WEBVTT - #1936 The Sickcare System - Dr. Jeff Gross 0:00:00.440 --> 0:00:02.280 I'll get a team before we get under way. Today, 0:00:02.320 --> 0:00:05.920 a blatant plug for me upcome a new mentoring program. 0:00:06.000 --> 0:00:08.520 As you know, I do me best to keep the 0:00:08.520 --> 0:00:10.959 advertising for my own programs to a minimum on this 0:00:11.039 --> 0:00:13.880 show because I think it's kind of annoying. But fuck it, 0:00:13.920 --> 0:00:17.520 today I'm breaking my own rule. So on July thirty, 0:00:17.920 --> 0:00:23.479 my new eight week online mentoring Extravaganza kicks off. And 0:00:23.800 --> 0:00:25.840 I've created this program for people who want to get 0:00:25.840 --> 0:00:31.360 more out of their time, talent, genetics, potential, skills, career 0:00:32.080 --> 0:00:35.599 and resources what they've got at their disposal. People who 0:00:35.680 --> 0:00:39.120 want to move above and beyond the groundhog danus of 0:00:39.280 --> 0:00:45.360 unconscious repetition, of frustration, of self sabotage and overthinking and underdoing, 0:00:45.400 --> 0:00:49.320 and the destructive habits and rituals, and the crappy results 0:00:49.320 --> 0:00:53.200 and the perpetual waiting for the right time that never comes. 0:00:53.880 --> 0:00:59.960 We'll be unpacking the human experience from a psychological, emotional, sociological, physiological, 0:01:00.200 --> 0:01:03.520 your body and behavioral perspective, and there'll be lots of 0:01:03.600 --> 0:01:07.280 room and time for interaction, conversation, and Q and A. So, 0:01:08.120 --> 0:01:10.640 if that doesn't sound terrible and you'd like to find 0:01:10.640 --> 0:01:14.600 out a little bit more about the program. Go to 0:01:14.640 --> 0:01:17.760 me website, me website and take a peek at the 0:01:17.880 --> 0:01:21.399 very detailed eight week overview. So just go to me 0:01:21.520 --> 0:01:24.959 dot com. Well, no it's not really, it's actually craigharper 0:01:25.000 --> 0:01:29.480 one word dot net. Click on education and see what's up. Alrighty, 0:01:29.560 --> 0:01:33.080 I'm with the show. I'll get a team. It's your project, 0:01:33.080 --> 0:01:38.880 Tiffany and Cook, Jeffrey, Brian, Kevin Patrick, doctor Jeffrey Kevin Pat. 0:01:39.000 --> 0:01:40.720 I don't know what is your middle name? Do you 0:01:40.760 --> 0:01:42.640 have a middle name? I do. 0:01:42.720 --> 0:01:43.400 It's David. 0:01:44.200 --> 0:01:49.120 Of course it is David. That's quite biblical, quite old Testament. 0:01:50.040 --> 0:01:50.240 Right. 0:01:50.840 --> 0:01:55.120 Did you grow up in a religious household by any chance? No? 0:01:55.240 --> 0:01:58.440 But my hands were really big, so you know the statue? 0:01:58.760 --> 0:02:04.440 All right mate? Yeah, I know actly what you're talking 0:02:04.480 --> 0:02:07.720 about there, but we'll leave it there. How are you? 0:02:07.800 --> 0:02:09.959 How have you been? You probably missed us. 0:02:11.680 --> 0:02:14.840 Terribly? Yes, yes, I yes I did. How was that 0:02:14.919 --> 0:02:15.600 was that a get ounce? 0:02:16.240 --> 0:02:20.920 That was so fucking unconvincing? Try harder missed you guys. 0:02:20.919 --> 0:02:24.400 It's been like a month and I need a good update. 0:02:24.840 --> 0:02:25.560 What's happening? 0:02:26.600 --> 0:02:30.360 Well, it's winter as fuck here. It's about five degrees 0:02:30.400 --> 0:02:36.680 this morning, which is probably around forty degrees fahrenheit. And Tiff, 0:02:36.720 --> 0:02:39.480 are you dressing your animals up in clothes like half 0:02:39.520 --> 0:02:42.120 of the other people in Melbourne? 0:02:42.360 --> 0:02:43.360 Yes, I am yes? 0:02:44.320 --> 0:02:46.160 Always is what. 0:02:46.120 --> 0:02:48.720 Does what does Luna wear when you take her out 0:02:48.760 --> 0:02:49.360 for a stroll? 0:02:49.800 --> 0:02:53.680 She has got the most beautiful little button up jacket 0:02:53.800 --> 0:02:56.360 with a hood, with a little fluffy hood on it, 0:02:57.120 --> 0:03:00.680 and she's got some little boots called honey boots. 0:03:02.160 --> 0:03:04.840 She's got boots. I feel like that's bad for dogs. 0:03:04.880 --> 0:03:08.120 Don't they need the tactility of the earth beneath their feet? 0:03:08.600 --> 0:03:09.160 Not mine? 0:03:09.240 --> 0:03:11.919 She gets grit stuck in her also, remember last year 0:03:11.960 --> 0:03:13.919 she had to have surgery to get grit removed from 0:03:13.919 --> 0:03:15.120 her poor pads. 0:03:15.880 --> 0:03:17.959 So now she has to wear that. 0:03:17.960 --> 0:03:20.959 That's vet prescribed a tire. 0:03:21.720 --> 0:03:22.480 Is it? 0:03:22.520 --> 0:03:22.760 Though? 0:03:23.560 --> 0:03:27.480 By any chance does the vet sell the aforementioned a tire? 0:03:27.960 --> 0:03:30.720 No, they actually don't at all. 0:03:31.480 --> 0:03:37.320 Okay, And doctor Jeff, you are telling us she've got 0:03:36.240 --> 0:03:44.400 a big, wild, terrifying, protective animal at home. Tell our list. 0:03:45.840 --> 0:03:48.800 Please do not deliver, Do not deliver anything to our door. 0:03:49.080 --> 0:03:51.040 Do not try to sell us windows door to door 0:03:51.240 --> 0:03:56.520 knaves you you will be attacked by our Yorkie who 0:03:56.800 --> 0:03:59.440 believes he is a German shepherd. 0:04:00.040 --> 0:04:05.760 Two kilograms or four point four pounds of absolute terror exactly. 0:04:05.840 --> 0:04:06.560 That's hilarious. 0:04:06.720 --> 0:04:09.080 But we have no routes. I think there were bread 0:04:09.160 --> 0:04:11.560 to you clear out routes from the sewers in England 0:04:11.640 --> 0:04:12.280 or something, so. 0:04:12.880 --> 0:04:15.880 I think you might be right there. Yeah, it's funny 0:04:15.880 --> 0:04:21.600 how dogs were bred for different purpose. What's the purposes? 0:04:22.040 --> 0:04:25.440 Is that they purposes? I feel like it should be perpi. 0:04:25.640 --> 0:04:28.000 All right, enough about that. Hey, I want to talk 0:04:28.000 --> 0:04:32.160 to you about and you know our listeners don't know, 0:04:32.200 --> 0:04:34.279 but I give you no heads up. I don't say 0:04:34.279 --> 0:04:36.560 this is what I'd like to talk about today. We 0:04:36.760 --> 0:04:39.560 just talk for thirteen seconds and start recording. Today is 0:04:39.600 --> 0:04:43.279 no different and you can go wherever you want, or 0:04:43.320 --> 0:04:45.320 you can come up with something different. But I would 0:04:45.440 --> 0:04:50.359 like selfishly to talk about pain. Like to talk about pain. 0:04:50.400 --> 0:04:53.640 I'd like to talk about backs. I'd like to talk 0:04:53.640 --> 0:04:58.480 about what we call dodgy backs. Dodgybacks. That's like dodger 0:04:58.480 --> 0:05:02.520 is an Australian term just means like a dicky back. 0:05:02.560 --> 0:05:05.000 I guess you know backs, they're a bit fucked. I 0:05:05.040 --> 0:05:08.120 think every second person I know has got some kind 0:05:08.160 --> 0:05:14.320 of back issues, right, and of course you come from 0:05:14.320 --> 0:05:18.240 a surgical background as well. How many people do you 0:05:18.279 --> 0:05:21.520 reckon or maybe you actually know that the stats, but 0:05:21.600 --> 0:05:24.120 how many people suffer from back pain? 0:05:26.360 --> 0:05:29.120 At some point in your life? Over eighty some percent 0:05:29.160 --> 0:05:34.159 of people will have at least an episode of back pain, 0:05:34.480 --> 0:05:39.039 usually low back pain, but you know, not as many 0:05:39.040 --> 0:05:42.960 people have will call chronic ongoing yeah pain unless there's 0:05:43.000 --> 0:05:45.800 some sort of injury or reason for it. 0:05:47.160 --> 0:05:50.719 I feel like back well, I don't know. I've never 0:05:50.760 --> 0:05:53.680 given birth, obviously, and I don't know how much pain 0:05:53.720 --> 0:05:56.240 I've had in my life. But when I've stuffed my 0:05:56.320 --> 0:05:59.919 back a few times, I've had multiple injections into my 0:06:00.080 --> 0:06:02.680 spine of cortisone and which may or may not be 0:06:02.720 --> 0:06:07.480 a good idea. But when I've wrecked my lower back 0:06:07.600 --> 0:06:10.800 deadlifting and like bulged a disc and all of these 0:06:10.839 --> 0:06:16.520 things not ruptured, but and had all that that uteral 0:06:16.600 --> 0:06:20.839 pain where I literally for about a week, I couldn't 0:06:21.000 --> 0:06:24.200 I couldn't walk more than you know, five or ten 0:06:24.480 --> 0:06:28.200 tiny steps. Getting out of bed was pretty much impossible. 0:06:28.279 --> 0:06:31.080 So I had to sleep in a like a lounge 0:06:31.200 --> 0:06:35.800 chair sitting up, and it's it's funny, like now I'm 0:06:35.839 --> 0:06:39.480 relatively pain free and very grateful, But you don't realize 0:06:40.800 --> 0:06:44.400 how awesome it is to be pain free until you've 0:06:44.440 --> 0:06:48.720 been in excruciating pain. I feel like, a. 0:06:49.760 --> 0:06:52.599 Yeah, sometimes you knew a little taste of it to 0:06:53.320 --> 0:06:54.480 appreciate what you have. 0:06:55.960 --> 0:07:00.760 What are the things that we should do to optimize 0:07:00.880 --> 0:07:07.520 back health that maybe we typically don't do so much well? 0:07:07.560 --> 0:07:10.920 I think first and foremost is to get up out 0:07:10.960 --> 0:07:15.080 of our chairs and move, and to be more specific, 0:07:15.320 --> 0:07:18.040 is to move our cores. And by cores, I don't 0:07:18.120 --> 0:07:23.960 just mean abdominals, I mean the entire circumferential core, specifically 0:07:24.000 --> 0:07:27.200 the muscles in the back and your obliques on the sides, 0:07:27.240 --> 0:07:27.760 et cetera. 0:07:28.720 --> 0:07:33.640 Yeah, I mean is that they say that they say 0:07:33.640 --> 0:07:36.440 that like sitting is the new smoking, you know, and 0:07:36.520 --> 0:07:39.600 because we you know, like I'm sitting right now in 0:07:39.640 --> 0:07:44.280 a comfy office chair literally with a cushion behind my back. 0:07:45.040 --> 0:07:47.720 You know, I could pretty much just hang off my 0:07:47.720 --> 0:07:52.120 ligaments and tendons like I don't need to, you know, 0:07:52.280 --> 0:07:58.560 Like it's so I'm so predisposed in this chair to 0:07:58.600 --> 0:08:02.080 be unaware of what's happening in terms of my core 0:08:02.160 --> 0:08:06.520 and my stabilizers and my spine because I guess subconsciously, 0:08:06.680 --> 0:08:11.240 my default setting is just set for comfort. So slumping 0:08:11.360 --> 0:08:12.280 is easy, right. 0:08:12.960 --> 0:08:17.280 Slumping is very easy. Some people have taken to sitting 0:08:17.320 --> 0:08:20.560 on a stool or an exercise bar because you have 0:08:20.600 --> 0:08:23.040 to use your stabilizer muscles and your core muscles to 0:08:23.600 --> 0:08:27.720 maintain that upright pasture while you still get to set somewhat. 0:08:29.000 --> 0:08:31.920 Yeah, I think that the idea of not only sitting 0:08:32.000 --> 0:08:35.400 on an unstable surface, of course, like a ball where 0:08:35.400 --> 0:08:38.280 you've got to use your stabilizers to not fall on 0:08:38.320 --> 0:08:43.200 the floor, but even training, you know, like instability or 0:08:43.240 --> 0:08:48.160 training in an unstable environment, so to speak, where you're 0:08:48.160 --> 0:08:51.360 doing even things like a bench press on a ball 0:08:51.440 --> 0:08:54.000 instead of a bench press on a bench, where now 0:08:54.080 --> 0:08:56.199 you've got to balance the ball and you've got a 0:08:56.240 --> 0:08:59.680 bigger range of movement and you're you know, you scalp, 0:08:59.760 --> 0:09:03.800 your scapuli can kind of retract towards the spine and 0:09:03.920 --> 0:09:07.360 rather than get jammed. But also you've got to you know, 0:09:07.480 --> 0:09:10.360 all of these stabilizers through the shoulders and hips and 0:09:10.400 --> 0:09:12.360 stuff that you don't need so much when you're on 0:09:12.400 --> 0:09:14.560 a bench, all of a sudden they're required to do 0:09:14.600 --> 0:09:18.040 the movement. So I think training, you know, right person, 0:09:18.120 --> 0:09:21.280 of course, at the right level of conditioning, but training 0:09:21.320 --> 0:09:25.800 on a surface that's not so stable has got universal benefits. 0:09:25.840 --> 0:09:26.040 You know. 0:09:26.720 --> 0:09:29.240 Oh yeah, you have to use the little stabilizer muscles. 0:09:29.400 --> 0:09:32.080 There's even a trend here on the side of the 0:09:32.080 --> 0:09:35.360 globe to do exercises on these vibration plates. Do you 0:09:35.360 --> 0:09:36.080 have that as well? 0:09:36.600 --> 0:09:41.280 Yeah, yeah, yeah, yeah, so the Yeah, they've been around 0:09:41.360 --> 0:09:44.320 for quite a while. I think they come out They 0:09:44.320 --> 0:09:46.840 came out here not long after there, but yeah, there's 0:09:46.880 --> 0:09:50.800 a big in that functional kind of exercise space. But 0:09:51.400 --> 0:09:53.680 what do you think of those those vibration plates. 0:09:54.000 --> 0:09:58.520 I think, look, yeah, they're fantastic. We we do our 0:09:58.880 --> 0:10:01.280 planks on them at the gym, and then we have 0:10:01.559 --> 0:10:04.280 a less expensive one at home. Sometimes we'll get on 0:10:04.320 --> 0:10:08.280 that and you know, just just hold a squat position 0:10:08.440 --> 0:10:12.840 or do some things. Plus there's some lymphatic drainage benefit 0:10:12.880 --> 0:10:18.120 that comes from this forty to sixty hertz vibration. And 0:10:18.280 --> 0:10:20.280 we have a I'll go one further. We have a 0:10:20.320 --> 0:10:24.800 new bed and the bed has these big speakers in it. 0:10:24.960 --> 0:10:30.720 Not that we want these electromagnetic forces, but it'll actually 0:10:30.880 --> 0:10:34.040 do like a fifteen minute vibration cycle. At night, you 0:10:34.080 --> 0:10:37.480 turn on a little timer and wow, it's like speaker 0:10:37.520 --> 0:10:40.160 gives you this forty to sixty hurts. I can't remember 0:10:40.200 --> 0:10:44.880 the exact frequency. Sort of minium massage. It's not that 0:10:45.000 --> 0:10:47.600 much of a massage, but you do get You do 0:10:47.679 --> 0:10:50.760 get some of the frequency that's good for lymphatic drainage, 0:10:50.760 --> 0:10:53.160 which we just don't do because we're not moving as 0:10:53.200 --> 0:10:56.240 well more as much. And you need to clear out 0:10:56.280 --> 0:11:00.120 your left because it's sort of the sewage system. If 0:11:00.120 --> 0:11:01.679 you can't clean out your learn, if you're more likely 0:11:01.679 --> 0:11:05.760 to have cancer and other problems. 0:11:05.520 --> 0:11:10.400 It's something I think, like our emphatic system and lymph drainage, 0:11:10.679 --> 0:11:12.800 I don't think. I mean I don't think about it 0:11:12.880 --> 0:11:16.440 a lot myself. So TIF do you think about that? 0:11:17.320 --> 0:11:20.680 I do, because in a lot of tests and DNA stuff, 0:11:20.679 --> 0:11:23.319 it's come up that my my limph system is a 0:11:23.360 --> 0:11:25.040 bit sluggish. 0:11:25.120 --> 0:11:29.000 Right, Yeah, Yeah, maybe I need to think about that. 0:11:29.120 --> 0:11:33.200 He speaking of instability and training on unstable surfaces. I 0:11:33.240 --> 0:11:36.640 did just a little bit of curious research the other day, 0:11:36.679 --> 0:11:39.040 doc on I was thinking about because I do a 0:11:39.080 --> 0:11:40.840 lot of I live near the beach, I walk on 0:11:40.840 --> 0:11:44.120 the soft sand a lot, and of course it's unstable. 0:11:44.160 --> 0:11:46.680 Of course, you know, it's not firm, so it requires 0:11:46.720 --> 0:11:51.200 more energy to you know, there's a bunch of physiological 0:11:51.200 --> 0:11:53.640 benefits of you know, your heart rate will be high, 0:11:53.760 --> 0:11:56.040 so a bit more fitness, a bit more muscular endurance, 0:11:56.040 --> 0:11:58.560 a bit more lower body strength required all of these things. 0:11:58.559 --> 0:12:02.280 But I was trying to I think at about what's 0:12:02.320 --> 0:12:08.160 the difference in calorie expenditure, and I forget the reference, 0:12:08.160 --> 0:12:11.280 but I actually found a couple of studies. But so 0:12:11.400 --> 0:12:18.960 my best kind of somewhat scientific estimation of just for example, 0:12:19.040 --> 0:12:22.880 me walking one for one hour at five kilometers per 0:12:22.920 --> 0:12:26.840 hour or three miles per hour, about the same in 0:12:26.920 --> 0:12:29.720 my body weight, which is about one eighty or eighty 0:12:29.760 --> 0:12:33.880 one or two kilos on a firm surface, two hundred 0:12:33.880 --> 0:12:37.200 and eighty calories per hour, give or take. Then if 0:12:37.240 --> 0:12:39.800 you do the exact same thing, same body, same weight, 0:12:39.960 --> 0:12:43.400 same distance, same speed, same time, it goes up to 0:12:43.480 --> 0:12:47.400 over seven hundred calories for an hour, Like it's something 0:12:47.440 --> 0:12:49.600 in the range of two point two to two point 0:12:49.640 --> 0:12:53.600 seven x doing the same. That's mind blowing, right. 0:12:54.040 --> 0:12:59.400 That's amazing. We should create treadmills that have you know, 0:13:00.080 --> 0:13:02.679 variable surface, So you have to deal with that. 0:13:03.360 --> 0:13:06.440 Well, yeah, I know, I mean it's so much you know, 0:13:06.480 --> 0:13:09.080 it's so much tougher even mentally, You've got to concentrate 0:13:09.120 --> 0:13:11.640 so much more. But all right, so let's if we 0:13:11.679 --> 0:13:17.800 can talk about backs a little bit. So you do 0:13:17.840 --> 0:13:20.920 you do stem cell activation for back pain? Am I 0:13:21.040 --> 0:13:22.000 right in saying that? 0:13:22.120 --> 0:13:23.200 Yeah? 0:13:23.840 --> 0:13:26.760 How does that? What is that? How does that work? Well? 0:13:26.760 --> 0:13:28.840 First and foremost, you have to you have to know 0:13:28.960 --> 0:13:31.520 the exact source of the pain. Is it the disc, 0:13:32.240 --> 0:13:34.920 is it some of the joints in the back part 0:13:34.960 --> 0:13:38.040 of the spine, is it something else? You can't just 0:13:38.160 --> 0:13:42.199 treat it generically, right, So, years ago, the diagnosis for 0:13:42.320 --> 0:13:45.680 bacpin was called lumbargo and I didn't really speak to 0:13:45.720 --> 0:13:49.320 what was causing the pain, and we really need to 0:13:49.360 --> 0:13:53.120 know the specific anatomic source and confirm it. But you know, 0:13:53.200 --> 0:13:55.160 let's say it's the little joints in the back of 0:13:55.200 --> 0:13:59.920 the spine. You know, because those joints are like other 0:14:00.160 --> 0:14:03.679 joints in the body. When they get inflamed and dysfunctional, 0:14:04.880 --> 0:14:07.839 they're the cartilage in there wears down and that kind 0:14:07.880 --> 0:14:10.560 of that that causes this fisious cycle of more pain. 0:14:10.640 --> 0:14:13.000 Then more wear and tear and et cetera. So we 0:14:13.000 --> 0:14:17.640 we've now demonstrated clinically that you can use regenerative biologic 0:14:17.720 --> 0:14:22.920 so stem cells or stem cell derives, signal factors like 0:14:23.120 --> 0:14:26.960 exosomes from stem cells which are small vesicles and growth 0:14:27.000 --> 0:14:30.400 factors that you might find in the amniotic fluid and 0:14:31.200 --> 0:14:35.480 restimulate these joints to you know, make cartilage again and 0:14:35.520 --> 0:14:39.160 behave in a more youthful way and restore themselves like 0:14:39.160 --> 0:14:42.120 a younger person would restore an injury. So that's that's 0:14:42.120 --> 0:14:42.640 what we're doing. 0:14:44.240 --> 0:14:49.080 To me, it seems like a more logical protocol then, 0:14:49.280 --> 0:14:52.680 especially when you talk about the generation of disks and 0:14:52.760 --> 0:14:59.800 spine and you know, herniations and so I had a 0:15:00.080 --> 0:15:04.320 and spinal canal stenosis. When you think that adding like 0:15:04.360 --> 0:15:06.280 the common thinking is we'll go to the gym and 0:15:06.320 --> 0:15:08.880 get strong and your back will be better. But I 0:15:08.920 --> 0:15:11.600 think sometimes, depending on what you're doing at the gym, 0:15:11.640 --> 0:15:15.200 you can actually make your back worse. Do you know 0:15:15.360 --> 0:15:19.080 what I'm saying, Like, if there's already degeneration and you've 0:15:19.080 --> 0:15:21.520 already got stuff that's kind of, for one of a 0:15:21.560 --> 0:15:24.600 better word, crumbling, I don't know that kicking off with 0:15:24.720 --> 0:15:26.520 deadlift is going to be a great strategy. 0:15:28.200 --> 0:15:33.880 I know that's very true. But strengthen the pair spinals, 0:15:33.920 --> 0:15:36.440 the multipidi muscles, the muscles in the back, the obliques 0:15:36.840 --> 0:15:40.360 do help support the spine and offload the discs. So yes, 0:15:41.200 --> 0:15:45.000 you think about it. Those muscles are your own internal brace. 0:15:45.920 --> 0:15:49.240 So if you can create your own brace, then whatever 0:15:49.320 --> 0:15:52.880 you do, you have a lesser chance of aggravating your 0:15:54.560 --> 0:15:55.960 problems in your lower back. 0:15:57.000 --> 0:15:59.480 Have you ever had back stuff yourself back issues? 0:16:00.080 --> 0:16:00.360 I have. 0:16:00.680 --> 0:16:05.560 I was, truth be told, I was jogging one beautiful 0:16:05.640 --> 0:16:11.480 autumn day and I was hitting that stride that runners high. 0:16:11.520 --> 0:16:14.120 I was in my fourth mile. I don't know, that's 0:16:14.160 --> 0:16:21.800 like what you thousands of kilometers or something. Yeah, yeah, yeah, no, 0:16:21.880 --> 0:16:25.320 it's the fifth or sixth kilometer. And I had the 0:16:26.000 --> 0:16:29.400 wonderful music going. I was just in my space and 0:16:30.360 --> 0:16:32.160 I had to come up over this little bridge and 0:16:32.240 --> 0:16:34.680 cross a road, and I saw the cars were stopped 0:16:34.680 --> 0:16:38.880 in both directions, so I can just frogger across here. 0:16:38.960 --> 0:16:40.760 Do you have frogger over there? You know what that is? 0:16:43.080 --> 0:16:47.880 I lost the game and there was a car in 0:16:47.920 --> 0:16:50.640 some type of middle lane I didn't see in it. 0:16:50.640 --> 0:16:53.880 It launched me into the air shoes are flying O, 0:16:54.080 --> 0:16:58.320 my god, and landed on my keister. Do you have 0:16:58.400 --> 0:16:59.600 keyster's over there too. 0:17:00.080 --> 0:17:02.480 Yeah, we all have one. We just maybe not use 0:17:02.560 --> 0:17:03.280 that term. 0:17:03.920 --> 0:17:08.399 It's our behind landed on my behind, and then ever 0:17:08.440 --> 0:17:11.320 since then, I've had this U this the slow back 0:17:11.400 --> 0:17:13.359 is you calm down quite a bit. But if I 0:17:13.480 --> 0:17:17.159 stand in one period of time without without moving around, 0:17:17.200 --> 0:17:20.119 it's it's trouble. So I don't do the long surgeries 0:17:20.160 --> 0:17:25.200 and the if we go to a cocktail party, that's 0:17:25.280 --> 0:17:27.000 that's the devil, because you have to stand around at 0:17:27.040 --> 0:17:30.240 those things and pretend you're having a good time, you know, 0:17:30.280 --> 0:17:35.840 because standing one positions rough. If I'm moving around, exercising, running, whatever, 0:17:35.880 --> 0:17:37.359 I feel much better. 0:17:39.520 --> 0:17:45.679 Do you how much of how much of the pine 0:17:45.760 --> 0:17:48.960 that we This is a weak question, maybe it's unanswerable, 0:17:49.000 --> 0:17:53.880 but how much of the pine that we experience is 0:17:54.000 --> 0:17:58.159 purely physiological like neural whatever? And how much is it 0:17:58.240 --> 0:18:01.080 because we're paying attention to that? Like is there a 0:18:01.440 --> 0:18:04.280 cognitive or psychological component too? 0:18:04.760 --> 0:18:04.920 Enough? 0:18:05.160 --> 0:18:07.560 For want of a better term, the volume of our pain? 0:18:08.280 --> 0:18:11.720 Oh yeah, there's a there's a gain control knob called 0:18:11.720 --> 0:18:14.640 the brain, and and you can amplify pain. You can 0:18:14.720 --> 0:18:18.880 deamplify pain by distracting yourself from it. You know, if 0:18:18.920 --> 0:18:21.080 you have back pain and I come up and punch 0:18:21.119 --> 0:18:23.880 in the arm, it'll take your mind off the back 0:18:23.920 --> 0:18:27.720 pain for a second. So plus, there are all these techniques, right, 0:18:27.720 --> 0:18:32.119 You can relaxation, meditation, maybe watching a movie or or 0:18:32.160 --> 0:18:34.240 something will take your mind away from other things. There 0:18:34.320 --> 0:18:38.600 there are always those those influences, you know, we call 0:18:38.680 --> 0:18:42.399 the brain influence. We call them super tentorial influences. Here 0:18:42.520 --> 0:18:45.840 hear that that term that means the cerebrum, the thinking 0:18:45.840 --> 0:18:50.800 part of the brain does does influence the volume of 0:18:50.800 --> 0:18:52.400 the pain, like you called it correctly. 0:18:53.560 --> 0:18:56.119 What's that TIF? Can you look up? Or maybe the 0:18:56.160 --> 0:18:58.080 doc knows it? Do you know that term? You know? 0:18:58.200 --> 0:19:01.840 People who don't feel pain? What is that? There's like 0:19:01.920 --> 0:19:05.280 a condition, it's like very very rare. But people who 0:19:05.280 --> 0:19:08.000 can't feel pain. I feel like that's not going to 0:19:08.000 --> 0:19:09.600 be the advantage you think it would be. 0:19:11.000 --> 0:19:18.280 There's a recent movie. Yeah it's comedic, but it's you know, 0:19:18.560 --> 0:19:21.879 the guy apparently has this syndrome. I've never seen it. 0:19:21.920 --> 0:19:24.600 I usually see the opposite, the people have pain and 0:19:24.600 --> 0:19:28.480 then some but people that don't have pain, probably don't 0:19:28.560 --> 0:19:30.439 show up too often. But this guy had it so 0:19:30.480 --> 0:19:33.200 bad in the movie How to Kick Himself Home. 0:19:35.119 --> 0:19:38.280 Yeah, because you wouldn't have. Like I mean, pain is 0:19:38.520 --> 0:19:41.680 also keeps you safe in a way. Have you found it? Tip? 0:19:42.119 --> 0:19:44.800 Congenital insensitivity to pain CIP. 0:19:46.280 --> 0:19:51.560 Wow? Who knew? How many people have that? Can you 0:19:51.600 --> 0:19:55.399 figure that out? Tip? So I want to talk to 0:19:55.400 --> 0:19:57.280 you a little bit about I know that you're only 0:19:57.400 --> 0:20:00.919 in your early forties, you know, and just stunning at that, 0:20:01.119 --> 0:20:03.840 but I'm sixty one. So you've got that to look 0:20:03.880 --> 0:20:10.840 forward to if you make it. In terms of in 0:20:10.920 --> 0:20:16.359 terms of aging and managing ourselves as we age, what 0:20:16.440 --> 0:20:18.800 are some of the things that people might not think 0:20:18.840 --> 0:20:23.760 about which you're going to keep them perhaps biologically younger 0:20:23.800 --> 0:20:26.439 than their chronology if you know what I mean. 0:20:27.119 --> 0:20:30.959 I do, because we look at that with patients all 0:20:31.000 --> 0:20:37.200 the time. Now, your biological age versus your chronological age? Yes, 0:20:37.280 --> 0:20:42.800 what's your birthday? Right? So first and foremost is maintaining movement. 0:20:43.200 --> 0:20:47.280 If you move, your body has to adapt to survive, 0:20:47.520 --> 0:20:50.760 and that means it's in healthy estates. So if you 0:20:50.760 --> 0:20:54.280 could just do one simple thing, it's keep moving, keep exercising, 0:20:54.680 --> 0:21:01.080 lift heavy, go far. Yes, so it doesn't and it 0:21:01.080 --> 0:21:03.440 doesn't have to be two hours a day. It can 0:21:03.480 --> 0:21:07.080 be very strategic. You and I've talked about this previously, Craig. 0:21:07.280 --> 0:21:14.000 You know, working, working failure, high intensity, but more less 0:21:14.080 --> 0:21:16.920 volume's less quantity, more quality. 0:21:17.640 --> 0:21:21.520 Yeah, it's almost like stillness is good for your soul 0:21:21.600 --> 0:21:23.800 but bad for your body. I was just thinking about 0:21:23.800 --> 0:21:28.199 the irony there where we're encouraged so much to be still. 0:21:28.920 --> 0:21:32.240 Just fucking be still, you know, chill, take a chill 0:21:32.320 --> 0:21:35.720 pill and be still, but don't be still for too long. 0:21:35.800 --> 0:21:39.600 Then go and move like a crazy person. So yeah, 0:21:40.000 --> 0:21:41.920 if you have if. 0:21:41.720 --> 0:21:46.280 You exercise heavy and well, you will relax better, you'll 0:21:46.320 --> 0:21:49.080 have better stillness later and that afterwards. 0:21:50.440 --> 0:21:55.160 It's it's interesting that a lot of people who tip. 0:21:55.240 --> 0:21:56.960 Do you have an answer to that question? By the way, 0:21:57.240 --> 0:22:01.639 under a thousand people in the world. Yeah, yeah, I 0:22:01.680 --> 0:22:05.200 feel like that's it's probably we probably don't need millions 0:22:05.200 --> 0:22:07.919 of people walking around the earth with that, because I 0:22:07.920 --> 0:22:12.959 feel like that's going to be a problem. I've always 0:22:12.960 --> 0:22:15.640 thought Doc as someone who's spent most of his life 0:22:15.680 --> 0:22:17.560 in gyms, or a lot of his life in gyms. 0:22:17.600 --> 0:22:20.399 That often the people who really don't need to be 0:22:20.480 --> 0:22:24.159 there so much like live there. And then the people 0:22:24.160 --> 0:22:27.199 who really would benefit from being in the gym. You know, 0:22:27.920 --> 0:22:32.760 every human over forty five fifty, they're the people that 0:22:32.800 --> 0:22:35.240 tell themselves, I'm too old for the gym, or that's 0:22:35.240 --> 0:22:37.520 for the young people, or that's not for me, or 0:22:38.680 --> 0:22:41.680 you know, they'd be too embarrassed or self conscious or whatever. 0:22:42.359 --> 0:22:45.440 When the irony is that's you know, the right kind 0:22:45.480 --> 0:22:47.280 of gym with the right kind of program is the 0:22:47.320 --> 0:22:52.400 perfect environment for them in terms of longevity and health span, right. 0:22:52.480 --> 0:22:57.359 And would you rather be the oldest person in the 0:22:57.440 --> 0:23:00.119 gym or the youngest person in the old person and 0:23:00.160 --> 0:23:01.439 some Yeah, so. 0:23:01.560 --> 0:23:06.239 You're going to say the cemetery exactly exactly, And I 0:23:06.280 --> 0:23:11.320 think that just like you said, even just even just moving, 0:23:11.600 --> 0:23:14.720 like even just walking, you know, I didn't. I did 0:23:14.760 --> 0:23:16.600 an episode the other day where I was talking about 0:23:17.240 --> 0:23:19.640 just some really simple things that older people can do 0:23:20.440 --> 0:23:23.640 that don't require a gym, don't require equipment, don't require 0:23:24.000 --> 0:23:29.159 any particular skill, and they're so simple, but I still 0:23:29.200 --> 0:23:31.840 know that most people won't do them. Like what is 0:23:31.960 --> 0:23:35.000 what is what is that gap do you think between 0:23:35.040 --> 0:23:37.679 people they know what they should do or they know 0:23:37.800 --> 0:23:41.159 they should do something. And I'm sure you've dealt with 0:23:41.200 --> 0:23:44.680 this when you give people rehab or stuff where post 0:23:44.760 --> 0:23:46.760 surgery they've got to go do stuff and you know 0:23:46.800 --> 0:23:48.639 that they won't do it or they don't do it. 0:23:49.200 --> 0:23:52.119 What do you think that apprehension or that disconnect is. 0:23:53.359 --> 0:23:56.000