WEBVTT - #1947 Speaking Of Vasectomies - Dr. Cam McDonald 0:00:00.720 --> 0:00:03.160 Doctor Cam, your big stud, Welcome back to the probably 0:00:03.200 --> 0:00:05.600 less of a stud today than yesterday morning, to be honest, 0:00:05.600 --> 0:00:06.680 but we'll dive into that. 0:00:06.880 --> 0:00:08.800 Doctor Cam. Welcome back to the show. 0:00:09.640 --> 0:00:12.879 Kate be Harps. And there's no test to say I'm 0:00:12.960 --> 0:00:15.760 less of a stud right now. It could come in time. 0:00:16.960 --> 0:00:18.960 Well that that is true, Well we might as well 0:00:19.040 --> 0:00:20.400 just open the batting with that. 0:00:20.560 --> 0:00:21.040 We were. 0:00:21.440 --> 0:00:23.639 This was not You didn't jump on and say I 0:00:23.680 --> 0:00:25.560 want to talk about this. You were just telling me 0:00:25.600 --> 0:00:28.160 and I said are you brave enough? And you went, oh, 0:00:28.360 --> 0:00:32.239 if we have to. But so we're recording this on 0:00:32.280 --> 0:00:35.440 Tuesday the twenty second and yesterday the twenty first. 0:00:35.479 --> 0:00:38.080 You had a little bit of work. 0:00:37.880 --> 0:00:44.159 Done downstairs in the underbelly of you. You had a sectomy. 0:00:44.440 --> 0:00:47.280 Let's just spit it out, Harps. 0:00:47.560 --> 0:00:49.199 How are you feeling like? 0:00:49.240 --> 0:00:49.400 What? 0:00:49.479 --> 0:00:51.680 It's so? It's what is at one o'clock? Now? What 0:00:51.760 --> 0:00:53.000 time did you get that done? 0:00:53.280 --> 0:00:57.160 I got it done one thirty yesterday. It's the most 0:00:57.280 --> 0:01:00.920 surreal experience because you book. 0:01:00.680 --> 0:01:01.560 A half hour session. 0:01:01.560 --> 0:01:03.279 I was like, oh, surely this is some sort of 0:01:03.360 --> 0:01:08.000 like the doctor gets to know me type situation because 0:01:08.440 --> 0:01:10.880 I booked a half hour session and you walk in 0:01:10.920 --> 0:01:13.960 there and they give you a little video and he says, oh, yeah, 0:01:13.959 --> 0:01:16.520 we'll do this this, and this is like oh okay, 0:01:16.840 --> 0:01:20.000 oh it's all happening in a half hour appointment. So 0:01:20.400 --> 0:01:23.400 you get in, you have five minutes of shaking hands 0:01:23.080 --> 0:01:27.280 with the man, and then it's It's just what I 0:01:27.360 --> 0:01:30.400 was so fascinated by was he's done thousands of these 0:01:30.400 --> 0:01:34.000 because he's a vasectomy specialist. What is the order that 0:01:34.080 --> 0:01:37.400 he will do this in that he's obviously learnt over time. 0:01:37.760 --> 0:01:40.720 That creates the greatest amount of comfort, greatest amount efficiency, 0:01:40.800 --> 0:01:43.919 all of that sort of stuff. I just love looking 0:01:43.959 --> 0:01:46.480 at all of that as a process. But anyway, so 0:01:46.560 --> 0:01:52.000 we talked about that later. So you're in, it's he 0:01:52.040 --> 0:01:56.600 explained it to you. You jump down and then he 0:01:57.480 --> 0:02:01.160 just does the things. It's like a one millimeter less 0:02:01.160 --> 0:02:06.160 than a one millimeter incision and the whole thing's done 0:02:06.200 --> 0:02:08.320 about fifteen minutes, so. 0:02:08.320 --> 0:02:11.040 It's like the incision is like the other end of 0:02:11.080 --> 0:02:11.799 a matchstick. 0:02:13.080 --> 0:02:15.280 Less I would say, almost, Yeah, I guess I guess that, 0:02:15.520 --> 0:02:17.560 Like I don't know how he does it, but there 0:02:17.639 --> 0:02:19.600 is the Chinese bit of local anesthetic. 0:02:20.120 --> 0:02:22.840 I just loved his language with this as well, he goes. 0:02:23.720 --> 0:02:25.880 Just a bit of anesthetic, like that you're going to 0:02:25.960 --> 0:02:27.280 instead of you're going to feel a prick. 0:02:27.440 --> 0:02:31.040 It's just a bit of anesthetic. I really well, I 0:02:31.160 --> 0:02:31.720 like that. 0:02:32.400 --> 0:02:34.080 You're going to feel a bit of a prick, and 0:02:34.200 --> 0:02:36.760 so is he ish form haunt intended. 0:02:37.200 --> 0:02:39.480 But you know, I'm like you in that. 0:02:39.639 --> 0:02:44.680 Sorry, I'm fascinated with The whole thing is thirty minutes. 0:02:44.720 --> 0:02:46.920 So he's got to meet you, talk to you, try 0:02:46.960 --> 0:02:49.440 to some you know, I'm sure you're pretty okay with it, 0:02:49.720 --> 0:02:52.520 but some guys would be borderline hysterical. 0:02:52.560 --> 0:02:56.480 I would think, probably me included. So you've got to 0:02:56.520 --> 0:02:56.960 do all the. 0:02:56.919 --> 0:02:59.680 Interpersonal stuff and the social stuff and the be the 0:02:59.720 --> 0:03:01.760 doctor or in the patient stuff. They get to know 0:03:01.880 --> 0:03:04.800 you as much as you can, watch the video, do 0:03:04.960 --> 0:03:09.720 an operation, and then be out thirty twenty nine and 0:03:09.760 --> 0:03:10.720 a half minutes later. 0:03:11.520 --> 0:03:12.160 That's a lot. 0:03:12.320 --> 0:03:15.240 It's so fascinating as well, because this is the most 0:03:15.600 --> 0:03:18.160 personal I've ever been with a man ever. 0:03:18.600 --> 0:03:21.280 You know, like I've never never granted the access that 0:03:21.320 --> 0:03:23.560 this guy had, and. 0:03:26.240 --> 0:03:28.360 You walk out at the end of it, and it's like, 0:03:28.600 --> 0:03:30.839 I feel like I've got a real bond with this dude. 0:03:30.840 --> 0:03:33.320 But he's doing tent of them that day. I guess 0:03:33.360 --> 0:03:37.480 I was just thinking about what, like, he's got a fine, 0:03:38.040 --> 0:03:38.840 we now have a. 0:03:38.760 --> 0:03:43.800 Connection, because there was really no connection. But for me, 0:03:43.840 --> 0:03:46.040 it's like, man, this is like one of the biggest 0:03:46.080 --> 0:03:49.320 moments of my reproductive life, the end of it. 0:03:50.720 --> 0:03:51.920 Anyway, that was fascinating. 0:03:52.240 --> 0:03:54.840 But even just yeah, just jump up on you on 0:03:54.880 --> 0:03:57.000 the table with your clothes on. I was like, oh, 0:03:57.880 --> 0:03:59.960 and that's when I got my wheels turning. It's like, 0:04:00.080 --> 0:04:02.800 what is he up to here? And he goes, okay, okay, 0:04:02.800 --> 0:04:05.720 now just take see those shorts, just take them down 0:04:05.720 --> 0:04:06.360 to your ankles. 0:04:06.440 --> 0:04:08.119 It's just the language of it all. 0:04:08.400 --> 0:04:11.960 It's it's so fascinating anyway. And then he's just he's 0:04:12.000 --> 0:04:14.640 just spraying it with antiseptic for about a minute. 0:04:14.360 --> 0:04:17.279 Like just with a big, a big home spray. 0:04:18.480 --> 0:04:22.440 Wow, So you drenched in antiseptic by the time that 0:04:22.520 --> 0:04:23.120 it starts. 0:04:23.200 --> 0:04:25.280 And then and. 0:04:25.240 --> 0:04:28.160 Then I look, there's just this background tension in your 0:04:28.160 --> 0:04:32.520 body because you're waiting for, you know, the slaughter to begin. 0:04:33.400 --> 0:04:36.800 And so I just start said, mate, I was just thinking, 0:04:36.880 --> 0:04:39.760 as he's going starting the process, how did you get 0:04:39.800 --> 0:04:43.520 into this? Like he just just fell into us, and 0:04:43.640 --> 0:04:45.920 you can't just fall into something. 0:04:45.680 --> 0:04:48.560 Like this, you know what I mean, so fascinating. 0:04:48.000 --> 0:04:52.840 Like just a heterosexual guy just doing for sectomies all 0:04:52.960 --> 0:04:54.880 day long like that, that to. 0:04:54.760 --> 0:04:57.520 Me blows my mind. He goes, yeah, I just had 0:04:57.520 --> 0:04:58.520 a bit of a knack for it. 0:04:58.560 --> 0:05:02.640 And so apparently you to be thousands of people doing viseectomes, 0:05:03.960 --> 0:05:06.960 you know, maybe maybe two a month, and now there 0:05:06.960 --> 0:05:11.800 are twelve vseectimists that do thousands, Like there's like two 0:05:11.839 --> 0:05:14.359 and a half the sectimists that do eighty percent of 0:05:14.360 --> 0:05:15.799 the vasectoms in Queensland. 0:05:16.600 --> 0:05:19.880 I want the guy that does all of them. I 0:05:19.920 --> 0:05:22.560 want the busiest guy. I want the most skilled, the 0:05:22.600 --> 0:05:26.840 most experienced, the most relaxed. I don't want the dude 0:05:26.839 --> 0:05:29.360 who's doing me to be a little bit uptight while 0:05:29.400 --> 0:05:31.479 he's fucking cutting into my nuts. 0:05:31.800 --> 0:05:34.039 He's been doing them for fifteen years. I was like, 0:05:34.160 --> 0:05:36.159 I'm feeling real good at the moment. 0:05:36.440 --> 0:05:39.160 Normally, did you feel did you feel compelled? Sorry, did 0:05:39.240 --> 0:05:40.800 you feel compelled to talk? 0:05:41.160 --> 0:05:43.360 Like would you have felt if you just lay there 0:05:43.360 --> 0:05:45.400 and didn't talk to him, would you have felt weirder? 0:05:47.200 --> 0:05:50.360 No? No, he was very comfortable, So that definitely made 0:05:50.360 --> 0:05:53.200 it more comfortable, and I know that. 0:05:53.320 --> 0:05:55.000 You've always got the choice to talk or not. 0:05:55.920 --> 0:05:59.120 I'm probably just I was just so curious. I'm just 0:05:59.760 --> 0:06:02.520 so curious as to why he would decide to do this. 0:06:02.880 --> 0:06:06.039 And I found halfway through that conversation I relaxed. So 0:06:06.320 --> 0:06:09.520 the talking for me probably helped. Yeah, yeah, rather than 0:06:09.560 --> 0:06:11.960 just trying to feel everything like it was a good distraction. 0:06:12.839 --> 0:06:15.159 Isn't it amazing when you're around somebody who has a 0:06:15.320 --> 0:06:18.800 very high level of skill or competence or mastery at 0:06:18.960 --> 0:06:23.600 something that you've never done, and then you try, like 0:06:23.640 --> 0:06:27.800 they make it look so easy. And I'm not talking 0:06:27.800 --> 0:06:30.760 about trying and aseexting me on someone, but you know, 0:06:30.800 --> 0:06:35.800 we're like, oh god, this person, this is so easy 0:06:35.880 --> 0:06:38.520 for them. And so that's that, you know, whatever, ten 0:06:38.600 --> 0:06:41.760 thousand hours. I'm sure it's more or less depending on 0:06:41.800 --> 0:06:43.800 the skill and the individual and all of that, but 0:06:44.360 --> 0:06:48.279 there is definitely a level of you know, like, I 0:06:48.320 --> 0:06:50.680 guess this is a dumb analogy, but for me, I 0:06:50.680 --> 0:06:53.279 started riding motorbikes when I was five and I still 0:06:53.360 --> 0:06:56.680 ride most days of my life, right, so it's whatever 0:06:56.720 --> 0:06:59.760 that is fifty five years of riding motorbikes. 0:06:59.800 --> 0:07:02.120 So For me, it's just. 0:07:03.560 --> 0:07:06.960 Like, I'm obviously subconsciously aware of what I'm doing, but 0:07:07.680 --> 0:07:11.200 riding a motorbike is to me way easier than driving 0:07:11.200 --> 0:07:11.560 a car. 0:07:11.640 --> 0:07:13.480 And I can drive cars okay as well. 0:07:13.760 --> 0:07:16.760 But when I'm teaching someone to ride a motorbike, which 0:07:16.760 --> 0:07:21.800 I've done probably fifty times, where I'm like, oh, okay, yeah, well, 0:07:21.840 --> 0:07:23.520 I guess when you've got to clutch here in a 0:07:23.560 --> 0:07:26.080 front bake a break over here, and a rear break 0:07:26.160 --> 0:07:29.000 over here, and a gear change here, and you've got 0:07:29.040 --> 0:07:31.679 the indicators down here, and like none of that shit 0:07:31.760 --> 0:07:34.800 you can look at like you can't look away from 0:07:34.880 --> 0:07:37.720 the road, and it's not like in a car where 0:07:37.720 --> 0:07:40.800 it's kind of almost in your line of sight. A 0:07:40.800 --> 0:07:44.680 lot of it obviously not the pedals, But I realize 0:07:44.800 --> 0:07:48.560 how difficult it is to ride a motorbike. I'm not 0:07:48.600 --> 0:07:51.160 talking about a scooter, but a motorbike with gears and 0:07:51.240 --> 0:07:54.040 clutch and you know, people don't even realize most people 0:07:54.040 --> 0:07:56.560 they have or non motorcyclists don't realize they have two 0:07:56.560 --> 0:08:00.320 different brakes, right, one for the front wheel for the 0:08:00.360 --> 0:08:04.040 back and yeah, and then you I teach someone, I'm like, oh, yeah, 0:08:04.120 --> 0:08:07.120 this is not easy this is actually really complicated, but 0:08:07.200 --> 0:08:09.880 I've done it ten million times. Yeah, you know, I 0:08:09.880 --> 0:08:11.200 guess it's a version of that. 0:08:11.800 --> 0:08:15.600 Absolutely, it's the and it's probably I. 0:08:17.360 --> 0:08:20.360 Have the same type of experience now and I'm explaining 0:08:20.520 --> 0:08:22.640 precision health for the first time. You have to go 0:08:22.720 --> 0:08:24.960 back to the first time you presented it, when all 0:08:24.960 --> 0:08:26.880 of the brand new information was brand new to you 0:08:26.960 --> 0:08:28.960 as well, and you were really excited just about sharing 0:08:29.000 --> 0:08:31.880 the really really basic stuff. And that's definitely a lesson 0:08:31.880 --> 0:08:36.240 that I've learned too, is there's so much that needs 0:08:36.240 --> 0:08:37.040 to be stepped out. 0:08:37.960 --> 0:08:39.120 Yeah, and I think. 0:08:38.920 --> 0:08:41.360 That for somebody like you or me, who's you know, 0:08:41.840 --> 0:08:47.440 among other things, educators, where you're helping people, you're trying 0:08:47.440 --> 0:08:49.079 to help people to help themselves. So you want to 0:08:49.080 --> 0:08:52.720 make the information as user friendly but also accurate, yes, 0:08:52.840 --> 0:08:56.160 as possible. And if I just start banging on about 0:08:56.840 --> 0:08:59.679 like I get asked probably three times a week, what 0:08:59.800 --> 0:09:03.520 is your PhD about? And how I answer that question 0:09:04.120 --> 0:09:07.520 can determine whether or not there's total engagement and curiosity 0:09:07.559 --> 0:09:12.440 and revelation and awareness or just complete fucking bamboozlement. You know, 0:09:12.520 --> 0:09:15.920 it's like, okay, all right, well give me one minute 0:09:15.920 --> 0:09:18.319 and I'll give you the very user friendly it's still 0:09:18.480 --> 0:09:20.800 this is what it is, but let me explain it 0:09:20.800 --> 0:09:23.199 in a way where not only you'll get it. And 0:09:23.200 --> 0:09:25.840 it's not because people are dumb that they can't get it, 0:09:25.880 --> 0:09:28.000 of course, it's just a different language. Like you know, 0:09:28.160 --> 0:09:30.280 akademia is just a different language. 0:09:30.280 --> 0:09:34.360 It's like, yeah, you know the idea of when you 0:09:34.400 --> 0:09:37.120 get into research, you realize how long it's going to 0:09:37.160 --> 0:09:41.320 take to understand the entire body of literature, because you know, 0:09:41.480 --> 0:09:44.600 the PhD I did was a Mega three in exercise 0:09:44.679 --> 0:09:48.160 in women completing breast cancer specifically on lean body mass 0:09:48.200 --> 0:09:49.600 and seer reactive protein. 0:09:49.960 --> 0:09:53.800 So any other outcome you need a brand new study. 0:09:53.960 --> 0:09:58.319 It's just it's yeah, so yes, and then the specificity 0:09:58.320 --> 0:10:03.079 of it all, it's crazy. It's all changing that we're 0:10:03.120 --> 0:10:07.000 going away from randomized control trials. The new evolution will 0:10:07.160 --> 0:10:10.040 only be personalized algorithms. That's where it's going to be, 0:10:10.120 --> 0:10:12.080 no more RCTs in time. 0:10:13.280 --> 0:10:14.040 That's well. 0:10:14.840 --> 0:10:15.000 You know. 0:10:15.080 --> 0:10:17.160 The other thing too is I don't want to get 0:10:17.160 --> 0:10:21.600 on anything near a high horse. But you know, when 0:10:21.640 --> 0:10:24.600 people go to me, I've done my research. Like I 0:10:24.720 --> 0:10:26.680 used to say that, I go I've done my research, 0:10:26.720 --> 0:10:28.120 and I'm like, no, I haven't. 0:10:28.760 --> 0:10:32.800 I've watched four fucking videos on YouTube. 0:10:33.120 --> 0:10:38.120 You know where you think, Oh, obviously I did some 0:10:38.160 --> 0:10:40.079 research with my first degree in all of that, and 0:10:40.120 --> 0:10:44.280 I'm not trying to be sound like a bloody academic whatever, 0:10:44.400 --> 0:10:47.520 but yeah, it's like, oh yeah, it's And then even 0:10:47.559 --> 0:10:49.800 you realize that what a lot of people are saying, 0:10:50.840 --> 0:10:55.760 who do have allegedly some level of credibility and qualification, 0:10:56.640 --> 0:10:59.360 you still can't take that as gospel either. You've still 0:10:59.360 --> 0:11:02.160 got to go away and go because these guys have 0:11:02.240 --> 0:11:05.960 both got PhDs and they're saying quite different shit about 0:11:06.000 --> 0:11:07.600 the same subject matter. 0:11:08.559 --> 0:11:10.319 And then you go, I wonder if either of them 0:11:10.360 --> 0:11:11.480 are selling anything. 0:11:11.679 --> 0:11:16.120 Oh, they both are. See what are they selling? Oh 0:11:16.160 --> 0:11:19.760 they have a program? Oh I wonder if that research 0:11:19.840 --> 0:11:23.120 that they were telling me about kind of lines up 0:11:23.160 --> 0:11:25.199 with what they's you know, And so you just got 0:11:25.240 --> 0:11:28.359 to be I think you've got to pay attention. 0:11:28.080 --> 0:11:29.920 But you've got to be wise, You've got to be discerning. 0:11:30.040 --> 0:11:34.240 You've got to hopefully learn how to definitely not become 0:11:34.280 --> 0:11:37.840 a you know, a guru in reading academic literature, but 0:11:37.880 --> 0:11:40.880 at the least try and understand a little bit of 0:11:40.960 --> 0:11:43.840 what you're opening the door on, so that you know 0:11:43.960 --> 0:11:46.200 when people are bullshitting you. 0:11:46.840 --> 0:11:49.880 Yeah, well yeah, just and knowing what you don't know 0:11:49.920 --> 0:11:50.360 as well. 0:11:50.920 --> 0:11:54.719 That's probably the you know, when I came out of dietetics, 0:11:55.640 --> 0:11:57.200 and I saw this in a lot of my medical 0:11:57.200 --> 0:12:00.880 friends as well. I went through through living on campus 0:12:00.960 --> 0:12:02.920 with a bunch of med students as I was studying 0:12:03.000 --> 0:12:07.120 xphiz and you would come up to it, like one 0:12:07.120 --> 0:12:09.959 of these graduated doctors now, and I'd be coming from 0:12:10.040 --> 0:12:12.280 dietetic land and I'd say, oh, yeah, this seems to 0:12:12.280 --> 0:12:14.280 work for that. Oh, there's no evidence for that that 0:12:14.320 --> 0:12:16.480 they've done a day of nutrition in their life, but 0:12:16.520 --> 0:12:19.360 because it's this is where and I was like that 0:12:19.400 --> 0:12:21.800 as well as a dietitian, I know, you just got 0:12:21.840 --> 0:12:24.880 to eat five vegs to fruit. Everyone's got to have 0:12:24.920 --> 0:12:27.960 this many grains and that solves all of our problems. 0:12:27.960 --> 0:12:28.440 And it's like, well, what. 0:12:28.480 --> 0:12:30.480 About this person over here that did this diet and 0:12:30.520 --> 0:12:34.640 got the most amazing results ever, was like, dah. 0:12:33.520 --> 0:12:33.880 Not real. 0:12:34.200 --> 0:12:38.520 You know, you just get you get trained to discard 0:12:38.840 --> 0:12:44.360 the individual, which was yeah, and that the granularity of 0:12:44.400 --> 0:12:47.800 all of that is just it's almost impossible to fathom 0:12:47.920 --> 0:12:51.520 and that that's why that's why AI is say, bloody good, 0:12:52.040 --> 0:12:52.720 that's why it's. 0:12:52.600 --> 0:12:53.200 Going to be brilliant. 0:12:54.160 --> 0:12:57.840 I mean also, like in the same conversation, the amount 0:12:57.840 --> 0:12:59.480 of people who have come to me over the years 0:12:59.520 --> 0:13:02.760 who have gone on my doctor said I shouldn't squat 0:13:02.800 --> 0:13:08.280 or deadlift, and I'm like, Okay, the people again, this 0:13:08.440 --> 0:13:13.600 is people with no injuries. I'm going why because I'm 0:13:13.640 --> 0:13:15.400 going to get injured. I'm like, well, you're going to 0:13:15.400 --> 0:13:18.120 get injured if you fucking don't you know you're going 0:13:18.160 --> 0:13:20.480 to get or there's a there's more of a chance, 0:13:20.559 --> 0:13:24.360 like if we squat intelligently with good technique and with 0:13:24.480 --> 0:13:27.080 very light weights, and the same with deadlifting, or the 0:13:27.120 --> 0:13:29.360 same with any you know, it could be a range 0:13:29.360 --> 0:13:32.320 of compound movements or even isolation movements, but we do 0:13:32.360 --> 0:13:35.000 it the right way with the right kind of intensity 0:13:35.040 --> 0:13:37.360 and sets and reps and volume and workload. But bah, 0:13:37.559 --> 0:13:41.560 bah bah, you're actually just going to build a functional, strong, 0:13:42.120 --> 0:13:46.560 healthy body, not to mention you know, your skeleton and 0:13:46.600 --> 0:13:51.120 the cognitive benefits and all of that stuff. And you know, 0:13:51.240 --> 0:13:53.360 and we love, we love doctors, and we need doctors, 0:13:53.360 --> 0:13:56.040 and doctors are great, but doctors do zero days of 0:13:56.080 --> 0:14:00.840 exercise programming in their course, Like exercise prescription is not 0:14:01.000 --> 0:14:05.080 part of what they study, and so it's funny that 0:14:05.320 --> 0:14:08.960 they would prescribe x other than saying listen, exercise is good. 0:14:09.440 --> 0:14:12.520 But then to be then to specifically tell people what 0:14:12.600 --> 0:14:16.280 they should or shouldn't do in terms of individual movements 0:14:16.320 --> 0:14:18.040 in the gym. 0:14:18.400 --> 0:14:19.720 Yeah, that's curious. 0:14:20.440 --> 0:14:22.280 Yeah, absolutely, it's. 0:14:23.760 --> 0:14:24.000 Yes. 0:14:24.560 --> 0:14:28.680 And because they have the authority right now, and there's 0:14:28.720 --> 0:14:30.400 a lot of good reason for them to have authority, 0:14:30.440 --> 0:14:33.520 particularly on emergency medicine and all of those types of things. 0:14:33.600 --> 0:14:37.160 It's from medication perspective, it's. 0:14:37.760 --> 0:14:40.960 People get limited, and then you have cowboys that make 0:14:41.000 --> 0:14:44.320 a very compelling argument for something crazy, and then you've 0:14:44.360 --> 0:14:46.760 got the people in the middle that are riding the 0:14:46.840 --> 0:14:52.000 conservative fence. And it's really really hard to be a loud, 0:14:52.440 --> 0:14:54.880 rational voice in the conversation around health. 0:14:54.880 --> 0:14:58.040 It's a game of absolutes. It's either this absolutely works 0:14:58.120 --> 0:14:59.320 or it absolutely doesn't. 0:15:00.160 --> 0:15:05.160 And only even in a long form you know, podcasting 0:15:05.200 --> 0:15:06.760 and things like that where you can actually really get 0:15:06.760 --> 0:15:09.720 into it, people still just take away the simple details 0:15:09.720 --> 0:15:13.800 and the reels that come out of them are quite absolute. 0:15:13.800 --> 0:15:17.440 In the recommendations that are provided, so it's it's yeah, 0:15:17.480 --> 0:15:19.880 it's very, very difficult to know that you're actually working 0:15:19.880 --> 0:15:20.680 with the right information. 0:15:21.520 --> 0:15:23.840 And it's kind of like when somebody like Craig Harper 0:15:23.880 --> 0:15:26.840 says on a podcast, doctors aren't really trying to prescribe 0:15:26.880 --> 0:15:30.080 exercise specifically, and then people go, oh, what do you 0:15:30.120 --> 0:15:33.200 have against doctors? I'm like, did you fucking listen to 0:15:33.240 --> 0:15:37.720 what I said? I love doctors, don't most things don't 0:15:37.720 --> 0:15:40.400 talk to me. I'm a dickhead. If it's a medical condition, 0:15:40.480 --> 0:15:42.760 if it's any you know, but if it's actually how 0:15:42.760 --> 0:15:45.960 to write an exercise program for an individual based on 0:15:46.480 --> 0:15:50.200 their current kind of needs and goals and physiology, I'm 0:15:50.240 --> 0:15:54.080 actually trained, very well trained for that. They're not, which 0:15:54.120 --> 0:15:56.920 is not to say they're not brilliant and important. 0:15:58.200 --> 0:15:59.240 You know, they're great. 0:15:59.800 --> 0:16:03.000 But just like I wouldn't want him or her to 0:16:03.080 --> 0:16:05.960 build my barbecue out of bricks because they're not fucking 0:16:06.080 --> 0:16:09.000 trained for that, you know. I want the brick layer 0:16:09.040 --> 0:16:11.080 with the skills to come to my joint to build 0:16:11.200 --> 0:16:12.760 the barbecue, not the surta gin. 0:16:13.720 --> 0:16:13.920 You know. 0:16:15.120 --> 0:16:17.560 Speaking of exercise, I'll go and you're going to tell 0:16:17.560 --> 0:16:18.160 me something. 0:16:18.400 --> 0:16:19.880 Just one last comment. 0:16:19.920 --> 0:16:22.680 Similarly, the doctors are under quite a bit of pressure 0:16:22.680 --> 0:16:25.320 to know it all because the patient's expected, and that's 0:16:25.560 --> 0:16:27.280 that's one of the other factors that they come in 0:16:27.480 --> 0:16:30.040 fex Me, let's go, I've got ten minutes to sort 0:16:30.080 --> 0:16:32.200 my life out, and you're going to fix me. So 0:16:32.320 --> 0:16:35.120 that's an additional pressure that's been placing into what were 0:16:35.120 --> 0:16:35.600 you going to say? 0:16:36.040 --> 0:16:36.760 One percent? 0:16:36.920 --> 0:16:39.400 And I mean, like honestly, and I'm not being I'm 0:16:39.400 --> 0:16:41.600 not saying that smooth. And I think doctors are great. 0:16:41.600 --> 0:16:44.240 I mean I've got a doctor who's my doctor. I 0:16:44.240 --> 0:16:46.360 love my doctor who's a little bit like did you 0:16:46.360 --> 0:16:47.640 ever see that show House? 0:16:48.480 --> 0:16:49.720 Yeah, that TV? Do you know? 0:16:49.760 --> 0:16:52.400 He was like a like a medical sleuth, like a 0:16:52.440 --> 0:16:53.440 medical detective. 0:16:54.120 --> 0:16:57.640 My dude's really good. He'll just sit there and he 0:16:57.640 --> 0:16:58.920 gives you long appointments. 0:16:59.000 --> 0:17:02.720 You pay for them, but and he will just work 0:17:02.800 --> 0:17:06.760 through everything methodically and ask you brilliant questions. 0:17:06.800 --> 0:17:08.159 There's no urgency. 0:17:09.240 --> 0:17:11.239 And then like I went in there, I've got this 0:17:11.320 --> 0:17:13.239 thing where I don't know what you think. You might 0:17:13.280 --> 0:17:15.840 have an opinion. You're a doctor, different kind, but you're 0:17:15.840 --> 0:17:19.280 a doctor. So I have this thing where my ear 0:17:19.320 --> 0:17:22.119 is one or the other and sometimes both block. I 0:17:22.160 --> 0:17:26.200 think it's you station tube dysfunction. That's my self diagnosis, 0:17:26.280 --> 0:17:28.920 right anyway, So I went into him and I said, look, 0:17:28.920 --> 0:17:31.400 this is and it's not painful and it's not life threatening. 0:17:31.440 --> 0:17:35.920 It's just a fucking annoyance, especially when I'm on stage talking, 0:17:36.720 --> 0:17:38.880 when it's like I'm talking a room full of people 0:17:38.920 --> 0:17:40.560 and I've got a bucket on my head and i 0:17:40.560 --> 0:17:43.840 can hear my own voice coming back. It's not coming back, 0:17:43.880 --> 0:17:46.320 but it seems like it's coming back in my own head. 0:17:47.480 --> 0:17:50.879 And it's so it makes it very hard to be 0:17:51.000 --> 0:17:53.720 really good at what you do because it's like a 0:17:53.920 --> 0:17:55.720 massive in the moment distraction. 0:17:56.760 --> 0:17:58.240 And so he just sat there and just. 0:17:58.200 --> 0:18:01.280 Walked me through all this stuff, of these potentials, and 0:18:01.320 --> 0:18:04.000 then we finished and he goes, all right, so here's 0:18:04.040 --> 0:18:07.160 our plan. It's a five step plan starting from now. 0:18:07.280 --> 0:18:08.240 This is what we're doing. 0:18:08.400 --> 0:18:08.960 And he just. 0:18:08.960 --> 0:18:13.119 Mapped out this whole. I'm like, you're good, Yeah, you're good, 0:18:13.400 --> 0:18:15.040 like and he went, we're going to start with this. 0:18:15.280 --> 0:18:17.280 If that doesn't work, then we're going to do this. 0:18:17.840 --> 0:18:20.359 If that doesn't work, you're going to go get this done. 0:18:20.400 --> 0:18:22.840 If that doesn't work, you know, there was this whole 0:18:22.920 --> 0:18:26.360 contingency and it made total sense, and I went, Fuck, 0:18:26.400 --> 0:18:28.560 I'm glad. I'd rather pay two hundred bucks for you 0:18:28.600 --> 0:18:33.280 than one hundred bucks or for somebody else who you know, Like, 0:18:33.400 --> 0:18:36.520 it's just you get the right person, whether or not 0:18:36.560 --> 0:18:39.400 they're a dietitian or an exercise physiologist or a medical 0:18:39.440 --> 0:18:46.119 doctor or a you know whatever whoever sectimist, Like there's 0:18:46.560 --> 0:18:49.920 within reason, you know, there's no price that's too high 0:18:50.000 --> 0:18:51.359 if they're great at what they do. 0:18:51.800 --> 0:18:54.400 Speaking of exercise, you were telling me that. 0:18:57.000 --> 0:19:00.000 You've you've been doing a deep dive for the last 0:19:00.119 --> 0:19:04.000 seven weeks and you're kind of in getting in really, 0:19:04.160 --> 0:19:06.040 I mean you're always in good shape, but you feel 0:19:06.119 --> 0:19:08.080 like you've maken a bit of ground and a bit 0:19:08.119 --> 0:19:09.560 of a breakthrough over the last while. 0:19:10.320 --> 0:19:10.879 Yeah. 0:19:11.000 --> 0:19:13.800 Yeah, i'd have you because the last two or three years, 0:19:14.280 --> 0:19:16.320 my body has been a bit odd. 0:19:16.760 --> 0:19:19.760 It's just been not responding the way that it used to. 0:19:20.720 --> 0:19:22.720 And I know that we did an episode on the 0:19:22.800 --> 0:19:25.520 retreat and the release of all of the things. 0:19:26.240 --> 0:19:29.320 Yeah, following that, I've. 0:19:29.200 --> 0:19:32.160 Had about six centimeters come off my waist. There's obviously 0:19:32.240 --> 0:19:35.600 some sort of background stress that was released at that time, 0:19:36.440 --> 0:19:40.439 and it is fascinating and I've just but I started 0:19:40.440 --> 0:19:42.719