vanessa","startTime":461.7,"endTime":466.98,"body":"gets it. And for other surgeons,"},{"speaker":"Vanessa","startTime":466.98,"endTime":471.63,"body":"I didn't see that kind of thing."},{"speaker":"Vanessa","startTime":466.98,"endTime":471.63,"body":"And for something this major, I"},{"speaker":"Vanessa","startTime":471.63,"endTime":476.04,"body":"mean of that, and a plasti is"},{"speaker":"Vanessa","startTime":471.63,"endTime":476.04,"body":"definitely not a light surgery"},{"speaker":"Vanessa","startTime":476.07,"endTime":481.02,"body":"in any way, shape, or form. And"},{"speaker":"Vanessa","startTime":476.07,"endTime":481.02,"body":"I wanted somebody that I could"},{"speaker":"Vanessa","startTime":481.02,"endTime":485.85,"body":"really, I knew I respected the"},{"speaker":"Vanessa","startTime":481.02,"endTime":485.85,"body":"community. And honestly, I"},{"speaker":"Vanessa","startTime":485.85,"endTime":489.63,"body":"wanted a woman to do it, because"},{"speaker":"Vanessa","startTime":485.85,"endTime":489.63,"body":"it's not a man's job, in my"},{"speaker":"Vanessa","startTime":489.63,"endTime":495.45,"body":"opinion, but that's just me. So,"},{"speaker":"Vanessa","startTime":489.63,"endTime":495.45,"body":"it's, it's wild."},{"speaker":"Dr Ferrando","startTime":496.8,"endTime":498.72,"body":"Yeah, I mean, it"},{"speaker":"Dr Ferrando","startTime":496.8,"endTime":498.72,"body":"was quite the process. I mean,"},{"speaker":"Dr Ferrando","startTime":498.72,"endTime":501.18,"body":"and I understand that, I think"},{"speaker":"Dr Ferrando","startTime":498.72,"endTime":501.18,"body":"that um, and I thank you for all"},{"speaker":"Dr Ferrando","startTime":501.18,"endTime":504.45,"body":"those things, nice things that"},{"speaker":"Dr Ferrando","startTime":501.18,"endTime":504.45,"body":"you just said, I think that you"},{"speaker":"Dr Ferrando","startTime":504.45,"endTime":506.94,"body":"know, there are different types"},{"speaker":"Dr Ferrando","startTime":504.45,"endTime":506.94,"body":"of surgeons who do the surgery,"},{"speaker":"Dr Ferrando","startTime":506.94,"endTime":509.52,"body":"and we all sort of are cut from"},{"speaker":"Dr Ferrando","startTime":506.94,"endTime":509.52,"body":"different cloth, some of us"},{"speaker":"Dr Ferrando","startTime":509.52,"endTime":513.15,"body":"similar cloth, some of us not, I"},{"speaker":"Dr Ferrando","startTime":509.52,"endTime":513.15,"body":"think do think that there are"},{"speaker":"Dr Ferrando","startTime":513.15,"endTime":518.16,"body":"others like me, I I've run into"},{"speaker":"Dr Ferrando","startTime":513.15,"endTime":518.16,"body":"them, I know them. But I think"},{"speaker":"Dr Ferrando","startTime":518.16,"endTime":520.92,"body":"it's recognizing that first of"},{"speaker":"Dr Ferrando","startTime":518.16,"endTime":520.92,"body":"all, the surgery is not about"},{"speaker":"Dr Ferrando","startTime":520.92,"endTime":525.15,"body":"us. So you know, my work, you"},{"speaker":"Dr Ferrando","startTime":520.92,"endTime":525.15,"body":"know, there's like an ego"},{"speaker":"Dr Ferrando","startTime":525.15,"endTime":528.72,"body":"component, but it's really about"},{"speaker":"Dr Ferrando","startTime":525.15,"endTime":528.72,"body":"the patients and trying to help"},{"speaker":"Dr Ferrando","startTime":528.72,"endTime":530.82,"body":"you along sort of your journey,"},{"speaker":"Dr Ferrando","startTime":528.72,"endTime":530.82,"body":"and everybody has a different"},{"speaker":"Dr Ferrando","startTime":530.82,"endTime":533.55,"body":"story. Everybody has a different"},{"speaker":"Dr Ferrando","startTime":530.82,"endTime":533.55,"body":"timeline. Everybody comes from a"},{"speaker":"Dr Ferrando","startTime":533.55,"endTime":537.9,"body":"different experience, right? And"},{"speaker":"Dr Ferrando","startTime":533.55,"endTime":537.9,"body":"that for me, right? I know how"},{"speaker":"Dr Ferrando","startTime":537.9,"endTime":541.11,"body":"to do the surgery, I can do the"},{"speaker":"Dr Ferrando","startTime":537.9,"endTime":541.11,"body":"surgery, and I'm happy to do it"},{"speaker":"Dr Ferrando","startTime":541.11,"endTime":544.74,"body":"right. And so I'm just sort of a"},{"speaker":"Dr Ferrando","startTime":541.11,"endTime":544.74,"body":"tiny little part of that"},{"speaker":"Dr Ferrando","startTime":544.74,"endTime":548.61,"body":"storyline. But I'm not sort of"},{"speaker":"Dr Ferrando","startTime":544.74,"endTime":548.61,"body":"the center of that story. And I"},{"speaker":"Dr Ferrando","startTime":548.61,"endTime":551.64,"body":"think that that's important for"},{"speaker":"Dr Ferrando","startTime":548.61,"endTime":551.64,"body":"surgeons to remember that we're"},{"speaker":"Dr Ferrando","startTime":551.64,"endTime":554.46,"body":"technicians, right we have"},{"speaker":"Dr Ferrando","startTime":551.64,"endTime":554.46,"body":"skills we they get better over"},{"speaker":"Dr Ferrando","startTime":554.46,"endTime":558.48,"body":"time we learn new skills, we"},{"speaker":"Dr Ferrando","startTime":554.46,"endTime":558.48,"body":"innovate our skills, but that"},{"speaker":"Dr Ferrando","startTime":558.48,"endTime":563.49,"body":"it's actually a privilege to be"},{"speaker":"Dr Ferrando","startTime":558.48,"endTime":563.49,"body":"asked to be part of your story."},{"speaker":"Dr Ferrando","startTime":563.52,"endTime":566.07,"body":"I think that that's like a"},{"speaker":"Dr Ferrando","startTime":563.52,"endTime":566.07,"body":"really important thing and it's"},{"speaker":"Dr Ferrando","startTime":566.07,"endTime":567.57,"body":"why I really enjoy the work."},{"speaker":"Vanessa","startTime":568.53,"endTime":575.37,"body":"It's when I woke up"},{"speaker":"Vanessa","startTime":568.53,"endTime":575.37,"body":"from anesthesia. Like I think"},{"speaker":"Vanessa","startTime":575.37,"endTime":578.73,"body":"one of the first things I asked"},{"speaker":"Vanessa","startTime":575.37,"endTime":578.73,"body":"him like is this really just"},{"speaker":"Vanessa","startTime":578.73,"endTime":587.04,"body":"happened and the feeling of just"},{"speaker":"Vanessa","startTime":578.73,"endTime":587.04,"body":"relief from living for 42 years"},{"speaker":"Vanessa","startTime":587.07,"endTime":593.07,"body":"with my body not mentioning my"},{"speaker":"Vanessa","startTime":587.07,"endTime":593.07,"body":"brain and having that major step"},{"speaker":"Vanessa","startTime":593.46,"endTime":596.79,"body":"and then the care afterwards."},{"speaker":"Vanessa","startTime":593.46,"endTime":596.79,"body":"There was the hotel stay for a"},{"speaker":"Vanessa","startTime":596.79,"endTime":600.87,"body":"little while and honestly the"},{"speaker":"Vanessa","startTime":596.79,"endTime":600.87,"body":"worst bed ever had an ankle and"},{"speaker":"Vanessa","startTime":600.87,"endTime":604.44,"body":"horrible, but I'd have to hold"},{"speaker":"Vanessa","startTime":600.87,"endTime":604.44,"body":"the hospital stay. But then"},{"speaker":"Vanessa","startTime":604.44,"endTime":609.81,"body":"after that you had me go to the"},{"speaker":"Vanessa","startTime":604.44,"endTime":609.81,"body":"hotel attached to the Cleveland"},{"speaker":"Vanessa","startTime":609.81,"endTime":615.36,"body":"Clinic. And you did essentially"},{"speaker":"Vanessa","startTime":609.81,"endTime":615.36,"body":"house calls at the hotel. And"},{"speaker":"Vanessa","startTime":615.39,"endTime":620.04,"body":"that really humanized the entire"},{"speaker":"Vanessa","startTime":615.39,"endTime":620.04,"body":"experience for me, even though"},{"speaker":"Vanessa","startTime":620.04,"endTime":623.07,"body":"there was like, the unpleasant"},{"speaker":"Vanessa","startTime":620.04,"endTime":623.07,"body":"thing where my catheter got"},{"speaker":"Vanessa","startTime":623.07,"endTime":626.79,"body":"clogged, and we had to take that"},{"speaker":"Vanessa","startTime":623.07,"endTime":626.79,"body":"out, put a new one in, let me"},{"speaker":"Vanessa","startTime":626.79,"endTime":632.1,"body":"tell you, I do not recommend"},{"speaker":"Vanessa","startTime":626.79,"endTime":632.1,"body":"that for anybody. But like, just"},{"speaker":"Vanessa","startTime":632.1,"endTime":638.88,"body":"the entire vibe. And you really,"},{"speaker":"Vanessa","startTime":632.1,"endTime":638.88,"body":"there was just a real human"},{"speaker":"Vanessa","startTime":638.88,"endTime":642.72,"body":"aspect to it, I didn't feel like"},{"speaker":"Vanessa","startTime":638.88,"endTime":642.72,"body":"a number, I actually felt like"},{"speaker":"Vanessa","startTime":643.23,"endTime":648.63,"body":"part of the community. And that"},{"speaker":"Vanessa","startTime":643.23,"endTime":648.63,"body":"really meant a lot to me. And"},{"speaker":"Vanessa","startTime":648.63,"endTime":652.47,"body":"you you wish to use the word"},{"speaker":"Vanessa","startTime":648.63,"endTime":652.47,"body":"technician. I would also argue,"},{"speaker":"Vanessa","startTime":652.5,"endTime":655.08,"body":"I don't know if you agree or"},{"speaker":"Vanessa","startTime":652.5,"endTime":655.08,"body":"not, that there's an art to this"},{"speaker":"Vanessa","startTime":655.08,"endTime":659.61,"body":"as well. That you've obviously"},{"speaker":"Vanessa","startTime":655.08,"endTime":659.61,"body":"been, you know, perfecting over"},{"speaker":"Vanessa","startTime":659.61,"endTime":667.02,"body":"the past decade plus, but it's"},{"speaker":"Vanessa","startTime":659.61,"endTime":667.02,"body":"funny the amount of sis women"},{"speaker":"Vanessa","startTime":667.32,"endTime":672.66,"body":"that asked me about the surgery,"},{"speaker":"Vanessa","startTime":667.32,"endTime":672.66,"body":"and the even asked to see"},{"speaker":"Vanessa","startTime":672.66,"endTime":679.02,"body":"pictures. Is is comical. And"},{"speaker":"Vanessa","startTime":672.66,"endTime":679.02,"body":"it's fun for me. Because when"},{"speaker":"Vanessa","startTime":679.02,"endTime":684.6,"body":"they see they're like, that is"},{"speaker":"Vanessa","startTime":679.02,"endTime":684.6,"body":"amazing. For anyone that doesn't"},{"speaker":"Vanessa","startTime":684.6,"endTime":689.46,"body":"know what they look like, it's a"},{"speaker":"Vanessa","startTime":684.6,"endTime":689.46,"body":"very accurate facsimile of a"},{"speaker":"Vanessa","startTime":689.46,"endTime":695.37,"body":"needle vagina. So it's the"},{"speaker":"Vanessa","startTime":689.46,"endTime":695.37,"body":"entire thing. It's just wild."},{"speaker":"Vanessa","startTime":698.67,"endTime":701.91,"body":"What, what what procedures do"},{"speaker":"Vanessa","startTime":698.67,"endTime":701.91,"body":"you do now?"},{"speaker":"Dr Ferrando","startTime":702.72,"endTime":705.96,"body":"Yeah, so I in terms"},{"speaker":"Dr Ferrando","startTime":702.72,"endTime":705.96,"body":"of human gender affirming"},{"speaker":"Dr Ferrando","startTime":705.96,"endTime":709.92,"body":"surgery in general? Yeah. So"},{"speaker":"Dr Ferrando","startTime":705.96,"endTime":709.92,"body":"I've stuck to doing mostly"},{"speaker":"Dr Ferrando","startTime":709.92,"endTime":714.36,"body":"vaginal plasti and Volvo plasti."},{"speaker":"Dr Ferrando","startTime":709.92,"endTime":714.36,"body":"So I mostly take care of trans"},{"speaker":"Dr Ferrando","startTime":714.36,"endTime":718.5,"body":"feminine patients. I did a lot"},{"speaker":"Dr Ferrando","startTime":714.36,"endTime":718.5,"body":"of hysterectomy, is it so gender"},{"speaker":"Dr Ferrando","startTime":718.5,"endTime":722.19,"body":"for me, hysterectomy is for men,"},{"speaker":"Dr Ferrando","startTime":718.5,"endTime":722.19,"body":"and trans masculine individuals."},{"speaker":"Dr Ferrando","startTime":722.22,"endTime":726.3,"body":"And I still do those and I'm"},{"speaker":"Dr Ferrando","startTime":722.22,"endTime":726.3,"body":"happy to see those patients I"},{"speaker":"Dr Ferrando","startTime":726.3,"endTime":734.13,"body":"enjoy actually taking care of"},{"speaker":"Dr Ferrando","startTime":726.3,"endTime":734.13,"body":"trans men a lot. And so, and so"},{"speaker":"Dr Ferrando","startTime":734.13,"endTime":737.25,"body":"those are the main procedures. I"},{"speaker":"Dr Ferrando","startTime":734.13,"endTime":737.25,"body":"did Matoi do plasti for a small"},{"speaker":"Dr Ferrando","startTime":737.25,"endTime":740.88,"body":"amount of time. But I leave that"},{"speaker":"Dr Ferrando","startTime":737.25,"endTime":740.88,"body":"to some of my other colleagues."},{"speaker":"Dr Ferrando","startTime":740.88,"endTime":746.37,"body":"It's I think, you know, I"},{"speaker":"Dr Ferrando","startTime":740.88,"endTime":746.37,"body":"decided, while I was sort of"},{"speaker":"Dr Ferrando","startTime":746.4,"endTime":750.6,"body":"building my practice to focus on"},{"speaker":"Dr Ferrando","startTime":746.4,"endTime":750.6,"body":"a few surgeries, in addition,"},{"speaker":"Dr Ferrando","startTime":750.63,"endTime":753.51,"body":"you know, I have another like a"},{"speaker":"Dr Ferrando","startTime":750.63,"endTime":753.51,"body":"cisgender practice where I do"},{"speaker":"Dr Ferrando","startTime":753.54,"endTime":758.58,"body":"reconstructive surgeries for"},{"speaker":"Dr Ferrando","startTime":753.54,"endTime":758.58,"body":"those patients. But I decided"},{"speaker":"Dr Ferrando","startTime":758.58,"endTime":760.86,"body":"when it came to gender affirming"},{"speaker":"Dr Ferrando","startTime":758.58,"endTime":760.86,"body":"surgery to stick to sort of a"},{"speaker":"Dr Ferrando","startTime":760.86,"endTime":765.0,"body":"small handful and to get those"},{"speaker":"Dr Ferrando","startTime":760.86,"endTime":765.0,"body":"sort of very, very, you know,"},{"speaker":"Dr Ferrando","startTime":765.0,"endTime":767.67,"body":"down in a way that I really sort"},{"speaker":"Dr Ferrando","startTime":765.0,"endTime":767.67,"body":"of the patient experience was"},{"speaker":"Dr Ferrando","startTime":767.67,"endTime":771.3,"body":"great. complication rates were"},{"speaker":"Dr Ferrando","startTime":767.67,"endTime":771.3,"body":"low and that patients most"},{"speaker":"Dr Ferrando","startTime":771.3,"endTime":773.85,"body":"importantly, were really happy"},{"speaker":"Dr Ferrando","startTime":771.3,"endTime":773.85,"body":"with their outcome at the end."},{"speaker":"Vanessa","startTime":774.63,"endTime":777.99,"body":"I mean, keeping a small"},{"speaker":"Vanessa","startTime":774.63,"endTime":777.99,"body":"menu is that's what Gordon"},{"speaker":"Vanessa","startTime":777.99,"endTime":782.58,"body":"Ramsay tells people to do. So"},{"speaker":"Vanessa","startTime":777.99,"endTime":782.58,"body":"stick to what you know. It's"},{"speaker":"Vanessa","startTime":782.58,"endTime":786.3,"body":"true. Can you explain to the"},{"speaker":"Vanessa","startTime":782.58,"endTime":786.3,"body":"listeners quick, renowned"},{"speaker":"Vanessa","startTime":786.3,"endTime":788.94,"body":"differences between vaginal"},{"speaker":"Vanessa","startTime":786.3,"endTime":788.94,"body":"plastic and a vulva plastic?"},{"speaker":"Dr Ferrando","startTime":789.42,"endTime":792.09,"body":"Yeah, sure. So not"},{"speaker":"Dr Ferrando","startTime":789.42,"endTime":792.09,"body":"everybody you know, we vaginal"},{"speaker":"Dr Ferrando","startTime":792.09,"endTime":794.7,"body":"plastic is kind of what we call"},{"speaker":"Dr Ferrando","startTime":792.09,"endTime":794.7,"body":"like a misnomer, right? It's not"},{"speaker":"Dr Ferrando","startTime":794.7,"endTime":797.76,"body":"really what the procedure is."},{"speaker":"Dr Ferrando","startTime":794.7,"endTime":797.76,"body":"The vaginal plasti is just one"},{"speaker":"Dr Ferrando","startTime":797.82,"endTime":801.15,"body":"one part of the whole list of"},{"speaker":"Dr Ferrando","startTime":797.82,"endTime":801.15,"body":"procedures in it that's really"},{"speaker":"Dr Ferrando","startTime":801.15,"endTime":804.66,"body":"just making the vagina So in"},{"speaker":"Dr Ferrando","startTime":801.15,"endTime":804.66,"body":"essence, most women who are"},{"speaker":"Dr Ferrando","startTime":804.66,"endTime":807.9,"body":"undergoing the surgery are"},{"speaker":"Dr Ferrando","startTime":804.66,"endTime":807.9,"body":"getting a vulva plasti The"},{"speaker":"Dr Ferrando","startTime":807.9,"endTime":810.54,"body":"question is whether or not"},{"speaker":"Dr Ferrando","startTime":807.9,"endTime":810.54,"body":"they're getting a vet vagina, so"},{"speaker":"Dr Ferrando","startTime":810.54,"endTime":813.33,"body":"the vaginal plasti part, so we"},{"speaker":"Dr Ferrando","startTime":810.54,"endTime":813.33,"body":"tend to call it vaginal plasti."},{"speaker":"Dr Ferrando","startTime":814.62,"endTime":817.23,"body":"And that sort of includes"},{"speaker":"Dr Ferrando","startTime":814.62,"endTime":817.23,"body":"everything right, doing the"},{"speaker":"Dr Ferrando","startTime":817.26,"endTime":821.49,"body":"outer genitalia plus the vaginal"},{"speaker":"Dr Ferrando","startTime":817.26,"endTime":821.49,"body":"canal. But some women, or some"},{"speaker":"Dr Ferrando","startTime":821.49,"endTime":825.3,"body":"individuals don't want a vaginal"},{"speaker":"Dr Ferrando","startTime":821.49,"endTime":825.3,"body":"canal for many reasons,"},{"speaker":"Dr Ferrando","startTime":825.84,"endTime":831.27,"body":"regardless of their age, or sort"},{"speaker":"Dr Ferrando","startTime":825.84,"endTime":831.27,"body":"of intimacy goals. And so they"},{"speaker":"Dr Ferrando","startTime":831.27,"endTime":834.18,"body":"choose to not have the vaginal"},{"speaker":"Dr Ferrando","startTime":831.27,"endTime":834.18,"body":"part. And so we just do our"},{"speaker":"Dr Ferrando","startTime":834.18,"endTime":837.93,"body":"external genitalia. I tried to"},{"speaker":"Dr Ferrando","startTime":834.18,"endTime":837.93,"body":"create sort of the illusion of a"},{"speaker":"Dr Ferrando","startTime":837.93,"endTime":841.62,"body":"smile of an opening because that"},{"speaker":"Dr Ferrando","startTime":837.93,"endTime":841.62,"body":"looks more anatomically correct."},{"speaker":"Dr Ferrando","startTime":841.62,"endTime":843.72,"body":"But then there you really"},{"speaker":"Dr Ferrando","startTime":841.62,"endTime":843.72,"body":"there's, there's no ability to"},{"speaker":"Dr Ferrando","startTime":843.72,"endTime":847.47,"body":"have penetration or anything"},{"speaker":"Dr Ferrando","startTime":843.72,"endTime":847.47,"body":"like that. And there's a whole"},{"speaker":"Dr Ferrando","startTime":847.47,"endTime":850.05,"body":"list of reasons why some"},{"speaker":"Dr Ferrando","startTime":847.47,"endTime":850.05,"body":"patients choose to do that over"},{"speaker":"Dr Ferrando","startTime":850.08,"endTime":853.56,"body":"over having a what we call a"},{"speaker":"Dr Ferrando","startTime":850.08,"endTime":853.56,"body":"full depth procedure."},{"speaker":"Vanessa","startTime":855.24,"endTime":857.16,"body":"Oh, yeah, I mean, that"},{"speaker":"Vanessa","startTime":855.24,"endTime":857.16,"body":"was something that was"},{"speaker":"Vanessa","startTime":857.16,"endTime":859.38,"body":"conversation I had with myself"},{"speaker":"Vanessa","startTime":857.16,"endTime":859.38,"body":"whether I was gonna go full"},{"speaker":"Vanessa","startTime":859.38,"endTime":863.34,"body":"depth or just a standard bobble"},{"speaker":"Vanessa","startTime":859.38,"endTime":863.34,"body":"plasti visible depth does"},{"speaker":"Vanessa","startTime":863.34,"endTime":867.18,"body":"require a lot more work. The"},{"speaker":"Vanessa","startTime":863.34,"endTime":867.18,"body":"part of the patient with dilate"},{"speaker":"Vanessa","startTime":867.18,"endTime":872.28,"body":"Yes. And just upkeep in general,"},{"speaker":"Vanessa","startTime":867.18,"endTime":872.28,"body":"like shortly after, for the"},{"speaker":"Vanessa","startTime":872.28,"endTime":874.56,"body":"first three months after"},{"speaker":"Vanessa","startTime":872.28,"endTime":874.56,"body":"surgery, you dilate three times"},{"speaker":"Vanessa","startTime":874.56,"endTime":878.79,"body":"a day, and then you build up"},{"speaker":"Vanessa","startTime":874.56,"endTime":878.79,"body":"twice a day. And currently I am"},{"speaker":"Vanessa","startTime":878.85,"endTime":885.06,"body":"almost a year out now 10 months"},{"speaker":"Vanessa","startTime":878.85,"endTime":885.06,"body":"out. And I'm once a day. But you"},{"speaker":"Vanessa","startTime":885.06,"endTime":887.88,"body":"know, it takes a certain amount"},{"speaker":"Vanessa","startTime":885.06,"endTime":887.88,"body":"of dedication for that. And"},{"speaker":"Vanessa","startTime":889.53,"endTime":893.25,"body":"yeah, so there's definitely"},{"speaker":"Vanessa","startTime":889.53,"endTime":893.25,"body":"multiple ways of doing it. And"},{"speaker":"Vanessa","startTime":893.25,"endTime":896.85,"body":"it's whatever is most"},{"speaker":"Vanessa","startTime":893.25,"endTime":896.85,"body":"comfortable for the patient."},{"speaker":"Dr Ferrando","startTime":898.5,"endTime":901.35,"body":"Yeah, I think"},{"speaker":"Dr Ferrando","startTime":898.5,"endTime":901.35,"body":"there's So the work you need to"},{"speaker":"Dr Ferrando","startTime":901.35,"endTime":903.54,"body":"do after and then it's the"},{"speaker":"Dr Ferrando","startTime":901.35,"endTime":903.54,"body":"highest risk part of the"},{"speaker":"Dr Ferrando","startTime":903.54,"endTime":906.96,"body":"procedure, it's the part that if"},{"speaker":"Dr Ferrando","startTime":903.54,"endTime":906.96,"body":"something goes wrong, you know,"},{"speaker":"Dr Ferrando","startTime":906.96,"endTime":909.69,"body":"everything else you can usually"},{"speaker":"Dr Ferrando","startTime":906.96,"endTime":909.69,"body":"usually resolve, there's a few"},{"speaker":"Dr Ferrando","startTime":909.69,"endTime":912.06,"body":"other parts of the procedure"},{"speaker":"Dr Ferrando","startTime":909.69,"endTime":912.06,"body":"that if something goes wrong,"},{"speaker":"Dr Ferrando","startTime":912.06,"endTime":916.59,"body":"that may not be reversible. But"},{"speaker":"Dr Ferrando","startTime":912.06,"endTime":916.59,"body":"for that part, if you create an"},{"speaker":"Dr Ferrando","startTime":916.59,"endTime":919.32,"body":"injury or have a problem, the"},{"speaker":"Dr Ferrando","startTime":916.59,"endTime":919.32,"body":"patient has a really long road"},{"speaker":"Dr Ferrando","startTime":919.32,"endTime":922.41,"body":"ahead, and they may not even be"},{"speaker":"Dr Ferrando","startTime":919.32,"endTime":922.41,"body":"able to have a vaginal canal,"},{"speaker":"Dr Ferrando","startTime":922.89,"endTime":925.41,"body":"you know, if there's an injury,"},{"speaker":"Dr Ferrando","startTime":922.89,"endTime":925.41,"body":"you get something called a"},{"speaker":"Dr Ferrando","startTime":925.41,"endTime":929.07,"body":"fistula, and then you may not be"},{"speaker":"Dr Ferrando","startTime":925.41,"endTime":929.07,"body":"able to dilate. So then you lose"},{"speaker":"Dr Ferrando","startTime":929.07,"endTime":932.13,"body":"the canal anyway. And it's very,"},{"speaker":"Dr Ferrando","startTime":929.07,"endTime":932.13,"body":"very upsetting to patients. And"},{"speaker":"Dr Ferrando","startTime":932.13,"endTime":936.24,"body":"so I think that if you go to a"},{"speaker":"Dr Ferrando","startTime":932.13,"endTime":936.24,"body":"surgeon, whether the risk of"},{"speaker":"Dr Ferrando","startTime":936.24,"endTime":940.35,"body":"having that happen is really"},{"speaker":"Dr Ferrando","startTime":936.24,"endTime":940.35,"body":"low. It's still possible, right?"},{"speaker":"Dr Ferrando","startTime":940.35,"endTime":943.47,"body":"So you have to sort of choose"},{"speaker":"Dr Ferrando","startTime":940.35,"endTime":943.47,"body":"the right surgeon, but also know"},{"speaker":"Dr Ferrando","startTime":943.47,"endTime":945.51,"body":"that you're willing to take on"},{"speaker":"Dr Ferrando","startTime":943.47,"endTime":945.51,"body":"that risk. And note the"},{"speaker":"Dr Ferrando","startTime":945.51,"endTime":948.09,"body":"consequences if it does happen."},{"speaker":"Dr Ferrando","startTime":945.51,"endTime":948.09,"body":"So pay some patients shy away"},{"speaker":"Dr Ferrando","startTime":948.09,"endTime":950.85,"body":"from that. And then just like"},{"speaker":"Dr Ferrando","startTime":948.09,"endTime":950.85,"body":"you said, the other reason is,"},{"speaker":"Dr Ferrando","startTime":950.85,"endTime":953.79,"body":"if you know yourself that you"},{"speaker":"Dr Ferrando","startTime":950.85,"endTime":953.79,"body":"don't have the time, dedication,"},{"speaker":"Dr Ferrando","startTime":954.12,"endTime":957.57,"body":"or desire and your ultimate goal"},{"speaker":"Dr Ferrando","startTime":954.12,"endTime":957.57,"body":"is to not use a vaginal canal,"},{"speaker":"Dr Ferrando","startTime":957.6,"endTime":960.75,"body":"then maybe the other the end,"},{"speaker":"Dr Ferrando","startTime":957.6,"endTime":960.75,"body":"you don't have the time to do"},{"speaker":"Dr Ferrando","startTime":960.75,"endTime":963.93,"body":"all that dilation. The"},{"speaker":"Dr Ferrando","startTime":960.75,"endTime":963.93,"body":"alternative is to do just this"},{"speaker":"Dr Ferrando","startTime":963.99,"endTime":967.23,"body":"vulva plasti, which we also call"},{"speaker":"Dr Ferrando","startTime":963.99,"endTime":967.23,"body":"zero depth and no depth, those"},{"speaker":"Dr Ferrando","startTime":967.23,"endTime":969.45,"body":"are the other like terms for it"},{"speaker":"Dr Ferrando","startTime":967.23,"endTime":969.45,"body":"for sure."},{"speaker":"Vanessa","startTime":970.89,"endTime":974.31,"body":"And there are multiple"},{"speaker":"Vanessa","startTime":970.89,"endTime":974.31,"body":"kinds of full differential"},{"speaker":"Vanessa","startTime":974.31,"endTime":976.86,"body":"plasti as well. There's penile"},{"speaker":"Vanessa","startTime":974.31,"endTime":976.86,"body":"inversion, which is what I had."},{"speaker":"Vanessa","startTime":976.86,"endTime":979.02,"body":"And then the other one, it's a"},{"speaker":"Vanessa","startTime":976.86,"endTime":979.02,"body":"colon thing."},{"speaker":"Dr Ferrando","startTime":979.77,"endTime":982.32,"body":"So there's three"},{"speaker":"Dr Ferrando","startTime":979.77,"endTime":982.32,"body":"total. So the penile inversion"},{"speaker":"Dr Ferrando","startTime":982.35,"endTime":986.16,"body":"is where we use all the skin in"},{"speaker":"Dr Ferrando","startTime":982.35,"endTime":986.16,"body":"the genital. So the scrotum"},{"speaker":"Dr Ferrando","startTime":986.16,"endTime":989.79,"body":"skin, penile skin, everything is"},{"speaker":"Dr Ferrando","startTime":986.16,"endTime":989.79,"body":"used to line the new the new"},{"speaker":"Dr Ferrando","startTime":989.79,"endTime":994.98,"body":"vagina. And then the other"},{"speaker":"Dr Ferrando","startTime":989.79,"endTime":994.98,"body":"option is the peritoneal vaginal"},{"speaker":"Dr Ferrando","startTime":994.98,"endTime":999.75,"body":"plasti. Where in, you sort of do"},{"speaker":"Dr Ferrando","startTime":994.98,"endTime":999.75,"body":"the same procedure, but then you"},{"speaker":"Dr Ferrando","startTime":1000.23,"endTime":1004.64,"body":"have to through the, through the"},{"speaker":"Dr Ferrando","startTime":1000.23,"endTime":1004.64,"body":"belly through the abdomen, I'm"},{"speaker":"Dr Ferrando","startTime":1004.64,"endTime":1007.1,"body":"usually using robotic"},{"speaker":"Dr Ferrando","startTime":1004.64,"endTime":1007.1,"body":"assistance. So you have these"},{"speaker":"Dr Ferrando","startTime":1007.1,"endTime":1009.29,"body":"little incisions on your"},{"speaker":"Dr Ferrando","startTime":1007.1,"endTime":1009.29,"body":"abdomen, and we put little"},{"speaker":"Dr Ferrando","startTime":1009.32,"endTime":1013.37,"body":"camera in, we harvest something"},{"speaker":"Dr Ferrando","startTime":1009.32,"endTime":1013.37,"body":"called the peritoneum, which is"},{"speaker":"Dr Ferrando","startTime":1013.37,"endTime":1017.24,"body":"sort of this filmy layer that"},{"speaker":"Dr Ferrando","startTime":1013.37,"endTime":1017.24,"body":"covers some of the organs, and"},{"speaker":"Dr Ferrando","startTime":1017.24,"endTime":1020.69,"body":"you don't need it, and it grows"},{"speaker":"Dr Ferrando","startTime":1017.24,"endTime":1020.69,"body":"back. So we can take some of it,"},{"speaker":"Dr Ferrando","startTime":1020.99,"endTime":1024.89,"body":"and we use it to attach it to"},{"speaker":"Dr Ferrando","startTime":1020.99,"endTime":1024.89,"body":"the the little skin we do use in"},{"speaker":"Dr Ferrando","startTime":1024.89,"endTime":1027.5,"body":"the canal. So it creates a"},{"speaker":"Dr Ferrando","startTime":1024.89,"endTime":1027.5,"body":"vaginal canal using a different"},{"speaker":"Dr Ferrando","startTime":1028.61,"endTime":1032.33,"body":"a different part of the body."},{"speaker":"Dr Ferrando","startTime":1028.61,"endTime":1032.33,"body":"And that's really good for"},{"speaker":"Dr Ferrando","startTime":1032.33,"endTime":1034.94,"body":"patients. Well, there's sort of"},{"speaker":"Dr Ferrando","startTime":1032.33,"endTime":1034.94,"body":"different perspective, some"},{"speaker":"Dr Ferrando","startTime":1034.97,"endTime":1038.99,"body":"surgeons only do that procedure."},{"speaker":"Dr Ferrando","startTime":1034.97,"endTime":1038.99,"body":"And it's because they feel safer"},{"speaker":"Dr Ferrando","startTime":1038.99,"endTime":1042.14,"body":"doing the vaginal canal that"},{"speaker":"Dr Ferrando","startTime":1038.99,"endTime":1042.14,"body":"way, they feel like they can"},{"speaker":"Dr Ferrando","startTime":1042.29,"endTime":1046.19,"body":"avoid getting an injury or"},{"speaker":"Dr Ferrando","startTime":1042.29,"endTime":1046.19,"body":"having a problem like I just"},{"speaker":"Dr Ferrando","startTime":1046.19,"endTime":1049.61,"body":"described. So they'll do it that"},{"speaker":"Dr Ferrando","startTime":1046.19,"endTime":1049.61,"body":"way. And then they'll just tell"},{"speaker":"Dr Ferrando","startTime":1049.61,"endTime":1053.69,"body":"you some of the peritoneum and"},{"speaker":"Dr Ferrando","startTime":1049.61,"endTime":1053.69,"body":"other surgeons like me, I'll do"},{"speaker":"Dr Ferrando","startTime":1053.69,"endTime":1056.33,"body":"that procedure once in a while"},{"speaker":"Dr Ferrando","startTime":1053.69,"endTime":1056.33,"body":"for patients where I don't think"},{"speaker":"Dr Ferrando","startTime":1056.33,"endTime":1058.52,"body":"that they have enough skin. And"},{"speaker":"Dr Ferrando","startTime":1056.33,"endTime":1058.52,"body":"I'm worried that I'm not going"},{"speaker":"Dr Ferrando","startTime":1058.52,"endTime":1061.58,"body":"to give them a good enough"},{"speaker":"Dr Ferrando","startTime":1058.52,"endTime":1061.58,"body":"vaginal canal. And I think that"},{"speaker":"Dr Ferrando","startTime":1061.58,"endTime":1065.15,"body":"that's a really good option. I"},{"speaker":"Dr Ferrando","startTime":1061.58,"endTime":1065.15,"body":"worry about having that as the"},{"speaker":"Dr Ferrando","startTime":1065.15,"endTime":1069.95,"body":"first surgery you have. Because"},{"speaker":"Dr Ferrando","startTime":1065.15,"endTime":1069.95,"body":"if you need a revision surgery"},{"speaker":"Dr Ferrando","startTime":1069.95,"endTime":1072.47,"body":"for your vagina, that would be"},{"speaker":"Dr Ferrando","startTime":1069.95,"endTime":1072.47,"body":"the option. And if you've"},{"speaker":"Dr Ferrando","startTime":1072.47,"endTime":1075.65,"body":"already had it, you it's no"},{"speaker":"Dr Ferrando","startTime":1072.47,"endTime":1075.65,"body":"longer an option. So for me,"},{"speaker":"Dr Ferrando","startTime":1075.65,"endTime":1079.07,"body":"it's my backup surgery in case"},{"speaker":"Dr Ferrando","startTime":1075.65,"endTime":1079.07,"body":"somebody goes through life"},{"speaker":"Dr Ferrando","startTime":1079.07,"endTime":1082.25,"body":"events and can't dilate, and"},{"speaker":"Dr Ferrando","startTime":1079.07,"endTime":1082.25,"body":"they lose the vaginal canal or"},{"speaker":"Dr Ferrando","startTime":1082.25,"endTime":1085.34,"body":"some other problems, you really"},{"speaker":"Dr Ferrando","startTime":1082.25,"endTime":1085.34,"body":"can use that as a secondary"},{"speaker":"Dr Ferrando","startTime":1085.34,"endTime":1089.18,"body":"surgery. If you do it first,"},{"speaker":"Dr Ferrando","startTime":1085.34,"endTime":1089.18,"body":"you'll never be able to regain"},{"speaker":"Dr Ferrando","startTime":1089.18,"endTime":1093.29,"body":"that depth if you need to do it."},{"speaker":"Dr Ferrando","startTime":1089.18,"endTime":1093.29,"body":"And then you mentioned the colon"},{"speaker":"Dr Ferrando","startTime":1093.29,"endTime":1096.95,"body":"surgery. So that's a sort of a"},{"speaker":"Dr Ferrando","startTime":1093.29,"endTime":1096.95,"body":"really old surgery, but it still"},{"speaker":"Dr Ferrando","startTime":1096.95,"endTime":1100.94,"body":"exists. We take a piece of the"},{"speaker":"Dr Ferrando","startTime":1096.95,"endTime":1100.94,"body":"colon and we actually recreate"},{"speaker":"Dr Ferrando","startTime":1100.94,"endTime":1104.63,"body":"the vagina using colon. It's got"},{"speaker":"Dr Ferrando","startTime":1100.94,"endTime":1104.63,"body":"some benefits, but it has some"},{"speaker":"Dr Ferrando","startTime":1104.63,"endTime":1108.71,"body":"downsides. So in my for me that"},{"speaker":"Dr Ferrando","startTime":1104.63,"endTime":1108.71,"body":"that's like the last resort,"},{"speaker":"Dr Ferrando","startTime":1108.71,"endTime":1110.6,"body":"something that I would only do"},{"speaker":"Dr Ferrando","startTime":1108.71,"endTime":1110.6,"body":"in very, very rare"},{"speaker":"Dr Ferrando","startTime":1110.6,"endTime":1111.47,"body":"circumstances."},{"speaker":"Vanessa","startTime":1112.37,"endTime":1115.22,"body":"I'm glad you didn't do"},{"speaker":"Vanessa","startTime":1112.37,"endTime":1115.22,"body":"that when I may. I've heard some"},{"speaker":"Vanessa","startTime":1115.25,"endTime":1122.0,"body":"horror stories about it. And you"},{"speaker":"Vanessa","startTime":1115.25,"endTime":1122.0,"body":"also did a revision on me. That"},{"speaker":"Vanessa","startTime":1122.0,"endTime":1125.42,"body":"would be a labia plasti,"},{"speaker":"Vanessa","startTime":1122.0,"endTime":1125.42,"body":"essentially. Yeah. So"},{"speaker":"Dr Ferrando","startTime":1126.98,"endTime":1129.68,"body":"yeah. So it's your"},{"speaker":"Dr Ferrando","startTime":1126.98,"endTime":1129.68,"body":"story to tell in terms of what I"},{"speaker":"Dr Ferrando","startTime":1129.68,"endTime":1135.17,"body":"did for you. It's your, if you"},{"speaker":"Dr Ferrando","startTime":1129.68,"endTime":1135.17,"body":"feel like sharing that. So but"},{"speaker":"Dr Ferrando","startTime":1135.17,"endTime":1137.93,"body":"about I would say it depends"},{"speaker":"Dr Ferrando","startTime":1135.17,"endTime":1137.93,"body":"upon the surgeon. Right. And"},{"speaker":"Dr Ferrando","startTime":1137.93,"endTime":1140.81,"body":"this is actually a really good"},{"speaker":"Dr Ferrando","startTime":1137.93,"endTime":1140.81,"body":"question to ask surgeons, when"},{"speaker":"Dr Ferrando","startTime":1140.81,"endTime":1143.96,"body":"you go and see them is what's"},{"speaker":"Dr Ferrando","startTime":1140.81,"endTime":1143.96,"body":"your revision rate? Right? How"},{"speaker":"Dr Ferrando","startTime":1143.96,"endTime":1147.38,"body":"often? Do you take patients back"},{"speaker":"Dr Ferrando","startTime":1143.96,"endTime":1147.38,"body":"to the operating room to do a"},{"speaker":"Dr Ferrando","startTime":1147.38,"endTime":1151.55,"body":"revision? And then I think the"},{"speaker":"Dr Ferrando","startTime":1147.38,"endTime":1151.55,"body":"more sophisticated question is"},{"speaker":"Dr Ferrando","startTime":1151.55,"endTime":1155.6,"body":"asking them what kind of"},{"speaker":"Dr Ferrando","startTime":1151.55,"endTime":1155.6,"body":"revision so for me, I always"},{"speaker":"Dr Ferrando","startTime":1155.6,"endTime":1159.35,"body":"tell patients now because this"},{"speaker":"Dr Ferrando","startTime":1155.6,"endTime":1159.35,"body":"has evolved over time when I was"},{"speaker":"Dr Ferrando","startTime":1159.35,"endTime":1162.38,"body":"first starting, I did a lot more"},{"speaker":"Dr Ferrando","startTime":1159.35,"endTime":1162.38,"body":"revisions because I was on my"},{"speaker":"Dr Ferrando","startTime":1162.38,"endTime":1165.95,"body":"own learning curve. And, you"},{"speaker":"Dr Ferrando","startTime":1162.38,"endTime":1165.95,"body":"know, you sort of tend to get"},{"speaker":"Dr Ferrando","startTime":1165.95,"endTime":1168.44,"body":"things right and perfect the"},{"speaker":"Dr Ferrando","startTime":1165.95,"endTime":1168.44,"body":"first time better, but I will"},{"speaker":"Dr Ferrando","startTime":1168.44,"endTime":1171.71,"body":"say revisions often happen"},{"speaker":"Dr Ferrando","startTime":1168.44,"endTime":1171.71,"body":"cosmetic revisions, because the"},{"speaker":"Dr Ferrando","startTime":1171.71,"endTime":1174.14,"body":"body is going to heal the way"},{"speaker":"Dr Ferrando","startTime":1171.71,"endTime":1174.14,"body":"that the body heals. So"},{"speaker":"Dr Ferrando","startTime":1174.14,"endTime":1177.23,"body":"sometimes things get fused"},{"speaker":"Dr Ferrando","startTime":1174.14,"endTime":1177.23,"body":"together. So for instance, the"},{"speaker":"Dr Ferrando","startTime":1177.23,"endTime":1180.53,"body":"clitoris gets buried, so it's"},{"speaker":"Dr Ferrando","startTime":1177.23,"endTime":1180.53,"body":"there but you can't see it"},{"speaker":"Dr Ferrando","startTime":1180.53,"endTime":1183.56,"body":"because the labia got stuck"},{"speaker":"Dr Ferrando","startTime":1180.53,"endTime":1183.56,"body":"together. Sometimes there's some"},{"speaker":"Dr Ferrando","startTime":1183.56,"endTime":1187.34,"body":"asymmetry of the labia."},{"speaker":"Dr Ferrando","startTime":1183.56,"endTime":1187.34,"body":"Sometimes there's some wound"},{"speaker":"Dr Ferrando","startTime":1187.34,"endTime":1191.09,"body":"problems during the healing"},{"speaker":"Dr Ferrando","startTime":1187.34,"endTime":1191.09,"body":"phase and so it doesn't heal"},{"speaker":"Dr Ferrando","startTime":1191.09,"endTime":1194.06,"body":"like as like cosmetically"},{"speaker":"Dr Ferrando","startTime":1191.09,"endTime":1194.06,"body":"symmetric or as right so you can"},{"speaker":"Dr Ferrando","startTime":1194.06,"endTime":1197.66,"body":"do little things. Those are"},{"speaker":"Dr Ferrando","startTime":1194.06,"endTime":1197.66,"body":"really common I would say about"},{"speaker":"Dr Ferrando","startTime":1197.75,"endTime":1200.75,"body":"for me about one in 10 of my"},{"speaker":"Dr Ferrando","startTime":1197.75,"endTime":1200.75,"body":"patients needed revision. So for"},{"speaker":"Dr Ferrando","startTime":1200.75,"endTime":1203.81,"body":"every 10 patients, I do a"},{"speaker":"Dr Ferrando","startTime":1200.75,"endTime":1203.81,"body":"vaginal plus your Volvo class"},{"speaker":"Dr Ferrando","startTime":1203.81,"endTime":1207.89,"body":"Dionne, I take one of them back"},{"speaker":"Dr Ferrando","startTime":1203.81,"endTime":1207.89,"body":"to the operating room about six"},{"speaker":"Dr Ferrando","startTime":1207.89,"endTime":1212.54,"body":"months after surgery to do a"},{"speaker":"Dr Ferrando","startTime":1207.89,"endTime":1212.54,"body":"very small procedure right? Now"},{"speaker":"Dr Ferrando","startTime":1212.54,"endTime":1214.85,"body":"what you want to know from your"},{"speaker":"Dr Ferrando","startTime":1212.54,"endTime":1214.85,"body":"surgeon and I think that's very"},{"speaker":"Dr Ferrando","startTime":1214.85,"endTime":1217.73,"body":"acceptable, because again, the"},{"speaker":"Dr Ferrando","startTime":1214.85,"endTime":1217.73,"body":"body is going to heal the way"},{"speaker":"Dr Ferrando","startTime":1217.73,"endTime":1220.01,"body":"the body heals. And it doesn't"},{"speaker":"Dr Ferrando","startTime":1217.73,"endTime":1220.01,"body":"mean you can't get perfect"},{"speaker":"Dr Ferrando","startTime":1220.01,"endTime":1224.39,"body":"results with a second really"},{"speaker":"Dr Ferrando","startTime":1220.01,"endTime":1224.39,"body":"tiny procedure. And you don't"},{"speaker":"Dr Ferrando","startTime":1224.39,"endTime":1227.93,"body":"need letters for that procedure."},{"speaker":"Dr Ferrando","startTime":1224.39,"endTime":1227.93,"body":"You don't it's it's no different"},{"speaker":"Dr Ferrando","startTime":1227.93,"endTime":1232.61,"body":"than a cisgender, labia plasti."},{"speaker":"Dr Ferrando","startTime":1227.93,"endTime":1232.61,"body":"So it just gets submitted to the"},{"speaker":"Dr Ferrando","startTime":1232.61,"endTime":1236.0,"body":"insurance company like a regular"},{"speaker":"Dr Ferrando","startTime":1232.61,"endTime":1236.0,"body":"female procedure. And it's"},{"speaker":"Dr Ferrando","startTime":1236.0,"endTime":1238.97,"body":"usually not a big deal. You"},{"speaker":"Dr Ferrando","startTime":1236.0,"endTime":1238.97,"body":"don't have to take a lot of time"},{"speaker":"Dr Ferrando","startTime":1238.97,"endTime":1242.33,"body":"off, you can usually go back to"},{"speaker":"Dr Ferrando","startTime":1238.97,"endTime":1242.33,"body":"work very soon. It's just a"},{"speaker":"Dr Ferrando","startTime":1242.33,"endTime":1244.91,"body":"couple of stitches. It's not a"},{"speaker":"Dr Ferrando","startTime":1242.33,"endTime":1244.91,"body":"big deal. What you want to know"},{"speaker":"Dr Ferrando","startTime":1244.91,"endTime":1247.94,"body":"about from your surgeon is how"},{"speaker":"Dr Ferrando","startTime":1244.91,"endTime":1247.94,"body":"often are you are they doing"},{"speaker":"Dr Ferrando","startTime":1247.94,"endTime":1252.89,"body":"major revisions, meaning redo"},{"speaker":"Dr Ferrando","startTime":1247.94,"endTime":1252.89,"body":"vaginal canals? How often are"},{"speaker":"Dr Ferrando","startTime":1252.89,"endTime":1256.58,"body":"they taking the patient back to"},{"speaker":"Dr Ferrando","startTime":1252.89,"endTime":1256.58,"body":"the operating room weeks after"},{"speaker":"Dr Ferrando","startTime":1256.58,"endTime":1260.09,"body":"their surgery to redo something"},{"speaker":"Dr Ferrando","startTime":1256.58,"endTime":1260.09,"body":"right? That means that they"},{"speaker":"Dr Ferrando","startTime":1260.09,"endTime":1264.14,"body":"haven't sort of refined their"},{"speaker":"Dr Ferrando","startTime":1260.09,"endTime":1264.14,"body":"their skill set. And they're"},{"speaker":"Dr Ferrando","startTime":1264.14,"endTime":1267.14,"body":"probably not getting it right"},{"speaker":"Dr Ferrando","startTime":1264.14,"endTime":1267.14,"body":"the first time around small"},{"speaker":"Dr Ferrando","startTime":1267.14,"endTime":1271.4,"body":"cosmetic things six months"},{"speaker":"Dr Ferrando","startTime":1267.14,"endTime":1271.4,"body":"later, no big deal. That's, that"},{"speaker":"Dr Ferrando","startTime":1271.4,"endTime":1274.13,"body":"should almost be expected. And"},{"speaker":"Dr Ferrando","startTime":1271.4,"endTime":1274.13,"body":"if it doesn't, you don't need it"},{"speaker":"Dr Ferrando","startTime":1274.13,"endTime":1278.03,"body":"great. But ask the surgeon about"},{"speaker":"Dr Ferrando","startTime":1274.13,"endTime":1278.03,"body":"what kind of revisions they're"},{"speaker":"Dr Ferrando","startTime":1278.03,"endTime":1281.39,"body":"doing and how often because"},{"speaker":"Dr Ferrando","startTime":1278.03,"endTime":1281.39,"body":"there's a difference in"},{"speaker":"Dr Ferrando","startTime":1281.39,"endTime":1284.33,"body":"surgical, you know, the the"},{"speaker":"Dr Ferrando","startTime":1281.39,"endTime":1284.33,"body":"caliber of the surgeon depending"},{"speaker":"Dr Ferrando","startTime":1284.33,"endTime":1286.73,"body":"upon what that answer is. That's"},{"speaker":"Vanessa","startTime":1286.76,"endTime":1289.28,"body":"that's definitely"},{"speaker":"Vanessa","startTime":1286.76,"endTime":1289.28,"body":"amazing advice. And if you do"},{"speaker":"Vanessa","startTime":1289.28,"endTime":1292.28,"body":"need a revision, there's nothing"},{"speaker":"Vanessa","startTime":1289.28,"endTime":1292.28,"body":"wrong here. There's nothing"},{"speaker":"Vanessa","startTime":1292.28,"endTime":1295.37,"body":"wrong with the procedure that"},{"speaker":"Vanessa","startTime":1292.28,"endTime":1295.37,"body":"you had. As Dr. Fernando said,"},{"speaker":"Vanessa","startTime":1295.37,"endTime":1301.73,"body":"we all feel differently. For me,"},{"speaker":"Vanessa","startTime":1295.37,"endTime":1301.73,"body":"I had my labia were a little bit"},{"speaker":"Vanessa","startTime":1301.97,"endTime":1306.44,"body":"flabby, I guess you can say. And"},{"speaker":"Vanessa","startTime":1301.97,"endTime":1306.44,"body":"my clitoral hood was a little"},{"speaker":"Vanessa","startTime":1306.44,"endTime":1310.64,"body":"bit where she said the the very"},{"speaker":"Vanessa","startTime":1306.44,"endTime":1310.64,"body":"clitoris. And it was in and out,"},{"speaker":"Vanessa","startTime":1310.94,"endTime":1315.02,"body":"like in an hour outpatient. And"},{"speaker":"Vanessa","startTime":1310.94,"endTime":1315.02,"body":"I was back on my feet really"},{"speaker":"Vanessa","startTime":1315.02,"endTime":1320.09,"body":"quickly. So. And yeah, insurance"},{"speaker":"Vanessa","startTime":1315.02,"endTime":1320.09,"body":"didn't even bat an eye at it. So"},{"speaker":"Vanessa","startTime":1320.72,"endTime":1324.47,"body":"getting insurance for the main"},{"speaker":"Vanessa","startTime":1320.72,"endTime":1324.47,"body":"procedure that requires a lot of"},{"speaker":"Vanessa","startTime":1324.47,"endTime":1329.69,"body":"research. But in the end, it"},{"speaker":"Vanessa","startTime":1324.47,"endTime":1329.69,"body":"costs me excluding all the hair"},{"speaker":"Vanessa","startTime":1329.69,"endTime":1336.59,"body":"removal in the hotel stay and"},{"speaker":"Vanessa","startTime":1329.69,"endTime":1336.59,"body":"cost me $19.67. Whoa, which"},{"speaker":"Vanessa","startTime":1336.62,"endTime":1338.69,"body":"Yeah, yeah, it's pretty bad as"},{"speaker":"Dr Ferrando","startTime":1339.98,"endTime":1341.6,"body":"well, we've cut"},{"speaker":"Dr Ferrando","startTime":1339.98,"endTime":1341.6,"body":"we've come a long way, that's"},{"speaker":"Dr Ferrando","startTime":1341.6,"endTime":1344.81,"body":"for sure. I think it's amazing"},{"speaker":"Dr Ferrando","startTime":1341.6,"endTime":1344.81,"body":"what happened 10 years ago, with"},{"speaker":"Dr Ferrando","startTime":1344.81,"endTime":1346.97,"body":"insurance starting to cover I"},{"speaker":"Dr Ferrando","startTime":1344.81,"endTime":1346.97,"body":"mean, that's when we started"},{"speaker":"Dr Ferrando","startTime":1346.97,"endTime":1350.45,"body":"getting busy as surgeons, right,"},{"speaker":"Dr Ferrando","startTime":1346.97,"endTime":1350.45,"body":"we got to sort of take care of"},{"speaker":"Dr Ferrando","startTime":1350.45,"endTime":1353.27,"body":"everyone, because most health"},{"speaker":"Dr Ferrando","startTime":1350.45,"endTime":1353.27,"body":"care plans paid for this, there"},{"speaker":"Dr Ferrando","startTime":1353.27,"endTime":1357.38,"body":"are very few that don't anymore."},{"speaker":"Dr Ferrando","startTime":1353.27,"endTime":1357.38,"body":"Some come with bigger, you know,"},{"speaker":"Dr Ferrando","startTime":1357.38,"endTime":1361.07,"body":"some have deductibles, co pays,"},{"speaker":"Dr Ferrando","startTime":1357.38,"endTime":1361.07,"body":"etc, you're very lucky. But um,"},{"speaker":"Dr Ferrando","startTime":1361.43,"endTime":1364.61,"body":"in general, the coverage for"},{"speaker":"Dr Ferrando","startTime":1361.43,"endTime":1364.61,"body":"this, even by a lot of Medicaid"},{"speaker":"Dr Ferrando","startTime":1364.61,"endTime":1366.29,"body":"programs is much, much better"},{"speaker":"Vanessa","startTime":1367.76,"endTime":1370.04,"body":"at and vary state by"},{"speaker":"Vanessa","startTime":1367.76,"endTime":1370.04,"body":"state for the listeners. So be"},{"speaker":"Vanessa","startTime":1370.04,"endTime":1374.57,"body":"sure to do your research. Before"},{"speaker":"Vanessa","startTime":1370.04,"endTime":1374.57,"body":"Your Next year of insurance."},{"speaker":"Vanessa","startTime":1374.6,"endTime":1378.02,"body":"Just make sure everything's"},{"speaker":"Vanessa","startTime":1374.6,"endTime":1378.02,"body":"covered. All the i's are dotted"},{"speaker":"Vanessa","startTime":1378.02,"endTime":1380.75,"body":"and T's are crossed. It's"},{"speaker":"Vanessa","startTime":1378.02,"endTime":1380.75,"body":"particularly hard in Ohio. To"},{"speaker":"Vanessa","startTime":1380.75,"endTime":1383.75,"body":"get it done. I will say I had"},{"speaker":"Vanessa","startTime":1380.75,"endTime":1383.75,"body":"asked her insurance, which was"},{"speaker":"Vanessa","startTime":1383.75,"endTime":1386.72,"body":"Cleveland clinic's insurance."},{"speaker":"Vanessa","startTime":1383.75,"endTime":1386.72,"body":"And Dr. Brenda was with"},{"speaker":"Vanessa","startTime":1386.72,"endTime":1391.19,"body":"Cleveland Clinic. So that all"},{"speaker":"Vanessa","startTime":1386.72,"endTime":1391.19,"body":"worked out. Can you settle a"},{"speaker":"Vanessa","startTime":1391.19,"endTime":1395.24,"body":"little argument for me during"},{"speaker":"Vanessa","startTime":1391.19,"endTime":1395.24,"body":"the penile inversion, is there"},{"speaker":"Vanessa","startTime":1395.24,"endTime":1397.91,"body":"ever a time that the penis is"},{"speaker":"Vanessa","startTime":1395.24,"endTime":1397.91,"body":"completely detached from the"},{"speaker":"Vanessa","startTime":1397.91,"endTime":1398.3,"body":"body."},{"speaker":"Dr Ferrando","startTime":1399.5,"endTime":1402.89,"body":"So most of it is,"},{"speaker":"Dr Ferrando","startTime":1399.5,"endTime":1402.89,"body":"but there's a small portion of"},{"speaker":"Dr Ferrando","startTime":1402.89,"endTime":1405.53,"body":"it that isn't and it's the"},{"speaker":"Dr Ferrando","startTime":1402.89,"endTime":1405.53,"body":"portion that has all the nerves"},{"speaker":"Dr Ferrando","startTime":1405.53,"endTime":1408.47,"body":"in the blood vessel that feed"},{"speaker":"Dr Ferrando","startTime":1405.53,"endTime":1408.47,"body":"the like glands or the head of"},{"speaker":"Dr Ferrando","startTime":1408.47,"endTime":1411.65,"body":"the penis. And that's what we"},{"speaker":"Dr Ferrando","startTime":1408.47,"endTime":1411.65,"body":"convert into the clitoris, we"},{"speaker":"Dr Ferrando","startTime":1411.65,"endTime":1415.91,"body":"just remove a lot of it, but we"},{"speaker":"Dr Ferrando","startTime":1411.65,"endTime":1415.91,"body":"keep the top part. Because if"},{"speaker":"Dr Ferrando","startTime":1415.91,"endTime":1418.01,"body":"you were to look at like get a"},{"speaker":"Dr Ferrando","startTime":1415.91,"endTime":1418.01,"body":"picture anatomically"},{"speaker":"Dr Ferrando","startTime":1418.01,"endTime":1421.88,"body":"everything's at the very top"},{"speaker":"Dr Ferrando","startTime":1418.01,"endTime":1421.88,"body":"part and it runs on like the top"},{"speaker":"Dr Ferrando","startTime":1421.88,"endTime":1427.76,"body":"portion of the penis. And so, it"},{"speaker":"Dr Ferrando","startTime":1421.88,"endTime":1427.76,"body":"is you have to be careful doing"},{"speaker":"Dr Ferrando","startTime":1427.76,"endTime":1431.69,"body":"this part of the surgery but so"},{"speaker":"Dr Ferrando","startTime":1427.76,"endTime":1431.69,"body":"a very small part of it, maybe I"},{"speaker":"Dr Ferrando","startTime":1431.69,"endTime":1436.22,"body":"would say, you know anywhere"},{"speaker":"Dr Ferrando","startTime":1431.69,"endTime":1436.22,"body":"from 15 to you know, 10 to 15%"},{"speaker":"Dr Ferrando","startTime":1436.22,"endTime":1439.94,"body":"is kept but everything else is"},{"speaker":"Dr Ferrando","startTime":1436.22,"endTime":1439.94,"body":"is removed. But no, there is"},{"speaker":"Dr Ferrando","startTime":1439.94,"endTime":1443.87,"body":"never a complete detachment and"},{"speaker":"Dr Ferrando","startTime":1439.94,"endTime":1443.87,"body":"like sewing of the blood vessels"},{"speaker":"Dr Ferrando","startTime":1443.87,"endTime":1447.44,"body":"and the nerves everything stays"},{"speaker":"Dr Ferrando","startTime":1443.87,"endTime":1447.44,"body":"it's almost like a very skinny"},{"speaker":"Dr Ferrando","startTime":1447.44,"endTime":1451.13,"body":"stock that you you keep and the"},{"speaker":"Dr Ferrando","startTime":1447.44,"endTime":1451.13,"body":"job of the surgeon is to make"},{"speaker":"Dr Ferrando","startTime":1451.13,"endTime":1454.58,"body":"sure that stays well and healthy"},{"speaker":"Dr Ferrando","startTime":1451.13,"endTime":1454.58,"body":"during the whole surgery so that"},{"speaker":"Dr Ferrando","startTime":1454.58,"endTime":1456.59,"body":"you have a functioning clitoris"},{"speaker":"Dr Ferrando","startTime":1454.58,"endTime":1456.59,"body":"at the end."},{"speaker":"Vanessa","startTime":1457.13,"endTime":1460.67,"body":"And we myself and my"},{"speaker":"Vanessa","startTime":1457.13,"endTime":1460.67,"body":"girlfriend's appreciate you."},{"speaker":"Vanessa","startTime":1461.33,"endTime":1466.16,"body":"Keeping all that is I still"},{"speaker":"Vanessa","startTime":1461.33,"endTime":1466.16,"body":"swear it's like dark arts or"},{"speaker":"Vanessa","startTime":1466.16,"endTime":1472.13,"body":"something, how you get the"},{"speaker":"Vanessa","startTime":1466.16,"endTime":1472.13,"body":"clitoris to work in the place"},{"speaker":"Vanessa","startTime":1472.13,"endTime":1477.62,"body":"where it's supposed to be. And"},{"speaker":"Vanessa","startTime":1472.13,"endTime":1477.62,"body":"the entire thing is just mind"},{"speaker":"Vanessa","startTime":1477.62,"endTime":1483.32,"body":"boggling and how it works. Is"},{"speaker":"Vanessa","startTime":1477.62,"endTime":1483.32,"body":"there any like? Go ahead?"},{"speaker":"Dr Ferrando","startTime":1483.83,"endTime":1486.83,"body":"No go You go ahead."},{"speaker":"Dr Ferrando","startTime":1483.83,"endTime":1486.83,"body":"Maybe the question you're gonna"},{"speaker":"Dr Ferrando","startTime":1486.83,"endTime":1487.16,"body":"ask."},{"speaker":"Vanessa","startTime":1487.64,"endTime":1491.21,"body":"I was just gonna say is"},{"speaker":"Vanessa","startTime":1487.64,"endTime":1491.21,"body":"there like, what's the quick and"},{"speaker":"Vanessa","startTime":1491.21,"endTime":1494.06,"body":"dirty of what happens during a"},{"speaker":"Vanessa","startTime":1491.21,"endTime":1494.06,"body":"full capacity?"},{"speaker":"Dr Ferrando","startTime":1494.81,"endTime":1497.72,"body":"Yeah, so why"},{"speaker":"Dr Ferrando","startTime":1494.81,"endTime":1497.72,"body":"there's a reason I love this"},{"speaker":"Dr Ferrando","startTime":1497.72,"endTime":1500.45,"body":"surgery so much. So there's"},{"speaker":"Dr Ferrando","startTime":1497.72,"endTime":1500.45,"body":"something very in my Canyon,"},{"speaker":"Dr Ferrando","startTime":1500.48,"endTime":1503.42,"body":"very poetic about the surgery, I"},{"speaker":"Dr Ferrando","startTime":1500.48,"endTime":1503.42,"body":"think, you know, some people"},{"speaker":"Dr Ferrando","startTime":1503.42,"endTime":1506.09,"body":"would hear me say then like,"},{"speaker":"Dr Ferrando","startTime":1503.42,"endTime":1506.09,"body":"kind of roll their eyes. But"},{"speaker":"Dr Ferrando","startTime":1506.09,"endTime":1509.84,"body":"it's the reason I love it so"},{"speaker":"Dr Ferrando","startTime":1506.09,"endTime":1509.84,"body":"much is, if you actually and"},{"speaker":"Dr Ferrando","startTime":1509.84,"endTime":1512.36,"body":"then I'll explain to you like"},{"speaker":"Dr Ferrando","startTime":1509.84,"endTime":1512.36,"body":"what goes on during the surgery."},{"speaker":"Dr Ferrando","startTime":1512.36,"endTime":1516.38,"body":"But if you look at what happens"},{"speaker":"Dr Ferrando","startTime":1512.36,"endTime":1516.38,"body":"to us when we are in utero, so"},{"speaker":"Dr Ferrando","startTime":1516.38,"endTime":1520.04,"body":"when we're developing and we're"},{"speaker":"Dr Ferrando","startTime":1516.38,"endTime":1520.04,"body":"destined to be a little boy"},{"speaker":"Dr Ferrando","startTime":1520.04,"endTime":1524.0,"body":"fetus or a little girl, fetus,"},{"speaker":"Dr Ferrando","startTime":1520.04,"endTime":1524.0,"body":"right. And then we develop"},{"speaker":"Dr Ferrando","startTime":1524.0,"endTime":1527.9,"body":"right, and then we become a baby"},{"speaker":"Dr Ferrando","startTime":1524.0,"endTime":1527.9,"body":"and we're born. That's decision"},{"speaker":"Dr Ferrando","startTime":1527.9,"endTime":1533.45,"body":"tree of, excuse me, that"},{"speaker":"Dr Ferrando","startTime":1527.9,"endTime":1533.45,"body":"decision tree of the genitals"},{"speaker":"Dr Ferrando","startTime":1533.45,"endTime":1537.56,"body":"developing is dependent upon"},{"speaker":"Dr Ferrando","startTime":1533.45,"endTime":1537.56,"body":"your chromosomes. So if there's"},{"speaker":"Dr Ferrando","startTime":1537.56,"endTime":1541.07,"body":"a Y chromosome, there, it"},{"speaker":"Dr Ferrando","startTime":1537.56,"endTime":1541.07,"body":"develops in the male, if there's"},{"speaker":"Dr Ferrando","startTime":1541.07,"endTime":1544.91,"body":"no Y chromosome, the default is"},{"speaker":"Dr Ferrando","startTime":1541.07,"endTime":1544.91,"body":"like the it'll develop into the"},{"speaker":"Dr Ferrando","startTime":1544.91,"endTime":1548.06,"body":"female. So it's at the very"},{"speaker":"Dr Ferrando","startTime":1544.91,"endTime":1548.06,"body":"beginning that these things are"},{"speaker":"Dr Ferrando","startTime":1548.06,"endTime":1550.16,"body":"decided, right, which just feels"},{"speaker":"Dr Ferrando","startTime":1548.06,"endTime":1550.16,"body":"so frustrating, because"},{"speaker":"Dr Ferrando","startTime":1550.16,"endTime":1553.43,"body":"obviously, that's totally beyond"},{"speaker":"Dr Ferrando","startTime":1550.16,"endTime":1553.43,"body":"any of our control. It's just"},{"speaker":"Dr Ferrando","startTime":1553.43,"endTime":1559.85,"body":"genetics, and chromosomes. But"},{"speaker":"Dr Ferrando","startTime":1553.43,"endTime":1559.85,"body":"every part that becomes male,"},{"speaker":"Dr Ferrando","startTime":1560.09,"endTime":1563.36,"body":"like that exact part, those"},{"speaker":"Dr Ferrando","startTime":1560.09,"endTime":1563.36,"body":"cells that then get bigger and"},{"speaker":"Dr Ferrando","startTime":1563.36,"endTime":1566.93,"body":"develop, if there was no Y"},{"speaker":"Dr Ferrando","startTime":1563.36,"endTime":1566.93,"body":"chromosome, they would have"},{"speaker":"Dr Ferrando","startTime":1566.93,"endTime":1571.25,"body":"developed female. So like, the"},{"speaker":"Dr Ferrando","startTime":1566.93,"endTime":1571.25,"body":"glans of the penis is the"},{"speaker":"Dr Ferrando","startTime":1571.25,"endTime":1576.83,"body":"clitoris in the female. The"},{"speaker":"Dr Ferrando","startTime":1571.25,"endTime":1576.83,"body":"urethra where we urinate out of"},{"speaker":"Dr Ferrando","startTime":1576.86,"endTime":1581.84,"body":"is actually like off in the mail"},{"speaker":"Dr Ferrando","startTime":1576.86,"endTime":1581.84,"body":"that long urethra is the inner"},{"speaker":"Dr Ferrando","startTime":1581.84,"endTime":1586.13,"body":"lining of the labia, that pink"},{"speaker":"Dr Ferrando","startTime":1581.84,"endTime":1586.13,"body":"moist area. They're called"},{"speaker":"Dr Ferrando","startTime":1586.13,"endTime":1590.69,"body":"homologous structures. So like,"},{"speaker":"Dr Ferrando","startTime":1586.13,"endTime":1590.69,"body":"essentially, what we do during"},{"speaker":"Dr Ferrando","startTime":1590.69,"endTime":1594.08,"body":"the surgery is we take the male"},{"speaker":"Dr Ferrando","startTime":1590.69,"endTime":1594.08,"body":"structures that would have been"},{"speaker":"Dr Ferrando","startTime":1594.08,"endTime":1597.89,"body":"female if there wasn't a Y"},{"speaker":"Dr Ferrando","startTime":1594.08,"endTime":1597.89,"body":"chromosome, and we repurpose and"},{"speaker":"Dr Ferrando","startTime":1597.89,"endTime":1601.61,"body":"use them to create the female"},{"speaker":"Dr Ferrando","startTime":1597.89,"endTime":1601.61,"body":"structures. So there's nothing"},{"speaker":"Dr Ferrando","startTime":1601.61,"endTime":1605.06,"body":"in the in the, in the trans"},{"speaker":"Dr Ferrando","startTime":1601.61,"endTime":1605.06,"body":"female, like in the Jenner and"},{"speaker":"Dr Ferrando","startTime":1605.06,"endTime":1609.17,"body":"the genitalia, that like the all"},{"speaker":"Dr Ferrando","startTime":1605.06,"endTime":1609.17,"body":"of those things originated from"},{"speaker":"Dr Ferrando","startTime":1609.17,"endTime":1612.62,"body":"the male parts that should have"},{"speaker":"Dr Ferrando","startTime":1609.17,"endTime":1612.62,"body":"been female. And so I think that"},{"speaker":"Dr Ferrando","startTime":1612.62,"endTime":1614.36,"body":"that's the beauty in the"},{"speaker":"Dr Ferrando","startTime":1612.62,"endTime":1614.36,"body":"surgery. It's not like we're"},{"speaker":"Dr Ferrando","startTime":1614.36,"endTime":1617.54,"body":"taking like an eyeball and like"},{"speaker":"Dr Ferrando","startTime":1614.36,"endTime":1617.54,"body":"making that the clitoris right,"},{"speaker":"Dr Ferrando","startTime":1617.54,"endTime":1620.15,"body":"that doesn't make any sense. It"},{"speaker":"Dr Ferrando","startTime":1617.54,"endTime":1620.15,"body":"was never destined to be the"},{"speaker":"Dr Ferrando","startTime":1620.15,"endTime":1624.2,"body":"clitoris. But the glans of the"},{"speaker":"Dr Ferrando","startTime":1620.15,"endTime":1624.2,"body":"penis? Sure is, you know, what"},{"speaker":"Dr Ferrando","startTime":1624.23,"endTime":1626.9,"body":"should have been the clitoris"},{"speaker":"Dr Ferrando","startTime":1624.23,"endTime":1626.9,"body":"had things just spin, right?"},{"speaker":"Dr Ferrando","startTime":1627.11,"endTime":1630.77,"body":"Right. That's the way that I see"},{"speaker":"Dr Ferrando","startTime":1627.11,"endTime":1630.77,"body":"it. So that's why I think"},{"speaker":"Dr Ferrando","startTime":1630.77,"endTime":1633.86,"body":"there's like some poetry to the"},{"speaker":"Dr Ferrando","startTime":1630.77,"endTime":1633.86,"body":"surgery. So what we're"},{"speaker":"Dr Ferrando","startTime":1633.86,"endTime":1639.38,"body":"essentially doing is that we"},{"speaker":"Dr Ferrando","startTime":1633.86,"endTime":1639.38,"body":"are, we deconstruct the penile"},{"speaker":"Dr Ferrando","startTime":1639.38,"endTime":1642.71,"body":"anatomy, so we remove a lot of"},{"speaker":"Dr Ferrando","startTime":1639.38,"endTime":1642.71,"body":"it, but keep the very skinny top"},{"speaker":"Dr Ferrando","startTime":1642.71,"endTime":1648.26,"body":"part. And we fold it on itself."},{"speaker":"Dr Ferrando","startTime":1642.71,"endTime":1648.26,"body":"So by folding it on itself, it's"},{"speaker":"Dr Ferrando","startTime":1648.26,"endTime":1651.14,"body":"almost like if this were like"},{"speaker":"Dr Ferrando","startTime":1648.26,"endTime":1651.14,"body":"this is the the skinny piece"},{"speaker":"Dr Ferrando","startTime":1651.14,"endTime":1654.32,"body":"that's left in my fingernail is"},{"speaker":"Dr Ferrando","startTime":1651.14,"endTime":1654.32,"body":"the is the clitoris right? It"},{"speaker":"Dr Ferrando","startTime":1654.32,"endTime":1658.43,"body":"used to be a big glands, we fold"},{"speaker":"Dr Ferrando","startTime":1654.32,"endTime":1658.43,"body":"it on itself like this. And what"},{"speaker":"Dr Ferrando","startTime":1658.43,"endTime":1661.04,"body":"that does, right is it creates"},{"speaker":"Dr Ferrando","startTime":1658.43,"endTime":1661.04,"body":"the little clitoral button."},{"speaker":"Dr Ferrando","startTime":1661.25,"endTime":1665.45,"body":"Okay. And then this bent part is"},{"speaker":"Dr Ferrando","startTime":1661.25,"endTime":1665.45,"body":"something called the clitoral"},{"speaker":"Dr Ferrando","startTime":1665.45,"endTime":1670.76,"body":"column, which all women have,"},{"speaker":"Dr Ferrando","startTime":1665.45,"endTime":1670.76,"body":"regardless trans sis, right,"},{"speaker":"Dr Ferrando","startTime":1670.76,"endTime":1674.87,"body":"that's an most if any woman"},{"speaker":"Dr Ferrando","startTime":1670.76,"endTime":1674.87,"body":"who's you know, and I use the"},{"speaker":"Dr Ferrando","startTime":1674.87,"endTime":1678.5,"body":"term woman like on a spectrum,"},{"speaker":"Dr Ferrando","startTime":1674.87,"endTime":1678.5,"body":"right? So not to refer to the"},{"speaker":"Dr Ferrando","startTime":1678.5,"endTime":1682.67,"body":"binary. But like any woman knows"},{"speaker":"Dr Ferrando","startTime":1678.5,"endTime":1682.67,"body":"that, oftentimes, you don't"},{"speaker":"Dr Ferrando","startTime":1682.67,"endTime":1685.91,"body":"necessarily need to stimulate"},{"speaker":"Dr Ferrando","startTime":1682.67,"endTime":1685.91,"body":"this part, right? This is the"},{"speaker":"Dr Ferrando","startTime":1685.91,"endTime":1689.42,"body":"part that has the most"},{"speaker":"Dr Ferrando","startTime":1685.91,"endTime":1689.42,"body":"stimulation, and any woman trans"},{"speaker":"Dr Ferrando","startTime":1689.45,"endTime":1693.53,"body":"sis, in between, sort of has"},{"speaker":"Dr Ferrando","startTime":1689.45,"endTime":1693.53,"body":"stimulation from that area. So"},{"speaker":"Dr Ferrando","startTime":1693.53,"endTime":1695.99,"body":"it's important to maintain that."},{"speaker":"Dr Ferrando","startTime":1693.53,"endTime":1695.99,"body":"But essentially, we fold it on"},{"speaker":"Dr Ferrando","startTime":1695.99,"endTime":1699.05,"body":"itself. And then the important"},{"speaker":"Dr Ferrando","startTime":1695.99,"endTime":1699.05,"body":"thing is just making sure as the"},{"speaker":"Dr Ferrando","startTime":1699.05,"endTime":1701.36,"body":"surgeon that you're putting it"},{"speaker":"Dr Ferrando","startTime":1699.05,"endTime":1701.36,"body":"at the level that the clitoris"},{"speaker":"Dr Ferrando","startTime":1701.36,"endTime":1704.54,"body":"should go, should be placed so"},{"speaker":"Dr Ferrando","startTime":1701.36,"endTime":1704.54,"body":"that everything looks female,"},{"speaker":"Dr Ferrando","startTime":1704.54,"endTime":1707.45,"body":"you don't want it too high. You"},{"speaker":"Dr Ferrando","startTime":1704.54,"endTime":1707.45,"body":"don't want a button sitting on"},{"speaker":"Dr Ferrando","startTime":1707.45,"endTime":1709.64,"body":"top of your pubic bone and"},{"speaker":"Dr Ferrando","startTime":1707.45,"endTime":1709.64,"body":"looking like you have two belly"},{"speaker":"Dr Ferrando","startTime":1709.64,"endTime":1712.82,"body":"buttons. That is really weird."},{"speaker":"Dr Ferrando","startTime":1709.64,"endTime":1712.82,"body":"And I've seen that happen. And"},{"speaker":"Dr Ferrando","startTime":1712.82,"endTime":1715.22,"body":"you don't want it to too low"},{"speaker":"Dr Ferrando","startTime":1712.82,"endTime":1715.22,"body":"because then you got to go"},{"speaker":"Dr Ferrando","startTime":1715.22,"endTime":1715.85,"body":"looking for."},{"speaker":"Vanessa","startTime":1716.42,"endTime":1720.23,"body":"So if you want it sort"},{"speaker":"Vanessa","startTime":1716.42,"endTime":1720.23,"body":"of anyways. Exactly."},{"speaker":"Dr Ferrando","startTime":1720.23,"endTime":1724.7,"body":"So, you know, help"},{"speaker":"Dr Ferrando","startTime":1720.23,"endTime":1724.7,"body":"some help them help them. So"},{"speaker":"Dr Ferrando","startTime":1724.88,"endTime":1728.21,"body":"it's about sort of understanding"},{"speaker":"Dr Ferrando","startTime":1724.88,"endTime":1728.21,"body":"and like the anatomy where"},{"speaker":"Dr Ferrando","startTime":1728.21,"endTime":1731.27,"body":"something goes, right, like if"},{"speaker":"Dr Ferrando","startTime":1728.21,"endTime":1731.27,"body":"you look at the groin of the"},{"speaker":"Dr Ferrando","startTime":1731.27,"endTime":1734.99,"body":"patient, you can tell at what"},{"speaker":"Dr Ferrando","startTime":1731.27,"endTime":1734.99,"body":"level the clitoris should be at"},{"speaker":"Dr Ferrando","startTime":1735.11,"endTime":1739.58,"body":"than the urethra, we basically"},{"speaker":"Dr Ferrando","startTime":1735.11,"endTime":1739.58,"body":"open up the urethra so that it's"},{"speaker":"Dr Ferrando","startTime":1739.58,"endTime":1742.43,"body":"short, and it goes right but"},{"speaker":"Dr Ferrando","startTime":1739.58,"endTime":1742.43,"body":"below the clitoris a few"},{"speaker":"Dr Ferrando","startTime":1742.43,"endTime":1745.85,"body":"centimeters below. But then I"},{"speaker":"Dr Ferrando","startTime":1742.43,"endTime":1745.85,"body":"use I don't get rid of the"},{"speaker":"Dr Ferrando","startTime":1745.85,"endTime":1749.06,"body":"urethra, I keep it on its blood"},{"speaker":"Dr Ferrando","startTime":1745.85,"endTime":1749.06,"body":"supply. And I flip it over and I"},{"speaker":"Dr Ferrando","startTime":1749.06,"endTime":1752.12,"body":"use it to create that pink moist"},{"speaker":"Dr Ferrando","startTime":1749.06,"endTime":1752.12,"body":"area between the clitoris and"},{"speaker":"Dr Ferrando","startTime":1752.12,"endTime":1755.57,"body":"the urethra because if you look"},{"speaker":"Dr Ferrando","startTime":1752.12,"endTime":1755.57,"body":"at most women, they don't just"},{"speaker":"Dr Ferrando","startTime":1755.57,"endTime":1758.18,"body":"have skin between their the"},{"speaker":"Dr Ferrando","startTime":1755.57,"endTime":1758.18,"body":"clitoris and the rethrow. So I"},{"speaker":"Dr Ferrando","startTime":1758.18,"endTime":1762.56,"body":"think part of the artistry of"},{"speaker":"Dr Ferrando","startTime":1758.18,"endTime":1762.56,"body":"doing the surgery is making it"},{"speaker":"Dr Ferrando","startTime":1762.56,"endTime":1765.32,"body":"so that it looks really female,"},{"speaker":"Dr Ferrando","startTime":1762.56,"endTime":1765.32,"body":"and it should look pink and it"},{"speaker":"Dr Ferrando","startTime":1765.32,"endTime":1769.37,"body":"should look moist. Right? And"},{"speaker":"Dr Ferrando","startTime":1765.32,"endTime":1769.37,"body":"all the holes should be in the"},{"speaker":"Dr Ferrando","startTime":1769.37,"endTime":1773.96,"body":"right locations and aligned in"},{"speaker":"Dr Ferrando","startTime":1769.37,"endTime":1773.96,"body":"the same way. So yeah, I mean,"},{"speaker":"Dr Ferrando","startTime":1773.96,"endTime":1778.25,"body":"there is some artistry to doing"},{"speaker":"Dr Ferrando","startTime":1773.96,"endTime":1778.25,"body":"it. But there's technicality in"},{"speaker":"Dr Ferrando","startTime":1778.25,"endTime":1781.46,"body":"that. If you do most things the"},{"speaker":"Dr Ferrando","startTime":1778.25,"endTime":1781.46,"body":"same way over and over again."},{"speaker":"Dr Ferrando","startTime":1781.46,"endTime":1785.24,"body":"You'll also get it right. But"},{"speaker":"Dr Ferrando","startTime":1781.46,"endTime":1785.24,"body":"that's how most that's how the"},{"speaker":"Dr Ferrando","startTime":1785.24,"endTime":1788.24,"body":"procedures performed. But it's"},{"speaker":"Dr Ferrando","startTime":1785.24,"endTime":1788.24,"body":"using the stuff that should have"},{"speaker":"Dr Ferrando","startTime":1788.24,"endTime":1791.24,"body":"been which I think is great. You"},{"speaker":"Dr Ferrando","startTime":1788.24,"endTime":1791.24,"body":"know, that's"},{"speaker":"Vanessa","startTime":1791.27,"endTime":1794.81,"body":"that's so cool. It's"},{"speaker":"Vanessa","startTime":1791.27,"endTime":1794.81,"body":"like hitting the rewind button"},{"speaker":"Vanessa","startTime":1794.84,"endTime":1798.29,"body":"on gestation kind of. That's"},{"speaker":"Vanessa","startTime":1794.84,"endTime":1798.29,"body":"exactly right. Yeah,"},{"speaker":"Dr Ferrando","startTime":1798.35,"endTime":1800.24,"body":"it's exactly I"},{"speaker":"Dr Ferrando","startTime":1798.35,"endTime":1800.24,"body":"mean, I've had some pay She's"},{"speaker":"Dr Ferrando","startTime":1800.24,"endTime":1802.31,"body":"caught a rebirth, right? They"},{"speaker":"Dr Ferrando","startTime":1800.24,"endTime":1802.31,"body":"feel like they're burnt. You"},{"speaker":"Dr Ferrando","startTime":1802.31,"endTime":1806.24,"body":"know, I've had some patients"},{"speaker":"Dr Ferrando","startTime":1802.31,"endTime":1806.24,"body":"choose their surgery date as"},{"speaker":"Dr Ferrando","startTime":1806.24,"endTime":1808.67,"body":"their new birthday, you know,"},{"speaker":"Dr Ferrando","startTime":1806.24,"endTime":1808.67,"body":"sort of have that, you know,"},{"speaker":"Dr Ferrando","startTime":1808.67,"endTime":1811.04,"body":"whether it's you know,"},{"speaker":"Dr Ferrando","startTime":1808.67,"endTime":1811.04,"body":"conceptually or official, right?"},{"speaker":"Dr Ferrando","startTime":1811.04,"endTime":1814.73,"body":"Like you can't change your birth"},{"speaker":"Dr Ferrando","startTime":1811.04,"endTime":1814.73,"body":"date of birth, but you can in"},{"speaker":"Dr Ferrando","startTime":1814.76,"endTime":1818.06,"body":"you know, from a spiritual"},{"speaker":"Dr Ferrando","startTime":1814.76,"endTime":1818.06,"body":"perspective, you know, certainly"},{"speaker":"Dr Ferrando","startTime":1818.06,"endTime":1819.92,"body":"change your your birthdate. So,"},{"speaker":"Vanessa","startTime":1820.31,"endTime":1821.93,"body":"that's, I mean, that's"},{"speaker":"Vanessa","startTime":1820.31,"endTime":1821.93,"body":"really good way of putting it"},{"speaker":"Vanessa","startTime":1821.93,"endTime":1825.83,"body":"because when you wake up from"},{"speaker":"Vanessa","startTime":1821.93,"endTime":1825.83,"body":"that surgery, and you realize"},{"speaker":"Vanessa","startTime":1825.83,"endTime":1830.3,"body":"that, that as I said earlier"},{"speaker":"Vanessa","startTime":1825.83,"endTime":1830.3,"body":"that it's done. It's, it's a"},{"speaker":"Vanessa","startTime":1830.3,"endTime":1833.12,"body":"whole it's a whole thing and"},{"speaker":"Vanessa","startTime":1830.3,"endTime":1833.12,"body":"only the people that have had"},{"speaker":"Vanessa","startTime":1833.12,"endTime":1836.84,"body":"the procedure understand that"},{"speaker":"Vanessa","startTime":1833.12,"endTime":1836.84,"body":"the whole thing so I"},{"speaker":"Dr Ferrando","startTime":1836.84,"endTime":1838.76,"body":"mean, what you say"},{"speaker":"Dr Ferrando","startTime":1836.84,"endTime":1838.76,"body":"is correct, that's something"},{"speaker":"Dr Ferrando","startTime":1838.76,"endTime":1842.03,"body":"that I will never understand,"},{"speaker":"Dr Ferrando","startTime":1838.76,"endTime":1842.03,"body":"right? I've certainly witnessed"},{"speaker":"Dr Ferrando","startTime":1842.03,"endTime":1846.41,"body":"it and watch the experience but"},{"speaker":"Dr Ferrando","startTime":1842.03,"endTime":1846.41,"body":"only people like yourself and"},{"speaker":"Dr Ferrando","startTime":1846.41,"endTime":1850.1,"body":"Assa and other individuals that"},{"speaker":"Dr Ferrando","startTime":1846.41,"endTime":1850.1,"body":"I've you know, taken care of and"},{"speaker":"Dr Ferrando","startTime":1850.1,"endTime":1853.04,"body":"people that you know, can speak"},{"speaker":"Dr Ferrando","startTime":1850.1,"endTime":1853.04,"body":"to how it actually feels to wake"},{"speaker":"Dr Ferrando","startTime":1853.04,"endTime":1854.06,"body":"up from that procedure."},{"speaker":"Vanessa","startTime":1854.45,"endTime":1857.15,"body":"Definitely transcending"},{"speaker":"Vanessa","startTime":1854.45,"endTime":1857.15,"body":"humanity has joined the feminist"},{"speaker":"Vanessa","startTime":1857.15,"endTime":1860.87,"body":"podcast collective in we will be"},{"speaker":"Vanessa","startTime":1857.15,"endTime":1860.87,"body":"exchanging ads on each other"},{"speaker":"Vanessa","startTime":1860.87,"endTime":1864.02,"body":"shows in order to grow our"},{"speaker":"Vanessa","startTime":1860.87,"endTime":1864.02,"body":"mutual following. Here's one for"},{"speaker":"Vanessa","startTime":1864.02,"endTime":1864.62,"body":"this week."},{"speaker":"Transcending Humanity","startTime":1865.46,"endTime":1868.4,"body":"Business"},{"speaker":"Transcending Humanity","startTime":1865.46,"endTime":1868.4,"body":"as usual, no way, it's time to"},{"speaker":"Transcending Humanity","startTime":1868.4,"endTime":1871.52,"body":"do things differently. Let's"},{"speaker":"Transcending Humanity","startTime":1868.4,"endTime":1871.52,"body":"make business a catalyst for"},{"speaker":"Transcending Humanity","startTime":1871.52,"endTime":1875.15,"body":"creating a more equitable world."},{"speaker":"Transcending Humanity","startTime":1871.52,"endTime":1875.15,"body":"Hi, I'm Becky Mellencamp host of"},{"speaker":"Transcending Humanity","startTime":1875.15,"endTime":1878.18,"body":"feminist founders podcast, and"},{"speaker":"Transcending Humanity","startTime":1875.15,"endTime":1878.18,"body":"I'm bringing you interviews with"},{"speaker":"Transcending Humanity","startTime":1878.18,"endTime":1880.67,"body":"business owners and thought"},{"speaker":"Transcending Humanity","startTime":1878.18,"endTime":1880.67,"body":"leaders who are challenging"},{"speaker":"Transcending Humanity","startTime":1880.67,"endTime":1883.58,"body":"white supremacist, capitalist"},{"speaker":"Transcending Humanity","startTime":1880.67,"endTime":1883.58,"body":"patriarchal norms in business."},{"speaker":"Transcending Humanity","startTime":1883.64,"endTime":1886.73,"body":"This season. I'll be talking to"},{"speaker":"Transcending Humanity","startTime":1883.64,"endTime":1886.73,"body":"incredible leaders like Rebecca"},{"speaker":"Transcending Humanity","startTime":1886.73,"endTime":1890.21,"body":"ruukki, the founder of row House"},{"speaker":"Transcending Humanity","startTime":1886.73,"endTime":1890.21,"body":"Publishing, Jen Harper, founder"},{"speaker":"Transcending Humanity","startTime":1890.21,"endTime":1893.33,"body":"of cheekbone beauty. Elisa"},{"speaker":"Transcending Humanity","startTime":1890.21,"endTime":1893.33,"body":"Campbell, Hort page, co founder"},{"speaker":"Transcending Humanity","startTime":1893.33,"endTime":1897.38,"body":"of blog, her best selling author"},{"speaker":"Transcending Humanity","startTime":1893.33,"endTime":1897.38,"body":"Geraldine Deruta, basic"},{"speaker":"Transcending Humanity","startTime":1897.38,"endTime":1900.65,"body":"Gillespie of mindful closet,"},{"speaker":"Transcending Humanity","startTime":1897.38,"endTime":1900.65,"body":"Anna Deshawn of queer news,"},{"speaker":"Transcending Humanity","startTime":1900.71,"endTime":1903.5,"body":"immigration lawyer, Bianca"},{"speaker":"Transcending Humanity","startTime":1900.71,"endTime":1903.5,"body":"Jordan, and so many more."},{"speaker":"Transcending Humanity","startTime":1903.71,"endTime":1906.38,"body":"Feminist founders will challenge"},{"speaker":"Transcending Humanity","startTime":1903.71,"endTime":1906.38,"body":"your beliefs about how business"},{"speaker":"Transcending Humanity","startTime":1906.41,"endTime":1909.86,"body":"should run and inspire you to"},{"speaker":"Transcending Humanity","startTime":1906.41,"endTime":1909.86,"body":"begin making changes big and"},{"speaker":"Transcending Humanity","startTime":1909.86,"endTime":1913.73,"body":"small, so that your business is"},{"speaker":"Transcending Humanity","startTime":1909.86,"endTime":1913.73,"body":"an agent for good. Subscribe to"},{"speaker":"Transcending Humanity","startTime":1913.73,"endTime":1916.49,"body":"feminist founders today."},{"speaker":"Transcending Humanity","startTime":1913.73,"endTime":1916.49,"body":"Wherever you listen to podcasts."},{"speaker":"Vanessa","startTime":1917.87,"endTime":1920.0,"body":"What are some common"},{"speaker":"Vanessa","startTime":1917.87,"endTime":1920.0,"body":"misconceptions that you would"},{"speaker":"Vanessa","startTime":1920.0,"endTime":1922.64,"body":"like to dispel while you have"},{"speaker":"Vanessa","startTime":1920.0,"endTime":1922.64,"body":"your time?"},{"speaker":"Dr Ferrando","startTime":1924.47,"endTime":1929.18,"body":"I think that common"},{"speaker":"Dr Ferrando","startTime":1924.47,"endTime":1929.18,"body":"things that I did, one of them"},{"speaker":"Dr Ferrando","startTime":1929.18,"endTime":1934.28,"body":"is like vaginal lubrication. So"},{"speaker":"Dr Ferrando","startTime":1929.18,"endTime":1934.28,"body":"like so a self lubricating"},{"speaker":"Dr Ferrando","startTime":1934.28,"endTime":1941.66,"body":"vagina in reconstructive surgery"},{"speaker":"Dr Ferrando","startTime":1934.28,"endTime":1941.66,"body":"is virtually non existent. So"},{"speaker":"Dr Ferrando","startTime":1941.69,"endTime":1945.41,"body":"even with peritoneal vaginal"},{"speaker":"Dr Ferrando","startTime":1941.69,"endTime":1945.41,"body":"plasti, that's the one that got"},{"speaker":"Dr Ferrando","startTime":1945.41,"endTime":1950.69,"body":"very popular, I have colleagues"},{"speaker":"Dr Ferrando","startTime":1945.41,"endTime":1950.69,"body":"who started doing the procedure,"},{"speaker":"Dr Ferrando","startTime":1950.72,"endTime":1953.03,"body":"this procedure a lot in New York"},{"speaker":"Dr Ferrando","startTime":1950.72,"endTime":1953.03,"body":"City, and all of a sudden it"},{"speaker":"Dr Ferrando","startTime":1953.03,"endTime":1956.09,"body":"caught on like wildfire, because"},{"speaker":"Dr Ferrando","startTime":1953.03,"endTime":1956.09,"body":"they published some really great"},{"speaker":"Dr Ferrando","startTime":1956.21,"endTime":1959.27,"body":"papers on it. And while the"},{"speaker":"Dr Ferrando","startTime":1956.21,"endTime":1959.27,"body":"surgery, like I mentioned"},{"speaker":"Dr Ferrando","startTime":1959.27,"endTime":1963.92,"body":"earlier is a great procedure, it"},{"speaker":"Dr Ferrando","startTime":1959.27,"endTime":1963.92,"body":"the selling point is not that"},{"speaker":"Dr Ferrando","startTime":1963.92,"endTime":1966.32,"body":"you end up with a self"},{"speaker":"Dr Ferrando","startTime":1963.92,"endTime":1966.32,"body":"lubricating vagina, the the"},{"speaker":"Dr Ferrando","startTime":1966.32,"endTime":1970.73,"body":"peritoneum that gets used for"},{"speaker":"Dr Ferrando","startTime":1966.32,"endTime":1970.73,"body":"that vagina ends up looking very"},{"speaker":"Dr Ferrando","startTime":1970.73,"endTime":1973.64,"body":"similar to the skin you use when"},{"speaker":"Dr Ferrando","startTime":1970.73,"endTime":1973.64,"body":"you're doing penile inversion"},{"speaker":"Dr Ferrando","startTime":1973.64,"endTime":1978.56,"body":"after some time. So there's no"},{"speaker":"Dr Ferrando","startTime":1973.64,"endTime":1978.56,"body":"real procedure that really has"},{"speaker":"Dr Ferrando","startTime":1978.56,"endTime":1982.04,"body":"like figured that out, though,"},{"speaker":"Dr Ferrando","startTime":1978.56,"endTime":1982.04,"body":"there is lubrication for some"},{"speaker":"Dr Ferrando","startTime":1982.04,"endTime":1985.97,"body":"patients, from actually the"},{"speaker":"Dr Ferrando","startTime":1982.04,"endTime":1985.97,"body":"urethra area, because those"},{"speaker":"Dr Ferrando","startTime":1985.97,"endTime":1989.72,"body":"glands that are there are still"},{"speaker":"Dr Ferrando","startTime":1985.97,"endTime":1989.72,"body":"there. And so if some patients"},{"speaker":"Dr Ferrando","startTime":1989.72,"endTime":1993.11,"body":"have very healthy, intact"},{"speaker":"Dr Ferrando","startTime":1989.72,"endTime":1993.11,"body":"glands, they'll get lubrication"},{"speaker":"Dr Ferrando","startTime":1993.11,"endTime":1996.2,"body":"at the opening of the vagina."},{"speaker":"Dr Ferrando","startTime":1993.11,"endTime":1996.2,"body":"And I would tell patients like"},{"speaker":"Dr Ferrando","startTime":1996.2,"endTime":1998.09,"body":"that just means you're one of"},{"speaker":"Dr Ferrando","startTime":1996.2,"endTime":1998.09,"body":"the lucky ones. And there's no"},{"speaker":"Dr Ferrando","startTime":1998.09,"endTime":2003.28,"body":"way of predicting so using self"},{"speaker":"Dr Ferrando","startTime":1998.09,"endTime":2003.28,"body":"like lubrication and vaginal"},{"speaker":"Dr Ferrando","startTime":2003.28,"endTime":2007.36,"body":"moisturizers, you can use things"},{"speaker":"Dr Ferrando","startTime":2003.28,"endTime":2007.36,"body":"like coconut oil, actually, in"},{"speaker":"Dr Ferrando","startTime":2007.36,"endTime":2012.31,"body":"that area to keep things sort of"},{"speaker":"Dr Ferrando","startTime":2007.36,"endTime":2012.31,"body":"moister are is a good thing. But"},{"speaker":"Dr Ferrando","startTime":2012.31,"endTime":2014.89,"body":"there's no such thing as a"},{"speaker":"Dr Ferrando","startTime":2012.31,"endTime":2014.89,"body":"reconstructed self lubricating"},{"speaker":"Dr Ferrando","startTime":2014.89,"endTime":2019.72,"body":"vagina. I'm trying to think of"},{"speaker":"Dr Ferrando","startTime":2014.89,"endTime":2019.72,"body":"like other myths that I've"},{"speaker":"Dr Ferrando","startTime":2019.72,"endTime":2022.84,"body":"heard, or that I can think of"},{"speaker":"Dr Ferrando","startTime":2019.72,"endTime":2022.84,"body":"that's the that's the biggest"},{"speaker":"Dr Ferrando","startTime":2022.84,"endTime":2023.11,"body":"one."},{"speaker":"Vanessa","startTime":2023.14,"endTime":2026.32,"body":"That's a big one. I see"},{"speaker":"Vanessa","startTime":2023.14,"endTime":2026.32,"body":"a pop up all the time. Yeah,"},{"speaker":"Dr Ferrando","startTime":2026.74,"endTime":2030.19,"body":"I think too. I've"},{"speaker":"Dr Ferrando","startTime":2026.74,"endTime":2030.19,"body":"had this experience and I try to"},{"speaker":"Dr Ferrando","startTime":2030.19,"endTime":2034.12,"body":"set patients upfront with their"},{"speaker":"Dr Ferrando","startTime":2030.19,"endTime":2034.12,"body":"expectations. But again, I don't"},{"speaker":"Dr Ferrando","startTime":2034.12,"endTime":2036.7,"body":"know what it's like to walk in a"},{"speaker":"Dr Ferrando","startTime":2034.12,"endTime":2036.7,"body":"patient's shoes and have sort of"},{"speaker":"Dr Ferrando","startTime":2036.7,"endTime":2039.88,"body":"this thought of what a vulva is"},{"speaker":"Dr Ferrando","startTime":2036.7,"endTime":2039.88,"body":"supposed to look like. I think"},{"speaker":"Dr Ferrando","startTime":2039.88,"endTime":2044.17,"body":"we get a lot of sort of those"},{"speaker":"Dr Ferrando","startTime":2039.88,"endTime":2044.17,"body":"cues from from looking at like"},{"speaker":"Dr Ferrando","startTime":2044.17,"endTime":2047.83,"body":"pornography and things online,"},{"speaker":"Dr Ferrando","startTime":2044.17,"endTime":2047.83,"body":"certainly. And then if you know"},{"speaker":"Dr Ferrando","startTime":2047.83,"endTime":2050.92,"body":"a lot of people you know, maybe"},{"speaker":"Dr Ferrando","startTime":2047.83,"endTime":2050.92,"body":"individuals share and show each"},{"speaker":"Dr Ferrando","startTime":2050.92,"endTime":2053.5,"body":"other their Volvo's, which"},{"speaker":"Dr Ferrando","startTime":2050.92,"endTime":2053.5,"body":"sounds funny, but I actually"},{"speaker":"Dr Ferrando","startTime":2053.5,"endTime":2056.17,"body":"think is a very normal thing,"},{"speaker":"Dr Ferrando","startTime":2053.5,"endTime":2056.17,"body":"especially if you're looking to"},{"speaker":"Dr Ferrando","startTime":2056.17,"endTime":2059.98,"body":"have one created for you. But I"},{"speaker":"Dr Ferrando","startTime":2056.17,"endTime":2059.98,"body":"think we get a lot of our online"},{"speaker":"Dr Ferrando","startTime":2059.98,"endTime":2063.82,"body":"cues from, you know, our cues"},{"speaker":"Dr Ferrando","startTime":2059.98,"endTime":2063.82,"body":"from online, which can really"},{"speaker":"Dr Ferrando","startTime":2063.85,"endTime":2067.33,"body":"even in the CIS population,"},{"speaker":"Dr Ferrando","startTime":2063.85,"endTime":2067.33,"body":"create expectations that don't,"},{"speaker":"Dr Ferrando","startTime":2068.11,"endTime":2071.29,"body":"sort of really, you know, were"},{"speaker":"Dr Ferrando","startTime":2068.11,"endTime":2071.29,"body":"made a certain way. And so one"},{"speaker":"Dr Ferrando","startTime":2071.29,"endTime":2074.86,"body":"of the things that's very hard"},{"speaker":"Dr Ferrando","startTime":2071.29,"endTime":2074.86,"body":"to do with this procedure is"},{"speaker":"Dr Ferrando","startTime":2074.86,"endTime":2080.29,"body":"create like large labia. Some"},{"speaker":"Dr Ferrando","startTime":2074.86,"endTime":2080.29,"body":"women want very large labia, and"},{"speaker":"Dr Ferrando","startTime":2080.32,"endTime":2083.35,"body":"most of the time with this type"},{"speaker":"Dr Ferrando","startTime":2080.32,"endTime":2083.35,"body":"of procedure, you should expect"},{"speaker":"Dr Ferrando","startTime":2083.35,"endTime":2086.65,"body":"to have small labile columns."},{"speaker":"Dr Ferrando","startTime":2083.35,"endTime":2086.65,"body":"You can have a revision"},{"speaker":"Dr Ferrando","startTime":2086.65,"endTime":2089.98,"body":"sometimes to make them a little"},{"speaker":"Dr Ferrando","startTime":2086.65,"endTime":2089.98,"body":"larger, but you can only work"},{"speaker":"Dr Ferrando","startTime":2089.98,"endTime":2095.11,"body":"with what you have. And so and"},{"speaker":"Dr Ferrando","startTime":2089.98,"endTime":2095.11,"body":"that and these reconstructive"},{"speaker":"Dr Ferrando","startTime":2095.14,"endTime":2099.07,"body":"procedures rely on good blood"},{"speaker":"Dr Ferrando","startTime":2095.14,"endTime":2099.07,"body":"supply to heal properly. And so"},{"speaker":"Dr Ferrando","startTime":2099.07,"endTime":2101.95,"body":"it's very hard to get Create"},{"speaker":"Dr Ferrando","startTime":2099.07,"endTime":2101.95,"body":"like big labia menorah, which"},{"speaker":"Dr Ferrando","startTime":2101.95,"endTime":2104.5,"body":"some women will ask for. So"},{"speaker":"Dr Ferrando","startTime":2101.95,"endTime":2104.5,"body":"that's like a myth that's like"},{"speaker":"Dr Ferrando","startTime":2105.1,"endTime":2108.85,"body":"that it's possible to do that,"},{"speaker":"Dr Ferrando","startTime":2105.1,"endTime":2108.85,"body":"for sure. I think those are the"},{"speaker":"Dr Ferrando","startTime":2108.85,"endTime":2111.7,"body":"two biggest things that I've"},{"speaker":"Dr Ferrando","startTime":2108.85,"endTime":2111.7,"body":"really run into. I"},{"speaker":"Vanessa","startTime":2111.7,"endTime":2114.94,"body":"mean, those are two"},{"speaker":"Vanessa","startTime":2111.7,"endTime":2114.94,"body":"really good ones to stuff that"},{"speaker":"Vanessa","startTime":2114.94,"endTime":2120.34,"body":"you hear a lot. And I mean,"},{"speaker":"Vanessa","startTime":2114.94,"endTime":2120.34,"body":"people with needle Volvos"},{"speaker":"Vanessa","startTime":2121.27,"endTime":2125.17,"body":"they're every single person's is"},{"speaker":"Vanessa","startTime":2121.27,"endTime":2125.17,"body":"different to we're all built"},{"speaker":"Vanessa","startTime":2125.17,"endTime":2128.32,"body":"different. And they're all"},{"speaker":"Vanessa","startTime":2125.17,"endTime":2128.32,"body":"beautiful. You know, there's,"},{"speaker":"Vanessa","startTime":2128.47,"endTime":2131.26,"body":"there's even coffee table books"},{"speaker":"Vanessa","startTime":2128.47,"endTime":2131.26,"body":"just full of them. Just there"},{"speaker":"Vanessa","startTime":2131.26,"endTime":2132.91,"body":"are Yeah, yeah,"},{"speaker":"Dr Ferrando","startTime":2133.03,"endTime":2136.48,"body":"I love those I love"},{"speaker":"Dr Ferrando","startTime":2133.03,"endTime":2136.48,"body":"like I have the sun. There was"},{"speaker":"Dr Ferrando","startTime":2136.48,"endTime":2138.97,"body":"one that was created a long time"},{"speaker":"Dr Ferrando","startTime":2136.48,"endTime":2138.97,"body":"ago. It's called the wall"},{"speaker":"Dr Ferrando","startTime":2138.97,"endTime":2141.91,"body":"evolvus. It's like these casts"},{"speaker":"Dr Ferrando","startTime":2138.97,"endTime":2141.91,"body":"of different Volvo's. I don't"},{"speaker":"Dr Ferrando","startTime":2141.91,"endTime":2145.03,"body":"know if you've ever seen them."},{"speaker":"Dr Ferrando","startTime":2141.91,"endTime":2145.03,"body":"But you can if you Google it,"},{"speaker":"Dr Ferrando","startTime":2145.03,"endTime":2148.66,"body":"it's like, a picture of small"},{"speaker":"Dr Ferrando","startTime":2145.03,"endTime":2148.66,"body":"like sculptures of Volvo's that,"},{"speaker":"Dr Ferrando","startTime":2148.66,"endTime":2152.83,"body":"you know, women had cast got"},{"speaker":"Dr Ferrando","startTime":2148.66,"endTime":2152.83,"body":"cast and they did this. And so I"},{"speaker":"Dr Ferrando","startTime":2152.83,"endTime":2156.76,"body":"took that idea and said, like,"},{"speaker":"Dr Ferrando","startTime":2152.83,"endTime":2156.76,"body":"for rondos, wall evolvus from"},{"speaker":"Dr Ferrando","startTime":2156.76,"endTime":2159.58,"body":"like, so when I give"},{"speaker":"Dr Ferrando","startTime":2156.76,"endTime":2159.58,"body":"presentations, right? I have"},{"speaker":"Dr Ferrando","startTime":2159.61,"endTime":2161.8,"body":"with permission from the"},{"speaker":"Dr Ferrando","startTime":2159.61,"endTime":2161.8,"body":"patients who allowed me to take"},{"speaker":"Dr Ferrando","startTime":2161.8,"endTime":2164.68,"body":"pictures and use them obviously,"},{"speaker":"Dr Ferrando","startTime":2161.8,"endTime":2164.68,"body":"it's just, you know, a picture"},{"speaker":"Dr Ferrando","startTime":2164.68,"endTime":2168.67,"body":"of the vulva. But um, I have"},{"speaker":"Dr Ferrando","startTime":2164.68,"endTime":2168.67,"body":"like, I don't know, maybe like"},{"speaker":"Dr Ferrando","startTime":2168.76,"endTime":2172.0,"body":"40 You know, small pictures"},{"speaker":"Dr Ferrando","startTime":2168.76,"endTime":2172.0,"body":"lined up real close together."},{"speaker":"Dr Ferrando","startTime":2172.39,"endTime":2174.46,"body":"And it's clear every single"},{"speaker":"Dr Ferrando","startTime":2172.39,"endTime":2174.46,"body":"person looks completely"},{"speaker":"Dr Ferrando","startTime":2174.46,"endTime":2177.1,"body":"different, but they look no"},{"speaker":"Dr Ferrando","startTime":2174.46,"endTime":2177.1,"body":"different than Asus, vulva. They"},{"speaker":"Dr Ferrando","startTime":2177.1,"endTime":2179.74,"body":"just look completely different"},{"speaker":"Dr Ferrando","startTime":2177.1,"endTime":2179.74,"body":"bigger lips, smaller lips, labia"},{"speaker":"Dr Ferrando","startTime":2179.74,"endTime":2183.76,"body":"majora, labia menorah, you know,"},{"speaker":"Dr Ferrando","startTime":2179.74,"endTime":2183.76,"body":"skin pigmentation, sometimes you"},{"speaker":"Dr Ferrando","startTime":2183.76,"endTime":2186.82,"body":"can see the scars on the labia"},{"speaker":"Dr Ferrando","startTime":2183.76,"endTime":2186.82,"body":"and some patients you can't. So"},{"speaker":"Dr Ferrando","startTime":2186.82,"endTime":2191.02,"body":"that's what I show patients in"},{"speaker":"Dr Ferrando","startTime":2186.82,"endTime":2191.02,"body":"the office not to digress. But"},{"speaker":"Dr Ferrando","startTime":2191.2,"endTime":2193.78,"body":"that's another thing, if the"},{"speaker":"Dr Ferrando","startTime":2191.2,"endTime":2193.78,"body":"surgeon you're seeing cannot"},{"speaker":"Dr Ferrando","startTime":2193.78,"endTime":2197.32,"body":"show you pictures and what to"},{"speaker":"Dr Ferrando","startTime":2193.78,"endTime":2197.32,"body":"expect, and shows you a wide"},{"speaker":"Dr Ferrando","startTime":2197.32,"endTime":2201.25,"body":"range, not just sort of their"},{"speaker":"Dr Ferrando","startTime":2197.32,"endTime":2201.25,"body":"best picture, I tried to show"},{"speaker":"Dr Ferrando","startTime":2201.25,"endTime":2203.62,"body":"pictures of patients whose"},{"speaker":"Dr Ferrando","startTime":2201.25,"endTime":2203.62,"body":"scarring is a little bit more"},{"speaker":"Dr Ferrando","startTime":2203.62,"endTime":2207.58,"body":"prominent patients who are whose"},{"speaker":"Dr Ferrando","startTime":2203.62,"endTime":2207.58,"body":"weight is more similar to the"},{"speaker":"Dr Ferrando","startTime":2207.58,"endTime":2210.7,"body":"patient, right? You don't want"},{"speaker":"Dr Ferrando","startTime":2207.58,"endTime":2210.7,"body":"to show somebody who has a BMI"},{"speaker":"Dr Ferrando","startTime":2210.7,"endTime":2216.85,"body":"of like 33, and is 52 years old,"},{"speaker":"Dr Ferrando","startTime":2210.7,"endTime":2216.85,"body":"a picture of somebody who is 19"},{"speaker":"Dr Ferrando","startTime":2216.85,"endTime":2220.15,"body":"and has a BMI of 20. Right, I"},{"speaker":"Dr Ferrando","startTime":2216.85,"endTime":2220.15,"body":"think that you want to show"},{"speaker":"Dr Ferrando","startTime":2220.15,"endTime":2222.34,"body":"realize, so make sure your"},{"speaker":"Dr Ferrando","startTime":2220.15,"endTime":2222.34,"body":"surgeon shows you pictures, if"},{"speaker":"Dr Ferrando","startTime":2222.34,"endTime":2225.4,"body":"they can't show you pictures."},{"speaker":"Dr Ferrando","startTime":2222.34,"endTime":2225.4,"body":"That's kind of a strange thing."},{"speaker":"Dr Ferrando","startTime":2225.4,"endTime":2228.94,"body":"So I just wanted to throw them"},{"speaker":"Dr Ferrando","startTime":2225.4,"endTime":2228.94,"body":"in there. Two other myths I was"},{"speaker":"Dr Ferrando","startTime":2228.94,"endTime":2231.76,"body":"thinking about is that with"},{"speaker":"Dr Ferrando","startTime":2228.94,"endTime":2231.76,"body":"peritoneal vaginal plasti, you"},{"speaker":"Dr Ferrando","startTime":2231.76,"endTime":2234.4,"body":"don't have to dilate after"},{"speaker":"Dr Ferrando","startTime":2231.76,"endTime":2234.4,"body":"surgery. And that's one of the"},{"speaker":"Dr Ferrando","startTime":2234.4,"endTime":2237.46,"body":"benefits. Not true, you have to"},{"speaker":"Dr Ferrando","startTime":2234.4,"endTime":2237.46,"body":"dilate just like a penile"},{"speaker":"Dr Ferrando","startTime":2237.46,"endTime":2240.82,"body":"inversion. So it's not a reason"},{"speaker":"Dr Ferrando","startTime":2237.46,"endTime":2240.82,"body":"to. And then the other reason"},{"speaker":"Dr Ferrando","startTime":2240.82,"endTime":2244.6,"body":"people really are jazzed up"},{"speaker":"Dr Ferrando","startTime":2240.82,"endTime":2244.6,"body":"about doing a peritoneal vaginal"},{"speaker":"Dr Ferrando","startTime":2244.6,"endTime":2248.68,"body":"plasti is because a lot of"},{"speaker":"Dr Ferrando","startTime":2244.6,"endTime":2248.68,"body":"surgeons don't require hair"},{"speaker":"Dr Ferrando","startTime":2248.68,"endTime":2252.16,"body":"removal for that procedure. So"},{"speaker":"Dr Ferrando","startTime":2248.68,"endTime":2252.16,"body":"you can skip that skip step. The"},{"speaker":"Dr Ferrando","startTime":2252.16,"endTime":2255.85,"body":"only thing I will say is it's"},{"speaker":"Dr Ferrando","startTime":2252.16,"endTime":2255.85,"body":"true, but we still tend to use"},{"speaker":"Dr Ferrando","startTime":2255.85,"endTime":2259.84,"body":"some of the genital skin at the"},{"speaker":"Dr Ferrando","startTime":2255.85,"endTime":2259.84,"body":"opening of the vagina. And so"},{"speaker":"Dr Ferrando","startTime":2260.02,"endTime":2263.62,"body":"you might not end up with hair"},{"speaker":"Dr Ferrando","startTime":2260.02,"endTime":2263.62,"body":"growth deep deep down inside if"},{"speaker":"Dr Ferrando","startTime":2263.62,"endTime":2267.13,"body":"we use the peritoneum, but you"},{"speaker":"Dr Ferrando","startTime":2263.62,"endTime":2267.13,"body":"still have hair growth in places"},{"speaker":"Dr Ferrando","startTime":2267.13,"endTime":2271.99,"body":"that most women don't want hair."},{"speaker":"Dr Ferrando","startTime":2267.13,"endTime":2271.99,"body":"And so I always say that some"},{"speaker":"Dr Ferrando","startTime":2271.99,"endTime":2275.86,"body":"hair removal, especially around"},{"speaker":"Dr Ferrando","startTime":2271.99,"endTime":2275.86,"body":"the scroll area is still"},{"speaker":"Dr Ferrando","startTime":2275.86,"endTime":2281.23,"body":"helpful. And so I don't choose"},{"speaker":"Dr Ferrando","startTime":2275.86,"endTime":2281.23,"body":"to have a personal version of"},{"speaker":"Dr Ferrando","startTime":2281.23,"endTime":2284.35,"body":"plus you just because you don't"},{"speaker":"Dr Ferrando","startTime":2281.23,"endTime":2284.35,"body":"need to you do hair removal and"},{"speaker":"Dr Ferrando","startTime":2284.35,"endTime":2287.62,"body":"skip that step. I do understand"},{"speaker":"Dr Ferrando","startTime":2284.35,"endTime":2287.62,"body":"that hair removal can be"},{"speaker":"Dr Ferrando","startTime":2287.62,"endTime":2290.86,"body":"financially like a financial"},{"speaker":"Dr Ferrando","startTime":2287.62,"endTime":2290.86,"body":"strain for some people. So I"},{"speaker":"Dr Ferrando","startTime":2290.86,"endTime":2294.22,"body":"don't want to be exclusive when"},{"speaker":"Dr Ferrando","startTime":2290.86,"endTime":2294.22,"body":"I say that, but just one of the"},{"speaker":"Dr Ferrando","startTime":2294.22,"endTime":2298.87,"body":"myths is that no hair removal"},{"speaker":"Dr Ferrando","startTime":2294.22,"endTime":2298.87,"body":"leads to similar outcomes."},{"speaker":"Dr Ferrando","startTime":2298.93,"endTime":2301.39,"body":"You'll still have hair in weird"},{"speaker":"Dr Ferrando","startTime":2298.93,"endTime":2301.39,"body":"places if you don't do some hair"},{"speaker":"Dr Ferrando","startTime":2301.39,"endTime":2302.89,"body":"removal. That"},{"speaker":"Vanessa","startTime":2302.89,"endTime":2305.38,"body":"actually answers a"},{"speaker":"Vanessa","startTime":2302.89,"endTime":2305.38,"body":"question that I had, because"},{"speaker":"Vanessa","startTime":2305.41,"endTime":2310.06,"body":"some transplants that I've"},{"speaker":"Vanessa","startTime":2305.41,"endTime":2310.06,"body":"talked to that are getting the"},{"speaker":"Vanessa","startTime":2310.06,"endTime":2312.25,"body":"procedure or have had the"},{"speaker":"Vanessa","startTime":2310.06,"endTime":2312.25,"body":"procedure said that they didn't"},{"speaker":"Vanessa","startTime":2312.25,"endTime":2317.86,"body":"have to do any hair removal. And"},{"speaker":"Vanessa","startTime":2312.25,"endTime":2317.86,"body":"now that explains why. But as"},{"speaker":"Vanessa","startTime":2317.89,"endTime":2322.27,"body":"the doctor said, there's some"},{"speaker":"Vanessa","startTime":2317.89,"endTime":2322.27,"body":"ways that you might not want"},{"speaker":"Vanessa","startTime":2322.27,"endTime":2323.62,"body":"here to be growing. So yeah,"},{"speaker":"Dr Ferrando","startTime":2324.55,"endTime":2327.01,"body":"I mean, I want to"},{"speaker":"Dr Ferrando","startTime":2324.55,"endTime":2327.01,"body":"commend I think I want to sort"},{"speaker":"Dr Ferrando","startTime":2327.01,"endTime":2333.16,"body":"of I want to say to the the it"},{"speaker":"Dr Ferrando","startTime":2327.01,"endTime":2333.16,"body":"is commendable. In one aspect."},{"speaker":"Dr Ferrando","startTime":2333.16,"endTime":2337.66,"body":"I've been a long term, longtime,"},{"speaker":"Dr Ferrando","startTime":2333.16,"endTime":2337.66,"body":"longtime advocate of trans"},{"speaker":"Dr Ferrando","startTime":2337.66,"endTime":2341.95,"body":"individuals. And so I want to"},{"speaker":"Dr Ferrando","startTime":2337.66,"endTime":2341.95,"body":"reduce barriers as much as"},{"speaker":"Dr Ferrando","startTime":2341.95,"endTime":2346.15,"body":"possible for patients. I don't"},{"speaker":"Dr Ferrando","startTime":2341.95,"endTime":2346.15,"body":"want it to be hard to come and"},{"speaker":"Dr Ferrando","startTime":2346.15,"endTime":2349.24,"body":"get surgery, I believe in"},{"speaker":"Dr Ferrando","startTime":2346.15,"endTime":2349.24,"body":"setting up like a process so"},{"speaker":"Dr Ferrando","startTime":2349.24,"endTime":2352.36,"body":"that your outcome is good, so"},{"speaker":"Dr Ferrando","startTime":2349.24,"endTime":2352.36,"body":"that you're thankful for the"},{"speaker":"Dr Ferrando","startTime":2352.36,"endTime":2355.09,"body":"process and you feel happy and"},{"speaker":"Dr Ferrando","startTime":2352.36,"endTime":2355.09,"body":"you can go live your best life,"},{"speaker":"Dr Ferrando","startTime":2355.09,"endTime":2358.27,"body":"right. But barriers are tough."},{"speaker":"Dr Ferrando","startTime":2355.09,"endTime":2358.27,"body":"And I think some of the surgeons"},{"speaker":"Dr Ferrando","startTime":2358.27,"endTime":2360.46,"body":"who are trying to get patients"},{"speaker":"Dr Ferrando","startTime":2358.27,"endTime":2360.46,"body":"to come and see you don't need"},{"speaker":"Dr Ferrando","startTime":2360.46,"endTime":2363.46,"body":"to have hair removal done. And"},{"speaker":"Dr Ferrando","startTime":2360.46,"endTime":2363.46,"body":"you can do it this way, are"},{"speaker":"Dr Ferrando","startTime":2363.46,"endTime":2366.31,"body":"trying to reduce barriers for"},{"speaker":"Dr Ferrando","startTime":2363.46,"endTime":2366.31,"body":"patients, which I do think is"},{"speaker":"Dr Ferrando","startTime":2366.31,"endTime":2371.08,"body":"commendable. In my experience,"},{"speaker":"Dr Ferrando","startTime":2366.31,"endTime":2371.08,"body":"I've just seen that if you skip"},{"speaker":"Dr Ferrando","startTime":2371.08,"endTime":2374.02,"body":"the hair removal process, even"},{"speaker":"Dr Ferrando","startTime":2371.08,"endTime":2374.02,"body":"if you do these other ways, you"},{"speaker":"Dr Ferrando","startTime":2374.02,"endTime":2378.7,"body":"still end up with some hair"},{"speaker":"Dr Ferrando","startTime":2374.02,"endTime":2378.7,"body":"regrowth at some point. And it's"},{"speaker":"Dr Ferrando","startTime":2379.45,"endTime":2382.39,"body":"you don't know how upset it will"},{"speaker":"Dr Ferrando","startTime":2379.45,"endTime":2382.39,"body":"make you until you're in that"},{"speaker":"Dr Ferrando","startTime":2382.39,"endTime":2386.11,"body":"situation. And I know a lot of"},{"speaker":"Dr Ferrando","startTime":2382.39,"endTime":2386.11,"body":"patients want to get there"},{"speaker":"Dr Ferrando","startTime":2386.11,"endTime":2388.72,"body":"because you've been living your"},{"speaker":"Dr Ferrando","startTime":2386.11,"endTime":2388.72,"body":"whole life as somebody different"},{"speaker":"Dr Ferrando","startTime":2388.72,"endTime":2391.51,"body":"or it's it's just been a"},{"speaker":"Dr Ferrando","startTime":2388.72,"endTime":2391.51,"body":"struggle. Again, I don't know"},{"speaker":"Dr Ferrando","startTime":2391.51,"endTime":2395.29,"body":"that struggle so I can"},{"speaker":"Dr Ferrando","startTime":2391.51,"endTime":2395.29,"body":"understand wanting to get to"},{"speaker":"Dr Ferrando","startTime":2395.29,"endTime":2398.83,"body":"this endpoint that you've been"},{"speaker":"Dr Ferrando","startTime":2395.29,"endTime":2398.83,"body":"picturing in your mind. But that"},{"speaker":"Dr Ferrando","startTime":2398.83,"endTime":2401.89,"body":"endpoint isn't as If you don't"},{"speaker":"Dr Ferrando","startTime":2398.83,"endTime":2401.89,"body":"end up with the results that you"},{"speaker":"Dr Ferrando","startTime":2401.89,"endTime":2405.04,"body":"really wanted, so I always, I"},{"speaker":"Dr Ferrando","startTime":2401.89,"endTime":2405.04,"body":"think those conversations are"},{"speaker":"Dr Ferrando","startTime":2405.04,"endTime":2408.07,"body":"really important. It's why I"},{"speaker":"Dr Ferrando","startTime":2405.04,"endTime":2408.07,"body":"spend a while talking to my"},{"speaker":"Dr Ferrando","startTime":2408.07,"endTime":2410.38,"body":"patients at the beginning,"},{"speaker":"Dr Ferrando","startTime":2408.07,"endTime":2410.38,"body":"before we even decide to do"},{"speaker":"Dr Ferrando","startTime":2410.38,"endTime":2410.89,"body":"surgery."},{"speaker":"Vanessa","startTime":2412.36,"endTime":2414.82,"body":"And for some personal"},{"speaker":"Vanessa","startTime":2412.36,"endTime":2414.82,"body":"advice from a trans woman to"},{"speaker":"Vanessa","startTime":2414.82,"endTime":2418.87,"body":"other trans friends, if hair"},{"speaker":"Vanessa","startTime":2414.82,"endTime":2418.87,"body":"removal is something that you're"},{"speaker":"Vanessa","startTime":2418.87,"endTime":2422.08,"body":"going to do, check your"},{"speaker":"Vanessa","startTime":2418.87,"endTime":2422.08,"body":"insurance policies very closely"},{"speaker":"Vanessa","startTime":2422.08,"endTime":2425.17,"body":"in contact, see if your"},{"speaker":"Vanessa","startTime":2422.08,"endTime":2425.17,"body":"insurance company has people"},{"speaker":"Vanessa","startTime":2425.17,"endTime":2430.06,"body":"that specialize in trans health"},{"speaker":"Vanessa","startTime":2425.17,"endTime":2430.06,"body":"care most companies do. Because"},{"speaker":"Vanessa","startTime":2430.09,"endTime":2434.14,"body":"a lot of them will actually"},{"speaker":"Vanessa","startTime":2430.09,"endTime":2434.14,"body":"cover hair removal if you get it"},{"speaker":"Vanessa","startTime":2434.14,"endTime":2438.07,"body":"done at certain places. I found"},{"speaker":"Vanessa","startTime":2434.14,"endTime":2438.07,"body":"out about that, right after my"},{"speaker":"Vanessa","startTime":2438.07,"endTime":2443.95,"body":"final session. And but also this"},{"speaker":"Vanessa","startTime":2438.07,"endTime":2443.95,"body":"crowd funding can also help."},{"speaker":"Vanessa","startTime":2443.95,"endTime":2447.43,"body":"That's how I that's how we pay"},{"speaker":"Vanessa","startTime":2443.95,"endTime":2447.43,"body":"for most of it. Here removal is"},{"speaker":"Vanessa","startTime":2447.43,"endTime":2451.27,"body":"not pleasant, but new, the after"},{"speaker":"Vanessa","startTime":2447.43,"endTime":2451.27,"body":"effects are, you know, it's it's"},{"speaker":"Vanessa","startTime":2451.27,"endTime":2455.23,"body":"definitely worth it. So, but as"},{"speaker":"Vanessa","startTime":2451.27,"endTime":2455.23,"body":"Dr. Fernando said, you know,"},{"speaker":"Vanessa","startTime":2455.23,"endTime":2458.35,"body":"there's definitely there's"},{"speaker":"Vanessa","startTime":2455.23,"endTime":2458.35,"body":"definitely a barrier to entry"},{"speaker":"Vanessa","startTime":2458.35,"endTime":2461.32,"body":"there, too, that's"},{"speaker":"Vanessa","startTime":2458.35,"endTime":2461.32,"body":"understandable. And"},{"speaker":"Dr Ferrando","startTime":2461.32,"endTime":2463.72,"body":"find find out from"},{"speaker":"Dr Ferrando","startTime":2461.32,"endTime":2463.72,"body":"your surgeon's office, what"},{"speaker":"Dr Ferrando","startTime":2463.75,"endTime":2467.2,"body":"what's the minimum hair removal"},{"speaker":"Dr Ferrando","startTime":2463.75,"endTime":2467.2,"body":"I need to do. I think there's"},{"speaker":"Dr Ferrando","startTime":2467.2,"endTime":2470.32,"body":"this misconception that it's"},{"speaker":"Dr Ferrando","startTime":2467.2,"endTime":2470.32,"body":"everything or it's all sometimes"},{"speaker":"Dr Ferrando","startTime":2470.32,"endTime":2473.95,"body":"like, I will like we some"},{"speaker":"Dr Ferrando","startTime":2470.32,"endTime":2473.95,"body":"surgeons will show pictures or"},{"speaker":"Dr Ferrando","startTime":2473.95,"endTime":2477.37,"body":"draw you a picture or even show"},{"speaker":"Dr Ferrando","startTime":2473.95,"endTime":2477.37,"body":"it on yourself and say like"},{"speaker":"Dr Ferrando","startTime":2477.37,"endTime":2480.61,"body":"bring this and you only need to"},{"speaker":"Dr Ferrando","startTime":2477.37,"endTime":2480.61,"body":"do this there is bare minimum"},{"speaker":"Dr Ferrando","startTime":2480.61,"endTime":2484.21,"body":"hair removal, some choose to"},{"speaker":"Dr Ferrando","startTime":2480.61,"endTime":2484.21,"body":"just get rid of it all because"},{"speaker":"Dr Ferrando","startTime":2484.21,"endTime":2488.14,"body":"that's the aesthetic you prefer"},{"speaker":"Dr Ferrando","startTime":2484.21,"endTime":2488.14,"body":"anyway, I always say, make your"},{"speaker":"Dr Ferrando","startTime":2488.14,"endTime":2490.66,"body":"life easy, do the bare minimum."},{"speaker":"Dr Ferrando","startTime":2488.14,"endTime":2490.66,"body":"And then if you want to do hair"},{"speaker":"Dr Ferrando","startTime":2490.66,"endTime":2494.35,"body":"removal on your vulva a year"},{"speaker":"Dr Ferrando","startTime":2490.66,"endTime":2494.35,"body":"after surgery, just to get the"},{"speaker":"Dr Ferrando","startTime":2494.44,"endTime":2498.55,"body":"look that you want, go ahead and"},{"speaker":"Dr Ferrando","startTime":2494.44,"endTime":2498.55,"body":"do that then. But you really"},{"speaker":"Dr Ferrando","startTime":2498.55,"endTime":2500.98,"body":"don't need to remove all the"},{"speaker":"Dr Ferrando","startTime":2498.55,"endTime":2500.98,"body":"hair, you just need to remove it"},{"speaker":"Dr Ferrando","startTime":2500.98,"endTime":2505.06,"body":"in certain areas that we need to"},{"speaker":"Dr Ferrando","startTime":2500.98,"endTime":2505.06,"body":"have, you know, to not have hair"},{"speaker":"Dr Ferrando","startTime":2505.09,"endTime":2508.21,"body":"regrow in the future, and it's"},{"speaker":"Dr Ferrando","startTime":2505.09,"endTime":2508.21,"body":"not, you know, the entire"},{"speaker":"Dr Ferrando","startTime":2508.21,"endTime":2512.65,"body":"scrotum, the entire penile shaft"},{"speaker":"Dr Ferrando","startTime":2508.21,"endTime":2512.65,"body":"of the groin, that's a lot. So"},{"speaker":"Dr Ferrando","startTime":2513.01,"endTime":2517.18,"body":"if you are sort of on a budget"},{"speaker":"Dr Ferrando","startTime":2513.01,"endTime":2517.18,"body":"or a timeline, specifically ask"},{"speaker":"Dr Ferrando","startTime":2517.18,"endTime":2520.69,"body":"what you need to have removed."},{"speaker":"Dr Ferrando","startTime":2517.18,"endTime":2520.69,"body":"And again, good doctors offices"},{"speaker":"Dr Ferrando","startTime":2520.69,"endTime":2522.01,"body":"will tell you exactly what you"},{"speaker":"Dr Ferrando","startTime":2520.69,"endTime":2522.01,"body":"need."},{"speaker":"Vanessa","startTime":2523.0,"endTime":2525.76,"body":"That is amazing advice"},{"speaker":"Vanessa","startTime":2523.0,"endTime":2525.76,"body":"too, especially like with the"},{"speaker":"Vanessa","startTime":2525.76,"endTime":2529.42,"body":"drawing or showing people on"},{"speaker":"Vanessa","startTime":2525.76,"endTime":2529.42,"body":"their own body, what needs to be"},{"speaker":"Vanessa","startTime":2529.42,"endTime":2534.76,"body":"done. Because there's, there's a"},{"speaker":"Vanessa","startTime":2529.42,"endTime":2534.76,"body":"lot of hair down there and a lot"},{"speaker":"Vanessa","startTime":2534.76,"endTime":2537.52,"body":"more than you think. And you"},{"speaker":"Vanessa","startTime":2534.76,"endTime":2537.52,"body":"really realize it when"},{"speaker":"Vanessa","startTime":2537.52,"endTime":2539.44,"body":"especially for getting"},{"speaker":"Vanessa","startTime":2537.52,"endTime":2539.44,"body":"electrolysis and you really"},{"speaker":"Vanessa","startTime":2539.47,"endTime":2544.21,"body":"realize how much there is a"},{"speaker":"Vanessa","startTime":2539.47,"endTime":2544.21,"body":"quick shift gear because I don't"},{"speaker":"Vanessa","startTime":2544.21,"endTime":2549.13,"body":"want to take up too much more"},{"speaker":"Vanessa","startTime":2544.21,"endTime":2549.13,"body":"your time. But a lot of people"},{"speaker":"Vanessa","startTime":2549.13,"endTime":2553.54,"body":"don't consider that an entire"},{"speaker":"Vanessa","startTime":2549.13,"endTime":2553.54,"body":"team is involved in these"},{"speaker":"Vanessa","startTime":2553.54,"endTime":2558.22,"body":"surgeries. How do you find"},{"speaker":"Vanessa","startTime":2553.54,"endTime":2558.22,"body":"teammates that you can trust?"},{"speaker":"Dr Ferrando","startTime":2559.06,"endTime":2560.86,"body":"I'm so glad you"},{"speaker":"Dr Ferrando","startTime":2559.06,"endTime":2560.86,"body":"brought that up. Because that is"},{"speaker":"Dr Ferrando","startTime":2560.86,"endTime":2566.14,"body":"so important. I have been"},{"speaker":"Dr Ferrando","startTime":2560.86,"endTime":2566.14,"body":"nothing without my team. I just"},{"speaker":"Dr Ferrando","startTime":2566.17,"endTime":2569.5,"body":"was I moved right. So I don't"},{"speaker":"Dr Ferrando","startTime":2566.17,"endTime":2569.5,"body":"have my same team anymore. In"},{"speaker":"Dr Ferrando","startTime":2569.5,"endTime":2572.74,"body":"fact, I'm building my team. And"},{"speaker":"Dr Ferrando","startTime":2569.5,"endTime":2572.74,"body":"I'm pretty much a you know,"},{"speaker":"Dr Ferrando","startTime":2572.77,"endTime":2575.5,"body":"working solo, I'm sort of going"},{"speaker":"Dr Ferrando","startTime":2572.77,"endTime":2575.5,"body":"back to how it was when I was"},{"speaker":"Dr Ferrando","startTime":2575.5,"endTime":2580.6,"body":"first in Cleveland looking for a"},{"speaker":"Dr Ferrando","startTime":2575.5,"endTime":2580.6,"body":"team. So I was talking to my"},{"speaker":"Dr Ferrando","startTime":2580.6,"endTime":2586.06,"body":"teammate, Natalie, if there any"},{"speaker":"Dr Ferrando","startTime":2580.6,"endTime":2586.06,"body":"individuals who listen to this"},{"speaker":"Dr Ferrando","startTime":2586.06,"endTime":2589.72,"body":"who have been in my practice,"},{"speaker":"Dr Ferrando","startTime":2586.06,"endTime":2589.72,"body":"you'll know you'll obviously"},{"speaker":"Dr Ferrando","startTime":2589.72,"endTime":2595.42,"body":"recognize her name. But you need"},{"speaker":"Dr Ferrando","startTime":2589.72,"endTime":2595.42,"body":"a team right being I think the"},{"speaker":"Dr Ferrando","startTime":2595.42,"endTime":2598.6,"body":"best surgeons also have people"},{"speaker":"Dr Ferrando","startTime":2595.42,"endTime":2598.6,"body":"who health care, do all the care"},{"speaker":"Dr Ferrando","startTime":2598.6,"endTime":2601.48,"body":"because a lot of us are really"},{"speaker":"Dr Ferrando","startTime":2598.6,"endTime":2601.48,"body":"busy. There's a lot of patients"},{"speaker":"Dr Ferrando","startTime":2601.48,"endTime":2604.15,"body":"to take care of. And so if you"},{"speaker":"Dr Ferrando","startTime":2601.48,"endTime":2604.15,"body":"come up with a team, and"},{"speaker":"Dr Ferrando","startTime":2604.15,"endTime":2607.0,"body":"everybody has a job, and we all"},{"speaker":"Dr Ferrando","startTime":2604.15,"endTime":2607.0,"body":"work together, and we're all"},{"speaker":"Dr Ferrando","startTime":2607.0,"endTime":2610.18,"body":"sort of like it feels like the"},{"speaker":"Dr Ferrando","startTime":2607.0,"endTime":2610.18,"body":"patient, patients get a lot of"},{"speaker":"Dr Ferrando","startTime":2610.18,"endTime":2613.63,"body":"attention, but then they feel"},{"speaker":"Dr Ferrando","startTime":2610.18,"endTime":2613.63,"body":"like they're being well cared"},{"speaker":"Dr Ferrando","startTime":2613.63,"endTime":2617.56,"body":"for and that there's like one"},{"speaker":"Dr Ferrando","startTime":2613.63,"endTime":2617.56,"body":"still one person responsible for"},{"speaker":"Dr Ferrando","startTime":2617.56,"endTime":2621.7,"body":"their care. But yet there's all"},{"speaker":"Dr Ferrando","startTime":2617.56,"endTime":2621.7,"body":"these touch points. So So for"},{"speaker":"Dr Ferrando","startTime":2621.7,"endTime":2624.1,"body":"me, what was always important"},{"speaker":"Dr Ferrando","startTime":2621.7,"endTime":2624.1,"body":"was that I had a good person who"},{"speaker":"Dr Ferrando","startTime":2624.1,"endTime":2628.21,"body":"was the frontline person who got"},{"speaker":"Dr Ferrando","startTime":2624.1,"endTime":2628.21,"body":"you into the practice. And who"},{"speaker":"Dr Ferrando","startTime":2628.21,"endTime":2630.55,"body":"made sure that you had"},{"speaker":"Dr Ferrando","startTime":2628.21,"endTime":2630.55,"body":"everything administratively that"},{"speaker":"Dr Ferrando","startTime":2630.55,"endTime":2634.36,"body":"you needed your insurance"},{"speaker":"Dr Ferrando","startTime":2630.55,"endTime":2634.36,"body":"preauth your plan for traveling,"},{"speaker":"Dr Ferrando","startTime":2634.36,"endTime":2637.66,"body":"you're the entire post, post"},{"speaker":"Dr Ferrando","startTime":2634.36,"endTime":2637.66,"body":"operative stay all of that"},{"speaker":"Dr Ferrando","startTime":2637.66,"endTime":2640.93,"body":"stuff. And then somebody"},{"speaker":"Dr Ferrando","startTime":2637.66,"endTime":2640.93,"body":"clinical who really sort of can"},{"speaker":"Dr Ferrando","startTime":2640.93,"endTime":2643.9,"body":"help you with the phone calls."},{"speaker":"Dr Ferrando","startTime":2640.93,"endTime":2643.9,"body":"helped me see patients after"},{"speaker":"Dr Ferrando","startTime":2643.9,"endTime":2649.99,"body":"surgery. As you know, Rach, my"},{"speaker":"Dr Ferrando","startTime":2643.9,"endTime":2649.99,"body":"right hand, you know, Assistant,"},{"speaker":"Dr Ferrando","startTime":2649.99,"endTime":2654.55,"body":"Natalie does all of the post"},{"speaker":"Dr Ferrando","startTime":2649.99,"endTime":2654.55,"body":"operative care. She spent a lot"},{"speaker":"Dr Ferrando","startTime":2654.55,"endTime":2657.79,"body":"of time working with me to learn"},{"speaker":"Dr Ferrando","startTime":2654.55,"endTime":2657.79,"body":"all of that. So, you know, you"},{"speaker":"Dr Ferrando","startTime":2657.79,"endTime":2661.75,"body":"basically you post physicians,"},{"speaker":"Dr Ferrando","startTime":2657.79,"endTime":2661.75,"body":"you interview your heart on"},{"speaker":"Dr Ferrando","startTime":2661.75,"endTime":2664.18,"body":"people and so you get the people"},{"speaker":"Dr Ferrando","startTime":2661.75,"endTime":2664.18,"body":"that you want you look for"},{"speaker":"Dr Ferrando","startTime":2664.18,"endTime":2668.17,"body":"somebody with a good heart open"},{"speaker":"Dr Ferrando","startTime":2664.18,"endTime":2668.17,"body":"minded. I will tell you, you"},{"speaker":"Dr Ferrando","startTime":2668.17,"endTime":2671.02,"body":"know, again, I keep referring to"},{"speaker":"Dr Ferrando","startTime":2668.17,"endTime":2671.02,"body":"Natalie, she's a nurse"},{"speaker":"Dr Ferrando","startTime":2671.02,"endTime":2676.54,"body":"practitioner. When I hired her"},{"speaker":"Dr Ferrando","startTime":2671.02,"endTime":2676.54,"body":"in 2018. She had zero experience"},{"speaker":"Dr Ferrando","startTime":2676.54,"endTime":2680.98,"body":"taking care of any surgical"},{"speaker":"Dr Ferrando","startTime":2676.54,"endTime":2680.98,"body":"patients, zero experience being"},{"speaker":"Dr Ferrando","startTime":2680.98,"endTime":2686.32,"body":"around gender diverse people."},{"speaker":"Dr Ferrando","startTime":2680.98,"endTime":2686.32,"body":"But she had a good heart and"},{"speaker":"Dr Ferrando","startTime":2686.32,"endTime":2688.45,"body":"said to herself, I'd like to do"},{"speaker":"Dr Ferrando","startTime":2686.32,"endTime":2688.45,"body":"something different and"},{"speaker":"Dr Ferrando","startTime":2688.72,"endTime":2691.36,"body":"understand gender identity a"},{"speaker":"Dr Ferrando","startTime":2688.72,"endTime":2691.36,"body":"little bit different and just"},{"speaker":"Dr Ferrando","startTime":2691.36,"endTime":2694.78,"body":"immerse myself into it. So it's"},{"speaker":"Dr Ferrando","startTime":2691.36,"endTime":2694.78,"body":"asking the right questions and"},{"speaker":"Dr Ferrando","startTime":2694.78,"endTime":2699.04,"body":"then also spending the time with"},{"speaker":"Dr Ferrando","startTime":2694.78,"endTime":2699.04,"body":"them training right? Being"},{"speaker":"Dr Ferrando","startTime":2699.04,"endTime":2703.72,"body":"really hands on So you don't"},{"speaker":"Dr Ferrando","startTime":2699.04,"endTime":2703.72,"body":"need to be anymore. So I truly"},{"speaker":"Dr Ferrando","startTime":2703.72,"endTime":2706.51,"body":"believe that surgical practices,"},{"speaker":"Dr Ferrando","startTime":2703.72,"endTime":2706.51,"body":"especially for gender affirming"},{"speaker":"Dr Ferrando","startTime":2706.51,"endTime":2713.05,"body":"care are not, you know, as good"},{"speaker":"Dr Ferrando","startTime":2706.51,"endTime":2713.05,"body":"as they possibly could be unless"},{"speaker":"Dr Ferrando","startTime":2713.05,"endTime":2717.43,"body":"they have a full team that gets"},{"speaker":"Dr Ferrando","startTime":2713.05,"endTime":2717.43,"body":"it. And then, regularly asking"},{"speaker":"Dr Ferrando","startTime":2717.43,"endTime":2719.98,"body":"patients for feedback. So at the"},{"speaker":"Dr Ferrando","startTime":2717.43,"endTime":2719.98,"body":"beginning, I used to ask them,"},{"speaker":"Dr Ferrando","startTime":2719.98,"endTime":2724.24,"body":"was your experience good? Did"},{"speaker":"Dr Ferrando","startTime":2719.98,"endTime":2724.24,"body":"you feel safe? Did you feel like"},{"speaker":"Dr Ferrando","startTime":2724.24,"endTime":2727.57,"body":"you could bring up complaints,"},{"speaker":"Dr Ferrando","startTime":2724.24,"endTime":2727.57,"body":"right? The system's not always"},{"speaker":"Dr Ferrando","startTime":2727.57,"endTime":2731.17,"body":"perfect. We don't always"},{"speaker":"Dr Ferrando","startTime":2727.57,"endTime":2731.17,"body":"completely understand if a"},{"speaker":"Dr Ferrando","startTime":2731.17,"endTime":2736.54,"body":"patient you know, has has a, you"},{"speaker":"Dr Ferrando","startTime":2731.17,"endTime":2736.54,"body":"know, a complaint or a problem."},{"speaker":"Dr Ferrando","startTime":2736.57,"endTime":2740.23,"body":"There's obviously Miss"},{"speaker":"Dr Ferrando","startTime":2736.57,"endTime":2740.23,"body":"miscommunication sometimes. But"},{"speaker":"Dr Ferrando","startTime":2740.23,"endTime":2744.58,"body":"I think in general, we do a"},{"speaker":"Dr Ferrando","startTime":2740.23,"endTime":2744.58,"body":"really good job. And it's about,"},{"speaker":"Dr Ferrando","startTime":2744.61,"endTime":2747.61,"body":"you know, me steering the ship,"},{"speaker":"Dr Ferrando","startTime":2744.61,"endTime":2747.61,"body":"but making sure that everybody"},{"speaker":"Dr Ferrando","startTime":2747.61,"endTime":2751.09,"body":"who's on it is on board with me,"},{"speaker":"Dr Ferrando","startTime":2747.61,"endTime":2751.09,"body":"and that we're all, you know,"},{"speaker":"Dr Ferrando","startTime":2751.51,"endTime":2755.56,"body":"paddling in the in the same"},{"speaker":"Dr Ferrando","startTime":2751.51,"endTime":2755.56,"body":"direction, right? I guess that"},{"speaker":"Dr Ferrando","startTime":2755.56,"endTime":2759.16,"body":"wouldn't be a ship, it would be"},{"speaker":"Dr Ferrando","startTime":2755.56,"endTime":2759.16,"body":"more like a kayak. But making"},{"speaker":"Dr Ferrando","startTime":2759.16,"endTime":2762.16,"body":"sure that we're all on the"},{"speaker":"Dr Ferrando","startTime":2759.16,"endTime":2762.16,"body":"kayak, that we have our life"},{"speaker":"Dr Ferrando","startTime":2762.16,"endTime":2764.77,"body":"vests on that we make sure the"},{"speaker":"Dr Ferrando","startTime":2762.16,"endTime":2764.77,"body":"patient puts, you know, her life"},{"speaker":"Dr Ferrando","startTime":2764.77,"endTime":2767.02,"body":"vests on, and that we all paddle"},{"speaker":"Dr Ferrando","startTime":2764.77,"endTime":2767.02,"body":"in the same direction. We don't"},{"speaker":"Dr Ferrando","startTime":2767.02,"endTime":2768.13,"body":"make the patient paddle though."},{"speaker":"Vanessa","startTime":2769.57,"endTime":2770.74,"body":"I was glad that I"},{"speaker":"Vanessa","startTime":2769.57,"endTime":2770.74,"body":"didn't have"},{"speaker":"Dr Ferrando","startTime":2772.21,"endTime":2774.13,"body":"I think I've"},{"speaker":"Dr Ferrando","startTime":2772.21,"endTime":2774.13,"body":"exhausted that metaphor, but I"},{"speaker":"Dr Ferrando","startTime":2774.13,"endTime":2776.74,"body":"hope that sort of gets like the"},{"speaker":"Dr Ferrando","startTime":2774.13,"endTime":2776.74,"body":"answers like the question,"},{"speaker":"Dr Ferrando","startTime":2776.74,"endTime":2779.92,"body":"right? Like, we have to remember"},{"speaker":"Dr Ferrando","startTime":2776.74,"endTime":2779.92,"body":"that we're all on the same team."},{"speaker":"Dr Ferrando","startTime":2779.92,"endTime":2782.5,"body":"And we all just want to help,"},{"speaker":"Dr Ferrando","startTime":2779.92,"endTime":2782.5,"body":"you know, the people that were"},{"speaker":"Dr Ferrando","startTime":2782.5,"endTime":2783.28,"body":"taken care of."},{"speaker":"Vanessa","startTime":2784.51,"endTime":2786.91,"body":"Yeah, I mean, for my"},{"speaker":"Vanessa","startTime":2784.51,"endTime":2786.91,"body":"experience, the communication"},{"speaker":"Vanessa","startTime":2786.91,"endTime":2789.79,"body":"throughout the entire process"},{"speaker":"Vanessa","startTime":2786.91,"endTime":2789.79,"body":"was amazing. Natalie, I've seen"},{"speaker":"Vanessa","startTime":2789.79,"endTime":2794.53,"body":"her dozens of times since the"},{"speaker":"Vanessa","startTime":2789.79,"endTime":2794.53,"body":"procedure. She's very calm, very"},{"speaker":"Vanessa","startTime":2794.53,"endTime":2800.35,"body":"patient with questions. And, you"},{"speaker":"Vanessa","startTime":2794.53,"endTime":2800.35,"body":"know, like a typical patient,"},{"speaker":"Vanessa","startTime":2800.38,"endTime":2803.14,"body":"I'll have freakouts here and"},{"speaker":"Vanessa","startTime":2800.38,"endTime":2803.14,"body":"there and she's scheduled me"},{"speaker":"Vanessa","startTime":2803.14,"endTime":2807.01,"body":"into make sure everything's"},{"speaker":"Vanessa","startTime":2803.14,"endTime":2807.01,"body":"okay. And but just like the"},{"speaker":"Vanessa","startTime":2807.01,"endTime":2809.86,"body":"entire staff also, like being"},{"speaker":"Vanessa","startTime":2807.01,"endTime":2809.86,"body":"brought into the operating room,"},{"speaker":"Vanessa","startTime":2809.89,"endTime":2812.89,"body":"like everybody introduced"},{"speaker":"Vanessa","startTime":2809.89,"endTime":2812.89,"body":"themselves. Most of them, I"},{"speaker":"Vanessa","startTime":2812.89,"endTime":2816.19,"body":"admit, already, they had taken"},{"speaker":"Vanessa","startTime":2812.89,"endTime":2816.19,"body":"the time during the pre"},{"speaker":"Vanessa","startTime":2816.49,"endTime":2822.04,"body":"appointments to come and meet"},{"speaker":"Vanessa","startTime":2816.49,"endTime":2822.04,"body":"me. And then you get put up onto"},{"speaker":"Vanessa","startTime":2822.04,"endTime":2827.89,"body":"the surgical Gurney or whatever"},{"speaker":"Vanessa","startTime":2822.04,"endTime":2827.89,"body":"the surgical table. So you can"},{"speaker":"Vanessa","startTime":2827.89,"endTime":2831.91,"body":"tell I'm I'm a layperson. And"},{"speaker":"Vanessa","startTime":2827.89,"endTime":2831.91,"body":"just you could see the"},{"speaker":"Vanessa","startTime":2831.91,"endTime":2838.6,"body":"camaraderie there. People don't"},{"speaker":"Vanessa","startTime":2831.91,"endTime":2838.6,"body":"trust each other. And when they,"},{"speaker":"Vanessa","startTime":2838.96,"endTime":2842.98,"body":"when they're injecting the, to"},{"speaker":"Vanessa","startTime":2838.96,"endTime":2842.98,"body":"put you to sleep, it's nice to"},{"speaker":"Vanessa","startTime":2842.98,"endTime":2845.92,"body":"know that the people that are"},{"speaker":"Vanessa","startTime":2842.98,"endTime":2845.92,"body":"working on You don't hate each"},{"speaker":"Vanessa","startTime":2845.92,"endTime":2847.54,"body":"other. So yeah,"},{"speaker":"Dr Ferrando","startTime":2847.87,"endTime":2849.76,"body":"you're making me"},{"speaker":"Dr Ferrando","startTime":2847.87,"endTime":2849.76,"body":"miss my team a lot. You know,"},{"speaker":"Dr Ferrando","startTime":2849.76,"endTime":2852.13,"body":"I've only been on San Diego for"},{"speaker":"Dr Ferrando","startTime":2849.76,"endTime":2852.13,"body":"a little bit. So now I'm feeling"},{"speaker":"Dr Ferrando","startTime":2852.13,"endTime":2855.1,"body":"a little nostalgia, because it's"},{"speaker":"Dr Ferrando","startTime":2852.13,"endTime":2855.1,"body":"a team that I worked with for"},{"speaker":"Dr Ferrando","startTime":2855.1,"endTime":2857.92,"body":"almost 10 years. And so, but"},{"speaker":"Dr Ferrando","startTime":2855.1,"endTime":2857.92,"body":"everybody believed in my"},{"speaker":"Dr Ferrando","startTime":2857.92,"endTime":2862.09,"body":"mission. And I think that that"},{"speaker":"Dr Ferrando","startTime":2857.92,"endTime":2862.09,"body":"was really important and took a"},{"speaker":"Dr Ferrando","startTime":2862.09,"endTime":2865.09,"body":"lot of education. And you know,"},{"speaker":"Dr Ferrando","startTime":2862.09,"endTime":2865.09,"body":"when I first started doing"},{"speaker":"Dr Ferrando","startTime":2865.09,"endTime":2868.3,"body":"surgery, I had to explain to"},{"speaker":"Dr Ferrando","startTime":2865.09,"endTime":2868.3,"body":"them and talk to them and"},{"speaker":"Dr Ferrando","startTime":2868.3,"endTime":2871.51,"body":"normalize it right. So it wasn't"},{"speaker":"Dr Ferrando","startTime":2868.3,"endTime":2871.51,"body":"smooth sailing at the very"},{"speaker":"Dr Ferrando","startTime":2871.51,"endTime":2874.66,"body":"beginning. But I have always"},{"speaker":"Dr Ferrando","startTime":2871.51,"endTime":2874.66,"body":"been surrounded by really,"},{"speaker":"Dr Ferrando","startTime":2874.66,"endTime":2879.67,"body":"really kind people. And so as"},{"speaker":"Dr Ferrando","startTime":2874.66,"endTime":2879.67,"body":"long as people are kind hearted,"},{"speaker":"Dr Ferrando","startTime":2879.7,"endTime":2883.57,"body":"you can teach them anything. And"},{"speaker":"Dr Ferrando","startTime":2879.7,"endTime":2883.57,"body":"that's the important thing to so"},{"speaker":"Dr Ferrando","startTime":2883.57,"endTime":2886.15,"body":"having, you know, I have a"},{"speaker":"Dr Ferrando","startTime":2883.57,"endTime":2886.15,"body":"radar, right, I like sort of"},{"speaker":"Dr Ferrando","startTime":2886.15,"endTime":2891.79,"body":"like look for it. And I want my"},{"speaker":"Dr Ferrando","startTime":2886.15,"endTime":2891.79,"body":"patients to feel safe. Nobody"},{"speaker":"Dr Ferrando","startTime":2891.79,"endTime":2894.97,"body":"wants to go to sleep, unsure of"},{"speaker":"Dr Ferrando","startTime":2891.79,"endTime":2894.97,"body":"the people around them, right?"},{"speaker":"Dr Ferrando","startTime":2895.0,"endTime":2898.03,"body":"Like, like I said at the"},{"speaker":"Dr Ferrando","startTime":2895.0,"endTime":2898.03,"body":"beginning, it's a massive"},{"speaker":"Dr Ferrando","startTime":2898.03,"endTime":2903.1,"body":"privilege to be chosen to do the"},{"speaker":"Dr Ferrando","startTime":2898.03,"endTime":2903.1,"body":"surgery. And you don't want"},{"speaker":"Dr Ferrando","startTime":2903.1,"endTime":2906.37,"body":"anybody going to sleep under"},{"speaker":"Dr Ferrando","startTime":2903.1,"endTime":2906.37,"body":"your care, feeling unsure of"},{"speaker":"Dr Ferrando","startTime":2906.37,"endTime":2908.89,"body":"like, what's going to happen to"},{"speaker":"Dr Ferrando","startTime":2906.37,"endTime":2908.89,"body":"them while they're while they're"},{"speaker":"Dr Ferrando","startTime":2908.89,"endTime":2912.01,"body":"in that very vulnerable"},{"speaker":"Dr Ferrando","startTime":2908.89,"endTime":2912.01,"body":"position. Right? You're naked,"},{"speaker":"Dr Ferrando","startTime":2912.49,"endTime":2916.06,"body":"right? You're having a very"},{"speaker":"Dr Ferrando","startTime":2912.49,"endTime":2916.06,"body":"intimate procedure done. You are"},{"speaker":"Dr Ferrando","startTime":2916.06,"endTime":2918.67,"body":"told who's going to be in the"},{"speaker":"Dr Ferrando","startTime":2916.06,"endTime":2918.67,"body":"surgery room right in the"},{"speaker":"Dr Ferrando","startTime":2918.7,"endTime":2921.58,"body":"operating room. But how do you"},{"speaker":"Dr Ferrando","startTime":2918.7,"endTime":2921.58,"body":"know for sure you're going to be"},{"speaker":"Dr Ferrando","startTime":2921.58,"endTime":2927.76,"body":"asleep. So it's, it's, it's"},{"speaker":"Dr Ferrando","startTime":2921.58,"endTime":2927.76,"body":"pretty delicate. So I'm really"},{"speaker":"Dr Ferrando","startTime":2927.76,"endTime":2932.14,"body":"proud of everything that we set"},{"speaker":"Dr Ferrando","startTime":2927.76,"endTime":2932.14,"body":"up and got done at a Cleveland"},{"speaker":"Dr Ferrando","startTime":2932.14,"endTime":2932.68,"body":"Clinic."},{"speaker":"Vanessa","startTime":2933.43,"endTime":2935.5,"body":"I'm sure you're going"},{"speaker":"Vanessa","startTime":2933.43,"endTime":2935.5,"body":"to be building an amazing team"},{"speaker":"Vanessa","startTime":2935.56,"endTime":2939.28,"body":"in San Diego as well. So I'm,"},{"speaker":"Vanessa","startTime":2935.56,"endTime":2939.28,"body":"yeah,"},{"speaker":"Dr Ferrando","startTime":2939.43,"endTime":2941.32,"body":"I'm joining a good"},{"speaker":"Dr Ferrando","startTime":2939.43,"endTime":2941.32,"body":"team that's already there. I'm"},{"speaker":"Dr Ferrando","startTime":2941.32,"endTime":2944.86,"body":"just going to enhance an"},{"speaker":"Dr Ferrando","startTime":2941.32,"endTime":2944.86,"body":"enhancement. But yes, it's going"},{"speaker":"Dr Ferrando","startTime":2944.86,"endTime":2947.44,"body":"to be fun setting up my practice"},{"speaker":"Dr Ferrando","startTime":2944.86,"endTime":2947.44,"body":"here and seeing patients and"},{"speaker":"Dr Ferrando","startTime":2947.44,"endTime":2949.99,"body":"then it'll be interesting to see"},{"speaker":"Dr Ferrando","startTime":2947.44,"endTime":2949.99,"body":"who shows up."},{"speaker":"Vanessa","startTime":2950.74,"endTime":2952.48,"body":"Are you already"},{"speaker":"Vanessa","startTime":2950.74,"endTime":2952.48,"body":"practicing or?"},{"speaker":"Dr Ferrando","startTime":2952.87,"endTime":2954.58,"body":"Yeah, so I've"},{"speaker":"Dr Ferrando","startTime":2952.87,"endTime":2954.58,"body":"started my practice. I've been"},{"speaker":"Dr Ferrando","startTime":2954.58,"endTime":2958.15,"body":"doing mostly care for sis women"},{"speaker":"Dr Ferrando","startTime":2954.58,"endTime":2958.15,"body":"right now. But um, I'd be happy"},{"speaker":"Dr Ferrando","startTime":2958.15,"endTime":2961.96,"body":"to see patients and bring them"},{"speaker":"Dr Ferrando","startTime":2958.15,"endTime":2961.96,"body":"in for gender affirming care. So"},{"speaker":"Dr Ferrando","startTime":2963.13,"endTime":2966.34,"body":"you know, it's easy to find me i"},{"speaker":"Dr Ferrando","startTime":2963.13,"endTime":2966.34,"body":"You just you know, put in my"},{"speaker":"Dr Ferrando","startTime":2966.34,"endTime":2969.43,"body":"name and you'll find me under"},{"speaker":"Dr Ferrando","startTime":2966.34,"endTime":2969.43,"body":"the UCSD health I have my own"},{"speaker":"Dr Ferrando","startTime":2969.43,"endTime":2972.67,"body":"bio and my office number is"},{"speaker":"Dr Ferrando","startTime":2969.43,"endTime":2972.67,"body":"there so it's not difficult to"},{"speaker":"Dr Ferrando","startTime":2972.67,"endTime":2976.6,"body":"find me I'm still on the"},{"speaker":"Dr Ferrando","startTime":2972.67,"endTime":2976.6,"body":"Twitter. Although I don't post"},{"speaker":"Dr Ferrando","startTime":2976.6,"endTime":2979.03,"body":"as much anymore. I used to"},{"speaker":"Dr Ferrando","startTime":2976.6,"endTime":2979.03,"body":"disseminate a lot of patient"},{"speaker":"Dr Ferrando","startTime":2979.03,"endTime":2984.31,"body":"information there but it feels a"},{"speaker":"Dr Ferrando","startTime":2979.03,"endTime":2984.31,"body":"little it's different now."},{"speaker":"Vanessa","startTime":2984.37,"endTime":2987.46,"body":"So threads is a really"},{"speaker":"Vanessa","startTime":2984.37,"endTime":2987.46,"body":"good place threads is the queer"},{"speaker":"Vanessa","startTime":2987.46,"endTime":2991.36,"body":"paradise anymore. If you're if"},{"speaker":"Vanessa","startTime":2987.46,"endTime":2991.36,"body":"you're not familiar with it,"},{"speaker":"Vanessa","startTime":2991.36,"endTime":2997.15,"body":"that's it's a good place to for"},{"speaker":"Vanessa","startTime":2991.36,"endTime":2997.15,"body":"that but yeah, it's I'll have a"},{"speaker":"Vanessa","startTime":2997.87,"endTime":3001.26,"body":"link to for people to find you"},{"speaker":"Vanessa","startTime":2997.87,"endTime":3001.26,"body":"out. Um, in the description this"},{"speaker":"Vanessa","startTime":3001.26,"endTime":3008.28,"body":"as well. I'll close out with one"},{"speaker":"Vanessa","startTime":3001.26,"endTime":3008.28,"body":"question, what's the funniest"},{"speaker":"Vanessa","startTime":3008.28,"endTime":3011.01,"body":"experience you've had as a"},{"speaker":"Vanessa","startTime":3008.28,"endTime":3011.01,"body":"surgeon"},{"speaker":"Dr Ferrando","startTime":3015.299,"endTime":3017.219,"body":"some of the"},{"speaker":"Dr Ferrando","startTime":3015.299,"endTime":3017.219,"body":"funniest experiences I've ever"},{"speaker":"Dr Ferrando","startTime":3017.219,"endTime":3020.339,"body":"had are like patients leaving me"},{"speaker":"Dr Ferrando","startTime":3017.219,"endTime":3020.339,"body":"post it notes on their like"},{"speaker":"Dr Ferrando","startTime":3020.339,"endTime":3023.819,"body":"lower abdomen when I like take"},{"speaker":"Dr Ferrando","startTime":3020.339,"endTime":3023.819,"body":"their gown off and to get them"},{"speaker":"Dr Ferrando","startTime":3023.819,"endTime":3025.949,"body":"ready for the surgery, you know,"},{"speaker":"Dr Ferrando","startTime":3023.819,"endTime":3025.949,"body":"there'll be asleep and we"},{"speaker":"Dr Ferrando","startTime":3026.309,"endTime":3029.429,"body":"position a patient and then I'll"},{"speaker":"Dr Ferrando","startTime":3026.309,"endTime":3029.429,"body":"like take you know, because I"},{"speaker":"Dr Ferrando","startTime":3029.429,"endTime":3032.249,"body":"tried to keep patients covered"},{"speaker":"Dr Ferrando","startTime":3029.429,"endTime":3032.249,"body":"until the very very end I mean,"},{"speaker":"Dr Ferrando","startTime":3032.249,"endTime":3035.339,"body":"you obviously we need to uncover"},{"speaker":"Dr Ferrando","startTime":3032.249,"endTime":3035.339,"body":"you to do the surgery but I"},{"speaker":"Dr Ferrando","startTime":3035.339,"endTime":3038.189,"body":"don't do it until it's"},{"speaker":"Dr Ferrando","startTime":3035.339,"endTime":3038.189,"body":"appropriate and then when I do"},{"speaker":"Dr Ferrando","startTime":3038.219,"endTime":3042.899,"body":"some patients so you know they"},{"speaker":"Dr Ferrando","startTime":3038.219,"endTime":3042.899,"body":"just leave me I had one patient"},{"speaker":"Dr Ferrando","startTime":3042.899,"endTime":3048.689,"body":"leave me a funny posted about"},{"speaker":"Dr Ferrando","startTime":3042.899,"endTime":3048.689,"body":"her warranty right like on there"},{"speaker":"Dr Ferrando","startTime":3048.689,"endTime":3051.509,"body":"any like a little post it right"},{"speaker":"Dr Ferrando","startTime":3048.689,"endTime":3051.509,"body":"on the lower abdomen. And so"},{"speaker":"Dr Ferrando","startTime":3052.169,"endTime":3056.789,"body":"that's probably like, the"},{"speaker":"Dr Ferrando","startTime":3052.169,"endTime":3056.789,"body":"funniest thing. You know, that"},{"speaker":"Dr Ferrando","startTime":3056.789,"endTime":3059.789,"body":"has, like ever I've had it"},{"speaker":"Dr Ferrando","startTime":3056.789,"endTime":3059.789,"body":"happened a handful of times. And"},{"speaker":"Dr Ferrando","startTime":3059.789,"endTime":3061.649,"body":"each time I laugh pretty hard,"},{"speaker":"Dr Ferrando","startTime":3059.789,"endTime":3061.649,"body":"because it's always like a"},{"speaker":"Dr Ferrando","startTime":3061.649,"endTime":3065.969,"body":"complete surprise. I think"},{"speaker":"Dr Ferrando","startTime":3061.649,"endTime":3065.969,"body":"that's the funniest thing. Those"},{"speaker":"Dr Ferrando","startTime":3065.969,"endTime":3067.919,"body":"are the funny moments that I've"},{"speaker":"Dr Ferrando","startTime":3065.969,"endTime":3067.919,"body":"had for sure."},{"speaker":"Vanessa","startTime":3068.31,"endTime":3070.56,"body":"Damn, I missed the"},{"speaker":"Vanessa","startTime":3068.31,"endTime":3070.56,"body":"opportunity. So and then some"},{"speaker":"Vanessa","startTime":3070.56,"endTime":3073.8,"body":"people like stuffed like ketosis"},{"speaker":"Vanessa","startTime":3070.56,"endTime":3073.8,"body":"and stuff to having the"},{"speaker":"Dr Ferrando","startTime":3075.15,"endTime":3078.3,"body":"I have gotten some"},{"speaker":"Dr Ferrando","startTime":3075.15,"endTime":3078.3,"body":"stuffed uterus. Oh, I actually I"},{"speaker":"Dr Ferrando","startTime":3078.3,"endTime":3080.7,"body":"think one of them were things"},{"speaker":"Dr Ferrando","startTime":3078.3,"endTime":3080.7,"body":"that made me I had one patient"},{"speaker":"Dr Ferrando","startTime":3080.7,"endTime":3083.34,"body":"who does a lot of like really"},{"speaker":"Dr Ferrando","startTime":3080.7,"endTime":3083.34,"body":"pretty crochet work, but like,"},{"speaker":"Dr Ferrando","startTime":3083.34,"endTime":3087.39,"body":"I'm stuffed crochet. So she made"},{"speaker":"Dr Ferrando","startTime":3083.34,"endTime":3087.39,"body":"me a uterus. And then the"},{"speaker":"Dr Ferrando","startTime":3087.39,"endTime":3092.46,"body":"funniest one she made me was the"},{"speaker":"Dr Ferrando","startTime":3087.39,"endTime":3092.46,"body":"clitoris. But it looks like the"},{"speaker":"Dr Ferrando","startTime":3092.46,"endTime":3095.46,"body":"real anatomy of a clitoris."},{"speaker":"Dr Ferrando","startTime":3092.46,"endTime":3095.46,"body":"Like, it's like because of the"},{"speaker":"Dr Ferrando","startTime":3095.49,"endTime":3097.47,"body":"if you look at the anatomy of a"},{"speaker":"Dr Ferrando","startTime":3095.49,"endTime":3097.47,"body":"clitoris, it's pretty"},{"speaker":"Dr Ferrando","startTime":3097.47,"endTime":3101.07,"body":"impressive. It looks like the"},{"speaker":"Dr Ferrando","startTime":3097.47,"endTime":3101.07,"body":"penis actually, like, if you"},{"speaker":"Dr Ferrando","startTime":3101.07,"endTime":3103.68,"body":"like take off all the skin and"},{"speaker":"Dr Ferrando","startTime":3101.07,"endTime":3103.68,"body":"just look at the anatomy and the"},{"speaker":"Dr Ferrando","startTime":3103.68,"endTime":3107.94,"body":"blood supply. It's just smaller."},{"speaker":"Dr Ferrando","startTime":3103.68,"endTime":3107.94,"body":"And it's like anatomically"},{"speaker":"Dr Ferrando","startTime":3107.94,"endTime":3111.18,"body":"correct, which is bizarre, like"},{"speaker":"Dr Ferrando","startTime":3107.94,"endTime":3111.18,"body":"people look at it sometimes. I"},{"speaker":"Dr Ferrando","startTime":3111.18,"endTime":3114.39,"body":"have it actually. Oh, here, it's"},{"speaker":"Dr Ferrando","startTime":3111.18,"endTime":3114.39,"body":"right here. Would you like to"},{"speaker":"Dr Ferrando","startTime":3114.39,"endTime":3120.03,"body":"see it? Yes. Okay, so now you're"},{"speaker":"Dr Ferrando","startTime":3114.39,"endTime":3120.03,"body":"really going to laugh. I can"},{"speaker":"Dr Ferrando","startTime":3120.03,"endTime":3123.06,"body":"show you because I'm in my new"},{"speaker":"Dr Ferrando","startTime":3120.03,"endTime":3123.06,"body":"home office. And I haven't"},{"speaker":"Dr Ferrando","startTime":3123.06,"endTime":3126.87,"body":"unpacked yet. But this is the"},{"speaker":"Dr Ferrando","startTime":3123.06,"endTime":3126.87,"body":"uterus. She made me. Super cute."},{"speaker":"Dr Ferrando","startTime":3126.87,"endTime":3131.85,"body":"Super cute, right? I hope this"},{"speaker":"Dr Ferrando","startTime":3126.87,"endTime":3131.85,"body":"goes to show anybody that if you"},{"speaker":"Dr Ferrando","startTime":3131.85,"endTime":3136.86,"body":"ever make me anything, I will"},{"speaker":"Dr Ferrando","startTime":3131.85,"endTime":3136.86,"body":"keep it forever. But this Are"},{"speaker":"Dr Ferrando","startTime":3136.86,"endTime":3140.1,"body":"you ready for this? Okay. So"},{"speaker":"Dr Ferrando","startTime":3136.86,"endTime":3140.1,"body":"this is the clitoris and it has"},{"speaker":"Dr Ferrando","startTime":3140.1,"endTime":3147.78,"body":"a little hood. Adorable that you"},{"speaker":"Dr Ferrando","startTime":3140.1,"endTime":3147.78,"body":"can like take in and out. So I"},{"speaker":"Dr Ferrando","startTime":3147.78,"endTime":3154.53,"body":"think that's so funny. And in"},{"speaker":"Dr Ferrando","startTime":3147.78,"endTime":3154.53,"body":"the same bag, I have an entire"},{"speaker":"Dr Ferrando","startTime":3154.56,"endTime":3159.54,"body":"bag of hundreds of cards that"},{"speaker":"Dr Ferrando","startTime":3154.56,"endTime":3159.54,"body":"I've received over the time. And"},{"speaker":"Dr Ferrando","startTime":3159.54,"endTime":3162.63,"body":"anytime I get a card from"},{"speaker":"Dr Ferrando","startTime":3159.54,"endTime":3162.63,"body":"anybody, I always keep it so"},{"speaker":"Dr Ferrando","startTime":3162.63,"endTime":3166.59,"body":"I've kept every card a patient"},{"speaker":"Dr Ferrando","startTime":3162.63,"endTime":3166.59,"body":"has ever given me and I keep it"},{"speaker":"Dr Ferrando","startTime":3166.59,"endTime":3170.13,"body":"in a folder and then I just have"},{"speaker":"Dr Ferrando","startTime":3166.59,"endTime":3170.13,"body":"it there because sometimes I"},{"speaker":"Dr Ferrando","startTime":3170.13,"endTime":3172.65,"body":"read them and I remember my"},{"speaker":"Dr Ferrando","startTime":3170.13,"endTime":3172.65,"body":"patients but I have my little"},{"speaker":"Dr Ferrando","startTime":3172.65,"endTime":3175.5,"body":"baggie of like patient things"},{"speaker":"Dr Ferrando","startTime":3172.65,"endTime":3175.5,"body":"and I've gotten I have like a"},{"speaker":"Dr Ferrando","startTime":3175.5,"endTime":3177.66,"body":"stuffed unicorn. I have a"},{"speaker":"Dr Ferrando","startTime":3175.5,"endTime":3177.66,"body":"stuffed rainbow."},{"speaker":"Vanessa","startTime":3177.96,"endTime":3180.15,"body":"I think a unicorn."},{"speaker":"Vanessa","startTime":3177.96,"endTime":3180.15,"body":"Yeah, I"},{"speaker":"Dr Ferrando","startTime":3180.15,"endTime":3181.65,"body":"think you gave me"},{"speaker":"Dr Ferrando","startTime":3180.15,"endTime":3181.65,"body":"the unicorn. It's a white"},{"speaker":"Dr Ferrando","startTime":3181.65,"endTime":3185.34,"body":"unicorn. It has like a little"},{"speaker":"Dr Ferrando","startTime":3181.65,"endTime":3185.34,"body":"pride. I think it's the tail. I"},{"speaker":"Dr Ferrando","startTime":3185.34,"endTime":3187.95,"body":"wonder if it's in here"},{"speaker":"Dr Ferrando","startTime":3185.34,"endTime":3187.95,"body":"somewhere. Somewhere in here."},{"speaker":"Dr Ferrando","startTime":3188.43,"endTime":3190.53,"body":"It's probably at the bottom"},{"speaker":"Dr Ferrando","startTime":3188.43,"endTime":3190.53,"body":"somewhere here. I have a"},{"speaker":"Dr Ferrando","startTime":3190.53,"endTime":3195.6,"body":"unicorn. And then I have this"},{"speaker":"Dr Ferrando","startTime":3190.53,"endTime":3195.6,"body":"little rainbow one that I love"},{"speaker":"Dr Ferrando","startTime":3195.6,"endTime":3201.9,"body":"also it was like a pretty pride"},{"speaker":"Dr Ferrando","startTime":3195.6,"endTime":3201.9,"body":"rainbow. So but the clitoris was"},{"speaker":"Dr Ferrando","startTime":3203.94,"endTime":3207.33,"body":"incredible. Just because it was"},{"speaker":"Dr Ferrando","startTime":3203.94,"endTime":3207.33,"body":"like really talented. And then"},{"speaker":"Dr Ferrando","startTime":3207.33,"endTime":3209.49,"body":"it was just the little hood. I"},{"speaker":"Dr Ferrando","startTime":3207.33,"endTime":3209.49,"body":"mean, that just put me over the"},{"speaker":"Dr Ferrando","startTime":3209.49,"endTime":3214.05,"body":"edge. Oh no, I've also gotten a"},{"speaker":"Dr Ferrando","startTime":3209.49,"endTime":3214.05,"body":"sweatshirt. I have it up in my"},{"speaker":"Dr Ferrando","startTime":3214.05,"endTime":3218.04,"body":"closet somewhere. I can't"},{"speaker":"Dr Ferrando","startTime":3214.05,"endTime":3218.04,"body":"remember what it says. I think"},{"speaker":"Dr Ferrando","startTime":3218.04,"endTime":3221.4,"body":"it's like, I don't know if I'm"},{"speaker":"Dr Ferrando","startTime":3218.04,"endTime":3221.4,"body":"allowed to say this on here. But"},{"speaker":"Dr Ferrando","startTime":3222.45,"endTime":3225.78,"body":"it's like there's, I mean, it's"},{"speaker":"Dr Ferrando","startTime":3222.45,"endTime":3225.78,"body":"not even that bad. But it's like"},{"speaker":"Dr Ferrando","startTime":3225.78,"endTime":3228.36,"body":"Team policy or something like"},{"speaker":"Dr Ferrando","startTime":3225.78,"endTime":3228.36,"body":"that. And it has like a kitty"},{"speaker":"Dr Ferrando","startTime":3228.36,"endTime":3231.24,"body":"cat on it. But one of my"},{"speaker":"Dr Ferrando","startTime":3228.36,"endTime":3231.24,"body":"patients like did a screen. She"},{"speaker":"Dr Ferrando","startTime":3231.24,"endTime":3234.24,"body":"makes sweatshirts that are"},{"speaker":"Dr Ferrando","startTime":3231.24,"endTime":3234.24,"body":"really nice. And she did that."},{"speaker":"Dr Ferrando","startTime":3234.24,"endTime":3237.93,"body":"And I used to wear that around"},{"speaker":"Dr Ferrando","startTime":3234.24,"endTime":3237.93,"body":"for a long time. So those things"},{"speaker":"Dr Ferrando","startTime":3237.93,"endTime":3240.45,"body":"make me laugh and they also warm"},{"speaker":"Dr Ferrando","startTime":3237.93,"endTime":3240.45,"body":"my heart and they're"},{"speaker":"Dr Ferrando","startTime":3240.45,"endTime":3244.71,"body":"personalized. But yeah, messages"},{"speaker":"Dr Ferrando","startTime":3240.45,"endTime":3244.71,"body":"underneath the gown funniest"},{"speaker":"Dr Ferrando","startTime":3244.71,"endTime":3247.59,"body":"part of everything because it"},{"speaker":"Dr Ferrando","startTime":3244.71,"endTime":3247.59,"body":"always I'm very focused when I"},{"speaker":"Dr Ferrando","startTime":3247.59,"endTime":3250.47,"body":"do surgery. Like I get pretty"},{"speaker":"Dr Ferrando","startTime":3247.59,"endTime":3250.47,"body":"serious like one just like,"},{"speaker":"Dr Ferrando","startTime":3250.86,"endTime":3254.52,"body":"yeah, obviously, but like I"},{"speaker":"Dr Ferrando","startTime":3250.86,"endTime":3254.52,"body":"agree, but once like, I have"},{"speaker":"Dr Ferrando","startTime":3254.52,"endTime":3256.95,"body":"sort of like this quietness"},{"speaker":"Dr Ferrando","startTime":3254.52,"endTime":3256.95,"body":"about me when it's time for"},{"speaker":"Dr Ferrando","startTime":3256.95,"endTime":3260.16,"body":"surgery. So I'm like getting"},{"speaker":"Dr Ferrando","startTime":3256.95,"endTime":3260.16,"body":"focused. So whenever I've always"},{"speaker":"Dr Ferrando","startTime":3260.16,"endTime":3262.65,"body":"found that it's always been in"},{"speaker":"Dr Ferrando","startTime":3260.16,"endTime":3262.65,"body":"the midst of me getting my brain"},{"speaker":"Dr Ferrando","startTime":3262.65,"endTime":3264.99,"body":"ready for surgery. So then it"},{"speaker":"Dr Ferrando","startTime":3262.65,"endTime":3264.99,"body":"always makes me laugh out loud."},{"speaker":"Dr Ferrando","startTime":3265.02,"endTime":3265.53,"body":"So"},{"speaker":"Vanessa","startTime":3267.09,"endTime":3269.31,"body":"that's the funniest"},{"speaker":"Vanessa","startTime":3267.09,"endTime":3269.31,"body":"thing. Well, that's another"},{"speaker":"Vanessa","startTime":3269.31,"endTime":3272.91,"body":"question for patients asked"},{"speaker":"Vanessa","startTime":3269.31,"endTime":3272.91,"body":"their surgeons. Have the"},{"speaker":"Vanessa","startTime":3272.91,"endTime":3276.42,"body":"surgeons, other patients gotten"},{"speaker":"Vanessa","startTime":3272.91,"endTime":3276.42,"body":"them gifts and stuff? If not,"},{"speaker":"Vanessa","startTime":3276.81,"endTime":3277.95,"body":"why? So?"},{"speaker":"Dr Ferrando","startTime":3279.24,"endTime":3282.0,"body":"Why is nobody"},{"speaker":"Dr Ferrando","startTime":3279.24,"endTime":3282.0,"body":"giving you any gift? Yeah, sure."},{"speaker":"Dr Ferrando","startTime":3282.0,"endTime":3282.39,"body":"So"},{"speaker":"Vanessa","startTime":3282.78,"endTime":3285.03,"body":"I remember I was"},{"speaker":"Vanessa","startTime":3282.78,"endTime":3285.03,"body":"scrolling on Facebook and I saw"},{"speaker":"Vanessa","startTime":3285.03,"endTime":3288.72,"body":"these mugs that popped up as an"},{"speaker":"Vanessa","startTime":3285.03,"endTime":3288.72,"body":"ad. And I wanted to get one for"},{"speaker":"Vanessa","startTime":3288.72,"endTime":3291.87,"body":"you and one for Natalie. And but"},{"speaker":"Vanessa","startTime":3288.72,"endTime":3291.87,"body":"then that disappeared. And I"},{"speaker":"Vanessa","startTime":3291.87,"endTime":3294.12,"body":"couldn't. It was it was like"},{"speaker":"Vanessa","startTime":3291.87,"endTime":3294.12,"body":"perfect. I don't remember what"},{"speaker":"Vanessa","startTime":3294.12,"endTime":3297.87,"body":"it said. But it was just like"},{"speaker":"Vanessa","startTime":3294.12,"endTime":3297.87,"body":"yeah, whatever. What do you have"},{"speaker":"Vanessa","startTime":3297.87,"endTime":3300.45,"body":"any closing thoughts that you'd"},{"speaker":"Vanessa","startTime":3297.87,"endTime":3300.45,"body":"like to share? You're,"},{"speaker":"Dr Ferrando","startTime":3302.28,"endTime":3304.62,"body":"I'm just so happy"},{"speaker":"Dr Ferrando","startTime":3302.28,"endTime":3304.62,"body":"to be able to chat with you, I"},{"speaker":"Dr Ferrando","startTime":3304.62,"endTime":3306.99,"body":"think one of my things is that"},{"speaker":"Dr Ferrando","startTime":3304.62,"endTime":3306.99,"body":"I've had really nice"},{"speaker":"Dr Ferrando","startTime":3306.99,"endTime":3311.13,"body":"relationships with I don't, I've"},{"speaker":"Dr Ferrando","startTime":3306.99,"endTime":3311.13,"body":"made a habit, a professional"},{"speaker":"Dr Ferrando","startTime":3311.13,"endTime":3314.01,"body":"habit of not really sort of"},{"speaker":"Dr Ferrando","startTime":3311.13,"endTime":3314.01,"body":"having a relationship outside of"},{"speaker":"Dr Ferrando","startTime":3314.01,"endTime":3317.43,"body":"like the care until the patient"},{"speaker":"Dr Ferrando","startTime":3314.01,"endTime":3317.43,"body":"is happy with their care and"},{"speaker":"Dr Ferrando","startTime":3317.43,"endTime":3320.43,"body":"done right, like, you don't need"},{"speaker":"Dr Ferrando","startTime":3317.43,"endTime":3320.43,"body":"anything else and you feel"},{"speaker":"Dr Ferrando","startTime":3320.43,"endTime":3323.94,"body":"satisfied. And then I'm always"},{"speaker":"Dr Ferrando","startTime":3320.43,"endTime":3323.94,"body":"happy to sort of communicate,"},{"speaker":"Dr Ferrando","startTime":3323.97,"endTime":3327.6,"body":"you know, through social media"},{"speaker":"Dr Ferrando","startTime":3323.97,"endTime":3327.6,"body":"or through this like platform."},{"speaker":"Dr Ferrando","startTime":3327.6,"endTime":3331.89,"body":"So it's, um, I think that this"},{"speaker":"Dr Ferrando","startTime":3327.6,"endTime":3331.89,"body":"it feels special to be able to"},{"speaker":"Dr Ferrando","startTime":3331.89,"endTime":3335.61,"body":"talk to you just, you know, as a"},{"speaker":"Dr Ferrando","startTime":3331.89,"endTime":3335.61,"body":"person, as you know, a woman, a"},{"speaker":"Dr Ferrando","startTime":3335.61,"endTime":3339.66,"body":"woman on this podcast, and I"},{"speaker":"Dr Ferrando","startTime":3335.61,"endTime":3339.66,"body":"think back to when we met each"},{"speaker":"Dr Ferrando","startTime":3339.66,"endTime":3341.73,"body":"other, and you came in for your"},{"speaker":"Dr Ferrando","startTime":3339.66,"endTime":3341.73,"body":"consults, and you were a little"},{"speaker":"Dr Ferrando","startTime":3341.73,"endTime":3349.11,"body":"nervous. I remember to now just"},{"speaker":"Dr Ferrando","startTime":3341.73,"endTime":3349.11,"body":"being able to chat, but um, I"},{"speaker":"Dr Ferrando","startTime":3349.11,"endTime":3352.95,"body":"think my messaging to there's"},{"speaker":"Dr Ferrando","startTime":3349.11,"endTime":3352.95,"body":"enough surgeons doing surgery"},{"speaker":"Dr Ferrando","startTime":3353.19,"endTime":3356.13,"body":"now compared to what it was that"},{"speaker":"Dr Ferrando","startTime":3353.19,"endTime":3356.13,"body":"you have the choice and you"},{"speaker":"Dr Ferrando","startTime":3356.13,"endTime":3359.88,"body":"should be choosy about your"},{"speaker":"Dr Ferrando","startTime":3356.13,"endTime":3359.88,"body":"surgeon, there's no such thing"},{"speaker":"Dr Ferrando","startTime":3359.88,"endTime":3364.77,"body":"as like, you know, as long as"},{"speaker":"Dr Ferrando","startTime":3359.88,"endTime":3364.77,"body":"it's gone, I'll be happy. That's"},{"speaker":"Dr Ferrando","startTime":3364.77,"endTime":3367.83,"body":"not true. That used to be sort"},{"speaker":"Dr Ferrando","startTime":3364.77,"endTime":3367.83,"body":"of the old mentality, you need a"},{"speaker":"Dr Ferrando","startTime":3367.83,"endTime":3371.61,"body":"beautiful vulva. And you need"},{"speaker":"Dr Ferrando","startTime":3367.83,"endTime":3371.61,"body":"somebody who takes it seriously."},{"speaker":"Dr Ferrando","startTime":3371.64,"endTime":3376.17,"body":"And so I encourage patients who"},{"speaker":"Dr Ferrando","startTime":3371.64,"endTime":3376.17,"body":"are having any surgery, I'm"},{"speaker":"Dr Ferrando","startTime":3376.17,"endTime":3379.53,"body":"speaking to the men also, or"},{"speaker":"Dr Ferrando","startTime":3376.17,"endTime":3379.53,"body":"trans male individuals looking"},{"speaker":"Dr Ferrando","startTime":3379.53,"endTime":3382.32,"body":"for Matoi, do plasti"},{"speaker":"Dr Ferrando","startTime":3379.53,"endTime":3382.32,"body":"phalloplasty anything in"},{"speaker":"Dr Ferrando","startTime":3382.32,"endTime":3387.57,"body":"between? Know your surgeons"},{"speaker":"Dr Ferrando","startTime":3382.32,"endTime":3387.57,"body":"experience, make sure they were"},{"speaker":"Dr Ferrando","startTime":3387.57,"endTime":3391.86,"body":"trained, like get somebody who"},{"speaker":"Dr Ferrando","startTime":3387.57,"endTime":3391.86,"body":"practice before they actually"},{"speaker":"Dr Ferrando","startTime":3392.04,"endTime":3396.09,"body":"started a practice. Does that"},{"speaker":"Dr Ferrando","startTime":3392.04,"endTime":3396.09,"body":"make sense? Not somebody who's"},{"speaker":"Dr Ferrando","startTime":3396.12,"endTime":3399.45,"body":"practiced when they started"},{"speaker":"Dr Ferrando","startTime":3396.12,"endTime":3399.45,"body":"their practice, that used to be"},{"speaker":"Dr Ferrando","startTime":3399.45,"endTime":3402.72,"body":"the old way of doing it, when I"},{"speaker":"Dr Ferrando","startTime":3399.45,"endTime":3402.72,"body":"wanted to do this surgery, there"},{"speaker":"Dr Ferrando","startTime":3402.72,"endTime":3405.96,"body":"was no such thing as a training"},{"speaker":"Dr Ferrando","startTime":3402.72,"endTime":3405.96,"body":"program. You had to watch people"},{"speaker":"Dr Ferrando","startTime":3405.96,"endTime":3408.9,"body":"do it. And then you had to be a"},{"speaker":"Dr Ferrando","startTime":3405.96,"endTime":3408.9,"body":"good enough surgeon to try it."},{"speaker":"Dr Ferrando","startTime":3409.47,"endTime":3412.35,"body":"But now there are training"},{"speaker":"Dr Ferrando","startTime":3409.47,"endTime":3412.35,"body":"programs, I've trained lots of"},{"speaker":"Dr Ferrando","startTime":3412.35,"endTime":3415.05,"body":"fellows other surgeons have. So"},{"speaker":"Dr Ferrando","startTime":3412.35,"endTime":3415.05,"body":"make sure that they're trained,"},{"speaker":"Dr Ferrando","startTime":3415.08,"endTime":3417.81,"body":"like they learned how to do the"},{"speaker":"Dr Ferrando","startTime":3415.08,"endTime":3417.81,"body":"surgery, they got to practice"},{"speaker":"Dr Ferrando","startTime":3417.81,"endTime":3421.35,"body":"with somebody supervising them."},{"speaker":"Dr Ferrando","startTime":3417.81,"endTime":3421.35,"body":"And then don't settle like you"},{"speaker":"Dr Ferrando","startTime":3421.35,"endTime":3425.88,"body":"need, you know, the results that"},{"speaker":"Dr Ferrando","startTime":3421.35,"endTime":3425.88,"body":"you've always wanted. But then"},{"speaker":"Dr Ferrando","startTime":3425.88,"endTime":3428.76,"body":"also understand that the"},{"speaker":"Dr Ferrando","startTime":3425.88,"endTime":3428.76,"body":"surgery, there are speed bumps"},{"speaker":"Dr Ferrando","startTime":3428.79,"endTime":3431.37,"body":"that sometimes happen with these"},{"speaker":"Dr Ferrando","startTime":3428.79,"endTime":3431.37,"body":"surgeries and they're not always"},{"speaker":"Dr Ferrando","startTime":3431.37,"endTime":3435.3,"body":"perfect, even in the best of"},{"speaker":"Dr Ferrando","startTime":3431.37,"endTime":3435.3,"body":"certain best surgeons hands. So"},{"speaker":"Dr Ferrando","startTime":3435.3,"endTime":3437.61,"body":"just choose a surgeon who's"},{"speaker":"Dr Ferrando","startTime":3435.3,"endTime":3437.61,"body":"going to be there for you for"},{"speaker":"Dr Ferrando","startTime":3437.61,"endTime":3440.67,"body":"like that process and who you"},{"speaker":"Dr Ferrando","startTime":3437.61,"endTime":3440.67,"body":"know is going to support you,"},{"speaker":"Dr Ferrando","startTime":3441.75,"endTime":3445.17,"body":"but be choosy. That's like I"},{"speaker":"Dr Ferrando","startTime":3441.75,"endTime":3445.17,"body":"guess my take home message."},{"speaker":"Dr Ferrando","startTime":3445.29,"endTime":3449.73,"body":"Don't settle like your surgeon"},{"speaker":"Dr Ferrando","startTime":3445.29,"endTime":3449.73,"body":"and be choosy. That's"},{"speaker":"Vanessa","startTime":3449.73,"endTime":3452.4,"body":"amazing advice. Like,"},{"speaker":"Vanessa","startTime":3449.73,"endTime":3452.4,"body":"if your surgeon doesn't want to"},{"speaker":"Vanessa","startTime":3452.4,"endTime":3457.86,"body":"answer questions, that's a big"},{"speaker":"Vanessa","startTime":3452.4,"endTime":3457.86,"body":"red flag. Ask questions because"},{"speaker":"Vanessa","startTime":3457.89,"endTime":3462.18,"body":"this is a major major surgery"},{"speaker":"Vanessa","startTime":3457.89,"endTime":3462.18,"body":"and there's a lot that happens"},{"speaker":"Vanessa","startTime":3462.18,"endTime":3467.97,"body":"with it. So communication is"},{"speaker":"Vanessa","startTime":3462.18,"endTime":3467.97,"body":"key. I can't thank you enough"},{"speaker":"Vanessa","startTime":3467.97,"endTime":3472.83,"body":"for being on the pod with me."},{"speaker":"Vanessa","startTime":3467.97,"endTime":3472.83,"body":"This is This is amazing. And I"},{"speaker":"Vanessa","startTime":3472.83,"endTime":3476.82,"body":"really hope a lot of people find"},{"speaker":"Vanessa","startTime":3472.83,"endTime":3476.82,"body":"this informative. You're this"},{"speaker":"Vanessa","startTime":3476.82,"endTime":3479.31,"body":"kind of like condenses a whole"},{"speaker":"Vanessa","startTime":3476.82,"endTime":3479.31,"body":"bunch of questions that people"},{"speaker":"Vanessa","startTime":3479.31,"endTime":3481.98,"body":"have on Reddit. I don't know if"},{"speaker":"Vanessa","startTime":3479.31,"endTime":3481.98,"body":"you've been on Reddit and looked"},{"speaker":"Vanessa","startTime":3481.98,"endTime":3484.8,"body":"up stuff for gender affirming"},{"speaker":"Vanessa","startTime":3481.98,"endTime":3484.8,"body":"surgeries but I"},{"speaker":"Dr Ferrando","startTime":3484.8,"endTime":3486.99,"body":"go to Reddit I will"},{"speaker":"Dr Ferrando","startTime":3484.8,"endTime":3486.99,"body":"say I don't know how to find"},{"speaker":"Dr Ferrando","startTime":3486.99,"endTime":3491.31,"body":"anything on Reddit so I I've had"},{"speaker":"Dr Ferrando","startTime":3486.99,"endTime":3491.31,"body":"so many patients say to me I oh"},{"speaker":"Dr Ferrando","startTime":3491.31,"endTime":3493.56,"body":"I'm here because I like read all"},{"speaker":"Dr Ferrando","startTime":3491.31,"endTime":3493.56,"body":"this stuff on Reddit about your"},{"speaker":"Dr Ferrando","startTime":3493.56,"endTime":3497.49,"body":"practice etc. And then I like I"},{"speaker":"Dr Ferrando","startTime":3493.56,"endTime":3497.49,"body":"can't find anything so I don't"},{"speaker":"Dr Ferrando","startTime":3497.49,"endTime":3499.89,"body":"know if I'm doing it right or if"},{"speaker":"Dr Ferrando","startTime":3497.49,"endTime":3499.89,"body":"I knew how to find the threads"},{"speaker":"Dr Ferrando","startTime":3499.89,"endTime":3501.15,"body":"or figure it out so I'm"},{"speaker":"Vanessa","startTime":3501.15,"endTime":3502.89,"body":"not that great at it"},{"speaker":"Vanessa","startTime":3501.15,"endTime":3502.89,"body":"either. I think it's pretty"},{"speaker":"Vanessa","startTime":3502.89,"endTime":3504.42,"body":"nice. We're Millennials like"},{"speaker":"Dr Ferrando","startTime":3507.15,"endTime":3510.24,"body":"I have to say like"},{"speaker":"Dr Ferrando","startTime":3507.15,"endTime":3510.24,"body":"I'm like a borderline Yeah, Gen"},{"speaker":"Dr Ferrando","startTime":3510.24,"endTime":3513.21,"body":"X or some is zeneo is like our"},{"speaker":"Dr Ferrando","startTime":3510.24,"endTime":3513.21,"body":"or is that what it's called? A"},{"speaker":"Dr Ferrando","startTime":3513.21,"endTime":3516.93,"body":"neck? Yeah. xennials Somebody"},{"speaker":"Dr Ferrando","startTime":3513.21,"endTime":3516.93,"body":"who's like borderline Gen X"},{"speaker":"Dr Ferrando","startTime":3516.93,"endTime":3520.71,"body":"millennial? Yeah, that's like"},{"speaker":"Dr Ferrando","startTime":3516.93,"endTime":3520.71,"body":"that's exactly who I am. So we"},{"speaker":"Vanessa","startTime":3520.71,"endTime":3524.4,"body":"can we can blame it on"},{"speaker":"Vanessa","startTime":3520.71,"endTime":3524.4,"body":"Yeah, that's right. Well, thank"},{"speaker":"Vanessa","startTime":3524.4,"endTime":3526.77,"body":"you again everyone for listening"},{"speaker":"Vanessa","startTime":3524.4,"endTime":3526.77,"body":"watching please hit that"},{"speaker":"Vanessa","startTime":3526.77,"endTime":3530.46,"body":"subscribe button rate us five"},{"speaker":"Vanessa","startTime":3526.77,"endTime":3530.46,"body":"stars on Spotify, Apple,"},{"speaker":"Vanessa","startTime":3530.46,"endTime":3533.34,"body":"whatever. And don't forget our"},{"speaker":"Vanessa","startTime":3530.46,"endTime":3533.34,"body":"Patreon I really want to grow"},{"speaker":"Vanessa","startTime":3533.34,"endTime":3536.82,"body":"the show. I'm working on making"},{"speaker":"Vanessa","startTime":3533.34,"endTime":3536.82,"body":"it a weekly show against I've"},{"speaker":"Vanessa","startTime":3536.82,"endTime":3539.58,"body":"every two weeks so I want to"},{"speaker":"Vanessa","startTime":3536.82,"endTime":3539.58,"body":"grow, grow, grow, grow, grow,"},{"speaker":"Vanessa","startTime":3540.18,"endTime":3543.42,"body":"but we definitely need your"},{"speaker":"Vanessa","startTime":3540.18,"endTime":3543.42,"body":"support to do that. Thank you"},{"speaker":"Vanessa","startTime":3543.42,"endTime":3546.6,"body":"again, doctor friend for joining"},{"speaker":"Vanessa","startTime":3543.42,"endTime":3546.6,"body":"us. This was a wonderful"},{"speaker":"Vanessa","startTime":3546.6,"endTime":3550.77,"body":"experience. And we will see you"},{"speaker":"Vanessa","startTime":3546.6,"endTime":3550.77,"body":"all next week or next time or"},{"speaker":"Vanessa","startTime":3550.77,"endTime":3553.95,"body":"whatever. I'm transcending"},{"speaker":"Vanessa","startTime":3550.77,"endTime":3553.95,"body":"humanity. Bye bye"}]}