Speaker 1: This is and Gavin and I heard radio podcasts. Welcome
Speaker 1: to the show, everybody, My name is Brooks, like and
Speaker 1: this is how men think. A podcast where we discuss
Speaker 1: a wide range of topics with educated and enlightened gentlemen like.
Speaker 1: So we have Dmitri, we have Rick, we have Ryan.
Speaker 1: Good sirs, how you doing today? Doing well? Fantastic? Thank
Speaker 1: you for asking means a lot. You're also, I know
Speaker 1: that Ryan's feeling really good because he has a story
Speaker 1: that he wants to tell. So we've a lot of
Speaker 1: our discussions, even off Mike, are about like doctor questions
Speaker 1: and health and uh, physicality, just health matters in general.
Speaker 1: And then Ryan has an epic story that he wants
Speaker 1: to tell, and so he's sitting here happy as a claim.
Speaker 1: He's really gloating because he knows. And Amy even said
Speaker 1: it's an epic story. Don't see it that. I'm no one.
Speaker 1: I never said it was an epic story. When you
Speaker 1: build it up like that, it puts a lot of
Speaker 1: pressure on me, and now you have to deliver us.
Speaker 1: That's the standard of this show. Figure out how to
Speaker 1: make an epic, Yes, figure out how to make this
Speaker 1: story epic, because that's the standard that we're setting on
Speaker 1: this show. But then also I want to say, we
Speaker 1: have doctor Todd on this show, coming in after this
Speaker 1: to answer a bunch of our medical questions. How it's
Speaker 1: called from a doctor because we don't go to doctor,
Speaker 1: We don't go to doctors. We get doctors to come
Speaker 1: in studio. Well, that's exactly right, and that that's a
Speaker 1: good segue into what I am experiencing today, which is
Speaker 1: the reason that I don't go to a doctor. Now,
Speaker 1: the two of you or the three of you with Rick,
Speaker 1: you guys don't go to a doctor because you're lazy,
Speaker 1: You're ignorance, is bliss, or it's just an inconvenience, or
Speaker 1: you just don't know why I don't go to a doctor.
Speaker 1: You tell me why because I'm lazy? Go ahead, sorry, Yeah,
Speaker 1: And so so for me, it's it's not as much
Speaker 1: about that, but rather I don't go to a doctor
Speaker 1: because the last time I did, I was told by
Speaker 1: the physician and by the head of the health system
Speaker 1: that I am no longer welcome back to this physician's office. Whatever. Again,
Speaker 1: I don't know why, but I believe it. I I'm
Speaker 1: I'm really curious to hear what you did here and
Speaker 1: how you think it's appropriate. Yeah, I'm not surprised. I'm
Speaker 1: curious though, So I'll tell you I had a really
Speaker 1: bad sore throat, really hurt to swallow, and I went
Speaker 1: into how old are you at this point? Sorry? This
Speaker 1: is this reason? Now, this was I was like three
Speaker 1: years ago. So went into my physician and saw her
Speaker 1: explain the elements. She did a strap culture came back negative.
Speaker 1: Wasn't strep throat. I thought it was a bacterial trying
Speaker 1: to figure out a bacterial viral whatever. So she gave
Speaker 1: me a prescription to help with the sore throat. So
Speaker 1: I go home. There was it was a five day prescription.
Speaker 1: I take the pills and it gets better, but then
Speaker 1: at the end of the fifth day, it's just it's
Speaker 1: lingering again and it's almost getting worse. So it's clearly
Speaker 1: not working. So I call the doctor's office and I said, hey,
Speaker 1: you know, i'd love for the doctor to call me back.
Speaker 1: I've been on uh this medication, it's not really working.
Speaker 1: I'd love to just figure out a course of action
Speaker 1: moving forward. They say, okay, great, we'll have her call
Speaker 1: you back. So don't hear back from hers. So then
Speaker 1: I send her an email and I say, hey, doctor,
Speaker 1: yesterday was my last day on the z pack. Yet
Speaker 1: in the past couple of days, I've developed a head
Speaker 1: and sinus cold that's really knocked me out. I was
Speaker 1: relieved that my throat was getting progressively better, and then
Speaker 1: all of a sudden, today it's back to being really
Speaker 1: sore and it hurts the swallow. I'm not sure what
Speaker 1: the best course of action is here. Is it to
Speaker 1: get another z pac prescription? And they said, dear Mr Ryan,
Speaker 1: we cannot cure high maintenance. Thank you. No, I'll tell
Speaker 1: you what they did. I sent that email. The entire
Speaker 1: day goes by, I don't get a reply back from
Speaker 1: from my doctor. I've already put a call in the
Speaker 1: previous day. So now it's two days a phone call
Speaker 1: and an email, no response. The following day, it's getting worse.
Speaker 1: I can barely swallow at this point, and I need
Speaker 1: I actually need help. So I call the doctor's office
Speaker 1: for a second time and I say, Hi, I called
Speaker 1: two days ago. You said the doctor was gonna call
Speaker 1: me back. I've not gotten a return call. I've sent
Speaker 1: a follow up email. I've not gotten a response to
Speaker 1: the email. I'm now calling a second time. I need
Speaker 1: I need her to call me back. I need to
Speaker 1: know do I need to come in again that she
Speaker 1: need to refill the zpac prescription. What what do I
Speaker 1: need to do? They said, we're so sorry. We'll absolutely
Speaker 1: give the doctor the message. She'll call you back as
Speaker 1: soon as she's out with the current patient she's in with.
Speaker 1: So that was at ten in the morning. That that
Speaker 1: day goes by, no call, no call, no email. That's unacceptable.
Speaker 1: This because this is a medical issue, and whether they
Speaker 1: think it's something or not, you are cons serious. You're
Speaker 1: obviously concerned about it, and I think it's their job
Speaker 1: to to not stress you out even more so, here's
Speaker 1: what happens next seven days later. Are you still having
Speaker 1: trouble at this point? At seven days later, I it all.
Speaker 1: It cleared itself up, and I just I went about
Speaker 1: my life. It all nature ran its course. They worked
Speaker 1: itself out. That's why they just let you go, because
Speaker 1: they're like this, listen to this, listen to it. It's true.
Speaker 1: Still unprofessional. But seven days later I get an email
Speaker 1: back from the doctor. She says, seven days later, Ryan,
Speaker 1: I apologize, I just realized I didn't respond. It's always
Speaker 1: good to call the office, though. If you're not feeling better,
Speaker 1: I assume and hope you're doing better now. If not,
Speaker 1: I should see you again. Okay, okay, So I am
Speaker 1: Are you mad at the doctor? I am furious at
Speaker 1: the doctor or as the doctor who is saying a
Speaker 1: I didn't respond, but in the future, you should call
Speaker 1: the office, not email me. I called twice. Yeah, but
Speaker 1: you didn't talk to her. You talked to somebody else,
Speaker 1: so right, so it's not his or her. That is
Speaker 1: not my problem. I did call, like I've done everything
Speaker 1: on my behalf. But can you be mad at the
Speaker 1: doctor when it wasn't the document at anything to do
Speaker 1: with it. You're mad at the doctor because they're the
Speaker 1: head of the office. Is that? What I'm is that
Speaker 1: you're mad at the reception for not passing on the message.
Speaker 1: She is passively aggressively telling me I should have called.
Speaker 1: I called twice, an emailed and got no response from
Speaker 1: three different outreaches. That is absurd. So we think it's
Speaker 1: best if you didn't come back to the podcast. So
Speaker 1: let me tell you. Let me tell you what I did.
Speaker 1: I was so angry and annoyed in this moment that immediately, immediately,
Speaker 1: within a minute of getting that email from her, I
Speaker 1: sent left a bad review on Yelp. I sent a
Speaker 1: response to her. I changed the subject to auto response.
Speaker 1: This subject was strep throat, and I changed it to
Speaker 1: auto response colon strep throat. And then I immediately responded,
Speaker 1: strepthroat and your colon. That's what I was thinking. What
Speaker 1: you said, Sorry, this is a big life issue for apologize.
Speaker 1: I immediately respond with the auto response and I say,
Speaker 1: this email is no longer active. Ryan passed away last
Speaker 1: week due to complications from strep throat. Memorial services are
Speaker 1: being planned and the family asks you send donations to
Speaker 1: the Strep throat Awareness Fund in lieu of flowers. That okay,
Speaker 1: that is have you ever in your life been called petty?
Speaker 1: So let me tell you. Let me tell you the
Speaker 1: the chain of offense. You gotta get your balls checked due.
Speaker 1: Thank you. So after this, that day, I get a
Speaker 1: call from a woman you did listen to this. I
Speaker 1: get a call on my cell. It was actually the
Speaker 1: following day and the woman says, hi, uh Ryan, my
Speaker 1: name is Mary so and So. I am the head
Speaker 1: of x University Health System. I'm the head president of
Speaker 1: the health system, and I said, nice to meet you.
Speaker 1: She said, we have a major issue, sir. I said, yeah,
Speaker 1: I think we do. But what's your issue? And she said, well, uh,
Speaker 1: it's been brought to my attention and the general counsel
Speaker 1: of our health administration that an email was sent on
Speaker 1: your behalf to your doctor. And I've said, so now
Speaker 1: you're checking your emails. Thank you, And she says, well,
Speaker 1: I said that's correct. And she said, well, we let
Speaker 1: me tell you what happened after your doctor received that email.
Speaker 1: She was cataton. She broke down into tears, almost had
Speaker 1: a mental breakdown, canceled all of her appointments for all
Speaker 1: of her patients for the next two days, and what
Speaker 1: and genuinely believed that she failed as a physician and
Speaker 1: lost one of her patients due to her negligence. And
Speaker 1: that is all because of you sending the email that
Speaker 1: you sent, which you probably thought was funny, but I'm
Speaker 1: here to tell you it is absolutely not funny. How
Speaker 1: did that feel to hear that? I said, well, I
Speaker 1: I feel awful that She said, she is so upset
Speaker 1: by thinking that her negligence could have cost one of
Speaker 1: her patients their lives and let let this be a
Speaker 1: lesson to you. It was seven days after she decided
Speaker 1: to email me and say, in the future I should
Speaker 1: call Well, did you check your call outs? Yes, sir,
Speaker 1: we actually did, and we do see that there are
Speaker 1: records of your calls and our receptionist uh informed. But
Speaker 1: the doctor and she forgot to call you back one
Speaker 1: of the times, and the second time she admittedly did
Speaker 1: not relay the message. Okay, and then she said she
Speaker 1: proceeded to lecture me, and I said, let me stop
Speaker 1: you there. Mary. The issue I had onto the podcast
Speaker 1: because I said, I have here is this The doctor
Speaker 1: is an intelligent person, I said, did you read the email?
Speaker 1: You're an intelligent person too. Did you read the email?
Speaker 1: Do you think that upon passing away within hours, the
Speaker 1: first thing that my closest loved ones and my wife
Speaker 1: and everybody decided to do was, oh, my god, we're
Speaker 1: grieving Ryan's death, but we should get onto his Gmail
Speaker 1: and put an auto response on there to make sure
Speaker 1: anyone that emails donates to the Strep Throat Awareness Fund, which,
Speaker 1: by the way, Mary, I don't believe that exists. It
Speaker 1: sounds like the most ridiculous fun point but knowing you,
Speaker 1: knowing you, it's possible that you have fifteen of these
Speaker 1: emails already cooked up for anything in case you do
Speaker 1: pass away. Wait, the staff isn't a real thing. The
Speaker 1: Strep Throat Awareness Fund, I said, And my family is
Speaker 1: asking to donate to the fund in lieu of flowers.
Speaker 1: And by the way, that I died from complications to
Speaker 1: the strep. I don't have a metal to medical degree.
Speaker 1: That's all all to you, guys, But like, pretty sure
Speaker 1: you can't die from strep throat. And let's not miss
Speaker 1: the obvious here. Anyone that knows you knows that you
Speaker 1: would insist that you get flowers rather than donation. And
Speaker 1: my love language, Mary is gifts, okay, and so is
Speaker 1: my death language. What what is it called? Um? He's
Speaker 1: probably got his own uh what's it called? Uh? In
Speaker 1: the paper. You probably have you written your own obituary
Speaker 1: in case you do pass that you're just like you
Speaker 1: have it in your will or your trust or something
Speaker 1: that he's got. It's a glam shot. This is my
Speaker 1: good side. It's been touched up. I'm wearing the Gavin
Speaker 1: to grow merchandise. Yes, so this this really so basically,
Speaker 1: when you talk to this Mary, You're basically like, you're welcome. Yes,
Speaker 1: I said, you you did them of good service in
Speaker 1: your mind to be a lesson to you. And and obviously,
Speaker 1: in the way i'm telling it now it comes off
Speaker 1: as being condescending. But I said, and there's a very
Speaker 1: good chance I could have died. And and he's just like,
Speaker 1: I am the right here. How about this, she canceled
Speaker 1: two days of appointments. Those are people that were actually sick,
Speaker 1: that could have had something serious happen to them. And
Speaker 1: did you apologize for that? Do you say I'm sorry
Speaker 1: or just go You're welcome? No, I said, the doctor
Speaker 1: is a very intelligent person. She went to an undergrad
Speaker 1: and medical school. I find it hard to believe that
Speaker 1: she did not implement a single shred of common sense
Speaker 1: into this equation to deduce that well, even if I
Speaker 1: have a question as to whether this is a legit email,
Speaker 1: why do I call him and see if that's because
Speaker 1: you're dead? Yeah? And by the way, and and to that,
Speaker 1: like Mary called me, why is she calling a dead guy?
Speaker 1: If you really thought I was dead, why are you calling?
Speaker 1: Because Mary saw right through your ruse. By the way,
Speaker 1: in your defense, in Ryan's defense, they say that strep
Speaker 1: throat is a child's disease, and you certainly acted like
Speaker 1: a child. So hold on, I'd like to know what
Speaker 1: our listeners think of this, because it's I think it's
Speaker 1: pretty apparent that I don't think Dmitri and I would
Speaker 1: go that route. In fact, I don't even know how
Speaker 1: to change that thing on my email whatever you're talking about,
Speaker 1: so I couldn't even I've never thought about faking my
Speaker 1: own death just to stick it to somebody. Well, at
Speaker 1: the end of this all, it concluded with me demanding
Speaker 1: an apology, Mary being unwilling to give me more, ultimately saying, well, uh,
Speaker 1: you know, we've talked internally and had numerous board meetings
Speaker 1: and decided collectively, uh, that you are no longer welcome
Speaker 1: back in this health system and at this doctor's office.
Speaker 1: So and how about this, This called is the chain
Speaker 1: of events. You have not been in the doctrine three years.
Speaker 1: This whole thing is having a ripple effect, which means
Speaker 1: you will probably die sooner than you need to because
Speaker 1: you refuse to go back to another doctor or or
Speaker 1: your band from every doctor everywhere. We have a musical
Speaker 1: malpractice suit on our hands, don't we Oh, I don't
Speaker 1: think we do. Are you blacklisted amongst doctor's offices? Uh? No,
Speaker 1: I actually I feel like this isn't the first time.
Speaker 1: Let me tell you how I've remedied it. I got
Speaker 1: this app called one Medical, which allows me to whenever
Speaker 1: I'm feeling an ailment of any sort, I can hit
Speaker 1: the app face time with a physician from around the
Speaker 1: country within two minutes, tell them what's going on. I
Speaker 1: have a sort throughout this is blah blah blah. And
Speaker 1: they say, great, your your pharmacy CVS on this on sepulvida.
Speaker 1: I'll call in a z pac right now. Within seven minutes,
Speaker 1: I have a prescription called in and I don't have
Speaker 1: to leave the house and deal with someone who's gonna
Speaker 1: just so. They just described you what presc you. Yeah,
Speaker 1: I imagine you have to use some code name and
Speaker 1: not you're only name on this app. I wear one
Speaker 1: of those glasses things within, fake nose and mustache. Okay,
Speaker 1: and now listen to me, and I mean this is
Speaker 1: from all of us, is from Brooks, Gavin Rick and myself.
Speaker 1: We have a doctor coming today. Dr Todd, you better
Speaker 1: be on your damn best behavior when he comes in here,
Speaker 1: we don't need you. We will throw you out. I
Speaker 1: I worry that there's like a America's Most Wanted type
Speaker 1: like flyer that's gone out in the physician community with
Speaker 1: my face on it, that like he's gonna walk in
Speaker 1: here and immediately just know that I'm that guy and
Speaker 1: walk immediately. I'm afraid my doctor is going to find
Speaker 1: out that I'm on a podcast with you and stop
Speaker 1: serving me. I'm afraid that you pulled this whole stunt
Speaker 1: to possibly get some flowers back from break. And I'm
Speaker 1: super excited because none of us we've talked about this.
Speaker 1: None of us like going to the doctor. Um, I
Speaker 1: haven't been to the doctor. I literally haven't been to
Speaker 1: the doctor since I was released from the Kings. But
Speaker 1: we have a doctor in studio with us because none
Speaker 1: of us want to go, so we brought one here.
Speaker 1: We have call house call for Dr Todd. Welcome, Welcome
Speaker 1: to me. How men thinking? When I first see you Todd,
Speaker 1: I think, dang, that guy should be a football player
Speaker 1: because I wish I had your size. But um, he
Speaker 1: is a doctor, and we're gonna ask you a ton
Speaker 1: of questions. You're gonna give us um some overview on
Speaker 1: some things we're dealing with. But for our people listening,
Speaker 1: can you please give them a little bit of your
Speaker 1: history in the medical profession. Sure, thank you for having
Speaker 1: me um. Yes, I am quite large for a for
Speaker 1: a doctor. In fact, when I was in medical school,
Speaker 1: I'm sort of the orthopedic mold, so they would always
Speaker 1: shuffle me off to the orthopedic surgeons to go do
Speaker 1: whatever they did, which is fixing bones and joints typically
Speaker 1: and athletes. But I never really had an interest in that.
Speaker 1: I was much more interested in the human part of
Speaker 1: medicine and the cognitive part of medicine, which is what
Speaker 1: I ended up doing, which is family medicine. So I
Speaker 1: trained inside at a family medicine and really that is
Speaker 1: a Swiss Army knife of medicine. We take care of
Speaker 1: about of the problems that come into the office, about
Speaker 1: ten percent of the things we have no idea about,
Speaker 1: and that's what we refer to specialists for specialists, on
Speaker 1: the other hand, each deal with their own little world
Speaker 1: of medicine and have no idea what the other is doing.
Speaker 1: So we work in between all of those different fields,
Speaker 1: and that that's what I've done for the last twenty
Speaker 1: years of my career, and uh so this is perfect.
Speaker 1: You know a little bit or a lot about everything,
Speaker 1: because we know a little little bit about nothing. So
Speaker 1: we really need you to tell us a little something
Speaker 1: about everything. Correct. I am the educated version of what
Speaker 1: quote they quote say. I like it. So we're all
Speaker 1: going here. We've got four guys here, We're going through
Speaker 1: four checkups right now. Here's my first question to you,
Speaker 1: because I don't even know this my whole life. I've
Speaker 1: been on sports teams, we had doctors and physicians and
Speaker 1: everybody in our locker room. I've been out of the
Speaker 1: NHL now for a year and a half and I
Speaker 1: haven't seen one doctor. How many times or when should
Speaker 1: I go to the doctor? How many times a year?
Speaker 1: What doctor do I go do? I don't even have
Speaker 1: a doctor since I've been done with the king, So
Speaker 1: can you please advise me on how many times a
Speaker 1: year I should be coming to see you? Sure? Um, well,
Speaker 1: that that is a very good question. And I think
Speaker 1: that there's a lot of different people who have stakes
Speaker 1: in that answer. One of them are the primary care
Speaker 1: provider organizations like the American Medical Association that wants people
Speaker 1: to come into the office. They think that's the best
Speaker 1: place to anticipate problems. For four primary care deal with
Speaker 1: current issues, and they would say come in once a year,
Speaker 1: once a year, Okay, Um. The truth is, when we
Speaker 1: look at the evidence and long term studies, we're not
Speaker 1: pent sure is a medical community that that really changes outcomes.
Speaker 1: We do think that there are certain screening procedures done,
Speaker 1: it's different outcome at different intervals that might change outcomes.
Speaker 1: For instance, colon cancer screening, we recommend that for everybody
Speaker 1: starting at I'm forty five and a half, it used
Speaker 1: to be it used to be right, well, it used
Speaker 1: to be fifty. It used to be fifty that they
Speaker 1: got changed to forty five. So that's a perfect example.
Speaker 1: Or prostate cancer screening. Lots of guys don't like to
Speaker 1: go to the doctor. No, no, yeah, so lots of
Speaker 1: people are prostate cancer screening. So there's a lot of
Speaker 1: debate about these things. But but the reason my point
Speaker 1: is maybe coming in once a year would be a
Speaker 1: reasonable cadence in a person let's say over thirty five
Speaker 1: years of age and let's say under fifty um, to
Speaker 1: come in once a year to talk about these guidelines.
Speaker 1: To talk about what's out there, maybe say hey, there's
Speaker 1: something new in my family history. So I think once
Speaker 1: a year would be reasonable. And what the question if
Speaker 1: it's once a year is that even if you feel
Speaker 1: perfectly fine, you're healthy, there are no ailments because to
Speaker 1: speak to what you were saying at the beginning, is
Speaker 1: that not I've heard that the insurance industry is in
Speaker 1: the state that it's in because people come in too
Speaker 1: often and that's driving up you know, it just becomes
Speaker 1: a huge night amber where people are coming in when
Speaker 1: when it's unnecessary. So that's a great question, and there's
Speaker 1: really two different answers to that. One of them is
Speaker 1: a population based answer, which is if we're talking talking
Speaker 1: about the US population, first, are we talking about you?
Speaker 1: What do you want? If do you want you know,
Speaker 1: the best possible outcomes for yourself, Do you want a
Speaker 1: lot of supervision or you know, when we say, look,
Speaker 1: we're going to prevent five cases out of a hundred thousand,
Speaker 1: you know, do you want to be one of those
Speaker 1: cases it's not prevented because you weren't there. It's sort
Speaker 1: of what your approaches and do you play the statistics
Speaker 1: and how do you think about things, what is your
Speaker 1: level of anxiety? But I used usually tell people that
Speaker 1: most people don't see a doctor very often between seventeen
Speaker 1: and thirty five. The last visit is when their mom
Speaker 1: takes them in before they go to college, and the
Speaker 1: first business right after they get engaged. That's you know so,
Speaker 1: and then so there is a big bald spot in
Speaker 1: there where doctor page and start releasing. People don't come
Speaker 1: in to see the doctor. Once they come in, it's
Speaker 1: sort of a slow ramp up, and then usually around
Speaker 1: forty five or fifty, the wheels start to fall off
Speaker 1: the wagon. They don't feel good, they're on a hike somewhere,
Speaker 1: they start to feel terrible, and they come in and say,
Speaker 1: what's wrong with me? Well, Ryan's anxiety level is off
Speaker 1: the chart, so he should go in like every two months.
Speaker 1: I don't ever see a doctor, but we should label
Speaker 1: the anxious guy and the group. We almost need to
Speaker 1: take a break just so you can have like five
Speaker 1: minutes with arrested to do something on him. Right. Question
Speaker 1: about the prostate exams, where is that? Are we talking
Speaker 1: about the finger? Is that what you're referring to? When
Speaker 1: Amy asked if we've ever had it, well, that that's
Speaker 1: a good question. That's my question is that the is
Speaker 1: that really the only way to check? So it's really
Speaker 1: it's really not a great The truth is his digital
Speaker 1: rectal exams are not a great screening test for prostate cancer.
Speaker 1: I mean, I've examined who knows how many thousands of
Speaker 1: prostates and I've very rarely detected a primary prostate cancer
Speaker 1: through that exam. Now, there are other things you might
Speaker 1: find on that exam, like an enlarge prostates that's causing
Speaker 1: problems with urination. You might hypothetically notice blood and erectum
Speaker 1: that is, you know, maybe from colon cancer or something
Speaker 1: related to that. But you know, there's a lot of
Speaker 1: debate about prostate cancer screening, and without getting into the
Speaker 1: specifics of that, ultimately what we talk about is when
Speaker 1: when patients come in, we make a decision about prostate
Speaker 1: cancer screening based on lots of things including age, personal preference,
Speaker 1: family history, risk factors, etcetera. And so not everyone needs
Speaker 1: to come in and have a digital rectal exam, because
Speaker 1: I can tell you I have had that exam and
Speaker 1: the finger, yeah, I have had it, and um, I
Speaker 1: gotta tell you it's it's it's not it's uncomfortable. But
Speaker 1: funny story was, you know, I've actually had it a
Speaker 1: couple of times. Um, all the doctor's appointments. Dmitri gets
Speaker 1: it weekly. Sorry and my right. But so I went
Speaker 1: and I had it done. And then I hadn't gone
Speaker 1: back to the doctor in like two and a half years,
Speaker 1: and I was like, oh, so I knew I had
Speaker 1: to do it, have it done again. And while I
Speaker 1: was there, the doctor walks in and I just you know,
Speaker 1: I look at him, you know, in the face. He
Speaker 1: walks in, and all of a sudden, I'm thinking to myself, oh,
Speaker 1: look at he's getting a little bit of weight. And
Speaker 1: I'm like, hands were bigger too, His fingers were bigger.
Speaker 1: I was like, and I got all nervous and so
Speaker 1: at that point, so I've never cared about the size
Speaker 1: of a doctor until I had to start getting that exam.
Speaker 1: So I was wondering if we could do like it.
Speaker 1: There should be like a tinder for doctors where they
Speaker 1: just show their hands and you can swipe left or
Speaker 1: right and then you can figure out which one's gonnarea
Speaker 1: to do that without getting the finger. Well, yeah, so
Speaker 1: there are blood tests that you can screen pretty well
Speaker 1: for prostate cancer. But again they cause quite a bit
Speaker 1: more anxiety, we think, than prevention of disease. So we're
Speaker 1: we try to be careful when we order those tests,
Speaker 1: who were ordering them in how often there's a lot
Speaker 1: of nuance to it. But again, this isn't a perfect
Speaker 1: reason why everybody is afraid to go to the doctor
Speaker 1: in their forties because they think some guy with big
Speaker 1: hands like me is gonna put it up their butt
Speaker 1: and they're gonna be super uncomfortable and they're gonna forget
Speaker 1: everything else had happened in there, and then everything else
Speaker 1: they wanted to ask because they were so worried about
Speaker 1: this exam lacked out for three days. That's right, Well,
Speaker 1: then that that is my biggest fear, and that's why
Speaker 1: I don't want to go get that test. And a
Speaker 1: half year, half year behind, I would say that it
Speaker 1: would be totally reasonable to go into a doctor's office
Speaker 1: and say, I do not have a family history of
Speaker 1: procesct cancer, I have no urinary symptoms. I would prefer
Speaker 1: not to have this exam. Let's talk about it. So
Speaker 1: here's my question. Then, So I'm thirty six years old,
Speaker 1: I'm a very active I believe healthy mail, but I'm
Speaker 1: I'm also not arrogant enough to think that there might
Speaker 1: not be something going on in me that I don't know.
Speaker 1: So if I come in to visit you or come
Speaker 1: into a doctor's office, I don't feel like just talking
Speaker 1: about I feel phenomenal. I feel fantastic, better than I
Speaker 1: ever have in my life. But I think that is
Speaker 1: setting me up for a massive failure. Like what kind
Speaker 1: of tests? UM? What as a thirty six year old male,
Speaker 1: what what might I be susceptible for? What is on
Speaker 1: radar that we want to test for? What does a
Speaker 1: doctor's office appointment look like for me? Because I don't
Speaker 1: want to say I feel great and then you go, okay,
Speaker 1: we'll see anything. Are you trying to get like the
Speaker 1: full body check up? I don't even know, Like I
Speaker 1: don't know, I've never had Like I always have this
Speaker 1: imagination of having it like a scan that you just
Speaker 1: go in and it does everything. I think that I
Speaker 1: don't think that's a real What movie were you watching
Speaker 1: last day? UM? We had to do full medicals at
Speaker 1: the start of every hockey season, so at training camp,
Speaker 1: the first day of training camp was full medical evaluation
Speaker 1: UM and you weren't allowed to participate the next day
Speaker 1: in the actual on ice activities unless you passed your
Speaker 1: medical So that was my yearly check up, and then
Speaker 1: we had access to amazing physicians doctors all year long,
Speaker 1: where if something was wrong, they would have caught it
Speaker 1: on me. Now I don't have that team around me,
Speaker 1: those people around me, and I haven't been to the
Speaker 1: doctor for a year and a half. So my fear
Speaker 1: as though I might feel physically exceptional and healthy, there
Speaker 1: might be something persisting that I'm not aware of. Exceptional.
Speaker 1: You know, you couldn't say that exceptional. You know what
Speaker 1: Dr Todd? He works out a couple of times a
Speaker 1: week for thirty minutes because I'm not arrogant. Thirty seconds later,
Speaker 1: I feel physically exceptional, he was, So what am I
Speaker 1: looking for when I come in there? So I think
Speaker 1: you would. You are a fit person, you are a
Speaker 1: healthy person. You've had a lot of access to great
Speaker 1: healthcare over the years, good food. Um, you probably didn't
Speaker 1: have a lot of horrible childhood illnesses because of vaccinations,
Speaker 1: probably where you grow up. I'm just assuming lots of things,
Speaker 1: but just based on how you look right now, I
Speaker 1: would say it's not urgent to go running into a
Speaker 1: doctor and say, you know, help me, help me, help me. However,
Speaker 1: it would be reasonable to go through things like family history,
Speaker 1: you know, talk about whether you have a history of
Speaker 1: corner disease. Are there bad habits that you're involved with
Speaker 1: that you want to learn how to think differently about? Um,
Speaker 1: it might be worth at your age thirty five, looking
Speaker 1: at cholesterol, blood sugar for most people, not yourself, but
Speaker 1: looking at body habituts. Are they overweight, are they underweight?
Speaker 1: What are the issues around that? So you know, not
Speaker 1: necessarily speaking to you, but speaking to the whole world.
Speaker 1: And again this is a little bit different than the
Speaker 1: way that I practice in a very small practice. Is
Speaker 1: that it's an opportunity to have conversations about things that
Speaker 1: you may not even be thinking about. The unknowns, the
Speaker 1: unknown unknowns, you know, the things that aren't even in
Speaker 1: your sensorium yet. Um. And is it an urgent No?
Speaker 1: Is it something that could be done once a year
Speaker 1: for sure? And that's typically what would happen for someone
Speaker 1: your age. And and you know, it might just be
Speaker 1: nagging stuff like um, you know, maybe you had a
Speaker 1: lot of concussions during hockey and you're concerned about what
Speaker 1: that means for you, and how do you think about that?
Speaker 1: What does it mean for your family? Does it mean
Speaker 1: for your few? Sure those would be reasonable conversation. Okay, okay,
Speaker 1: So we have a question here. I'll be the sacrificial
Speaker 1: lamb that reads it. It says Brooks. Question read it. Um.
Speaker 1: This is a question that I've had actually conversations with
Speaker 1: people before on But how many times a day is
Speaker 1: it healthy to be going to the bathroom? And by
Speaker 1: the bathroom, I don't mean a pee, I mean some people.
Speaker 1: I have friends I played with guys that took a crap.
Speaker 1: Let's just say it took a crap once a day
Speaker 1: and I couldn't believe it. Um, and myself, I'm a
Speaker 1: lot more than that. Upwards of five to six times
Speaker 1: a day a day. He's gone three times since we
Speaker 1: started the podcast. So so I've had burying. I've had
Speaker 1: a lot of people say that that's abnormal. Is that abnormal?
Speaker 1: I eat a lot of vegetables though, a lot of
Speaker 1: full sessions a day. Like you're not talking like, oh no, no,
Speaker 1: how to's go a little bit full? Wow, jeezy, I'm
Speaker 1: lucky to get one. Why are you really okay, I
Speaker 1: can go like not. I can skip a day and
Speaker 1: then definitely go the next day. But I'm basically once
Speaker 1: a day my juicer spits out lest than you. How's
Speaker 1: that possible? Maybe that's a reason too, because I I
Speaker 1: juice like, I make my own um organic cold press
Speaker 1: uses at home and so that you drink that and
Speaker 1: that's going through you. But what would I eat? A
Speaker 1: lot of vegetables? Zucchini sticks don't count? Why are Rick
Speaker 1: and I so different in that? So I would say
Speaker 1: that there's there's everybody's a little bit different, and everybody's
Speaker 1: GI tracks are are different. But the primary issue, I
Speaker 1: would say would be nutritional, meaning the type of food
Speaker 1: that you're eating. And then the second is everybody has
Speaker 1: what's called the gastro colic reflex, meaning when food gets
Speaker 1: into your stomach that your your stomach is gastro and
Speaker 1: colic is colon and there's a reflex that reflex not
Speaker 1: reflex reflex that when food hits your stomach, it relaxes
Speaker 1: your cold and you move your bowels and you go
Speaker 1: to the bathroom really to clear out room for that
Speaker 1: food that's coming down. It sounds like you have a
Speaker 1: more pronounced gastrocolic reflex than someone like yourself. But you know,
Speaker 1: I would say once a day is normal. Five times
Speaker 1: a day would probably be on the high end of normal.
Speaker 1: If you said to me, look, I'm having cramps, an
Speaker 1: abdominal pain, and bloody diarrhea and I it's a nightmare
Speaker 1: for me, that's a whole other issue. But if you're like, look,
Speaker 1: I feel great. I have five four bound movements a day.
Speaker 1: I'm not losing weight, there's no blood in my stool.
Speaker 1: Everything seems this is just the way I've always been.
Speaker 1: That's normal for you. If you say, look, I feel fine,
Speaker 1: and I have one bowel movement a day and that
Speaker 1: takes care of business. Sometimes I skip it in the
Speaker 1: next day a little bit more, that's also fine. Um.
Speaker 1: But there are certain medical conditions that we would think
Speaker 1: of it with really abnormal patterns of bound movements, but
Speaker 1: those are typically painful diarrhea, of blood, etcetera, often associated
Speaker 1: with weight loss, weight maybe weight gain. So I have
Speaker 1: none of that. You just have six really healthy bowel
Speaker 1: movements a day. You poop six times a day, you
Speaker 1: work out six times a day. Rick Coop's not once
Speaker 1: in a day it doesn't work out. You know, he
Speaker 1: considers the bathroom working out. Yeah, exactly, So we can
Speaker 1: we have another question. I want to welcome to the
Speaker 1: show for his first ever appearance on the show, we
Speaker 1: have Brett with us today. Welcome. So Brett is my friend.
Speaker 1: His baby brother is Wells Adams from the Bachelor, and
Speaker 1: he's the bartender on The Bachelor and Brett and I.
Speaker 1: This sounds intimate, but we have vacation together and that
Speaker 1: is how I learned about Brett's very fascinating issue. So
Speaker 1: I asked him if he would open up about it
Speaker 1: because I think he's not alone, and I also think
Speaker 1: we can, dare I say, cure him? Okay, Brett, welcome
Speaker 1: to the show. Brother. Well, thank you, just really quickly.
Speaker 1: I just want to get off. In regards to going
Speaker 1: to the doctor once a year, what type of doctor
Speaker 1: is that? If I'm saying, okay, I haven't been in
Speaker 1: five years, who am I looking to go see? I
Speaker 1: would say that would be a primary what would be
Speaker 1: referred to as a primary care doctor usually in turtle
Speaker 1: medicine or family practice. Okay, um, thank you. I needed
Speaker 1: to know today that was that was that was the problem? Yes, Well,
Speaker 1: I Ran always says that this is a trust tree, this,
Speaker 1: this is a safe place. Let me just check before Brooks.
Speaker 1: Do you have to go and drop a doucey? You're
Speaker 1: good for a little far. I'll go around four o'clock.
Speaker 1: We're way pass. That's because what my issue is, um,
Speaker 1: and a lot of it is in my head. But
Speaker 1: I have to always be somewhere where I know there's
Speaker 1: a bathroom around. I constantly, if I'm on a plane,
Speaker 1: if I'm in a car, if I'm in a house,
Speaker 1: of wherever I am, I have to know that I
Speaker 1: can get to a bathroom. And it's a head game
Speaker 1: because I can go to the bathroom and and I'm
Speaker 1: talking going number one. Um, I can go to the
Speaker 1: bathroom like I did five minutes ago, and I'm already
Speaker 1: thinking how long am I going to be here? And
Speaker 1: if I have to go, what's my exit strategy. I
Speaker 1: also do that with going number two as well, but
Speaker 1: not as much. It is is mostly the I've got
Speaker 1: to go pee and and and how can I get there?
Speaker 1: And make sure there is a pathway for me to
Speaker 1: get there? Okay, so is your question what's wrong with me?
Speaker 1: Is this normal? Or I have a question. Did you
Speaker 1: pee your pants as a kid one time and we're
Speaker 1: ostracized by it or something and it could scarred you.
Speaker 1: I don't think I peed my pants. I'm sure growing up,
Speaker 1: I probably peed in my bed, you know, you know,
Speaker 1: going through that potty training or something. But I don't
Speaker 1: think I've ever had there's no like magnificent moment that
Speaker 1: you're like, no, I don't. I've been drunk a couple
Speaker 1: of times, and you know, yeah, I mean, I mean,
Speaker 1: just to make you feel comfortable. I mean, I that
Speaker 1: goes through my mind as well too. And I don't
Speaker 1: know how old you are, but I'm forty five and
Speaker 1: a half, but I think not maybe as much as
Speaker 1: you do about that. But like I'm flying back tonight,
Speaker 1: so like I'm thinking, Okay, well I have to go
Speaker 1: before I get back in the car. And then when
Speaker 1: I get to the airport, i gotta go. Okay, I'm
Speaker 1: gonna go check in, I'm gonna get my ticket, and
Speaker 1: then I'm gonna go to the bathroom, and then I'm
Speaker 1: gonna go through security and I'll probably have to go
Speaker 1: to the bathroom after that. I do the same thing.
Speaker 1: To be honest, I'm like the same thing that it
Speaker 1: don't worry you lose control of it. I know, I
Speaker 1: treat myself like a five year old though. I'm like, Okay,
Speaker 1: I should go before I leave the house, and then
Speaker 1: when I get somewhere, like I should probably go now
Speaker 1: just in case I can't go later. Same here, and
Speaker 1: like to me, not to take away from that, but
Speaker 1: like I feel, I want to be on the plane
Speaker 1: and I want to be comfortable, and I'm thinking to myself, well,
Speaker 1: I'm want to fall asleep on the way home on
Speaker 1: the airplane, so but I want to I don't want
Speaker 1: to have to go to the bathroom because they don't
Speaker 1: have to get up, go to the back of the plane,
Speaker 1: go to the war or if you're on the plane
Speaker 1: and it gets delayed and you haven't gone, then you're
Speaker 1: stuck because you're on the tarmac and you can't get up,
Speaker 1: And then I start to freak out. Yeah, this is
Speaker 1: this is you know what's really interesting about this? This
Speaker 1: is the most anyone has ever sounded like Ryan. It
Speaker 1: doesn't rick sound like trying right now? Way do you
Speaker 1: hear this? Sometimes when I pee, I turn around and
Speaker 1: I wash my hands and something about the water hit
Speaker 1: in my hands. I got a pee again, so don't
Speaker 1: I turn around a p and I wash my hands again.
Speaker 1: So I'm doing like double sets. It's like you used
Speaker 1: to work out twice. Dr Todds just laughing over yeah,
Speaker 1: like Dr todd Yeah, this is uh, this is the
Speaker 1: greatest hits of of male urinary complaints. Let me ask you,
Speaker 1: do you guys because I think that it's crazy. I'm
Speaker 1: kind of with Peroks on this. Do you get up
Speaker 1: multiple times in the middle of the night to go pee? Yes?
Speaker 1: You do. I'll get up at at least once, sometimes twice.
Speaker 1: Have you guys ever? Once you guys ever like looked
Speaker 1: into diapers just in case? Okay, hold on a sem
Speaker 1: wondering Mr six deuces a day. Let's let's have roa
Speaker 1: stones and back from some what can what can we
Speaker 1: really do about Regret's question? Like? Right, so this so
Speaker 1: this is a what would be a primary care question
Speaker 1: at least to get started. I don't think you necessarily
Speaker 1: need a subspecialist yet, which would be a urologist, someone
Speaker 1: who works in the general urinary track kidneys, bladder, penis, etcetera.
Speaker 1: But this, you know, most of the time when people
Speaker 1: come to me with this complaint. There's two components to it.
Speaker 1: Some people have a little bit more irritability in their bladder,
Speaker 1: and their bladder fills up and they they're sensitive to
Speaker 1: it and they feel this urge to pee, and everybody's
Speaker 1: bladder tone is a little bit different. There are other
Speaker 1: people who have a lot of bladder irritants in their
Speaker 1: diet and not casting any stones here, but those are
Speaker 1: things like tobacco, alcohol, caffeine is the biggest defender, spicy food,
Speaker 1: or even just high volume hydration. I mean a lot
Speaker 1: of people like Brooks who are working out a lot
Speaker 1: are probably pounding water. And there are other people who are, like,
Speaker 1: you know, drinking bulletproof coffee and then pounding water, and
Speaker 1: then they're having wine and they're having spicy you know,
Speaker 1: soup or whatever it is for lunch. So there's just
Speaker 1: a lot of liquid volume, add a lot of bladder irritants.
Speaker 1: So that would be the first place that I would look.
Speaker 1: The second place, and again this is not something that
Speaker 1: we see until later on, would be prosthetic hypertrophy. That's
Speaker 1: when you see the commercials about the guys who are
Speaker 1: the football game and everybody's running into the bathroom and
Speaker 1: they're looking up at the scoreboard trying to figure out
Speaker 1: how much time is left. And there are the prostates
Speaker 1: basically smooth muffle, muscle gland that surrounds the neck of
Speaker 1: the bladder and men and as that enlarge as it
Speaker 1: can be caused that type of irritability in your urgency
Speaker 1: and frequency that that you're it sounds a little bit
Speaker 1: like you're having. But I I typically start with what's
Speaker 1: going into your body, in particular the type of liquids
Speaker 1: and hydration. He's saying, it's not a going problem, it's
Speaker 1: a growing problem. Um, it's only commercial problem. It's a
Speaker 1: growing problem. Correct. I think his might not be a
Speaker 1: growing problem, might be a going problem, but it also
Speaker 1: could be a total head game. Well, you know there
Speaker 1: are I might be speaking a little out of school.
Speaker 1: So some of my eurologic colleagues would take, uh, take
Speaker 1: exception with this, Yes, exactly exactly. They love that when
Speaker 1: you said that, don't be piste off at me. Um.
Speaker 1: But I think that there is a um a psychologic
Speaker 1: component to it as well, because it's a behavior. So
Speaker 1: we feel this irritability and it's like it's sort of
Speaker 1: like holding your breath when you talk to people who
Speaker 1: get really into prolonged breath holding is an exercise. They
Speaker 1: get to a point where thirty seconds feels really long,
Speaker 1: and then they go past that and they're like, wait,
Speaker 1: I'm still here, nothing has happened, and then they can
Speaker 1: kind of condition themselves to go longer. I have a
Speaker 1: question for you, Bread, is this is this show up?
Speaker 1: Does this show up anywhere else in your life? Like
Speaker 1: you're terrified of being laid or your tear, Like, is
Speaker 1: there anywhere else where some sort of fear like this
Speaker 1: shows up that maybe it's not actually a health problem,
Speaker 1: it's just, like you said, possibly a mental problem. I
Speaker 1: would say no to that. I mean, I'm pretty o
Speaker 1: c D. I am always early, I'm I'm very I'm
Speaker 1: punctual person. But it's I don't think that has anything
Speaker 1: to do with any correlation. No, it's just I think
Speaker 1: it's a head game. I mean, yes, I'm I'm older.
Speaker 1: I'm I'm gonna be forty eight, so I am on
Speaker 1: the older spectrum. Um, and something that probably is going
Speaker 1: to the process is gonna start to change or has
Speaker 1: already changed, and I'm already in that um. Maybe need medication.
Speaker 1: But I also think a lot of it is head
Speaker 1: game because I'm sitting here right now and as I'm talking,
Speaker 1: I'm not thinking about going to the bathroom because I'm
Speaker 1: in conversation. But the moment I'm not doing this, then
Speaker 1: my mind immediately goes, okay, is there a bathroom by?
Speaker 1: And how am I going to get out of this
Speaker 1: situation if I need to go to bathroom? Will you
Speaker 1: mark the bathrooms as soon as you enter a new room,
Speaker 1: like will you be like okay, I'm not gonna here, yeah,
Speaker 1: not marked like a dog? Well you if you entered
Speaker 1: like a new like this house, right, so you enter
Speaker 1: this house, so you are you gonna cut a like
Speaker 1: a hot lap and be like okay, one to bathroom.
Speaker 1: I've found out immediately when I got in here where
Speaker 1: the bathroom was, and that Will you go to a
Speaker 1: restaurant that will be the same situation or well, I
Speaker 1: know that if I'm in a restaurant, I know that
Speaker 1: there's a bathroom in there, so I know that I
Speaker 1: can get to it. So that's not it's not necessarily
Speaker 1: the pathway because from getting from point eight point B
Speaker 1: is not the issue. It's just in my mind thinking
Speaker 1: I've got to have if like we were talking about
Speaker 1: earlier the airplane. If if we're on a tarmac and
Speaker 1: you're not allowed to get up, then I started panic
Speaker 1: because how long am I going to be stuck on
Speaker 1: this tarmac if I have to go to the bathroom.
Speaker 1: Tell the story how when we went on a walk,
Speaker 1: So Brett and I went on a walk. We went
Speaker 1: from like maybe it's a mile walk from the country
Speaker 1: club to the hotel. Yes, And I stopped the at
Speaker 1: the porta body of a work site that I didn't
Speaker 1: belong in. That's all right, I know, But I but
Speaker 1: that my mind was, Okay, I've got a twenty minute walk.
Speaker 1: I'm not gonna make it twenty minutes. And I saw
Speaker 1: the the outhouse or whatever you call it, and I
Speaker 1: stopped there to go the restroom so that my mind
Speaker 1: would be at ease that I'd make it all the way.
Speaker 1: Is it possible Dr Todd that he just maybe has
Speaker 1: a smaller bladder, like do men? Some men have a
Speaker 1: bigger bladder and some have a smaller bladder. Well, there
Speaker 1: was a there was a Monty Python skit about that
Speaker 1: from Live at the Hollywood Bowl where they do the
Speaker 1: h It was a hundred meter dash for men with
Speaker 1: small bladders, and they start the race and they're all
Speaker 1: drinking water, and like every five ft someone peels off
Speaker 1: and in first, and he's back, and they kept changing.
Speaker 1: The lead kept changing because people have to run off
Speaker 1: to the bathroom in a hundred meter dash. So you
Speaker 1: know there are people who have different size bladders. Um,
Speaker 1: and we can measure that with an ultrasound UM. I
Speaker 1: don't suspect the that's the issue here. You are what
Speaker 1: we would refer to in medicine as well preserved. So
Speaker 1: forty eight. You look younger than your stated age, as
Speaker 1: we would say in the business. So I think that
Speaker 1: you know, probably at forty eight with these type of issues,
Speaker 1: I I it's not necessarily a call for medication, but
Speaker 1: there could be behavioral modification in particular around what you
Speaker 1: drink and how when you drink it and changing sort
Speaker 1: of the input. Like you know, people can do pelvic
Speaker 1: floor physical therapy, etcetera. To kind of retrain themselves out
Speaker 1: of this. But I think that you're you do have
Speaker 1: some bladder irritability, probably some prosthetic hypertrophee, and it probably
Speaker 1: related it to the volume in the in the caffeine
Speaker 1: alcohol spicily whatever it is that you do. I don't
Speaker 1: know whether they do that or not, but I suspect
Speaker 1: that that type of stuff would probably be irritating you.
Speaker 1: Is it true that you live in a one bedroom,
Speaker 1: fourteen and a half path custom build that custom building?
Speaker 1: So I was gonna ask a question, Brett, have you
Speaker 1: to try to fight it? Like h this morning is
Speaker 1: a class example for myself. Like I got up, I
Speaker 1: was I was at the gym at six o'clock and
Speaker 1: I went and worked out. But before I stepped into
Speaker 1: the actual gym portion of it, I was like, oh,
Speaker 1: I should probably I should probably go to the bathroom,
Speaker 1: you know, and then I something else. I went and
Speaker 1: brush my teeth or something, and then I got it
Speaker 1: in the gym and I'm like, oh shoot, Like I
Speaker 1: never went to the bathroom, and so I ended up
Speaker 1: working out for an hour. And then as soon as
Speaker 1: I started working out, I didn't even like, didn't even
Speaker 1: phase me. I didn't even think about it. I didn't
Speaker 1: feel like the pressure to go to the bathroom. But
Speaker 1: when I was done, then it. I got back into
Speaker 1: the locker room, I was showering and was like, okay, cool, done,
Speaker 1: Now relieve myself. Yeah, I don't. I don't think I
Speaker 1: avoid it. If I can solve the problem immediately, I
Speaker 1: solve the problem, hence stopping it up. But that was
Speaker 1: my whole thing was like I ended up. I thought
Speaker 1: about it, but then I was either I got distracted
Speaker 1: by something else and then kept going, and then through
Speaker 1: that hour of workout or whatever that time was, I
Speaker 1: didn't didn't even bother me, didn't even cross my mind.
Speaker 1: I didn't even feel it. Yeah, I mean I think
Speaker 1: I should. I should. I'm not. I'm not saying get
Speaker 1: in your car and drive home for two hours and
Speaker 1: go and hold it. Get you in the traffic on
Speaker 1: the four oh five. That's a bad place there. I
Speaker 1: can pull over if need be. I can pull over
Speaker 1: side road all. I can pull over the gas station.
Speaker 1: So I always have that in my mind. If I'm
Speaker 1: stuck somewhere, what is my what is my exit? Typically
Speaker 1: the biggest culprits that I see are soda. People drink
Speaker 1: a lot of soda, and people who just super hydrate,
Speaker 1: and then people who drink a lot of coffee. Okay,
Speaker 1: we're gonna move on from this one. Dr Todd, I
Speaker 1: have another interesting question for you, Um are cold showers
Speaker 1: better than hot? Doesn't matter because there's I'm always after performance,
Speaker 1: like I'm always seeking better performance, and so I study
Speaker 1: and learn and read a bunch of different things. And
Speaker 1: there's a lot of discussion now, not only in wellness
Speaker 1: and in health, but in performance that cold showers are
Speaker 1: better than hot? Can you weigh in on this? So um,
Speaker 1: I have always wanted to start a journal of anecdotal medicine,
Speaker 1: which is basically not evidence based medicine, things that people
Speaker 1: just say that are true. You know, most of the
Speaker 1: things that we say are true, for instance, should I
Speaker 1: take cholesterol medication if I high cholesterol? Those are backed
Speaker 1: up by huge studies that are randomized, placebo controlled studies
Speaker 1: where there's hundreds of thousands of people and we can
Speaker 1: look at outcomes. We don't have that kind of data
Speaker 1: with hot and cold showers. Which one is better, which
Speaker 1: one's worse? Do they really improve performance? Do they really
Speaker 1: improve long term outcomes? We don't know. Personally myself, you know,
Speaker 1: I am very similar to you. I've always been an athlete.
Speaker 1: I've always been interested in performance, and so I'm constantly
Speaker 1: looking for things that are benign me and they're not
Speaker 1: going to cause any harm that will actually make me
Speaker 1: feel better and maybe improve my performance so recently, you know,
Speaker 1: So there's a lot of stuff and maybe we'll get
Speaker 1: to later in this conversation that people are doing to
Speaker 1: improve performance. And you know, there are people who say, look,
Speaker 1: when I take a cold shower, it wakes me up.
Speaker 1: It gets my you know, I feel like my immune
Speaker 1: function is better. It just sort of shocks me and
Speaker 1: stimulates me, and I feel really good. I don't know
Speaker 1: if there's any real evidence to suggest that cold or
Speaker 1: hot showers are better, but I do find that you
Speaker 1: know people who ice after exercise, who you know, you
Speaker 1: as a hockey player, you probably know that I played football.
Speaker 1: We ced all the time, and it does improve in
Speaker 1: my opinion with it does improve recovery, but I don't
Speaker 1: truly know if it improves performance. Yeah. I would sometimes
Speaker 1: do it too after a hockey game because the intensity
Speaker 1: level is so high, um that I didn't want to
Speaker 1: add more heat to it. Your body attempt is so
Speaker 1: high that I would take a cold shower to help
Speaker 1: me calm down and be able to sleep when I
Speaker 1: went home, So I would for anybody listening. I would
Speaker 1: sometimes do it later in the evening to to help
Speaker 1: myself calm down and then I could go to bed.
Speaker 1: I just wanted to see which you thought. There's a
Speaker 1: lot of people doing that ice therapy where they're getting
Speaker 1: an ice tanks and yeah, yeah, we had cryos in
Speaker 1: our locker room. You guys ever done a crydo therapy? Oh? Were?
Speaker 1: I think we're going to go as a team. Yeah,
Speaker 1: I have a place we can go do it. Um
Speaker 1: it's fast team. Are you guys on you know, like
Speaker 1: a podcast team? Yeah, we're thinking you other people, so
Speaker 1: it's a competition ratings. I got a question Dr Todd,
Speaker 1: intermittent intermittent fasting. Is that's a big thing now? Is
Speaker 1: that a legitimate thing or is that like what's the deal?
Speaker 1: Good question? Um so, so intermittent fasting, there's a there's
Speaker 1: a lot of elements to this, and I'm I could
Speaker 1: speak to this for walks. I get asked this question
Speaker 1: a lot, and I'm interested in it myself. UM, I
Speaker 1: think that for people who you're you really have to
Speaker 1: find out and what works best for you. Um. There
Speaker 1: are not a lot of huge studies out there that
Speaker 1: look at long term data about in intermitten fasting. So again,
Speaker 1: there is. There are small studies. I've read them, and
Speaker 1: I'm going to speak a little bit to that. So,
Speaker 1: the the idea behind intermittent fasting, if you just think
Speaker 1: about it from an evolutionary perspective, is there was very
Speaker 1: few times until the last three years where people sat
Speaker 1: down for three high caloric meals a day, right, breakfast, lunch,
Speaker 1: and dinner. We like that, it's the way we behave. Um,
Speaker 1: you know, people always went to sleep when it got
Speaker 1: dark and they always woke up when it got light.
Speaker 1: It wasn't the other way around. But there wasn't a
Speaker 1: lot of times where people sat down for three meals
Speaker 1: a day until recently. So the idea I think fundamentally
Speaker 1: behind intermittent fasting is it mirrors more closely what we
Speaker 1: evolved to do, more calories in a shorter period of time,
Speaker 1: with lots of walking and exercise between. So I have
Speaker 1: a thought on that too, because I've looked into this
Speaker 1: as well. The reason, well, a lot of pulls see
Speaker 1: results immediate, very urgent results from intermittent fasting. Um, they
Speaker 1: can lose ten pounds in the first three weeks or something,
Speaker 1: and they'll swear by they say this is amazing intermitute
Speaker 1: fasting works. But what you're doing is, as he said,
Speaker 1: you're there's a portion of the day where you are
Speaker 1: not allowed to eat, where you're not eating, And really,
Speaker 1: what you're doing, if you were to just what you're
Speaker 1: doing is portion control. Is essentially what you're doing by
Speaker 1: restricting this time where you're not eating, it's just restricting
Speaker 1: portions really, and so as he said, there aren't studies
Speaker 1: that really prove it. If a person was to take
Speaker 1: that restraint and portion control into their standard diet, eating
Speaker 1: three meals a day, the results would probably be the same.
Speaker 1: So it's the jury is out on intermittent fasting. It's
Speaker 1: of course, if there's an area of the day, like
Speaker 1: if if it's all of a sudden, only sixteen hours
Speaker 1: of the day or eight hours of the day that
Speaker 1: you can eat, of course you're gonna lose weight. You
Speaker 1: just most likely are because you can't eat that much
Speaker 1: during that little amount of time. Um, But if you
Speaker 1: just practice portion control in your regular diet, you would
Speaker 1: probably get the same thing. But I do feel better
Speaker 1: almost when I eat less during the course of the day.
Speaker 1: When I'm highly active, i eat very little. I'll eat
Speaker 1: a big meal in the evening. I'll have a shake
Speaker 1: in the morning, sort of a shake around noon, like
Speaker 1: a little bit of fruit or something. Um. But I
Speaker 1: don't eat a lot during the day, but agree with
Speaker 1: intermittent fasting. I don't know, Dmitri. Instead of getting the
Speaker 1: double double cheeseburger, just get the single cheeseburger, Okay, But
Speaker 1: then I get that four times a day. Yes, you know,
Speaker 1: we cut that into two and then you're fine. I
Speaker 1: have a question on that topic. Well we'll move on.
Speaker 1: Are there benefits or negative aspects to how we sleep?
Speaker 1: Whether you're on your side, your back, your stomach? Um,
Speaker 1: what other good question? Um, I don't know if it
Speaker 1: really if it really matters where are you sleep, whether
Speaker 1: it's on your side, your back, or your stomach. I
Speaker 1: think that the amount you sleep and the quality of
Speaker 1: your sleep is the most important thing. And you know
Speaker 1: what I I think what I tell people is the
Speaker 1: foundation of health is food, exercise, and sleep. That's it.
Speaker 1: And mood is the some of those three things, and
Speaker 1: it impacts all of those things. And sleep is super
Speaker 1: fundamental to human function. There's there's a lot of good
Speaker 1: books out right now about sleep, um, that are written
Speaker 1: for general population, not necessarily medical providers, and they go
Speaker 1: through the history of sleep, why we sleep, what's you know,
Speaker 1: things that you know, ambing and this and that that
Speaker 1: people take. But but essentially I really like to see
Speaker 1: adults get eight hours of uninterrupted sleep. I don't care
Speaker 1: whether it's on their back, their stomach, or their side,
Speaker 1: and does it matter at what time of day they
Speaker 1: get those eight hours of sleep. Um, well, there's there
Speaker 1: is some thought that some people are night owls and
Speaker 1: other people are early risers. So the early risers, and
Speaker 1: you might see it in your own families. You might
Speaker 1: have you know, three people in your family who just
Speaker 1: seemed to go to bed at nine or ten o'clock
Speaker 1: and they wake up at five or six. And then
Speaker 1: you've got one kid who's up until you know, eleven
Speaker 1: and twelve o'clock at night and sleep so ten in
Speaker 1: the morning. There is evolutionary components of that too, Like
Speaker 1: the teenagers they needed to stay up late so they
Speaker 1: could go out and make mistakes and score around when
Speaker 1: all the grown ups were asleep. You know, there was
Speaker 1: there was you know, early risers and in night owls
Speaker 1: because that could provide the most coverage for us. You
Speaker 1: know from protection from people trying to eat human beings,
Speaker 1: and so every you you have to find your sleep
Speaker 1: pattern and stick to it. I think all of the
Speaker 1: travel that people do is really disruptive. All of the
Speaker 1: air travel, time zone travel. We did not evolve to
Speaker 1: do that. That's brand new. So you know, people like
Speaker 1: going back and forth between all these time zones is
Speaker 1: really difficult on them. Sleeping in different places every night,
Speaker 1: it's really difficult. I have a question on the sleep topic,
Speaker 1: which is my arms constantly fall asleep because of the
Speaker 1: way I'm laying on them and while I'm sleeping, and
Speaker 1: I have have to stay up. If you're asleep, it's
Speaker 1: pretty good, Dmitri uh, moving on. So, and I have
Speaker 1: friends that have experienced the same thing. And one of
Speaker 1: my buddies was telling me that he basically has like
Speaker 1: fashioned himself a straight jacket of sorts because he's desperately
Speaker 1: trying to avoid having nerve damage. And I don't know
Speaker 1: if that's a thing, if you can actually have nerve
Speaker 1: damage if your arms are consistently on a nightly basis
Speaker 1: falling asleep. But I every single night, at least three
Speaker 1: times will wake up and I cannot I have no
Speaker 1: feeling in my left or right arm, so that, um,
Speaker 1: is that a new thing that just started up in
Speaker 1: your whole life? No, I think it's the No, it's
Speaker 1: within the past few years. And maybe the way that
Speaker 1: I'm sleeping with my one of my arms under part
Speaker 1: of my head. I guess yeah, I think that that's
Speaker 1: pro reliate, it's positional, and that when we are sleeping,
Speaker 1: our bodies are literally catatonic. They're paralyzed. And so if
Speaker 1: you fall asleep in a position where you have a
Speaker 1: compressed nerve that will ultimately fall you know, fall asleep,
Speaker 1: you'll get in It's a little it's a transient neuropathy,
Speaker 1: meaning the nerve is not working great for you know,
Speaker 1: a few minutes until you shake it out and get
Speaker 1: some blood flow back to it. But I do not
Speaker 1: think it would cause permanent damage if it were something.
Speaker 1: You know, there are people who have spinal stenosis, for instance,
Speaker 1: in laying in a certain position they start to get
Speaker 1: pain in their legs, or if they get cervical stenosis,
Speaker 1: they might get pain in their arms. So there's lots
Speaker 1: of different things that could be causing that. But if
Speaker 1: it sounds like if it goes away pretty quickly. You
Speaker 1: know what I mean, weakness or any other difficulty during
Speaker 1: the day, It's probably not a problem. I I sleep
Speaker 1: on my back. So we we'd have our team would
Speaker 1: have sleep doctors. We had sleep doctors that came in
Speaker 1: every year to talk to us. But I sleep on
Speaker 1: my back and tried to as much as possible. We
Speaker 1: were sort of advised on this. Why. I don't know why,
Speaker 1: but um, do you sleep on your side? You sleep?
Speaker 1: What do you guys do? Sleep on my side? And
Speaker 1: I keep a pillow in between my legs because I
Speaker 1: was told that it's actually more comfortable for me. And
Speaker 1: right Ryan actually has a nest. But I have like
Speaker 1: all pill down pillows just around me, one in my arms,
Speaker 1: one in between my legs, one hovering in case one
Speaker 1: of those falls on the floor, and then one of
Speaker 1: those masks and cover to go over like a helmet
Speaker 1: to where to protect his hair. To meet you, How
Speaker 1: do you sleep? I honestly I don't sleep well. Um,
Speaker 1: but I in terms of position I move. I keep
Speaker 1: rotating all night long. Really, so I'm I'm on my
Speaker 1: back and I can a lot of nights I can
Speaker 1: fall asleep. The question here is doesn't matter how we sleep. Um,
Speaker 1: I can fall asleep on my back and I'll wake
Speaker 1: up the next morning in the exact same position. Um,
Speaker 1: you probably changed a lot and made your way back
Speaker 1: to that position. Yeah, that's possible, very possible. But um,
Speaker 1: we've talked about sleep on this show before. I think sleep.
Speaker 1: For me as an athlete, sleep was and I've said this,
Speaker 1: the number one thing that I prioritize in my life
Speaker 1: is sleep. And for people listening, if you want to
Speaker 1: be if you just want to think overall wellness, Um,
Speaker 1: sleep will affect everything. So there's something called you might
Speaker 1: have heard of this stuck Um. The five factors of health.
Speaker 1: The five factors of health, there's a discussion around this
Speaker 1: is how you sleep, how you eat, how you move,
Speaker 1: how you think, and the last one is how you
Speaker 1: connect with people. Are sort of the five overarching factors
Speaker 1: of health and wellness. And of the five, whenever I
Speaker 1: talk to people, I say sleep is the absolute most important.
Speaker 1: If sleep is in line the next morning, how you
Speaker 1: think will be clear. You're probably gonna make a better
Speaker 1: nutritional choice, You're probably going to move, and you're probably
Speaker 1: going to be more receptive to your wife or kids.
Speaker 1: If you have adequate sleep. So sleep for me is
Speaker 1: the thing I prioritize the most. That's what I was
Speaker 1: gonna say. Dr TDD you said, what was What were
Speaker 1: the three things that the sum is mood, food, exercise,
Speaker 1: and sleep. Right, So, ladies, if your guys being a dick,
Speaker 1: don't dump him. Just get him, tell him to eat something, sleep,
Speaker 1: and tell him the workout and then give him a
Speaker 1: second chance. Don't just up and leave or a second opinion. Okay,
Speaker 1: let's let's get on. I do really like those five
Speaker 1: fundamentals and some of the longitudinal studies about what really
Speaker 1: makes people healthy. I think we can human connection and
Speaker 1: the quality of the relationships. Yeah, I think. Um. There
Speaker 1: was a longitudinal study I think it was called The
Speaker 1: doctor's name was Valiant. He did it for years. He
Speaker 1: looked at data from Harvard that was collected from ninety
Speaker 1: three until almost two thousands, and he um he summed
Speaker 1: it up that the most important thing in successful human
Speaker 1: behavior was love. Was the connections that we had to
Speaker 1: our family and to other people, and that's really what
Speaker 1: drove vitality. It sort of goes in line. I also
Speaker 1: heard a study about the the two fears that people
Speaker 1: have and what you're saying speaks to this. The two
Speaker 1: fears that people have is one being ostracized from the
Speaker 1: group and two that they might get some physical harm,
Speaker 1: are really the only two fears that people have, and
Speaker 1: so the communal element of it, Um, what you're saying
Speaker 1: is is love and connection is massive too. I think
Speaker 1: overall wellness and health um Rick just touched on it.
Speaker 1: Here's a question for you, Dr Todd. Do doctors get piste?
Speaker 1: Like if I come in and say, you give me
Speaker 1: an answer, and I say I want a second opinion,
Speaker 1: do doctors get piste if we want a second opinion?
Speaker 1: They shouldn't. Um. You know, I think that you know
Speaker 1: one of the problems in medicine, and I like to
Speaker 1: refer to a lot as this. You know, these aren't
Speaker 1: my ideas. That this is Carol Dwex ideas about growth
Speaker 1: and fixed mindsets. And I think that a lot of
Speaker 1: doctors become fixed mindset people because they have to accept
Speaker 1: a paradigm and practice it, and when it gets challenged
Speaker 1: it's very unnerving for them. But I think a good
Speaker 1: doctor who's a lifetime learner is someone with a real
Speaker 1: growth mindset who can look at these failures or challenges
Speaker 1: an opportunity to learn. So I would say, if your
Speaker 1: doctor does get pissed, it might be a good opportunity
Speaker 1: for you to look for another doctors. I know, I
Speaker 1: know doctors hate when you say I googled something, that's
Speaker 1: for sure. But I once had a doctor snap at
Speaker 1: me because I guess I self diagnos I went in,
Speaker 1: I was like, you know, Dot, my legs have been hurting.
Speaker 1: I don't know if it's a m if it's poor circulation.
Speaker 1: Why do you think it's poor circulation? As I know,
Speaker 1: I'm just guessing. He's don't guess, and I'm like, well,
Speaker 1: that's why I'm here, Like, that's only a function of time,
Speaker 1: I think if doctors, I think, really, doctors don't have
Speaker 1: enough time to In the old days, where doctors saw,
Speaker 1: you know, four or five people a day, and the
Speaker 1: problems were not quite as bizarre as they seemed to
Speaker 1: be today, we didn't know as much, so there was
Speaker 1: simpler solutions. They had more time to talk. But now,
Speaker 1: you know, when you're seeing people a day and a
Speaker 1: real smart guy comes in and wants to talk about
Speaker 1: his hypotheses that he got from Google, you just don't
Speaker 1: have time to do it. You just call me a
Speaker 1: real smart Was that a sarcastic smart guy? Or like
Speaker 1: really want air quotations when he said he did lift
Speaker 1: his giant hands up and do his air quotations. Dr Todd,
Speaker 1: I appreciate your time. Um, do any of you guys
Speaker 1: have I'm gonna come see you at some point because
Speaker 1: does anybody else have any questions that they want? One
Speaker 1: quick one? Okay, I'm late. I mean my you know,
Speaker 1: mid forties. Is there one food that I should like
Speaker 1: totally be avoiding, or one food that I that I
Speaker 1: should be trying to eat more often, or just you
Speaker 1: know overall health like super food or gluten or whatever.
Speaker 1: I would avoid anything Brooks is eating that makes you
Speaker 1: dump six times a day. But well, I would say,
Speaker 1: without going in this is another huge topic, but I
Speaker 1: would say that, you know, eating whole foods and avoiding
Speaker 1: process foods would probably be the number one rule, And
Speaker 1: if you can avoid genetically modified foods, that's probably number two.
Speaker 1: And the question about gluten and all of these other
Speaker 1: hypersensitivities and autoimmune things that are coming from nutrition are
Speaker 1: because our bodies are seeing genetically modified foods that that
Speaker 1: they just haven't seen in our evolution and it's causing
Speaker 1: inflammatory reactions. So I would say if you can, try
Speaker 1: not to stay away from process foods and try and
Speaker 1: be careful with that genetically modified foods when you can.
Speaker 1: It's hard because everything has genetic modification in it. But
Speaker 1: to your point about gluten, the glead and protein that's
Speaker 1: in wheat is the classic genetically modified protein that in
Speaker 1: order to provide nutrition for huge growing human population. Wow,
Speaker 1: so we can eat spam. I don't know what that is.
Speaker 1: Dr Todd. I want to thank you so much for
Speaker 1: your expertise, uh and taking the time to come in
Speaker 1: to see us. Awesome, appreciate you. I feel better already.
Speaker 1: So Dr Todd was awesome. And going back to the
Speaker 1: beginning of the show, Ryan, I just want to say,
Speaker 1: what did you think about our friend Dr Todd that
Speaker 1: all doctors are not evil as you had a connotation
Speaker 1: or perception of before does this? Does this patch that
Speaker 1: wound a little bit that there are doctors that do
Speaker 1: care about you, you sensitive soul. Dr Todd changed my
Speaker 1: opinion and the generalization that I had on physicians. That said.
Speaker 1: I am going to call him tonight and send him
Speaker 1: an email tomorrow. No, no, you have no contact with
Speaker 1: Dr Todd unless this Dr Todd if you're listening. If
Speaker 1: I do not, you're back from me. I'll tell you
Speaker 1: what man you're on the list. No, no, you know,
Speaker 1: Danielle Amy, make sure Ryan does not get Dr Todd's info.
Speaker 1: We'd like to have him back. And no more faking
Speaker 1: your own death. Yeah, no more, please, no more. Um.
Speaker 1: But I hope this is able that Dr Todd showed
Speaker 1: you that he does care about you. He loves you
Speaker 1: as his child. He doesn't even remember your name. He
Speaker 1: was like I was on this podcast, but Dr Todd
Speaker 1: was fantastic. He was cool. I'd like to have him
Speaker 1: back again. And by the way, Brett has been in
Speaker 1: the bathroom for the last thirty minutes. We haven't seen him,
Speaker 1: but he's our number one guest. Well, I want to
Speaker 1: thank Dr Todd for coming uh and we always appreciate
Speaker 1: your guys questions, you have health questions. We'd love to
Speaker 1: have Dr Todd back again. But if you have health questions,
Speaker 1: we can forward those to him, get him back on
Speaker 1: the show. So you can email us men at I
Speaker 1: heart radio dot com and find us on Instagram. How
Speaker 1: men think podcasts. Send us your questions there. Thank you
Speaker 1: good sirs, which got to check. Check Gavin's tour schedule.
Speaker 1: Go see a show if he's near you. That is
Speaker 1: my favorite part of the podcast. To sign off from Brooks. No, no, no,
Speaker 1: I'm not going to sign off today. I'm gonna let
Speaker 1: you do it. I remember it and remember love one another,
Speaker 1: protect one another, don't fake. Hey guys, it's Brooks and
Speaker 1: one last thing before we let you go. If you
Speaker 1: like today's episode, you would love to get a five
Speaker 1: star review from you on iTunes and if you could
Speaker 1: possibly share it with a friend, that would be amazing
Speaker 1: as well. We always look forward to your questions, comments,
Speaker 1: or insights, so you can send us an email at
Speaker 1: men at I heart radio dot com and also follow
Speaker 1: along with us on Instagram at how Men Think Podcast