WEBVTT - The Doctor is In

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<v Speaker 1>This is and Gavin and I heard radio podcasts. Welcome

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<v Speaker 1>to the show, everybody, My name is Brooks, like and

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<v Speaker 1>this is how men think. A podcast where we discuss

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<v Speaker 1>a wide range of topics with educated and enlightened gentlemen like.

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<v Speaker 1>So we have Dmitri, we have Rick, we have Ryan.

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<v Speaker 1>Good sirs, how you doing today? Doing well? Fantastic? Thank

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<v Speaker 1>you for asking means a lot. You're also, I know

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<v Speaker 1>that Ryan's feeling really good because he has a story

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<v Speaker 1>that he wants to tell. So we've a lot of

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<v Speaker 1>our discussions, even off Mike, are about like doctor questions

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<v Speaker 1>and health and uh, physicality, just health matters in general.

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<v Speaker 1>And then Ryan has an epic story that he wants

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<v Speaker 1>to tell, and so he's sitting here happy as a claim.

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<v Speaker 1>He's really gloating because he knows. And Amy even said

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<v Speaker 1>it's an epic story. Don't see it that. I'm no one.

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<v Speaker 1>I never said it was an epic story. When you

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<v Speaker 1>build it up like that, it puts a lot of

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<v Speaker 1>pressure on me, and now you have to deliver us.

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<v Speaker 1>That's the standard of this show. Figure out how to

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<v Speaker 1>make an epic, Yes, figure out how to make this

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<v Speaker 1>story epic, because that's the standard that we're setting on

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<v Speaker 1>this show. But then also I want to say, we

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<v Speaker 1>have doctor Todd on this show, coming in after this

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<v Speaker 1>to answer a bunch of our medical questions. How it's

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<v Speaker 1>called from a doctor because we don't go to doctor,

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<v Speaker 1>We don't go to doctors. We get doctors to come

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<v Speaker 1>in studio. Well, that's exactly right, and that that's a

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<v Speaker 1>good segue into what I am experiencing today, which is

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<v Speaker 1>the reason that I don't go to a doctor. Now,

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<v Speaker 1>the two of you or the three of you with Rick,

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<v Speaker 1>you guys don't go to a doctor because you're lazy,

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<v Speaker 1>You're ignorance, is bliss, or it's just an inconvenience, or

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<v Speaker 1>you just don't know why I don't go to a doctor.

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<v Speaker 1>You tell me why because I'm lazy? Go ahead, sorry, Yeah,

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<v Speaker 1>And so so for me, it's it's not as much

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<v Speaker 1>about that, but rather I don't go to a doctor

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<v Speaker 1>because the last time I did, I was told by

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<v Speaker 1>the physician and by the head of the health system

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<v Speaker 1>that I am no longer welcome back to this physician's office. Whatever. Again,

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<v Speaker 1>I don't know why, but I believe it. I I'm

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<v Speaker 1>I'm really curious to hear what you did here and

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<v Speaker 1>how you think it's appropriate. Yeah, I'm not surprised. I'm

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<v Speaker 1>curious though, So I'll tell you I had a really

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<v Speaker 1>bad sore throat, really hurt to swallow, and I went

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<v Speaker 1>into how old are you at this point? Sorry? This

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<v Speaker 1>is this reason? Now, this was I was like three

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<v Speaker 1>years ago. So went into my physician and saw her

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<v Speaker 1>explain the elements. She did a strap culture came back negative.

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<v Speaker 1>Wasn't strep throat. I thought it was a bacterial trying

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<v Speaker 1>to figure out a bacterial viral whatever. So she gave

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<v Speaker 1>me a prescription to help with the sore throat. So

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<v Speaker 1>I go home. There was it was a five day prescription.

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<v Speaker 1>I take the pills and it gets better, but then

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<v Speaker 1>at the end of the fifth day, it's just it's

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<v Speaker 1>lingering again and it's almost getting worse. So it's clearly

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<v Speaker 1>not working. So I call the doctor's office and I said, hey,

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<v Speaker 1>you know, i'd love for the doctor to call me back.

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<v Speaker 1>I've been on uh this medication, it's not really working.

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<v Speaker 1>I'd love to just figure out a course of action

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<v Speaker 1>moving forward. They say, okay, great, we'll have her call

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<v Speaker 1>you back. So don't hear back from hers. So then

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<v Speaker 1>I send her an email and I say, hey, doctor,

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<v Speaker 1>yesterday was my last day on the z pack. Yet

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<v Speaker 1>in the past couple of days, I've developed a head

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<v Speaker 1>and sinus cold that's really knocked me out. I was

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<v Speaker 1>relieved that my throat was getting progressively better, and then

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<v Speaker 1>all of a sudden, today it's back to being really

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<v Speaker 1>sore and it hurts the swallow. I'm not sure what

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<v Speaker 1>the best course of action is here. Is it to

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<v Speaker 1>get another z pac prescription? And they said, dear Mr Ryan,

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<v Speaker 1>we cannot cure high maintenance. Thank you. No, I'll tell

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<v Speaker 1>you what they did. I sent that email. The entire

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<v Speaker 1>day goes by, I don't get a reply back from

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<v Speaker 1>from my doctor. I've already put a call in the

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<v Speaker 1>previous day. So now it's two days a phone call

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<v Speaker 1>and an email, no response. The following day, it's getting worse.

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<v Speaker 1>I can barely swallow at this point, and I need

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<v Speaker 1>I actually need help. So I call the doctor's office

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<v Speaker 1>for a second time and I say, Hi, I called

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<v Speaker 1>two days ago. You said the doctor was gonna call

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<v Speaker 1>me back. I've not gotten a return call. I've sent

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<v Speaker 1>a follow up email. I've not gotten a response to

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<v Speaker 1>the email. I'm now calling a second time. I need

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<v Speaker 1>I need her to call me back. I need to

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<v Speaker 1>know do I need to come in again that she

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<v Speaker 1>need to refill the zpac prescription. What what do I

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<v Speaker 1>need to do? They said, we're so sorry. We'll absolutely

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<v Speaker 1>give the doctor the message. She'll call you back as

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<v Speaker 1>soon as she's out with the current patient she's in with.

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<v Speaker 1>So that was at ten in the morning. That that

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<v Speaker 1>day goes by, no call, no call, no email. That's unacceptable.

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<v Speaker 1>This because this is a medical issue, and whether they

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<v Speaker 1>think it's something or not, you are cons serious. You're

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<v Speaker 1>obviously concerned about it, and I think it's their job

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<v Speaker 1>to to not stress you out even more so, here's

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<v Speaker 1>what happens next seven days later. Are you still having

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<v Speaker 1>trouble at this point? At seven days later, I it all.

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<v Speaker 1>It cleared itself up, and I just I went about

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<v Speaker 1>my life. It all nature ran its course. They worked

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<v Speaker 1>itself out. That's why they just let you go, because

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<v Speaker 1>they're like this, listen to this, listen to it. It's true.

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<v Speaker 1>Still unprofessional. But seven days later I get an email

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<v Speaker 1>back from the doctor. She says, seven days later, Ryan,

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<v Speaker 1>I apologize, I just realized I didn't respond. It's always

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<v Speaker 1>good to call the office, though. If you're not feeling better,

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<v Speaker 1>I assume and hope you're doing better now. If not,

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<v Speaker 1>I should see you again. Okay, okay, So I am

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<v Speaker 1>Are you mad at the doctor? I am furious at

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<v Speaker 1>the doctor or as the doctor who is saying a

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<v Speaker 1>I didn't respond, but in the future, you should call

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<v Speaker 1>the office, not email me. I called twice. Yeah, but

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<v Speaker 1>you didn't talk to her. You talked to somebody else,

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<v Speaker 1>so right, so it's not his or her. That is

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<v Speaker 1>not my problem. I did call, like I've done everything

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<v Speaker 1>on my behalf. But can you be mad at the

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<v Speaker 1>doctor when it wasn't the document at anything to do

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<v Speaker 1>with it. You're mad at the doctor because they're the

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<v Speaker 1>head of the office. Is that? What I'm is that

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<v Speaker 1>you're mad at the reception for not passing on the message.

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<v Speaker 1>She is passively aggressively telling me I should have called.

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<v Speaker 1>I called twice, an emailed and got no response from

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<v Speaker 1>three different outreaches. That is absurd. So we think it's

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<v Speaker 1>best if you didn't come back to the podcast. So

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<v Speaker 1>let me tell you. Let me tell you what I did.

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<v Speaker 1>I was so angry and annoyed in this moment that immediately, immediately,

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<v Speaker 1>within a minute of getting that email from her, I

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<v Speaker 1>sent left a bad review on Yelp. I sent a

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<v Speaker 1>response to her. I changed the subject to auto response.

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<v Speaker 1>This subject was strep throat, and I changed it to

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<v Speaker 1>auto response colon strep throat. And then I immediately responded,

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<v Speaker 1>strepthroat and your colon. That's what I was thinking. What

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<v Speaker 1>you said, Sorry, this is a big life issue for apologize.

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<v Speaker 1>I immediately respond with the auto response and I say,

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<v Speaker 1>this email is no longer active. Ryan passed away last

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<v Speaker 1>week due to complications from strep throat. Memorial services are

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<v Speaker 1>being planned and the family asks you send donations to

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<v Speaker 1>the Strep throat Awareness Fund in lieu of flowers. That okay,

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<v Speaker 1>that is have you ever in your life been called petty?

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<v Speaker 1>So let me tell you. Let me tell you the

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<v Speaker 1>the chain of offense. You gotta get your balls checked due.

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<v Speaker 1>Thank you. So after this, that day, I get a

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<v Speaker 1>call from a woman you did listen to this. I

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<v Speaker 1>get a call on my cell. It was actually the

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<v Speaker 1>following day and the woman says, hi, uh Ryan, my

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<v Speaker 1>name is Mary so and So. I am the head

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<v Speaker 1>of x University Health System. I'm the head president of

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<v Speaker 1>the health system, and I said, nice to meet you.

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<v Speaker 1>She said, we have a major issue, sir. I said, yeah,

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<v Speaker 1>I think we do. But what's your issue? And she said, well, uh,

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<v Speaker 1>it's been brought to my attention and the general counsel

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<v Speaker 1>of our health administration that an email was sent on

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<v Speaker 1>your behalf to your doctor. And I've said, so now

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<v Speaker 1>you're checking your emails. Thank you, And she says, well,

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<v Speaker 1>I said that's correct. And she said, well, we let

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<v Speaker 1>me tell you what happened after your doctor received that email.

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<v Speaker 1>She was cataton. She broke down into tears, almost had

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<v Speaker 1>a mental breakdown, canceled all of her appointments for all

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<v Speaker 1>of her patients for the next two days, and what

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<v Speaker 1>and genuinely believed that she failed as a physician and

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<v Speaker 1>lost one of her patients due to her negligence. And

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<v Speaker 1>that is all because of you sending the email that

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<v Speaker 1>you sent, which you probably thought was funny, but I'm

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<v Speaker 1>here to tell you it is absolutely not funny. How

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<v Speaker 1>did that feel to hear that? I said, well, I

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<v Speaker 1>I feel awful that She said, she is so upset

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<v Speaker 1>by thinking that her negligence could have cost one of

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<v Speaker 1>her patients their lives and let let this be a

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<v Speaker 1>lesson to you. It was seven days after she decided

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<v Speaker 1>to email me and say, in the future I should

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<v Speaker 1>call Well, did you check your call outs? Yes, sir,

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<v Speaker 1>we actually did, and we do see that there are

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<v Speaker 1>records of your calls and our receptionist uh informed. But

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<v Speaker 1>the doctor and she forgot to call you back one

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<v Speaker 1>of the times, and the second time she admittedly did

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<v Speaker 1>not relay the message. Okay, and then she said she

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<v Speaker 1>proceeded to lecture me, and I said, let me stop

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<v Speaker 1>you there. Mary. The issue I had onto the podcast

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<v Speaker 1>because I said, I have here is this The doctor

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<v Speaker 1>is an intelligent person, I said, did you read the email?

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<v Speaker 1>You're an intelligent person too. Did you read the email?

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<v Speaker 1>Do you think that upon passing away within hours, the

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<v Speaker 1>first thing that my closest loved ones and my wife

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<v Speaker 1>and everybody decided to do was, oh, my god, we're

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<v Speaker 1>grieving Ryan's death, but we should get onto his Gmail

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<v Speaker 1>and put an auto response on there to make sure

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<v Speaker 1>anyone that emails donates to the Strep Throat Awareness Fund, which,

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<v Speaker 1>by the way, Mary, I don't believe that exists. It

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<v Speaker 1>sounds like the most ridiculous fun point but knowing you,

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<v Speaker 1>knowing you, it's possible that you have fifteen of these

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<v Speaker 1>emails already cooked up for anything in case you do

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<v Speaker 1>pass away. Wait, the staff isn't a real thing. The

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<v Speaker 1>Strep Throat Awareness Fund, I said, And my family is

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<v Speaker 1>asking to donate to the fund in lieu of flowers.

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<v Speaker 1>And by the way, that I died from complications to

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<v Speaker 1>the strep. I don't have a metal to medical degree.

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<v Speaker 1>That's all all to you, guys, But like, pretty sure

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<v Speaker 1>you can't die from strep throat. And let's not miss

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<v Speaker 1>the obvious here. Anyone that knows you knows that you

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<v Speaker 1>would insist that you get flowers rather than donation. And

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<v Speaker 1>my love language, Mary is gifts, okay, and so is

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<v Speaker 1>my death language. What what is it called? Um? He's

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<v Speaker 1>probably got his own uh what's it called? Uh? In

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<v Speaker 1>the paper. You probably have you written your own obituary

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<v Speaker 1>in case you do pass that you're just like you

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<v Speaker 1>have it in your will or your trust or something

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<v Speaker 1>that he's got. It's a glam shot. This is my

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<v Speaker 1>good side. It's been touched up. I'm wearing the Gavin

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<v Speaker 1>to grow merchandise. Yes, so this this really so basically,

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<v Speaker 1>when you talk to this Mary, You're basically like, you're welcome. Yes,

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<v Speaker 1>I said, you you did them of good service in

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<v Speaker 1>your mind to be a lesson to you. And and obviously,

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<v Speaker 1>in the way i'm telling it now it comes off

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<v Speaker 1>as being condescending. But I said, and there's a very

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<v Speaker 1>good chance I could have died. And and he's just like,

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<v Speaker 1>I am the right here. How about this, she canceled

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<v Speaker 1>two days of appointments. Those are people that were actually sick,

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<v Speaker 1>that could have had something serious happen to them. And

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<v Speaker 1>did you apologize for that? Do you say I'm sorry

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<v Speaker 1>or just go You're welcome? No, I said, the doctor

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<v Speaker 1>is a very intelligent person. She went to an undergrad

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<v Speaker 1>and medical school. I find it hard to believe that

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<v Speaker 1>she did not implement a single shred of common sense

0:12:52.440 --> 0:12:56.440
<v Speaker 1>into this equation to deduce that well, even if I

0:12:56.480 --> 0:12:59.360
<v Speaker 1>have a question as to whether this is a legit email,

0:12:59.640 --> 0:13:01.960
<v Speaker 1>why do I call him and see if that's because

0:13:02.000 --> 0:13:04.880
<v Speaker 1>you're dead? Yeah? And by the way, and and to that,

0:13:05.120 --> 0:13:07.760
<v Speaker 1>like Mary called me, why is she calling a dead guy?

0:13:07.880 --> 0:13:10.040
<v Speaker 1>If you really thought I was dead, why are you calling?

0:13:10.200 --> 0:13:13.080
<v Speaker 1>Because Mary saw right through your ruse. By the way,

0:13:13.400 --> 0:13:17.360
<v Speaker 1>in your defense, in Ryan's defense, they say that strep

0:13:17.440 --> 0:13:19.839
<v Speaker 1>throat is a child's disease, and you certainly acted like

0:13:19.880 --> 0:13:24.880
<v Speaker 1>a child. So hold on, I'd like to know what

0:13:24.920 --> 0:13:26.920
<v Speaker 1>our listeners think of this, because it's I think it's

0:13:26.920 --> 0:13:30.199
<v Speaker 1>pretty apparent that I don't think Dmitri and I would

0:13:30.200 --> 0:13:32.080
<v Speaker 1>go that route. In fact, I don't even know how

0:13:32.120 --> 0:13:35.000
<v Speaker 1>to change that thing on my email whatever you're talking about,

0:13:35.080 --> 0:13:37.680
<v Speaker 1>so I couldn't even I've never thought about faking my

0:13:37.679 --> 0:13:40.199
<v Speaker 1>own death just to stick it to somebody. Well, at

0:13:40.200 --> 0:13:42.680
<v Speaker 1>the end of this all, it concluded with me demanding

0:13:42.720 --> 0:13:48.680
<v Speaker 1>an apology, Mary being unwilling to give me more, ultimately saying, well, uh,

0:13:48.960 --> 0:13:51.880
<v Speaker 1>you know, we've talked internally and had numerous board meetings

0:13:51.920 --> 0:13:55.560
<v Speaker 1>and decided collectively, uh, that you are no longer welcome

0:13:55.600 --> 0:13:58.360
<v Speaker 1>back in this health system and at this doctor's office.

0:13:58.360 --> 0:14:00.440
<v Speaker 1>So and how about this, This called is the chain

0:14:00.440 --> 0:14:02.320
<v Speaker 1>of events. You have not been in the doctrine three years.

0:14:02.440 --> 0:14:04.600
<v Speaker 1>This whole thing is having a ripple effect, which means

0:14:04.600 --> 0:14:06.839
<v Speaker 1>you will probably die sooner than you need to because

0:14:06.880 --> 0:14:09.240
<v Speaker 1>you refuse to go back to another doctor or or

0:14:09.320 --> 0:14:12.600
<v Speaker 1>your band from every doctor everywhere. We have a musical

0:14:12.640 --> 0:14:14.760
<v Speaker 1>malpractice suit on our hands, don't we Oh, I don't

0:14:14.800 --> 0:14:20.320
<v Speaker 1>think we do. Are you blacklisted amongst doctor's offices? Uh? No,

0:14:20.720 --> 0:14:23.280
<v Speaker 1>I actually I feel like this isn't the first time.

0:14:23.600 --> 0:14:26.840
<v Speaker 1>Let me tell you how I've remedied it. I got

0:14:26.920 --> 0:14:30.960
<v Speaker 1>this app called one Medical, which allows me to whenever

0:14:31.000 --> 0:14:33.960
<v Speaker 1>I'm feeling an ailment of any sort, I can hit

0:14:34.040 --> 0:14:37.680
<v Speaker 1>the app face time with a physician from around the

0:14:37.680 --> 0:14:41.000
<v Speaker 1>country within two minutes, tell them what's going on. I

0:14:41.040 --> 0:14:42.960
<v Speaker 1>have a sort throughout this is blah blah blah. And

0:14:43.000 --> 0:14:46.280
<v Speaker 1>they say, great, your your pharmacy CVS on this on sepulvida.

0:14:46.640 --> 0:14:50.000
<v Speaker 1>I'll call in a z pac right now. Within seven minutes,

0:14:50.040 --> 0:14:51.680
<v Speaker 1>I have a prescription called in and I don't have

0:14:51.680 --> 0:14:53.840
<v Speaker 1>to leave the house and deal with someone who's gonna

0:14:53.920 --> 0:14:57.600
<v Speaker 1>just so. They just described you what presc you. Yeah,

0:14:57.800 --> 0:14:59.680
<v Speaker 1>I imagine you have to use some code name and

0:14:59.680 --> 0:15:01.400
<v Speaker 1>not you're only name on this app. I wear one

0:15:01.440 --> 0:15:04.280
<v Speaker 1>of those glasses things within, fake nose and mustache. Okay,

0:15:04.320 --> 0:15:05.800
<v Speaker 1>and now listen to me, and I mean this is

0:15:05.800 --> 0:15:08.040
<v Speaker 1>from all of us, is from Brooks, Gavin Rick and myself.

0:15:08.400 --> 0:15:11.080
<v Speaker 1>We have a doctor coming today. Dr Todd, you better

0:15:11.080 --> 0:15:14.040
<v Speaker 1>be on your damn best behavior when he comes in here,

0:15:14.480 --> 0:15:17.840
<v Speaker 1>we don't need you. We will throw you out. I

0:15:17.840 --> 0:15:21.280
<v Speaker 1>I worry that there's like a America's Most Wanted type

0:15:21.320 --> 0:15:24.440
<v Speaker 1>like flyer that's gone out in the physician community with

0:15:24.480 --> 0:15:26.680
<v Speaker 1>my face on it, that like he's gonna walk in

0:15:26.760 --> 0:15:29.960
<v Speaker 1>here and immediately just know that I'm that guy and

0:15:30.000 --> 0:15:32.360
<v Speaker 1>walk immediately. I'm afraid my doctor is going to find

0:15:32.360 --> 0:15:34.280
<v Speaker 1>out that I'm on a podcast with you and stop

0:15:34.280 --> 0:15:38.520
<v Speaker 1>serving me. I'm afraid that you pulled this whole stunt

0:15:38.880 --> 0:15:49.360
<v Speaker 1>to possibly get some flowers back from break. And I'm

0:15:49.480 --> 0:15:52.960
<v Speaker 1>super excited because none of us we've talked about this.

0:15:53.080 --> 0:15:55.880
<v Speaker 1>None of us like going to the doctor. Um, I

0:15:55.920 --> 0:15:58.000
<v Speaker 1>haven't been to the doctor. I literally haven't been to

0:15:58.040 --> 0:16:00.960
<v Speaker 1>the doctor since I was released from the Kings. But

0:16:01.080 --> 0:16:04.480
<v Speaker 1>we have a doctor in studio with us because none

0:16:04.480 --> 0:16:06.120
<v Speaker 1>of us want to go, so we brought one here.

0:16:06.640 --> 0:16:12.320
<v Speaker 1>We have call house call for Dr Todd. Welcome, Welcome

0:16:12.360 --> 0:16:14.720
<v Speaker 1>to me. How men thinking? When I first see you Todd,

0:16:14.720 --> 0:16:16.440
<v Speaker 1>I think, dang, that guy should be a football player

0:16:16.480 --> 0:16:19.920
<v Speaker 1>because I wish I had your size. But um, he

0:16:20.080 --> 0:16:21.880
<v Speaker 1>is a doctor, and we're gonna ask you a ton

0:16:21.920 --> 0:16:24.920
<v Speaker 1>of questions. You're gonna give us um some overview on

0:16:25.000 --> 0:16:27.320
<v Speaker 1>some things we're dealing with. But for our people listening,

0:16:27.360 --> 0:16:30.280
<v Speaker 1>can you please give them a little bit of your

0:16:30.320 --> 0:16:33.120
<v Speaker 1>history in the medical profession. Sure, thank you for having

0:16:33.160 --> 0:16:36.880
<v Speaker 1>me um. Yes, I am quite large for a for

0:16:36.920 --> 0:16:39.800
<v Speaker 1>a doctor. In fact, when I was in medical school,

0:16:39.920 --> 0:16:42.200
<v Speaker 1>I'm sort of the orthopedic mold, so they would always

0:16:42.240 --> 0:16:45.280
<v Speaker 1>shuffle me off to the orthopedic surgeons to go do

0:16:45.320 --> 0:16:47.640
<v Speaker 1>whatever they did, which is fixing bones and joints typically

0:16:47.680 --> 0:16:50.080
<v Speaker 1>and athletes. But I never really had an interest in that.

0:16:50.120 --> 0:16:52.880
<v Speaker 1>I was much more interested in the human part of

0:16:52.920 --> 0:16:55.760
<v Speaker 1>medicine and the cognitive part of medicine, which is what

0:16:56.000 --> 0:16:58.600
<v Speaker 1>I ended up doing, which is family medicine. So I

0:16:58.720 --> 0:17:01.960
<v Speaker 1>trained inside at a family medicine and really that is

0:17:02.000 --> 0:17:04.560
<v Speaker 1>a Swiss Army knife of medicine. We take care of

0:17:04.560 --> 0:17:07.760
<v Speaker 1>about of the problems that come into the office, about

0:17:07.800 --> 0:17:09.880
<v Speaker 1>ten percent of the things we have no idea about,

0:17:09.920 --> 0:17:12.600
<v Speaker 1>and that's what we refer to specialists for specialists, on

0:17:12.640 --> 0:17:15.040
<v Speaker 1>the other hand, each deal with their own little world

0:17:15.119 --> 0:17:17.800
<v Speaker 1>of medicine and have no idea what the other is doing.

0:17:18.200 --> 0:17:20.840
<v Speaker 1>So we work in between all of those different fields,

0:17:20.840 --> 0:17:23.240
<v Speaker 1>and that that's what I've done for the last twenty

0:17:23.320 --> 0:17:26.639
<v Speaker 1>years of my career, and uh so this is perfect.

0:17:26.640 --> 0:17:28.560
<v Speaker 1>You know a little bit or a lot about everything,

0:17:28.640 --> 0:17:31.280
<v Speaker 1>because we know a little little bit about nothing. So

0:17:31.480 --> 0:17:33.960
<v Speaker 1>we really need you to tell us a little something

0:17:34.000 --> 0:17:37.120
<v Speaker 1>about everything. Correct. I am the educated version of what

0:17:37.320 --> 0:17:43.159
<v Speaker 1>quote they quote say. I like it. So we're all

0:17:43.200 --> 0:17:45.680
<v Speaker 1>going here. We've got four guys here, We're going through

0:17:45.840 --> 0:17:48.639
<v Speaker 1>four checkups right now. Here's my first question to you,

0:17:48.680 --> 0:17:51.040
<v Speaker 1>because I don't even know this my whole life. I've

0:17:51.080 --> 0:17:54.159
<v Speaker 1>been on sports teams, we had doctors and physicians and

0:17:54.160 --> 0:17:56.480
<v Speaker 1>everybody in our locker room. I've been out of the

0:17:56.600 --> 0:17:58.359
<v Speaker 1>NHL now for a year and a half and I

0:17:58.359 --> 0:18:03.359
<v Speaker 1>haven't seen one doctor. How many times or when should

0:18:03.400 --> 0:18:05.400
<v Speaker 1>I go to the doctor? How many times a year?

0:18:05.440 --> 0:18:06.920
<v Speaker 1>What doctor do I go do? I don't even have

0:18:06.960 --> 0:18:09.159
<v Speaker 1>a doctor since I've been done with the king, So

0:18:09.480 --> 0:18:12.280
<v Speaker 1>can you please advise me on how many times a

0:18:12.359 --> 0:18:16.560
<v Speaker 1>year I should be coming to see you? Sure? Um, well,

0:18:16.560 --> 0:18:18.840
<v Speaker 1>that that is a very good question. And I think

0:18:18.880 --> 0:18:21.640
<v Speaker 1>that there's a lot of different people who have stakes

0:18:21.680 --> 0:18:24.680
<v Speaker 1>in that answer. One of them are the primary care

0:18:24.720 --> 0:18:28.359
<v Speaker 1>provider organizations like the American Medical Association that wants people

0:18:28.359 --> 0:18:30.400
<v Speaker 1>to come into the office. They think that's the best

0:18:30.440 --> 0:18:36.240
<v Speaker 1>place to anticipate problems. For four primary care deal with

0:18:36.320 --> 0:18:38.520
<v Speaker 1>current issues, and they would say come in once a year,

0:18:38.880 --> 0:18:42.000
<v Speaker 1>once a year, Okay, Um. The truth is, when we

0:18:42.000 --> 0:18:44.000
<v Speaker 1>look at the evidence and long term studies, we're not

0:18:44.480 --> 0:18:47.560
<v Speaker 1>pent sure is a medical community that that really changes outcomes.

0:18:48.119 --> 0:18:50.520
<v Speaker 1>We do think that there are certain screening procedures done,

0:18:50.560 --> 0:18:55.120
<v Speaker 1>it's different outcome at different intervals that might change outcomes.

0:18:55.119 --> 0:18:57.639
<v Speaker 1>For instance, colon cancer screening, we recommend that for everybody

0:18:57.680 --> 0:19:02.520
<v Speaker 1>starting at I'm forty five and a half, it used

0:19:02.520 --> 0:19:08.560
<v Speaker 1>to be it used to be right, well, it used

0:19:08.600 --> 0:19:10.159
<v Speaker 1>to be fifty. It used to be fifty that they

0:19:10.200 --> 0:19:13.200
<v Speaker 1>got changed to forty five. So that's a perfect example.

0:19:13.440 --> 0:19:15.560
<v Speaker 1>Or prostate cancer screening. Lots of guys don't like to

0:19:15.560 --> 0:19:18.919
<v Speaker 1>go to the doctor. No, no, yeah, so lots of

0:19:18.920 --> 0:19:22.000
<v Speaker 1>people are prostate cancer screening. So there's a lot of

0:19:22.000 --> 0:19:24.720
<v Speaker 1>debate about these things. But but the reason my point

0:19:24.800 --> 0:19:26.960
<v Speaker 1>is maybe coming in once a year would be a

0:19:27.040 --> 0:19:30.880
<v Speaker 1>reasonable cadence in a person let's say over thirty five

0:19:30.960 --> 0:19:35.119
<v Speaker 1>years of age and let's say under fifty um, to

0:19:35.280 --> 0:19:38.480
<v Speaker 1>come in once a year to talk about these guidelines.

0:19:38.520 --> 0:19:40.280
<v Speaker 1>To talk about what's out there, maybe say hey, there's

0:19:40.320 --> 0:19:42.400
<v Speaker 1>something new in my family history. So I think once

0:19:42.400 --> 0:19:44.720
<v Speaker 1>a year would be reasonable. And what the question if

0:19:44.760 --> 0:19:46.879
<v Speaker 1>it's once a year is that even if you feel

0:19:47.520 --> 0:19:52.680
<v Speaker 1>perfectly fine, you're healthy, there are no ailments because to

0:19:52.720 --> 0:19:55.159
<v Speaker 1>speak to what you were saying at the beginning, is

0:19:55.200 --> 0:19:58.679
<v Speaker 1>that not I've heard that the insurance industry is in

0:19:58.720 --> 0:20:02.040
<v Speaker 1>the state that it's in because people come in too

0:20:02.080 --> 0:20:05.920
<v Speaker 1>often and that's driving up you know, it just becomes

0:20:05.920 --> 0:20:07.560
<v Speaker 1>a huge night amber where people are coming in when

0:20:07.600 --> 0:20:11.280
<v Speaker 1>when it's unnecessary. So that's a great question, and there's

0:20:11.320 --> 0:20:13.600
<v Speaker 1>really two different answers to that. One of them is

0:20:13.640 --> 0:20:16.360
<v Speaker 1>a population based answer, which is if we're talking talking

0:20:16.359 --> 0:20:19.000
<v Speaker 1>about the US population, first, are we talking about you?

0:20:19.920 --> 0:20:22.119
<v Speaker 1>What do you want? If do you want you know,

0:20:22.160 --> 0:20:24.320
<v Speaker 1>the best possible outcomes for yourself, Do you want a

0:20:24.320 --> 0:20:27.000
<v Speaker 1>lot of supervision or you know, when we say, look,

0:20:27.000 --> 0:20:31.160
<v Speaker 1>we're going to prevent five cases out of a hundred thousand,

0:20:31.800 --> 0:20:34.600
<v Speaker 1>you know, do you want to be one of those

0:20:34.600 --> 0:20:37.800
<v Speaker 1>cases it's not prevented because you weren't there. It's sort

0:20:37.840 --> 0:20:40.480
<v Speaker 1>of what your approaches and do you play the statistics

0:20:40.520 --> 0:20:42.239
<v Speaker 1>and how do you think about things, what is your

0:20:42.320 --> 0:20:45.680
<v Speaker 1>level of anxiety? But I used usually tell people that

0:20:45.920 --> 0:20:48.840
<v Speaker 1>most people don't see a doctor very often between seventeen

0:20:48.880 --> 0:20:51.159
<v Speaker 1>and thirty five. The last visit is when their mom

0:20:51.240 --> 0:20:52.919
<v Speaker 1>takes them in before they go to college, and the

0:20:52.960 --> 0:20:56.320
<v Speaker 1>first business right after they get engaged. That's you know so,

0:20:56.880 --> 0:20:58.840
<v Speaker 1>and then so there is a big bald spot in

0:20:58.880 --> 0:21:01.679
<v Speaker 1>there where doctor page and start releasing. People don't come

0:21:01.720 --> 0:21:03.760
<v Speaker 1>in to see the doctor. Once they come in, it's

0:21:03.800 --> 0:21:05.800
<v Speaker 1>sort of a slow ramp up, and then usually around

0:21:05.800 --> 0:21:07.639
<v Speaker 1>forty five or fifty, the wheels start to fall off

0:21:07.640 --> 0:21:10.200
<v Speaker 1>the wagon. They don't feel good, they're on a hike somewhere,

0:21:10.240 --> 0:21:11.960
<v Speaker 1>they start to feel terrible, and they come in and say,

0:21:12.000 --> 0:21:14.600
<v Speaker 1>what's wrong with me? Well, Ryan's anxiety level is off

0:21:14.600 --> 0:21:16.480
<v Speaker 1>the chart, so he should go in like every two months.

0:21:17.960 --> 0:21:20.480
<v Speaker 1>I don't ever see a doctor, but we should label

0:21:20.520 --> 0:21:22.399
<v Speaker 1>the anxious guy and the group. We almost need to

0:21:22.440 --> 0:21:24.080
<v Speaker 1>take a break just so you can have like five

0:21:24.080 --> 0:21:26.840
<v Speaker 1>minutes with arrested to do something on him. Right. Question

0:21:26.840 --> 0:21:30.280
<v Speaker 1>about the prostate exams, where is that? Are we talking

0:21:30.280 --> 0:21:32.719
<v Speaker 1>about the finger? Is that what you're referring to? When

0:21:32.760 --> 0:21:35.200
<v Speaker 1>Amy asked if we've ever had it, well, that that's

0:21:35.200 --> 0:21:37.000
<v Speaker 1>a good question. That's my question is that the is

0:21:37.000 --> 0:21:42.439
<v Speaker 1>that really the only way to check? So it's really

0:21:42.560 --> 0:21:45.399
<v Speaker 1>it's really not a great The truth is his digital

0:21:45.400 --> 0:21:48.879
<v Speaker 1>rectal exams are not a great screening test for prostate cancer.

0:21:49.640 --> 0:21:51.879
<v Speaker 1>I mean, I've examined who knows how many thousands of

0:21:51.920 --> 0:21:55.000
<v Speaker 1>prostates and I've very rarely detected a primary prostate cancer

0:21:55.080 --> 0:21:57.240
<v Speaker 1>through that exam. Now, there are other things you might

0:21:57.240 --> 0:21:59.639
<v Speaker 1>find on that exam, like an enlarge prostates that's causing

0:21:59.680 --> 0:22:03.560
<v Speaker 1>problems with urination. You might hypothetically notice blood and erectum

0:22:03.600 --> 0:22:06.760
<v Speaker 1>that is, you know, maybe from colon cancer or something

0:22:06.800 --> 0:22:09.800
<v Speaker 1>related to that. But you know, there's a lot of

0:22:09.800 --> 0:22:13.200
<v Speaker 1>debate about prostate cancer screening, and without getting into the

0:22:13.320 --> 0:22:16.439
<v Speaker 1>specifics of that, ultimately what we talk about is when

0:22:16.440 --> 0:22:19.480
<v Speaker 1>when patients come in, we make a decision about prostate

0:22:19.520 --> 0:22:23.840
<v Speaker 1>cancer screening based on lots of things including age, personal preference,

0:22:23.920 --> 0:22:27.800
<v Speaker 1>family history, risk factors, etcetera. And so not everyone needs

0:22:27.800 --> 0:22:30.440
<v Speaker 1>to come in and have a digital rectal exam, because

0:22:30.440 --> 0:22:32.840
<v Speaker 1>I can tell you I have had that exam and

0:22:32.920 --> 0:22:37.320
<v Speaker 1>the finger, yeah, I have had it, and um, I

0:22:37.320 --> 0:22:39.680
<v Speaker 1>gotta tell you it's it's it's not it's uncomfortable. But

0:22:39.920 --> 0:22:41.919
<v Speaker 1>funny story was, you know, I've actually had it a

0:22:41.920 --> 0:22:45.880
<v Speaker 1>couple of times. Um, all the doctor's appointments. Dmitri gets

0:22:45.880 --> 0:22:51.000
<v Speaker 1>it weekly. Sorry and my right. But so I went

0:22:51.040 --> 0:22:52.840
<v Speaker 1>and I had it done. And then I hadn't gone

0:22:52.840 --> 0:22:54.160
<v Speaker 1>back to the doctor in like two and a half years,

0:22:54.160 --> 0:22:55.320
<v Speaker 1>and I was like, oh, so I knew I had

0:22:55.359 --> 0:22:57.560
<v Speaker 1>to do it, have it done again. And while I

0:22:57.600 --> 0:22:59.240
<v Speaker 1>was there, the doctor walks in and I just you know,

0:22:59.280 --> 0:23:01.800
<v Speaker 1>I look at him, you know, in the face. He

0:23:01.840 --> 0:23:03.399
<v Speaker 1>walks in, and all of a sudden, I'm thinking to myself, oh,

0:23:03.440 --> 0:23:04.800
<v Speaker 1>look at he's getting a little bit of weight. And

0:23:04.840 --> 0:23:08.640
<v Speaker 1>I'm like, hands were bigger too, His fingers were bigger.

0:23:08.680 --> 0:23:10.840
<v Speaker 1>I was like, and I got all nervous and so

0:23:11.280 --> 0:23:13.040
<v Speaker 1>at that point, so I've never cared about the size

0:23:13.080 --> 0:23:15.600
<v Speaker 1>of a doctor until I had to start getting that exam.

0:23:15.640 --> 0:23:16.960
<v Speaker 1>So I was wondering if we could do like it.

0:23:16.960 --> 0:23:18.959
<v Speaker 1>There should be like a tinder for doctors where they

0:23:18.960 --> 0:23:20.600
<v Speaker 1>just show their hands and you can swipe left or

0:23:20.680 --> 0:23:24.080
<v Speaker 1>right and then you can figure out which one's gonnarea

0:23:24.200 --> 0:23:28.119
<v Speaker 1>to do that without getting the finger. Well, yeah, so

0:23:28.200 --> 0:23:30.720
<v Speaker 1>there are blood tests that you can screen pretty well

0:23:30.840 --> 0:23:36.520
<v Speaker 1>for prostate cancer. But again they cause quite a bit

0:23:36.560 --> 0:23:40.480
<v Speaker 1>more anxiety, we think, than prevention of disease. So we're

0:23:40.520 --> 0:23:43.399
<v Speaker 1>we try to be careful when we order those tests,

0:23:43.760 --> 0:23:46.600
<v Speaker 1>who were ordering them in how often there's a lot

0:23:46.680 --> 0:23:50.600
<v Speaker 1>of nuance to it. But again, this isn't a perfect

0:23:50.720 --> 0:23:53.920
<v Speaker 1>reason why everybody is afraid to go to the doctor

0:23:53.960 --> 0:23:55.920
<v Speaker 1>in their forties because they think some guy with big

0:23:55.960 --> 0:23:57.520
<v Speaker 1>hands like me is gonna put it up their butt

0:23:57.880 --> 0:23:59.920
<v Speaker 1>and they're gonna be super uncomfortable and they're gonna forget

0:24:00.000 --> 0:24:01.959
<v Speaker 1>everything else had happened in there, and then everything else

0:24:02.000 --> 0:24:04.440
<v Speaker 1>they wanted to ask because they were so worried about

0:24:04.480 --> 0:24:08.000
<v Speaker 1>this exam lacked out for three days. That's right, Well,

0:24:08.080 --> 0:24:09.760
<v Speaker 1>then that that is my biggest fear, and that's why

0:24:09.800 --> 0:24:12.760
<v Speaker 1>I don't want to go get that test. And a

0:24:12.800 --> 0:24:15.200
<v Speaker 1>half year, half year behind, I would say that it

0:24:15.240 --> 0:24:18.639
<v Speaker 1>would be totally reasonable to go into a doctor's office

0:24:18.720 --> 0:24:20.399
<v Speaker 1>and say, I do not have a family history of

0:24:20.440 --> 0:24:23.000
<v Speaker 1>procesct cancer, I have no urinary symptoms. I would prefer

0:24:23.080 --> 0:24:25.800
<v Speaker 1>not to have this exam. Let's talk about it. So

0:24:26.040 --> 0:24:30.160
<v Speaker 1>here's my question. Then, So I'm thirty six years old,

0:24:30.640 --> 0:24:33.920
<v Speaker 1>I'm a very active I believe healthy mail, but I'm

0:24:34.400 --> 0:24:37.840
<v Speaker 1>I'm also not arrogant enough to think that there might

0:24:37.920 --> 0:24:39.720
<v Speaker 1>not be something going on in me that I don't know.

0:24:40.520 --> 0:24:43.560
<v Speaker 1>So if I come in to visit you or come

0:24:43.600 --> 0:24:46.840
<v Speaker 1>into a doctor's office, I don't feel like just talking

0:24:46.840 --> 0:24:49.280
<v Speaker 1>about I feel phenomenal. I feel fantastic, better than I

0:24:49.359 --> 0:24:51.680
<v Speaker 1>ever have in my life. But I think that is

0:24:51.720 --> 0:24:53.800
<v Speaker 1>setting me up for a massive failure. Like what kind

0:24:53.800 --> 0:24:56.840
<v Speaker 1>of tests? UM? What as a thirty six year old male,

0:24:56.920 --> 0:24:59.760
<v Speaker 1>what what might I be susceptible for? What is on

0:25:00.160 --> 0:25:02.119
<v Speaker 1>radar that we want to test for? What does a

0:25:02.240 --> 0:25:06.040
<v Speaker 1>doctor's office appointment look like for me? Because I don't

0:25:06.080 --> 0:25:08.119
<v Speaker 1>want to say I feel great and then you go, okay,

0:25:08.240 --> 0:25:10.600
<v Speaker 1>we'll see anything. Are you trying to get like the

0:25:10.720 --> 0:25:13.359
<v Speaker 1>full body check up? I don't even know, Like I

0:25:13.600 --> 0:25:16.080
<v Speaker 1>don't know, I've never had Like I always have this

0:25:16.160 --> 0:25:18.560
<v Speaker 1>imagination of having it like a scan that you just

0:25:18.640 --> 0:25:22.119
<v Speaker 1>go in and it does everything. I think that I

0:25:22.119 --> 0:25:24.760
<v Speaker 1>don't think that's a real What movie were you watching

0:25:24.840 --> 0:25:27.959
<v Speaker 1>last day? UM? We had to do full medicals at

0:25:28.000 --> 0:25:31.360
<v Speaker 1>the start of every hockey season, so at training camp,

0:25:31.480 --> 0:25:34.800
<v Speaker 1>the first day of training camp was full medical evaluation

0:25:35.400 --> 0:25:38.880
<v Speaker 1>UM and you weren't allowed to participate the next day

0:25:39.080 --> 0:25:41.719
<v Speaker 1>in the actual on ice activities unless you passed your

0:25:41.760 --> 0:25:45.560
<v Speaker 1>medical So that was my yearly check up, and then

0:25:45.600 --> 0:25:48.560
<v Speaker 1>we had access to amazing physicians doctors all year long,

0:25:49.119 --> 0:25:51.159
<v Speaker 1>where if something was wrong, they would have caught it

0:25:51.440 --> 0:25:53.879
<v Speaker 1>on me. Now I don't have that team around me,

0:25:53.960 --> 0:25:55.520
<v Speaker 1>those people around me, and I haven't been to the

0:25:55.600 --> 0:25:58.200
<v Speaker 1>doctor for a year and a half. So my fear

0:25:58.240 --> 0:26:02.679
<v Speaker 1>as though I might feel physically exceptional and healthy, there

0:26:02.800 --> 0:26:06.280
<v Speaker 1>might be something persisting that I'm not aware of. Exceptional.

0:26:06.359 --> 0:26:08.800
<v Speaker 1>You know, you couldn't say that exceptional. You know what

0:26:10.160 --> 0:26:12.520
<v Speaker 1>Dr Todd? He works out a couple of times a

0:26:12.600 --> 0:26:18.120
<v Speaker 1>week for thirty minutes because I'm not arrogant. Thirty seconds later,

0:26:18.119 --> 0:26:27.320
<v Speaker 1>I feel physically exceptional, he was, So what am I

0:26:27.400 --> 0:26:30.000
<v Speaker 1>looking for when I come in there? So I think

0:26:30.240 --> 0:26:33.000
<v Speaker 1>you would. You are a fit person, you are a

0:26:33.040 --> 0:26:35.840
<v Speaker 1>healthy person. You've had a lot of access to great

0:26:35.880 --> 0:26:40.399
<v Speaker 1>healthcare over the years, good food. Um, you probably didn't

0:26:40.400 --> 0:26:43.400
<v Speaker 1>have a lot of horrible childhood illnesses because of vaccinations,

0:26:43.480 --> 0:26:46.440
<v Speaker 1>probably where you grow up. I'm just assuming lots of things,

0:26:47.000 --> 0:26:49.879
<v Speaker 1>but just based on how you look right now, I

0:26:49.920 --> 0:26:51.680
<v Speaker 1>would say it's not urgent to go running into a

0:26:51.800 --> 0:26:54.800
<v Speaker 1>doctor and say, you know, help me, help me, help me. However,

0:26:55.320 --> 0:26:59.080
<v Speaker 1>it would be reasonable to go through things like family history,

0:26:59.600 --> 0:27:01.680
<v Speaker 1>you know, talk about whether you have a history of

0:27:01.760 --> 0:27:04.359
<v Speaker 1>corner disease. Are there bad habits that you're involved with

0:27:04.400 --> 0:27:07.199
<v Speaker 1>that you want to learn how to think differently about? Um,

0:27:07.280 --> 0:27:09.840
<v Speaker 1>it might be worth at your age thirty five, looking

0:27:09.920 --> 0:27:13.639
<v Speaker 1>at cholesterol, blood sugar for most people, not yourself, but

0:27:14.080 --> 0:27:17.400
<v Speaker 1>looking at body habituts. Are they overweight, are they underweight?

0:27:17.480 --> 0:27:19.920
<v Speaker 1>What are the issues around that? So you know, not

0:27:20.160 --> 0:27:22.600
<v Speaker 1>necessarily speaking to you, but speaking to the whole world.

0:27:22.680 --> 0:27:24.159
<v Speaker 1>And again this is a little bit different than the

0:27:24.200 --> 0:27:26.800
<v Speaker 1>way that I practice in a very small practice. Is

0:27:26.840 --> 0:27:29.800
<v Speaker 1>that it's an opportunity to have conversations about things that

0:27:29.920 --> 0:27:33.280
<v Speaker 1>you may not even be thinking about. The unknowns, the

0:27:33.400 --> 0:27:35.399
<v Speaker 1>unknown unknowns, you know, the things that aren't even in

0:27:35.480 --> 0:27:39.440
<v Speaker 1>your sensorium yet. Um. And is it an urgent No?

0:27:40.119 --> 0:27:41.560
<v Speaker 1>Is it something that could be done once a year

0:27:41.720 --> 0:27:45.800
<v Speaker 1>for sure? And that's typically what would happen for someone

0:27:45.880 --> 0:27:48.359
<v Speaker 1>your age. And and you know, it might just be

0:27:48.520 --> 0:27:52.159
<v Speaker 1>nagging stuff like um, you know, maybe you had a

0:27:52.240 --> 0:27:55.399
<v Speaker 1>lot of concussions during hockey and you're concerned about what

0:27:55.520 --> 0:27:58.040
<v Speaker 1>that means for you, and how do you think about that?

0:27:58.160 --> 0:27:59.560
<v Speaker 1>What does it mean for your family? Does it mean

0:27:59.600 --> 0:28:03.160
<v Speaker 1>for your few? Sure those would be reasonable conversation. Okay, okay,

0:28:03.240 --> 0:28:06.000
<v Speaker 1>So we have a question here. I'll be the sacrificial

0:28:06.119 --> 0:28:13.240
<v Speaker 1>lamb that reads it. It says Brooks. Question read it. Um.

0:28:13.640 --> 0:28:16.840
<v Speaker 1>This is a question that I've had actually conversations with

0:28:17.000 --> 0:28:20.520
<v Speaker 1>people before on But how many times a day is

0:28:20.640 --> 0:28:23.760
<v Speaker 1>it healthy to be going to the bathroom? And by

0:28:23.880 --> 0:28:26.440
<v Speaker 1>the bathroom, I don't mean a pee, I mean some people.

0:28:26.520 --> 0:28:29.880
<v Speaker 1>I have friends I played with guys that took a crap.

0:28:30.359 --> 0:28:32.480
<v Speaker 1>Let's just say it took a crap once a day

0:28:32.520 --> 0:28:35.840
<v Speaker 1>and I couldn't believe it. Um, and myself, I'm a

0:28:35.960 --> 0:28:38.480
<v Speaker 1>lot more than that. Upwards of five to six times

0:28:38.520 --> 0:28:42.200
<v Speaker 1>a day a day. He's gone three times since we

0:28:42.280 --> 0:28:46.720
<v Speaker 1>started the podcast. So so I've had burying. I've had

0:28:46.920 --> 0:28:49.880
<v Speaker 1>a lot of people say that that's abnormal. Is that abnormal?

0:28:50.440 --> 0:28:53.240
<v Speaker 1>I eat a lot of vegetables though, a lot of

0:28:53.840 --> 0:28:57.000
<v Speaker 1>full sessions a day. Like you're not talking like, oh no, no,

0:28:57.080 --> 0:29:01.920
<v Speaker 1>how to's go a little bit full? Wow, jeezy, I'm

0:29:01.960 --> 0:29:07.600
<v Speaker 1>lucky to get one. Why are you really okay, I

0:29:07.680 --> 0:29:11.280
<v Speaker 1>can go like not. I can skip a day and

0:29:11.360 --> 0:29:14.360
<v Speaker 1>then definitely go the next day. But I'm basically once

0:29:14.400 --> 0:29:16.840
<v Speaker 1>a day my juicer spits out lest than you. How's

0:29:16.880 --> 0:29:19.680
<v Speaker 1>that possible? Maybe that's a reason too, because I I

0:29:20.040 --> 0:29:23.600
<v Speaker 1>juice like, I make my own um organic cold press

0:29:23.680 --> 0:29:25.880
<v Speaker 1>uses at home and so that you drink that and

0:29:26.200 --> 0:29:30.120
<v Speaker 1>that's going through you. But what would I eat? A

0:29:30.160 --> 0:29:34.160
<v Speaker 1>lot of vegetables? Zucchini sticks don't count? Why are Rick

0:29:34.200 --> 0:29:36.360
<v Speaker 1>and I so different in that? So I would say

0:29:36.400 --> 0:29:39.440
<v Speaker 1>that there's there's everybody's a little bit different, and everybody's

0:29:39.440 --> 0:29:42.760
<v Speaker 1>GI tracks are are different. But the primary issue, I

0:29:42.800 --> 0:29:45.360
<v Speaker 1>would say would be nutritional, meaning the type of food

0:29:45.400 --> 0:29:48.400
<v Speaker 1>that you're eating. And then the second is everybody has

0:29:48.440 --> 0:29:51.080
<v Speaker 1>what's called the gastro colic reflex, meaning when food gets

0:29:51.120 --> 0:29:54.520
<v Speaker 1>into your stomach that your your stomach is gastro and

0:29:54.640 --> 0:29:57.760
<v Speaker 1>colic is colon and there's a reflex that reflex not

0:29:57.880 --> 0:30:02.920
<v Speaker 1>reflex reflex that when food hits your stomach, it relaxes

0:30:02.960 --> 0:30:04.680
<v Speaker 1>your cold and you move your bowels and you go

0:30:04.760 --> 0:30:06.720
<v Speaker 1>to the bathroom really to clear out room for that

0:30:06.800 --> 0:30:08.920
<v Speaker 1>food that's coming down. It sounds like you have a

0:30:08.960 --> 0:30:13.280
<v Speaker 1>more pronounced gastrocolic reflex than someone like yourself. But you know,

0:30:13.360 --> 0:30:16.160
<v Speaker 1>I would say once a day is normal. Five times

0:30:16.200 --> 0:30:17.880
<v Speaker 1>a day would probably be on the high end of normal.

0:30:17.920 --> 0:30:20.040
<v Speaker 1>If you said to me, look, I'm having cramps, an

0:30:20.040 --> 0:30:22.840
<v Speaker 1>abdominal pain, and bloody diarrhea and I it's a nightmare

0:30:22.920 --> 0:30:24.840
<v Speaker 1>for me, that's a whole other issue. But if you're like, look,

0:30:24.880 --> 0:30:27.680
<v Speaker 1>I feel great. I have five four bound movements a day.

0:30:28.080 --> 0:30:30.240
<v Speaker 1>I'm not losing weight, there's no blood in my stool.

0:30:30.320 --> 0:30:32.200
<v Speaker 1>Everything seems this is just the way I've always been.

0:30:32.240 --> 0:30:35.840
<v Speaker 1>That's normal for you. If you say, look, I feel fine,

0:30:36.000 --> 0:30:37.680
<v Speaker 1>and I have one bowel movement a day and that

0:30:37.800 --> 0:30:40.040
<v Speaker 1>takes care of business. Sometimes I skip it in the

0:30:40.080 --> 0:30:42.719
<v Speaker 1>next day a little bit more, that's also fine. Um.

0:30:42.880 --> 0:30:44.880
<v Speaker 1>But there are certain medical conditions that we would think

0:30:44.920 --> 0:30:47.200
<v Speaker 1>of it with really abnormal patterns of bound movements, but

0:30:47.240 --> 0:30:51.800
<v Speaker 1>those are typically painful diarrhea, of blood, etcetera, often associated

0:30:51.800 --> 0:30:54.320
<v Speaker 1>with weight loss, weight maybe weight gain. So I have

0:30:54.520 --> 0:30:57.400
<v Speaker 1>none of that. You just have six really healthy bowel

0:30:57.440 --> 0:30:59.920
<v Speaker 1>movements a day. You poop six times a day, you

0:31:00.040 --> 0:31:02.480
<v Speaker 1>work out six times a day. Rick Coop's not once

0:31:02.520 --> 0:31:06.480
<v Speaker 1>in a day it doesn't work out. You know, he

0:31:06.600 --> 0:31:12.120
<v Speaker 1>considers the bathroom working out. Yeah, exactly, So we can

0:31:12.240 --> 0:31:14.720
<v Speaker 1>we have another question. I want to welcome to the

0:31:14.760 --> 0:31:18.040
<v Speaker 1>show for his first ever appearance on the show, we

0:31:18.160 --> 0:31:23.280
<v Speaker 1>have Brett with us today. Welcome. So Brett is my friend.

0:31:23.640 --> 0:31:28.800
<v Speaker 1>His baby brother is Wells Adams from the Bachelor, and

0:31:29.120 --> 0:31:32.720
<v Speaker 1>he's the bartender on The Bachelor and Brett and I.

0:31:33.000 --> 0:31:36.360
<v Speaker 1>This sounds intimate, but we have vacation together and that

0:31:36.560 --> 0:31:40.520
<v Speaker 1>is how I learned about Brett's very fascinating issue. So

0:31:40.720 --> 0:31:42.840
<v Speaker 1>I asked him if he would open up about it

0:31:43.200 --> 0:31:45.520
<v Speaker 1>because I think he's not alone, and I also think

0:31:45.600 --> 0:31:50.360
<v Speaker 1>we can, dare I say, cure him? Okay, Brett, welcome

0:31:50.400 --> 0:31:52.800
<v Speaker 1>to the show. Brother. Well, thank you, just really quickly.

0:31:52.880 --> 0:31:55.360
<v Speaker 1>I just want to get off. In regards to going

0:31:55.400 --> 0:31:57.760
<v Speaker 1>to the doctor once a year, what type of doctor

0:31:57.960 --> 0:32:00.680
<v Speaker 1>is that? If I'm saying, okay, I haven't been in

0:32:00.840 --> 0:32:03.160
<v Speaker 1>five years, who am I looking to go see? I

0:32:03.200 --> 0:32:05.240
<v Speaker 1>would say that would be a primary what would be

0:32:05.280 --> 0:32:07.320
<v Speaker 1>referred to as a primary care doctor usually in turtle

0:32:07.400 --> 0:32:11.280
<v Speaker 1>medicine or family practice. Okay, um, thank you. I needed

0:32:11.280 --> 0:32:17.840
<v Speaker 1>to know today that was that was that was the problem? Yes, Well,

0:32:17.880 --> 0:32:20.080
<v Speaker 1>I Ran always says that this is a trust tree, this,

0:32:20.200 --> 0:32:23.320
<v Speaker 1>this is a safe place. Let me just check before Brooks.

0:32:23.360 --> 0:32:24.520
<v Speaker 1>Do you have to go and drop a doucey? You're

0:32:24.520 --> 0:32:26.760
<v Speaker 1>good for a little far. I'll go around four o'clock.

0:32:28.560 --> 0:32:33.720
<v Speaker 1>We're way pass. That's because what my issue is, um,

0:32:34.200 --> 0:32:35.920
<v Speaker 1>and a lot of it is in my head. But

0:32:36.280 --> 0:32:39.680
<v Speaker 1>I have to always be somewhere where I know there's

0:32:39.680 --> 0:32:42.280
<v Speaker 1>a bathroom around. I constantly, if I'm on a plane,

0:32:42.320 --> 0:32:43.720
<v Speaker 1>if I'm in a car, if I'm in a house,

0:32:43.800 --> 0:32:46.240
<v Speaker 1>of wherever I am, I have to know that I

0:32:46.320 --> 0:32:48.800
<v Speaker 1>can get to a bathroom. And it's a head game

0:32:48.840 --> 0:32:51.440
<v Speaker 1>because I can go to the bathroom and and I'm

0:32:51.520 --> 0:32:53.960
<v Speaker 1>talking going number one. Um, I can go to the

0:32:54.040 --> 0:32:56.880
<v Speaker 1>bathroom like I did five minutes ago, and I'm already

0:32:56.920 --> 0:32:59.480
<v Speaker 1>thinking how long am I going to be here? And

0:32:59.560 --> 0:33:03.520
<v Speaker 1>if I have to go, what's my exit strategy. I

0:33:03.640 --> 0:33:05.880
<v Speaker 1>also do that with going number two as well, but

0:33:06.000 --> 0:33:09.600
<v Speaker 1>not as much. It is is mostly the I've got

0:33:09.680 --> 0:33:12.440
<v Speaker 1>to go pee and and and how can I get there?

0:33:12.560 --> 0:33:14.840
<v Speaker 1>And make sure there is a pathway for me to

0:33:14.920 --> 0:33:20.040
<v Speaker 1>get there? Okay, so is your question what's wrong with me?

0:33:20.240 --> 0:33:24.400
<v Speaker 1>Is this normal? Or I have a question. Did you

0:33:25.000 --> 0:33:27.240
<v Speaker 1>pee your pants as a kid one time and we're

0:33:27.280 --> 0:33:29.720
<v Speaker 1>ostracized by it or something and it could scarred you.

0:33:30.320 --> 0:33:33.160
<v Speaker 1>I don't think I peed my pants. I'm sure growing up,

0:33:33.240 --> 0:33:35.440
<v Speaker 1>I probably peed in my bed, you know, you know,

0:33:35.680 --> 0:33:38.440
<v Speaker 1>going through that potty training or something. But I don't

0:33:38.480 --> 0:33:42.600
<v Speaker 1>think I've ever had there's no like magnificent moment that

0:33:42.720 --> 0:33:45.960
<v Speaker 1>you're like, no, I don't. I've been drunk a couple

0:33:45.960 --> 0:33:49.959
<v Speaker 1>of times, and you know, yeah, I mean, I mean,

0:33:50.080 --> 0:33:51.840
<v Speaker 1>just to make you feel comfortable. I mean, I that

0:33:51.920 --> 0:33:53.640
<v Speaker 1>goes through my mind as well too. And I don't

0:33:53.680 --> 0:33:55.880
<v Speaker 1>know how old you are, but I'm forty five and

0:33:55.920 --> 0:33:59.960
<v Speaker 1>a half, but I think not maybe as much as

0:34:00.120 --> 0:34:02.200
<v Speaker 1>you do about that. But like I'm flying back tonight,

0:34:02.280 --> 0:34:03.920
<v Speaker 1>so like I'm thinking, Okay, well I have to go

0:34:04.080 --> 0:34:06.160
<v Speaker 1>before I get back in the car. And then when

0:34:06.160 --> 0:34:08.000
<v Speaker 1>I get to the airport, i gotta go. Okay, I'm

0:34:08.040 --> 0:34:09.680
<v Speaker 1>gonna go check in, I'm gonna get my ticket, and

0:34:09.719 --> 0:34:11.040
<v Speaker 1>then I'm gonna go to the bathroom, and then I'm

0:34:11.040 --> 0:34:12.600
<v Speaker 1>gonna go through security and I'll probably have to go

0:34:12.640 --> 0:34:14.799
<v Speaker 1>to the bathroom after that. I do the same thing.

0:34:14.880 --> 0:34:18.320
<v Speaker 1>To be honest, I'm like the same thing that it

0:34:19.320 --> 0:34:21.960
<v Speaker 1>don't worry you lose control of it. I know, I

0:34:22.040 --> 0:34:24.000
<v Speaker 1>treat myself like a five year old though. I'm like, Okay,

0:34:24.000 --> 0:34:25.560
<v Speaker 1>I should go before I leave the house, and then

0:34:25.560 --> 0:34:27.040
<v Speaker 1>when I get somewhere, like I should probably go now

0:34:27.120 --> 0:34:28.719
<v Speaker 1>just in case I can't go later. Same here, and

0:34:29.000 --> 0:34:31.640
<v Speaker 1>like to me, not to take away from that, but

0:34:31.760 --> 0:34:33.719
<v Speaker 1>like I feel, I want to be on the plane

0:34:33.760 --> 0:34:35.640
<v Speaker 1>and I want to be comfortable, and I'm thinking to myself, well,

0:34:35.680 --> 0:34:37.320
<v Speaker 1>I'm want to fall asleep on the way home on

0:34:37.400 --> 0:34:40.560
<v Speaker 1>the airplane, so but I want to I don't want

0:34:40.560 --> 0:34:42.000
<v Speaker 1>to have to go to the bathroom because they don't

0:34:42.000 --> 0:34:43.919
<v Speaker 1>have to get up, go to the back of the plane,

0:34:44.000 --> 0:34:46.120
<v Speaker 1>go to the war or if you're on the plane

0:34:46.200 --> 0:34:48.319
<v Speaker 1>and it gets delayed and you haven't gone, then you're

0:34:48.320 --> 0:34:50.520
<v Speaker 1>stuck because you're on the tarmac and you can't get up,

0:34:50.960 --> 0:34:53.560
<v Speaker 1>And then I start to freak out. Yeah, this is

0:34:53.880 --> 0:34:56.640
<v Speaker 1>this is you know what's really interesting about this? This

0:34:56.840 --> 0:35:01.480
<v Speaker 1>is the most anyone has ever sounded like Ryan. It

0:35:01.719 --> 0:35:04.239
<v Speaker 1>doesn't rick sound like trying right now? Way do you

0:35:04.280 --> 0:35:06.640
<v Speaker 1>hear this? Sometimes when I pee, I turn around and

0:35:06.640 --> 0:35:08.319
<v Speaker 1>I wash my hands and something about the water hit

0:35:08.360 --> 0:35:09.440
<v Speaker 1>in my hands. I got a pee again, so don't

0:35:09.440 --> 0:35:10.759
<v Speaker 1>I turn around a p and I wash my hands again.

0:35:10.840 --> 0:35:12.279
<v Speaker 1>So I'm doing like double sets. It's like you used

0:35:12.320 --> 0:35:15.759
<v Speaker 1>to work out twice. Dr Todds just laughing over yeah,

0:35:15.880 --> 0:35:22.880
<v Speaker 1>like Dr todd Yeah, this is uh, this is the

0:35:23.000 --> 0:35:28.400
<v Speaker 1>greatest hits of of male urinary complaints. Let me ask you,

0:35:28.560 --> 0:35:31.480
<v Speaker 1>do you guys because I think that it's crazy. I'm

0:35:31.560 --> 0:35:34.400
<v Speaker 1>kind of with Peroks on this. Do you get up

0:35:34.560 --> 0:35:37.239
<v Speaker 1>multiple times in the middle of the night to go pee? Yes?

0:35:38.080 --> 0:35:41.720
<v Speaker 1>You do. I'll get up at at least once, sometimes twice.

0:35:42.200 --> 0:35:45.040
<v Speaker 1>Have you guys ever? Once you guys ever like looked

0:35:45.080 --> 0:35:49.920
<v Speaker 1>into diapers just in case? Okay, hold on a sem

0:35:49.960 --> 0:35:53.480
<v Speaker 1>wondering Mr six deuces a day. Let's let's have roa

0:35:53.600 --> 0:35:59.160
<v Speaker 1>stones and back from some what can what can we

0:35:59.239 --> 0:36:02.279
<v Speaker 1>really do about Regret's question? Like? Right, so this so

0:36:02.640 --> 0:36:05.839
<v Speaker 1>this is a what would be a primary care question

0:36:05.880 --> 0:36:08.320
<v Speaker 1>at least to get started. I don't think you necessarily

0:36:08.400 --> 0:36:11.879
<v Speaker 1>need a subspecialist yet, which would be a urologist, someone

0:36:11.920 --> 0:36:17.560
<v Speaker 1>who works in the general urinary track kidneys, bladder, penis, etcetera.

0:36:18.200 --> 0:36:20.200
<v Speaker 1>But this, you know, most of the time when people

0:36:20.320 --> 0:36:23.800
<v Speaker 1>come to me with this complaint. There's two components to it.

0:36:24.000 --> 0:36:26.800
<v Speaker 1>Some people have a little bit more irritability in their bladder,

0:36:26.840 --> 0:36:30.320
<v Speaker 1>and their bladder fills up and they they're sensitive to

0:36:30.400 --> 0:36:33.240
<v Speaker 1>it and they feel this urge to pee, and everybody's

0:36:33.280 --> 0:36:36.640
<v Speaker 1>bladder tone is a little bit different. There are other

0:36:36.719 --> 0:36:39.359
<v Speaker 1>people who have a lot of bladder irritants in their

0:36:39.560 --> 0:36:42.719
<v Speaker 1>diet and not casting any stones here, but those are

0:36:42.800 --> 0:36:49.920
<v Speaker 1>things like tobacco, alcohol, caffeine is the biggest defender, spicy food,

0:36:50.280 --> 0:36:53.120
<v Speaker 1>or even just high volume hydration. I mean a lot

0:36:53.160 --> 0:36:55.279
<v Speaker 1>of people like Brooks who are working out a lot

0:36:55.560 --> 0:36:59.320
<v Speaker 1>are probably pounding water. And there are other people who are, like,

0:36:59.440 --> 0:37:02.080
<v Speaker 1>you know, drinking bulletproof coffee and then pounding water, and

0:37:02.160 --> 0:37:04.480
<v Speaker 1>then they're having wine and they're having spicy you know,

0:37:04.640 --> 0:37:06.480
<v Speaker 1>soup or whatever it is for lunch. So there's just

0:37:06.560 --> 0:37:09.600
<v Speaker 1>a lot of liquid volume, add a lot of bladder irritants.

0:37:10.040 --> 0:37:12.719
<v Speaker 1>So that would be the first place that I would look.

0:37:13.000 --> 0:37:16.160
<v Speaker 1>The second place, and again this is not something that

0:37:16.239 --> 0:37:20.880
<v Speaker 1>we see until later on, would be prosthetic hypertrophy. That's

0:37:20.920 --> 0:37:22.759
<v Speaker 1>when you see the commercials about the guys who are

0:37:22.800 --> 0:37:24.920
<v Speaker 1>the football game and everybody's running into the bathroom and

0:37:24.960 --> 0:37:26.920
<v Speaker 1>they're looking up at the scoreboard trying to figure out

0:37:26.920 --> 0:37:30.200
<v Speaker 1>how much time is left. And there are the prostates

0:37:30.320 --> 0:37:34.000
<v Speaker 1>basically smooth muffle, muscle gland that surrounds the neck of

0:37:34.040 --> 0:37:36.920
<v Speaker 1>the bladder and men and as that enlarge as it

0:37:37.000 --> 0:37:40.800
<v Speaker 1>can be caused that type of irritability in your urgency

0:37:40.960 --> 0:37:45.080
<v Speaker 1>and frequency that that you're it sounds a little bit

0:37:45.120 --> 0:37:48.880
<v Speaker 1>like you're having. But I I typically start with what's

0:37:48.920 --> 0:37:52.240
<v Speaker 1>going into your body, in particular the type of liquids

0:37:52.280 --> 0:37:55.560
<v Speaker 1>and hydration. He's saying, it's not a going problem, it's

0:37:55.560 --> 0:38:03.080
<v Speaker 1>a growing problem. Um, it's only commercial problem. It's a

0:38:03.200 --> 0:38:06.600
<v Speaker 1>growing problem. Correct. I think his might not be a

0:38:06.640 --> 0:38:09.320
<v Speaker 1>growing problem, might be a going problem, but it also

0:38:09.400 --> 0:38:14.279
<v Speaker 1>could be a total head game. Well, you know there

0:38:14.360 --> 0:38:17.480
<v Speaker 1>are I might be speaking a little out of school.

0:38:17.520 --> 0:38:21.399
<v Speaker 1>So some of my eurologic colleagues would take, uh, take

0:38:21.480 --> 0:38:25.880
<v Speaker 1>exception with this, Yes, exactly exactly. They love that when

0:38:25.920 --> 0:38:28.040
<v Speaker 1>you said that, don't be piste off at me. Um.

0:38:28.480 --> 0:38:33.080
<v Speaker 1>But I think that there is a um a psychologic

0:38:33.160 --> 0:38:35.800
<v Speaker 1>component to it as well, because it's a behavior. So

0:38:35.920 --> 0:38:39.120
<v Speaker 1>we feel this irritability and it's like it's sort of

0:38:39.160 --> 0:38:41.279
<v Speaker 1>like holding your breath when you talk to people who

0:38:41.320 --> 0:38:43.920
<v Speaker 1>get really into prolonged breath holding is an exercise. They

0:38:43.960 --> 0:38:45.960
<v Speaker 1>get to a point where thirty seconds feels really long,

0:38:46.000 --> 0:38:47.480
<v Speaker 1>and then they go past that and they're like, wait,

0:38:47.520 --> 0:38:50.200
<v Speaker 1>I'm still here, nothing has happened, and then they can

0:38:50.280 --> 0:38:52.320
<v Speaker 1>kind of condition themselves to go longer. I have a

0:38:52.400 --> 0:38:54.839
<v Speaker 1>question for you, Bread, is this is this show up?

0:38:55.080 --> 0:38:57.560
<v Speaker 1>Does this show up anywhere else in your life? Like

0:38:58.640 --> 0:39:00.640
<v Speaker 1>you're terrified of being laid or your tear, Like, is

0:39:00.680 --> 0:39:03.480
<v Speaker 1>there anywhere else where some sort of fear like this

0:39:03.760 --> 0:39:07.120
<v Speaker 1>shows up that maybe it's not actually a health problem,

0:39:07.200 --> 0:39:10.320
<v Speaker 1>it's just, like you said, possibly a mental problem. I

0:39:10.320 --> 0:39:12.320
<v Speaker 1>would say no to that. I mean, I'm pretty o

0:39:12.480 --> 0:39:15.239
<v Speaker 1>c D. I am always early, I'm I'm very I'm

0:39:15.280 --> 0:39:19.440
<v Speaker 1>punctual person. But it's I don't think that has anything

0:39:19.520 --> 0:39:23.839
<v Speaker 1>to do with any correlation. No, it's just I think

0:39:23.880 --> 0:39:25.759
<v Speaker 1>it's a head game. I mean, yes, I'm I'm older.

0:39:25.800 --> 0:39:28.360
<v Speaker 1>I'm I'm gonna be forty eight, so I am on

0:39:28.480 --> 0:39:33.040
<v Speaker 1>the older spectrum. Um, and something that probably is going

0:39:33.160 --> 0:39:36.160
<v Speaker 1>to the process is gonna start to change or has

0:39:36.200 --> 0:39:40.800
<v Speaker 1>already changed, and I'm already in that um. Maybe need medication.

0:39:40.840 --> 0:39:42.279
<v Speaker 1>But I also think a lot of it is head

0:39:42.320 --> 0:39:44.480
<v Speaker 1>game because I'm sitting here right now and as I'm talking,

0:39:44.560 --> 0:39:46.359
<v Speaker 1>I'm not thinking about going to the bathroom because I'm

0:39:46.400 --> 0:39:49.839
<v Speaker 1>in conversation. But the moment I'm not doing this, then

0:39:49.920 --> 0:39:53.080
<v Speaker 1>my mind immediately goes, okay, is there a bathroom by?

0:39:53.920 --> 0:39:56.000
<v Speaker 1>And how am I going to get out of this

0:39:56.200 --> 0:39:58.880
<v Speaker 1>situation if I need to go to bathroom? Will you

0:39:59.360 --> 0:40:02.319
<v Speaker 1>mark the bathrooms as soon as you enter a new room,

0:40:04.760 --> 0:40:07.839
<v Speaker 1>like will you be like okay, I'm not gonna here, yeah,

0:40:08.520 --> 0:40:12.080
<v Speaker 1>not marked like a dog? Well you if you entered

0:40:12.160 --> 0:40:14.200
<v Speaker 1>like a new like this house, right, so you enter

0:40:14.280 --> 0:40:16.160
<v Speaker 1>this house, so you are you gonna cut a like

0:40:16.239 --> 0:40:19.960
<v Speaker 1>a hot lap and be like okay, one to bathroom.

0:40:20.080 --> 0:40:22.200
<v Speaker 1>I've found out immediately when I got in here where

0:40:22.200 --> 0:40:24.680
<v Speaker 1>the bathroom was, and that Will you go to a

0:40:24.719 --> 0:40:26.800
<v Speaker 1>restaurant that will be the same situation or well, I

0:40:26.880 --> 0:40:28.640
<v Speaker 1>know that if I'm in a restaurant, I know that

0:40:28.680 --> 0:40:30.080
<v Speaker 1>there's a bathroom in there, so I know that I

0:40:30.160 --> 0:40:33.520
<v Speaker 1>can get to it. So that's not it's not necessarily

0:40:33.600 --> 0:40:37.239
<v Speaker 1>the pathway because from getting from point eight point B

0:40:37.400 --> 0:40:39.440
<v Speaker 1>is not the issue. It's just in my mind thinking

0:40:40.120 --> 0:40:42.680
<v Speaker 1>I've got to have if like we were talking about

0:40:42.680 --> 0:40:45.400
<v Speaker 1>earlier the airplane. If if we're on a tarmac and

0:40:45.440 --> 0:40:47.440
<v Speaker 1>you're not allowed to get up, then I started panic

0:40:47.600 --> 0:40:49.080
<v Speaker 1>because how long am I going to be stuck on

0:40:49.120 --> 0:40:50.720
<v Speaker 1>this tarmac if I have to go to the bathroom.

0:40:51.040 --> 0:40:52.760
<v Speaker 1>Tell the story how when we went on a walk,

0:40:53.040 --> 0:40:54.640
<v Speaker 1>So Brett and I went on a walk. We went

0:40:54.800 --> 0:40:57.920
<v Speaker 1>from like maybe it's a mile walk from the country

0:40:58.000 --> 0:41:01.920
<v Speaker 1>club to the hotel. Yes, And I stopped the at

0:41:01.960 --> 0:41:04.400
<v Speaker 1>the porta body of a work site that I didn't

0:41:04.400 --> 0:41:06.960
<v Speaker 1>belong in. That's all right, I know, But I but

0:41:07.160 --> 0:41:09.759
<v Speaker 1>that my mind was, Okay, I've got a twenty minute walk.

0:41:09.800 --> 0:41:11.640
<v Speaker 1>I'm not gonna make it twenty minutes. And I saw

0:41:11.760 --> 0:41:15.040
<v Speaker 1>the the outhouse or whatever you call it, and I

0:41:15.120 --> 0:41:18.719
<v Speaker 1>stopped there to go the restroom so that my mind

0:41:18.760 --> 0:41:20.319
<v Speaker 1>would be at ease that I'd make it all the way.

0:41:20.480 --> 0:41:23.120
<v Speaker 1>Is it possible Dr Todd that he just maybe has

0:41:23.160 --> 0:41:25.800
<v Speaker 1>a smaller bladder, like do men? Some men have a

0:41:25.840 --> 0:41:28.680
<v Speaker 1>bigger bladder and some have a smaller bladder. Well, there

0:41:28.800 --> 0:41:31.560
<v Speaker 1>was a there was a Monty Python skit about that

0:41:31.719 --> 0:41:33.759
<v Speaker 1>from Live at the Hollywood Bowl where they do the

0:41:34.040 --> 0:41:36.120
<v Speaker 1>h It was a hundred meter dash for men with

0:41:36.200 --> 0:41:40.080
<v Speaker 1>small bladders, and they start the race and they're all

0:41:40.160 --> 0:41:42.600
<v Speaker 1>drinking water, and like every five ft someone peels off

0:41:42.880 --> 0:41:45.600
<v Speaker 1>and in first, and he's back, and they kept changing.

0:41:45.640 --> 0:41:47.359
<v Speaker 1>The lead kept changing because people have to run off

0:41:47.400 --> 0:41:50.040
<v Speaker 1>to the bathroom in a hundred meter dash. So you

0:41:50.080 --> 0:41:53.319
<v Speaker 1>know there are people who have different size bladders. Um,

0:41:54.200 --> 0:41:58.600
<v Speaker 1>and we can measure that with an ultrasound UM. I

0:41:59.120 --> 0:42:01.560
<v Speaker 1>don't suspect the that's the issue here. You are what

0:42:01.680 --> 0:42:04.040
<v Speaker 1>we would refer to in medicine as well preserved. So

0:42:04.239 --> 0:42:06.600
<v Speaker 1>forty eight. You look younger than your stated age, as

0:42:06.640 --> 0:42:09.000
<v Speaker 1>we would say in the business. So I think that

0:42:09.200 --> 0:42:12.200
<v Speaker 1>you know, probably at forty eight with these type of issues,

0:42:12.320 --> 0:42:15.440
<v Speaker 1>I I it's not necessarily a call for medication, but

0:42:15.560 --> 0:42:19.120
<v Speaker 1>there could be behavioral modification in particular around what you

0:42:19.239 --> 0:42:22.759
<v Speaker 1>drink and how when you drink it and changing sort

0:42:22.800 --> 0:42:25.800
<v Speaker 1>of the input. Like you know, people can do pelvic

0:42:25.840 --> 0:42:29.920
<v Speaker 1>floor physical therapy, etcetera. To kind of retrain themselves out

0:42:29.960 --> 0:42:32.200
<v Speaker 1>of this. But I think that you're you do have

0:42:32.280 --> 0:42:35.760
<v Speaker 1>some bladder irritability, probably some prosthetic hypertrophee, and it probably

0:42:35.880 --> 0:42:38.560
<v Speaker 1>related it to the volume in the in the caffeine

0:42:38.680 --> 0:42:41.120
<v Speaker 1>alcohol spicily whatever it is that you do. I don't

0:42:41.160 --> 0:42:43.160
<v Speaker 1>know whether they do that or not, but I suspect

0:42:43.239 --> 0:42:45.040
<v Speaker 1>that that type of stuff would probably be irritating you.

0:42:47.200 --> 0:42:49.200
<v Speaker 1>Is it true that you live in a one bedroom,

0:42:49.239 --> 0:42:58.040
<v Speaker 1>fourteen and a half path custom build that custom building?

0:42:58.400 --> 0:42:59.800
<v Speaker 1>So I was gonna ask a question, Brett, have you

0:43:00.000 --> 0:43:02.800
<v Speaker 1>to try to fight it? Like h this morning is

0:43:02.840 --> 0:43:05.000
<v Speaker 1>a class example for myself. Like I got up, I

0:43:05.120 --> 0:43:07.520
<v Speaker 1>was I was at the gym at six o'clock and

0:43:07.600 --> 0:43:10.160
<v Speaker 1>I went and worked out. But before I stepped into

0:43:10.160 --> 0:43:12.200
<v Speaker 1>the actual gym portion of it, I was like, oh,

0:43:12.280 --> 0:43:14.280
<v Speaker 1>I should probably I should probably go to the bathroom,

0:43:14.719 --> 0:43:17.480
<v Speaker 1>you know, and then I something else. I went and

0:43:17.480 --> 0:43:19.239
<v Speaker 1>brush my teeth or something, and then I got it

0:43:19.280 --> 0:43:20.880
<v Speaker 1>in the gym and I'm like, oh shoot, Like I

0:43:21.000 --> 0:43:22.920
<v Speaker 1>never went to the bathroom, and so I ended up

0:43:22.960 --> 0:43:25.319
<v Speaker 1>working out for an hour. And then as soon as

0:43:25.360 --> 0:43:28.640
<v Speaker 1>I started working out, I didn't even like, didn't even

0:43:28.680 --> 0:43:30.439
<v Speaker 1>phase me. I didn't even think about it. I didn't

0:43:30.520 --> 0:43:33.600
<v Speaker 1>feel like the pressure to go to the bathroom. But

0:43:33.680 --> 0:43:36.120
<v Speaker 1>when I was done, then it. I got back into

0:43:36.160 --> 0:43:39.279
<v Speaker 1>the locker room, I was showering and was like, okay, cool, done,

0:43:39.440 --> 0:43:41.680
<v Speaker 1>Now relieve myself. Yeah, I don't. I don't think I

0:43:41.760 --> 0:43:44.320
<v Speaker 1>avoid it. If I can solve the problem immediately, I

0:43:44.360 --> 0:43:48.160
<v Speaker 1>solve the problem, hence stopping it up. But that was

0:43:48.280 --> 0:43:50.040
<v Speaker 1>my whole thing was like I ended up. I thought

0:43:50.080 --> 0:43:52.640
<v Speaker 1>about it, but then I was either I got distracted

0:43:52.680 --> 0:43:55.480
<v Speaker 1>by something else and then kept going, and then through

0:43:55.520 --> 0:43:58.200
<v Speaker 1>that hour of workout or whatever that time was, I

0:43:58.520 --> 0:44:00.839
<v Speaker 1>didn't didn't even bother me, didn't even cross my mind.

0:44:00.880 --> 0:44:04.480
<v Speaker 1>I didn't even feel it. Yeah, I mean I think

0:44:04.520 --> 0:44:08.640
<v Speaker 1>I should. I should. I'm not. I'm not saying get

0:44:08.719 --> 0:44:10.400
<v Speaker 1>in your car and drive home for two hours and

0:44:10.480 --> 0:44:13.400
<v Speaker 1>go and hold it. Get you in the traffic on

0:44:13.600 --> 0:44:18.320
<v Speaker 1>the four oh five. That's a bad place there. I

0:44:19.040 --> 0:44:21.279
<v Speaker 1>can pull over if need be. I can pull over

0:44:21.400 --> 0:44:23.280
<v Speaker 1>side road all. I can pull over the gas station.

0:44:23.400 --> 0:44:25.640
<v Speaker 1>So I always have that in my mind. If I'm

0:44:25.680 --> 0:44:29.160
<v Speaker 1>stuck somewhere, what is my what is my exit? Typically

0:44:29.200 --> 0:44:31.879
<v Speaker 1>the biggest culprits that I see are soda. People drink

0:44:31.920 --> 0:44:34.840
<v Speaker 1>a lot of soda, and people who just super hydrate,

0:44:35.000 --> 0:44:38.280
<v Speaker 1>and then people who drink a lot of coffee. Okay,

0:44:38.360 --> 0:44:40.520
<v Speaker 1>we're gonna move on from this one. Dr Todd, I

0:44:40.600 --> 0:44:45.840
<v Speaker 1>have another interesting question for you, Um are cold showers

0:44:46.040 --> 0:44:51.680
<v Speaker 1>better than hot? Doesn't matter because there's I'm always after performance,

0:44:52.520 --> 0:44:55.680
<v Speaker 1>like I'm always seeking better performance, and so I study

0:44:55.760 --> 0:44:58.279
<v Speaker 1>and learn and read a bunch of different things. And

0:44:58.360 --> 0:45:01.440
<v Speaker 1>there's a lot of discussion now, not only in wellness

0:45:01.520 --> 0:45:04.040
<v Speaker 1>and in health, but in performance that cold showers are

0:45:04.120 --> 0:45:08.279
<v Speaker 1>better than hot? Can you weigh in on this? So um,

0:45:08.480 --> 0:45:12.120
<v Speaker 1>I have always wanted to start a journal of anecdotal medicine,

0:45:12.680 --> 0:45:15.839
<v Speaker 1>which is basically not evidence based medicine, things that people

0:45:15.920 --> 0:45:20.000
<v Speaker 1>just say that are true. You know, most of the

0:45:20.120 --> 0:45:22.719
<v Speaker 1>things that we say are true, for instance, should I

0:45:22.760 --> 0:45:25.239
<v Speaker 1>take cholesterol medication if I high cholesterol? Those are backed

0:45:25.320 --> 0:45:28.920
<v Speaker 1>up by huge studies that are randomized, placebo controlled studies

0:45:29.080 --> 0:45:31.040
<v Speaker 1>where there's hundreds of thousands of people and we can

0:45:31.080 --> 0:45:33.439
<v Speaker 1>look at outcomes. We don't have that kind of data

0:45:33.640 --> 0:45:35.799
<v Speaker 1>with hot and cold showers. Which one is better, which

0:45:35.840 --> 0:45:38.600
<v Speaker 1>one's worse? Do they really improve performance? Do they really

0:45:38.680 --> 0:45:43.440
<v Speaker 1>improve long term outcomes? We don't know. Personally myself, you know,

0:45:43.680 --> 0:45:46.640
<v Speaker 1>I am very similar to you. I've always been an athlete.

0:45:46.680 --> 0:45:49.600
<v Speaker 1>I've always been interested in performance, and so I'm constantly

0:45:49.680 --> 0:45:51.480
<v Speaker 1>looking for things that are benign me and they're not

0:45:51.520 --> 0:45:54.040
<v Speaker 1>going to cause any harm that will actually make me

0:45:54.160 --> 0:45:57.960
<v Speaker 1>feel better and maybe improve my performance so recently, you know,

0:45:58.160 --> 0:45:59.880
<v Speaker 1>So there's a lot of stuff and maybe we'll get

0:45:59.920 --> 0:46:02.279
<v Speaker 1>to later in this conversation that people are doing to

0:46:02.320 --> 0:46:06.640
<v Speaker 1>improve performance. And you know, there are people who say, look,

0:46:06.640 --> 0:46:08.440
<v Speaker 1>when I take a cold shower, it wakes me up.

0:46:08.760 --> 0:46:11.440
<v Speaker 1>It gets my you know, I feel like my immune

0:46:11.640 --> 0:46:13.840
<v Speaker 1>function is better. It just sort of shocks me and

0:46:14.280 --> 0:46:16.440
<v Speaker 1>stimulates me, and I feel really good. I don't know

0:46:16.480 --> 0:46:18.960
<v Speaker 1>if there's any real evidence to suggest that cold or

0:46:19.000 --> 0:46:23.160
<v Speaker 1>hot showers are better, but I do find that you

0:46:23.239 --> 0:46:26.759
<v Speaker 1>know people who ice after exercise, who you know, you

0:46:26.920 --> 0:46:29.120
<v Speaker 1>as a hockey player, you probably know that I played football.

0:46:29.160 --> 0:46:31.719
<v Speaker 1>We ced all the time, and it does improve in

0:46:31.880 --> 0:46:35.520
<v Speaker 1>my opinion with it does improve recovery, but I don't

0:46:35.719 --> 0:46:39.160
<v Speaker 1>truly know if it improves performance. Yeah. I would sometimes

0:46:39.239 --> 0:46:42.640
<v Speaker 1>do it too after a hockey game because the intensity

0:46:42.719 --> 0:46:45.400
<v Speaker 1>level is so high, um that I didn't want to

0:46:45.400 --> 0:46:47.400
<v Speaker 1>add more heat to it. Your body attempt is so

0:46:47.520 --> 0:46:49.319
<v Speaker 1>high that I would take a cold shower to help

0:46:49.400 --> 0:46:51.759
<v Speaker 1>me calm down and be able to sleep when I

0:46:51.800 --> 0:46:54.120
<v Speaker 1>went home, So I would for anybody listening. I would

0:46:54.160 --> 0:46:56.879
<v Speaker 1>sometimes do it later in the evening to to help

0:46:56.920 --> 0:46:59.319
<v Speaker 1>myself calm down and then I could go to bed.

0:46:59.400 --> 0:47:00.680
<v Speaker 1>I just wanted to see which you thought. There's a

0:47:00.719 --> 0:47:02.880
<v Speaker 1>lot of people doing that ice therapy where they're getting

0:47:02.880 --> 0:47:06.759
<v Speaker 1>an ice tanks and yeah, yeah, we had cryos in

0:47:06.840 --> 0:47:11.799
<v Speaker 1>our locker room. You guys ever done a crydo therapy? Oh? Were?

0:47:11.840 --> 0:47:13.600
<v Speaker 1>I think we're going to go as a team. Yeah,

0:47:13.640 --> 0:47:15.319
<v Speaker 1>I have a place we can go do it. Um

0:47:15.520 --> 0:47:18.400
<v Speaker 1>it's fast team. Are you guys on you know, like

0:47:18.480 --> 0:47:28.160
<v Speaker 1>a podcast team? Yeah, we're thinking you other people, so

0:47:28.680 --> 0:47:32.719
<v Speaker 1>it's a competition ratings. I got a question Dr Todd,

0:47:33.040 --> 0:47:37.560
<v Speaker 1>intermittent intermittent fasting. Is that's a big thing now? Is

0:47:37.600 --> 0:47:40.279
<v Speaker 1>that a legitimate thing or is that like what's the deal?

0:47:41.360 --> 0:47:46.759
<v Speaker 1>Good question? Um so, so intermittent fasting, there's a there's

0:47:46.760 --> 0:47:49.200
<v Speaker 1>a lot of elements to this, and I'm I could

0:47:49.200 --> 0:47:51.319
<v Speaker 1>speak to this for walks. I get asked this question

0:47:51.320 --> 0:47:54.560
<v Speaker 1>a lot, and I'm interested in it myself. UM, I

0:47:54.840 --> 0:47:59.200
<v Speaker 1>think that for people who you're you really have to

0:47:59.239 --> 0:48:03.359
<v Speaker 1>find out and what works best for you. Um. There

0:48:03.440 --> 0:48:06.440
<v Speaker 1>are not a lot of huge studies out there that

0:48:06.560 --> 0:48:09.760
<v Speaker 1>look at long term data about in intermitten fasting. So again,

0:48:10.320 --> 0:48:12.880
<v Speaker 1>there is. There are small studies. I've read them, and

0:48:12.920 --> 0:48:15.000
<v Speaker 1>I'm going to speak a little bit to that. So,

0:48:15.200 --> 0:48:17.560
<v Speaker 1>the the idea behind intermittent fasting, if you just think

0:48:17.600 --> 0:48:19.759
<v Speaker 1>about it from an evolutionary perspective, is there was very

0:48:19.800 --> 0:48:22.759
<v Speaker 1>few times until the last three years where people sat

0:48:22.840 --> 0:48:25.879
<v Speaker 1>down for three high caloric meals a day, right, breakfast, lunch,

0:48:25.920 --> 0:48:29.279
<v Speaker 1>and dinner. We like that, it's the way we behave. Um,

0:48:29.400 --> 0:48:31.759
<v Speaker 1>you know, people always went to sleep when it got

0:48:31.880 --> 0:48:33.759
<v Speaker 1>dark and they always woke up when it got light.

0:48:33.880 --> 0:48:36.480
<v Speaker 1>It wasn't the other way around. But there wasn't a

0:48:36.520 --> 0:48:38.919
<v Speaker 1>lot of times where people sat down for three meals

0:48:38.960 --> 0:48:43.360
<v Speaker 1>a day until recently. So the idea I think fundamentally

0:48:43.400 --> 0:48:46.160
<v Speaker 1>behind intermittent fasting is it mirrors more closely what we

0:48:46.320 --> 0:48:50.479
<v Speaker 1>evolved to do, more calories in a shorter period of time,

0:48:50.880 --> 0:48:54.080
<v Speaker 1>with lots of walking and exercise between. So I have

0:48:54.160 --> 0:48:55.880
<v Speaker 1>a thought on that too, because I've looked into this

0:48:56.239 --> 0:49:00.759
<v Speaker 1>as well. The reason, well, a lot of pulls see

0:49:00.880 --> 0:49:06.239
<v Speaker 1>results immediate, very urgent results from intermittent fasting. Um, they

0:49:06.280 --> 0:49:08.680
<v Speaker 1>can lose ten pounds in the first three weeks or something,

0:49:08.719 --> 0:49:11.520
<v Speaker 1>and they'll swear by they say this is amazing intermitute

0:49:11.560 --> 0:49:14.359
<v Speaker 1>fasting works. But what you're doing is, as he said,

0:49:14.400 --> 0:49:16.359
<v Speaker 1>you're there's a portion of the day where you are

0:49:16.440 --> 0:49:20.760
<v Speaker 1>not allowed to eat, where you're not eating, And really,

0:49:20.880 --> 0:49:23.239
<v Speaker 1>what you're doing, if you were to just what you're

0:49:23.239 --> 0:49:26.880
<v Speaker 1>doing is portion control. Is essentially what you're doing by

0:49:26.960 --> 0:49:30.440
<v Speaker 1>restricting this time where you're not eating, it's just restricting

0:49:30.520 --> 0:49:33.880
<v Speaker 1>portions really, and so as he said, there aren't studies

0:49:33.920 --> 0:49:36.480
<v Speaker 1>that really prove it. If a person was to take

0:49:36.600 --> 0:49:42.000
<v Speaker 1>that restraint and portion control into their standard diet, eating

0:49:42.080 --> 0:49:44.959
<v Speaker 1>three meals a day, the results would probably be the same.

0:49:45.920 --> 0:49:49.160
<v Speaker 1>So it's the jury is out on intermittent fasting. It's

0:49:49.640 --> 0:49:51.279
<v Speaker 1>of course, if there's an area of the day, like

0:49:51.360 --> 0:49:53.640
<v Speaker 1>if if it's all of a sudden, only sixteen hours

0:49:53.640 --> 0:49:55.080
<v Speaker 1>of the day or eight hours of the day that

0:49:55.160 --> 0:49:58.480
<v Speaker 1>you can eat, of course you're gonna lose weight. You

0:49:58.640 --> 0:50:00.480
<v Speaker 1>just most likely are because you can't eat that much

0:50:00.600 --> 0:50:03.640
<v Speaker 1>during that little amount of time. Um, But if you

0:50:03.840 --> 0:50:08.279
<v Speaker 1>just practice portion control in your regular diet, you would

0:50:08.320 --> 0:50:12.399
<v Speaker 1>probably get the same thing. But I do feel better

0:50:12.440 --> 0:50:14.400
<v Speaker 1>almost when I eat less during the course of the day.

0:50:14.440 --> 0:50:17.640
<v Speaker 1>When I'm highly active, i eat very little. I'll eat

0:50:17.680 --> 0:50:19.520
<v Speaker 1>a big meal in the evening. I'll have a shake

0:50:19.560 --> 0:50:21.880
<v Speaker 1>in the morning, sort of a shake around noon, like

0:50:22.000 --> 0:50:24.400
<v Speaker 1>a little bit of fruit or something. Um. But I

0:50:24.640 --> 0:50:28.080
<v Speaker 1>don't eat a lot during the day, but agree with

0:50:28.120 --> 0:50:30.560
<v Speaker 1>intermittent fasting. I don't know, Dmitri. Instead of getting the

0:50:30.600 --> 0:50:35.680
<v Speaker 1>double double cheeseburger, just get the single cheeseburger, Okay, But

0:50:37.480 --> 0:50:40.480
<v Speaker 1>then I get that four times a day. Yes, you know,

0:50:40.600 --> 0:50:45.360
<v Speaker 1>we cut that into two and then you're fine. I

0:50:45.440 --> 0:50:48.960
<v Speaker 1>have a question on that topic. Well we'll move on.

0:50:49.920 --> 0:50:53.360
<v Speaker 1>Are there benefits or negative aspects to how we sleep?

0:50:53.520 --> 0:50:57.640
<v Speaker 1>Whether you're on your side, your back, your stomach? Um,

0:50:59.239 --> 0:51:02.719
<v Speaker 1>what other good question? Um, I don't know if it

0:51:02.840 --> 0:51:06.040
<v Speaker 1>really if it really matters where are you sleep, whether

0:51:06.120 --> 0:51:08.520
<v Speaker 1>it's on your side, your back, or your stomach. I

0:51:08.719 --> 0:51:11.600
<v Speaker 1>think that the amount you sleep and the quality of

0:51:11.680 --> 0:51:14.600
<v Speaker 1>your sleep is the most important thing. And you know

0:51:14.640 --> 0:51:17.200
<v Speaker 1>what I I think what I tell people is the

0:51:17.680 --> 0:51:21.759
<v Speaker 1>foundation of health is food, exercise, and sleep. That's it.

0:51:22.400 --> 0:51:25.000
<v Speaker 1>And mood is the some of those three things, and

0:51:25.080 --> 0:51:29.160
<v Speaker 1>it impacts all of those things. And sleep is super

0:51:29.239 --> 0:51:32.040
<v Speaker 1>fundamental to human function. There's there's a lot of good

0:51:32.080 --> 0:51:35.680
<v Speaker 1>books out right now about sleep, um, that are written

0:51:35.880 --> 0:51:40.400
<v Speaker 1>for general population, not necessarily medical providers, and they go

0:51:40.520 --> 0:51:43.320
<v Speaker 1>through the history of sleep, why we sleep, what's you know,

0:51:43.680 --> 0:51:45.759
<v Speaker 1>things that you know, ambing and this and that that

0:51:45.800 --> 0:51:49.359
<v Speaker 1>people take. But but essentially I really like to see

0:51:49.400 --> 0:51:52.920
<v Speaker 1>adults get eight hours of uninterrupted sleep. I don't care

0:51:53.000 --> 0:51:54.919
<v Speaker 1>whether it's on their back, their stomach, or their side,

0:51:55.120 --> 0:51:56.680
<v Speaker 1>and does it matter at what time of day they

0:51:56.719 --> 0:52:00.680
<v Speaker 1>get those eight hours of sleep. Um, well, there's there

0:52:00.840 --> 0:52:03.600
<v Speaker 1>is some thought that some people are night owls and

0:52:03.680 --> 0:52:06.800
<v Speaker 1>other people are early risers. So the early risers, and

0:52:06.840 --> 0:52:08.399
<v Speaker 1>you might see it in your own families. You might

0:52:08.440 --> 0:52:10.640
<v Speaker 1>have you know, three people in your family who just

0:52:10.719 --> 0:52:12.320
<v Speaker 1>seemed to go to bed at nine or ten o'clock

0:52:12.360 --> 0:52:13.759
<v Speaker 1>and they wake up at five or six. And then

0:52:13.920 --> 0:52:16.640
<v Speaker 1>you've got one kid who's up until you know, eleven

0:52:16.680 --> 0:52:18.279
<v Speaker 1>and twelve o'clock at night and sleep so ten in

0:52:18.320 --> 0:52:21.800
<v Speaker 1>the morning. There is evolutionary components of that too, Like

0:52:21.880 --> 0:52:23.880
<v Speaker 1>the teenagers they needed to stay up late so they

0:52:23.920 --> 0:52:26.160
<v Speaker 1>could go out and make mistakes and score around when

0:52:26.160 --> 0:52:28.520
<v Speaker 1>all the grown ups were asleep. You know, there was

0:52:28.800 --> 0:52:32.760
<v Speaker 1>there was you know, early risers and in night owls

0:52:32.800 --> 0:52:35.840
<v Speaker 1>because that could provide the most coverage for us. You

0:52:35.880 --> 0:52:38.120
<v Speaker 1>know from protection from people trying to eat human beings,

0:52:38.160 --> 0:52:40.879
<v Speaker 1>and so every you you have to find your sleep

0:52:40.920 --> 0:52:42.520
<v Speaker 1>pattern and stick to it. I think all of the

0:52:42.600 --> 0:52:45.160
<v Speaker 1>travel that people do is really disruptive. All of the

0:52:45.200 --> 0:52:47.520
<v Speaker 1>air travel, time zone travel. We did not evolve to

0:52:47.600 --> 0:52:50.120
<v Speaker 1>do that. That's brand new. So you know, people like

0:52:50.239 --> 0:52:52.400
<v Speaker 1>going back and forth between all these time zones is

0:52:52.480 --> 0:52:55.319
<v Speaker 1>really difficult on them. Sleeping in different places every night,

0:52:55.360 --> 0:52:59.080
<v Speaker 1>it's really difficult. I have a question on the sleep topic,

0:52:59.160 --> 0:53:04.560
<v Speaker 1>which is my arms constantly fall asleep because of the

0:53:04.600 --> 0:53:07.640
<v Speaker 1>way I'm laying on them and while I'm sleeping, and

0:53:07.760 --> 0:53:11.839
<v Speaker 1>I have have to stay up. If you're asleep, it's

0:53:12.360 --> 0:53:16.960
<v Speaker 1>pretty good, Dmitri uh, moving on. So, and I have

0:53:17.080 --> 0:53:19.160
<v Speaker 1>friends that have experienced the same thing. And one of

0:53:19.200 --> 0:53:21.640
<v Speaker 1>my buddies was telling me that he basically has like

0:53:21.760 --> 0:53:26.800
<v Speaker 1>fashioned himself a straight jacket of sorts because he's desperately

0:53:26.880 --> 0:53:29.880
<v Speaker 1>trying to avoid having nerve damage. And I don't know

0:53:29.920 --> 0:53:32.439
<v Speaker 1>if that's a thing, if you can actually have nerve

0:53:32.560 --> 0:53:35.680
<v Speaker 1>damage if your arms are consistently on a nightly basis

0:53:36.280 --> 0:53:39.640
<v Speaker 1>falling asleep. But I every single night, at least three

0:53:39.719 --> 0:53:42.200
<v Speaker 1>times will wake up and I cannot I have no

0:53:42.320 --> 0:53:45.839
<v Speaker 1>feeling in my left or right arm, so that, um,

0:53:46.120 --> 0:53:48.080
<v Speaker 1>is that a new thing that just started up in

0:53:48.120 --> 0:53:50.719
<v Speaker 1>your whole life? No, I think it's the No, it's

0:53:50.840 --> 0:53:53.920
<v Speaker 1>within the past few years. And maybe the way that

0:53:54.040 --> 0:53:56.960
<v Speaker 1>I'm sleeping with my one of my arms under part

0:53:57.040 --> 0:53:59.719
<v Speaker 1>of my head. I guess yeah, I think that that's

0:53:59.760 --> 0:54:03.520
<v Speaker 1>pro reliate, it's positional, and that when we are sleeping,

0:54:03.520 --> 0:54:07.360
<v Speaker 1>our bodies are literally catatonic. They're paralyzed. And so if

0:54:07.400 --> 0:54:09.160
<v Speaker 1>you fall asleep in a position where you have a

0:54:09.239 --> 0:54:13.800
<v Speaker 1>compressed nerve that will ultimately fall you know, fall asleep,

0:54:13.840 --> 0:54:16.560
<v Speaker 1>you'll get in It's a little it's a transient neuropathy,

0:54:16.680 --> 0:54:19.440
<v Speaker 1>meaning the nerve is not working great for you know,

0:54:19.520 --> 0:54:21.640
<v Speaker 1>a few minutes until you shake it out and get

0:54:21.719 --> 0:54:23.279
<v Speaker 1>some blood flow back to it. But I do not

0:54:23.360 --> 0:54:26.240
<v Speaker 1>think it would cause permanent damage if it were something.

0:54:26.520 --> 0:54:28.840
<v Speaker 1>You know, there are people who have spinal stenosis, for instance,

0:54:28.880 --> 0:54:30.440
<v Speaker 1>in laying in a certain position they start to get

0:54:30.480 --> 0:54:33.080
<v Speaker 1>pain in their legs, or if they get cervical stenosis,

0:54:33.120 --> 0:54:35.359
<v Speaker 1>they might get pain in their arms. So there's lots

0:54:35.400 --> 0:54:38.080
<v Speaker 1>of different things that could be causing that. But if

0:54:38.120 --> 0:54:39.800
<v Speaker 1>it sounds like if it goes away pretty quickly. You

0:54:39.840 --> 0:54:41.839
<v Speaker 1>know what I mean, weakness or any other difficulty during

0:54:41.840 --> 0:54:45.720
<v Speaker 1>the day, It's probably not a problem. I I sleep

0:54:45.800 --> 0:54:48.560
<v Speaker 1>on my back. So we we'd have our team would

0:54:48.560 --> 0:54:50.680
<v Speaker 1>have sleep doctors. We had sleep doctors that came in

0:54:50.840 --> 0:54:53.239
<v Speaker 1>every year to talk to us. But I sleep on

0:54:53.360 --> 0:54:55.759
<v Speaker 1>my back and tried to as much as possible. We

0:54:55.840 --> 0:54:58.759
<v Speaker 1>were sort of advised on this. Why. I don't know why,

0:54:58.920 --> 0:55:02.279
<v Speaker 1>but um, do you sleep on your side? You sleep?

0:55:02.320 --> 0:55:04.080
<v Speaker 1>What do you guys do? Sleep on my side? And

0:55:04.200 --> 0:55:07.920
<v Speaker 1>I keep a pillow in between my legs because I

0:55:08.000 --> 0:55:09.960
<v Speaker 1>was told that it's actually more comfortable for me. And

0:55:11.719 --> 0:55:14.759
<v Speaker 1>right Ryan actually has a nest. But I have like

0:55:14.920 --> 0:55:19.919
<v Speaker 1>all pill down pillows just around me, one in my arms,

0:55:20.000 --> 0:55:22.960
<v Speaker 1>one in between my legs, one hovering in case one

0:55:23.000 --> 0:55:25.360
<v Speaker 1>of those falls on the floor, and then one of

0:55:25.400 --> 0:55:28.440
<v Speaker 1>those masks and cover to go over like a helmet

0:55:28.440 --> 0:55:32.160
<v Speaker 1>to where to protect his hair. To meet you, How

0:55:32.200 --> 0:55:35.160
<v Speaker 1>do you sleep? I honestly I don't sleep well. Um,

0:55:35.239 --> 0:55:37.880
<v Speaker 1>but I in terms of position I move. I keep

0:55:38.000 --> 0:55:40.320
<v Speaker 1>rotating all night long. Really, so I'm I'm on my

0:55:40.400 --> 0:55:42.759
<v Speaker 1>back and I can a lot of nights I can

0:55:42.840 --> 0:55:46.520
<v Speaker 1>fall asleep. The question here is doesn't matter how we sleep. Um,

0:55:46.760 --> 0:55:48.560
<v Speaker 1>I can fall asleep on my back and I'll wake

0:55:48.680 --> 0:55:51.879
<v Speaker 1>up the next morning in the exact same position. Um,

0:55:52.160 --> 0:55:54.560
<v Speaker 1>you probably changed a lot and made your way back

0:55:54.600 --> 0:55:58.160
<v Speaker 1>to that position. Yeah, that's possible, very possible. But um,

0:55:58.800 --> 0:56:01.400
<v Speaker 1>we've talked about sleep on this show before. I think sleep.

0:56:01.880 --> 0:56:04.080
<v Speaker 1>For me as an athlete, sleep was and I've said this,

0:56:04.520 --> 0:56:08.120
<v Speaker 1>the number one thing that I prioritize in my life

0:56:08.239 --> 0:56:10.600
<v Speaker 1>is sleep. And for people listening, if you want to

0:56:10.640 --> 0:56:13.839
<v Speaker 1>be if you just want to think overall wellness, Um,

0:56:14.160 --> 0:56:17.319
<v Speaker 1>sleep will affect everything. So there's something called you might

0:56:17.400 --> 0:56:20.839
<v Speaker 1>have heard of this stuck Um. The five factors of health.

0:56:21.600 --> 0:56:23.960
<v Speaker 1>The five factors of health, there's a discussion around this

0:56:24.160 --> 0:56:28.000
<v Speaker 1>is how you sleep, how you eat, how you move,

0:56:28.280 --> 0:56:30.279
<v Speaker 1>how you think, and the last one is how you

0:56:30.320 --> 0:56:34.800
<v Speaker 1>connect with people. Are sort of the five overarching factors

0:56:34.840 --> 0:56:38.200
<v Speaker 1>of health and wellness. And of the five, whenever I

0:56:38.280 --> 0:56:41.400
<v Speaker 1>talk to people, I say sleep is the absolute most important.

0:56:41.440 --> 0:56:43.960
<v Speaker 1>If sleep is in line the next morning, how you

0:56:44.080 --> 0:56:46.239
<v Speaker 1>think will be clear. You're probably gonna make a better

0:56:46.320 --> 0:56:49.480
<v Speaker 1>nutritional choice, You're probably going to move, and you're probably

0:56:49.520 --> 0:56:52.160
<v Speaker 1>going to be more receptive to your wife or kids.

0:56:52.520 --> 0:56:55.279
<v Speaker 1>If you have adequate sleep. So sleep for me is

0:56:55.360 --> 0:56:57.400
<v Speaker 1>the thing I prioritize the most. That's what I was

0:56:57.400 --> 0:56:59.120
<v Speaker 1>gonna say. Dr TDD you said, what was What were

0:56:59.160 --> 0:57:02.640
<v Speaker 1>the three things that the sum is mood, food, exercise,

0:57:02.680 --> 0:57:05.239
<v Speaker 1>and sleep. Right, So, ladies, if your guys being a dick,

0:57:05.440 --> 0:57:09.320
<v Speaker 1>don't dump him. Just get him, tell him to eat something, sleep,

0:57:09.719 --> 0:57:11.160
<v Speaker 1>and tell him the workout and then give him a

0:57:11.160 --> 0:57:16.560
<v Speaker 1>second chance. Don't just up and leave or a second opinion. Okay,

0:57:16.680 --> 0:57:19.360
<v Speaker 1>let's let's get on. I do really like those five

0:57:19.440 --> 0:57:22.760
<v Speaker 1>fundamentals and some of the longitudinal studies about what really

0:57:22.800 --> 0:57:26.280
<v Speaker 1>makes people healthy. I think we can human connection and

0:57:26.360 --> 0:57:30.200
<v Speaker 1>the quality of the relationships. Yeah, I think. Um. There

0:57:30.280 --> 0:57:33.560
<v Speaker 1>was a longitudinal study I think it was called The

0:57:34.440 --> 0:57:36.800
<v Speaker 1>doctor's name was Valiant. He did it for years. He

0:57:36.840 --> 0:57:39.400
<v Speaker 1>looked at data from Harvard that was collected from ninety

0:57:39.480 --> 0:57:44.480
<v Speaker 1>three until almost two thousands, and he um he summed

0:57:44.480 --> 0:57:47.480
<v Speaker 1>it up that the most important thing in successful human

0:57:47.520 --> 0:57:50.520
<v Speaker 1>behavior was love. Was the connections that we had to

0:57:50.960 --> 0:57:53.680
<v Speaker 1>our family and to other people, and that's really what

0:57:54.040 --> 0:57:58.600
<v Speaker 1>drove vitality. It sort of goes in line. I also

0:57:58.680 --> 0:58:02.000
<v Speaker 1>heard a study about the the two fears that people

0:58:02.080 --> 0:58:03.840
<v Speaker 1>have and what you're saying speaks to this. The two

0:58:03.960 --> 0:58:07.360
<v Speaker 1>fears that people have is one being ostracized from the

0:58:07.440 --> 0:58:10.680
<v Speaker 1>group and two that they might get some physical harm,

0:58:11.520 --> 0:58:14.200
<v Speaker 1>are really the only two fears that people have, and

0:58:14.240 --> 0:58:17.160
<v Speaker 1>so the communal element of it, Um, what you're saying

0:58:17.240 --> 0:58:19.800
<v Speaker 1>is is love and connection is massive too. I think

0:58:19.880 --> 0:58:24.440
<v Speaker 1>overall wellness and health um Rick just touched on it.

0:58:24.600 --> 0:58:28.080
<v Speaker 1>Here's a question for you, Dr Todd. Do doctors get piste?

0:58:28.360 --> 0:58:30.240
<v Speaker 1>Like if I come in and say, you give me

0:58:30.320 --> 0:58:32.120
<v Speaker 1>an answer, and I say I want a second opinion,

0:58:32.720 --> 0:58:35.720
<v Speaker 1>do doctors get piste if we want a second opinion?

0:58:37.640 --> 0:58:41.720
<v Speaker 1>They shouldn't. Um. You know, I think that you know

0:58:41.840 --> 0:58:44.720
<v Speaker 1>one of the problems in medicine, and I like to

0:58:44.760 --> 0:58:46.800
<v Speaker 1>refer to a lot as this. You know, these aren't

0:58:46.800 --> 0:58:49.520
<v Speaker 1>my ideas. That this is Carol Dwex ideas about growth

0:58:49.600 --> 0:58:52.600
<v Speaker 1>and fixed mindsets. And I think that a lot of

0:58:52.840 --> 0:58:55.840
<v Speaker 1>doctors become fixed mindset people because they have to accept

0:58:55.880 --> 0:58:58.160
<v Speaker 1>a paradigm and practice it, and when it gets challenged

0:58:58.200 --> 0:59:00.919
<v Speaker 1>it's very unnerving for them. But I think a good

0:59:01.000 --> 0:59:03.800
<v Speaker 1>doctor who's a lifetime learner is someone with a real

0:59:03.880 --> 0:59:06.800
<v Speaker 1>growth mindset who can look at these failures or challenges

0:59:06.800 --> 0:59:09.440
<v Speaker 1>an opportunity to learn. So I would say, if your

0:59:09.480 --> 0:59:11.840
<v Speaker 1>doctor does get pissed, it might be a good opportunity

0:59:11.840 --> 0:59:13.880
<v Speaker 1>for you to look for another doctors. I know, I

0:59:13.960 --> 0:59:16.640
<v Speaker 1>know doctors hate when you say I googled something, that's

0:59:16.680 --> 0:59:19.240
<v Speaker 1>for sure. But I once had a doctor snap at

0:59:19.280 --> 0:59:21.560
<v Speaker 1>me because I guess I self diagnos I went in,

0:59:21.640 --> 0:59:23.360
<v Speaker 1>I was like, you know, Dot, my legs have been hurting.

0:59:23.400 --> 0:59:26.040
<v Speaker 1>I don't know if it's a m if it's poor circulation.

0:59:26.080 --> 0:59:27.800
<v Speaker 1>Why do you think it's poor circulation? As I know,

0:59:27.840 --> 0:59:29.840
<v Speaker 1>I'm just guessing. He's don't guess, and I'm like, well,

0:59:29.920 --> 0:59:32.800
<v Speaker 1>that's why I'm here, Like, that's only a function of time,

0:59:33.080 --> 0:59:35.960
<v Speaker 1>I think if doctors, I think, really, doctors don't have

0:59:36.120 --> 0:59:39.880
<v Speaker 1>enough time to In the old days, where doctors saw,

0:59:40.200 --> 0:59:42.400
<v Speaker 1>you know, four or five people a day, and the

0:59:42.480 --> 0:59:46.160
<v Speaker 1>problems were not quite as bizarre as they seemed to

0:59:46.200 --> 0:59:47.840
<v Speaker 1>be today, we didn't know as much, so there was

0:59:47.880 --> 0:59:50.960
<v Speaker 1>simpler solutions. They had more time to talk. But now,

0:59:51.360 --> 0:59:53.920
<v Speaker 1>you know, when you're seeing people a day and a

0:59:54.000 --> 0:59:55.760
<v Speaker 1>real smart guy comes in and wants to talk about

0:59:55.840 --> 0:59:58.400
<v Speaker 1>his hypotheses that he got from Google, you just don't

0:59:58.440 --> 0:59:59.560
<v Speaker 1>have time to do it. You just call me a

0:59:59.600 --> 1:00:02.440
<v Speaker 1>real smart Was that a sarcastic smart guy? Or like

1:00:02.560 --> 1:00:07.680
<v Speaker 1>really want air quotations when he said he did lift

1:00:07.720 --> 1:00:11.520
<v Speaker 1>his giant hands up and do his air quotations. Dr Todd,

1:00:11.520 --> 1:00:14.720
<v Speaker 1>I appreciate your time. Um, do any of you guys

1:00:14.800 --> 1:00:16.959
<v Speaker 1>have I'm gonna come see you at some point because

1:00:18.200 --> 1:00:20.880
<v Speaker 1>does anybody else have any questions that they want? One

1:00:20.960 --> 1:00:23.840
<v Speaker 1>quick one? Okay, I'm late. I mean my you know,

1:00:24.000 --> 1:00:26.960
<v Speaker 1>mid forties. Is there one food that I should like

1:00:27.000 --> 1:00:28.720
<v Speaker 1>totally be avoiding, or one food that I that I

1:00:28.760 --> 1:00:31.240
<v Speaker 1>should be trying to eat more often, or just you

1:00:31.320 --> 1:00:34.840
<v Speaker 1>know overall health like super food or gluten or whatever.

1:00:35.160 --> 1:00:37.400
<v Speaker 1>I would avoid anything Brooks is eating that makes you

1:00:37.480 --> 1:00:40.880
<v Speaker 1>dump six times a day. But well, I would say,

1:00:40.960 --> 1:00:43.360
<v Speaker 1>without going in this is another huge topic, but I

1:00:43.400 --> 1:00:46.320
<v Speaker 1>would say that, you know, eating whole foods and avoiding

1:00:46.440 --> 1:00:50.360
<v Speaker 1>process foods would probably be the number one rule, And

1:00:51.160 --> 1:00:55.600
<v Speaker 1>if you can avoid genetically modified foods, that's probably number two.

1:00:56.120 --> 1:00:58.280
<v Speaker 1>And the question about gluten and all of these other

1:00:58.360 --> 1:01:02.400
<v Speaker 1>hypersensitivities and autoimmune things that are coming from nutrition are

1:01:02.640 --> 1:01:06.800
<v Speaker 1>because our bodies are seeing genetically modified foods that that

1:01:06.920 --> 1:01:09.320
<v Speaker 1>they just haven't seen in our evolution and it's causing

1:01:09.680 --> 1:01:13.320
<v Speaker 1>inflammatory reactions. So I would say if you can, try

1:01:13.400 --> 1:01:16.080
<v Speaker 1>not to stay away from process foods and try and

1:01:16.160 --> 1:01:18.400
<v Speaker 1>be careful with that genetically modified foods when you can.

1:01:18.480 --> 1:01:21.360
<v Speaker 1>It's hard because everything has genetic modification in it. But

1:01:21.680 --> 1:01:25.080
<v Speaker 1>to your point about gluten, the glead and protein that's

1:01:25.080 --> 1:01:31.160
<v Speaker 1>in wheat is the classic genetically modified protein that in

1:01:31.360 --> 1:01:36.439
<v Speaker 1>order to provide nutrition for huge growing human population. Wow,

1:01:36.880 --> 1:01:41.880
<v Speaker 1>so we can eat spam. I don't know what that is.

1:01:45.360 --> 1:01:47.000
<v Speaker 1>Dr Todd. I want to thank you so much for

1:01:47.080 --> 1:01:49.920
<v Speaker 1>your expertise, uh and taking the time to come in

1:01:50.520 --> 1:01:57.200
<v Speaker 1>to see us. Awesome, appreciate you. I feel better already.

1:01:58.440 --> 1:02:01.360
<v Speaker 1>So Dr Todd was awesome. And going back to the

1:02:01.440 --> 1:02:03.800
<v Speaker 1>beginning of the show, Ryan, I just want to say,

1:02:03.840 --> 1:02:05.800
<v Speaker 1>what did you think about our friend Dr Todd that

1:02:05.920 --> 1:02:09.680
<v Speaker 1>all doctors are not evil as you had a connotation

1:02:09.840 --> 1:02:14.000
<v Speaker 1>or perception of before does this? Does this patch that

1:02:14.120 --> 1:02:16.320
<v Speaker 1>wound a little bit that there are doctors that do

1:02:16.560 --> 1:02:21.760
<v Speaker 1>care about you, you sensitive soul. Dr Todd changed my

1:02:21.920 --> 1:02:26.680
<v Speaker 1>opinion and the generalization that I had on physicians. That said.

1:02:27.440 --> 1:02:29.840
<v Speaker 1>I am going to call him tonight and send him

1:02:29.840 --> 1:02:34.160
<v Speaker 1>an email tomorrow. No, no, you have no contact with

1:02:34.240 --> 1:02:37.080
<v Speaker 1>Dr Todd unless this Dr Todd if you're listening. If

1:02:37.080 --> 1:02:38.520
<v Speaker 1>I do not, you're back from me. I'll tell you

1:02:38.680 --> 1:02:42.320
<v Speaker 1>what man you're on the list. No, no, you know,

1:02:42.720 --> 1:02:46.280
<v Speaker 1>Danielle Amy, make sure Ryan does not get Dr Todd's info.

1:02:46.640 --> 1:02:48.480
<v Speaker 1>We'd like to have him back. And no more faking

1:02:48.480 --> 1:02:51.920
<v Speaker 1>your own death. Yeah, no more, please, no more. Um.

1:02:52.160 --> 1:02:54.720
<v Speaker 1>But I hope this is able that Dr Todd showed

1:02:54.760 --> 1:02:58.160
<v Speaker 1>you that he does care about you. He loves you

1:02:58.800 --> 1:03:03.120
<v Speaker 1>as his child. He doesn't even remember your name. He

1:03:03.320 --> 1:03:05.520
<v Speaker 1>was like I was on this podcast, but Dr Todd

1:03:05.600 --> 1:03:07.440
<v Speaker 1>was fantastic. He was cool. I'd like to have him

1:03:07.480 --> 1:03:09.040
<v Speaker 1>back again. And by the way, Brett has been in

1:03:09.080 --> 1:03:11.920
<v Speaker 1>the bathroom for the last thirty minutes. We haven't seen him,

1:03:12.640 --> 1:03:15.360
<v Speaker 1>but he's our number one guest. Well, I want to

1:03:15.400 --> 1:03:18.560
<v Speaker 1>thank Dr Todd for coming uh and we always appreciate

1:03:18.600 --> 1:03:20.600
<v Speaker 1>your guys questions, you have health questions. We'd love to

1:03:20.640 --> 1:03:22.680
<v Speaker 1>have Dr Todd back again. But if you have health questions,

1:03:22.720 --> 1:03:25.080
<v Speaker 1>we can forward those to him, get him back on

1:03:25.160 --> 1:03:28.160
<v Speaker 1>the show. So you can email us men at I

1:03:28.320 --> 1:03:31.400
<v Speaker 1>heart radio dot com and find us on Instagram. How

1:03:31.480 --> 1:03:34.240
<v Speaker 1>men think podcasts. Send us your questions there. Thank you

1:03:34.360 --> 1:03:36.880
<v Speaker 1>good sirs, which got to check. Check Gavin's tour schedule.

1:03:37.000 --> 1:03:38.760
<v Speaker 1>Go see a show if he's near you. That is

1:03:38.800 --> 1:03:41.760
<v Speaker 1>my favorite part of the podcast. To sign off from Brooks. No, no, no,

1:03:42.040 --> 1:03:43.760
<v Speaker 1>I'm not going to sign off today. I'm gonna let

1:03:43.800 --> 1:03:48.520
<v Speaker 1>you do it. I remember it and remember love one another,

1:03:49.040 --> 1:03:56.760
<v Speaker 1>protect one another, don't fake. Hey guys, it's Brooks and

1:03:56.880 --> 1:03:58.720
<v Speaker 1>one last thing before we let you go. If you

1:03:58.800 --> 1:04:01.160
<v Speaker 1>like today's episode, you would love to get a five

1:04:01.200 --> 1:04:03.280
<v Speaker 1>star review from you on iTunes and if you could

1:04:03.280 --> 1:04:05.440
<v Speaker 1>possibly share it with a friend, that would be amazing

1:04:05.520 --> 1:04:08.360
<v Speaker 1>as well. We always look forward to your questions, comments,

1:04:08.480 --> 1:04:10.840
<v Speaker 1>or insights, so you can send us an email at

1:04:10.920 --> 1:04:13.520
<v Speaker 1>men at I heart radio dot com and also follow

1:04:13.560 --> 1:04:16.840
<v Speaker 1>along with us on Instagram at how Men Think Podcast