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Bet on Yourself: Overcoming Shame and Creating the Life You Deserve
Episode 2326th September 2025 • The Weight Loss Collab • Dr. Betsy Dovec, bariatric surgeon & Hannah Schuyler, weight loss dietitian
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Welcome back to The Weight Loss Collab! In this deeply personal and inspiring episode, Dr. Dovec opens up like never before, pulling back the curtain on her journey through shame, self-doubt, and ultimately—radical self-acceptance. Recorded live at a groundbreaking retreat, Dr. Dovec shares heartfelt stories of perseverance, from professional setbacks to the confetti-filled highs and vulnerable lows at the grand opening of the Surgical Institute of Central Florida.

You'll hear about friendship, the power of community, and the invisible weight of shame that so many carry—especially in the world of weight loss and bariatric surgery. Dr. Dovec tackles tough topics, from infertility and body image to breaking free from the expectations of others and building a practice that's uniquely her own. Along the way, she offers wisdom on why shedding shame is every bit as important as losing pounds, and how real transformation is rooted in connection and authenticity.

Join us for an episode that's not just about weight loss, but about betting on yourself, defying gravity, and finding the courage to live unapologetically. If you've ever felt held back by shame, this is one episode you won’t want to miss.

Transcripts

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Is truly from the heart that I want to share some things

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that are deeply personal because I know how vulnerable you

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all are to be here today, to fly here, to travel,

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to take a Saturday for this. And that's major. And

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Laura and I have been really reflecting on that.

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So I really want to start with a confession

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and I want to start about a night that

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many of you were actually at. A lot of my friends

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and my family and my Body by Bariatrics team were

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at this beautiful night. This was the grand opening of the

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Surgical Institute of Central Florida. Many of you were

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there last night as well. I poured

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an indescribable amount of work and energy and time

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and money to get to this moment. It

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was everything. It was the building, it was the details. It was a celebration

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itself. It was a lot of planning. And for years it was grueling

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to really get to what I felt was going to be impossible. But when I

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felt that things were so hard, I truly,

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I swear to God, I just imagined the night and

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cutting that hot pink ribbon on that pink carpet with that pink confetti

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hitting my blonde hair. Like I could feel this

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moment. And I really use that kind of visual

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just to get me through it. And then it came and the confetti went

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off perfectly. On cue, the cameras flash. You all

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cheered. It was amazing. It looked like the

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greatest night of my life. It was picture

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perfect. I was surrounded by all of you and

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Dr. Lane and everyone here in this room.

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So who's Dr. Lane?

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Dr. Lane is my partner. She's my dear friend. She is

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my true colleague. She worked with me shoulder to shoulder. I love this picture

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because it's us. She's witnessed me scream,

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crying. She's witnessed me breaking down. She has

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witnessed me laughing so hard I have to be silent so that I don't

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pee myself. She is just truly

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everything to me. And she's helped me through all those breakdowns.

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And she's become my family. And her family has become my family.

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So this is her family. This is on that night. Her dad was there,

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her brother was there, her sister, her soon to be brother

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in law, her husband Mike, her stepmom, her mom. Her mom

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even helped me pick up my beautiful dress and hers. And we were perfect.

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They all came together to witness all the hard work that she had done.

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And do you know what I did? I did an acknowledge for that night.

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In this moment, I knew exactly that I had forgot

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her. I cut the ribbon and I realized I didn't say

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anything about Diana.

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And as that Ribbon fell. I felt that shame. You know, that

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feeling, like when everything goes kind of like

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those closes in on you and you feel like, oh, my

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God, I'm smiling, I'm happy. Oh, my God. Thank you.

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But on inside, you're kind of like, spiraling. Like, how do I do damage control

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on this? Like, how do I fix this? Like, oh, my God. Her whole family's

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there seeing this, and it looked like

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I was losing my mind, and

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everyone noticed, and I tried to

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make it right, and Diana was super cool about it, and. And then later that

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night, I saw that that moment was posted on Facebook. Somebody did a

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Facebook live of the night, and the comments rolled

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in, and the first comment was,

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did she mention Dr. Lane?

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No, she did not. And then, guys, if

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you ever really want to hurt somebody, just insert this emoji. In

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particular, I just want to be clear that this emoji

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will really mess you up, because that is what

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I would describe as the shame emoji. It's called a pensive face. I've looked it

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up. But I will tell you that that's not pensive. That's shame

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right there in that emoji. And I was

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reliving it again, over and over again with that moment.

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Diana forgave me. But me, I carried it

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along with me. Obviously, clearly, here, I'm still carrying it with me long after the

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confetti was swept away. But that's what shame does. It

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ruins what was beautiful. It rewrites the story so all you

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can see is your failure. And if you let it, shame seeps

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into everything. Your work, your relationships, the way that you see

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yourself. Think of your confetti moment. I

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know you all have one. That time when everything looked great. But inside, you were

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drowning in shame. You're not alone in

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that. Clearly, for many of you, shame shows up in your body.

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The mirror, the room where you feel visible, or even worse,

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invisible. Shame whispers, if you were just

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smaller, if you were better, more, then you'd be worthy.

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And so you chase that goal weight, thinking once you

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hit it, shame will finally release its grip.

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Everything will be happy. But the goal weight is really just never the goal.

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That's why we're all here today. Because shame does not disappear

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when you shrink your body. It just finds new ways to

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remind you that you're still just not enough.

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Shame has made my body feel like it was a traitor, too.

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And for me, that was infertility.

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Years of needles, shots piled on surgeries,

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medications piled on prayers. My Life ran in

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28 day cycles of Fragile hope and crushing

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disappointment. And I would ask myself, why me? Why do I have to deal

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with this? Why? I don't have time for this. And I was

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a surgeon. I'm saving lives. I'm doing so much great work.

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I'm super successful. I work hard and I get results. That's how

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this works. But it didn't work. It whispered, you're broken.

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Still not enough. But isn't that how obesity feels?

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It's unfair. It's isolating. Other people

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just don't get it. They look at you and assume you're

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weak. You don't try hard enough. You don't have willpower.

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You've been fighting harder than anyone could ever imagine.

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And I've witnessed that over and over again with every

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patient encounter that I have.

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But guess what? There are happy endings.

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Here's what is true. After the pain, after the ivf,

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after the heartbreak, there can come three beautiful babies. And

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I know that if you let it, your journey is so

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beautiful, too. Aren't we so thankful for the hardship to make

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us really appreciate what we have?

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This picture got me in a lot of trouble back in the day. Yes, I'm

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naked. I am naked. If you're listening to this online, that's me naked

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now. I strategically have my babies covering all my

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privates. And, you know, I feel

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like this picture is just the purest picture I've ever

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taken. And in it, you can still see a little bit of shame,

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though. You still see how it twists that story into

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weakness instead of resilience. That's the lie. Shame. It

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blinds you to your flight, your courage and your grit.

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Shame started early for me. That's me.

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I know. I grew up in a steel town in a small

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little town in West Virginia. I was tall. Super

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tall. I'm awkward. I was shy. Not pictured as my rat tail.

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Yes, I had a rat tail. I'll never forget being

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in my dancing school performance, and

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I was dancing away, dancing my heart off. And I

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realized, man, I am so far stage

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right. I'm not even on the stage because I'm seeing curtain.

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If I'm seeing curtain, no one's seeing me. So I'm off stage,

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literally, and everyone's dancing together. And there I was, dancing

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alone in the dark. Don't you just want to hug this girl?

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Yes. But that's what shame does. It makes you feel like you don't

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belong, like you're always out of step. You're always

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out of. Off to the side, not enough. Raise your hand if

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you've ever Felt like the awkward ones. The

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outsider, the one dancing off stage.

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Look around. Clearly every hand went up. You are not alone.

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But here's where we get real. Most of us treat

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shame like a toxic love affair.

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We replay the insults over and over. We relive the criticism.

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We scroll through that side eye emoji, the pensive face, and imagine the

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narrative. We tuck shame into bed with us at night like

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some twisted companion. But shame does not love you.

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Shame has never loved you. Shame is a thief. It

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has stole your joy, your confidence, your dreams. It shrinks

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you down to the size of your worst mistake. The

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only way to break free from shame is to stop letting it be the mistress

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you keep going back to. Walk away from it

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unapologetically and fall in love with

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yourself. Speaking of love, I fell

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in love with surgery. I did. It was love at first sight. And when I

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told people at home, at West Virginia, it was like, what?

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You want to be a surgeon? Are you sure? Don't you want to be a

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mother? A wife? Why would you want to do that?

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And I was the only person, male or female, in my

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graduating class at Marshall University in Southern Huntington,

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West Virginia, that went into general surgery. Because

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it was brutal. Because it didn't make sense. Because

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why would you do that for yourself? Why did we sign up for that, Diana?

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I don't know. And I cried. I cried a lot with that decision.

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But surgery had my heart. And if you've ever loved something, you know it

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doesn't always make sense. But you just can't walk away with

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it. Each specialty calls you in a certain way. Some people said, go

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with OBGYN, do PEDs, but. But do something more

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manageable. But all I knew was what I wanted. And I was

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willing to claim the shame of being too much to get it at all

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costs. Have you ever been screamed at?

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Like screamed at? But that's what we were

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conditioned to do. You better not flinch. You better lean in.

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Residency was 5 years of 80 plus hour work weeks, 30

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plus hour shift cases. I had no interested in

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traumas at three in the morning. It was exhaustion layered on humiliation.

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Because there are always people ready to scream at you.

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I was not perfect. My God, not even close. And

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still I stayed for the bigger picture. God, this is it

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right here. Then came my fellowship at Vanderbilt. The Harvard of

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the South. Enter bow tie wearing southern

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gentlemen of surgery. They were great, but they were intimidating.

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And there was little old me. I got an incredible education.

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It was mental warfare, though. Every day was a battle between proving

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I belong and Secretly believing I did not. Passing my

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written board, sitting for my oral boards, fighting through the constant

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inferiority. It's all shame. And then

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came the next hardest chapter of my life. My big girl

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job. I moved to Baltimore, Maryland, and I had

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a job that was 100% bariatrics.

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This surgeon was my partner. His name is Dr. Peter Liao.

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He was already there for a few years, and he was the medical director.

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They were doing a couple of hundred cases a year, and I was entering into

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his world. Back then, you did not get cases by going on

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Instagram or Facebook or TikTok. You had to go into a

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dimly lit hospital conference room and give an information

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session. At the end of it, there was old pad and paper you would sign

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up for a consultation. So I knew I needed to convince

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my patients and most importantly, my myself, that

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I could do this. And I'm confident. I've trained for seven years.

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Let's go. I go into this. I practice my presentation.

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I even read books on how to deliver a TED Talk. The room was packed.

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It was standing room only. You could feel the excitement in the room.

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Who's this new surgeon? Angie's a girl. This is great. Dr.

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Liao introduced me that night. He came in

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and he said, hello. This is my partner, Dr. Betsy

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Dovik. She just finished her fellowship. She's never done

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one of these on her own before. Who's going to be our first

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victim?

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Victim? I felt shame. Punched to the

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gut, out of body, spiraling. I stumbled over my slides. I was awful. I

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admittedly was terrible, as you can imagine,

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when I walked out of the room. Thank you for coming. Everyone kind of walked

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out. Thank you. Great to meet you. I looked over at the pages.

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There were zero signups for me. And I kind

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of got tears in my eyes. And I was like, no, you're not feeling bad

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for yourself. This is gonna be harder than you imagined. We're just getting started.

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Let's lean in. I looked at those papers, and you know what I did that

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night? One of the best things happened to me in my career and in my

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life because it stripped away the illusion. It forced me to

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face the truth. Patients don't care about your PowerPoints. You guys don't

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care about my pedigree. You don't care where I trained.

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You wanted someone that was real. That got you, that showed up

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authentically. Otherwise, it wasn't going to work. So I

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stopped trying to do what someone told me to do. I

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stopped standing behind men

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on platforms. I met patients where they were. I went to the

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gym. I worked out with them. I started a couch to 5K. I walked with

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you. I went to support groups. I sat with them in consultations,

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which ultimately became virtual. And I listened to their stories and I

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understood their shame.

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And that's where everything shifted. Because shame is the great

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connector patients feel. I understood theirs because I

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had my own.

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More confetti. Almost a decade later, I was

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recruited to Florida, to a very large health system.

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Again, there's lots of confetti. There was

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celebration. There was a promise of great success,

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a long term career. I'm going to retire here. And for a while,

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it worked. But behind the confetti there was

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a message. You're too loud. You're

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too much. Tone it down. Don't show your shoulder. That

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earring's a little too low. Beyond your earlobe. Wear this. Don't post

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that. Think smaller. Act differently.

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It reminded me of Wicked, the Musical. You know, that

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part at the end, defying gravity? Well, it all

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comes because everybody here has a wizard. The

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wizard is the voice of authority. The one that tells you, this

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is how the world works. Get in your lane.

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This is the truth. Do what I say, and

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then you will be worthy and belong.

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And for a long time, even Elphaba believed it.

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Because when someone with power tells you something,

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it's easy to think that it is true. For me, the

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wizard looked a lot like a health system. They told me

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what lane to be in and how I should practice and how I should dream.

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And I believed them. For a while. Just because someone told me so, I

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thought it must be right. But the truth is,

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the wizard never has your interest at heart. The wizard represents

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control, conformity, belief in the system to keep you

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small. And that's where shame sneaks in.

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Shame is the wizard's favorite tool. Don't stand out.

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Don't speak up. Don't question. Stay quiet. Stay small. And then you

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will belong. But then there's that moment to find gravity.

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Elphaba chooses not to believe in the wizard anymore. She decides to

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rise, to fly, to go against the grain. And yes, it is terrifying.

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It's lonely. It costs her

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relationships. Ask me how I know. Because when

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Glinda and Elphaba's priorities start to shift and diverge, their bond

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does change. And that's real life, too. When you decide to stop

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shrinking, when you defy the wizard in your own world, some

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people won't come with you. And that hurts.

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Have you ever mourned for something that's still alive? Have you

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ever grieved Something that's still there, that you see,

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people that you love, that never would answer the phone again.

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Yes. But imagination, imagining it forwarded, is the

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spark that can help you fly anyway. Even when

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you're so unsure and scared to. Am I crazy? I quit this job.

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What? You picture a different kind of life. You picture yourself free.

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And even if it feels lonely, even if the narrative

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is not correct, you must stay firm in what you

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know is right. Because before you can have any

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meaningful relationship with anyone around you, you must

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first fall in love with yourself. And that's what defying

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gravity really is. Not floating above the world, but refusing to live

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below your own worth. I tried. But the truth is I

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can't be caged. I can't be shamed

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into shrinking. Because shame isn't a way to live.

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And that's how Body by Bariatrics was born.

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Thank you.

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It's not out of perfection. It's out of failure. A failure,

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rejection, shame. It's too heavy to carry. So I let it go.

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Now the risks are higher, so much higher. But the shame. You know what?

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It's crazy. It's less frequent because I'm

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living as me. And when you do, something

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else opens up. Friendship.

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Adult friendships are complicated too, aren't they?

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But they're also life saving. They're built on

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proximity, timing and energy and summer for a season.

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Some are for a reason, some are for a lifetime. And some

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are just for a retreat. The power of friendships

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cannot be underestimated. They hold us when we are

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ashamed. They remind us who we are when we have forgotten. They reflect

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back our worth when we cannot see it for ourselves.

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There's a book Mel Robbins just wrote called Let Them. And she

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broke down these elements of friendship so well. And

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I think it's so applicable to this group and this community. Number one is

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proximity. Do you see this person often? Do you live

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near them? Do you work with them? It matters. Proximity. Seeing them

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every day equals connection. Until it doesn't. When they move away, sometimes

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their friendship goes away. And suddenly that shifts. And that's hard.

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Number two is energy. You either click with somebody or you don't. You love their

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personality, their values, their quirks, or you don't. And the magic of true friendship is

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when that energy coincides. And number three, Era.

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What stage of life are you in if you're in your 20s and dating,

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or if you're someone who's going through perimenopause?

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Well, you're in different parts of life, but

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if you have good energy, that's your glue.

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I'll never forget one. And here's where bariatric

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surgery creates something really rare. It unites

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people across all three.

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Proximity may not matter anymore. We have a vibrant online community,

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energy. You'll click with someone, not with others, and that's okay. But that error piece,

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that's the glue, because that is where, whether you're 25 or

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75, the area you're in when you're pursuing surgery is the

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same. You are standing on the edge of transformation,

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and that commonality will bridge all gaps.

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I'll never forget one support group. I was in Baltimore, and there

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was a patient who was our oldest patient we ever

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operated on. She was 85. She was from Greece, and she had lost her

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husband, and she was grieving him and a

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younger black man from the inner city who was in his 20s. He worked for

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the Maryland Transit Authority. He stood up and he hugged her, and these

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two became friends for the rest of her life. And

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I thought, that's the gift. That's what we get out of

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obesity. This is the magic. Friendship's not

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simple, though. There's jealousy. It sneaks in. You can

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see someone with a new car, a new vacation, that new, perfect body,

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and we celebrate them. And sometimes you still think, why not me? Why is

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shame piling on? I don't want to feel this way. But here's the truth.

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Jealousy is a breadcrumb. It's not about them. It's about

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you. And it's pointing towards something you want, you

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crave, but you haven't yet given your permission to chase

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it. So you're standing on the edge of the cliff. I'm telling you to

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jump. My moment happened on this day

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a few years ago in Miami, Florida. I was

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one of nine surgeons that was chosen to be part

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of a prestigious advisory board. We were the top,

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I believe, eight surgeons, actually, in the entire

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United States. We're the highest performing bariatric surgeons in

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the country. And I sat on this advisory board, and you can

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see one thing's not like the others.

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There are seven men,

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one woman. There are seven

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private practicing businessmen, and

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one hospital employed woman living

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someone else's dream.

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After I left, that conference shook me. It pissed me off.

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It enraged me because I had the best ideas there.

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I did. And I knew it. They knew it. They would never tell me, but

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they knew it. And that table wasn't built for me.

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Some whispered shame came in. You don't

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belong here.

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And what did that feel like? How does it feel to be

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underestimated? Well, I let it light a fire, and

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things started to move. Hey, guys, Spoiler. It turns

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out I'm the best businessman after all, doesn't it?

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I built this little humble abode that we could have a little

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space to really just put the vision into motion.

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And there's going to be heartache because you build this and you have

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people close in your life. Where's the cheering? Where's the support?

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Sometimes the people you expect to cheer the loudest are

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silent. Sometimes the people who should support

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you the most are the ones who shame you, criticize you, try to keep

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you trapped, and meanwhile, a stranger on the Internet

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is clapping the loudest, rooting for you fiercely,

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more than your innermost circle. And that's the

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paradox of adult relationships. They can lift you up or

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they can cut you down. They can be lifelong, seasonal, fleeting.

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And sometimes the most transformational connection you'll ever

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have comes from a gathering just like this.

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But here's what I learned, my friend. Shame thrives in isolation.

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It dies in connection. Friendship. True friendship built

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on that proximity, energy and era is one of the most powerful

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antidotes to shame. And here's the paradox.

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Sometimes the people who should support you the most, they don't.

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But I know that you support me. And I support you.

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My patience. Many of you have slipped into my DMs a time or

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two over the years. You have become so much more

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than patience. You become my true friends,

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witnesses, partners in my journey. I'm going through it as much as you are.

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And whether you know it or not, you've seen me publicly walk a

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tough road. It hasn't been easy. You know that

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moving from the security of the hospital employee structure to being in a private

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practice is uneasy. Life as I knew it was ripped

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up for me. Did I just burn it all to the

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ground for nothing? Or am I going to be able to build

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this up better than ever? You've told people

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about me. You've trusted in me to perform an operation which is always

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going to be the most humbling opportunity you could ever give to

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another human being. That you trust me with your life.

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And here we are. Right here, right now.

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This retreat is a first. This has never been done

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anything like it. Laura came with this idea, and I said we need

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to do it. This is the first ever that we're not talking about diet plans.

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I love you, Hannah, but we're not. We're not talking about our surgical

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techniques, what size bougie and sizing tube to use. We're

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working on some mindset. We're working on shame on

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the hardest, heaviest, most untalked about part of this journey.

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And we sewed out because you trusted me.

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You trusted her, you trusted us, you trusted Laura. You

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trusted us to bring you value. And my

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deepest hope is that when you walk away today, you will feel

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changed. That you'll feel lighter, not because you've lost

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pounds, but because you are shedding shame.

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That's what makes this community so rare.

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It transcends all usual rules. It's as powerful as we

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go. And here's where I am now.

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I'm living my dream. Body, by bariatrics,

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is me. It's not someone else's system, someone else's table.

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It is mine. It's practicing medicine the way I want to. Intimate,

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connected, fun, and freaking pink. Yes.

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It's not checking boxes. It's risky, yes.

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But I'm living authentically. And when you stop shrinking to fit

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someone else, you have so much room to grow. You

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are enough. I am enough. You've

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proven you can do hard things. As I always say at the consults, as does

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Dr. Lane. You hop up on that or table and you wake up on a

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mission. Right, Darrell? Hell, yeah. I mean, you do, and you hop off of that

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table and you're doing hard work. The surgery is, as Hannah says,

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the most un. Interesting part of your journey is

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the mind. Is there. Well, it's a minor part.

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It becomes because you're so much more than just this one sliver of

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life. And that. That brings me back to wicked.

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Because defying gravity isn't about Elphaba flying.

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It's about deciding not to let that wizard or shame

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defy her anymore. It's about breaking away from the

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voices that you're too much or not enough. It's about saying, I'd rather

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fly solo and stay grounded in a life that

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does not belong to me. It's terrifying. It's lonely. But

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it's also freedom. And I wanna invite you to have that moment with me. I

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want you to feel the words about what we're about to do. I want you

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to feel uninhibited, like you're in the car, flying down i4

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windows down, cranking, defying gravity on the highest level.

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As Laura has said, when we were creating this, there is this calmness

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that comes over people in this room, this community, when

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they're with each other. Because these are my people.

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They get it. They feel it. I can be myself. And when you are

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with your people, when you stop apologizing for who you are, when

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you let yourself imagine it forward into a scarier, freer future,

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then you, too, will be defying gravity. And so, here we go. At the edge

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of it all, Shame has had her say.

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She has stolen enough. She has whispered lies long enough. But

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today, in this room, in this retreat, we are not whispering back. We are roaring.

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And that is what defying gravity is all about. It's not Elphaba flying. It's the

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sound of a woman finally betting on herself

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so hard that she cannot be contained. It is

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animalistic. It is spiritual. It is

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a primal scream that says, I will burn it

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down because I know I can build it back up in the most

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ferociously fabulous way. I'm done playing small. I'm done

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playing shamed. I. I am being. I am betting on me. And

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in this moment, you're gonna hear this last note, the note that

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rattles your bones, that note that feels

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like it is pulled from the center of the earth. And as you hear it,

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I wanna ask yourself, what would it be like to bet on myself

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like that? To go fully all in, almost feeling

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impossible, Magical. Like I'm defying gravity. Imagine it up

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above the clouds, the window, your face, the wind in your hair,

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turbocharged broomstick under you, kicking ass, taking

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names. Finally free. And when you look around here, you see all your

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people. The ones that have always stood by you. Like Dr.

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Diana Lane. I can say it now. And Hannah and

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Amber and Laura and Jen and so many others. You see your community. You

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realize we ride together. This isn't solo. This is family. This is community.

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My friends, we ride at dawn. And when you look around here,

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you see your people. You see the ones. And you know you can say it

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with me, Shame. Bye, bitch. And with that,

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let's defy some gravity.

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Sa.

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Thank you.

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