Nurse Maureen‘s Health Show
Welcome to Nurse Maureen's Health Show Podcast where we dive deep into all things health, sex, menopause, relationships, parenting, communication and more! Hosted by a passionate nurse with years of frontline experience, we bring you expert interviews, real-life stories, and the latest insights on staying healthy aging. Nothing is off limits as we delve into overall health, sexual health, mental health, and sexual health. Whether we’re breaking down medical myths, discussing cutting-edge treatments, or chatting with top health professionals, this show is your go-to for practical advice and inspiring conversations.
Nurse Maureen‘s Health Show
The Firm Tech Revolution: Transforming Men's Sexual Health with Dr. Elliot Justin
What's been interesting about this for me is that you know my background. I'm an emergency medicine doctor. Most of my experience till about 10 years ago was in service healthcare services. So this is you know. This has evolved everything from design, manufacturing, software, hardware, developing, research, social media, marketing, conventions. It's been much bigger and much more complicated and, frankly, a real fun work of abilities.
Speaker 2:Absolutely, the focus being on hardware. Well, things are looking up tonight. Good evening and welcome to another episode of Nurse Maureen's Health Show Podcast. I'm Maureen McGrath. I'm a registered nurse, nurse, continence advisor and sexual health educator. We're talking about one of my favorite subjects tonight, and hopefully yours, and that's basically sex. But a lot of people have problems with sex and tonight we're going to address a very common medical condition that affects men erectile dysfunction. Erectile dysfunction is the inability to attain and or maintain an erection adequate for penetrative sex. One company, firmtech, is revolutionizing men's sexual health with smart technology. It was only a matter of time. Joining me on the line to discuss this is the CEO at FirmTech, dr Elliot Justin. He's a medical doctor and the founder at FirmTech. Good evening, dr Elliot. How are you?
Speaker 1:Thanks, maureen. It's great to be here and I'd like to go back to something you just said because it's really important. You gave the definition of erectile dysfunction and I'm trying to change the way in which that is used. So I, you know, I'm 72 years old and back in the 70s, early on my medical career, women were still being described as hysteric and orgasmic and frigid. And then the feminists basically we're not going to use those words anymore because a lot of these, the problems that women are experiencing, can be addressed and we shouldn't characterize people so negatively. But we still do that for men.
Speaker 1:Men are, you know, limp-dicked, they got ED, and I think that the word dysfunction should be reserved for the men who can't attain an erection or struggle to attain an erection, because those men need the attention of a cardiologist or urologist to figure out what's going on. But for men who get an erection and lose it, which is a much more common problem they can't sustain an erection. It's a problem. I mean, it's not. Is it dysfunction? Maybe, maybe not, and I really would like us to start talking about it as a problem rather than as dysfunction, because all men excuse me, go ahead.
Speaker 2:Oh no, I was going to say I really appreciate that, because that's the issue. Men will say, or their partners, partners will say to me, or spouses or wives will say you know, well, my partner can get an erection. He doesn't have erectile dysfunction as they know it. But they'll say but he just can't keep it, but that's the problem.
Speaker 1:Yeah, well, that's what we're doing. It's been so exciting because we figured it out. You know what? We have a database of 71,000 erections. Now this is the largest dick database in the world and the previous understanding about a retinal dysfunction came out of the use of the device.
Speaker 1:Reply familiar with the rigid scan. It's really falling out of favor. Look like something dr Frankenstein were test your penis. You have to be in a lab. I had to sleep. I had to sleep without looking at, without moving, because have these wires coming out, coming out of you? And our database is showing that the conventional wisdom about erectile dysfunction is wrong. And let's just get back to the word again. A lot of men are too proud to even talk about it. The word puts them off. So you know, we're all on the road, men and women. We're all on the road from fitness to dysfunction, sexual fitness to sexual dysfunction. In time it'll, it'll get, all of us, probably. But we all would like to know where are we on that road? Because we'd like to make like a press the press the brakes, ideally, and ideally we'd like to make a u-turn and go back and reverse, whatever our problems are, but without data we don't know where we are.
Speaker 2:In that dick database that you have, which you so eloquently described, is that 71,000 good erections, or what men believe are erections?
Speaker 1:Well, you can't fool a machine. You might be able to fool your partner once or twice but you can't moan to it, you can't put on, basically, what we've done, as you know, marines, we've embedded sensors into an erection ring and created the world's first smart cock ring real smart and wearable for men's sexual health. You can't lie to health. You can't lie to it. You can't say, oh, I feel so great.
Speaker 2:No, you can't, but I know women who have faked an orgasm with a sex toy. So anyway, moving on from there, what inspired you to create a device that tracks erectile function and what key problem are you solving?
Speaker 1:Sure, Well, I wasn't thinking about this. That's about three years ago. I was consulting in healthcare technology. Many, many years ago I founded a company, cole Swift MD. It's been sold, but second oldest telehealth company in the United States after Teladoc, and that got me interested in remote patient management technologies. What type of knowledge can people get at home, in privacy, where they don't have to see doctors and see doctors who are? One, aren't going to spend a lot of time with them and, two, their motivation and decision-making is driven by electronic health records of what the insurance companies will pay for, electronic health records or what the insurance companies will pay for. So, um, I was, I also.
Speaker 1:I live here in montana, I own horses, uh, and I sometimes ride. Rather, I put this way my wife accuses me of riding like a 12 year old. I say I ride at least like a 25 yearyear-old. But sometimes, maureen, I have this fantasy that I'm a centaur, this illusion that I'm like one with my horse, and that could be a very dangerous illusion. So I broke six ribs and six vertebrae. Fortunately it did not damage my spinal cord. But that got me interested in what's been done to rehabilitate spinal cord injuries in men and women, specifically to rehabilitate the sexual function and there were some papers in the peer-reviewed urology literature and when I say literature I say it with a smirk because I think it's appropriate. It's called literature because a lot of it is fiction and not reproducible, as we all know after COVID. But that's digression aside. These papers said that they were able to neuromodulate human sexuality, meaning kind of like cardiac pacemaking. They were able to place an electrode by the pudendal nerve and the cavernous nerve everyone's two favorite sex nerves that no one knows names of and produce and restore sexual function in five of the papers in men and one of the papers in women, so that I kind of took that on as a personal science fair project.
Speaker 1:I um working with a veterinary surgeon. We diced we anesthetized uh two ram male sheep and placed electrodes by their podental cavernous nerves and then attach it to a generator and we were able to get erection, ejaculation. But we also got defecation and urination. So it wasn't exactly bedroom friendly. So I my next thought was well, let me just try it on myself, because I didn't want to raise money and go down to Colombia or Brazil the way most companies do and pay men with this problem to get electrodes put in them. So I had a friend of mine who's a professor of urology at the University of California, san Francisco, implant an electrode in myself.
Speaker 1:I felt nothing and I still actually don't think that we know how erections are produced in men and women. My wife thinks it's Aphrodite. I kind of like that idea but we don't. Everything should come down to everything, as you know, at some point should come down to electricity and we should be able to modulate it. But it failed with me A urology professor skipping ahead.
Speaker 1:A little over three years ago a urology professor at the University of Utah heard about this. I called it Project O for obvious reasons. He said he wanted to work with me. So Project O, for obvious reasons, and he said he wanted to work with me. So he wanted to count the number of nocturnal erections that men have because they're the indicator of man's cardiovascular health. And I was angry about that.
Speaker 1:I had no idea. I mean I kind of vaguely knew that urologists called it penis of canary and colomonic vascular disease, but I had no idea that the number of nocturnal erections, or deterioration of that number can be predictive. A leading indicator of cardiovascular disease, now leading indicator of medicine, is powerful because we treat associations. I'm high blood pressure associated with heart attack and stroke. It's not predictive, though, unless the numbers get really, really high. But if a man goes from three plus nocturnal erections down to one or zero, that man has a 50 50 chance of having a heart attack in the next two years. That's so, that's, that's. That's a powerful, vital sign. So this doctor hotel he's not my chief medical officer suggests this to me I I said well, jim, why, why are we just looking at nocturnals?
Speaker 1:Why don't we look at all erections? Because what do men care more about what's happening when they're trying to have sex or having sex, or while they're sleeping? And we all know about morning wood, but no guy wants to have dead wood. And we want to know, you know, the ability to have a wearable that we can wear overnight. Our device will count the number of nocturnal erections and measure the duration of firmness, and one during sex will measure the duration and firmness, and one during sex will measure the duration and firmness of erections.
Speaker 1:And now men and, if necessary, the assistants or the healthcare providers, can see the impact of diabetes, hypertension, atherosclerosis upon the sexual performance. Also recreational drugs, alcohol, relationships, and then we doctors prescribe to men and women drugs that interfere with their sexual health. We don't even ask about it. I'm thinking about the SSRIs and the antidepressants. So you can now assess the dose of those things. If you're considering alternative therapies like shockwave therapy or TRT, you can establish a baseline and then monitor the therapy. So what we've done is given the doctors and men the equivalent of an electrocardiogram for their dick.
Speaker 2:Okay, I was thinking it reminds me of the aura ring, but it's the wearable ring for basically your penile health and your cardiovascular health and just curiosity. And before this wearable technology, which I'm sure will become mainstream soon, you know I've been asking patients to tape a piece of paper on their penis at night and see how that goes. So it's not very scientific and it's not very accurate either.
Speaker 1:So, and one is not enough.
Speaker 2:If a man only has one nocturnal erection, that's actually that man could have very significant cardiovascular or metabolic disease, absolutely, absolutely, and your point is well taken that erectile dysfunction is the care and area in the coal mine and you know so many are embarrassed to talk about it. They don't want to seek treatment because of it. You know, some men are embarrassed to talk about it. They don't want to seek treatment because of it. It sounds like there's quite a bit more privacy and they'll get a lot more information with your wearable technology. As I mentioned, many men are hesitant to even discuss sexual health, but it's very important to them.
Speaker 2:I was just talking to a group of colleagues recently where I was talking about weight loss for men and women. And you know if men thought their weight loss for men and women, and you know if men thought their weight loss was tied to better erections, and oftentimes it is they, yes, they it is. If they are compliant, and you know they would get on that scale and they would follow the you know Mediterranean diet or whatever I would recommend. I had the all in diet as well and they would lose weight in a month. Women didn't even want to get on the scale. So but they're, but they're hesitant to talk about it, they're embarrassed about it. How is firm tech approaching the challenge of breaking down stigma and encouraging men to take control of their health.
Speaker 1:Well, let me just, if you don't mind, let's go back to a couple points that you mentioned before. We talk about breaking down the stigma. One you mentioned the clinician reaction. Overall it's positive, but there is, so you know, the academics look at our data and I've had three world famous academics tell me this means we've been approaching ED the wrong way for the last 25, 30 years, and I want to get to that in just a moment. And the diet? I got to talk about obesity too, because one of the contradictions to utilizing our devices is buried penis. Men get really fat, get buried penises, and the device simply won't stay on them. I've often also wondered about diet. If we just put people on, could people be motivated? If there's a sexual reward? But I'll leave that to you to develop that program.
Speaker 2:I've done it. There is.
Speaker 1:We talked about breaking down the barriers Part of it, really. I go on a lot of podcasts and I've done webinars and also on our website as well, too, the education materials. I want people to stop thinking about dysfunction. I want them to speak about this in themselves. Most people are having problems. So what am I getting at here? And this will lead into what we've discovered, and you mentioned it earlier.
Speaker 1:So when it comes to erectile dysfunction, as currently characterized, there are about 10% 12% of men can't struggle to attain an erection, and these men have a significant medical problem Most men get erections and they lose it and medical and medical problem most men get erections and they lose it. Uh, and the, so and the and the urologist and call you all say that penis, the piece of the canadian coal mine, vascular disease, so that. So what we doctors do stupidly often is we, we, we look at this especially academics. They see the sickest people in the tertiary care centers and they project their problem onto the general population. So men who are going to tertiary referral centers, these are the men who often can't attain erection. That's not the problem that most men have. So you can't see, right now I'm using my hands to talk, but the incidence of erectile dysfunction goes up 10% for a decade after age 45. The expectation of cardiologists and neurologists me too before I got involved in this, was that the number of nocturnal erections would go down, the firmness of nocturnal erections would go down and the firmness of sex erections would go down as men get older, as the incidence of erectile dysfunction goes up. It's not, and we have a lot of erections. So what is going on here? If it's not going, what is causing more erectile dysfunction? But yet we're not seeing, if you will, softening of the penis, because if men had bad, most men had bad cardiovascular disease and they got older, that's what we'd be seeing, but most men don't. So obviously, men with, with, with angina, men with sniffing athos grosses, men with men without a control him loan a1c is for the diabetes. These are the men who yeah, they're not. Kernels are going down and their direct sexual actions are getting softer. But that's not the general population. We're not see, we're not seeing any deterioration, frankly, until the late 60s, you know, in early 70s. So what is going on?
Speaker 1:So this looks for doctors, this, this is a game changer. They got you know, and I was surprised by this, too. You look at the data, you think, well, we've been focused, doctors, on the pump, the heart getting pumping blood into the penis or the arteries. We're not getting blood through the arteries, so we prescribe these pd5 medications that are marginally effective. Uh, in men with significant disease, that the pd5 medications Viagra, salad. They are the reason to produce more blood flow. They don't keep it there, though. And most men's problems. You talk to them. These are your patients as well, too. You talk to men. The problem is they get an erection and they lose it.
Speaker 2:Yes, it is.
Speaker 1:Performance, anxiety, loss of confidence, alcohol, recreational drugs, interactive medications that we doctors prescribe SRI and depressant antihypertensives. It can be multifactorial, but every erection ends with blood leaving the penis. We call it venous leak. I call it venous leak of aging. The doctors like to reserve the term Venus leak for the Venus leak that appears with men who were born with weak Venus circulation. They can't hold their blood. But it's really Venus leak of aging and all men get this, and it's so obvious. I'll just pick on myself for a moment.
Speaker 1:When I was 13 years old, I could hold a girl's hand and get a heart on for, you know, an hour and a half, and get blue balls. It doesn't have to be my age, and the academic solons of urology would say oh, it's a sympathetic fight-flight system. Well, I've married 37 years. I don't have a fight-flight system with my wife, and I especially don't have a fight-flight system when I'm masturbating. So what's going on with men and why? What we discovered is actually so simple. What's going on with men is, as we get older, it happens to women too. The smooth muscle around our small veins gets weak with age and the little venules get stiff. We just don't pump blood back to our heart as well as we did, and we don't hold blood in the penis as well as we did. Example of this would be if I sit on a plane four or five hours, my rings get a little tight, my socks get tight, and you probably experience this as well too, even at your young age. And why is that? Because it did happen to you when you were 15 and 25 years old. Because we have this weakening of our venus in mycobasculature, and the answer is a ring, and any man can prove this to himself. Any any of your patients, um can prove this to himself.
Speaker 1:Masturbating, all a man has to do is get rock hard. You know, go to porn hub or wherever these guys go to, you know, to get when they're, when they're alone. Get rock hard and then do nothing. In other words, there's no sympathetic nervous system here. There's no wife telling you your dick is too small, you're stuck in bed. There's no baby crying words. There's no sympathetic nervous system here. There's no wife telling you your dick is too small or you're stuck in bed. There's no baby crying next door. There's no. Sudden, your boss has had a lot of stress at work. Get rock hard and then see how long it takes for an erection to go down and it's about 25 to 35 seconds in most men Then put a ring on it. Our ring, of course, is the safest, most comfortable.
Speaker 2:But ring, of course, is the safest, most comfortable, but just put a ring on it and you're going to stay off to two, two, three minutes. Put a ring on it. It used to be associated with Beyonce, that's right.
Speaker 1:Put a ring on it. And all the single ladies. Now it's guys, yes, all men should put a ring on it. Now we have an internal study and there's also one independent study showing that if men want to rock harder, last longer, be more confident, put a ring on it. But they can take a pill as well too, because the sialis will add about another minute to it. 10 milligrams of sialis will add another. It goes from like two and a half three minutes being hard to a little over four minutes being hard. So and I'm going to describe right now my practice is very, very small, just really men with sex problems.
Speaker 2:It's a small practice with men with sex problems.
Speaker 1:Well, you've got a big practice. I'm involved with the company and with research.
Speaker 2:I see a few men.
Speaker 1:So this man, he's in his mid-60s. He spent $16,000 trying to get his erectile dysfunction to get better. He's taken maximum PD-5 medication. Testosterone's been maximized. Thousand dollars trying to get his erectile dysfunction to get better. He had. He's taking maximum pd5 medication, testosterone's been maximized, shockwave therapy, a cold laser therapy, whatever you know supplements. Uh, lost about 10, 15 pounds.
Speaker 1:And I asked him this is where the doctors were default to. The doctors don't want to spend time people. I said well, what happens when you're in bed? He says well, I get hard. I go down to my wife. She has an orgasm and then she wants me to penetrate her and I get kind of hard and then I lose it. I said what, when you penetrate, what do you feel? And he said nothing. So so when you masturbate, you feel? Nothing says no, that's different. So so how many? How many children your wife had? She had five. She's 61 years old. He's not feeling any friction.
Speaker 1:I suggest to him that he just get our maximum performance ring, which is our non-tech ring. It's $60. He got the ring. His wife has now had successful penetrative sex three times. Last week because he needed a ring. He was losing. No man wants to tell his wife or his girlfriend. Your pussy is too lax. I don't feel anything. That's kind of a buzzkill in bed. It's a common problem. I probably hear about that from one or two men a week. They need the support of a ring to build their confidence. They worry about losing their erection. Two, to increase the sensitivity because the ring is holding more blood in the penis. Beyond rock hard, there's cock ring hard. Nothing will get a man harder than their cock ring. No amount of oral, manual, vaginal, anal stimulation is going to do that.
Speaker 1:And how long?
Speaker 2:can they keep this on?
Speaker 1:Our ring is designed to be worn for hours, hours. These conventional cock rings are made out of hard silicone. They pinch their uncomfortable. They can only be worn for 20, 30 minutes. Our ring is designed to be worn for hours because they don't block the arterial flow and they only constrain the venous return. And they're made out of soft silicone. They're not made out of hard, so they're made out of soft silicone.
Speaker 2:Do you have one there? Do you have one there that I can see?
Speaker 1:Yeah, I got one.
Speaker 2:Here's how it works. Ah, I see, okay.
Speaker 1:So this ring is a maximum performance ring. This ring was designed with two things in mind. One I wanted to give the tech ring came first. I wasn't really thinking about data. I was thinking about men's pleasure, and a man's pleasure is also their partner's pleasure as well too, because the man is more confident. It's going to make the partner the part is going to be happier too, because women and men who are partnered with men they don't want to be anxious about that their partner's performance. They'd like to have that relieved and a ring can kind of accomplish that. But this ring was designed to put the right amount of pressure over the urethra to increase the ejaculatory phase, so that's more intense orgasm.
Speaker 2:I don't I don't need go ahead oh, it's just to say it's quite a redesigned penile ring. Yeah well, it's entirely different it's entirely different. The but at the base of the penis it doesn't slide down the shaft.
Speaker 1:A man drops his balls in like that and then it opens and closes with this hook. Now, maureen, you're wearing something right now that has a hook and that inspired this design. What is that?
Speaker 2:A bra. A bra, exactly, it's a support. It's a supportive device.
Speaker 1:And it's easy on, easy off. So I was scratching my wife's back, which is foreplay in our house, often Not emptying the dishwasher.
Speaker 1:That's a sore point. In my household I do all the cooking and I miss the dishes too. Anyway, that's it. I was scratching her back because silicone is irritating. There's a silicone man in the back of every bra, except for sports bras, and I saw her bra on the ground and thought duh, why don't we make a cock ring that opens and closes with a hook? That way it's easy on, easy off, safe. And so that's the background story. Yeah, that way, it's easy on, easy off, safe. So that's the background story.
Speaker 2:Yeah, no it's a very interesting design, I have to say I understand.
Speaker 1:I want to increase the blood in the testicles as well too, by having base testicles, because testicles are sensitive. So what do men like with balls during sex? They want to be caressed, slapped, squeezed, whatever. And by putting more blood in there they become more sensitive. But mostly I want to put pressure over the urethra, not to choke off the ejaculation.
Speaker 1:So I've been tested on 21 men here in Montana and age 28 to 70, I was the oldest and when we hit 50% we made that device. So my ejaculatory phase goes from four seconds to seven seconds. Well, that's an incredible orgasm and I don't, you know. My wife says she's glad the kids are out of the house because I'm noisy for the first time. But the great thing about our impact on our marriage is we make love longer. Now To be able to make love confidently for a long period of time is well, frankly, it's a profound recovery of intimacy, and I hear about that from the data is really valuable and I'm kind of drift away from the data here, but the data is really really valuable. But the rings are really valuable too, and women have libraries. It's about time that men stopped seeing rings as crutches something for gay men and start seeing rings as enhancers of pleasure.
Speaker 2:Just a couple of things there. First of all, I can't get the song All the Single Ladies out of my head.
Speaker 1:Go ahead sing a couple of bars.
Speaker 2:All the single ladies, all the single ladies, anyway, because they are to put a ring on it.
Speaker 2:But now it's a ring for men with erectile dysfunction. But I also want to mention that, especially as women age and go through menopause and are post-menopausal you talked about the tissues that are not as supple and may not be as moist it can lead to vaginal dryness and painful sex and decreased sensation. And it's very important that women are treated as well for conditions such as genitourinary syndrome of menopause, which is, you know, dryness, burning, itching, decreased orgasm, decreased time or an increased time to experience orgasm, decreased amount of orgasm experiences. So that's very important, because it's all well and good to treat the men, but you must treat the women as well, and and and doctors are, you know, are getting on. There's a lot more information now about vaginal health and how important that is, especially in intimate relationships. The other thing is this flies in the face of my advice to women with low sexual desire it's only going to take two minutes of your life. So now I have to say, oh, but if he wears a ring, it's going to take four minutes of your life.
Speaker 1:So that could be a game changer in both ways, but this is really a supportive device.
Speaker 2:If we want to think about men being turned off by a ring, this is not really a supportive device. If we want to think about men, uh, being turned off by a ring, this is not really a ring it. Well, we're it's I mean, it is a ring.
Speaker 1:It is a ring, it's a redesign with the intent to help men to let to comfortably last longer, be more confident and also address getting back to the data, to address what the data is showing about men's sexual health as they get older, as they become less fit. The problem is largely on the venous side of the circulation.
Speaker 2:And it's also important that men remain fit as well Men and women and they remain fit. Everybody. You know your health, your cardiovascular health, is critical Exercising, low glycemic index diet, high protein, low carb, the whole thing. Alcohol is a is a, you know, an intimacy killer.
Speaker 1:That's treating the problem from a chronic perspective. But, from a key perspective put a ring on it.
Speaker 2:Yeah, which is exactly, exactly, you know, to be honest, it's exactly um how it should be treated, because nobody's really going to change their ways. I mean, I've learned it's very hard in my in my clinical practice. It's not, you know it's, it's impossible, it's very, very someone.
Speaker 1:Someone might cut back, so it's easy. You knowoking they might lose five pounds. I don't know, it's hard.
Speaker 2:It's next to impossible. You give them their cholesterol numbers, you give them their HGA1C, you tell them their risk of cardio, your Framingham risk score, none of it matters. They're not going to change their diet, their alcohol consumption, and so putting a ring on it might be the only answer for all of the issues. You know, we don't even ask men how their erections are in the GP practice. You know, when we go through all of those risk factors, we're not saying so. How is your intimate life?
Speaker 1:The average doctor spends and I say spends seven minutes actually communicating with the patient. Maybe it's a minute too long in Canada, I doubt it. It is, it's two more minutes. And doctors don't prioritize sex at all.
Speaker 2:It's an uncomfortable subject and oftentimes doctors don't want to open up that can of worms and they don't know what to do with it.
Speaker 1:The issue and of course we'd like to pretend we're treating people holistically, but we're not just asking about what one thing is most important to them in their life. And we know that people have sex regularly. I mean regularly, meaning daily. That's. The study was in women. Women who have sex daily, orgasm daily, cut their causal level, the stress hormone, in half. Now no one would ever. How many doctors are telling women you know, maybe you don't need this, ssri, why don't you use a vibrator every day? You know that no, no doctor's going to do that, it's just it's uh. We know that, couples, that there's a big study out of the uk that that men over the age of 70 who had sex twice a week versus men who had sex twice a month cut their cardiovascular the risk of death, cardiovascular sudden death, by 50% for the next decade.
Speaker 1:That's profound. And then let's look at the impact on the family. We know that couples that have sex three times a week, versus couples that have sex less than three times a month, have half the divorce rate. I think that people need to plan for pleasure.
Speaker 2:Oh, absolutely. I couldn't agree with you more in scheduling sex. Getting back to an SSRI versus a vibrator or a sex device, I had a patient who was a surgeon and who was getting anxiety going into the operating room and she said I was thinking of going on an SSRI and I decided to try a particular clitoral stimulation device that I had recommended to her and she said it did the trick. Basically and you know she did not she did not feel the need to go on an SSRI.
Speaker 1:So yeah, I was just going to say it came upon her after like 20 years of operating.
Speaker 2:You know it was just something that had come out of the blue. She hadn't had that prior to that. I mean it might have been associated with perimenopause or menopause, but nonetheless it's a real issue.
Speaker 1:I have a friend who's a surgeon and in his 50s he started developing anxiety before very complicated cases and I suggested to him that he masturbate and he tried it.
Speaker 2:Yeah, I'm surprised he didn't think of that, but anyway, I thought men thought of that all the time. You know the intersection of sexual wellness and wearable technology is still emerging, so how do you see this market evolving over the next five to 10 years, which may be the amount of time for doctors to adopt this into their practices? To be honest with you, or at least be comfortable asking about sex.
Speaker 1:Well, I think that what we're doing will become the standard for care.
Speaker 1:It'll become the standard for diagnosis and management of sexual health, because care should be data-driven this is the 21st century, after all and not only that, the care should be not just objective and actionable the data, rather but it should also be personal, because another mistake that doctors make is we treat everyone as if they're one size fits all. Now, maureen, I don't know how old you are, but you're obviously a different gender than me. I'm certain you're a different age, but if we both went to a doctor with high blood pressure, they probably put us on the same medication, and if we went to a doctor with depression, they probably put us on the same dose of an SSRI to start. And that's dumb, because with a device like ours frankly, the blood pressure cuff you can start to differentiate, because people respond differently to medications. What is the right dose of PD-5 medication? What is the right dose of testosterone replacement therapy? So I think so. The first thing that's going to happen is we're going to come out with a device for women next year.
Speaker 2:Fantastic, I was going to say. Doctors might not even take my blood pressure. Might think only men have hypertension.
Speaker 1:Yeah, you're right.
Speaker 2:And most of the studies are done on men. A lot of even the hormone studies have been done exclusively on men. So women only entered the research game, you know, 20 years ago or so. But I'm glad you're entering the female market as well.
Speaker 1:We can measure temperature. The other thing is we measure, but the blood flow is the most important aspect of what we're doing, and with that information, women will be able to see the impact of diabetes, hypertension, obesity, hormone issues, medications, alcohol, recreational drugs, even how they perform with different partners, upon their sexual health and their sexual pleasure, and that will be revolutionary for practitioners like yourself.
Speaker 2:That would be awesome. Yeah, that sounds amazing. All right, wrapping it up. Wrapping things up, if you will. Another pun. There's so many puns with all of this, which is one thing I love about sexual health, but it also transforms lives, as you mentioned. What's the one piece of advice that you would give to people out there who are listening?
Speaker 1:You know, if a man is 25 years old and has some erection issues and that man wants to go online and get some pills, I don't really have a problem with that. But if a man is over 45 or 50 and has a cardiovascular risk, he should get his data and you now have the ability with our tech reading to assess really what's going on to what degree your problem is physical, potentially cardiovascular, and to what degree is your problem you know psychological and that's really valuable potentially cardiovascular, and to what degree is your problem? Uh cycle, you know psychological and that's really valuable. And the second thing I would say is if you're a man, you want to perform better, put a ring on it.
Speaker 2:This isn't something just gay people is for you, it's for all men not just the single ladies, not the single ladies, it's, it's for the men. Anyway. Well, thank you so much, dr Elliott. I really appreciate you coming on the podcast and talking about your Pinot scrotal rings. I think that gives a very good description for what I saw. Anyway, how can people learn more about this technology or perhaps order a ring from you?
Speaker 1:Sure, you can go to myfirmtechcom and you can order devices there. You can also contact me directly at Elliot L-L-I-O-T at myfirmtechcom. It might be a day too late, but I answer everyone at this point. I'm interested in what's going on with people and what the questions are, and we ship everywhere in the world.
Speaker 2:Perfect, wonderful, changing sex lives. One pinot scrotal ring at a time. One erection at a time. One erection at a time. If you're interested in erections or you know somebody who is feel free to share this episode, you can go to MyFirmTechcom if you want to learn more about this technology or track how your erections are doing, or if you want to experience better erections. My guest was Dr Justin Elliott, who is the CEO at Firm Tech, and he is changing lives, one erection at a time.
Speaker 2:And I'm Maureen McGrath, registered nurse, nurse, continence advisor, sexual health educator, and you have been listening to Nurse Maureen's Health Show Podcast. Thanks so much for tuning in everybody. Thanks so much for tuning in. I'm Maureen McGrath and you have been listening to the Sunday Night Health Show Podcast. If you want to hear this podcast or any other segment again, feel free to go to iTunes, spotify or Google Play or wherever you listen to your favorite podcasts. You can always email me, nursetalk at hotmailcom or text the show 604-765-9287. That's 604-765-9287. Or head on over to my website for more information. Maureenmcgrathcom, it's been my pleasure to spend this time with you. Guys.
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