Dr Matthew Peters On Before-During-After Surgery Care

Dr. Peters and Trish

Dr Matthew Peters On Before-During-After Surgery Care Podcast

You will hear it loud and clear in today’s episode on Aesthetics Uncensored, the Before-During-After Surgery Care with Dr Matthew Peters from Valley Plastic Surgery.

Dr Peters and his amazing team are constantly after for their patients care, from day 1, anything in between and that’s being part of that duty of care and that process.

“I run through their story, what their concerns are, I talk to them about what I can do, what that would entail Is that something we can do in one operation does it require multiple, but importantly, run them through what to expect and, and what sort of follow up is gonna happen and, and one of the things that I find all patients appreciate is just an explanation of when we’re going to catch up one week, three weeks, six weeks, 12 weeks, six months post op and anything in between is a pretty routine saying from my mouth.” – Dr Peters


Dr Matthew Peters On Before During After Surgery Care Podcast Transcript

Trish: Hello, listeners, it’s Trish Hammond here coming to you solo today. Actually, I’m not solo. I’m actually going to speak to Dr. Matthew Peters. Now Dr. Matthew Peters is a specialist plastic surgeon and he is one of the plastic surgeons at Valley Plastic Surgery. And Dr. Peters does heaps of body surgery for massive weight loss patients. So we’re going to have a bit of a rundown about that today. So normally I’d be doing this with Nicole, but she’s on a night shift. So I’m doing it solo. So welcome, Dr. Peters.

Dr Peters: Thanks for having me.

Trish: Oh, thanks so much for coming. Thanks for joining us tonight. It was really, really great. So I know you’ve had a full on busy day. So before we start, how busy has it been at the moment?

Dr Peters: It’s the busiest I’ve ever seen, operating for five days a week at the moment. Before the day starts. And pretty much for patients answering phone calls and text messages. And then the evenings are going well into the night. Like it’s just really busy. It’s busy.

Trish: Yeah, I know. It’s just it’s just been crazy. Like everyone just wants to have their operations now.

Dr Peters: It’s fun. I like operating a lot. Yeah, people do. So it’s good times. All right.

Trish: Exactly. Yeah, we don’t say it would be really great to talk about, number one, the different procedures that you do for weight loss surgery patients and people that have lost weight. So basically the skin removal type of surgery, which I know we talk about a lot. But today, I wanted us to focus a little bit more on the pre during and post care phase of the surgery. So I know that you guys offer, you know, an outstanding service there at Valley Plastic Surgery. So can you kind of like run through it from the beginning. So say for example, someone comes to see you to decide to have surgery they know nothing about or they may have done a whole heap of research, like, what’s the process what we do we start with you guys?

Dr Peters: Well, it starts well before people even meet me. So reaching out to the clinic, which for a lot of this stuff is based on referrals. So there’s word of mouth, and there’s stuff like that. But GPs and also the Bariatric Surgeons, if they’ve ever been involved, I’ve often sent a letter to and, and so they reach out to our clinic, our staff really good when it comes to answering questions, emails, sending through information and touching base with all of us surgeons here, if there’s any queries or concerns otherwise, so there’s a lot of sort of interaction. 

Well, before the patient arrives, we’re doing a few exciting things, even with a few apps type things, that’s all coming in the next few months. So some patients have been trialed on that. So they have access to info and resources as well before they even arrive. But then, of course, on the day, when they first come and meet me, the process involves obviously interacting with front desk staff and then coming through to my room and I run through their story, what their concerns are, I talk to them about what I can do, what that would entail Is that something we can do in one operation does it require multiple, but importantly, run them through what to expect and what sort of follow up is gonna happen and one of the things that I find all patients appreciate is just an explanation of when we’re going to catch up one week, three weeks, six weeks, 12 weeks, six months post op and anything in between is a pretty routine saying from my mouth. And part of that is meeting with me of course but in between here and there meeting with nurses and so I always introduce the patients when they first come through to our nursing staff so that I’ve got some familiar faces and the staff there will give them even more information and be involved in all their garments and photos and to start the process of developing good rapport. I made up this is when they come through. And yeah, and then and then obviously there’s feedback from myself to the front desk staff so everyone’s kept in the loop when it comes to why the patient’s here and what they’re, what they’re having done and all that sort of stuff. So yeah, so that’s all the pre and then obviously the consultation it’s I always stress to every patient that the doors open when it comes to having more questions answered. And so you know I will often flag that the first time I meet with someone can sometimes prompt more questions to arise as when they get home and when they’re talking to their partners and friends about what I’ve described. And so to write them all down and it’s very common for me to meet with people for a second time. Whether that be in person, or just a phone call, or a video consultation of people from regional areas or interstate, and then of course, there’s all the post stuff, which is start small or meet people on the day of surgery, of course. And then we move forward with the operation and then touch base with them. I’ll often send text messages or ring, the next of kin, and I stress to them, you know, my phone number, every patient has my number, and their discharge planning stuff. And I usually give it to their relatives, as I just said, and stress that they put it in their phone and save it so that if there’s any issues when they get home, they can reach out to me directly. And then yeah, seeing the patient in hospital and making sure that I’m, I’m aware of where they’re up to, and controlling what’s happening with their medications and their drains and their mobility and being a driver of their discharge planning and the near setting things up for when they come back through the room. So, yeah, the whole journey is very hands-on. 

Trish: Yeah, yeah, it has to be, because the patient really needs to feel that, that care, and that nurture, and that everyone that’s a part of the team knows what’s going on.

Dr Peters: Oh, they’re outside. And, and that’s the thing I once was a patient myself. And I remember the surgeon saying to me that, you know, the most important person in the room is the patient at any one time and the most important person in a surgeon’s life as the patient that they’re thinking about, and I am constantly thinking about my patients and who’s in the hospital and how they going and we’re just, I’m just primed the whole time, it’s, it is really important to be thinking of what they’re up to, and being part of that of that duty of care and that process.

Trish: Yeah, for sure. And so if we go back to the beginning because I know for a fact myself, when you go to have a consult, you’re so excited, you’ve finally got your appointment, and you go in there and you may or may not have questions, and usually you’ve just got stars in your eyes for the end result or the fact that, yes, this is the doctor, I want to go and see, this person is going to cut me off and make me better. So, from that beginning phase, like as a patient, you forget stuff, do you know what I mean? Like me and things, do they go away with information? I know, you’re obviously starting something coming up really soon with that with an app that sounds really exciting. But so even with that prep stage, they have started to go away with that they should kind of know that. This is the day you’re having surgery, this is how long it’ll be and this is what you’ll be wearing. 

Dr Peters: Yes, well I mean, there’s elements that I’m obviously walking them through when it comes to the surgery, and I’ll often run them through the day. So we’ll say, look, you’re gonna ride to the hospital, we’re going to get some of the nursing and admin checks and eventually meet me and we go through the drawings, this is what I’m going to draw and, and run them through how they’re going to go to the theatre basically describe the day so it’s not foreign when they first arrive, because the biggest thing with going through all this is anxiety. So trying to relieve that. So they’ve got a concept. And then when I leave my room, I leave all those diagrams and all that information, but then they do meet my nursing staff and the nurses give them pre prepared preoperative information pack, which includes all the information they need to think about when it comes to the surgery and nutritional things that I might need to think about. There’s a lot of people who take supplements which can be harmful for surgery and bleeding. So there’s, there’s all sorts of written instructions about that. There’s guidance about recovery and what to do with gym memberships, and when to slow things down, and when to get back in the pool. And there’s all these things that people can plan. And then yeah, when it comes to the administrative side it depends on the complexity of what we’re doing some of the big multi procedures, if someone’s self funding or other things when it comes to health insurance stuff, the quotes could be a little complicated and take a day or two put together but there’s something as straightforward we can often give them what we call informed financial consent, which is a breakdown of everything that they need to be aware of when they when they’re going through surgery or considering proceeding and and lots of information in that regard so that they can digest that and work that out. Scheduling is a common discussion point. So the staff will run through bookings and what’s available and people will book in then or they’ll take away a few dates back so it’s all the usual information stuff so people can just make decisions and work out if they’re right for them and move forward.

Trish: Yeah, fantastic. And and So you’ve been in a few different hospitals in Brisbane, don’t you? Can you give us a rundown of which ones they are?

Dr Peters: So for ones where people need to stay in hospital, I’ve accredited at Brisbane Private Hospital and Northwest Private Hospital. And then when it comes to day surgery style, they can be done obviously, in both of those hospitals, but I also operate at Chermside Day Hospital and North Lake State Hospital.

Trish: Okay, so there’s a nice little variety kind of around, actually sounds like you’re traveling the patient.

Dr Peters: Like it’s amazing. I can’t be in a private practice for a while now. And, and I think it’s a streamline. I can possibly make it when it comes to things for patients, but also just running around and saying everything, everything’s pretty organized. It’s a good market.

Trish: Yeah, I’m a bit like that, too. I like to know exactly what I’m doing pretty much every step of the way. Alright, so that then, like people go to hospital, they have their treatment. And I’ve been in hospital and I’ve had surgery where a doctor hasn’t come into me. But then I’ve had surgery where the doctor comes in every day, as long as I’m there. And I’m guessing you’re the everyday doctor.

Dr Peters: Yeah, so I’m in a hospital every day of the week, including Sundays. And I run around and some patients will be surprised to see me. There’s a lot of people that actually think that weekends are precious for surgeons and doctors. And no, they’re surprised when we drop in and say hello. The only time I ever do so to turn up is if I’m stuck somewhere else operating. And that’s really rare. I usually try and make it a massive priority to get around and see everyone every day. Today, for example, I went to Northwest Private this morning and saw to belt lipectomy patients that were in patients there. And then came to the room. So I called a private person to sort of just touch base about a couple of patients that I’ve got up there and I’ll drop by after this to go and check on their progress and set things up for tomorrow, and I’ll see them again tomorrow morning. I’m going to a Brisbane Private tomorrow. So part of the day is making sure that it’s not just all the operation, it’s just the aftercare, it’s very important to be in control of it and know what’s going on and making changes when it comes to everything. So people heal and recover.

Trish: Yeah, that’s so true. And I think there’s nothing worse than, especially now with COVID the fact that, I don’t know about your hospitals, but do they even let visitors in? I think people are kind of out there on their own now, aren’t they? Because the hospitals aren’t really dissonant visitors in that, is that right?

Dr Peters: It’s been on and off. But at the moment visitors aren’t allowed. And, I know that it’s one of my patients that travels very long. It was a big thing. And he was really, really vocal about that and telling me how that was a concern to him. And now we were working through setting up FaceTime and using that as an avenue to touch base with these partners. So yeah, it’s a big concern of mine, that going through surgery is stressful enough feeling as if you’re doing it sort of solo or in isolation and not seeing your loved ones would be pretty stressful. And, yeah, and that’s so being sort of that familiar face that they get to know and then sort of know see them every day, it’s almost like it is a visit. And that’s hopefully trying to spend some time and make sure that they’re okay, and especially during COVID away, they can’t otherwise have people that they can just say and relax around.

Trish: Yes, so true. And good for patients having the surgery at the end of the week. Like when the weekend comes, you kind of want to know that you can reach someone if you’re in that situation, you’re just feeling like sometimes family are not always supportive of the surgery that you’ve had, it’s pretty much just yourself and maybe a friend and your doctor and if that frame is taken out of the equation, well then you’re just relying on yourself and the doc that you’ve chosen a team to actually make you feel like you’re okay.

Dr Peters: I make a point, as I said, and I think it is important. Now make a point of saying my patients as much as I possibly can and, and being accessible and I stress to all of them. I’ve had the same mobile phone number for over 25 years now and I just think that it’s really important that they have it in their post op period. I talked to them all about reaching out to my nursing staff during normal business hours just because I can sometimes be operating for really long periods of time and be hard to get ahold of but when it comes to after hours, I just stressed that they just ring me directly or send me a message. And, and that also, when I first started, it was something I didn’t didn’t do straightaway, it was sort of people who would sort of talk about how you run your practice and stuff. But I had a night where I had the robbers when emergency rang me to say, Oh, we’ve got a patient of yours here. And they’ve been waiting there for three hours at the public emergency department. And it was really an eye opening experience for me, because the problem they presented with was really straightforward. And if I had been, if I had made my mobile number known to them, they could have just sent me a message around me and said, Hey, I’m worried about this. And it could have been a reply that stopped them, having to go to a hospital and you know, going to hospitals, especially if someone has young kids and family, the coordination involved, and that sort of stuff can be enormous. So yeah, I made a decision many years ago, to just include my details so that people have access all the time. And just reaching out so that I can handle things, when there’s small things I can relieve stress about the small things. It’s just the way that I applied it ever since then. Do I get harassed?

Trish: Oh, gonna say you get nice three o’clock in the morning phone calls?

Dr Peters: Everyone’s really, really respectful. And, you know, it’s only occasionally that I’ll get someone who sort of sends messages at funny times of the night, but I’m sort of awake most of the time anyway. But yet, most people are really good. And the text messages are pretty funny at times. They’re quiet, sorry to disturb you, but some of the things, I’ll send through photos and it just works. It’s a way that I like to run my practice now. And I think it’s a good arrangement. I think it works.

Trish: Yeah. And I think people really appreciate it as well, because it, it gives them that comfort to know that, if I’m having a meltdown, because I’m in extreme agony, and the painkillers aren’t working or whatever, I can actually speak to you, you can actually speak to the nurses are in the hospital to say, hey, you need to add this dose or whatever, to live in pain and not be able to get through to anyone.

Dr Peters: Yeah. And that to me is just, I just couldn’t imagine doing that. Yeah, to find out about something a week later. You know, I just couldn’t handle that. I like to instill in people, and it’s a relationship and it’s and the doctor patient relationship is that it’s a, you’re the doctor and you look after people. And that’s how.

Trish :Totally, Agree. And so let’s, let’s now move on to the after care. For example, if someone had said, I know you do a lot of them, let’s say that she would do a body lift or 10 meter. So say someone’s had a tummy tuck they’ve been in for. There’s all these drains and tummy tuck.

Dr Peters: I don’t

Trish: Alright, so they’ve got drains in and they’re around overnight and hospital and it’s day two you’re doing surgery or someone else and they’re just had a complete meltdown or don’t know what to expect because I’ve found that day three and day five are the hard days after surgery. I don’t know where it is, but it’s just like, your emotions are just all over the place. And you know, you may not have remembered what a doctor said about when you know, when it’s coming next time or you know, why am I in pain and what am I going to do next? What’s happening to me? How would a patient of yours deal in that situation? Because you must have had people that have that that’s happened to Hey, I just had a complete meltdown and like oh my god what have I done and why am I feeling all this pain? What’s happened?

Dr Peter: Yeah, but it especially happens in breast augmentation. To tell you the truth, they really sore on day two-day three majority of them not not all of them but a lot of people feel discomfort and and the result that sort of looked down and swollen. Yeah, that’s common with breast augmentation and they’re often at home alone. They’re not surrounded by nurses and they don’t have support. So yeah, that that’s the subgroup that that that rings true for and and i during every consultation with them, I tell them that this is what happens and be prepared for that sort of thing and and stress to them again that the nurses in my practice myself are only valuable if there’s questions, problems, anything that’s causing them concern whatsoever just to reach out the belt by peg to me is the the abdominal pasties. They’re usually in hospital, still at those time points where things are a little bit emotionally sensitive and, and some people are that way. And again, I’m aware of that and and I’m trying not to rush things or appear rushed or like to sort of just have a, an open dialogue that I you know, I asked them how they going and I asked about their pain and ask about things just to try and probe a bit deeper to see if there’s anything that I do want to talk about. And I think that’s really important because that will have a tummy tuck before they don’t know exactly 100% how they’re going to go with it. And, being an ear is really important when they’re going through that. The occasional patient will go home with drains in and that’s pretty common for me on day three, day four, day five, whatever it might be after a body lift. And again, seeing these patients every day, and sort of pointing out to them what to expect and any concerns, show them my phone and point them out. I’ve got it with me all the time. Staff are always available as well. So just letting them know that there’s 24/7 access to someone that knows everything about them is reassuring and often sort of settles any anxieties I may have.

 Trish: yeah. And so after surgery, for example, they go home, you know, day 3-4-5 whatever it is, what’s your follow up process? Because obviously rather than hospital you’re seeing them every day. But then where do they have to go? Oh, actually, I guess they have to come back to see you and their drains come out?

Dr Peters: Yeah, so often, what the way that we do it now rooms is I’ll look after them when they’re in hospital and my nursing staff, they touch base with everyone on their first day post op, Monday to Friday, on weekends, it’s all up to me. And then. And then when they’re being discharged. Now there’s all the instruction sheets, we’ve got these bags that have all their post garments or their spares, we’ve got little nice little packs and stuff that we give people. But it’s got all the details in there to touch base with us. It’s routine to get people back, depending if they’ve got drains then yet we talked to them about what they need to consider with drains and my staff touch base with them to see how they’re getting on. And then at a certain point, we get them into our clinic. And we take those drains out. That may be before a week post op. Other than that, we usually have people coming back at the one week post-off point just to have a good review with the nursing staff because often it’s a week after their surgery, and I’m operating it the following Tuesday, for example. And so I’m operating again, and the nursing staff in my practice, thankfully, a number of them have been with us for years. And so they see my belt patients or all patients and they’re used to what’s normal and not normal. And so they’ll just check things over and, and if there’s any pain issues, then they’re on to me or if there’s any other issues then I want to me so that I’m aware. And then we can organise scripts and all sorts of stuff to be sent through. And then routinely depending on what the case is, I’ve got the patient coming back to see me the following week, when we take undressings and I’m specifically looking at how their wounds are going how’s everything healing, and it’s an opportunity to catch up again and just run through things and what’s normal, what’s not normal, and then giving them advice about how things are going so they can consider driving or other activities around the workplace or at home what they can safely consider. And then we usually get people back so if that’s in week two or week three, we usually get people back around week six. And it’s at that point that we’re making judgments about garments and giving them advice on when they can wear they’re not wearing them when to sort of start the winning out process. Talk to them about the next stage of recovery with relation to exercise and people returning to gyms or other sorts of styles of exercise. And, and then I take all of my weigh ins for 12 weeks total and so I always get people back and week 12 just to check on their scarring and see if we need to consider anything further when it comes to just silicon types gels are the treatments and including occupational therapists and scar therapists and as a retain for almost all of my procedure as I’m thinking about catching up at the six or nine month mark, depending and especially with the body of lives, I like to catch up around the six month mark, because they can have some loose skin recurrence that might need a little trim size. All of that I’m just watching certain patients and I want them all that, there’s just I said it as tight hours, as you know, I said it as tight as I can, but they can always stretch out a bit of swelling and they lose elasticity. And sometimes they need a little tidy up. So I always check on how they’re going somewhere between six to nine months, depending on their progress. And then I just stress to them, you know, if everything’s good at that time, fine. I’ve got my number and they know where we are stressing them that we’ve not prevented purchases premises, we’ve got plenty of support here. And all the records are electronic. So we’ve got their story, and they’re my patient, and I just stress to them to reach out if there’s any drama. And so that’s the way that I usually plan.

Trish: Yeah, totally. And so say, for example, that there’s no drama, you wouldn’t really need to see a Bodylift patient after a certain time with you, and if they want something else?

Dr Peters: And that’s, that’s the thing, we often reach this awkward stage to say, hey,

Trish: relationship breaks

Dr Peters: Yeah, it is a little bizarre. I saw that on those patients that that day is coming. We’ll see you at the next review. And if everything’s good, and you know, we perhaps can let you go for a while. Yeah. Yeah, but Instagram and stuff is really, you know, all the different social media channels and email, all that stuff. And the text message service service, I got a text message from one of my patients last week, a photo of him with his wife, and now we’re on bikes together. And he’s lost over 100 kilos of weight. And I cut a further 12 or 13 kilos of skin or came across a number of operations. And that’s the first time he’s ever been on a bike.

And so patients just reach out and send photos and messages to say, Hey, I’m six months on 12 months on, whatever, post up a lot of women that send me pictures of their babies after breast reductions, especially said yep, I can breastfeed and look chubby she is and I just get a lot of that. And I think that certainly you reach a point where they can go, but I do stress that you know, don’t be shy, be a friend. Reach out there’s problems. And just to touch base and let us know hey, getting on.

Trish: For the patient that is the breast augmentation, say patient, do you have a regular like they need to come in? Because you couldn’t have them checked? I believe that you need to know what am I right? Do you need to have your breast implants checked every so often?

Dr Peters: It’s not, it’s interesting, because it sort of depends on the age group you’re dealing with as well. And for routine breast augmentation, and someone who, you know, in like his mid 20s, I just sort of stress them time points where they may need to reach out. And so I certainly go through at least a good 9 to 12 months of close follow up just to say that they’ve healed the way that I expect, and I’ve got the result they want and they don’t need any revisionary things. But if there’s nothing wrong at all, then sort of stress them that I’m available. Here’s my details, if you notice anything weird, running through breast implant illness and ALCL and other things to look out for and just making sure they’re aware of all of that. So I told them about that sort of stuff. So I just encouraged them to open the doors. Some people like that, some people just say, hey, great, I’m happy. And if there’s any problems, I know where you are, which details I’ll reach out to you. I run them through things that might be important to them if they say that if someone is considering having kids, I say hey, okay, well, if you’re gonna have kids, just keep in mind, breastfeeding shouldn’t be a concern. If someone’s sort of reaching that age where breast cancer screening is important, 40-50, somewhere around there, keep in mind, you just need to go through all that it’s safe to do so now that you’ve got implants, they ask questions about that. There’s ways to work around them. So the things that will point out if I get the vibe that someone is not going to come back in 12 months type thing, but if someone sort of is a guy, Yep, okay great. What next? And they want to follow up, then I’ll get them to come back 12 months later, just to check on them. It’s rare for me to just routinely offer or get someone to get an ultrasound unless there’s a problem. Some people do that. I don’t think there’s a lot of science, the tech that we’ve got these days with implants is pretty good. And, an ultrasound is not invasive, but it can be really expensive. Just doing a routine ultrasound, two years post op, I don’t necessarily see that. Yeah, just gauge what the patient wants in terms of follow up and make sure they know that I’m accessible whenever in between if they’ve got a scheduled appointment and in time, if there’s something that they’re worried about, if they make a decision to move on.

Trish: Yeah, that’s so awesome. As a patient, it’s really reassuring, because I know myself that, like I said, I have had surgery where I haven’t seen the doctor roll. And then I have had surgery where the doctors come in every day. I have had those days, where you’re in hospital, and you just, you’re it’s a crying kind of place sometimes and you just like, oh my god, I’m here alone, and nobody cares. And that nurse was not very nice. And I know what the emotions, what emotions that patients must go through. So it’s just so good to know that you can always pick up the phone and just ring someone you know, someone that that’s actually in charge of your care rather than a family member or a friend who doesn’t really, it’s not professional, but someone who you know, knows it out, what’s going on anything. So, as a patient, that’s really reassuring. So I respect that so much.

Dr Peters: It’s good. I think it’s just the way it should be.

Trish: Yeah, I agree. What am I going to say that I feel like I know, before I started talking to you, because I was really interested about this topic. And my shoulders were like, tensed up. And now I’m like, all relax, if you made me feel relaxed.

Dr Peters: Like, I think that should be I know, a lot of plastic surgeons and plastic surgeons that are trained under the plastic surgeons that you know, part of our training network and stuff like that. They’re all good people. A lot of them are members of the Australian Society of Plastic Surgeons, Australian Society of Aesthetic Plastic Surgeons, and they all hold similar principles. And they’re all good people. So it should be standard of care from people that I consider colleagues that are good colleagues. So you’re surprised that they weren’t offered that?

Trish: Yeah, yeah, no, I totally agree with you. 100%. It’s really, because those patients are going to come back and they’re going to recommend, they’re gonna remember how you made them feel. They don’t really care what you say, but they do care how you made them feel. And I think by doing that you make them feel cared for and you make them feel important. You make them feel like they matter. And you make them feel like you’re working with them, with regards to healing, and that’s all people really want, really good support. I was gonna say thank you so much for this chat. It’s been really good. And it’s been really reassuring. And as a patient who hasn’t been a patient myself, and that’s what you want, you want that service. So kudos to you for providing it. That’s pretty good. That you’ve told us exactly what you provide as well.

Dr Peters: Very good.

Trish: Lovely. Well, thank you so much for joining us tonight.

Dr Peters: That’s right. Thanks for having me.

Trish: Lovely and listeners that we do want to get in touch with Dr. Peters. He is like I said at Valley Plastic Surgery. You can look it up. You can get it all over Instagram. And you can either drop us an email as well if you want to find out and yeah, so thank you so much for talking to us tonight. Thanks a lot. Cheers. Bye.

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Well, like all good quickies it's time to dust off and get back to our day jobs! If you liked the podcast please rate us because we need the validation for our fragile hearts. If you have a story to share or have a burning question you would like us to cover please slide into our DM’s on Instagram at @transformingbodiespodcast. Stay positive, keep your boobs and chins high until we chat again xoxo Trish