WEBVTT - #2094 Looking After Your Ticker - Dr. David O'Donnell 0:00:01.639 --> 0:00:02.280 I got a team. 0:00:02.320 --> 0:00:04.840 It's Harps, it's the You Project, it's the new doc. 0:00:04.880 --> 0:00:06.600 We've got a new dock, a brand new doc. We've 0:00:06.600 --> 0:00:08.639 had lots of docks. We've got a new one. I'll 0:00:08.680 --> 0:00:10.880 introduce him in a moment. I hope you're doing great. 0:00:10.920 --> 0:00:16.000 I hope you Victorians survived the heat yesterday yesterday being 0:00:17.480 --> 0:00:21.400 what is today? Tuesday? It's today Wednesday, Doc, how's my brainer? 0:00:21.720 --> 0:00:24.960 I think it's Wednesday. It's Wednesday all day. So yesterday 0:00:25.079 --> 0:00:28.680 was the twenty seventh, of course. I hope you survived. 0:00:28.720 --> 0:00:31.640 Hope you're okay. Today is a much more reasonable twenty 0:00:31.760 --> 0:00:35.000 seven or something like that, and the thriving metropolis of Melbourne. 0:00:35.920 --> 0:00:38.040 Bottom line. I hope you're doing all right. Thanks for 0:00:38.159 --> 0:00:42.240 joining us again, Doctor David O'Donnell, Hi, welcome. 0:00:41.920 --> 0:00:42.840 To the You Project. 0:00:43.400 --> 0:00:44.320 Thanks good to be here. 0:00:45.360 --> 0:00:47.080 How often did do one of these things? 0:00:47.120 --> 0:00:47.199 Like? 0:00:47.280 --> 0:00:47.880 How often? 0:00:49.040 --> 0:00:51.840 Now we love Kate save we both know Kate Saban 0:00:51.960 --> 0:00:54.960 love her, but she was you were intimating that she 0:00:55.160 --> 0:00:58.080 might be and I'm fully backing you a little bit 0:00:58.120 --> 0:01:01.320 bossy and she bosses has boss bostht of us around 0:01:01.360 --> 0:01:04.200 and she bossed you on to hear how often do 0:01:04.200 --> 0:01:05.480 you do something like this. 0:01:06.440 --> 0:01:09.280 I'm speaking three or four times a week, but most 0:01:09.319 --> 0:01:13.880 of that is in person to groups, community groups, sporting groups, 0:01:14.240 --> 0:01:18.959 things like that. So podcasts probably once a month, you know, 0:01:19.000 --> 0:01:20.560 and if you listen to the radio, you hear me 0:01:20.560 --> 0:01:23.080 on the radio from time to time trying to get 0:01:23.120 --> 0:01:25.840 the message out how important heart health is. Anywhere I 0:01:25.840 --> 0:01:28.320 can get that message out, i'll talk. Give you up 0:01:28.319 --> 0:01:28.800 but a cup. 0:01:28.800 --> 0:01:31.560 Before we dive into the specifics and the stories and 0:01:31.600 --> 0:01:37.520 the revelations around heart health, tell us your medical kind 0:01:37.560 --> 0:01:41.920 of genesis, like did you go grant where you ten going? 0:01:42.000 --> 0:01:43.840 I want to be a doctor, or did you go 0:01:43.920 --> 0:01:45.800 I want to be a race car driver. But if 0:01:45.840 --> 0:01:47.560 that doesn't work, I'm going to look at hearts. 0:01:48.720 --> 0:01:50.800 So yeah, it's an interesting question. I was talking to 0:01:50.840 --> 0:01:52.800 someone on the weekend as a PA teacher, and I 0:01:52.840 --> 0:01:55.360 actually wanted to be a pe teacher growing up. Couldn't 0:01:55.360 --> 0:01:59.600 think of anything better when you're a twelve year old boy, 0:01:59.600 --> 0:02:04.120 the peach just the coolest guy in school. So I 0:02:04.160 --> 0:02:07.600 was I shouldn't call myself a failed athlete, but I 0:02:07.600 --> 0:02:09.240 wanted to be an athlete. Wanted to be a swimmer. 0:02:10.320 --> 0:02:12.839 Got to the point that swimmers weren't making any money 0:02:12.880 --> 0:02:15.840 and doctors were making money. So I made a decision 0:02:15.840 --> 0:02:18.360 to quit swimming and become a become a doctor. 0:02:19.800 --> 0:02:22.360 Has that never has that never been the It's always 0:02:22.360 --> 0:02:24.760 been the case. I guess a few swimmers have made though. 0:02:24.919 --> 0:02:26.799 How old were you at that stage when you went 0:02:26.880 --> 0:02:28.160 ah doctoring? 0:02:28.760 --> 0:02:31.560 So this was just after year twelve, So seventeen eighteen. 0:02:31.760 --> 0:02:33.840 I was the honest Entrews. I was probably not going 0:02:33.919 --> 0:02:36.239 to make it. I spent a bit of time with 0:02:36.280 --> 0:02:37.720 the Institute of Sport and I said I should have 0:02:37.760 --> 0:02:40.680 been a rower, but I didn't like growing. I like swimming. Yeah, 0:02:41.360 --> 0:02:43.120 but anyway, so I was probably not going to make it, 0:02:43.160 --> 0:02:44.800 but I used that as an excuse for why I 0:02:44.800 --> 0:02:47.880 didn't make it. So got in a medicine and if 0:02:47.919 --> 0:02:50.680 you're doing medicine, there's nothing better than the heart. I'm 0:02:50.680 --> 0:02:53.160 feel sorry for every other doctor in the world. You know, 0:02:53.240 --> 0:02:54.960 I get to deal with you know, you get to 0:02:54.960 --> 0:02:57.520 deal with something that's active, it's beating. It's fun. You 0:02:57.560 --> 0:02:59.640 get to do procedures, you get to operate, you get 0:02:59.680 --> 0:03:01.760 to save lives, you get to come into three in 0:03:01.760 --> 0:03:03.840 the morning and be the hero. But you also get 0:03:03.840 --> 0:03:05.800 to spend hours with patients trying to get them through 0:03:05.880 --> 0:03:09.080 real difficult times. So I have no doubt that cardiology 0:03:09.080 --> 0:03:11.560 is the best specialty in medicine. But you'll have other 0:03:11.600 --> 0:03:12.960 doctors on here will disagree with me. 0:03:13.960 --> 0:03:16.040 Well, I mean, the beauty is that we don't want 0:03:16.040 --> 0:03:19.240 everybody being in love with cardiology, then we don't have 0:03:19.320 --> 0:03:22.480 all the other areas covered, right, So I'm glad that 0:03:22.520 --> 0:03:26.160 you're like, if I'm going to see a cardiologist moving forward, 0:03:26.400 --> 0:03:29.160 which is every chance you're my guy, because I want 0:03:29.200 --> 0:03:32.120 someone who's skilled and good and knowledgeable and blah blah 0:03:32.120 --> 0:03:35.280 blah blah blah, but also actually gives a shit about 0:03:35.280 --> 0:03:37.400 what he does, and not just for the dough but 0:03:37.520 --> 0:03:40.480 rather because you're passionate about that science and that work 0:03:40.480 --> 0:03:45.440 and that skill and that I guess do you? I mean, 0:03:45.840 --> 0:03:48.400 I think doctors obviously this is a dumb and obvious 0:03:48.440 --> 0:03:50.440 thing to say. But because you're under so much pressure, 0:03:50.440 --> 0:03:53.600 which so much demand, and you don't have limitless energy 0:03:53.680 --> 0:03:59.320 or limitless time, and I feel a little bit like 0:03:59.360 --> 0:04:01.920 that at the moment. So I do generally five to 0:04:02.000 --> 0:04:05.440 seven podcasts a week and finishing my PhD in corporate 0:04:05.440 --> 0:04:07.280 speaking one hundred plus times a year and a bunch 0:04:07.320 --> 0:04:09.120 of other shit, right, And I'm like, I get to 0:04:09.160 --> 0:04:11.600 the point where I go, what's the best use of 0:04:11.640 --> 0:04:13.040 my time and energy today? 0:04:13.720 --> 0:04:15.760 So how do you Because. 0:04:15.440 --> 0:04:17.520 You could probably work twenty eight hours a day and 0:04:17.560 --> 0:04:20.200 still have more stuff to do, So how do you 0:04:20.279 --> 0:04:23.360 decide where your attention and energy should be? 0:04:24.400 --> 0:04:27.320 Yeah, look, I probably ought to disclose that I'm only 0:04:27.360 --> 0:04:30.000 a doctor one day a week. Now I'm actually really 0:04:30.080 --> 0:04:32.960 I'm an executive. I'm CEO of Atvara Hartcare, which is 0:04:33.040 --> 0:04:37.400 Australia's biggest cardiology group. So I actually stepped back from 0:04:37.480 --> 0:04:40.960 full time clinical work, and I stepped back for a 0:04:41.000 --> 0:04:43.599 little bit of what you're describing. My practice was full. 0:04:43.880 --> 0:04:46.479 I had ten thousand patients on my books, couldn't see 0:04:46.480 --> 0:04:51.760 any more, absolutely jam packed full morning tonight. And yeah, 0:04:51.839 --> 0:04:53.160 I've got a nego. I thought I was doing a 0:04:53.160 --> 0:04:56.240 pretty good job for those ten thousand patients. Each patient 0:04:56.279 --> 0:04:58.720 I saw, I thought I was doing a good job. Yes, 0:05:00.200 --> 0:05:02.839 hundreds of thousands of people in Australia who weren't getting care. 0:05:03.640 --> 0:05:07.359 So what I've really shifted my priority is how do 0:05:07.400 --> 0:05:09.400 we get care to more people? How do we get 0:05:09.440 --> 0:05:11.680 more people to look after their hearts. So rather than 0:05:11.680 --> 0:05:14.400 looking after one patient at a time, I'm trying to 0:05:14.400 --> 0:05:16.960 get a message out to hundreds and thousands of patients. 0:05:17.279 --> 0:05:19.720 You know. And the mantra that I live with is 0:05:19.760 --> 0:05:23.479 improving Australia's heart health, not improving your heart health, Craig, 0:05:23.600 --> 0:05:25.560 that's part of improving Australia's heart health. But I would 0:05:25.560 --> 0:05:28.599 have improve the heart health of all Australians and that 0:05:28.839 --> 0:05:31.640 takes a different perspective. And you know, that's some of 0:05:31.680 --> 0:05:34.440 the stuff I'm doing there is working with Kate, saving 0:05:34.480 --> 0:05:39.400 bee Fitfood's, working with a Heartbeat of Sport, working with SISU, 0:05:39.480 --> 0:05:42.880 working with these groups to actually promote healthy heart behaviors. 0:05:42.880 --> 0:05:44.880 Because at the end of the day, that's going to 0:05:44.880 --> 0:05:46.480 make more of an impact than I could make as 0:05:46.520 --> 0:05:49.680 an individual doctor. My mum was pretty upset with me. 0:05:50.160 --> 0:05:52.080 She thought that I should have stayed a doctor and 0:05:52.160 --> 0:05:54.599 kept operating and saving lives one by one. But yeah, 0:05:54.600 --> 0:05:56.400 I made the decision because I think there is something 0:05:56.400 --> 0:05:57.919 more we can do. I think it can have a 0:05:57.920 --> 0:06:01.520 greater impact. Sometimes by what you're doing, by you doing 0:06:01.520 --> 0:06:03.320 this podcast, you can have more of an impact than 0:06:03.360 --> 0:06:07.159 you good Bye. Seeing four or five patients in the day. Yeah, yeah, 0:06:07.880 --> 0:06:08.400 I think. 0:06:08.240 --> 0:06:09.960 For me, I like the fact that every time I 0:06:10.040 --> 0:06:13.680 chat someone like you, but we go into ninety countries 0:06:14.240 --> 0:06:17.760 and where you know, the audience varies, but it's many 0:06:17.839 --> 0:06:22.919 thousands a day, right, And I like the fact that 0:06:23.600 --> 0:06:26.360 I can, you know, with my guests, people like you 0:06:26.400 --> 0:06:29.240 who graciously give us your time and knowledge and experience, 0:06:29.240 --> 0:06:35.160 but share messages with thousands of people versus one obviously, 0:06:35.160 --> 0:06:37.600 And it's like, even with my stuff around human behavior 0:06:37.600 --> 0:06:41.240 and psychology and the mind and stuff, I love the 0:06:41.279 --> 0:06:44.400 fact that I can teach people. I can teach five, ten, 0:06:44.520 --> 0:06:48.680 twenty thousand people one idea and now they all whether 0:06:48.760 --> 0:06:51.200 or not they do anything with it, operationalize it or not. 0:06:51.360 --> 0:06:55.320 Now they've heard about this thing called the false consensus effect, 0:06:55.360 --> 0:06:57.360 which is the fact that we think that other people 0:06:57.400 --> 0:07:01.640 think like us, which is problematic, right, And then they know, oh, 0:07:01.720 --> 0:07:03.240 and I go, by the way, you know, the only 0:07:03.279 --> 0:07:06.279 person who thinks like you is you. That's not bad 0:07:06.400 --> 0:07:09.600 or broken, that's human. But when you go through life 0:07:09.640 --> 0:07:11.880 assuming other people think like you, there's going to be 0:07:12.160 --> 0:07:14.480 there's going to be some issues, but just that one thing, 0:07:14.520 --> 0:07:18.080 and people go, oh, I never even thought that. I 0:07:18.160 --> 0:07:21.960 never even think about how other people think theory of mind, right, 0:07:22.560 --> 0:07:25.040 and then you go, yeah, so you're just introducing them 0:07:25.080 --> 0:07:28.000 to like you're almost opening a new door in their 0:07:28.040 --> 0:07:30.720 brain for them to think about stuff which is relevant 0:07:30.760 --> 0:07:34.440 for everyone, just like heart health health. It's not like, oh, 0:07:34.560 --> 0:07:37.000 this is only applies to twenty percent of the population. 0:07:37.560 --> 0:07:39.240 No, this is one hundred percent. 0:07:39.600 --> 0:07:43.320 So yeah, platforms like this, and you know, I'm a 0:07:43.360 --> 0:07:46.040 small fish, but you know I love the fact that. 0:07:46.000 --> 0:07:46.800 We get to do that. 0:07:47.400 --> 0:07:47.600 Yeah. 0:07:47.920 --> 0:07:51.440 No, that's what makes a difference one hundred percent. What 0:07:51.480 --> 0:07:56.800 do you think the disconnect is between people hearing what 0:07:56.800 --> 0:07:58.960 we're going to talk about today, what they should do 0:07:59.080 --> 0:08:01.560 or potentially think about doing, why they should do it, 0:08:01.920 --> 0:08:04.520 you know what might happen if they do, what might 0:08:04.560 --> 0:08:09.600 happen if they don't, and them actually taking action or 0:08:09.640 --> 0:08:12.680 just gone great chat boys, Thanks see you later. 0:08:14.040 --> 0:08:16.680 But then here I am being interviewed by a psychologist. 0:08:16.760 --> 0:08:18.680 You know, I should probably throw the question back at you, 0:08:18.760 --> 0:08:22.960 but you know, I've got a strong belief that patient 0:08:23.000 --> 0:08:28.040 engagement or client engagement is key to success. You cannot 0:08:28.120 --> 0:08:31.640 expect someone to follow your advice if they're not engaged 0:08:31.680 --> 0:08:34.240 in the way you're giving it. I often ask young 0:08:34.280 --> 0:08:37.040 medical students what's the number one skill of a cardiologist? 0:08:37.440 --> 0:08:38.679 And let's say, oh, you know, he has to be 0:08:38.720 --> 0:08:40.000 really good with his hand. You have to be able 0:08:40.000 --> 0:08:41.199 to put a stent in. He has to be able 0:08:41.200 --> 0:08:43.319 to concentrate for twelve hours, he has to be able 0:08:43.360 --> 0:08:46.280 to interpret complex things. I'll tell you I think the 0:08:46.400 --> 0:08:50.640 number one skill of a cardiologist who is engage your patient. Yes, 0:08:50.920 --> 0:08:52.800 listen to the advice you're giving them. And if you 0:08:52.840 --> 0:08:57.280 can engage your patient and give them solid, convincing advice, 0:08:57.600 --> 0:09:00.640 then that's step one. Step two is make looking sure. 0:09:01.040 --> 0:09:03.080 I don't want to sound like alcoholics anonymous here, but 0:09:03.520 --> 0:09:05.640 step two is actually the patient accepting that they have 0:09:05.679 --> 0:09:09.600 a problem. And we live in a world where you 0:09:09.640 --> 0:09:12.080 can go on YouTube, you can go on chat GPT, 0:09:12.200 --> 0:09:14.479 and you can find out that there's nothing wrong with you. 0:09:14.480 --> 0:09:16.680 You can find out that you're helping Your body age 0:09:16.760 --> 0:09:19.400 is anywhere from twenty to eighty, depending on which one 0:09:19.400 --> 0:09:21.200 you want to look at. So you can always get 0:09:21.240 --> 0:09:26.760 information that's incorrect or fuzzy or noisy, Whereas if you've 0:09:26.800 --> 0:09:29.920 got real information given to you by someone you trust 0:09:30.360 --> 0:09:33.960 and a series of strategies, then that's a huge step forward. 0:09:34.400 --> 0:09:37.119 And again I don't want to go too much into psychology, 0:09:37.160 --> 0:09:40.679 but you know, we know a lot of doctors and 0:09:40.800 --> 0:09:42.920 I'm sure you've thought this or your willpower is not 0:09:42.960 --> 0:09:46.840 a strategy. Just telling someone you need to lose weight 0:09:47.600 --> 0:09:50.600 is allte of time. Everyone knows ne to lose weight. 0:09:50.760 --> 0:09:52.679 You look in the mirror. You don't need an anthropom 0:09:52.679 --> 0:09:55.560 more fixed, you don't need a dexascan. You know you're overweight. 0:09:55.800 --> 0:09:58.160 But what you need is a strategy on how you're 0:09:58.160 --> 0:10:01.240 going to do that. Not will power now will be vital. 0:10:01.320 --> 0:10:03.320 You've got great willpower. I know that because you wouldn't 0:10:03.320 --> 0:10:05.040 do five to seven podcasts a week if you didn't, 0:10:05.080 --> 0:10:07.560 you wouldn't do a PhD. I've got great willpower, but 0:10:08.040 --> 0:10:11.120 my willpowers tested. Your willpower is tested. Now there's people 0:10:11.160 --> 0:10:13.720 who have a lot lower baseline of willpower. You've got 0:10:13.760 --> 0:10:16.120 a given strategy. So it's not about telling someone to 0:10:16.200 --> 0:10:18.640 lose weight. It's like, let's work through the five or 0:10:18.679 --> 0:10:22.200 six ways we can do strategies to do this one 0:10:22.240 --> 0:10:22.839 hundred percent. 0:10:23.200 --> 0:10:26.880 And I would even add to that strategies, you know, 0:10:27.040 --> 0:10:30.720 timeline accountability, like having a plans. Great A lot of 0:10:30.720 --> 0:10:34.599 people chuck a plan in having a strategy good. But then, 0:10:35.360 --> 0:10:38.000 like my question to my clients and the people I 0:10:38.080 --> 0:10:41.000 work with, is can my action outlast my motivation and 0:10:41.080 --> 0:10:45.160 inspiration or discipline or willpower, because all that shit's temporary. Like, 0:10:45.320 --> 0:10:49.360 I'm pretty fucking disciplined, but I'm not always disciplined. 0:10:49.640 --> 0:10:52.640 I have my moments, I have my weeks, right, But the. 0:10:52.600 --> 0:10:57.640 Fact that I have created for me an operating system 0:10:57.720 --> 0:11:01.559 which is just interwoven with who I am and how 0:11:01.600 --> 0:11:04.280 I am, Like it's my default. So I don't need 0:11:04.360 --> 0:11:06.600 to you know, like I've never smoked a cigarette, I've 0:11:06.600 --> 0:11:10.040 never drunk alcohol in my life, I've never been high, 0:11:10.160 --> 0:11:12.040 all those things. I don't say that as a brag. 0:11:12.040 --> 0:11:13.520 It's just my story, right. 0:11:14.000 --> 0:11:17.439 But so because that's my natural, normal, day to day 0:11:17.440 --> 0:11:21.959 operating system, I don't need to find discipline, will power, strength, courage, 0:11:21.960 --> 0:11:25.280 fucking resilience to not eat shit and to not drink 0:11:25.320 --> 0:11:28.079 booze and to not smoke cigarettes. And I think it's 0:11:28.120 --> 0:11:31.200 that how do we take it from I want to 0:11:31.280 --> 0:11:36.520 change my behavior and obviously my health outcomes and discipline 0:11:36.559 --> 0:11:40.720 and willpower and motivation and strategy is good, But what's 0:11:40.760 --> 0:11:43.880 better is when Eventually that just becomes my day to 0:11:43.920 --> 0:11:47.480 day process without having to think in inverted commerce. 0:11:48.440 --> 0:11:50.360 Yeah, and I think you know you've you've touched on 0:11:50.400 --> 0:11:53.200 something I think is really important. That is, you've also 0:11:53.240 --> 0:11:55.199 got to be able to forgive yourself when something goes wrong. 0:11:55.600 --> 0:11:58.240 You don't one good one hundred percent of the time, 0:11:58.280 --> 0:12:01.199 because no one will be. I work on the strategy 0:12:01.320 --> 0:12:03.319 be eighty to ninety percent good all of the time 0:12:03.600 --> 0:12:05.600 is far better than being fifty percent good. You know, 0:12:05.920 --> 0:12:10.160 it's a New Year's resolution time. You see the number 0:12:10.200 --> 0:12:12.640 of people who are doing the hard reset on YouTube 0:12:12.720 --> 0:12:15.440 or on Instagram. Don't do the hard reset, guys. The 0:12:15.440 --> 0:12:17.720 hard reset look It might work for some people, but 0:12:17.840 --> 0:12:20.000 generally it's about figuring out what are the five or 0:12:20.000 --> 0:12:22.200 ten things you can do that are going to impact 0:12:22.280 --> 0:12:24.040 you for the year. And one of the things I 0:12:24.080 --> 0:12:26.840 talk about is layering layer your habits, so you know, 0:12:27.240 --> 0:12:29.760 if you're trying to do exercise, yes, line up to 0:12:29.800 --> 0:12:33.440 go to the gym each morning, but also take the 0:12:33.440 --> 0:12:36.680 stairs at work and also go to the second closest 0:12:36.679 --> 0:12:39.000 coffee shop, not the closest coffee shop, go to the 0:12:39.000 --> 0:12:42.440 second closest toilet in the office. Park a stop away 0:12:42.760 --> 0:12:46.160 and catch a walk in the last kilometer to work. 0:12:46.200 --> 0:12:48.520 So lay your habit so one thing doesn't happen in 0:12:48.520 --> 0:12:51.520 the day. You haven't ruined the day, you haven't set 0:12:51.520 --> 0:12:53.439 yourself back. You've got other things that you've done in 0:12:53.480 --> 0:12:57.040 the day. Because, like you, I've learned now I've been 0:12:57.080 --> 0:13:00.360 a doctor for thirty years. Your willpower just doesn't work. 0:13:00.760 --> 0:13:03.240 It does work for the first two weeks of January, 0:13:03.280 --> 0:13:05.920 and it stops. It works when you make your resolution 0:13:06.000 --> 0:13:07.880 when you're sitting down at the beach, but as soon 0:13:07.920 --> 0:13:09.800 as you get back to the busy office, it disappears. 0:13:09.800 --> 0:13:12.240 So make sure you're putting the strategies that you can. 0:13:12.080 --> 0:13:15.600 Finow yeah, one hundred percent, one hundred percent, and that 0:13:16.120 --> 0:13:18.000 you know when you think about I've spoken about this 0:13:18.040 --> 0:13:20.400 too many times, so forgive me audience, But when you 0:13:20.400 --> 0:13:21.120 think about. 0:13:22.640 --> 0:13:24.640 You know, the ritual and the tradition of. 0:13:26.440 --> 0:13:31.000 New Year's resolutions, and how like if we actually did 0:13:31.040 --> 0:13:34.320 some and then there's been kind of research done on it. 0:13:34.960 --> 0:13:37.400 But the people who actually achieve what they want to achieve, 0:13:37.520 --> 0:13:41.880 set out to achieve, maintain those results, and potentially improve 0:13:41.920 --> 0:13:47.120 on those results over any significant length of time is 0:13:47.160 --> 0:13:51.400 close to zero like, it's definitely less than ten percent. Now, 0:13:51.760 --> 0:13:54.280 if that was a medication, it will never get approved, 0:13:54.600 --> 0:13:56.400 do you know what I mean? It's like, well, this 0:13:56.520 --> 0:13:59.360 is the idea of it's good, and it's kind of 0:13:59.400 --> 0:14:02.600 sexy and traditional, and it's cultural, and we're all familiar 0:14:02.640 --> 0:14:05.199 with it, and we all get a bit, like you said, 0:14:05.200 --> 0:14:08.719 a bit momentarily inspired, which is good inspiration, discipline or 0:14:08.840 --> 0:14:13.360 good starters. But that's the thing, is like, what can 0:14:13.400 --> 0:14:16.280 you do when you can't be bothered? Because, as you said, 0:14:16.320 --> 0:14:18.000 you get back from the beach, Now you at work, 0:14:18.040 --> 0:14:22.720 different environment, different context, different headspace, different routine, and then 0:14:22.760 --> 0:14:24.600 all that shit that you did while you were staying 0:14:24.600 --> 0:14:27.600 on the peninsula with your feet in the water and 0:14:27.640 --> 0:14:29.640 it was beautiful, you're not there anymore. 0:14:29.680 --> 0:14:30.560 Now you're back here. 0:14:30.720 --> 0:14:34.960 So that's that trying to maintain that psychological, behavioral and 0:14:35.440 --> 0:14:37.440 emotional momentum that you started. 0:14:38.600 --> 0:14:38.880 You know. 0:14:39.280 --> 0:14:44.640 So what about this is a very simple question, but 0:14:46.560 --> 0:14:47.680 just for our. 0:14:47.520 --> 0:14:50.560 Listeners who don't know the answer to this, what is 0:14:50.600 --> 0:14:53.040 a heart attack? What is a cardiac arrest? 0:14:54.760 --> 0:14:58.080 Yeah? Look, it's a really great question and it's one 0:14:58.120 --> 0:15:01.760 that cardiologists have been trying to fall down the public's 0:15:01.840 --> 0:15:04.320 view for many years. My view is it's heart disease. 0:15:04.480 --> 0:15:07.760 But let me explain the difference between the two. A 0:15:07.800 --> 0:15:12.000 heart attack is when you block an artery supplying blood 0:15:12.000 --> 0:15:14.600 to your heart. Yeah, And if we get a chance, 0:15:14.600 --> 0:15:16.240 we're going to a bit more deferent because heart attacks 0:15:16.240 --> 0:15:18.920 don't happen gradually. There's a gradual build up, but heart 0:15:18.960 --> 0:15:22.520 attacks suddenly. So you block an artery, you block an 0:15:22.600 --> 0:15:25.600 artery in your heart, no blood's getting through the area 0:15:25.640 --> 0:15:28.800 that that artery is supplying. That tissue starts to die. 0:15:28.920 --> 0:15:31.680 And when that tissue starts to die, that's a heart attack. 0:15:31.760 --> 0:15:36.640 It's death of heart muscle. Yeah. Yeah. A cardiac arrest 0:15:38.200 --> 0:15:43.040 is a situation where the rhythm of the heart becomes 0:15:43.080 --> 0:15:45.680 noncompatible with life. I pause there for a second, because 0:15:45.720 --> 0:15:48.360 the rhythm doesn't actually stop. It can stop. There's a 0:15:48.360 --> 0:15:51.280 condition called a sisterly where the heart just stops, but 0:15:51.320 --> 0:15:54.040 there's a condition called ventricular fibrillation where the heart goes 0:15:54.080 --> 0:15:57.880 so quick that there's no cardiac output. So cardiac arrest 0:15:58.160 --> 0:16:00.600 is when your heart, due to a n trial issues, 0:16:00.680 --> 0:16:03.320 is no longer pumping blood around the body. And if 0:16:03.320 --> 0:16:06.720 that's not fixed, it's fatal. You cannot survive a cardiac 0:16:06.800 --> 0:16:11.600 arrest unless it stops either spontaneously or because someone's defibrillated. 0:16:11.600 --> 0:16:12.880 You yes. 0:16:12.960 --> 0:16:16.560 Now, where this gets complicated is that in Australia and 0:16:16.680 --> 0:16:20.760 most developed countries, the number one cause of cardiac arrest 0:16:20.800 --> 0:16:23.640 is having a heart attack. So you have a heart attack, 0:16:23.720 --> 0:16:26.640 the muscle dies and that leads to the electrical disarray 0:16:26.640 --> 0:16:30.960 which causes the cardiac arrest. But whereas is really important 0:16:31.120 --> 0:16:35.240 is there are conditions which predisposed to cardiac arrest which 0:16:35.280 --> 0:16:38.440 are not heart attack. So people are born with congenital 0:16:38.480 --> 0:16:42.120 abnormalities in their heart and they have completely normal arteries. 0:16:42.120 --> 0:16:43.920 And this is where you hear of young people having 0:16:43.960 --> 0:16:47.960 cardiac arrest. There are genetic conditions long QT syndrome regard 0:16:48.040 --> 0:16:51.480 to syndrome the predisposed young people to having cardiac arrests, 0:16:51.600 --> 0:16:56.480 completely normal arteries and purely an electrical problem. So they 0:16:56.520 --> 0:17:00.800 are different issues. But in Australia, when a fifty year 0:17:00.840 --> 0:17:04.240 old man arrests at the MCG has a cardec arrest 0:17:04.240 --> 0:17:07.919 at the MCG, he gets successfully defibrillated. Chances are I 0:17:07.960 --> 0:17:08.959 he was having a heart attack. 0:17:09.960 --> 0:17:12.639 Yeah right, Okay, Now I want to ask you a 0:17:12.720 --> 0:17:15.320 very specific question, and the reason for the question will 0:17:15.359 --> 0:17:21.639 become apparent post question, your honor. Great, So if a 0:17:21.760 --> 0:17:24.440 dude who was otherwise healthy and fit, not me, by 0:17:24.440 --> 0:17:26.080 the way, but it could be a bloke named to 0:17:26.119 --> 0:17:31.160 Mark who was who is my training partner, and let's 0:17:31.160 --> 0:17:36.919 say he was fifty three, lean, doesn't drink, doesn't smoke, 0:17:37.240 --> 0:17:42.800 eats great, in good shape. Let's say hypothetically, one Friday 0:17:42.960 --> 0:17:48.200 he had a cardiac arrest at the gym one foot 0:17:48.240 --> 0:17:51.359 from me, which I'll say is very annoying, completely interrupted 0:17:51.359 --> 0:17:55.720 my training, very selfish, look at me, right, So seventeen 0:17:55.760 --> 0:18:02.520 oh five until seventeen No, yeah, seventeen oh five till 0:18:02.600 --> 0:18:07.199 seventeen twenty two, offline, right, So Daddie mcdead'ster seventeen minutes. 0:18:07.800 --> 0:18:12.480 So my theory, they didn't. So he had a. 0:18:12.480 --> 0:18:15.919 Cardiac arrest, right, he did a set of chins. He 0:18:15.960 --> 0:18:18.920 did a whole bunch of chins, like twenty. He came down, 0:18:19.119 --> 0:18:22.040 held his breath because he's an idiot. So blood pressure 0:18:22.080 --> 0:18:25.120 went to a million over fucking six million, right, so 0:18:25.520 --> 0:18:29.520 for sure, hold your breath the whole time. Great was 0:18:29.640 --> 0:18:32.840 out working all day in the heat. I think he 0:18:32.920 --> 0:18:36.399 was dehydrated and when he does drink, he drinks on 0:18:36.440 --> 0:18:39.840 this day energy drinks, which great, you know, caffeine stimulants 0:18:39.920 --> 0:18:42.600 terrific for the heart and the nervous system. And then 0:18:42.840 --> 0:18:46.199 came to the gym and had another pre workout and 0:18:46.240 --> 0:18:48.360 then trained with me and then dropped dead at five 0:18:48.440 --> 0:18:59.359 past five. But that combination of heat, dehydration stimulants, could 0:18:59.359 --> 0:19:00.920 that produce a cardiac arrest? 0:19:01.880 --> 0:19:05.440 Yeah? Absolutely, you know, we've got to put in perspective 0:19:05.480 --> 0:19:08.439 that most people get hot dehydrated do not have a 0:19:08.480 --> 0:19:12.119 cardiac arrest. But in the right situations, it does happen. 0:19:12.520 --> 0:19:14.679 And yes, you know, again, I would say that a 0:19:14.720 --> 0:19:19.000 fifty three year old male, it's most likely that he's 0:19:19.040 --> 0:19:22.119 actually ruptured a current reartery. So he's torn a current 0:19:22.160 --> 0:19:26.280 reartery due to a combination of stress dehydration, and that's 0:19:26.320 --> 0:19:28.040 what's led to a block of an artery and a 0:19:28.080 --> 0:19:32.560 cardiac arrest. And a lot of those things can be 0:19:32.640 --> 0:19:36.040 known in advance, and it leads to what would we 0:19:36.080 --> 0:19:37.600 have done if we knew a fifty three year old 0:19:37.600 --> 0:19:41.520 We've been telling him exercises, vital exercise is critical, you know, 0:19:41.640 --> 0:19:45.080 doing hard exercise anaerobic it was great for you but 0:19:45.160 --> 0:19:48.159 do it in a controlled fashion. You know, I jump in. 0:19:48.400 --> 0:19:51.399 Don't deplete all your buckets at once. So yeah, you know, 0:19:51.520 --> 0:19:54.159 deplete a bucket. You can. You can train like crazy, 0:19:54.200 --> 0:19:57.120 but if it's a forty degree day, don't get dehydrated, 0:19:57.200 --> 0:19:59.800 or don't try and quite as hard. Don't deplete all 0:19:59.800 --> 0:20:02.120 of energy levels at once, because that's when you're most 0:20:02.119 --> 0:20:06.119 at risk. We actually know that these these plaques or 0:20:06.119 --> 0:20:09.600 these cholesterol build up in your heart. They rupture because 0:20:09.600 --> 0:20:12.560 of information and that rupture is triggered by a high 0:20:12.560 --> 0:20:16.040 blood pressure, but it's triggered by illnesses. People have the 0:20:16.080 --> 0:20:17.800 flu are more likely to have a heart attack. People 0:20:17.840 --> 0:20:19.600 that had COVID were more likely to have heart attack. 0:20:19.880 --> 0:20:22.680 So lots of things can actually trigger you. And if 0:20:22.720 --> 0:20:25.760 you're not well, if you're feeling average, that's not the 0:20:25.840 --> 0:20:27.879 day to overdo it at the gym. Overdo it at 0:20:27.920 --> 0:20:29.920 the gym. You're feeling great. The day you're feeling great, 0:20:29.960 --> 0:20:31.280 not the day you're feeling average. 0:20:32.520 --> 0:20:33.879 Did I mention he's not that clever? 0:20:35.600 --> 0:20:38.399