 The podcast like this, who gonna bring it to the table? Boss talk, who your girlfriend favorite? Boss talk, we gon' do it how you want it. Boss talk, yeah, everybody on it. Boss talk, it's a unique hustle. Boss talk, yeah, we came from the stroke. Check it, check it, check it. It's a unique hustle. It's your boy E.C.O. And I remember the lovely, amazing official, Miss Jamaica. What's going on? You know my dad will all go on. Man, hey man. We got a special guest here today, y'all. We down in Houston, Texas. One more again, you know. That's how I say one more again, man. Yeah, that's my terminology, man. We have a very, very, very special guest here today. And she really don't need an introduction, not in Houston. Not in Houston. She's a, what you say, a local? Oh, she's a very local, man. Dr. Michelle Maneves? Yes. How are you doing today? I'm so normal. Welcome to Boss Talk 101. What a boss is talking, man. Hey, man, we got this woman, Miss Maneves, Dr. Maneves. Listen, I'm so excited about this because this young lady here, she helps you with all type of different things, man. Men and women. Especially men and women. Don't talk about the men stuff too much. But let's just talk about the women first because it's something that my wife has had issues with and I have to deal with it a lot. So I really wanna tackle some of these issues, you know. Just, let's first of all, let's find out. Just Miss Maneves, Dr. Maneves, where are you originally from? I'm Vietnamese, 100% Vietnamese, and I speak fluent Vietnamese. Wow. But you're born and raised here in Houston? I was born in Orange County, California. Oh, okay. But I got here as fast as I could. How old were you when you came to Houston? Three. Oh, really young. I'm very Houston. Yeah. Very Houston. So you moved here with your mom and your dad? Okay, so are they both from? Vietnam. Yeah, so they're immigrated from Vietnam. How long have they been here? How long were they in California before they moved here? So in California, when we first immigrate, there's a huge Houston population of Vietnamese people that there's another huge population right outside of Orange County called Westminster. And so it's nice because you immigrate there, you learn a trade, you don't really have to speak English, you know, there's a whole community there and then you spread your wings and fly. Wow, that's awesome. So how hard have your mom and dad ever told you how hard it was being an immigrant moving here to the states? As an adult, very hard. You know, just the whole immigration process itself. I mean, my mom was on. How old were they when they moved here? She was 18. Oh, so she was really young, wow. Yeah. And your dad was? Also 18. Wow. Yeah, yeah. So they came here on a boat. My mom's boat was robbed by pirates 17 times. You know, so I mean, they've been through some stuff. That must have been scary. Did anything happen to, did she tell you like anybody, did anybody get killed, thrown off the boat? Can we think about parents? I'm thinking about parents of the Caribbean where, you know, fights and all of that, swords. Did any of that happen? You know, it's one of those sword topics where you kind of just let it be in the past. We have so much to look forward to. We're so grateful. We have a lot, a lot of good coming our way. So we like to focus on that. I like the way how you put it. That's nice because a lot of times people, in anything that they go through in life, they tend to focus on the past. And so they can't move forward to the future because they focus so much on the past. Right, it's all about how you react. Everyone's got baggage. Everyone has trauma. But how do you bounce back from that? How do you react to that? And how many kids do they have together? Two, just my sister and I. Oh, no boys. Oh. No boys. It would have been nice to have a brother though. How far apart are you and your sister? Three years. So how was that growing? Are you older or younger? I'm older, but I act younger. Wow, okay. Yeah. So she was the big little sister. Big little sister, yeah. She was a big corporate lawyer, all of that. Then I started this practice and I said, I'm only good at being a doctor. It's the only thing I'm good at. I need someone to help me. So I made her quit her job and now it's like, it's so much fun. It's so much fun. So your parents must be very proud of y'all because of where they come from and to see y'all achieve this, what you have. Was it hard for you when you were a kid? Did they push you like really hard like because of where they came from? Like you have to be somebody. You have to this. That happens a lot in first generation immigrants. My parents not so much. Oh, you really just wanted us to be happy. Mm-hmm. Wow. I mean, you know, when I look, and I look over there at you, you know, I can see you doctoring on me. You know what I'm saying? Like you seem like the person I be like, don't, you know, cause I really like the lady doctors better than the men. So I really can rock with you because I'm a ladies man. I got married 20 years ago. And so, you know, I always did better with the ladies. We can tell. Yeah, I love the ladies. That's why I got y'all two sitting here. I'm in my own zone, you know what I'm saying? So you a doctor, you know what I'm saying? You from Vietnam? Well, my family and her family's from here. Well, that's where she came from. You was over there too, right? No, I was born in North Carolina. She's born in California. Okay, well, all I'm saying is you got the roots. You know, I always heard that all of the Islanders and all the ladies outside of this country, they love the U.S. men. I got a friend that does security and he told me what happened when he went over to these other countries. He put me on game. So I know y'all love us, you know, the brother special over here in the United States. Don't pay him any attention, okay? That's the way the show goes. Don't pay him any attention, because he doesn't. So, okay. You didn't watch the show, have you? Go ahead, still. Wait, didn't we just clutch my pearls with y'all? No, I just like to mess with people, man, but I definitely appreciate you coming on the show. I think we've had, like I said, we've had... But I want to say how we ended up reaching out to her. How was it? It was Tiffany, another young lady that we met. In Port Arthur. But she, we didn't meet her in Port Arthur. She's from Port Arthur. We met her in New Orleans. That's crazy. We were talking because, you know, she had her fibroid issue and I also suffer from fibroids and she recommended you. But one thing that stood out about the story that she told me about you, which to me is old school, is the fact that she said, when she was in the doctor's office, how you scoot forward on the seat and you sat right by her side and said, tell me everything. And you were asking her detailed questions about just everything. You don't find that any more because I've been to so many different doctors and they'll ask you one or two questions and then that's it and they're out the door. Next patient, I'm ready. They're not spending as much time with you really finding out. And then when she told me, oh, let me call you because she had your cell phone number, I thought that was crazy. I'm like, how many doctors give their patients a cell phone number to reassure this person that everything is gonna be okay? That never happens. And I'm like. Not anymore, not anymore. So I'm very, I'm very old. I know I'm young, very doctor, but I'm very old school. And Tiffany specifically and a lot of my patients, they will start talking and I say, so what's going on? And they start talking and then they'll pause. And then they'll look at me and then they'll keep talking and pause, pause, pause because they're so used to doctors interrupting them, asking the question because the doctor already thinks, I know the answer, let me just speed this up. But if you just listen to the patient, they give you the answer. And so once they realize I'm not gonna interrupt them I'm actually really here to listen to them. The whole story flows out. How it affects their lives. You've got five cats, I wanna know all five cats' names. And that makes it personal. Think medicine and probably what the doctors that you've encountered, it's almost a systematic thing. It's not their fault. The hospitals make them move fast. You can't spend more than this amount of time. You get docked if you spend this amount of time. So that's part of the reason why I started my own practice. I just want to do medicine the way I think medicine should be done. And if I wanna spend an hour with a patient, I will spend an hour with a patient. How much does the insurance companies impact on the doctor's time with their patients and what they do? And how much does that impact a doctor? For me, it doesn't impact me at all. I don't care what the reimbursement is. I don't care how much they pay me. I will still spend the exact same amount of time that I want to with the patient. Okay, let me take it back a little bit. Cause I'm an old country boy. I'm out of East Texas. I don't know much. Now I'm just trying to understand you got out of school and you said I want to be a doctor and you went to... Yale. Bam, Yale. You know, that's one of them prestige colleges that everybody talks about getting into. You had to be pretty sharp in order to even get into that college. Right, cause not many people get in. So just break down the process of your thinking in high school of I'm going to try to push the narrative and go to Yale. I never thought I was going to go to Yale. I'm very Houston, very, very Houston. I want to stay here for all of my training. I did my medical school here, internship residency. So I thought I was going to stay here for fellowship. Then one day my mom says, Michelle, you know what an Ivy League is? I said, yes, mom. I know what an Ivy League is. She's like, can you just go to one? So I have something to brag about at brunch. Did she say that? And I'm like, do you not have enough to brag about already? So I applied to Yale as a joke. I said, okay, mom, look, I applied. And magically I got an interview. I was like, Northeast doesn't like the South. They're not going to, and I'm a female. Yale is a boys club. Wow. I'll never get in. So that's why I applied there because I didn't want to get in. I want to stay in Houston. But it was meant for you to get in. It was. It really was. But would it be in a boys club there? How hard was it, your internship there? How hard was it being there in those years that you were there? Being a female. For me, it wasn't really an adjustment because I'm used to dealing with things like that. For them, it was a huge adjustment, right? Because I'm coming in with my pink scrubs. Every morning I walk in and I go, good morning, today's going to be a great day in the Angiosweets. For the first three months, they were just like, oh, this girl's here again. And I thought, I called my mom. I was like, listen, everyone's so rude up here. They're so abrasive. So either I'm going to turn into one of them or I'm just going to quit. She was like, Michelle, keep being sunshine. Keep being sunshine. And sure enough, towards the end of the year, when I walked into the room, they greeted me. Good morning, Dr. Manavis. It's going to be a great day in the Angiosweets. That must have melted your heart. Oh, it made me so happy. I can't imagine. It made me so happy. Wow. So you've always wanted to be a doctor, even in, as a kid growing up, is that your feel of career you always wanted to take on? No, I didn't know. I just wanted to do something that made me happy. Science made me really happy. Understanding the human body made me really happy. To be able to explain something like, oh, my finger hurts. To be able to explain why your finger hurts from here all the way up to your brain, what's processing, I thought that was so cool. That's amazing. I think that's amazing for you, because there's something for everybody to do. And you've got to tap into your gift. And I think that that's what you've done. You've really figured it out like, there's no regrets. Right? No regrets. Absolutely not. If I could do it all over again, I'd do it exactly the same way. So do you have a specialty? Like when you went to school, did you specialize in something specifically? So I chose radiology. That's where you read CTs, MRIs, all of that. So I did four years of that because I am an introvert, I am really shy. So I was like being in a dark room by myself, doing things very efficiently is perfect. And there was this thing called interventional radiology. That was a part of radiology. And everyone wanted that rotation. And they were fighting over, they wanted it at the beginning of the year so they could put it on their CV. And I was like, don't worry about, I don't even know, put it at the end for me, put it at the end. So it was at the end, I did the rotation and I was just blown away. The minute the patient leaves your angiosuit, you've made a difference. Whether it's a biopsy, you get to know what that strange thing is made out of. Whether they need a line for chemotherapy, you're helping with that. What we're talking about today, fibroids, men with their prostate that are enlarged, you get to make a difference and it's a fast turnaround. How could I not be a part of that? Right. So I love the fact that you go through all these different categories because it brought you to where you are here today, being so knowledgeable in the field that you're in today. So right now you deal with women who do, who suffer with fibroids. You deal with... Men who suffer from enlarged prostate and women who have fibroids. Right. So the men most and foremost. That is my favorite procedure. That is my thing. And why is that your thing? And how many doctors do that? Not very many. Not very many. Why it's my thing is, I like to use my brain, I like things that are complicated. So I was like, what is the most difficult procedure that we offer in this specialty? The prostate one? Cool. I'm gonna be an expert in that. So that's what I decided. Wow. Is it a very difficult procedure? Very difficult. Very difficult. How is the recovery time? Oh, zero. Really? Yeah, yeah. So basically, interventional radiology is image guided surgery, minimally invasive surgery. So I do everything through an IV. The same thing you get in your arm or your wrist in the hospital. Everything happens just through that IV. So very minimally invasive. And what I do is I place that IV into the artery. I'll inject some dye, use my big X-ray machine to see the dye. The dye illuminates all of the blood vessels in the pelvis. I find the blood vessels that are feeding the prostate. And right now the prostate's really big. It's really greedy. It wants all this blood to grow. So I inject microscopic beads into the blood vessel to slow down the flow to what a normal prostate requires. And the prostate just shrinks in response to that. So in one day? No. So being minimally invasive, it does take time to work. So my men start, I say at six weeks, you will start to notice a difference. And that's what's published. But in my experience, it just varies. I had one guy that was waking up 17 times a night to go to the bathroom 17 times. And you really underestimate the importance of a good night's sleep. So I did the procedure on him. He calls me a week later. My men never call me after the procedure. I call them, see if they're checking on them. And I was like, what went wrong? The procedure was perfect textbook. He goes, doctor, I just wanted to let you know that last night I only woke up to pee once. So for him it works in a week. Wow, so that's one of the signs is that you pee a lot. Pee a lot. And men don't like to talk about their problems. They're a little more reserved. So by the time they get to me, they've been suffering for a really long time. They don't know who to talk to. So getting up at night to urinate, all through the day urinating, when they start, they feel like it doesn't start right away. And then the stream is a lot weaker. So it's not coming all the way out. Erectile dysfunction is another big thing that happens with men with prostate issues. Really? Because when I think about peeing a lot, I know that also having kidney problems can cause you to pee a lot too. So how can you know the difference between this is really what I'm suffering from? Like how can we self-diagnose or husbands or boyfriends or so forth to know which one it might be? There's no such thing as self-diagnosing. I've gone to school for many, many years. Many, many years. And it's my job to figure it out. So that's one of the things I love. Some of my patients and some of the referring doctors will just send me a big question mark. We can't figure this out. We don't know what it is. And I think when you get so specialized, your very tunnel vision, you don't see the whole patient anymore. So when I do get a man that pees a lot, it could be, I'm getting a lot of younger patients, it could be an STD. It could be something wrong with the kidneys. Whatever it is, I will figure it out. And if I can't help, I will find someone that I trust to send you to that person. What's the youngest person, youngest kid that this can happen to? So it starts at 50 with men? Oh, 50. Yeah. Which I was wondering. Wow. Well, I don't pee like that. So, there we go. What you mean? Don't try to put that on me. I rebuke you Satan in the name of Jesus. I'm not peeing like that. I don't do that. And you know it and I know it. I'm naughty and I can pee good. Just, I'm not having issues. But I understand people do go through it. And I understand that it's something that many men suffer from. Is a lot of it have to do with genetics? No. Not at all? Not really. Really? Just the prostate just gets there. 80% of men over 50 will have an enlarged prostate. Does it matter about the race? Because I know certain things, you know, it's more predominantly in this race. So fibroids, yes. Okay. Prostate, no. Prostate, no. And I've also heard every man, what I said, 50 and a half door are supposed to go and check the prostate every single year. It is important to get your physicals, yes. And it's important to get your physicals stay up to date. Are you just looking away? Because you're... You know, I'm looking at one of my friends, he just was talking to me every nine years? Every four to five years. Oh, he said every four to five years. You say every year. You the doctor. Well, I want you to meet with your doctor, talk to your doctor, tell him what's up, keep him updated. Because a lot of times when we have issues that are very personal, it's hard to share, you know. And it's really hard to form that bond with someone you just met. Or someone that you feel is rushing you. Exactly. So if you feel like someone really cares, it's easy to open up to them. So that's why I really try to make that environment in my office. If there were more family practitioners or more doctors like you, then more people would probably get up to go to the doctor to, you know, tell them every little thing that's happened. Because most people have insurance, it covers for their physical every year and so forth. But what turns people off like myself is because I can't find that person who's willing to spend that time to sit down and hear everything that's wrong and be like, okay, this is what you need to do. Try this and really act like you care about me. Instead of just thinking about me as a check. Even if like, even like I've had two C-sections and I've noticed and my husband always mentioned that doctors, when they're, you're having a child and they can deliver your child naturally, but they see a way where they can have them, have you do a C-section, they're gonna always prompt for a C-section because they're making more money. And to me, a lot of doctors is all about the money and not about the patient. So how can you figure out if that doctor that you're about to see, are they gonna really care about me or are they gonna care about this check? I think the biggest, trust your gut. So you can tell if someone cares about you. You can tell if someone hears you. That's real. Let's talk about that for a second, because I did, you know, I seen a guy talking about that one night on a reel and he was telling, he was talking about how much you get paid if you, if a person is having a baby, he said that if the baby turns wrong, or it's pretty much up to that doctor to say, this needs to be a C-section or not. But he went on to say, if this person's in debt, if this person's just got out of school, these are factors that they factor in in a person's mind that this person could make that call just to benefit themselves. In anything that we do. In anything, it's not just doctors, right? In anything that we do, that people can do things and make the wrong decision just because it benefits them on a job. This is, this is all I'm saying. The two categories that they talk about is mechanic and doctors. Those are two categories. And lawyers. And lawyers. Right. So, but it's just, it's not just them though. Others are doing it on a smaller scale or even on a larger scale. So that's just who that person is, you're right. It has to be a person's heart that we look at. To say, you say gut, I say energy and heart like, what that heart looked like. Is that person really somebody who I can trust? Yeah, you held my hand and you told, is it real? I mean, you know, and you seem like a genuine person. I ain't gonna lie. I'm almost provoked to come in and see you, but I'm just not there yet with you. I'm not there yet. No, but I'm working on him. I'm just showing you some. Yeah, like you when you first walked in, you know what I'm saying? I kind of like, whoa. Because you mean mugged me when I walked in. Yes, you did. How do you want me to respond to that? I was on the phone with my friend, he had just called me, he's trying to make it over here and you walk in and you're, ah, it was, whoa. Because she's a rare sunshine. She doesn't. Yes, she came in doing that thing, man. But you know, a doctor, a person who've accomplished, you know, how big is debt when you get out of school and you come to do your, you know, you come to do your practice, you end up opening your own office, you're the founder, CEO of your own establishment. How hard is it when it comes to student loans, when it comes to the expenses that you've accrued because some people go out and get credit cards and all kinds of stuff. How hard or how easy was it for you? And before you answer that question, our daughter mentioned to me the other night, she's like, mom, she's about to do a project on it. Do you know that 75% of people who die, die in debt? I'm not surprised. Yeah, that's not, yeah, I could have told her that. And she's about, and I'm like, wow, that much. Yeah. Life is life and it's expensive. This kid's different. She come to me the other day and she tells me how many people on this earth now that the population is going up, that it's getting bigger now. And I'm like, I don't really care, but I gotta listen to them and be like, oh really, you know, because I don't want it to feel like I don't really care. But at the end of the day, if there's a billion now and there was, you'll know whatever number it was before. She said eight billion. Eight billion and there were six billion. I'm really not tripping on it. I'm just happy to be here, you know. But her, she's very into this stuff. So go ahead and answer the question about how much debt. So it could be very expensive depending on where you trained. I have some friends that are $400,000 in debt when they finish. So it's really hard to catch up. Really hard to catch up. 400? And then even if you have a successful practice, say very successful practice, you can catch up in what, 10 years, five years? I'm on track for 15 years. Wow. But so here it is, you know, because you go out, you gotta look at the part. You're a doctor. You got to have a Bentley or the Benz or the Range Rover truck, you know what I'm saying? You gotta pull up. You're the CEO founded office. They're looking as you come in. Oh, how's it going? Oh, it's okay, Jan. How's it going? Everybody has an image that they uphold. Not there, maybe not you. But I'm just telling you, when I see a doctor, they are looking like doctors out here. Now, if they're a young doctor, if they're in debt, I hadn't seen one that was just walking around here looking like, oh, hell, it's breaking loose. That's all I'm saying. Am I right? We try to keep it together. We try to keep it together. Because there is an image, there is an image that you have to uphold with the practice. Am I correct? So the tone that I wanted with the practice and its access vascular health, I want to, I don't care so much about image, but I care if you feel my heart. So if what I do and what I put out there, if you see in my eyes, if you hear in my voice that this is what I was born to do, this is what I was meant to do, and I will take the best care of you, and that's the image that I want everyone to see. And I really hope that comes across. I really hope that comes across. And go ahead and tell our audience the name of your practice and the location. No, no, no, I got that right here. It's going, let me do that. Oh, oh, okay. Yeah, this is Dr. Manavish, and she will be over at 51 51 Katie Freeway, sweet 170 in Houston, Texas. It's right in the heights, right off the highway. And how long have you been located there? Four months. Oh, new location. Awesome. I like it. My partner, a shout out to Dr. Rose. We went over to his dentist, dentistry. He just opened up a new location. Another location. That's all right, I like it. So what is your goal? Are you gonna do like multiple locations, having different practices? So one of the reasons why I chose access, it's multifactorial, but you know, we get access into the arteries and the veins to do our procedures, but I also believe in access to care, access to education, knowing all of your options. So I do a lot of mission work. And I really feel like what I do should not be a luxury. So where you're born, you can't control that. But where you're born dictates what kind of healthcare you get. And I think that's silly. Right. So we started in Tanzania. So we have an IR lab there. And in my lifetime, it's probably not gonna happen. But I really hope that the next generation carries it out because I don't wanna stop until there's IR in every single country. I love that. I love the fact that you're trying to make a change. I love to know that doctors are going overseas to other places because healthcare is not affordable in other places at all. A lot of times parents can't afford it. They just, but a lot of home remedies in those countries is what is happening. And that's not here in the States a lot. Everybody depend on modern technology or doctors, pills, everything. I'm from Jamaica and a lot of times I'm not saying you don't have that, but you have a lot of home remedies. The grandma said go pick this leaf and boil this and drink this and this is, it helps with this, it eases this pain. I remember my grandmother was having headaches. There's this plant that I used to, that we had outside. She would take the leaf off. She'll rub it a little bit, put it on her forehead, tie it on. And in no time her headache is gone. I mean, they knew these, because medicine comes from a lot of these plants. So they know that, but here they don't practice that. Not so much, but I mean, if it's your first generation immigrant, there's lots of remedies that my mom does, you know. We are going to Jamaica next. Shout out to my mentor, Dr. Gizmo. She's from Jamaica. Awesome. And so she called me up once like Michelle, I wanna go to Jamaica next. Can we do that? Can you do that with me? Yes. Awesome. When is that? I wanna go. Let me get like my feet wet and running with this business first. Nothing could have prepared me for this. I'm a really good doctor. Yes. But as a business owner, you're HR. You're meant, everything depends on you. So you don't have like a huge team and this like, I'm just wanna be a doctor. Y'all take care of everything else. I have a very small team of people that believe in me. Awesome. That really see my vision and believe in that vision. So my little sister is my everything. Actually, she runs the practice. Doesn't that pretty woman get up in there like that? I don't know. I'm trying to figure that out. It's hard to get the older men to take me seriously. I'm serious. Look, you don't know what, what? But when they walk in, you know, they already did their research. They know why they're there. And then when I start speaking about it, that puts them at ease. You know, just first glance, no one takes me seriously. No one takes me seriously. Man, I'll take you serious as hell. You coming at looking at me, telling me this is wrong with me. I'm gonna be serious. You got that white coat on. I know what is going down. I don't like wearing my white coat. That's what really scared the hell out of us. I don't like wearing my white coat. Right. It makes you nervous. It puts the wall up. Never wear my white coat. Damn, white coat, man. It's your old dude's big. You feel like you've been, I don't know. Nervous as hell. It does. It really does. And you could, some patients have a white coat syndrome. So you take their blood pressure. It's super, super high. And it's a real thing. And I think it really puts a wall up, you know? Like we're talking to someone that's this, you know, God or they think they're God. That's why I scooted my chair closer with her friend Tiffany. Didn't have a white coat on. What's going on? Tell me what's going on. Wow. I wanna ask you about just really the way, you know, it's a crazy thing. I just had this phobia when I go. I fell out when I was little when I got a shot and I ain't never been the same since. I go in there just like, damn. And you gotta understand, when both of your parents died in the hospital after surgery, it sends you to a place where you don't trust no more. I'm being real with you. And I'm like, I'll just fall dead in the front yard. I can do better than they did. It was looking good when they went in there. But then when they came out, it was one didn't live long after and the other one did the next day. So I'm just saying like, that's a big deal for me. I don't know about other people. I hope somebody getting this, you know what I'm saying? But when I went to talk to my dad, he was doing just fine. And I was like, man, you sure about this? And he was like, yeah, I'm gonna do it. And I'm like, okay, so you're gonna do it. Okay, and I left at the hospital that night and because I had experienced something early on with my mother, I was like, this dude's tripping. Like, wow, I wouldn't do it. I'm being real. My mind, that's the way I felt. And the next day he was dead. I'm being real. So this is the kind of thing that makes a person when they do go skeptical of what people are doing because my biggest misconception, I want people to get this. Yeah, you can help me. But what if you don't? What if you don't work? What if my other partner, and I'm just giving you worst case scenarios, he owns a pain body shop. You've been there for years. She know what I'm talking about. Before he died, they cut both his legs off. He didn't make it. This here just happened about two months ago. I can't say his name. I like to say his name, but I'm just telling you, when you hear these stories and then you've been through what I've been through, it's like they just poking their head out at you. And then my wife had to force me to go a lot of times, you know what I'm saying? So I'm just telling you from a perspective of a person just opening up about personal ways that you feel like, man, I go, but I don't feel comfortable when I go. I'm being real. So you're, I hear a lot of what ifs. What if I don't make it out? What if they don't do a good job? No, no, no, no, they didn't make it out. You know what if my mom didn't make it out, my dad didn't make it out. But what if they got no- And my friend didn't make it out. That's all I'm saying. What if you got in a car wreck on the way there? You still could have went, yeah, so, but the cutting the legs off and all that stuff to save him and then it don't work, that's a horrible way to die. That's all I'm telling you. It is. And it's a trip because, and I'm gonna let you talk. I just see when you cut somebody, whether you cut them on the street, so if you cut them in the surgery, you still cut them. So I don't have any scalpels in my facility so that I'm not cutting. But what your friend experienced sounds like a condition that really affects a lot of Americans, specifically the black community. And that's peripheral arterial disease. So, I mean, we grew up in the U.S., right? Like, we eat burgers. Everyone has a little bit of fat in their blood vessels and that fat can kind of narrow the blood vessel a little bit. Like I said, I don't want to scare people. I was telling you about my experience. You know what I'm saying? All I'm telling you is, and you right. Let's talk about that. You said in the black community, they'd be chopping off stuff. What is that? So when the fat kind of narrows the blood vessel, you're not getting enough blood down to your legs. And so when that happens, your body has to start conserving, right? So kind of the first thing you get is, you're walking and you get a cramp or your toe starts turning a different color. And so all of that is because of what we call peripheral arterial disease. That's fat in the arteries and that can calcify. And so one of the procedures that I do, because we do everything with the blood vessels, I'll go in there through the IV, find the area, I'm like a glorified plumber. Find the area that's kind of blocked off. And then I have a little fat shaver that fits through the IV. And then I'll take out all the fat, use a little balloon to open up the vessel to what the size it should be. And then the blood flows to your legs as you're stored. So if you're able to do that, then you avoid an amputation. So interventional radiology, one of our hashtags is hashtag stop the chop. Wow. We believe really strongly in that. It shouldn't, you shouldn't go straight to the worst case scenario with you. You shouldn't have to go straight to someone cutting. Right. And if that's what you choose, then okay. But you have to know that there's other options. See all the options. And then you pick the one that's right for you. As long as the knowledge, knowledge is key. Knowledge is key. But you see, when you think about the fat, like what you were talking about, I'm thinking about, so does that have to do with how they eat? And all of lifestyle? It's not so, but it's just getting older. You know? Okay. I have fat in my blood vessels I'm sure. Okay. That's the reason why I'm asking that because then when I see people who do all these different surges for all these different things to remove this fat, but they go back to eating whatever and however and don't really try to take care of their bodies because they know that, I've heard people, I promise you, who tell me, Oh, I don't even work out. I eat what I want. If this happens, I just go do another surgery. Exactly. Yeah. Because you do get it kind of a new lease on life. Right? And I tell my patients like this is not, just because you have a new lease on life doesn't mean you go back to your old ways cause you're going to end up right where you were. And the procedure gets more and more difficult for me the more times that I have to go back in and fix it to the point where there's one day where I'm not going to be able to help and you have no choice but to go under the knife. So if that's what you're trying to avoid, we need to make some changes. Wow, so go ahead. What are the symptoms? Let's talk about fibroids for a little bit. But first, before I ask you about the symptoms, I want to ask my husband, how did it affect you? Cause you know, I've been suffering from fibroids for a very long time. How do you feel about that? How did that affect you and your lifestyle? I'm gonna be real with you. You know, I'm a spiritual guy. So when I made my vow, I didn't make my vow playing games. It was for better or for worse. So a lot of times I have to really sacrifice anyway in some of the things that I would want to do because of self, self ego selfishness. So you have to back out and just try to find a place of, hey man, I understand, you know? So I've watched you go through it a long time but I know what I signed up for. This is something that's not uncommon. To me, if you want to be real, women, I don't know, for me it's like they're aliens for me. I'm gonna be real because of the stuff, the cycles and all that stuff. See, people don't want to be real. I'm just giving you all the feel. Cause we're so different from you. Y'all are different from me. So, and I don't even like the sign of anything, like anything, you know how I am. So I stay away anyway. I'm trying to figure out how not to be in the way but try to be there for you. You know what I mean? I'm gonna flip the tables really quick because you gave a very male answer, right? Yeah, sure did. You said you watched her go through it. What did you watch? I watched her hurt. Like, you know, she was hurting and her stomach would be hurting and you don't even want to hear it. I'm not gonna say that. Go ahead. I don't care. Feel this for me. Like, what? Get pushed to your hand here, do that. Can you feel it right there? I'm like, Lord Jesus. Like, this is what, this is the way she is. She think I supposed to look at everything. I'm not no doctor, but I still try. You know what I mean? And so yeah, I went through it with her. Yeah, because he's my husband. I want him to know what I'm going through. You know what I mean? Cause what's the way there's a time when I cannot speak for some reason or something God forbid, but anything like that, he needs to be able to tell you, the doctor or anybody, this is what she's been going through. This is what, this is, this is where it is. I know exactly where it is. You know what I mean? And I will say, there's a lot of men that call in for their wives. So we know women are resilient. We suffer through a lot. And so some women think this really heavy period where I have to wear a tampon, a pad and a diaper. This is just, this is just normal. This is just me. You know, so you suffer in silence. You push through because we can push through. And then your husband, your significant other sees you suffering. Sees this is not the way it's supposed to be. And then they do their research and that's when I get the phone call. Do their research with what? Google? Yeah. Yeah, I knew that's what they were looking at. You have to know Google, Google tell you the worst possible thing that you could ever see in your life. If there's not a okay, it's gonna be okay. This may not be that. It's a, this is that. And you need to go. You are going to die in the next hour. So you gotta watch that, man. When you search that bar, you better understand it's gonna give it to you harshly. Well, if you search Fibroid Houston or Ufi, that's the name of the procedure. You're in Fibroid embolization. All right. Good thing I come up first before death. So what are all the symptoms? Because I know what I suffer from. And the one part of it that I hate the most is sometimes my lower back hurts so much where it feels like my legs gonna give. Like when I mean, it feels like I'm an old woman with arthritis all through my body. That's how it feels. When I have to get up and walk or move or I have to like sit down for a second and wait before I'm able to move, you know, because it hurts. But of course, you know, the cycle, long cycles, heavy cycles, what else? What else do people suffer from? I know I have a lot more of what I can't even think of. See, I don't have to answer this question. I just have to sit and listen because you're telling everyone the answers. But everybody's symptoms are different because I have bloating, but I know people who bleed constantly. I don't go like nonstop, but I know I've heard of people who say that they don't even get a break. They go months without even stopping. So I know the severity is different between everyone else. I remember seeing a woman who looked like she was nine months pregnant. And she wasn't, it was fibroids. That was that big. I didn't know they can grow that big. How big can a fibroid grow? I've seen a woman that also looks nine months pregnant. Wow. Yeah. So you basically, it could get worse. It could get worse. What makes that type of situation occur? Is it just the person? It's so genetics is a big one. Hormones. And a lot of people, we wanna find something that we did wrong. What did I do? What did I eat? What did I expose myself to? And this is, and I get a lot of young women, I'm young, I'm healthy, I work out, I do all of this. Why is this happening to me? Why is this happening to me? Right. And so I'm like, it's not happening. You're happening to it. And it hasn't met Michelle Manaviz yet. We're gonna kill this thing. Man, Michelle Manaviz. I have one more thing that I won't like to say because in my mind- Let me plug this in, let me plug this in. That's again, 5151 Katie Freeway Suite 170 in Houston, Texas. Guys, this is Dr. Manaviz and she is on Boss Talk 101, where the boss is talking. Favorite things is to debunk. Debunk. But a lot of times women will come and say, I know you're gonna think I'm crazy, but, I know you're gonna think I'm crazy, but I feel like an old woman. And I have to sit down before and really, rub my back out before I can stand up again and walk. Right. So if you've got a fibroid that is on the posterior, on the back wall, that's right next to the spine. If it gets big enough, it's gonna squish those nerves that are coming out of the spine. So you have this nerve that goes all the way down your leg. Of course you're gonna feel back pain. Of course you're gonna feel back pain. If you've got a fibroid that's sitting in the front, it's pushing on your bladder. Of course you're gonna feel like you have to pee all the time. It's like little babies in there causing all the pressure. So these heavy periods, we split them up into hormonal and bulk symptoms, but these heavy periods, back pain, leg pain, it can radiate down. All of these things are, it's so different for every patient. Some patients won't have a really heavy period. Some patients have a little pain of pain. Every once in a while they don't know what it is and there's a fibroid there. So just because it sounds like it's crazy, it sounds like it's all made up in your head, there's a reason for it. The human body is amazing. Wow. Man, I wanna just say thank you for coming on our show. My absolute pleasure. Thank you so much for having me. Man, Dr. Menevis is the dopest doctor in Houston, Texas. You guys gotta get over here and see her. I ain't never seen nobody smooth as she is. She gonna smooth her way into your places where you don't want nobody to be. She is gonna do it in a way to where you're gonna have to get it taken care of and she's gonna do it without you having to get cut on. I like that part about her. She's not the one to quick to jump with the knife and just start, or whatever that is that you look like. It's a cutter, okay? It's just, whatever the case, maybe she's gonna do it to perfection. But you said she doesn't have to cut, but how serious can someone actually die if you don't cut? Like if you- Yeah, if it gets to a place, I'm pretty sure she the doctor, she that dancer. With every procedure, with my procedures as well, there's risk. There's risk, okay. Right, you have to outweigh. Does this affect your life enough? For men, do you have to plan, if you're going somewhere, if you're going to Costco, you know there's a bathroom here. You know this gas station lets people in without buying something so that you can go pee there. It dictates your life. For women, good luck wearing white pants. You're never gonna wear white pants. So when I do a fibroid embolization, I'm like, go get those white pants, wear that, like you sit in that hot tub and don't be scared. You don't have to stand up and turn around and look at your seat to see if it leaked. That changes your entire life. And for the males, had a guy that's going on a cross-country motorcycle tour because he always wanted to, but he didn't want to be the guy that said, can we stop and make the whole group stop because of him. Now he gets to go and enjoy. That's the whole point from all this. Thank you so much. I'm man, Dr. Maneves. I appreciate you for coming on Boss Talk with an old one man. How can people get a hold of you on social media? Are you on social media? I am on social media. How can they get a hold of you on social media? At Maneves, so M-M-A-N-E-E-V-E-S-E. So that's on Instagram. And I mean. And I know you got a TikTok cause I found your TikTok the other day. Oh my gosh. She's TikToking. She's TikToking. She's TikToking. She's TikToking. It's not my generation, but I'm trying. The dance moves are, and then you upload it so poorly times it's like off on the beat drop. It drives me wild. Drives me wild. I'm trying though. That's a place where you can use that white coat on TikTok. Check it man. Hey man, it's been another great segment. A Boss Talk on a one. What a Bosses Talk. And we out.