You're listening to a mother with mere podcast.

Go commando.

Let the girl breathe.

She needs a may down there.

Nothing like a smelly vagina, Nothing like a smelly badge, right.

I usually go bear or choose breathable soft cotton.

If I just want a bit of coverage, it's usually Hubby's.

Briefs, which is like boy nickers.

Right.

So my hates it when I call them because, yeah, to be honest, it depends on the weather.

Although annoyingly, Hobby often finds when I am there that it is an invitation for play.

It's not always an invitation.

I mean somebody breed buddy.

Hello, they're Australian women.

Welcome to your full body health check.

I'm Claire Murphy and I have done not one, but two bow cancer screening tests.

Yes, it was not the most elegant experience, shall I put it that way?

You do, I have to get up close and personal with your own poop, but a gross for a moment, for some long term peace of mind.

Yes, And I'm doctor Marim, that annoying doctor who is going to continually remind you to do those tests.

We're talking about bow cancer today.

I've got quite a personal experience with it.

Not me personally, but I lost my grandma to bow cancer.

She was quite young.

I never got to meet her, my dad's mum.

I lost my friend Melddazeldi, a wonderful human being, to rectal cancer a couple of years ago.

And also my friend's brother in law just passed away from it.

So it feels like it's a little bit everywhere for me at the minute.

And no, no, this is the case for a lot of people.

And we're always told that bow cancer was something that older ozzie's had to deal with, but as we are finding out more and more that is not the case.

And that's something we're going to try and find out today with Cola rectal surgeon, doctor de Lacavalerie, to try and get to the bottom of Yeah.

Look, sorry to hear Claire.

It has become all too common.

Many of us now know someone affected by now cancer and it is now the deadliest cancer in Australia for people age twenty five to forty four, and it is on the rise among younger people, within eight percent rise each year.

In fact, Australia's the highest rates of early onset bow cancer.

And I've seen firsthand.

How this disease affects younger ors is.

I have many patients onto the age of fifty have been diagnosed with bow cancer, and unfortunately, many of them have had their symptoms dismissed while the whalth professionals.

They've been told they're too young.

They've been told they're too young, or that their symptoms are just minor.

But the reality is it is something we need to be taking seriously because it is on the rise, especially in that younger population.

Yeah.

Absolutely, and we are going to get into that today.

But we also have a quick consult coming in from Casey about the deal with the doctors where she lives and whether she can live her health life maybe a little more remotely than what she is currently.

But next, are you wear an undies to bed?

Kind of?

I usually go bear or choose breathable soft cotton.

If I just want a bit of coverage, it's usually hubbies briefs.

Which is like boy nickers, right, so hates it when I call them.

Yeah, to be honest, it depends on the weather.

Although annoyingly, Hobby often finds when I am bere that it is an invitation for play.

It's not always an invitation, But well, we are going to find out next whether undis to bed or no unders to bed is good for you because it's time to head off to med school.

Welcome to med school.

Should you wear undies to bed?

Yes?

Or no?

Is the question we are talking about in med school today.

There is agreement across gynecologists and other health professionals that going without underwear to bed is beneficial for vaginal health, especially for women who are prone to irritation or to infections for example BV and yeast infections and things like that.

The main reason is that wearing underwear, especially if it's quite tight or if it's a non breathable fabric like you mentioned, you wear a more breathable cotton undy to bed, it can trap in the heat and moisture, and that can create the ideal environment for things like bacteria to multiply, and that then will increase some of those infections that we've talked about, and odor can increase as well.

Nothing like a smelly vagiant, nothing like.

A smelly verg right.

However, it is important to note that whilst there is a fair amount of agreement across the spectrum that no undies to bed is more beneficial.

There are no large scale, peer reviewed clinical trials that directly answer that question, so this is mostly anecdotal and just experience amongst healthcare professionals.

And so there's nothing to show that the rates of vaginal infections will increase or decrease depending on whether you wear underwear to bed or not.

So I guess it's more just like sleep in your undies or don't sleep in your undies, whatever works best for you.

But where do you stand on this?

Okay?

So I am of the camp that if you've got like itching, recurring infections, or you're quite sensitive, then just let the area breathe overnight.

It can be a good part of a good hygiene strategy.

But if it's something that's persistent, please see your doctor because there are a lot of things that can happen down there that can be treated.

But you can definitely give it a go.

Go commando, go commando.

Let the girl breathe.

She needs a man down there.

All right, it is check up time and we're going into an area that, let's be honest, none of us really want to go because we're all a bit grossed out by it.

But if the stats are anything to go by, we really should be delving into our bowels, so that is where we're going next.

It's time for the checkup.

So here's the thing, and you have mentioned this.

Marium bow cancer is the deadliest cancer for ossie's age twenty five to fifty four, and one in sixteen ossies are expected to be diagnosed with it in their lifetime.

That's quite a few of us.

And there's also been some really recent headlines which we will speak to doctor de Lacavalerie about when we catch up with her a little bit later, that the rate of younger ossie's being diagnosed is actually on the rise, so almost ninety nine percent of bowel cancer cases can be successfully treated if picked up early, which is amazing, which is why we're finding rates in people over fifty declining because we do have that population wide bow cancer screening program going on.

I have just recently done mine and I'm not over fifty.

But the Australian government has recently changed the guidelines around this, so when you turn fifty you get automatically sent to you for free, but if you are now forty five to forty nine, you can still get it for free, but you have to go on to the website and request it so it gets sent out to you still for free.

Please do that if you are in that age bracket.

Yeah, absolutely, but also to a few are younger and have some concerns, you can buy it from the chemist.

You can do it whenever you want.

Really, and just.

To add to that clear, just remember screening is for people who don't symptoms.

If you do have symptoms, please see your doctor.

Yeah, so if there's blood, go to the doctor.

He's basically it.

I also filmed mine, so like you filmed just shit.

Yeah, if you don't want to get an insight because you're a little bit like, I don't know how this works, labor it is easy.

Yeah, okay, you have to get up close with your poop, but how else are they going to figure it out?

Right, Mariam, when do you start to look into bow cancer with your patients?

Like what are they coming into you with?

So when it comes to bowl cancer, the biggest game changer, hands down is early detection.

As you mentioned, ninety nine percent can be successfully treated if we pick it up early.

So I'm constantly reminding my patients it's not about waiting for a diagnosis.

It's about spotting the red flags before things escalate.

So screening is brilliant.

It doesn't catch everything, and symptoms can shop at any age, So if you've had any of the following for two weeks or more, please don't brush it off.

Booking with your GP early conversations can save lives.

And here's what I kin't of expect to look out for blood in your stool, whether it's bright, red, dark, it's worth checking out.

Just FYI.

If you eat like a crap load of beet root, it will turn your pooh red or your iroin.

Suffluents might also make it a bit of a funky color, so it might not necessarily be blood either way.

Still check out with your GP if you're not entirely sure whether it's a diet related or it's something that's persistent.

You've got changes in your bow habits, so you've got sudden constipation or diarrhea, or things are switching between the two.

A sense of incomplete empty, so you've just gone to the loo, but you feel like you still need to go.

Not everything has come out.

That's definitely worth mentioning.

You've got bloating, cramping, or persistent abdominal pain, not just the overnight eye had some curry and I overdid it.

Yeah, there's unexplained weight loss, fatigue, anemia, your body's waving a flag.

There any new lump or bump in your tummy or rectum again, do not ignore it.

Look, these symptoms don't always mean bow cancer.

We could be talking about hemorrhoid's IBS, inflammatory, bower disease, or even anal fissures.

But the point is they still deserve a closer look.

Too many younger ossi Is dismiss these things as nothing until it's much later in the game, and the stats back this up.

So even if you have to visit your doctor multiple times, we'll see another doctor to feel like you're being heard.

Please be persistent.

Take these symptoms seriously.

You know your body and you know when something isn't right.

So if I am concerned that I might be experiencing symptoms like you've mentioned there, what do we take to our GP for ourselves to be heard and then further tested.

So if you're worried you might be facing something serious like bower cancer, here's what I would love for any patient to bring to your appointment.

It really helps make our time together matter.

So first, I would say, keep a symptom diary, so just write down what you're feeling, what symptoms you're experiencing, how long it's been going on, how often it's happening, and anything that seems to trigger or relieve it.

Details matter, even if it feels awkward to say it out loud.

Bring a snapshot of your family medical history.

That's really important.

Whether it's any close relatives, whether they've had bow cancer or polyps or colonoscopies in the past, and what those findings were.

And let me know your own medical history too, things like inflammatory bow disease and other cancers or medications.

There are lots of things that can increase your risk of bow cancer as well.

Bring your questions, so even things that you think might be small or embarrassing, write them down.

Trust me, we'll give you that reassurance and really help allowing you to feel that you've had everything answered.

And if it helps, I always say bring a family member or a support person take notes.

It will help you to remember the details.

They Sometimes you leave your appointment, you're like, what.

Did they to say to me that happened yesterday?

With ma obstrician appointment, I'm like, yeah, Hubby, did you write all that down?

Because yeah, I need to take a little recording device.

Yeah.

So a support person is always great, and I always say come into something comfortable.

Please don't come in active where because sometimes we will have to do a rectal examination, not all the time, depending on what symptoms you have, So just wear something comfortable.

If we do need to do a physical examination, you don't really even need to do all those things.

If you're just concerned for any reason, just book that appointment in have your concerns heard.

But yeah, symptom diaries are just a great place to start.

Can I just say a rectal examination is not as traumatic as you think any No, it is like I had to have one when I had hemorrhoids, and you just lay gently on your side, pull your knees up, doctor does what they need to do, and then you like get on with your day super quick.

It's less than a minute.

And what we find can have a massive immact on your.

Management as well.

So I get checked, get checked, don't ignore all right on the way, we do have a quick consult for Casey who's concerned that living regionally means that she might have to get a little bit creative with her healthcare professionals.

But next, doctor de Lacavalerie is a colo rectal surgeon who's gonna take us inside our balls to find out if we know what we're doing that's increasing those rates of bow cancer amongst younger Aussies.

So let's be honest, getting all up inside your digestive system.

It's never going to be a pretty conversation, and we all feel like it's a bitty can we don't really talk about it, but it's becoming increasingly clear that it's more and more necessary for us Aussie's to have this conversation.

With the rising rates of bow cancer and the screening test.

It's a conversation we have to have because you have to figure out how to do it properly and what the results might be in the implications of that.

So doctor Penelope de laca Valerie is a colo rectal surgeon.

She's also a spokesperson for Bow Cancer Australia.

So we started off by chatting to her about that Melbourne University study that recently came out that found younger Ossies are showing increased rates of our cancer.

Now we understand at this point it is not peer of you yet, but it has been published and it shows that the incidence about cancer is three times high in Aussies born in the nineties compared to those born in the fifties.

Why do we think that is.

So an excellent question and I wish I would have a one punchy line to say, do this and you will not getval cancer.

Unfortunately we don't know the full answer.

There is research coming out.

What we do know is that knowing the symptoms about cancer, knowing your family history of both val cancer and polyps, and then acting and doing your screening will reduce your risk of developing boll cancer.

So knowing the things that we know and controlling the things that we can control is the mainstay really what we try at bout Caanser Australia to get people to know why is this happening?

Lots to do with the diet, or to do with research around the microbiome and the lineage and the covering of our column being influenced in particular when we are in neutral or inside of a tommies our mum and the exposure of different bacteria can actually make a difference.

Let's talk about symptoms because I think everyone presumes it.

With bow cancer, you're going to get a pain in your tummy and that's going to be the thing that kicks it off.

But there's a pretty wide range of symptoms from what I can gather, So there is people who report becoming anemic.

Stomach pain is actually one of them, But obviously the one that we hear about the most is blood in your stool.

So when you go to the toilet and wipe, you can see in the bowl that there is blood there.

And we don't like to admit that we do look at our poos, but if you look at it afterwards, if it's very thin or very small, it might show that there's an obstruction that it's having to get past constipation and bloating.

To those the symptoms that we should be looking out for.

In this case, what is really important is to know you're normal and then identify when things change.

If you don't usually look at your poot, you should start looking at it.

If you don't know what is the consistency normally for you when you eat vegies and when you don't, and you know you don't know when things change.

So knowing your normal in particularly in women, is very important because our pools change around our periods.

And I was going to say period pooh is a thing and it changes.

Right exactly and the arhea that period, that's normal.

So knowing your trend and knowing your normal is really important.

But if you're going to remember one thing from this chat is the word about it gives you all of the symptoms.

So B is for blood in your stols.

Blood is never normal that needs to be checked.

The letter O is for an obvious change in your bow habits, and this is where we need to know the trend because if there is a change that stays in your routine for two or more weeks, that needs to be investigated.

W for weight loss or appetite loss out of nowhere.

You know, you're not dieting, you're not increasing your exercise, you're not purposely trying to lose weight.

Is always a sign that you need to have it checked.

E is for extreme tireness.

And this one is a tough one because as women we can be very extremely tired men as well, but you know, we have kids, we have periods, we have pregnancy, and usually the tinness can be associated with iron deficiency.

Now, iron deficiency is not a disease, it's a symptom of something that needs to be checked.

And ultimately, the letter L in the word vowel is for lump or bloating in your tommy, and this can be associated with abdominal pain.

There is an excellent article that came a couple of years ago that showed that four main symptoms in people who develop early vowel cancer can be present, and they include abdominal pain, diarrhea, iron deficiency, and bloating your poop.

When we're talking about abdominal pain, I know someone who had vowel cancer who sadly passed away from it now, but he was experiencing lower back pain quite considerably.

And I think we forget when we look at what our internal organs look like that we think the stomach pain is quite far away from our back, but internally it's all kind of squished in there together.

So could that also be a symptom.

That is a very good statement there.

Because the rectum is in the pelvis, The rector itself is just in front of the tailbone, so you can get pain when the tumor is within the rectum because it gives pressure and it makes things harder to go to the toilet, and this is when you get this sensation that you cannot empty completely your bowels.

It's another symptom.

Or you get this change in the consistency or the width of your stools being a normal size to be very narrow or very hard to pass.

So yes, that can be also a symptom.

He mentioned that the instance of increasing bow cancer rates amongst young people could be diet related.

And we've been told for a long time that red meat is the main offender when it comes to bow cancer.

Is that still the case or do we know more about our dietary habits it might be contributing.

We do know that having more than three hundred and fifty to five hundograms per week of red meat is really too much.

We are a country that eat too much red meat.

Not everybody needs to be vegan or vegetarian.

I'm not advocating for that, but everything in moderation is very important our diet.

It is also very low in fiber.

We should be really having a minimum of thirty grams of fiber in our diet.

We struggle to even get to that.

Ideally we should have more than fifty a day.

We don't do enough exercise.

Any particular teenage and young childhood obesity is linked to earlier outset about cancer.

Taking tom dairy is important every day, even if your lactose intolerant.

Having some calcium related supplements because the research shows are four hundred grams a day is important to have in your diet.

We eat a lot of process meats and processed foods and daily meats and things that are nitrate full, and you know a lot of all the things that we add to process foods that our grandparents in the fifties didn't used to have, which is also being attributed to this increase.

And then there's a lot of talks about microplastics.

So it's not one thing.

But the things that we can control is our diet and if we can make it varied and look like a rainbow every day, then it's fantastic because you're having all the well balanced food.

Obviously, Australia is leading the world where it comes to bow cancer screening and we're very lucky to have a population wide screening test which comes in when you hit a certain age here in Australia.

But can you talk us through how accurate that test is, because I think some people think if they do that, send it away, then they can ignore any other symptoms they might have because that comes back as negative.

But how accurate is it and how do we make sure we're doing it right?

You just said that very key symptoms.

If you have symptoms, you don't need the screening test, you need a kolonoscopy.

So we need to remember that there is two main reasons why you need a kolonoscopy.

One because you've got symptoms, or you have family history and then therefore you should have it because of your family history.

Or you have no symptoms, no family history, and you are at the age of forty five or more.

You are between forty five and seventy four, which is the screening test in Australia.

The screening test is not one hundred percent.

Nothing in life is one hundred percent.

In particular medicine, nothing is one hundred percent.

Unfortunately, it's only just on the seventy accurate.

So it basically means that yes, you could do the test and it could be a false negative.

It's not very common.

But if you do have symptoms, then you don't need the test.

If you do not have any symptoms, then it's very good, and then you do it every two years and then if it is negative, you don't need a kolonoscopy.

Can you just talk me through diagnosis and treatment quickly?

Understand that it's not a simple thing because bow cancer can present differently in different patients.

But if we were to look at going in and getting a diagnosis and we are confirmed as having bowl cancer, what does that then look like for someone?

First of all, you have a chronoscopy, so you had the bowel preparation, and then the day of your chlnoscopy, the most likely scenario, or usually what I would do as a corrector surgeon, is that I will talk to you after your procedure, so I will discuss with other findings and that we have taken some biopsis and then the biopsis will confirm it.

But until then there will be some tests done, including some blog tests, a city scan, and sometimes an MRI.

If well we found on the kronoscopy is within the rectum.

The main reason why we do those tests is two what we call stage the disease, and that will guide us if you require surgery first or straightforward, or if you require chemotherapy or radiotherapy or both before having surgery.

Sometimes you don't have surgery for a long time.

Sometimes we don't have surgery at all because we follow a protocol called watch and wait, which is mainly for people with rectal cancer that respond well to chemotherapy and radiotherapy.

So what we're finding is that treatment is becoming better and better from the chemotherapy and red radiotherapy point of view, and we're having to operate less and less in rectal cancer.

Now.

In colon cancer, surgery is the most common scenario unless there is spread in the stage in tests that I just talked about into all the organs like you live out or the lungs, all the parts, and then the main priority there is to treat those organs.

As long as there is no impending blockages in the bow or there's not a lot of bleeding, then what is going to limit people's longevity or survival is curing or treating the distant disease into the other organs.

So there's a bunch of people involved.

There's some colleges involved, radiational colleges involve nurses, pathologists, radiologists.

So everything happens very very quickly, and it can be a little bit hard to catch up the first few weeks when everything is happening, But I just want people to know that there will be always a team behind your back guiding you every step of the way.

I want to ask you too about those who are particularly more risk of developing bout cancer.

And I've got some friends who have a genetic link through family that they regularly get colonoscopies and they have polyps removed, which are sort of the pre cancerous stages about cancer.

Are there any one insy cultural backgrounds or is it more women, more men, like other groups that are more particularly prone to vowel cancer to.

Help patients not only in this scenario with family history, it's also good to know that bal Cancer Australia has vow cancer nurses that you can discuss too about and we have dietitians and we have storm nurses that take care of people that need bags during the operation, so that's also something to think about.

Hereditrey vow cancers are very rare.

They're not the most common scenario.

It happens in about ten percent of bowel cancers and it's usually linked to syndromes that produce a lot of polyps and therefore those poets put your risk of having bowl cancer.

Is there a particular population, not particularly.

There is some particular populations within the Jewish community that can be more predisposed to some of these syndromes, but there is not like a particular race.

Cancer does discriminate basically when it comes to bow cancer.

What is really important, I think for your listeners is that if you have a first or second degree relative in your family that has polyps is as important as family history of bowel cancer because it puts you at risk of developing polyps.

So if your sister had twenty polyps or ten polyps, or your mom had twenty polyps and you never had a kolonoscopy and you're in your late twenties or early thirties, it's worth discussing it WITHIODP and having a kolonoscopy.

So, Mary, we've spoken pretty often in our time here and well about how a Western diet is impacting us in lots of different ways, and it seems that bow cancer is also part of that conversation.

Yeah.

Absolutely, it is not doing us any favors when it comes to bow cancer, and that's a conversation we cannot afford to ignore.

So A major factor in the rise in bow cancer is our diet, and it is that we are consuming high amounts of red and processed meat, so things like beef, lamb pork, sausages.

And look as a kid who was brought up on those really highly processed daily, it's like God to be careful not to eat so much of that, right.

And it's not just about what we're eating, it's also about what we're not eating.

So diets loin fiber so found in fruits, vegetables, logoms, and whole grains are associated with a higher risk of our cancer.

I courage everyone to really be mindful of their diet.

Aim to limit your red meat consumption.

Which sucks for those of us who are in division because we're told to eat more red meats.

It's hard, right, Yeah, we should not be having more than three fifty to five hundred grams per week, and we should be avoiding processed meats as much as possible.

Instead, focusing on a diet rich in fiber, so lots of vegetables, lots of fruits, lots of whole grains, and making those dietary changes can really reduce that risk of our cancer.

Okay, it's going to be a lesson that we're going to be saying over and over again, check your diet, but it's becoming increasingly clear that we have to be better.

We don't tell my patients if they can aim for like one or two meat free days a week, that can make a difference as well.

Even just like every day thinking about a fruit or a vegetable, you can check in like start off easy on yourself and then increase that.

Right, yeah, just be mindful.

All right, Next, it's time for today's quick consult.

Remember if you do want a question in to doctor marriam here, there is various ways you can do them.

You can send them in via email well at mamamea dot com dot au.

You can get into the waiting Room, which is an online form where you can remain anonymous if you wish.

There is a link to that in our show notes.

And hit us up in the DMS.

I do love a chat with people in the DMS.

Yes, you are legitimately speaking to me.

It's not someone pretending to be me.

I am a big fan of chatting to you in the DMS, So get on it today.

Casey wants to know whether she can conduct all her health needs without ever seeing her doctor face to face.

It is quick consult time.

Casey wants to know how remote she can go.

So doctor Mariam, if you would please do the honors.

The doctor will see you now, just through here to consult room one.

Thanks for wedding.

How can I help you?

Casey reached out on the DMS to ask us about a problem that I've previously spoken to you about marrying, because I do live in regional New South Wales and sometimes when you've given advice where it's about finding the right GP for the condition that you're dealing with, and you can go online and look at doctor's profiles and that will tell you what their specialties are, sometimes you don't have that option because you live in a regional or remote area where there is a very small selection of gps.

So this is what Casey wrote in.

So I live in a small regional town and some of the doctors are a bit older and out of touch, and it's majority male led practice.

They don't have the best bedside manner, and for intimate issues, I just really prefer to see a female doctor.

Can an online video telehealth doctor be my regular GP?

Or is it better just have an in person doctor and call it a day.

Casey, I get you.

I've had to resort to telehealth doctors for certain issues, but can you do it full time?

So you can app absolutely have a telehealth GP as your regular doctor here in OZ, especially if you're in rural or regional Australia, we're accessing specialists or gps with special interest can be a little bit tough.

Telehealth is starting to become a bit more mainstream.

It's breaking down barriers and bringing great care to patients that could otherwise not receive that care.

We do have some things to thank the COVID pandemic for right It did open up a lot of these avenues for us.

That's true.

To qualify for a Medicare rebate for telehealth, you need to have an established clinical relationship with the practice, which usually means having had an in person consultation with a GP or another healthcare professional at the practice within the last twelve months.

But the good news is starting November this year, if you're registered under my Medicare, it's easier to do through my GUV or the Medicare app or through the GP clinic.

The twelve month face to face requirement will be waived, so making it even easier to access telehealthcare.

What you can do VI telehealth, well, you can manage lots of things.

You can get your repeat prescriptions, mental health support, navigate chronic disease management, receive general health advice.

It's fantastic that said.

Telehealth isn't a full replacement for face to face care, but it's an outstanding supplement when paired with in person access.

So just remember those face to face visits are still important for blood pressure checks, for physical examinations, for health checks, so when you can get those face to face checks in, but everything else can be done via telehealth these days.

Yeah, we were talking about recnal exams before.

I don't think that's something not going to happen.

We can do over the phone.

But that's really good to know though, because for people who do live out in the regions, sometimes you've got one hundred two hundred kilometers to travel to find the next doctor.

It's not easy to navigate, and seeing specialists sometimes requires multiple trips and that can be hundreds and hundreds of kilometers racked up in travel, and it's expensive.

It is expensive, So yeah, I understand your issues Casey.

Hopefully that has helped you out.

Thank you for lending us your ears today.

Friends.

Remember doctor Marriam is not your doctor, as much as that makes us very sad.

So the advice you've heard here today is general, so you need to take it to your doctor and say this is what I've learned, this is what I would like you to help me with and see if that information can help get you to where you need to go.

But you need to get info that is specific for you, so make sure you do that with your healthcare professional team to keep that buddy functioning.

While we have you cappedive for a second, could you just maybe do us as solid and rate and review us on your podcast app?

Please do It does actually help us out, so you would be doing as a favor.

A five star would be ideal, but like whatever you want to do.

Nothing last, we've had feedback that sometimes the content that we do might not be relevant for you listening in that time, and that really helps us out to make sure that we broaden out that there will be something that will be relevant to you regardless of what the main topic is.

So that feedback comes in from you guys, and we really listen to it and respond to it.

They will be fun stuff every episode.

So where else are you going to find out the health benefits of free bawling in bed?

You know?

Right here on Well.

Thank you.

We will catch you for your appointment next week where we are talking about breast cancer.

Bye Bye Well is produced by me Claire Murphy and our senior producer, Sally Best, with audio production by Scott Stronik, video production by Julian Rosario, and social production by Ellie Moore.

Mama Maya acknowledges the traditional owners of the land.

We have recorded this podcast on the Gatagoul people of the Eor Nation.

We pay our respects to their elders past and present, and extend that respect to all Aboriginal and Torres Strait Islander cultures.